...Article Critique for: “Fixing Healthcare from the Inside, Today” by Steven J. Spear, Harvard Business Review In this article, Spear examines a big problem in healthcare - that of too many medical errors occurring in hospitals in the U.S. He believes that there are ways of improving the quality of healthcare and reducing costs, which do not rely on external policy changes. Current approach: Most hospitals are organized into functions where there are no reliable ways to integrate all the individual tasks that each person is required to do into a logical way that is necessary for safe, effective care. This results in ambiguities where it is difficult to find out who is responsible for doing what, when and how. This leads to breakdown situations that result in errors. Many times, the people involved with the error rush to improvise, work-around the problem and move on continuing to perform the task in the same manner. No one stops to analyze where the problem occurred, why it occurred and what steps should be taken to prevent it from happening in the future. Naturally, the problem continues to happen and it’s just a matter of time before it results in a catastrophic or fatal error. Unfortunately, it is not until this happens that management stops to examine the causes of the problem and scrutinize the situation. Recommended approach: To effectively eliminate medical errors, Spear recommends that hospitals and clinics focus on the Toyota operational excellence principles...
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... As President of the United States, it is my duty to address problems in this American society. The five main problem that I want to address are poverty, crime, education, health and jobs. These are important issues that I am working on fixing immediately. My plan is to dramatically decrease the poverty and crime rate. I am also going to improve education, health insurance and job opportunities. Poverty America’s poverty rate is too high. Let’s look back on 2013 poverty rate. According to the United States Census Bureau, in 2013, there were 45.3 million people in poverty. For the third consecutive year, the number of people in poverty at the national level was not statistically different from the previous year’s estimate. The 2013 poverty rate was 2.0 percentage points higher than in 2007, the year before the most recent recession. In 2013, the official poverty rate was 14.5 percent, down from 15.0 percent in 2012. This was the first decrease in the poverty rate since 2006. This progression isn’t good enough!...
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...Wal-Mart Case Study Dr. Tonya D. Moore MNGT 5650 November 24, 2013 Introduction Wal-Mart can be defined as Goliath in the biblical story of David and Goliath (only he doesn’t fall), the “strategic Corporal,” a self-licking ice-cream cone, the industry benchmark, labor exploiter, cost cutting surgeons with chain-saws, and America’s company. Wal-Mart perceptions are across the board and in essence reflect all of our societal issues and problems in one massive company. They survive and thrive on their ability to shape perceptions of their business model to consumers while exploiting their workforce. Goliath was perceived to be too big of a giant to fall or loose in battle until David succeeded. Wal-Mart is perceived that they are too big to fall by their competitors, society, and the country. They are the largest employer in the country, they own massive supply chain networks, and stores in every town across the country. However, in the case of Wal-Mart, there is no David out there to knock them down. Arguably they are no true competitors in their industry. Because of being this perceived giant, Wal-Mart is able to be a bully with vendors, associates, and competitors. Further, because of being a giant everyone is watching them. Threats and Challenges The simple answer of what threats and challenges Wal-Mart currently faces centers around their associates wages and health care. However, why do they face this challenge instead of what they are doing to...
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...been instrumental in influencing healthcare. Whether we want to believe or not, antitrust law facilitated escorting medicine in as an establishment to take care of our communities and patients. Over the years, hospitals have been the brunt of antitrust litigation. Between 1985 and 1999 hospitals were defendants in 61 percent of 394 medical antitrust disputes that led courts to issue formal opinions (Hammer, Peter, J. and Sage, William, M., 2003). However, these numbers do not support the under published cases, which do not result in a judicial decision. When hospitals are healthcare conglomerates to provide services antitrust views them as just a business. The services provided by hospitals are complex from the services they provide to the technology they use to the human capital necessary to run the operations of the hospital. Unfortunately, antitrust law concentrates on the overall hospitals behavior and not its purpose. Therefore, not-for-profit designation and lifesaving intentions of the hospital consider immaterial to any type of analysis performed by antitrust. Hospitals reserve the right to enter into any joint venture agreement provided each entity is able to achieve its objects autonomous of one another and avoid becoming a dominate player in the market (Hammer and Sage, 2003). For the most part, it will be the market that dictates if the hospital meets the demands and services demanded by the community. The challenge of healthcare antitrust law is not its insignificance...
