Running head: U.S. HEALTHCARE EXECUTIVES
1
U.S. HEALTHCARE EXECUTIVES
7
Week 2 Assignment-Operational challenges, trends and issues for the U.S. Healthcare Executives
Student’s Name
Institutional Affiliation
Introduction
A healthcare system is an organization of funds, individuals, and institutions which provide healthcare to satisfy the health requirements of a society. Globally, healthcare systems vary depending on the specific healthcare needs of particular states. Nevertheless, the common aspects of public and private care are often similar (Drummond, Sculpher, Claxton, Stoddart & Torrance, 2015). Over the years, we have witnessed the systems evolving, and with this constant change, it is vital to analyze operational challenges, trends, and issues for the U.S. healthcare executives. In this paper, the main areas that will be discussed are operational challenges, trends, and problems experienced in the United States health care executives.
Challenges experienced in the healthcare workplace
Various problems have been experienced in the healthcare workplace relating to healthcare provision in the United States. Financial difficulties are one of the main challenges being experienced in the healthcare workplace in the United States. The vital financial problems arise due to lack of enough finances for implementation of new technologies to improve healthcare delivery process (Mayes, 2017). Most healthcare facilities lack adequate funds to implement advanced technologies that can be used to increase the quality of healthcare delivery. As a result, this has reduced healthcare quality improvement plans in the United States. Therefore, there is a need for federal governments to meek proper arrangements to fund all healthcare activities to improve services delivery in the health sector.
Besides, healthcare professionals to comply with federal requirements for electronic health records is another challenge that has been experienced in the United States healthcare workplace. For the past year, some healthcare professionals have failed to comply with federal government guidelines regarding health care delivery (Mayes, 2017). Furthermore, the increasing number of patients who cannot pay for health care services is a significant challenge that has been experienced in the United States healthcare delivery systems. These finance challenges adversely affect healthcare delivery system in the United States.
Work overload is another major challenge that has been experienced in the United States health sectors (Mayes, 2017). Observations for past years reveal that work overload at the workplace affects the performance of health care professionals in the United States. Most healthcare professionals are assigned many responsibilities at workplaces, which reduces their efficiency.
Another cause of the rising cost of healthcare is the introduction of government programs. For example, Medicare assists those without insurance, which led to an incre.
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Assignment 1Part 1 Defining the ProblemProblem Identification.docxtrippettjettie
Assignment 1
Part 1: Defining the Problem
Problem Identification
According to Ludwick and Doucette (2009), one of the primary issues in healthcare is the reduced standard of patient care due to the continued non-integration of technology in medical-based facilities. The result is a poor entry of patient data, coupled with a system that cannot be relied upon in the long term. In this context, Black et al. (2011) are of the opinion that it is mandatory for all healthcare facilities to incorporate electronic health records systems and shift from the use of manual-based recording strategies.
Comment by Author: Use all of participating authors the first time listing
Problem Statement
The continued utilization of manual health-based recording system in the contemporary society leads to reduced efficiency. It also negatively affects the overall outcome of healthcare delivery at the expense of the patient.
Problem Description
The continued use of paper-based records in the modern society is inefficient as compared to hospices that use electronic-based recording system. First, the use of the latter focuses on patient-centered care whereby there it leads to reduced repetition of tests, as there is no scattering of test results in various hospitals. In addition, the paper-based recording system is redundant as the access to a patient’s records by a medical health provider is limited by the location of the doctor as well as the time they can access the hospital (Black et al. 2011). However, the latter is not limited by the mentioned entities since data can be sent electronically at any time and place to the doctor. The problem is directly related to my discipline since patients that undergo recording of their personal information through the manual-based recording system are prone to medical errors. According to Ludwick and Doucette (2009), such errors may involve poor drug administration, especially if a patient may prove allergic to various subscribedprescribed medications. Besides, the electronic-based records will result in increased monitoring of a patient, which leads to faster healthcare delivery, which is the objective of studying my discipline.
Purpose Statement
The reduced efficiency coupled with the adverse outcome caused by paper-based recording systems will be obliterated upon the incorporation of the electronic-based recording system. The objective related to the implementation of the project is increased efficiency and improved quality of healthcare delivery to the patients.
Part 2: Defining a Searchable, Answerable Question:
Population/Patient Problem:
1. What are the efficiency rates concerning number of patients that are bound to benefit from the incorporation of the electronic-based records?
Comment by Author: Needs to clarify what the rates are referring? Efficiency of what?
2. Does the electronic health recording provide any unique advantages over the manual recording system regarding the health status, of a patient?
Interventio ...
Review the shortage of medical professionals and the increasing need for advanced practitioners to serve in primary care roles
Identify the current barriers that prevent CNP from practicing to the full extent of their education, scope and training
Outline concrete ways in which these barriers can be effectively removed so as to improve autonomy for CNP’s and quality of care for patients.
BHA 3002, Health Care Management 1 Course Learning Ou.docxtarifarmarie
BHA 3002, Health Care Management 1
Course Learning Outcomes for Unit II
Upon completion of this unit, students should be able to:
6. Analyze the finance system in a healthcare organization.
6.1 Examine key differences between for-profit, not-for-profit, and public healthcare facilities.
6.2 Explain the process of creating and balancing a healthcare facility budget.
8. Evaluate ways to improve the quality and economy of patient care.
8.1 Describe the process of quality review and privileging for physicians.
8.2 Discuss the importance of quality initiatives, quality equipment and supplies, and quality
regulations.
8.3 Identify a management problem in a healthcare organization.
Course/Unit
Learning Outcomes
Learning Activity
6.1
Chapter 3 Reading
Unit Assessment
6.2
Chapter 3 Reading
Unit Assessment
8.1
Unit Lesson
Chapter 4 Reading
Unit Assessment
8.2
Unit Lesson
Chapter 4 Reading
Unit Assessment
8.3
Unit Lesson
Chapter 4 Reading
Unit II Project Topic
Reading Assignment
Chapter 3: Financing the Provision of Care
Chapter 4: Quality of Care
Unit Lesson
Evidence-Based Performance Measures
One of the hottest topics in healthcare administration today is evidence-based performance, and you certainly
need a solid understanding of this process in order to function effectively as a healthcare leader moving into
the future. American health care needs to improve. There is no doubt about that. Americans deserve more
bang for the buck that they spend on medical services. One of the most important initiatives to make that
happen is a move to more evidence-based practice.
What evidence-based performance is truly all about, first and foremost, is the patient (UT Health, 2015). In
particular, it is all about making sure that the patient receives care based upon the best and latest research
that is available for the patient’s own particular health problem or set of health problems. It is about giving the
right care, every time, for every patient. Other benefits of a solid evidence-based medicine program include
the ability to assure your own community that your hospital provides high quality care and that you are doing
your own quality review studies to make sure of this. Finally, evidence-based medicine makes sense because
UNIT II STUDY GUIDE
Financing and Quality for
Health Care
BHA 3002, Health Care Management 2
UNIT x STUDY GUIDE
Title
the Centers for Medicare Services (CMS) demands it of us. They will actually pay us more for our services if
we meet evidence-based performance criteria and goals, and they will financially penalize us if we do not
meet evidence-based goals. In short, there are many good reasons to implement evidence-based medicine in
your own medical facility.
Currently, there are several national focus areas for evidence-based medicine programs. These are heart
failure (HF), acute myocardial infarction (AMI), pneumonia (PN), and th.
This research paper outlines the idea of cost-effective health care, which minimizes 'unnecessary' patients tests and procedures that do not improve patient outcomes. The analysis focused on examining current trends in cost-effective health care, the rise of modern medical technologies involved in cost-effective health care, and the benefits of the U.S. implementing a cost-effective health care system. Mrs. McCallister and Dr. Pahwa were instrumental in the formation of this paper.
Assignment 1Part 1 Defining the ProblemProblem Identification.docxtrippettjettie
Assignment 1
Part 1: Defining the Problem
Problem Identification
According to Ludwick and Doucette (2009), one of the primary issues in healthcare is the reduced standard of patient care due to the continued non-integration of technology in medical-based facilities. The result is a poor entry of patient data, coupled with a system that cannot be relied upon in the long term. In this context, Black et al. (2011) are of the opinion that it is mandatory for all healthcare facilities to incorporate electronic health records systems and shift from the use of manual-based recording strategies.
Comment by Author: Use all of participating authors the first time listing
Problem Statement
The continued utilization of manual health-based recording system in the contemporary society leads to reduced efficiency. It also negatively affects the overall outcome of healthcare delivery at the expense of the patient.
Problem Description
The continued use of paper-based records in the modern society is inefficient as compared to hospices that use electronic-based recording system. First, the use of the latter focuses on patient-centered care whereby there it leads to reduced repetition of tests, as there is no scattering of test results in various hospitals. In addition, the paper-based recording system is redundant as the access to a patient’s records by a medical health provider is limited by the location of the doctor as well as the time they can access the hospital (Black et al. 2011). However, the latter is not limited by the mentioned entities since data can be sent electronically at any time and place to the doctor. The problem is directly related to my discipline since patients that undergo recording of their personal information through the manual-based recording system are prone to medical errors. According to Ludwick and Doucette (2009), such errors may involve poor drug administration, especially if a patient may prove allergic to various subscribedprescribed medications. Besides, the electronic-based records will result in increased monitoring of a patient, which leads to faster healthcare delivery, which is the objective of studying my discipline.
Purpose Statement
The reduced efficiency coupled with the adverse outcome caused by paper-based recording systems will be obliterated upon the incorporation of the electronic-based recording system. The objective related to the implementation of the project is increased efficiency and improved quality of healthcare delivery to the patients.
Part 2: Defining a Searchable, Answerable Question:
Population/Patient Problem:
1. What are the efficiency rates concerning number of patients that are bound to benefit from the incorporation of the electronic-based records?
Comment by Author: Needs to clarify what the rates are referring? Efficiency of what?
2. Does the electronic health recording provide any unique advantages over the manual recording system regarding the health status, of a patient?
Interventio ...
Review the shortage of medical professionals and the increasing need for advanced practitioners to serve in primary care roles
Identify the current barriers that prevent CNP from practicing to the full extent of their education, scope and training
Outline concrete ways in which these barriers can be effectively removed so as to improve autonomy for CNP’s and quality of care for patients.
BHA 3002, Health Care Management 1 Course Learning Ou.docxtarifarmarie
BHA 3002, Health Care Management 1
Course Learning Outcomes for Unit II
Upon completion of this unit, students should be able to:
6. Analyze the finance system in a healthcare organization.
6.1 Examine key differences between for-profit, not-for-profit, and public healthcare facilities.
6.2 Explain the process of creating and balancing a healthcare facility budget.
8. Evaluate ways to improve the quality and economy of patient care.
8.1 Describe the process of quality review and privileging for physicians.
8.2 Discuss the importance of quality initiatives, quality equipment and supplies, and quality
regulations.
8.3 Identify a management problem in a healthcare organization.
Course/Unit
Learning Outcomes
Learning Activity
6.1
Chapter 3 Reading
Unit Assessment
6.2
Chapter 3 Reading
Unit Assessment
8.1
Unit Lesson
Chapter 4 Reading
Unit Assessment
8.2
Unit Lesson
Chapter 4 Reading
Unit Assessment
8.3
Unit Lesson
Chapter 4 Reading
Unit II Project Topic
Reading Assignment
Chapter 3: Financing the Provision of Care
Chapter 4: Quality of Care
Unit Lesson
Evidence-Based Performance Measures
One of the hottest topics in healthcare administration today is evidence-based performance, and you certainly
need a solid understanding of this process in order to function effectively as a healthcare leader moving into
the future. American health care needs to improve. There is no doubt about that. Americans deserve more
bang for the buck that they spend on medical services. One of the most important initiatives to make that
happen is a move to more evidence-based practice.
What evidence-based performance is truly all about, first and foremost, is the patient (UT Health, 2015). In
particular, it is all about making sure that the patient receives care based upon the best and latest research
that is available for the patient’s own particular health problem or set of health problems. It is about giving the
right care, every time, for every patient. Other benefits of a solid evidence-based medicine program include
the ability to assure your own community that your hospital provides high quality care and that you are doing
your own quality review studies to make sure of this. Finally, evidence-based medicine makes sense because
UNIT II STUDY GUIDE
Financing and Quality for
Health Care
BHA 3002, Health Care Management 2
UNIT x STUDY GUIDE
Title
the Centers for Medicare Services (CMS) demands it of us. They will actually pay us more for our services if
we meet evidence-based performance criteria and goals, and they will financially penalize us if we do not
meet evidence-based goals. In short, there are many good reasons to implement evidence-based medicine in
your own medical facility.
