...What is your evaluation of the effectiveness of the U.S. health care system in the context of delivery, finance, management, and/or sustainability? What are the issues that prompted a need for health care reform? Support your answer with a credible data reference. Do not use a reference already used by another student. Health care reforms is one of the biggest issue for voters. With our aging population, complexity of illness and growing cost of health care, the government need a new approach to delivery of health care system. There is still a large population that are uninsured. There is mounting recognition that our country’s health system is greatly influenced by social determinants, socio-economic status, and environmental factors. The American people continue to face increase cost of health care and insurance premiums continues to increase. Per Cunningham (2010), the percentage of people with a high financial burden increased from 14.4 percent in 2001 to 19.1 percent—nearly one of five Americans—in 2006. The increase in financial burden between 2004 and 2006 (16.4%) occurred at a time when the economy was expanding. “These costs in turn impose a burden on all segments of society—the individuals who pay taxes and premiums, the governments whose budgets are strained by Medicare and Medicaid, and the businesses whose competitiveness is undermined by high health insurance rates” (Daniels & Roberts, 2008). Some evidence have indicated that Patient Center Medical Home...
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...Health Promotions: Primary, Secondary and Tertiary Beth Fleming Grand Canyon University April 03, 2014 For many years, health promotions and prevention has been the focus for healthcare providers, especially nurses. Health promotion seeks to improve a person or population’s health by teaching about and helps people become more aware of risky behaviors associated with different diseases. It encourages individuals to take preventative measures to prevent onset or worsening of a disease or illness. It encourages a healthier lifestyle (Edelman & Mandle, 2010). The strategy is to help people make health improvements or prevention before illness occurs. Health promotion is one way in addressing health determinants such as developing personal skills, strengthening the action of communities and providing a supportive environment for health. Health promotions help to address issues that are controllable by individuals. In redirecting illness financial burdens can be reduced keeping patients and the government from having to pay to cure the illness or disease. Nurses work in all three levels of promotion and prevention (Edelman & Mandle, 2010). Nurses teach to prevent illness, work with the specialist to help lesson further illness and work in the hospital at the bedside caring for patients that have developed a chronic illness. In many areas of the world there has been a lot of evolution in the nursing field. Nurses...
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...Communicable disease is defined as “an infectious disease transmissible (as from person to person) by direct contact with an affected individual or the individual’s discharges or by indirect means (as by a vector) (Merriam-Webster, 2015).” Chickenpox is considered a common childhood illness and is usually seen in children that are younger than 10 years of age. “Varicella is an acute infectious disease caused by varicella zoster virus (VZV). The recurrent infection (herpes zoster, also known as shingles) has been recognized since ancient times (CDC, 2015).” Chickenpox, varicella zoster virus (VZV) is a DNA type of the herpes virus that is a highly contagious disease. The VZV is spread through direct contact of the virus by coughing or sneezing causing it to be airborne and by direct contact with saliva, mucus and blisters from someone who is currently infected. The blisters that have dried or crusted over do not transmit the disease. Once VZV enters the body by way of the respiratory tract and conjunctiva it replicates and is then transmitted by way of the lymph node. Shingles are a latent form of chickenpox and is generally seen is older adults, and have a similar appearance as VZV that are highly infectious to a person that has not been immunized or previously infected by VZV. Symptoms of VZV appear between 10 to 21 days after exposure. These symptoms are sudden onset of a fever, tiredness; they have no desire to eat that is loss of appetite and a...
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...The components of communication are: The individual sending the message. The sender must present the message clearly and with enough detail so that the receiver shares meaning with the sender. The context for the message. The context is how the message is delivered by the sender of the message. Context involves nonverbal communication such as gestures, body language, facial expressions, and elements such as tone of voice. Most of the context for a message is only available when the receiver can see and hear the message sender. Email and IM emoticons, for example, are a poor substitution as they are formulated by the sender without input from the receiver. Another piece of the context is the emotions that are involved in the communication circle. Is the sender angry? Is the receiver indifferent to the content of the communication or disdainful of the sender? Normal human emotions affect whether a message is successfully shared. The person receiving the message. The receiver must listen carefully and intently, ask questions for clarity, and paraphrase to ascertain that the receiver shares meaning with the sender. If the receiver trusts the sender, the chances for effective communication increase. The delivery method chosen. The delivery method should be selected based on the medium most effective to convey the meaning of the message. Since communication methods are so diverse since the dawn of computers and mobile devices, decisions about the...
