...Change and Culture Case Study 1 The struggling economy, the emergence of new technology and the government’s healthcare reform is pushing hospitals to seek refuge in another resulting in a merger. A merger is the consolidation of two establishments into a single legal entity (Hayford, 2012). In the health care industry, mergers are rising in numbers. Mergers transpire due to a variety of reasons; to increase in size to gain better negotiation power with managed care providers who tend to bypass smaller organizations, to penetrate new markets to attract additional customers, to improve efficiency evolving from centralized administrative practices, and to express overall value of promoting readily available comprehensive care by shoring up smaller community-based facilities, keeping them from closure (Liebler & McConnell, 2008). Despite the reason for the merger, when two health care organizations merge, the organizational dynamics change considerably from the leaders in the board room to the medical staff on the hospital floors, and the impact has a short and long-term ripple effect throughout the newly formed organization as performance, mission, values, and culture will be restructured. The restructure of a new organization resulting from a merger and the role of the middle manager in developing an environment that the combined staff can work on will be analyzed further. Additionally, a description of the newly formed organization from the merger in terms of system and shape...
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...He was having the most violent seizure I had ever witnessed. I started shaking him and screaming his name in hopes that he would snap out of it, but he remained unresponsive. My hands were shaking so much that I could barely dial 911 for help. It seemed like it took forever for the EMTs to arrive. They immediately began to try and stabilize him but all of their efforts fell short so their focus shifted to getting him to a hospital. It took about forty-five minutes to get him loaded onto a gurney for transport to Trident Regional Medical Center, the closest hospital. Jeff was still seizing when they left in the ambulance. I arrived at the hospital around 2:30am and was informed that the doctor(s) were trying to stabilize Jeff so they could run some tests and scans to try and figure out what was wrong. I decided to call Jeff’s brother, Greg, and let him know what was going on. Greg left work immediately and came to the hospital along with Malinda, their sister. We were summoned to a small, private room where we were greeted not by a doctor, but the hospital chaplain. As he began to talk, my heart sank. Why was he there and not a doctor? He was asking me question after question, but I could not answer him. I finally looked up at him and all I could say was that I wanted to talk to a doctor and that he could leave right then. By this point, I was crying hysterically and was terrified of what I would be told when the doctor(s) did show up. Finally, a doctor came out to the waiting...
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...Cancer Treatment Centers of America (“CTCA”) is a network of cancer hospitals providing state of the art cancer treatment in the United States. CTCA operates as a for profit specialty hospital and health care network with facilities in all regions of the contiguous United States. With patient cancer survival rates above national benchmarks, the Mother Standard of Care has proven to be an effective model for patient treatment and for business success. CTCA has introduced both process innovations and clinical innovations to the treatment of cancer diagnoses. A core competency that has distinguished CTCA from other providers is the Patient-Empowered Care “PEC” approach. The PEC approach is grounded in the original vision upon which the CTCA organization was created, which is the patient comes first. This approach of multi-member care team providers revolving around the patient, as opposed to the patient being required to move from one clinician to the next for treatment has resulted in increased productivity, better communication among the member of the care team, and most importantly, increased patient satisfaction. Another example of process innovation is the Commissioning Team, tasked with the responsibility of opening new CTCA sites as the organization expands. Responsibilities above and beyond the physical structure include selection of appropriate staff to fit into and complement the culture that CTCA has cultivated across its network. Another core competency is the electronic...
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...huge fans based in Korea and international. It’s the reason why i found a cute girl with short hair through her first music album since then, 9 years, she still be my idol and my inspiration. Stephanie Hwang (Korean name: Hwang Mi-young credited under the stage name Tiffany, is an American vocalist and performing artist, dynamic in South Korea. She is an individual from Girls' Generation and TaeTiSeo as a primary vocalist in both gatherings. Her birthday is on August first, 1989. She prepared for a long time and seven months before her singing introduction in 2007. She was conceived in San Francisco, California, and experienced childhood in Diamond Bar, California, as the most youthful of three kin. She was born in the same hospital as her prior kindred Girls' Generation, Jessica. She additionally talks English and Korean fluently. She tried out at the SM Entertainment Starlight Casting System and joined the organization on October 2004 in Los Angeles, California. She prepared for a long time and 7 months before appearing. She went to South Pointe Middle School and Diamond Bar High School, she then exchanged to Korea Foreign Kent High School in Seoul and moved on from that point at age 18. Her height is 163 cm and her weight is 51 kg. Other languages that she can speak are Chinese (Basic), Japanese (Basic), Spanish (Basic). Watching films and listening to music are her interests. Her motto is “Just work hard”. Her favorite color is pink.Meanwhile she is a singer in a girl group...