Currently, there are several national focus areas for evidence-based medicine programs. These are heart
failure (HF), acute myocardial infarction (AMI), pneumonia (PN), and th.
Paper #1 - Due March 8Posted Feb 22, 2018 949 AMPaper #1 - Ad.docxbunyansaturnina
Paper #1 - Due March 8
Posted Feb 22, 2018 9:49 AM
Paper #1 - Advice for Success
Please, use: File Name: HCAD610-Paper1-[Last Name]-Spring-2018
(And it would be nice if each page had your name and a page number...!)
Given how rapidly HIT has evolved over the last decade, HIT references greater than 5 years old need to have a relevant historical context or clear justification for their use. Every assertion that you make needs to have a clear source and be supported by references. EVERY factual statement Must be referenced, individually, from a credible and verifiable source...
No Abstract or Cover Page Needed...
I hope the guidance below helps...!
Dr Freeman
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
You are the director of strategic communication for a non-profit suburban community hospital. The CEO has asked you to prepare a 3-7 page briefing paper that answers the following questions posed by the Board of Directors:
What does the US government mean by the concept “meaningful use?” How do myriad HIT systems support each other? Or do they?
Due End of Week 4.
1. Explain Gov’t term: “meaningful Use”; (15 points)
2. What US HIT systems have Problems and WHY? (25 points)
3. What Changes are needed in US HIT Systems? (25 points)
4. What HIT Strategy Steps are needed BY Hospital? (25 points)
5. Grammar, Referencing, Page Restrictions (10 points)
Evaluate U.S. HIT
Compare with that of other advanced nations? What contributes to this?
U.S HIT is behind when compared to other developed countries in the world. According to Davis, Stremikis, Squires, and Schoen (2014), “other countries have led in the adoption of modern health information systems, but U.S. physicians and hospitals are catching up as they respond to significant financial incentives to adopt and make meaningful use of health information technology systems.” What baffled me the most is that the U.S healthcare system remains the most expensive in the world and there is nothing to show for the high cost when compared to performance rating with other developed nations. The U.S remains at the bottom when it comes to healthcare performance in terms of quality care, access, efficiency, equity, and healthy lives (Davis et al., 2014).
I believe our government is to be blamed for poor HIT advancement in the U.S. This is because the U.S government is ten years late in making HIT a national major concern to support and invest in. I was surprised to find out that the U.S is one of the first nations in the world to fund and use HIT. So the question is how did end on the back bench when it comes to HIT advancement. Sullivan, Watkins, Sweet, and Ramsey (2009) reports that most of the early initiatives such as government funding and policies put in place to foster the growth of HIT have been either changed or stopped as a result of political, financial, and commercial pressures. “A National Center for .
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxtoddr4
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxhealdkathaleen
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu ...
Running head: TELE HEALTHCARE 1
TELE HEALTHCARE 6
Tele Healthcare
Name
Institution
Tele Healthcare
Approximately over 50 years of telehealth development has seen tackling of numerous medical conditions through the utilization of different types of technologies. Tele healthcare has been associated with a wide variety of outcomes in the healthcare. Despite the fact that it as shown great promise in the modern times, it has also triggered a number of challenges for interpretation and technical issues that are linked to the lack of technological expertise among the healthcare practitioners. For instance, then challenges that exist in defining such terms as telehealth is a reflection of the broader difficulties when it comes to the interpretation of the complex interplay that exists between clinical output, patient involvement, service designs and technology. Despite these significant challenges whose impacts in the healthcare delivery is great, the significance of telehealth practices cannot be overlooked in terms of the patient outcomes and efficiency of healthcare delivery. Tele healthcare has enhanced information sharing between patients and doctors even those who are located in the remote areas. It has made it possible to monitor the progress of patients within and outside the facilities devoid of the need to have physical meetings. The benefits of tele healthcare outweigh its pitfalls hence it is important that is integrated into medical practices to optimize patient outcomes.
Tele healthcare is depicted as personalized healthcare that is delivered over a long distance such that data is transferred from the patients to the professionals and back. It has played a key role in enhancing feedback from the patients to the professionals for the interest of evidence-based decision making and treatment. For instance, the significance of telehealth can be evident among the inpatients with severe long-term conditions such as diabetes and long-term asthma. It has played a key role in reducing hospital admissions without increasing mortality.
Advantages of Tele Healthcare
There are numerous advantages of tele healthcare. To start with is that it is powered by technology. Technological advancement in the modern times has made it easy for various organizational operations. Technological advancement has been adopted across all spheres of life and healthcare is not an exemption. Creating a balance between healthcare practices and technology is a key requirement when it comes to the medical operations and practices (Dorsey & Topol, 2016). The case of the importance of tele healthcare can be witnessed in electronic health records whereby a medical professional admits the patient and their data is keyed in the system. This data is required in the en ...
CHAPter3ConneCting tHe strAtegiC Dots Does Hit mAt.docxtiffanyd4
CHAPter
3
ConneCting tHe strAtegiC Dots:
Does Hit mAtter?
learning objectives
1. List and define five major challenges facing healthcare delivery systems
today.
2. Describe the complexity of these interrelated challenges for healthcare
and healthcare information technology.
3. Illustrate the history, development, and current state of healthcare
information systems.
4. Name and describe the four categories of healthcare information
systems.
5. Analyze the key priorities of healthcare information systems today that
will affect their future.
Healthcare information technology: the future is now
Healthcare delivery continues to be an information-intensive set of processes.
A series of Institute of Medicine (IOM 1999, 2001) studies suggests that
high-quality patient care relies on careful documentation of each patient’s
medical history, health status, current medical conditions, and treatment
plans. Financial information is essential for strategic planning and efficient
operational support of the patient care process. Management of healthcare
organizations requires reliable, accurate, current, secure, and relevant clini-
cal and administrative information. A strong argument can be made that the
healthcare field is one of the most information-intensive sectors of the US
economy.
Information technology has advanced to a high level of sophistication.
However, technology can only provide tools to aid in the accomplishment
of a wider set of organizational goals. Analysis of information requirements
in the broader organizational context should always take precedence over a
rush to computerize. Information technology by itself is not the answer to
management problems; technology must be part of a broader restructuring
of the organization, including reengineering of business processes. Alignment
1
Glandon-Proof.indb 3 6/10/13 11:40 AM
I n f o r m a t i o n S y s t e m s f o r H e a l t h c a r e M a n a g e m e n t4
of information technology strategy with management goals of the healthcare
organization is essential. Despite these cautions, effective design, implemen-
tation, and management of healthcare information technology (HIT) show
great promise (De Angelo 2000; Glaser and Garets 2005; Kaushal, Barker,
and Bates 2001; Smaltz et al. 2005a).
An essential element in a successful information systems implementa-
tion is carefully planned teamwork by clinicians, managers, and technical
systems specialists. Information systems developed in isolation by technicians
may be technically pure and elegant in design, but rarely will they pass the
test of reality in meeting organizational requirements. On the other hand,
very few managers and clinicians possess the equally important technical
knowledge and skills of systems analysis and design, and the amateur analyst
cannot hope to avoid the havoc that can result from a poorly designed sys-
tem. A balanced effort is required: Operational personnel contribut.
CHAPter3ConneCting tHe strAtegiC Dots Does Hit mAt.docxmccormicknadine86
CHAPter
3
ConneCting tHe strAtegiC Dots:
Does Hit mAtter?
learning objectives
1. List and define five major challenges facing healthcare delivery systems
today.
2. Describe the complexity of these interrelated challenges for healthcare
and healthcare information technology.
3. Illustrate the history, development, and current state of healthcare
information systems.
4. Name and describe the four categories of healthcare information
systems.
5. Analyze the key priorities of healthcare information systems today that
will affect their future.
Healthcare information technology: the future is now
Healthcare delivery continues to be an information-intensive set of processes.
A series of Institute of Medicine (IOM 1999, 2001) studies suggests that
high-quality patient care relies on careful documentation of each patient’s
medical history, health status, current medical conditions, and treatment
plans. Financial information is essential for strategic planning and efficient
operational support of the patient care process. Management of healthcare
organizations requires reliable, accurate, current, secure, and relevant clini-
cal and administrative information. A strong argument can be made that the
healthcare field is one of the most information-intensive sectors of the US
economy.
Information technology has advanced to a high level of sophistication.
However, technology can only provide tools to aid in the accomplishment
of a wider set of organizational goals. Analysis of information requirements
in the broader organizational context should always take precedence over a
rush to computerize. Information technology by itself is not the answer to
management problems; technology must be part of a broader restructuring
of the organization, including reengineering of business processes. Alignment
1
Glandon-Proof.indb 3 6/10/13 11:40 AM
I n f o r m a t i o n S y s t e m s f o r H e a l t h c a r e M a n a g e m e n t4
of information technology strategy with management goals of the healthcare
organization is essential. Despite these cautions, effective design, implemen-
tation, and management of healthcare information technology (HIT) show
great promise (De Angelo 2000; Glaser and Garets 2005; Kaushal, Barker,
and Bates 2001; Smaltz et al. 2005a).
An essential element in a successful information systems implementa-
tion is carefully planned teamwork by clinicians, managers, and technical
systems specialists. Information systems developed in isolation by technicians
may be technically pure and elegant in design, but rarely will they pass the
test of reality in meeting organizational requirements. On the other hand,
very few managers and clinicians possess the equally important technical
knowledge and skills of systems analysis and design, and the amateur analyst
cannot hope to avoid the havoc that can result from a poorly designed sys-
tem. A balanced effort is required: Operational personnel contribut ...
The Quadruple Aim provides broad categories of goals to pursue to ma.docxhelen23456789
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.
To Prepare:
Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):
Analysis of a Pertinent Healthcare Issue
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain ho.
DQ 3-2Integrated health care delivery systems (IDS) was develope.docxelinoraudley582231
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
http://www.wpro.who.int/asia_pacific_observatory/hits/myanmar_pns1_en.pdf
What are the challenges facing Myanmar in progressing towards Universal Health Coverage?
https://www.irrawaddy.com/specials/challenges-impede-development-of-myanmars-public-health.html
Challenges Impede Development of Myanmar’s Public Health
https://europa.eu/capacity4dev/capacity-building-in-public-health-for-development/document/health-sector-reforms-myanmar-giving-more-space-public-health-interventions-ncds
Health Sector Reforms in Myanmar, giving more space for public health interventions for NCDs
Running Head W2 Case StudiesW2 Case Studies2.docxjenkinsmandie
Running Head: W2: Case Studies
W2: Case Studies
2
Bismit Pratapsingh
University of the Cumberland’s
ITS-531-09 Business Intelligence
Professor: Dr. Michael Jones
1st Nov 2019
Table of Contents
Introduction2
Application case 2
1. Description of the benefits of implementation of continental go forward strategy2
2. Explanation of the reason for which it is important to use a real time data warehouse2
4. Strategic advantage of using real time system rather than using a traditional information system3
Application case4
1. Premier 4
2. Primary challenges of premier to achieve the vision4
3.
Solution
provided by IBM and other partner4
4. Results and other benefits5
Conclusion5
Introduction
Airlines domain has a number of critical aspects that are required to be integrated within the account. It can be stated that all the significant management of this study are required to be managed in such a way the accountability is maximized. It is quite critical to understand that the essential elements are required to be managed extensively within the business domain. This study includes aspects such as go forward strategy and real time dta warehousing. Application case
1. Description of the benefits of implementation of continental go forward strategy
Go forward strategy refers to a critical element that is associated with four interrelated parts within the same time limit that relates as a strong apparatus for setting the association with in the right choice. The advantages in this domain are dynamic in nature. The primary advantages in this domain can be identified below.
· Go forward strategy have helped the continental airlines for setting up a range of noteworthy approaches for modifying the industry status from first to top selection
· The discovery as well as innovation has reformed as progressively based for supporting the specific activities.
· The strategy is extremely vital in terms of quality management
· Cost reduction is another prime benefit in relation to the continental go forward strategy
· Disposal of fraud is another critical element that is incorporated within the beneficiary account.