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...CASE: ARCE DAIRY ICE CREAM I. TIME CONTEXT 1991 II. VIEW POINT Elsie Arce-Romero, VP Advertising and Promotions III. CENTRAL PROBLEM How will Arce Dairy Ice Cream compete in the ice cream industry and regain success using its new brand name? Symptoms: Low market share, wherein, Arce Dairy Ice Cream belongs to the remaining 10% of the ice cream market. Cause: Poor promotional and distribution strategies IV. STATEMENT OF OBJECTIVES: Must Objective: To increase in one month’s time the company’s market share by 5%. Want: To gain favorable market control in the succeeding years. V. AREAS OF CONSIDERATIONS A. Internal Environment Strengths: 1. Arce Dairy Ice Cream is made of fresh carabao’s milk (“all natural”); 2. The finished product is tastier and richer (more flavorful); 3. They have variety of ice cream flavors; 4. They use fresh ingredients like whole seasonal fruits and other natural products; 5. Arce Dairy Ice Cream has distinct taste and high quality (the firm rejects delivery of ingredients that do not pass high quality standards, no matter how inexpensive); 6. They have hundred heads of milking carabaos in the Arce dairy farm; and 7. Their ice cream product has been in the business for years (although Selecta, their former name is now being carried by a competitor, RFM Corporation). Weaknesses: 1. Poor marketing efforts which resulted to local market...
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...Industrial Marketing Management 43 (2014) 67–76 Contents lists available at ScienceDirect Industrial Marketing Management The establishment of industrial branding through dyadic logistics partnership success (LPS): The case of the Malaysian automotive and logistics industry Nor Aida Abdul Rahman a,⁎, T.C. Melewar b,1, Amir M. Sharif c a b c Universiti Kuala Lumpur, Malaysian Institute of Aviation Technology (UniKL MIAT), Lot 2891, Jalan Jenderam Hulu, 43800 Dengkil, Selangor, Malaysia The Business School, Middlesex University London, The Burroughs, Hendon, London NW4 4BT, United Kingdom Brunel Business school, Brunel University, Uxbridge, Middlesex, UB8 3PH, United Kingdom a r t i c l e i n f o a b s t r a c t Logistics partnerships across dyadic and triadic relationship networks have been the basis of extensive research in the extant literature. It is well understood that competitive advantage within logistics and distribution and within supply chains are driven by value-adding aspects of not only the core competencies of each tier in the network, but also via tangential supporting factors. It is also well understood that there is a strong relationship between logistics and distribution and marketing functions, particularly in product-based organisations. In addition to deepening our understanding of how successful partnerships throughout the source– make–deliver continuum can be optimised, this research also seeks to identify how a supporting element...
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...skills 8-3 Two Routes to Influence • Central route – Occurs consciously and involves integrating the message into the individual’s previously existing cognitive structures (thoughts, frameworks, etc.). • Peripheral route – Characterized by subtle cues and context, with less cognitive processing of the message and is thought to occur automatically. 8-4 8-5 The Central Route to Influence: The Message and Its Delivery There are three major issues to consider when constructing a message: • The content of the message – Facts and topics that should be covered • The structure of the message – Arrangement and organization of the topics and facts • The delivery style – How the message should be presented 8-6 The Central Route to Influence: The Message and Its Delivery • Message Content – Make the offer attractive to the other party – Frame the message so the other party will say “yes” – Make the message normative – by following a course of action he will be acting in accordance with both his values and some higher code of conduct (e.g. “buy American”, “save a tree”) – Suggest an “agreement in principle” 8-7 The Central Route to Influence: The Message and Its Delivery • Message Structure – One-sided messages: ignore arguments and opinions that might support the other party’s position – Two-sided messages: mention and describe the opposing point of view and show how and why it is less...