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...SERVICE RECOVERY IN HEALTHCARE Customers’ satisfaction with a company can be profoundly impacted due to service failures and subsequent efforts of recovery. This is especially so in the healthcare industry where service recovery covers a vast range of complex issues and highly emotional patients (Berry and Bendapudi, 2007) whose level of tolerance is usually lower after a service failure (Matilla, 2004). Therefore, the need for service recovery strategies is very important. The purpose of this essay is to discuss the concept of service recovery, particularly in healthcare. This purpose will be achieved through utilising, exploring and analysing a wide range of literature written on the topics of service recovery and service recovery in healthcare. It will look at service recovery – its definitions and its dimensions, and it will discuss it as it is applied to healthcare. Finally, it will look at generational differences and their possible effects on service recovery. Failure often takes place when a customer’s experience and their expectations of a service are different. Maxham (2001) defined service failure as ‘any service related mishaps or problems – real and/or perceived – that occur during a customer’s experience with the firm’. It is believed that the single most important factor that leads to service failure lies within the nature of service itself, which creates endless possibilities for errors and consequently the need for service recovery. Smith and Bolton...
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...as we learn to apply the Toyota Production System methodology to healthcare. This book lays out the nuts and bolts of the lean methodology and also describes the more difficult challenges, which have to do with managing change. Graban’s book is full of wins—these are the same type of wins that are happening at ThedaCare every day. I wish I could have read this book six years ago, as it might have prevented some of the mistakes we made in our lean transformation journey.” — John S. Toussaint, MD, President/CEO ThedaCare Center for Healthcare Value “Coupled with a foundation of alignment and accountability, the ideas in this book provide a powerful tool to help hospitals get closer to the goal we want – perfect care.” — Quint Studer, CEO, The Studer Group, author of Results that Last “Mark Graban is the consummate translator of the vernacular of the Toyota Production System into the everyday parlance of healthcare. With each concept and its application, the reader is challenged to consider what is truly possible in the delivery of healthcare if standardized systems borrowed from reliable industries were implemented. Graban provides those trade secrets in an understandable and transparent fashion.” — Richard P. Shannon, MD, Frank Wister Thomas Professor of Medicine, Chairman, Department of Medicine, University of Pennsylvania School of Medicine “There is an enormous shortfall between the healthcare we are promised and what we actually get. Mark Graban explains how...
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...Setting: Page 12 Positionality: Page 14 Methods: Page 16 Ethics: Page 17 Discussion: Page 17 Health and Safety Issues in the Warehouse: Page 17 Corporate Responses to Health and Safety Issues: Page 20 Effects of Warehouse Workers United: Page 25 Conclusions: Page 29 Works Cited: Page 31 Appendix: Page 33 Phipps 3 Introduction: The NFI, a national trucking and supply chain company, warehouse in Mira Loma is a short bus ride from the Warehouse Workers United (WWU) headquarters, located at 601 S. Milliken Ave, Suite A Ontario, California. The bus is full of workers and community supporters filled with excitement and anticipation. We leave the WWU parking lot, heading south on Milliken ave, past the multitude of temporary staffing agencies and warehouses and over the train tracks. We take another left at the stop light onto E Mission ave and on the right, I can see all of the ‘Wal-Mart’ and ‘Swift’ containers through the thin line of trees. We turn onto Wineville ave, and we arrive at the warehouse. The bus doors open and the suffocating smell of animal decay from the nearby farms and slaughterhouses, mixed with truck exhaust and air pollution, billow in. Upon arrival, the workers and I, a student intern, grab Warehouse Workers United signs saying “Striking for our families, Warestaff unfair” and “NFI unfair” and join the picket line. The workers are on strike and we are picketing outside of the warehouse to protest against NFI and Wal-Mart in order to bring publicity to the...
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...intention to use knowledge management system among Korean nurses’ Nurse Education Today, 33 (12), pp. 1477–1481. Accessible from: http://www.sciencedirect.com/science/article/pii/S0260691713001974 (Read: 8 November 2014) | 1) What are the research/telling question or questions? | The core goal of this research paper is to key out the organizational and individual factors that are influencing the intention and attitude to make use of Knowledge Management systems amongst Korean nurses.The research also hypothesizes that the adoption of a knowledge management system can be molded by both organizational as well as individual constraints, and for the investigation of this issue the author made use of the framework of technology-organization-environment. | 2) What are the key concepts? | Nurses, Knowledge management, Organizational culture, Hospital information system, technology-organization-environment, nurses’ informatics competency. | 3) What methods are used? | Yun (2013) used a cross-sectional survey that was descriptive and correlational. This survey was acclimated the elements that touch the adoption of nurturing knowledge management amongst nurses in Korea. In order to test her hypotheses, the author conducted a questionnaire survey for data collection and convenient sampling was utilized along with hierarchical regression. In this study, the instruments and questions developed were grounded upon an existing literature that was adjusted for this...