2. Explanation of the reason for which it is important to use a real time data warehouse
Real time data warehouse is extremely critical to be implemented by airlines. It can be identified that the airlines have multiple domains that are required to be taken into account by the airlines. A number of critical alignments are associated with it. Data warehousing is one of the primary aspects within the context of airlines domain. It is quite evident that all the systematic management in this domain are required to be integrated in such a manner that the accountability is maximized. It is quite important to understand that all the situational perspectives are required to be integrated within this domain for the betterment of the organization. The refresh rate of real time data warehousing is extremely high. As a result of that, RDW is ext.
Running head VENICE FAMILY CLINIC 1VENICE FAMILY CLINIC.docxjenkinsmandie
Running head: VENICE FAMILY CLINIC 1
VENICE FAMILY CLINIC 4
Venice Family Clinic
Introduction
Venice Family Clinic (VFC) is well‐known for giving quality wellbeing services to populaces deprived through a powerful volunteer model. Established in 1970, it has a long history of volunteerism, which has been coordinated into the way of life of the association. There is great leadership involvement in the model just as an internal framework set up to enlist and support volunteer doctors, including clinic space, systems for scheduling patients, and a full‐time volunteer organizer. Additionally, VFC has longstanding relationships with private healthcare facilities in the region.
A department likely to exist within the organization
VFC has a unit that offers psychiatric health services that incorporates counseling, mental services, and psychosocial support identified with the social stress of poverty, homelessness, joblessness, and aggressive behavior at home. Services include emergency intercession just as an individual, family, and group treatment. Albeit, once in a while, challenges make it difficult to pick an ideal setting; it is significant as well, where conceivable, think about privacy. VFC thinks about confidentiality as one of the keys to excellent communication, as the client is probably going to reveal data of a private and sensitive nature (Carroll & Richardson, 2016).
The financial condition of the Clinic
Venice's family clinic financial report of 2012 current liabilities is 3,398, 342, while the total existing assets total up to 9,913,386. Therefore, 2.89 is the current ratio of the clinic. This ratio is somewhat high, which implies, the clinic is not using its financial capabilities resourcefully. The clinic, however, is in a position to meet its short-term financial obligation because it has good liquidity. Conversely, 0.21 is the debt to equity ratio, which means the facility can manage its daily operations without getting help from financiers. At the beginning of the year, net resources remain at 20,690,947, while toward the end of the year, the net resource was 18,876, 692, which suggests that the facility has a net loss of 1,841,255. This clearly shows the medical clinic will experience financial constraints in sustaining its operations. Therefore, the clinic needs to control its cost to avoid losing the money (Carroll & Richardson, 2016).
Healthcare trends likely to affect the Clinic
Today, health care systems are determined to provide a patient-centered treatment, which is a trend brought about due to technology proliferation. Most health centers are integrating technology in their operation, clinical aspects, as well as administrative. As healthcare transform to becoming more goals focused and systemic, they are coming up with approaches and techniques aimed to improve the patient’s experience. Analytics are also involved in helping hospitals foresee future trends and guide decision making.
In Venice Fami.
More Related Content
Similar to Running head U.S. HEALTHCARE EXECUTIVES 1U.S. HEALTHCARE EX.docx
Paper #1 - Due March 8Posted Feb 22, 2018 949 AMPaper #1 - Ad.docxbunyansaturnina
Paper #1 - Due March 8
Posted Feb 22, 2018 9:49 AM
Paper #1 - Advice for Success
Please, use: File Name: HCAD610-Paper1-[Last Name]-Spring-2018
(And it would be nice if each page had your name and a page number...!)
Given how rapidly HIT has evolved over the last decade, HIT references greater than 5 years old need to have a relevant historical context or clear justification for their use. Every assertion that you make needs to have a clear source and be supported by references. EVERY factual statement Must be referenced, individually, from a credible and verifiable source...
No Abstract or Cover Page Needed...
I hope the guidance below helps...!
Dr Freeman
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
You are the director of strategic communication for a non-profit suburban community hospital. The CEO has asked you to prepare a 3-7 page briefing paper that answers the following questions posed by the Board of Directors:
What does the US government mean by the concept “meaningful use?” How do myriad HIT systems support each other? Or do they?
Due End of Week 4.
1. Explain Gov’t term: “meaningful Use”; (15 points)
2. What US HIT systems have Problems and WHY? (25 points)
3. What Changes are needed in US HIT Systems? (25 points)
4. What HIT Strategy Steps are needed BY Hospital? (25 points)
5. Grammar, Referencing, Page Restrictions (10 points)
Evaluate U.S. HIT
Compare with that of other advanced nations? What contributes to this?
U.S HIT is behind when compared to other developed countries in the world. According to Davis, Stremikis, Squires, and Schoen (2014), “other countries have led in the adoption of modern health information systems, but U.S. physicians and hospitals are catching up as they respond to significant financial incentives to adopt and make meaningful use of health information technology systems.” What baffled me the most is that the U.S healthcare system remains the most expensive in the world and there is nothing to show for the high cost when compared to performance rating with other developed nations. The U.S remains at the bottom when it comes to healthcare performance in terms of quality care, access, efficiency, equity, and healthy lives (Davis et al., 2014).
I believe our government is to be blamed for poor HIT advancement in the U.S. This is because the U.S government is ten years late in making HIT a national major concern to support and invest in. I was surprised to find out that the U.S is one of the first nations in the world to fund and use HIT. So the question is how did end on the back bench when it comes to HIT advancement. Sullivan, Watkins, Sweet, and Ramsey (2009) reports that most of the early initiatives such as government funding and policies put in place to foster the growth of HIT have been either changed or stopped as a result of political, financial, and commercial pressures. “A National Center for .
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxtoddr4
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu.
Running head A REVIEW OF KEY CURRENT HEALTHCARE ISSUES QUALITY A.docxhealdkathaleen
Running head: A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM 1
A REVIEW OF KEY CURRENT HEALTHCARE ISSUES: QUALITY AND VALUE IN THE U.S’S HEALTHCARE SYSTEM
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Student's Name
Institution Affiliation
Date
A Review of Key Current Healthcare Issues: Quality and Value in the U.S's Healthcare System
Healthcare regulations, funds, workload, and technology continue to complicate and inconvenient the U.S healthcare system. However, the quality and value of care tops. In the United States of America, despite significant healthcare transformation efforts, poor care lingers a considerable concern.
America is second to none in terms of healthcare expenditure across the globe. Ironically, evidence shows that its citizens do not receive the most appropriate care, or at least, which they need. For instance, Graban (2018) documents that preventive care is underutilized in the country, which is escalating the budget of managing advanced diseases. On the other hand, patients of chronic ailments such as diabetes, hypertension, and cardiac complications, do not also usually get treatments that are proven and effective (Wiler, Pines, & Ward, 2019). According to Strome (2019), this case is particularly true and event rampant to the persons that insured, uninsured, or under-insured. The lack of proper coordination of chronic diseases patients' care would only source more or exuberate poor healthcare. The unsurprising healthcare system's underlying fragmentation only fuels the issue given that many health care providers hardly have the payment support such related gears, necessary for effective communication and coordination to improve patient care.
While a significant number of patients miss medically necessary care, other clients get unnecessary or even unsafe attention. Research depicts terrific variations in hospital inpatient lengths of stay, specialists' visits, testing and procedures, and costs — not just by United States' unalike geographic areas, but from one health institution to another in the same town (Wiler, Pines, & Ward, 2019). Though limited, evidence on the most effective treatments and procedures, on the best way of informing providers about the efficacy of different treatments, and on the failures of detecting and reducing errors further underwrite the gaps care's quality and effectiveness (Strome, 2019). The concerns are especially pertinent to the Americans of the lower social classes as well as to those from diverse demographic and ethnic groups are usually frequent victims of a lot of incongruences in health and health care.
The implication of Poor Patient Care
Poor quality care impacts both patients and providers negatively. For patients, it reduces their survival changes, aggravates illnesses, and leads to unnecessary mortalities (Graban, 2018). To providers, such issu ...
Running head: TELE HEALTHCARE 1
TELE HEALTHCARE 6
Tele Healthcare
Name
Institution
Tele Healthcare
Approximately over 50 years of telehealth development has seen tackling of numerous medical conditions through the utilization of different types of technologies. Tele healthcare has been associated with a wide variety of outcomes in the healthcare. Despite the fact that it as shown great promise in the modern times, it has also triggered a number of challenges for interpretation and technical issues that are linked to the lack of technological expertise among the healthcare practitioners. For instance, then challenges that exist in defining such terms as telehealth is a reflection of the broader difficulties when it comes to the interpretation of the complex interplay that exists between clinical output, patient involvement, service designs and technology. Despite these significant challenges whose impacts in the healthcare delivery is great, the significance of telehealth practices cannot be overlooked in terms of the patient outcomes and efficiency of healthcare delivery. Tele healthcare has enhanced information sharing between patients and doctors even those who are located in the remote areas. It has made it possible to monitor the progress of patients within and outside the facilities devoid of the need to have physical meetings. The benefits of tele healthcare outweigh its pitfalls hence it is important that is integrated into medical practices to optimize patient outcomes.
Tele healthcare is depicted as personalized healthcare that is delivered over a long distance such that data is transferred from the patients to the professionals and back. It has played a key role in enhancing feedback from the patients to the professionals for the interest of evidence-based decision making and treatment. For instance, the significance of telehealth can be evident among the inpatients with severe long-term conditions such as diabetes and long-term asthma. It has played a key role in reducing hospital admissions without increasing mortality.
Advantages of Tele Healthcare
There are numerous advantages of tele healthcare. To start with is that it is powered by technology. Technological advancement in the modern times has made it easy for various organizational operations. Technological advancement has been adopted across all spheres of life and healthcare is not an exemption. Creating a balance between healthcare practices and technology is a key requirement when it comes to the medical operations and practices (Dorsey & Topol, 2016). The case of the importance of tele healthcare can be witnessed in electronic health records whereby a medical professional admits the patient and their data is keyed in the system. This data is required in the en ...
CHAPter3ConneCting tHe strAtegiC Dots Does Hit mAt.docxtiffanyd4
CHAPter
3
ConneCting tHe strAtegiC Dots:
Does Hit mAtter?
learning objectives
1. List and define five major challenges facing healthcare delivery systems
today.
2. Describe the complexity of these interrelated challenges for healthcare
and healthcare information technology.
3. Illustrate the history, development, and current state of healthcare
information systems.
4. Name and describe the four categories of healthcare information
systems.
5. Analyze the key priorities of healthcare information systems today that
will affect their future.
Healthcare information technology: the future is now
Healthcare delivery continues to be an information-intensive set of processes.
A series of Institute of Medicine (IOM 1999, 2001) studies suggests that
high-quality patient care relies on careful documentation of each patient’s
medical history, health status, current medical conditions, and treatment
plans. Financial information is essential for strategic planning and efficient
operational support of the patient care process. Management of healthcare
organizations requires reliable, accurate, current, secure, and relevant clini-
cal and administrative information. A strong argument can be made that the
healthcare field is one of the most information-intensive sectors of the US
economy.
Information technology has advanced to a high level of sophistication.
However, technology can only provide tools to aid in the accomplishment
of a wider set of organizational goals. Analysis of information requirements
in the broader organizational context should always take precedence over a
rush to computerize. Information technology by itself is not the answer to
management problems; technology must be part of a broader restructuring
of the organization, including reengineering of business processes. Alignment
1
Glandon-Proof.indb 3 6/10/13 11:40 AM
I n f o r m a t i o n S y s t e m s f o r H e a l t h c a r e M a n a g e m e n t4
of information technology strategy with management goals of the healthcare
organization is essential. Despite these cautions, effective design, implemen-
tation, and management of healthcare information technology (HIT) show
great promise (De Angelo 2000; Glaser and Garets 2005; Kaushal, Barker,
and Bates 2001; Smaltz et al. 2005a).
An essential element in a successful information systems implementa-
tion is carefully planned teamwork by clinicians, managers, and technical
systems specialists. Information systems developed in isolation by technicians
may be technically pure and elegant in design, but rarely will they pass the
test of reality in meeting organizational requirements. On the other hand,
very few managers and clinicians possess the equally important technical
knowledge and skills of systems analysis and design, and the amateur analyst
cannot hope to avoid the havoc that can result from a poorly designed sys-
tem. A balanced effort is required: Operational personnel contribut.