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...UNIT 26: PLANNING AND MANAGING FOOD PRODUCTION AND BEVERAGE SERVICE Get assignment help for this unit at assignmenthelpuk@yahoo.com LO1 Understand different systems and equipment used for the volume of food production and beverage delivery in different contexts Systems: manufacturing; traditional; sous-vide; cook-chill/freeze; cook-to-order; batch; centralised; pre-prepared; individual; multi-portion; communications; technology; applications; operational/management requirements; reporting procedures Equipment: specialist; volume; equipment specifications; economics; ergonomics; integration; maintenance and ‘down time’ Contexts: types eg contract catering, events catering, conference and banqueting https://www.blogger.com/blogger.g?blogID=5649485182751853952#editor/src=sidebar LO2 Understand purchasing management for materials, commodities, beverages and equipment Supplier: contract; purchasing specification; monitoring; vendor ratings; implications for organisation Factors influencing choice: factors eg capacity, production issues, reliability, transportation and delivery, discounts, technology applications, contingency arrangements Materials, commodities and equipment: branded/non-labelled; customised; quality; availability; delivery LO3 Be able to produce and critically assess food and beverage preparation plans Plans: staffing levels and abilities; resource issues eg physical, financial; planning meeting Methodology: production schedules and methods; consistency...
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...INTRODUCTION I This article investigates the benefits and supports provided by project management methodologies (PMMs) to project managers for the management and delivery of information technology/ information system (IT/IS) projects. Using a qualitative approach, through case study strategy, the role of PMMs is examined in different business and project contexts. This article evaluates the benefit of PMMs based on their traits and characteristics and investigates PMMs in their operational context: where PMMs come from and how they support practitioners. The findings suggest a misalignment between the intended benefit of PMMs at the strategic level and the reported benefits by project managers at the project level. Additionally, it is shown that practitioners’ expertise, accountability, and attitudes all have a direct influence on the extent to which PMMs contribute to and benefit the management of projects. report from former UK Health Secretary Andrew Lansley captured the attention of many by highlighting that “Labour’s IT programme let down the NHS [National Health Service] and wasted taxpayers’ money by imposing a top-down IT system on the local NHS, which didn’t fit their needs” (BBC News, 2011). This report highlighted significant issues associated with IT/IS project delivery. Successful delivery of projects is essential to the effective functioning of government and has a direct bearing on departments’ abilities to improve public services (Improving ...
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...Implications of Economics and Policy for Health Professionals Katrina Hill Health Policy and Economics Dr. Shana Lavarreda September 7, 2014 Discipline of Health Economics Many years ago healthcare and its delivery system were limited in care for patients or treatment options for physicians. The procedure of care includes diagnosis, treatment, prevention, rehabilitation, and palliative care (Buchbinder, 2012). However, over the years there is much to be learned from the discipline of health economics which vary from studies, practices, and demand by discipline of health promotion. Unfortunately, health promotion has not always gotten the attention by health economists because contributing factors lack demand, scare resources, and unclear utility analysis of health care (Teiltelbaum & Wilensky, 2013). As with any given system, values contribute to decision making route in which delivers thoughtful insight into how health operates from a planned and funded context to address an extensive scope of matters in a clear systematic manner. Benefits of Health Care Financing and Delivery There are many profits to understanding health policy or governmental involvement in health care financing and delivery. Financial or economic assessment consists of a set of methods designed at inspecting other ways of action that aids in making choices in terms of their costs and benefits (Getzen, 2013). In theory, these practices are useful to promote health...
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...User Stories Guide What are they? User stories are value-focused units of delivery that are typically used in Agile projects. Written from the customer or stakeholder’s perspective, user stories share what is needed and why. The “who” in a user story is typically someone with a particular role or title, or it could be from the perspective of a persona: a fictitious, sample user’s behaviors and needs, spelled out in detail. When choosing the “who”, avoid being too general (e.g. “As a user...”) which defeats the purpose of pinpointing the value for your target audience. Write all stories with the “who” included, even those stories that are very technical. Template The user story template is designed to help Product Owners and others tell stories with a clear “who”, “what” and “why”. As a registered user, I want to reset my password, so that I can get back into the site if I forget my password. As an unregistered user, I can sign up for the site, so that I’m able to have a personalized experience. As Tom, I want to only see updates from close friends, so that I can view relevant updates during my time online. As wh o, I want what, so that why. Who? Another Template Some stories benefit from more than one “who”. In those cases, you might want to include multiple who-why pairs. what: Track history of which products registered shoppers have viewed. who: Registered Shoppers why: So I can go back and find again (and buy) what I’ve previously researched who: Marketing why:...