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...Title of Educational Activity: Mindful Listening Purpose / Goals: To provide information and tools to assist the health care professional in communicating more effectively through the client/patient / care giver relationship, as listening is a significant part of the communication process. M0707121 Objectives List the educational objectives. 1. Response to and discuss the question: “What is communication?” Content (Topics) Provide an outline of the content/topic presented and indicate to which objective(s) the content/topic is related. I. A. B. C. D. E. II. A. B. C. D. E. F. III. 1. 2. 3. 1. Communication - What it is It is NOT about words It is about connecting with another person It is about deep listening It is about frank and honest dialog It is about trust Development of listening skills Increase in patient satisfaction Increase in patient retention Increase in best possible clinical outcomes. Increase in patient loyalty Increase in word of mouth referrals Increase in patient cooperation compliance The Myths of Listening Listening means agreeing: agreeing is not good listening Listening is a lot of hard work: focused, deep listening takes 45 seconds Listening requires you have to “act like you’re listening.” Listening takes too much time: people interrupt their clients after the first 12-14 seconds of the client speaking. What Makes A Mindful Listener A. A mindful listener “gets the whole picture”, not just the words but gestures, tone, attitude, expressions and pauses...
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...which a less coherent EM field of the patient is "tuned" to the specific frequency and phase, and through which homeostasis can be "aligned" to induce "healing". Definition of bioelectronics The application of electronic theories and techniques to the problems of biology. The use of biotechnology in electronic devices such as biosensors, molecular electronics, and neuronal interfaces; more speculatively, the use of proteins in constructing circuits. Choosing a coating: the right surface modification technique brings benefits to patients with implants. The importance of selecting the right coating or surface modification technique for an orthopedic implant cannot be understated. Metals and ceramics that orthopedic implants are made from are not inherently compatible with the body's tissues and...
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...Holistic Stress Management Strategy Plan Excelsior College Abstract A number of personal stressors are indicated and explained with some specifics to their impact on the health of the author. A discussion follows concerning the stress of finances and the fear and anger associated with such stress. Finally, a plan is developed to describe how techniques garnished throughout the course can and will be applied as part of an overall strategy plan of stress management. Holistic Stress Management Strategy Plan The Stressors It would be an interesting study to be able to record a week of my life, from the point of view of exactly what I see, hear, say and feel (physically and emotionally), and then review the movie and have an accurate picture of what the major stressors of my life are. There was a time in my life when I would realize that my mood had gone south, and when asked what was wrong, I would honestly answer that I did not know. Was it that my dishwater just leaked out of the sink? Was it that garbage needed to be taken out? At that time in my life, it appeared that trivialities like that could instantly change a good mood bad, and it took some introspection to learn how this happened. Oftentimes, there was something else lingering under the covers that was waiting for a trigger, such as a full garbage can. And oftentimes this thing lingering under the covers was as equally trivial. For example, if I was working in the yard on a hot day and became thirsty, I...
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...A2 level Biology notes Unit 4- Populations and the Environment 1. Populations 3 1.1 Populations and ecosystems 3 1.2 Investing populations 3 1.3 Variation in population size 5 1.4 Competition 6 1.5 Predation 8 1.6 Human populations 10 2. ATP 12 2.1 Energy and ATP 12 3. Photosynthesis 14 3.1 Overview of Photosynthesis 14 3.2 The Light- dependent reaction 16 3.3 The Light Independent Reaction 17 3.4 Factors Affecting Photosynthesis 18 4. Respiration 20 4.1 Glycolysis 20 4.2 Link reaction and Krebs cycle 21 4.3 The electron transport chain 23 4.4 Anaerobic respiration 24 5. Energy and Ecosystems 25 5.1 Food chains and Food webs 25 5.2 Energy Transfer between Trophic Levels 26 5.3 Ecological Pyramids 27 5.4 Agricultural Ecosystems 28 5.5 Chemical and Biological Control of Agricultural Pests 29 5.6 Intensive Rearing of Domestic Livestock 31 6. Nutrient Cycles 33 6.1 The carbon cycle 33 6.2 The greenhouse effect and global warming 34 6.3 The Nitrogen Cycle 35 6.4 Use of Natural and Artificial Fertilisers 36 6.5 Environmental consequences of using nitrogen fertilisers 36 7. Ecological Succession 37 Succession 37 7.2 Conservation of Habitats 38 8. Inheritance and Selection 39 8.1 Studying inheritance 39 8.2 Monohybrid Inheritance 40 8.3 Sex Inheritance and Sex Linkage 41 8.4 Co-dominance and Multiple...