CHAPter3ConneCting tHe strAtegiC Dots Does Hit mAt.docxmccormicknadine86
CHAPter
3
ConneCting tHe strAtegiC Dots:
Does Hit mAtter?
learning objectives
1. List and define five major challenges facing healthcare delivery systems
today.
2. Describe the complexity of these interrelated challenges for healthcare
and healthcare information technology.
3. Illustrate the history, development, and current state of healthcare
information systems.
4. Name and describe the four categories of healthcare information
systems.
5. Analyze the key priorities of healthcare information systems today that
will affect their future.
Healthcare information technology: the future is now
Healthcare delivery continues to be an information-intensive set of processes.
A series of Institute of Medicine (IOM 1999, 2001) studies suggests that
high-quality patient care relies on careful documentation of each patient’s
medical history, health status, current medical conditions, and treatment
plans. Financial information is essential for strategic planning and efficient
operational support of the patient care process. Management of healthcare
organizations requires reliable, accurate, current, secure, and relevant clini-
cal and administrative information. A strong argument can be made that the
healthcare field is one of the most information-intensive sectors of the US
economy.
Information technology has advanced to a high level of sophistication.
However, technology can only provide tools to aid in the accomplishment
of a wider set of organizational goals. Analysis of information requirements
in the broader organizational context should always take precedence over a
rush to computerize. Information technology by itself is not the answer to
management problems; technology must be part of a broader restructuring
of the organization, including reengineering of business processes. Alignment
1
Glandon-Proof.indb 3 6/10/13 11:40 AM
I n f o r m a t i o n S y s t e m s f o r H e a l t h c a r e M a n a g e m e n t4
of information technology strategy with management goals of the healthcare
organization is essential. Despite these cautions, effective design, implemen-
tation, and management of healthcare information technology (HIT) show
great promise (De Angelo 2000; Glaser and Garets 2005; Kaushal, Barker,
and Bates 2001; Smaltz et al. 2005a).
An essential element in a successful information systems implementa-
tion is carefully planned teamwork by clinicians, managers, and technical
systems specialists. Information systems developed in isolation by technicians
may be technically pure and elegant in design, but rarely will they pass the
test of reality in meeting organizational requirements. On the other hand,
very few managers and clinicians possess the equally important technical
knowledge and skills of systems analysis and design, and the amateur analyst
cannot hope to avoid the havoc that can result from a poorly designed sys-
tem. A balanced effort is required: Operational personnel contribut ...
The Quadruple Aim provides broad categories of goals to pursue to ma.docxhelen23456789
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.
To Prepare:
Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):
Analysis of a Pertinent Healthcare Issue
Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain ho.
DQ 3-2Integrated health care delivery systems (IDS) was develope.docxelinoraudley582231
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
http://www.wpro.who.int/asia_pacific_observatory/hits/myanmar_pns1_en.pdf
What are the challenges facing Myanmar in progressing towards Universal Health Coverage?
https://www.irrawaddy.com/specials/challenges-impede-development-of-myanmars-public-health.html
Challenges Impede Development of Myanmar’s Public Health
https://europa.eu/capacity4dev/capacity-building-in-public-health-for-development/document/health-sector-reforms-myanmar-giving-more-space-public-health-interventions-ncds
Health Sector Reforms in Myanmar, giving more space for public health interventions for NCDs
Similar to Running head U.S. HEALTHCARE EXECUTIVES 1U.S. HEALTHCARE EX.docx (20)
Running Head W2 Case StudiesW2 Case Studies2.docxjenkinsmandie
Running Head: W2: Case Studies
W2: Case Studies
2
Bismit Pratapsingh
University of the Cumberland’s
ITS-531-09 Business Intelligence
Professor: Dr. Michael Jones
1st Nov 2019
Table of Contents
Introduction2
Application case 2
1. Description of the benefits of implementation of continental go forward strategy2
2. Explanation of the reason for which it is important to use a real time data warehouse2
4. Strategic advantage of using real time system rather than using a traditional information system3
Application case4
1. Premier 4
2. Primary challenges of premier to achieve the vision4
3.
Solution
provided by IBM and other partner4
4. Results and other benefits5
Conclusion5
Introduction
Airlines domain has a number of critical aspects that are required to be integrated within the account. It can be stated that all the significant management of this study are required to be managed in such a way the accountability is maximized. It is quite critical to understand that the essential elements are required to be managed extensively within the business domain. This study includes aspects such as go forward strategy and real time dta warehousing. Application case
1. Description of the benefits of implementation of continental go forward strategy
Go forward strategy refers to a critical element that is associated with four interrelated parts within the same time limit that relates as a strong apparatus for setting the association with in the right choice. The advantages in this domain are dynamic in nature. The primary advantages in this domain can be identified below.
· Go forward strategy have helped the continental airlines for setting up a range of noteworthy approaches for modifying the industry status from first to top selection
· The discovery as well as innovation has reformed as progressively based for supporting the specific activities.
· The strategy is extremely vital in terms of quality management
· Cost reduction is another prime benefit in relation to the continental go forward strategy
· Disposal of fraud is another critical element that is incorporated within the beneficiary account.
2. Explanation of the reason for which it is important to use a real time data warehouse
Real time data warehouse is extremely critical to be implemented by airlines. It can be identified that the airlines have multiple domains that are required to be taken into account by the airlines. A number of critical alignments are associated with it. Data warehousing is one of the primary aspects within the context of airlines domain. It is quite evident that all the systematic management in this domain are required to be integrated in such a manner that the accountability is maximized. It is quite important to understand that all the situational perspectives are required to be integrated within this domain for the betterment of the organization. The refresh rate of real time data warehousing is extremely high. As a result of that, RDW is ext.
Running head VENICE FAMILY CLINIC 1VENICE FAMILY CLINIC.docxjenkinsmandie
Running head: VENICE FAMILY CLINIC 1
VENICE FAMILY CLINIC 4
Venice Family Clinic
Introduction
Venice Family Clinic (VFC) is well‐known for giving quality wellbeing services to populaces deprived through a powerful volunteer model. Established in 1970, it has a long history of volunteerism, which has been coordinated into the way of life of the association. There is great leadership involvement in the model just as an internal framework set up to enlist and support volunteer doctors, including clinic space, systems for scheduling patients, and a full‐time volunteer organizer. Additionally, VFC has longstanding relationships with private healthcare facilities in the region.
A department likely to exist within the organization
VFC has a unit that offers psychiatric health services that incorporates counseling, mental services, and psychosocial support identified with the social stress of poverty, homelessness, joblessness, and aggressive behavior at home. Services include emergency intercession just as an individual, family, and group treatment. Albeit, once in a while, challenges make it difficult to pick an ideal setting; it is significant as well, where conceivable, think about privacy. VFC thinks about confidentiality as one of the keys to excellent communication, as the client is probably going to reveal data of a private and sensitive nature (Carroll & Richardson, 2016).
The financial condition of the Clinic
Venice's family clinic financial report of 2012 current liabilities is 3,398, 342, while the total existing assets total up to 9,913,386. Therefore, 2.89 is the current ratio of the clinic. This ratio is somewhat high, which implies, the clinic is not using its financial capabilities resourcefully. The clinic, however, is in a position to meet its short-term financial obligation because it has good liquidity. Conversely, 0.21 is the debt to equity ratio, which means the facility can manage its daily operations without getting help from financiers. At the beginning of the year, net resources remain at 20,690,947, while toward the end of the year, the net resource was 18,876, 692, which suggests that the facility has a net loss of 1,841,255. This clearly shows the medical clinic will experience financial constraints in sustaining its operations. Therefore, the clinic needs to control its cost to avoid losing the money (Carroll & Richardson, 2016).
Healthcare trends likely to affect the Clinic
Today, health care systems are determined to provide a patient-centered treatment, which is a trend brought about due to technology proliferation. Most health centers are integrating technology in their operation, clinical aspects, as well as administrative. As healthcare transform to becoming more goals focused and systemic, they are coming up with approaches and techniques aimed to improve the patient’s experience. Analytics are also involved in helping hospitals foresee future trends and guide decision making.
In Venice Fami.
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docxjenkinsmandie
Running head: VIGNETTE ONE
VIGNETTE ONE
2
VIGNETTE ONE
2
Vignette One
California Southern University
Vignette One
Question 1
Jack is unwilling association with women is due to his fear to get trapped in their love. This is a result of his mother’s unconditional love. His mother consistently gave him a warm, unconditional love. She constantly attempted to draw Jack under the care of her while securing him. She didn't give Jack time to act naturally and to communicate. Jack was limited to a life with instructions and reliance to his parents. Jack may have built up his character further from the time he began lacking parental control because of his folks' separation. He likewise built up an existence of self-will in his connections with the people around him. Jack lack of self-will made him feel less worth. Several drives might have originated to explain Jack’s view of his life as just an image and nothing more than that. Such drives include a feeling of anger and resentment. He was too reliant on his parent’s instructions thus lacking an opportunity to grow as an independent individual. Jack has chronic worry emanating from ruminative thoughts and an anticipation to failure.
The most probable explanation to his condition is presence of an aggressive drive. Aggression is basically a typical psychological feature in males. The organizing feature in males results from hormones within their body (Parsons & Zhang, 2014). Male species always feel the urge to control and organize issues around them. Jack’s mother did not allow him to experience control thus slow development of anger. Aggression might be resulting from a response to hardships, threats and injuries. Jack developed a hostile aggression that developed from fear, anger, frustrations, feeling of loneliness and pain. He developed a character of unwillingness to become vulnerable to people surrounding him. Jack lacked enough parental care since the divorce withdrew his mother’s unconditional love. The divorce did not stop her from loving him. Explain. These experiences are related to Jack’s current relationship with women. He relates lack of love to all women using his mother as a reference. Jack struggles to be independent since his mother overprotected him.
Question 2
Jack describes his father as a controlling and cruel person who had archaic ideas. Jack’s rejection of his father has a number of underlying psychological aspects. The feeling of hate towards his father is apparent and it resurfaces in Jack’s adult life. He deals with sadness, anger and rejection. Jack felt the need to escape from his father’s control thus creating a defense mechanism. He developed a defense mechanism of defiance. At the end, he ended up becoming the exact opposite of what his father wanted him to be. An over controlling father led to anxiety symptoms and thus Jack feels the urge to rebel. There are certain psychological factors and aspects involved in the way Jack rejects his father’s wishes. The .
Running Head VIGNETTE ONE2VIGNETTE ONE ANALYSIS.docxjenkinsmandie
Running Head: VIGNETTE ONE
2
VIGNETTE ONE ANALYSIS
Vignette Analysis One
John Doe
California Southern University
<The vignette is located on the last page of this document. Do not include the vignette in your assignment>
Narrative Therapy
A narrative therapist would listen respectfully to John and Mary’s stories, and to understand the influence that these stories have had on their lives (Corey, 2013). “Because of the power of dominant culture narratives, individuals tend to internalize the messages from these dominant discourses, which often work against the life opportunity of the individual” (p. 410). Growing up in a culture where he may have experienced racism and prejudice, John may have internalized a story that children must toughen up to the world. “Within the family, African-American parents use a number of disciplinary actions that prepare children to live in a racist environment where unfairness and discrimination are common. In that vein, respect for authority is typically nonnegotiable in African-American families; children who are disrespectful receive the most severe forms of punishment-usually physical” (Evans, 2013, p.65). Thus, the heavy-handed discipline John experienced himself as a child may be an acceptable cultural narrative of his own parenting style with his sons today. John’s view of the school of hard knox may represent his narrative that his sons should attend school where they will learn to, cope with racism, which includes developing a tough skin. Mary may have internalized a story from her own childhood where traditional African-American mothers raise daughters to be empowered and independent but for their sons, independence is not stressed as strongly and punishment is not as severe, often enabling their male children (Evans, 2013). This could explain her desire to protect and her sons from harmful aspects of life and John’s harsh disciplinary measures. The therapist must be aware of stereotyping and learn how to recognize diversity issues and work with John and Mary in the context of their worldview. It is an ethical obligation for counselors to develop sensitivity to cultural differences (Corey, 2013). While John’s style of discipline may be culture-laden, the therapist must look at his or her own professional obligation according to the legal and ethical code of the state in which they work.
Listening with an Open Mind
Narrative therapists must listen to clients without judgment or blame, affirming and valuing them. This might be difficult for the therapist in the vignette since there is already a judgment on John through problematic narratives of the therapist’s own father. The therapist may have difficulty working with John without imposing their value systems and interpretations. The therapist must listen to this couple’s problem-saturated stories without getting stuck (Core.