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...nursing practice to encourage successfully utilize the full curriculum, practice, and instruction of the nurse, in addition to enhance the schooling of nurses, and molding nurses to get supervisory positions . Transforming Practice According to the report many aspects of the healthcare system, primarily the based nursing itself. If nurses aren’t able to carry out with the full exploitation of understanding their usefulness and resources in the healthcare system are deeply rooted. According to the IOM 1978 new definition it includes 3 major areas of primary care that are family and the patient, community and incorporated delivery system. IOM 1978 report explain the first viewpoint, and the description in the 1984 addressed the second perception. Llatest definition thus focus the importance of the patient-clinician relationship (a) as understood in the context of the patient's family and community, and (b) as facilitated and augmented by teams. IOM understood that all aspects of primary care are highly valuable and attainable as well as pointing that the degree to which current practice in primary care match these aspects vary significantly. Systemic assessment of health care must identification of problems in the community, and intervention. Community...
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...strategic perspectives presented during the course Strategy- Process, Content, Context. Firstly, I will present the brief history timeline of the FedEx Corporation with the main highlights that are important for my discussion. Then in the part Business level strategy I will try to explain how the company related their business with its environment. From its very beginning in 1973, FedEx had transformed itself from the express delivery company to a global logistics and supply- chain company and invested a lot of money into the IT systems1, which in my opinion implies outside- in perspective. Corporate level strategy part deals with the diversification of the FedEx in order to become more than just a express delivery company. Taking into account the international context of the company I will discuss the global convergence perspective and how FedEx positioned itself there. The international context part will discuss how FedEx expanded globally and how FedEx positioned itself under the Global convergence perspective. History of the FedEx Corporation2 Federal Express Corporation was founded in 1971. They are specialized in overnight delivery of the high priority packages, documents and heavy freight. 1971 ● Federal...
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...organizations, Theory E and Theory O, represent an inefficient dichotomy and integrating elements of both into any change initiative has been proposed. The dichotomy in a Theory E approach, incorporating practices driven by an economic imperative and a Theory O approach, incorporating practices for improving organizational capability are questioned by this research. By comparing the integrated model identified by Beer and Nohria (2000) with 18 other change management approaches, the limitations of their model are exposed. Considerable similarities are observed between change management models and this leads to the conclusion that a more comprehensive integrated model should be developed and tested. This includes the importance of identifying the context for change as a prerequisite to change design. Initial research validated the use of an extended list of critical success factors, the utility of a new model for initiating change and reinforced the importance of a contingency paradigm. KEY WORDS : Change, change management, integrated change, business transformation Introduction In the first part of this research ‘Challenging the Code of Change: Part 1. Praxis does not make Perfect’, a comparative review of Beer and Nohria’s (2000) Theory E and Theory O integration thesis led to the conclusion that their model required further development with the following rationale. 1. The limitations identified in the integrated Theory E/Theory O model. Correspondence Address: Nigel Leppitt, Director-Haldane...
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...of the Controller of Her Majesty’s Stationery Office. The text in this document (excluding the Royal Coat of Arms and departmental logos) may be reproduced free of charge in any format or medium providing that it is reproduced accurately and not used in a misleading context. The material must be acknowledged as Crown copyright and the title of the document specified. Any enquiries relating to the copyright in this document should be sent to: HMSO Licensing Division St Clements House 2-16 Colegate Norwich NR3 1BQ Fax: 01603 723000 E-mail: hmsolicensing@cabinet-office.x.gsi.gov.uk HM Treasury contacts This document can be accessed from the Treasury Internet site at: www.hm-treasury.gov.uk For further information on the Treasury and its work, contact: Correspondence and Enquiry Unit HM Treasury 1 Horse Guards Road London SW1A 2HQ Tel: 020 7270 4558 Fax: 020 7270 4574 E-mail: public.enquiries@hm-treasury.gov.uk ISBN: 0-947819-69-X C ONTENTS Page Preface 3 Executive Summary 5 Chapter 1 Introduction 7 Chapter 2 The Purpose of Targets 9 Chapter 3 Principles for Agency Target Setting 11 Chapter 4 The Strategic and Organisational Context 15 Chapter 5 Different Types of Target 25 Chapter 6 Setting the Level of Performance 33 Chapter 7 Responsibilities and Dissemination 35 Chapter 8 Targets and Risk Management 37 Chapter 9 Data Credibility 39 Chapter 10 ...
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