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...for overlooking the epidemic since it was thought to be for the most part a disease that primarily affected gay men and African Americans. Many Americans, specifically gay men, passed away before his presidency formally recognized the virus. It has become common today to dismiss after years of research, that globally we acknowledge AIDS is not a Gay disease. Most Scholars in the field believe that during the 80s the homosexual community was marginalized, and deemed as deviants and a perverse generation. As a result of my study, the following table will support the evidence that Caucasian males and not African Americans had more reported cases of AIDS in the United States during the 80s. (see table 1). Table reference: Table 1.This table supports the evidence that during the Reagan Administration Caucasian males had more reported cases than any other nationalities, therefore demystifying the notion of African Americans supposedly having more reported cases of AIDS. Photo Credit (Centers for Disease Control and Prevention). Kushner's play reveals how gays experienced fear and paranoia throughout the 80s. Kushner did not go too deep into the horrors of AIDS possibly, because had he shown the atrocities of this disease the play, perhaps could not have been a commercial success or gained such notoriety with the mainstream. However, evidence within the scenes suggests how this disease affected the gay community. For example, in scene four page 21, Prior uncovers the first of numerous...
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...INFORMATION TECHNOLOGY MANAGEMENT INTRODUCTION With a weakened global economy, consumer confidence at record lows, and widespread layoffs unlike anything we have seen in over eighty years, information technology is taking on new roles in the business world. CIO's are relying more heavily on IT in order to reduce operating costs, increase productivity and give their companies a competitive edge. Historically viewed as an expense and liability, IT is now being thought of as strategic business enabler. Management of IT and the associated strategy, funding and security are top of mind for many in today's challenging environment. Executives are under more pressure than ever to maximize return on their technology investments. However, our research has revealed that there are several key concerns that appear to be trending throughout corporations as they determine the exact roles IT should play. READINGS Members of the group read several chapters from the textbook, Information Technology for Management: Improving Performance in the Digital Economy (Turban and Volonino, 7th Edition), as well as numerous articles on various information technology subjects. A topic which received a significant amount of attention throughout our readings is the importance of aligning IT strategies with the business priorities of the company, and how this is critical to the success of an organization. An important component of this alignment is ensuring that the IT division...
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...S w 908E04 STARS AIR AMBULANCE: AN INFORMATION SYSTEMS CHALLENGE Professors Malcolm C. Munro and Sid Huff wrote this case solely to provide material for class discussion. The authors do not intend to illustrate either effective or ineffective handling of a managerial situation. The authors may have disguised certain names and other identifying information to protect confidentiality. Ivey Management Services prohibits any form of reproduction, storage or transmittal without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Version: (A) 2008-02-26 In a hangar near Calgary International Airport, three sleek red BK117 helicopters sat waiting to be dispatched to accident sites in southern Alberta. In an adjoining building overlooking a landing strip, dispatch staff quietly monitored multiple screens at a dozen workstations in the Emergency Link Centre. In the pilots’ lounge and surrounding offices, helicopter pilots, nurses and paramedics were on standby 24 hours a day, seven days a week. A myriad of other professionals, including experts in clinical operations, aviation...
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...S w 908E04 STARS AIR AMBULANCE: AN INFORMATION SYSTEMS CHALLENGE Professors Malcolm C. Munro and Sid Huff wrote this case solely to provide material for class discussion. The authors do not intend to illustrate either effective or ineffective handling of a managerial situation. The authors may have disguised certain names and other identifying information to protect confidentiality. Ivey Management Services prohibits any form of reproduction, storage or transmittal without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Version: (A) 2008-02-26 In a hangar near Calgary International Airport, three sleek red BK117 helicopters sat waiting to be dispatched to accident sites in southern Alberta. In an adjoining building overlooking a landing strip, dispatch staff quietly monitored multiple screens at a dozen workstations in the Emergency Link Centre. In the pilots’ lounge and surrounding offices, helicopter pilots, nurses and paramedics were on standby 24 hours a day, seven days a week. A myriad of other professionals, including experts in clinical operations...