Running head UNIT 6 ANNOTATED BIBLIOGRAPHY ASSIGNMENT 1 U.docxjenkinsmandie
Running head: UNIT 6 ANNOTATED BIBLIOGRAPHY ASSIGNMENT 1
Unit 6 Annotated Bibliography Assignment
Kacey Smith
Purdue University Global
Please note that this is a sample Unit 6 Assignment to help inspire and guide your own
original writing of the assignment. Be sure to review the assignment instructions and grading
rubric, complete each task in the instructions, and contact the instructor with any questions.
Commented [S1]: The title page and document
are properly formatted in APA 6th edition style.
For tips on formatting, see the Writing Center’s
Citation Guides page:
https://library.purdueglobal.edu/writingcenter/cita
tionguides
https://library.purdueglobal.edu/writingcenter/citationguides
https://library.purdueglobal.edu/writingcenter/citationguides
UNIT 6 ANNOTATED BIBLIOGRAPHY ASSIGNMENT 2
Unit 6 Annotated Bibliography Assignment
Thesis statement: Despite assertions that bullying is just kids being kids, the behavior actually
comes from not understanding differences, disabilities, and specialness – a problem parents,
educators, and others who work with children can use fiction to solve.
Constantinescu, C. & Samuels, C. A. (2016, September 6). Studies flag potential downside to
inclusion. Education Week. Retrieved from www.edweek.org.
Constantinescu and Samuels review studies that suggest inclusion of special education
students with typical peers can be problematic, particularly for younger children. In fact, several
studies indicated that typical children in kindergarten and first grade who have special needs
peers in their classes are more likely to have behavior issues, problems with social skills, and
lower scores in reading and math (2016). The article describes the experience of one education
teacher who expressed concern that inclusion of special needs students in the classroom
negatively influences the behavior of other students by precipitating and increasing incidents of
verbal and/or physical conflict between the students (Constantinescu & Samuels, 2016).
Education Week has been publishing since 1981, and they cover different angles on an
array of education-related issues. The authors have published other articles in Education Week
and elsewhere. The topics are all about education, but not all are focused on inclusion or special
needs students, which helped me conclude that they do not have a biased agenda. Within the
article, they cite research studies to support their ideas, and this article was published in 2016,
making it recent.
This article could be seen as a challenge to my argument. Clearly, the described situation
is unacceptable, but inclusion is not the problem; it is a lack of strategies and support to teach all
Commented [S2]: Don’t forget to include your
revised thesis statement!
Commented [S3]: Place the citation (using the
hanging indent) before the annotation.
Commented [S4]: The annotations need to
include a s.
Running head VULNARABE POPULATION 1VULNARABLE POPULATION .docxjenkinsmandie
Running head: VULNARABE POPULATION 1
VULNARABLE POPULATION 7
People diagnosed with HIV/AIDS
Student
Tutor
Course
Date
HIV/AIDS is one of the many factors that are usually affecting the world. Research shows that a total number of 1.1 million people are living with HIV, and 75% of the population in amerce don’t know that they get infected with the virus (Burkholder & Nash, Special populations in health care, 2013). HIV/AIDS affects people from all genders, races, and ethnic age. Today the most significant population of people living with HIV/AIDS are more affected in terms of Medicare and Medicaid. Healthcare facility though they offer antiretroviral which helps prolong patients with HIV it’s not sufficient enough to a permanent solution.
HIV/AIDS is more severe among the young generation. The youth are more likely to get HIV/AIDS than the old due to so many activities to which they indulge. When it comes to age HIV/AIDs, the young are more like to survive longer if they engage early with the treatment procedure and healthier factor than the old. When the old generation gets infected with HIV/AIDS that creates a crisis in the next generation in terms of survival, those affected are more likely to lose jobs, education, and health care to discrimination and end up relying on aid. The reliance on welfare is more likely to happen among those with HIV/AIDS as well to help mitigate their health condition.
According to research, those populations with HIV/AIDS are more likely to spend most of their incomes on healthcare than other items. HIV/AIDS populations are more like not to get hired on a job due to health issues and risk poverty lines. When a country has a large population of people with HIV/AIDS the country is headed in crisis and is likely to lead under a financial crisis to healthcare management. Infrastructure development and other beneficial programs that might benefit the country are halted to stop epidemic rise of HIV/AIDS in the country. There are no special jobs designed for those with HIV/AIDS, thus forcing the broad population into poverty. To mitigate the income crisis the government and private parties should work together and find way to help create specific jobs and cheap healthcare programs.
Analyze the intersection of social, political, and economic factors affecting vulnerability (must address all three factors)
Social factors that affect the population with HIV/AIDS. Communities with a higher living among poverty line is more affected with HIV/AIDS than those community among the wealthy status. Those based on the poverty line spend the little they have in healthcare; the more the population is affected by healthcare problems, the likelier infrastructure and development get halted. Those, however, living in wealthy communities they have enough money to pay for healthcare and support infrastructure and other development as well. Social factor have a significant role in how they treat and mitigate the spread of .
Running head UNDERSTANDING THE TARGET MARKETS .docxjenkinsmandie
Running head: UNDERSTANDING THE TARGET MARKETS 5
The following research is of a marketing plan for Apple Inc.’s iPhone. An accurate report of numerous factors, which enlighten Apple Inc.’s iPhone, along with the demographics of customers who buy the product. Some of the crucial components created in this paper consist of client analysis, opportunities of Apple Inc., and their main threat, and awareness on the targeted market.
Understanding Target Markets
Client Analysis
It is distinct that the desire for innovation and technology motivates the customers to purchase Apple iPhones. Apple is a corporation that has put its emphasis on technology innovation; therefore, it has become a favorable choice of purchase from the consumers. A majority of Apple’s clientele are fascinated by the fact that the organization can uphold its position concerning their innovative values as well as their leadership. The market of the Apple iPhone comprises of the customers in the high-social class (Khan et al., 2015).
Regarding this state, the customer’s pay rate permits them to buy the merchandise. Another thing, which observed is that many of Apple’s clientele are young adults who spend cash on such items and relish on having extravagances like an iPhone. Similarly, Apple Inc. can control the fascination of its clienteles by steadily improving the technology associated with the iPhone.
Opportunities
the organization has the opportunity of increasing its market section and proliferating sales of the phones in the market if it only makes use of the following commendations:
1. with a focus on the Asian and African markets, the middle-class persons in Africa are vexing to shift their class and have a better status; hence, they are chasing high-end gadgets that will display their anticipated level (Khan et al., 2015).
2. The Asian market is growing to be important in Apple Inc. Asian nations have gotten financial solidity over the previous years, signifying that the inhabitants are more enthusiastic about buying high-end merchandise like the Apple iPhone. Also, the Asian market is one of the best markets that Apple Inc. ought to survey since they will have the capability of selling their products.
Present Threats
Chinese organizations display a strong presence in similar market section as Apple Inc. Apple will require to do a lot concerning advertising the iPhone. The probabilities of trades in China duplicating Apple Inc.’s merchandise are high, meaning Apple ought to have the capability to make the iPhone striking to the developing market (Blenko et al., 2016). Furthermore, Apple Inc.ought to persist in growing its market as well as product to the precise target audience in order to remain competitive. Apple Inc. should be dependent on increasing technology and staying advanced; this will assist them in becoming and remaining an essential product in overseas markets. Generally, Apple Inc. has bo.
Running head VETERANS PTSD CAUSES, TREATMENTS, AND SUPPORT SYSTEM.docxjenkinsmandie
Running head: VETERANS PTSD CAUSES, TREATMENTS, AND SUPPORT SYSTEMS 1
VETERANS PTSD CAUSES, TREATMENTS, AND SUPPORT SYSTEMS 3
Veterans PTSD Causes, Treatments, and Support systems
Veterans PTSD Causes, Treatments, and Support systems
Evaluations on Post Traumatic Stress Disorder (PTSD) among veterans is imperative for a positive health outcome. The evaluations and analysis of the results ensure that barriers to treatment are addressed and have access to the available support systems. Studies carried out have depicted the successes of the treatments and support programs in the health systems to veterans. Modifications on the systems have also been recommended to combat and control PTSD. Alternative approaches such as computerized systems, natural treatment methods, and home-based systems are also essential in providing a holistic approach in PTSD treatments. Treatment methods success ensures that veterans do not fall victim to depression, which can result in chronic diseases. This can be as a result of negative health behaviors and lifestyles. Understanding the consequences of PTSD among veterans will ensure that approaches utilized offer not only treatment methods but also offer support systems for general wellbeing.
The first source focuses on the treatment and success of three-week outpatient program by “evaluating patterns and predictors of symptom change during a three-week intensive outpatient treatment for veterans with PTSD.” The study is evidence-based on statistics drawn from the program and modifications for optimal success rates. 191 veterans were the participants in the research comprising of a daily group and individual Cognitive Processing Therapy (Zalta et al., 2018). The data was analyzed from the sample cohorts in accordance with military and demographic characteristics. Measures in the study involved treatment engagement as well as comparison of pre-treatment and post-treatment changes (Zalta et al., 2018). The results showed progress in the evaluation of predictors and patterns in treatment changes. Procedures utilized involved group sessions with daily activities for the development of the treatment program. Self-report metrics were also applied in the procedures as control groups were challenging in the study. Modified and intensive outpatient (IOP) treatment to veterans showed high success levels in the program (Zalta et al., 2018).
The second source examines a new treatment in exploring the feasibility of computerized, placebo-controlled, and home-based executive function training (EFT) on psychological and neuropsychological functions. The source titled “Computer-based executive function training for combat veterans with PTSD” shows trials in assessing feasibility and predictors output. The study shows how the functions can be useful in brain activation combating PTSD in veterans. Symptoms experienced after treatment on PTSD cases are stimulated through neural and cognition reactivity, which can be contr.
Running head UNITED STATES COAST GUARD1UNITED STATES COAST G.docxjenkinsmandie
Running head: UNITED STATES COAST GUARD 1
UNITED STATES COAST GUARD 9
United States Coast Guard
Jovan Padia
SEC/481
December 2, 2019
Overview
The US Coast Guard is the main organization recognized by the state and tasked with the role of providing security, and navigation guidance in the marine areas of the US ports and waterways. The Coast Guard defends more than 100,000 miles along the coast of the US and inland water routes. It also protects the Exclusive Economic Zone (EEZ), which comprises 4.5m miles2, which covers from above the Arctic Circle to below the equator, which is from Puerto Rico to Guam (United States Coast Guard 2016). The area covered is comprised of nine time zones, and this makes it the biggest EEZ.
The Coast Guard is part of the defence forces in the US and the only military branch in the Department of Homeland Security. It is not only part of the defence forces tasked with protection, but it is also the first respondent in disasters. The Coasts Guards are the first to respond and offer humanitarian help during distress, especially during natural and human-made disasters onshore and in the sea. The Coast Guard is also a law enforcement agency and a member of the intelligence community that has the regulatory role as well. The Coast Guard has a legal mandate on issues that revolve around maritime transportation, the shipping in and out of hazardous material, oil spillage responses, administering bridges, piloting, and operation of vessels and the building of vessels (United States Coast Guard 2016). Although the Coast Guard is usually under Homeland Security, it can be moved temporarily to the Navy, especially during cases of war.
Roles and Missions of The US Coast Guard/ Strengths of US Coast Guard
The US Coast Guard has several strengths when it comes to its roles and missions. One of the strong points of the Coastal Guard is maintaining maritime safety. In maintaining maritime safety, the Coastal Guard works towards eliminating deaths, injuries, and property damage that may occur in the course of transport, fishing, recreation, and any other activities on the water. The Coastal Guard also conducts missions such as investigations, preventing disasters from happening, and responding when disasters happen. They make sure that all the people operating vessels in the sea are licensed. They also conduct ice patrol to ensure that vessels do not run into the areas that are frozen.
The other strength of the Coastal Guard is that they participate in national defence. The Coastal Guard supports the National Security Strategy. Often, they operate under Homeland Security, but in instances of war, they are shifted to operate under the Navy. In national defense, the Coastal Guard is supposed to conduct maritime military interceptions, respond to military distress calls, secure ports, engage in peacetime military engagements, and oversee the coastal sea control operations.
The other strong role played by the Coast.