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...Manager: Allison Powell Designer: Steve Druding Compositor: Maryland Composition/Absolute Service Inc. Ninth Edition Copyright © 2011 Lippincott Williams & Wilkins, a Wolters Kluwer business © 2007 Lippincott Williams & Wilkins, © 2004 Lippincott Williams & Wilkins, © 2000 Lippincott Williams & Wilkins, © 1996 Lippincott-Raven, © 1992, 1988, 1983, 1979 JB Lippincott Co. 351 West Camden Street Baltimore, MD 21201 Printed in the People’s Republic of China All rights reserved. This book is protected by copyright. No part of this book may be reproduced or transmitted in any form or by any means, including as photocopies or scanned-in or other electronic copies, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. To request permission, please contact Lippincott Williams & Wilkins at 530 Walnut Street, Philadelphia, PA 19106, via email at permissions@lww.com, or via web site at http://www.lww.com (products and services). Not authorized for sale in North America and the Caribbean. 9 8 7 6 5 4 3 2 1 Library of Congress Cataloging-in-Publication...
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...GlaxoSmithKline company profile Francis Weyzig Amsterdam, October 2004 Summary Business description GlaxoSmithKline (GSK) is one of the world’s largest research-based pharmaceutical corporations that discovers, develops, manufactures and markets branded human health products. Headquarters: UK, with additional operational headquarters in the USA Global presence: about 160 countries Primary markets: USA, France, Germany, UK, Italy and Japan Employees: approximately 103,000 GSK key figures for 2003 (in £ million) Sales 21,441 Materials and production costs 4,188 Marketing and administration 7,563 R&D expenditures 2,770 Operating income 6,920 Net profit 4,765 GSK has two main business divisions, pharmaceuticals and consumer healthcare. This profile deals with the pharmaceuticals division, which generates 85% of GSK’s sales. The five largest selling GSK products are Seretide/Advair for asthma and Chronic Obstructive Pulmonary Disease (COPD); Paxil/Seroxat and Wellbutrin, both antidepression drugs; Avandia/Avadamet for type 2 diabetes; and the antibiotic Augmentin. Each of these drugs generated above £800 million of sales in 2003. GSK produces a broad range of products of special importance to developing countries, including: Anti-malaria drugs Zentel (albendazole), for de-worming and the prevention of lymphatic filariasis Pentosam, against leishmaniasis Anti-retrovirals (ARVs) for the treatment of HIV/AIDS Tuberculosis drugs Vaccines for developing countries Corporate...
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...A CASE STUDY TO UNDERSTAND THE FACTORS THAT PROMOTE AND FACILITATE MEDICAL TOURISM IN THAILAND WITH REGARD TO SERVICES PROVIDED BY HOSPITALS A CASE STUDY TO UNDERSTAND THE FACTORS THAT PROMOTE AND FACILITATE MEDICAL TOURISM IN THAILAND WITH REGARD TO SERVICES PROVIDED BY HOSPITALS Tejasvi Vasudevan An Independent Study Presented to The Graduate School of Bangkok University In Partial Fulfillment of the Requirements for the Degree Master of Business Administration 2014 2014 Tejasvi Vasudevan All Rights Reserved This Independent Study has been approved by The Graduate School Bangkok University Title: A case study to understand the factors that promote and facilitate medical tourism in Thailand with regards to services provided by hospitals Author: Ms. Tejasvi Vasudevan Independent Study Committees: Advisor Dr. Sriwan Thapanya ………………………………………………………………………… Field Specialist …………………………………………………………………………… (Asst. Prof. Dr. Sivaporn Wangpipatwong) Dean of the Graduate School Tejasvi Vasudevan. Master of Business Administration, May 2014, Graduates School, Bangkok University Title: A case study to understand the factors that promote and facilitate medical tourism in Thailand with regards to services provided by hospitals (72 pages) Advisor of Independent Study: Dr. Sriwan Thapanya ABSTRACT The aim of this study is to understand reasons behind the growing medical tourism industry in...
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