Running head VALUES AND NORMS INSIDE A TATTOO PARLORVALUES AND .docxjenkinsmandie
Running head: VALUES AND NORMS INSIDE A TATTOO PARLOR
VALUES AND NORMS INSIDE A TATTOO PARLOR 2
Values and Norms Inside a Tattoo Parlor
An Observational Study
Cascadia Community College
Introduction:
I have chosen to research the values and norms of the subculture surrounding tattoos. While many cultures the world over have had a reverent and traditional relationship with tattooing and other body modifications for generations, western culture has only become more accepting of this form of artwork in the past couple of decades. I was interested in studying this subculture because of the still-evolving shift of opinions about body modification. As mainstream culture becomes increasingly accepting of tattoos, the spaces where they are obtained are, in turn, more popular. Just over a decade after the turn of the twenty-first century, about 40% of Americans between 26 and 40 years old are tattooed (Larsen, Markham, & Patterson 2014), and even television shows centered on tattoos have become successful. However, there is still a fair amount of misunderstanding between mainstream western culture and tattoo culture. At present, there are still individuals and groups, usually who are more conservative, that look down on tattoos, not only on the grounds of relation to criminal activity, but also that the very act of getting tattooed is unsanitary and dangerous. Even in more accepting spaces, people with several visible tattoos are exoticized and can be subjected to repetitive and invasive questions surrounding their body art. In observing a tattoo parlor, I hoped to answer the following questions: In what ways can the process of tattooing be considered dangerous, if any? In what ways do the norms and values of this subculture differ from those of the western mainstream?
Literature Review:
In their review, Larsen, Markham, and Patterson (2014) share various studies reflecting a historically negative public opinion – a “stigma of deviance” – surrounding tattoos in western culture, dating as far back as the ancient Greeks. Deviance, as defined by McIntyre, is “the flip side of conformity” (2014), and the sanctions placed to prevent it from infiltrating the mainstream can have serious consequences. Tattoos represented the “other” in terms of social status and were even given involuntarily as a means of visually differentiating the tattooed person from the rest of society. Later, voluntary tattoos in the west were sought out mainly by criminals, or by those in the military. Tattooed people were not only avoided socially but could also be barred from employment in many spaces. While the twentieth century saw tattoos gain traction as a means of carving out identity, or a form of postmodernist self-expression, they describe a “tattoo Renaissance” taking place in the relatively recent 1980s. At this time, there was a growing focus on the artistry and creativity of tattooing, rather than the denouncement of the “type” of person who would seek it. The stigm.
Running Head VIGNETTE ONE5VIGNETTE ONE ANALYSIS.docxjenkinsmandie
Running Head: VIGNETTE ONE
5
VIGNETTE ONE ANALYSIS
Vignette Analysis One
John Doe
California Southern University
<The vignette is located on the last page of this document. Do not include the vignette in your assignment>
Narrative Therapy
A narrative therapist would listen respectfully to John and Mary’s stories, and to understand the influence that these stories have had on their lives (Corey, 2013). “Because of the power of dominant culture narratives, individuals tend to internalize the messages from these dominant discourses, which often work against the life opportunity of the individual” (p. 410). Growing up in a culture where he may have experienced racism and prejudice, John may have internalized a story that children must toughen up to the world. “Within the family, African-American parents use a number of disciplinary actions that prepare children to live in a racist environment where unfairness and discrimination are common. In that vein, respect for authority is typically nonnegotiable in African-American families; children who are disrespectful receive the most severe forms of punishment-usually physical” (Evans, 2013, p.65). Thus, the heavy-handed discipline John experienced himself as a child may be an acceptable cultural narrative of his own parenting style with his sons today. John’s view of the school of hard knox may represent his narrative that his sons should attend school where they will learn to, cope with racism, which includes developing a tough skin. Mary may have internalized a story from her own childhood where traditional African-American mothers raise daughters to be empowered and independent but for their sons, independence is not stressed as strongly and punishment is not as severe, often enabling their male children (Evans, 2013). This could explain her desire to protect and her sons from harmful aspects of life and John’s harsh disciplinary measures. The therapist must be aware of stereotyping and learn how to recognize diversity issues and work with John and Mary in the context of their worldview. It is an ethical obligation for counselors to develop sensitivity to cultural differences (Corey, 2013). While John’s style of discipline may be culture-laden, the therapist must look at his or her own professional obligation according to the legal and ethical code of the state in which they work.
Listening with an Open Mind
Narrative therapists must listen to clients without judgment or blame, affirming and valuing them. This might be difficult for the therapist in the vignette since there is already a judgment on John through problematic narratives of the therapist’s own father. The therapist may have difficulty working with John without imposing their value systems and interpretations. The therapist must listen to this couple’s problem-saturated stories without getting stuck (Core.
Running head USING IT TO MODEL BEHAVIOR FOR POLICY MAKING .docxjenkinsmandie
Running head: USING IT TO MODEL BEHAVIOR FOR POLICY MAKING 1
USING IT TO MODEL BEHAVIOR FOR POLICY MAKING 9
Using IT to Model Behaviour for Policy Making
Naga Devika Cheekati
University of The Cumberlands
Annotated Bibliography
Li, W., & Zhang, X. (2014). Simulation of the smart grid communications: Challenges, techniques, and future trends. Computers & Electrical Engineering, 40(1), 270-288.
Li and Zhang (2014), investigate how technology can be used in a simulation that would aid in determining how effectively smart grid technology can be implemented. The successful implementation of smart grid technology requires the combination of several different frameworks that rely on information communication technology to aid in the regulation of power created and supplied. A simulation of possible communication networks that can be used is made in the study as a way of testing the viability of a smart grid system and its application in reality. The paper successfully identifies various simulation frameworks that can be used to successfully gauge how the system can be created. The findings show that information technology can play an integral role in creating simulations that can support policymaking.
Sarabando, C., Cravino, J. P., & Soares, A. A. (2014). Contribution of a computer simulation to students' learning of the physics concepts of weight and mass. Procedia Technology, 13, 112-121.
Sarabando, Cravino, and Soares (2014) investigate the use of computer simulation to analyse how students learn key concepts of physics. Software is used to analyse common learning processes used in teaching physics. Students in the sample population were asked to carry out learning activities ordinarily on the traditional learning environment. The results were then compared to learning activities that were carried out using computer software. The findings showed that the use of computer simulation in learning improved the retention rate, while the language used by teachers also impacted the speed of learning. The findings of the study can be used in the formulation of learning policies, which shows that IT simulation can be successfully used in the formulation of public policy.
Mensah, P., Merkuryev, Y., & Longo, .. F. (2015). Using ICT in Developing a Resilient Supply Chain Strategy. Procedia Computer Science, 43, 101-108.
Mensah, Merkuryev, and Longo (2015) analyse how simulation can be used to improve supply chain performance. According to the study, many different factors impact on the performance of a supply chain, some of which are not taken into consideration when designing supply chain activities. Through simulation aided by information technology, all key factors that influence the performance of the supply chain can be analysed in-depth and included in simulation models. The models are then used to analyse how a supply chain will perform under different c.
Running head USING BENTONITE TO EXTRACT CU2+1USING BENTONITE.docxjenkinsmandie
Running head: USING BENTONITE TO EXTRACT CU2+1
USING BENTONITE TO EXTRACT CU2+15
Using Bentonite to Extract Cu2+
Name
Institution
Abstract
This study was aimed at determining and comparing the potential of various weights of activated bentonite (BN). BN is an essential adsorbent used to remove copper sulfate in aqueous systems. This bentonite composes of 1M ammonium chloride i.e. NH3CL ratio; 1:1, w/w. The investigation of the adsorption ability of the naturally activated material (BN) to adsorb copper sulfate (CUSO4.5H2O) was investigated using UV-VIS spectrophotometry. Raw BN (unheated) has the adsorption ability and thus eliminates copper (II) ions from this aqueous solution. BN has approximately 62% efficiency of eliminating Cu2+ from copper sulfate. Various studies have determined that the removal efficiency of copper (II) ions increase with the rise in temperature of BN with temperatures not exceeding 200 C having about 69% efficiency. The percentage was seen to rise to close to 90% when BN was treated thermally. The optimal values of the removal rate of Cu2+ resulted when the BN dosage was 0.4g/100mL.
1.0 Introduction
The existence of heavy metals in most of the aquatic systems has raised significant concern owing to their high toxicity. The contamination of water with heavy metals results from daily human activities. It has been observed that lead concentration in areas inhabited by people is 20 times higher than in regions that are not influenced directly by the actions of people. As a result, various regulations and laws have been enacted to control effluence with these heavy metals. Thus, the Environmental Protection Agency, an institution set by the federal government to adjust and observe pollutants discharge in the environment, has set the allowable limits of massive metal emissions as copper 1.3 ppm, mercury two ppb, cadmium 5ppb, lead 15 ppb and chromium 100 ppb (EPA). Copper is one of the conventional metal as it is used in metal mechanic manufactories, industrial plant, and also in food production. Although many laws have set limits of allowable copper emissions, excess of its compounds are prevalent in water bodies. Therefore, it has become necessary to find ways of safely removing copper from aqueous solutions.
This study is aimed at investigating the efficiency of an adsorbent material BN in adsorption of CuSO4 from aqueous solutions. The investigation was conducted using the usages rates of BN, the influence of BN dose, and results from other batch adsorption studies.2.0 Literature Review
In the last few decades, contamination of water resources with ions from heavy metals has increased, becoming a global concern. Studies have shown that some metals are toxic to the ecological environment and human lives. Copper sulfate is a compound of copper and sulfur which forms a heavy metal precipitate in water bodies. However, copper in controlled amounts is essential in life forms due to its extensive role in the ge.
Running Head: UNIT 6 ASSIGNMENT 1 1
UNIT 6 ASSIGNMENT 1 9
Xavier Williams
Unit 6 Assignment 1
Introduction
This course is designed for the department of engineering. In this engineering course, I will teach the learners about water resource engineering. They will learn Integrated Water Resources Development (IWRD) and Integrated Water Resources Management (IWRM) as a general framework for Water Resources Engineering. The students will mention water challenges experienced in their locality. This will be done in groups of five students with the aim of stating challenges of water and how to solve them. At the end of each lesson the teacher will lead in demonstration of various water resources and how water from the sources can be harnessed. The following will be the student learning goals; Learners will be able to understand elements integrated water resources management. Learners will be able to know erosion and deposition in rivers, Learners will be able to learn laws governing water in their country and internationally, Learners will be able to know erosion and deposition in rivers, Learners will be able to sit in groups and discuss different water sources.
Since this is an engineering lesson, it will be necessary to conduct a practical experience. Learners play an active role and engage more during practical exercises than in theoretical practices. During practical exercises, students get a chance to utilize what they learnt in class and build confidence while at it to deal with real world situations. Allowing students to have discussions in groups’ plays a great role in learning experience by enhancing democratic learning, complements reflective learning and accommodates individual difference. Therefore, I aim to mix the low-ability learners with the high ability learners and help in leading discussions to ensure achievement of learning goals by the end of the course.
Learning goals
Learning goals state what the teacher intends the students to achieve as a result of a successful completion of the teaching experience. It could be at the end of a program, a course or learning experience. A course learning goal explains what the students will be capable to perform at the end of a course while program goal is what the student is capable of achieving at the end of their degree or diploma certificate. A well state learning goals should state the outcomes (Marzano, 2010). This is basically what the student will be in a position to do after they successfully complete the course. They should be simple and clear such that everyone comprehends them. They should focu.
Running head UNIT 2 ASSIGNMENT 1 Unit 2 Assignment St.docxjenkinsmandie
Running head: UNIT 2 ASSIGNMENT 1
Unit 2 Assignment
Student Name
Purdue University Global
Please note that this is a sample Unit4 Assignment to help inspire and guide your own
original writing of the assignment. Be sure to review the assignment instructions and grading
rubric, complete each task in the instructions, and contact the instructor with any questions.
Commented [S1]: The title page and document
are properly formatted in APA 6th edition style.
For tips on formatting, see the Writing Center’s
Citation Guides page:
https://library.purdueglobal.edu/writingcenter/cita
tionguides
https://library.purdueglobal.edu/writingcenter/citationguides
https://library.purdueglobal.edu/writingcenter/citationguides
UNIT 2 ASSIGNMENT 2
Unit 2 Assignment
One of the most interesting aspects of persuasion is that it can apply to so many different
areas in life, from the personal to the professional to the academic. A few months ago, I had an
opportunity to use persuasive writing on Facebook to help my cousin reach an important
decision. She had posted about wanting to adopt a cat but mentioned that she didn’t like having
to fill out the lengthy application that her local shelter required. She posted a little rant about this
and ended it with, “Maybe I should just buy a kitty at the pet store. It’d be a lot less
complicated!” As someone who has several rescue animals, I have strong feelings about this
subject, and I wanted to address this in a message to her. I told her about my experience adopting
my pets and how rewarding it was to know that these surrendered animals had found a loving
home with me. I even did a little research and shared some statistics I found: Over three million
unwanted cats are brought to shelters each year, and a significant percentage of them end up
getting euthanized (ASPCA, 2018). Since my cousin is a very down-to-earth person, I wrote
about all this in a way that I knew would speak to her: factually and straightforward, with a little
humor thrown in (I included some funny stories about Tippy, my newest rescue). She ended up
thanking me profusely for the message, and not two weeks later she was back on Facebook
again, posting pictures of the beautiful domestic shorthair cat she adopted from the shelter.
Another equally important area of persuasive communication is that which occurs in a
professional context. As a future psychologist, I will likely be responsible for proposing
treatment plans and collaborating on treatment plans in a team setting as well. For the time being,
I am working in a call center, and I recently had a firsthand experience with persuasive
workplace communication. My coworkers and I had been talking among ourselves about how
nice it would be to have “Casual Fridays” where we could have the option of wearing jeans to
Commented [S2]: This is a specific example of
persuasive writing in a personal context.
Commented.
Running head Uber Case Study2Uber Case Study.docxjenkinsmandie
Running head: Uber Case Study
2
Uber Case Study
Uber Case Study
XXX Student Name
June 30, 2018
I. Overview of Uber
Uber is a ride sharing company that was launched in San Francisco in 2010 when UberCab connected its first rider with a town car for a ride across the city (Uber.com). The company was designed to allow consumers to hail a ride from local drivers with the simple push of a button (using an app), and has since disrupted the taxi cab industry. The inception of Uber brought new technology and ideas into a transportation sector historically lacking in innovation and customer service. The company’s founders saw an opportunity to use technologies such as smartphones, GPS and Google Maps to improve transportation and the result has been a more convenient, faster and cheaper service.
Uber is headquartered in San Francisco, California and operates by charging consumers for rides. This is primarily how the company generates revenue (although they do participate in some advertising on their website). The Uber app facilitates the location of a driver and the transfer of funds. The fare is then charged to the consumer’s credit card (Investopedia.com, 2018). Uber quickly raised money and launched operations in hundreds of cities; it is now in over 65 countries and cities worldwide. Last year, Uber announced it had completed 4 billion trips (15 million trips are completed each day) (Uber.com).
Since 2010, Uber’s service offerings have become quite expansive. Although they initially offered only full service luxury vehicles, now when hailing a ride consumers have choices such as Uber Pool, Uber X, Uber XL and Uber Black. These choices were non-existent previously with taxi cab companies. More recently, Uber has entered other markets such as the food delivery business. They now offer services such as UberEATs which delivers food from local restaurants (Ubereats.com, 2018).
To understand Uber’s main competitors and market structure, it is important to understand some of the history behind taxi companies, especially in major cities. Taxi cab drivers had a monopoly prior to Uber entering in many cities such as New York. In 1937, New York City passed the Haas Act which established a licensing system to influence supply. The system required taxi drivers to purchase a medallion in order to operate. The government sells limited numbers of medallions which allows them to control competition and entry into the market. This is at the expense of consumers since it restricts supply and keeps costs high. Despite a growing population, the number of available medallions has remained partially fixed, only increasing marginally. Taxi drivers with a medallion enjoy high profits and have fewer incentives to ensure satisfaction. Today, the number of medallions in New York City remains capped, maintaining a barrier to entry.
After Uber launched in New York City, the prices of medallions dropped significantly; this has be.
Running Head Unit I1Running Head Unit IUnit I.docxjenkinsmandie
Running Head: Unit I
1
Running Head: Unit I
Unit I Scholarly Activity
Student Name
Institution
Attitude refers to the tendency of positively or negatively responding to a particular situation, idea, person, or object. An individual's attitude affects the choices they make, as well as how they respond to rewards, incentives, and challenges. Abortion, on the other hand, refers to the termination of a pregnancy by removing an embryo or fetus before its survival in the environment outside the uterus. When an abortion happens without intervention is known as a miscarriage. Induced abortion is what happens when there are intentional steps and procedures put in place to end a pregnancy. There are different attitudes toward abortion among various groups of people (Fabrigar & Wegener, 2010).
A significant percentage of women have a positive attitude towards abortion and support it if the pregnancy was unplanned. Women desire to terminate an unwanted pregnancy. Some women also argue that abortion should be legalized while another portion is against the idea of legalizing it. Most of those who support its legalization have practiced or have helped others abort. Most people who believe in God do not support abortion because they think only God has permission to terminate one's life. They view abortion breaking the commandment, which states that thou shall not kill. Many religious leaders are also not in support of abortion since it is a way of murdering an innocent soul (Doran & Nancarrow, 2015). In most countries, abortion under the law is illegal except when the life of the mother is in danger, and the only way of saving the life of that mother would be by terminating the pregnancy.
Attitude affects the daily decision in my life as well of those around me. For example, my negative attitude towards a certain meal makes me avoid making it when it's my turn to prepare food at home. This causes chaos at home since my not liking the meal does not necessarily mean that the other members of the family do not like it. Also, sometimes, a day doesn't always go the way I wanted. This makes my moods and reactions for the rest of the day change, which profoundly affects those around me. This is due to most of the choices I make will be negative based on how the day has been.
My research about abortion has affected my view of the abortion issue. I have learned that it is not always that abortion is deliberate since sometimes miscarriage can occur without the consent of the pregnant woman. Sometimes it is understandable for the abortion to be affected, especially if the life of the mother is in danger. For example, if the child has died while still in the womb, the only way to save the mother's life would be by inducing them so that the child is removed.
Choosing the topic of abortion might lead to cropping up of different issues such as debates on whether abortion should be accepted or not as well as counseling issues. Counseling on pregnancy mig.
Running Head TYPOLOGY 1 TYPOLOGY 5 Typology The s.docxjenkinsmandie
Running Head: TYPOLOGY 1
TYPOLOGY 5
Typology
The social justice case in Cortez Multimedia results to diverse counsellors increasing
their assertiveness and awareness of the vulnerabilities which place people at risk of
like in the case of Paula Cortez. 1 For instance, counsellors might use activities which
are mindfulness-based such as body awareness exercises and body scans to aid
clients to be able to differentiate between past and current experiences. In such a
case, I would use group therapy to help her feel better about herself and know that
she is not the only one undergoing the difficult moments (Toseland, et.al, 2017).
1 In addition, group therapy is essential in establishing support as well as rapport
and helps in guaranteeing motivation among different members in a given group in a
therapy among victims of thinking about suicidal concerns. The kind of therapy
entails of joining the purposes of the miscellaneous people of the group and
therapists or rather counsellors who have dealt with such specific individuals. A
group therapist is anticipated to be unequivocal and reassuring as well as places
stress and puts augmented concentration towards the progress and development of
the upcoming of different people, especially like in our case of Paula Cortez, who
might have gone through a lot.Also, according to Carl Rogers’s, “person-centered
group therapy and the democratic leadership style would be a better fit in that
person-centered group therapy is distinguished by the conditions of the group as
impacted by the leader” (Berg et.al, 2018).
2 There are several fields that are addressed by internet-based-psychological-
interventions (IBPI). These include; 2 substance and alcohol abuse, self-help
therapies for addiction, sex disorders, anxieties and many other mental and
behavioral issues or disorders that consist of self-imaging/eating, sleeping disorders,
and smoking cessation.Most of these internet interventions are cognitive
programmers of behavior who get proposed as guided self-help programmers on the
internet. Also, these system analysts are pure self-help database critics while others
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport?attemptId=68a7a93b-0671-4f3e-adbf-c9c81e5fbbb6&includeDeleted=true&course_id=_16598286_1
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport?attemptId=68a7a93b-0671-4f3e-adbf-c9c81e5fbbb6&includeDeleted=true&course_id=_16598286_1
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport?attemptId=68a7a93b-0671-4f3e-adbf-c9c81e5fbbb6&includeDeleted=true&course_id=_16598286_1
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport?attemptId=68a7a93b-0671-4f3e-adbf-c9c81e5fbbb6&includeDeleted=true&course_id=_16598286_1
https://class.waldenu.edu/webapps/mdb-sa-BBLEARN/originalityReport?attemptId=68a7a93b-0671-4f3e-adbf-c9c81e5fbbb6&includeDeleted=true&course_id=_16598286_1
https://class.waldenu.edu/.
Running head TYPE THE TITLE OF YOUR PAPER HERE1TYPE THE T.docxjenkinsmandie
Running head: TYPE THE TITLE OF YOUR PAPER HERE
1
TYPE THE TITLE OF YOUR PAPER HERE
2
Add Title Here, up to 12 Words, on One to Two Lines
Author Name(s), First M. Last, Omit Titles and Degrees
Institutional Affiliation(s)Author Note
Include any grant/funding information and a complete correspondence address.
START TYPING YOUR PAPER HERE
Ident the first line.
Make sure that you keep typing your paepr here…
Prof. Martin Hyatt
ENGLISH COMPOSITION I
Essay 2
The following essay is based on the poetry selections from the textbook or the short story,“Cathedral,” by Raymond Carver.
Please choose one of the following topics.
Complete a 2-3 page (500-750 word) essay on your chosen topic. This essay is due Week 12, of the semester. The essay should be typed, double-spaced using 12 point font. You should use Times New Roman or Courier font.
Do not use “I” in the paper.
NO LATE PAPERS WILL BE ACCEPTED.
Topics (CHOOSE ONLY ONE)
You can choose to write about Fences or about “Cathedral.”
Poetry Selections
1. Choose one of the poems we read. What is the main idea of this poem? (Remember, the main idea is the theme.) Why is the theme important to the poem and to society as a whole?
2. Compare and contrast two of the poems. What makes these two poems similar and different? Why are these two poems considered to be important? What can we learn from them?
“Cathedral”
1. How does the narrator of “Cathedral” change throughout the story? What does this narrator learn?
2. What does this story tell us about transformation? What does the story tell us about the way in which we see others in society?
1
Cathedral
By Raymond Carver (1981)
This blind man, an old friend of my wife’s, he was on his way to
spend the night. His wife had died. So he was visiting the dead wife’s
relatives in Connecticut. He called my wife from his in-law’s. Arrangements
were made. He would come by train, a five-hour trip, and my wife would
meet him at the station. She hadn’t seen him since she worked for him one
summer in Seattle ten years ago. But she and the blind man had kept in
touch. They made tapes and mailed them back and forth. I wasn’t
enthusiastic about his visit. He was no one I knew. And his being blind
bothered me. My idea of blindness came from the movies. In the movies, the
blind moved slowly and never laughed. Sometimes they were led by seeing-
eye dogs. A blind man in my house was not something I looked forward to.
That summer in Seattle she had needed a job. She didn’t have any
money. The man she was going to marry at the end of the summer was in
officers’ training school. He didn’t have any money, either. But she was in
love with the guy, and he was in love with her, etc. She’d seen something in
the paper: HELP WANTED—Reading to Blind Man, and a telephone
number. She phoned and went over, was hired on the spot. She worked with
this blind man all summer. She read stuff to him, case studies, reports, that
sort of thing..
Running head Treatment plan1Treatment plan2Eliza’s Modi.docxjenkinsmandie
Running head: Treatment plan
1
Treatment plan
2
Eliza’s Modified Treatment Plan
PCN 610
Date: August 25, 2019
Eliza’s Modified Treatment Plan
Eliza Doolittle is a Caucasian girl aged eighteen years, and a first-year student in college. Both of her parents live in a nearby town. In her initial visit, Eliza had been sent to see a counselor by the school because she was found in possession of alcoholic drinks in her the school dormitory. In the initial assessment, Eliza demonstrated depressive symptoms such as anxiety and low self-esteem. Although she denied she was intoxicated at the time, she said she had previously abused alcohol in high school. After joining college, she stated that she struggled to make new friends after parting ways with her high school friends who went to different schools. She denied having any traumatic experiences, although she stated both her high school and college friends took advantage of her on several occasions.
Changes in Eliza’s Behavior
In the second visit, Eliza has been brought to the health facility because she was found passed out and smelling alcohol. When questioned by the physician what had happened, she admitted that she had lied in her initial assessment of her drinking behavior. She admits that she has a problem with drinking. Eliza states that she often drinks to raise her level of self-esteem, gain confidence, and overcome from the strained relation of her parents. Eliza stated that she drinks about five times a week and also when she gets an opportunity to. She added that she lied in her previous visit because she feared being suspended from school due to abuse of alcohol in the school premises.
Effectiveness and Validity of the Treatment Plan
In the initial treatment, Eliza was diagnosed with mild depression because the major depressive symptoms presented were anxiety and loss of interest in normal activities. However, she had demonstrated other symptoms such as slight sleeping problems, little enjoyment of social activities, and lack of identity. The physician recommended that the symptoms could go away on their own without any treatment. However, the physician stated that Eliza should undergo cognitive behavioral therapy.
The treatment plan is still valid after the new developments in his behavior, but it would be necessary for Eliza to be referred to a psychiatrist to confirm whether she held come more information about her behavior. According to Regier et al. (2013), the DSM-5 diagnostic criteria for depression states that alcohol abuse should not be a reason for diagnosing depression. Therefore, the physician can rule out alcohol abuse as a cause of depression, but alcohol abuse can be a sign of depression. According to Regier et al. (2013), most depression patients often engage in alcohol abuse.
Treatment Changes
The initial treatment that was prescribed to Eliza needs to be adjusted to address the new situation. According to Eliza’s previous diagnosis, the physician recommended that.
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
We all have good and bad thoughts from time to time and situation to situation. We are bombarded daily with spiraling thoughts(both negative and positive) creating all-consuming feel , making us difficult to manage with associated suffering. Good thoughts are like our Mob Signal (Positive thought) amidst noise(negative thought) in the atmosphere. Negative thoughts like noise outweigh positive thoughts. These thoughts often create unwanted confusion, trouble, stress and frustration in our mind as well as chaos in our physical world. Negative thoughts are also known as “distorted thinking”.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
Running head U.S. HEALTHCARE EXECUTIVES 1U.S. HEALTHCARE EX.docx
1. Running head: U.S. HEALTHCARE EXECUTIVES
1
U.S. HEALTHCARE EXECUTIVES
7
Week 2 Assignment-Operational challenges, trends and issues
for the U.S. Healthcare Executives
Student’s Name
Institutional Affiliation
Introduction
A healthcare system is an organization of funds, individuals,
and institutions which provide healthcare to satisfy the health
requirements of a society. Globally, healthcare systems vary
depending on the specific healthcare needs of particular states.
Nevertheless, the common aspects of public and private care are
often similar (Drummond, Sculpher, Claxton, Stoddart &
Torrance, 2015). Over the years, we have witnessed the systems
evolving, and with this constant change, it is vital to analyze
operational challenges, trends, and issues for the U.S.
healthcare executives. In this paper, the main areas that will be
discussed are operational challenges, trends, and problems
experienced in the United States health care executives.
Challenges experienced in the healthcare workplace
Various problems have been experienced in the healthcare
workplace relating to healthcare provision in the United States.
Financial difficulties are one of the main challenges being
experienced in the healthcare workplace in the United States.
2. The vital financial problems arise due to lack of enough
finances for implementation of new technologies to improve
healthcare delivery process (Mayes, 2017). Most healthcare
facilities lack adequate funds to implement advanced
technologies that can be used to increase the quality of
healthcare delivery. As a result, this has reduced healthcare
quality improvement plans in the United States. Therefore, there
is a need for federal governments to meek proper arrangements
to fund all healthcare activities to improve services delivery in
the health sector.
Besides, healthcare professionals to comply with federal
requirements for electronic health records is another challenge
that has been experienced in the United States healthcare
workplace. For the past year, some healthcare professionals
have failed to comply with federal government guidelines
regarding health care delivery (Mayes, 2017). Furthermore, the
increasing number of patients who cannot pay for health care
services is a significant challenge that has been experienced in
the United States healthcare delivery systems. These finance
challenges adversely affect healthcare delivery system in the
United States.
Work overload is another major challenge that has been
experienced in the United States health sectors (Mayes, 2017).
Observations for past years reveal that work overload at the
workplace affects the performance of health care professionals
in the United States. Most healthcare professionals are assigned
many responsibilities at workplaces, which reduces their
efficiency.
Another cause of the rising cost of healthcare is the introduction
of government programs. For example, Medicare assists those
without insurance, which led to an increase in demand for
services, thus increasing the cost of healthcare (Levy, 2016).
Additionally, the rise in healthcare costs can be attributed to the
3. rise in illnesses such as heart diseases, high blood pressure, and
diabetes amongst Americans and lack of a rising market. This
means that patients cannot pre-empt, calculate, and compare the
exact cost of healthcare. The cost of services may also end up
differing with the provider (Kim et al., 2015).
Supply And Demand Challenges for Health Care Services
The healthcare industry has witnessed an increase in demand
over the years as a result of a rise in client base, chronic
diseases, and an aged populace. However, there is still a
deficiency of healthcare providers (Kim, Tanner, Foster & Kim,
2015). This fact has inevitably led to increased healthcare costs.
To offset this imbalance, various recommendations have been
put forward, for example, incorporation of telehealth and
employment of more healthcare providers to improve on the
supply.
Meeting Compliance and Regulation requirements
With the development of medical technology and increase in the
regulations of the healthcare industry, compliance has become a
significant issue for most healthcare providers. A good example
is when it comes to telehealth, which may involve different
geographical locations (Drummond et al., 2015). Therefore, it
becomes difficult to know which regulations apply.
Changes in personal health information management
Even though various financial challenges affect healthcare
delivery systems in the United States, all other activities have
been running smoothly. First, patients' information management
is done appropriately with care (Drummond et al., 2015). For
instance, patients' information is collected using the best
approach and adequately managed by healthcare professionals.
Besides, their various changes that have occurred in patients'
4. information management. Currently, health information about
patients is collected electronically and adequately documented
to enhance easy access by authorized persons only. Patients'
information collected is then critically analyzed to understand
the healthcare conditions of the patient to arrange for
appropriate medication. Besides, the patients' personal
information is kept confidential and not shared with
unauthorized persons without a patient's consent (Drummond et
al., 2015). In doing so, the level of accountability and
confidentiality in healthcare facilities has increased, thus
leading to good coordination of all activities.
On the other hand, patients' information is electronically
documented and stored safely for future references. The use of
technology in the documentation of patients' information has
happened to ensure that all confidential personal information is
well managed (Drummond et al., 2015). As such, there is a need
for the record department to ensure proper management of
patients' information to avoid unauthorized access to sensitive
information.
The technology used at healthcare workplace in the United
States
The use of technology in different sectors of the economy has
been increasing rapidly over the past decade. Similarly, in the
health sector, the use of technology is expanding to improve the
quality of healthcare delivery (Burwell, 2015). Currently,
Qualcommm Tricorder is one of the most critical technologies
used in the United States in the health department. Typically, it
is very challenging to perform a diagnosis for patients without
in-depth testing. As a result, this contributed to the invention of
this device to help thorough testing of patients before diagnosis.
The device helps in identifying all health problems a patient is
suffering to help healthcare professionals to know the type of
diagnosis to perform. This technology will help to improve
5. services delivery in the health sector, which will improve the
quality of life (Burwell, 2015) eventually. As such, there is a
need for health officials to encourage the use of this technology
in the health sector. The latter will help to improve service
delivery to patients regardless of their backgrounds.
On the other hand, Bioelectronics is another technology that is
currently used in the health sector. The technique involves the
use of advanced scientific approaches to collect personal
information of all employees and patients (Burwell, 2015). It
helps in the time-saving and functional management of data at
healthcare facilities. The technology uses signal and commands
to give direction on how activities are performed to increase the
efficiency of all personnel.
Additional training of healthcare professionals
Currently, there are various new technologies used in the health
sector that should be handled by an experienced health
professional. Intrinsically, there is a need for additional training
for health care professionals (Burwell, 2015). Additional
training will equip health professionals to learn how to use the
newly invented technology to improve the quality of services
offered to patients. Besides, additional training is required to
help healthcare professional know how to implement the new
technology that is currently being used in healthcare facilities.
Shortage of healthcare personnel at the workplace
Healthcare sector is one of the most sensitive departments in the
economy. Statistically, the number of healthcare professionals
has been low in different departments, which reduces the
efficiency of delivering healthcare services (Burwell, 2015). In
most facilities, there are shortages of doctors and clinical
officers, which has led to a delay in services delivery.
6. Effects of healthcare personnel at the workplace
Typically, shortages of a healthcare professional at workplaces
have adverse effects on workflow. First, it leads to the work
overload of employees who perform various activities. When
there are few workers at healthcare facilities, more tasks are
assigned to available employees, which leads to work overload
(Burwell, 2015). As a result, this reduces employees' efficiency,
thus, lowering the quality of services offered to patients. Since
shortages of healthcare personnel directly affect services
delivery, patients will suffer a lot because services offered to
them will not meet their healthcare needs.
Conclusively, there are various challenges experienced in the
healthcare sector that affect services delivery. Some of these
challenges include supply and demand of healthcare equipment,
non-compliance with professional requirements, and inadequacy
of finances. Besides, there are various technologies used in the
health sector to improve the efficiency of services delivery.
Priority
Issue or Trend
Organizational area of impact
Rational for priority level
1.
Financial issues
Accounting office and operational offices
Inadequacy of services delivery.
Medical services reimbursement
Services-based payment program
Patients’ services, Procurement and Human resources
Limits services delivery to patients due to inadequacy of
services.
2.
Professional challenges
7. Human resources and Operational offices
Lack of healthcare personnel.
Provision of quality healthcare services to patients
Patients’ services and Human resources
Reduces efficiency in services delivery
References
Burwell, S. M. (2015). Setting value-based payment goals—
HHS efforts to improve US health care. N Engl J Med, 372(10),
897-899.
Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddart, G. L.,
& Torrance, G. W. (2015). Methods for the economic evaluation
of health care programmes. Oxford university press.
Kim, S. H., Tanner, A. H., Foster, C. B., & Kim, S. Y. (2015).
Talking about health care: News framing of who is responsible
for rising health care costs in the United States. Journal of
health communication, 20(2), 123-133.
Levy, A. D. A. M. (2016). Healthcare And Technology Today:
A guide for providers and practice managers. Place of
publication not identified: LULU COM.
Mayes, B. R. (2017). Christy Ford Chapin, Ensuring America’s
Health: The Public Creation of the Corporate Health Care
System.
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8. Week 3—Assignment: Formulate How Healthcare
Executives Address the Top 10 Trends and Issues for
Their Healthcare Organizations
Instructions
During Week 2, you examined and prioritized the trends, issues,
and challenges facing U.S.
healthcare executives and prepared a table of the issues you will
address as the healthcare
executive. This week, you will focus your attention on the top
10 issues and trends for your
organization as you anticipate these 10 issues/trends to have the
highest-level impact on the
mission of a healthcare organization.
For this assignment, you will build on the Week 2 assignment.
In a Word document, you will
create the Issue Brief Working Template grid as depicted here,
which includes your top 10
priority issues/trends from last week’s assignment. This week’s
grid is expanded from Week
2 and contains additional elements. The additional elements are
those found in an Issue
Brief, a short document used for internal discussions examining
issues and their impact on
the organization. You will use Issue Briefs in a future
9. assignment and the information you
provide in this assignment will be utilized. An example of the
grid is provided here, and you
may wish to display your grid document in the landscape
orientation.
Length: For this assignment, be sure to include a title page and
reference page. The length
will depend on how you summarize your responses within each
column.
Resources: A minimum of 1 reference is required for each issue.
Issue Brief Working Template
Table 2. Issue Brief Working Template
Issue/Trend Organizational
Area of
Impact
Strategies/
Recommendations
to Address
Evidence
Supporting
Strategies and/or
Recommendations
References
for the
Supporting
12. Human
Resources,
Patient Services
Examine hospital’s
quality reporting
submissions to
Medicare to assure
regulatory deadlines
are met; examine
length of stay to
determine whether
standardization of
care would be
beneficial
Ex.: Ellison (2017)
reported financial
challenges as the
top issue for
13. hospital CEOs.
Ex.: Ellison,
A. (2017)
Record
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