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...S w 908E04 STARS AIR AMBULANCE: AN INFORMATION SYSTEMS CHALLENGE Professors Malcolm C. Munro and Sid Huff wrote this case solely to provide material for class discussion. The authors do not intend to illustrate either effective or ineffective handling of a managerial situation. The authors may have disguised certain names and other identifying information to protect confidentiality. Ivey Management Services prohibits any form of reproduction, storage or transmittal without its written permission. Reproduction of this material is not covered under authorization by any reproduction rights organization. To order copies or request permission to reproduce materials, contact Ivey Publishing, Ivey Management Services, c/o Richard Ivey School of Business, The University of Western Ontario, London, Ontario, Canada, N6A 3K7; phone (519) 661-3208; fax (519) 661-3882; e-mail cases@ivey.uwo.ca. Copyright © 2008, Ivey Management Services Version: (A) 2008-02-26 In a hangar near Calgary International Airport, three sleek red BK117 helicopters sat waiting to be dispatched to accident sites in southern Alberta. In an adjoining building overlooking a landing strip, dispatch staff quietly monitored multiple screens at a dozen workstations in the Emergency Link Centre. In the pilots’ lounge and surrounding offices, helicopter pilots, nurses and paramedics were on standby 24 hours a day, seven days a week. A myriad of other professionals, including experts in clinical operations...
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...Wound V.A.C. – KCI Protocol Emergency General Surgery Service Vanderbilt University Medical Center 10 / 2004 Contributors: Sarah Debelak, APRN-BC Amanda Estapa, APRN-BC Ashlee Piercey, APRN-BC Dr. Jose Diaz, Jr., M.D. STATEMENT OF PURPOSE: POLICY: Define process for implementation, application, and management of negative pressure therapy The Wound V.A.C. will be provided to patients based on physician order PROCEDURES: I. Indications for V.A.C. Therapy A. For patients who would benefit from sub atmospheric (negative) pressure therapy for promotion of wound healing B. For patients who would benefit from drainage and removal of infectious material or other fluids from wounds under the influence of continuous and/or intermittent sub atmospheric pressure C. Types of wounds indicated: 1. Chronic Wounds including Diabetic Ulcers/Pressure Ulcers 2. Acute / Traumatic 3. Subacute Wounds (non-healing surgical wounds) . 4. Dehisced Wounds 5. Partial-Thickness Burns 6. Flaps 7. Grafts Contraindications for V.A.C. Therapy A. Patients with: 1. Grossly Contaminated Wounds 2. Malignancy in the Wound 3. Untreated Osteomyelitis 4. Non-enteric and Unexplored Fistula 5. Necrotic Tissue with Eschar Present B. Do NOT place V.A.C. GranuFoam (Black sponge) over exposed blood vessels or organs. May use VersaFoam (White) or petroleum-based gauze over exposed blood vessels or organs at base of wound with overlaying GranuFoam. Obtaining Equipment and Supplies A. Order the Wound V.A.C. from Materials...
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...clusive use at Institute of Management Technology, Hyderabad (IMT,HYD), 2015 9-109-017 REV: FEBRUARY 18, 2009 ROBERT SIMONS KATHRYN ROSENBERG NATALIE KINDRED Sydney IVF: Stem Cell Research At Sydney IVF we absolutely respect your beliefs. Because of this, we have taken the care to devise acceptable assisted conception programs for virtually all faiths—Christianity (including the Brethren), Islam, Judaism (including supervised kosher treatment cycles), Hinduism, and Buddhism. We guarantee that your eggs and your sperm will never be used in a way that you have not explicitly or implicitly consented to. — (Sydney IVF website) This case study describes the strategy implementation choices made by executives at Sydney IVF Limited: an Australian business that tested and performed research using human embryos derived from in vitro fertilization. In vitro fertilization (IVF) was a process that allowed human eggs to be fertilized outside a woman’s womb. In a typical IVF cycle, a woman’s ovaries were stimulated with fertility drugs to encourage the production of anywhere from 3 to 30 eggs. These eggs were then retrieved from the ovaries and fertilized with sperm in a glass test tube or petri dish—hence the Latin term in vitro, which means “in glass.” The fertilized eggs grew in a specialized culture medium (a nutrient-rich salt solution) for several days. The resulting embryos—clusters of cells that form after an egg is fertilized—were then transferred back to...
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... Philippine mythology is derived from Philippine folk literature, which is the traditional oral literature of the Filipino people. This refers to a wide range of material due to the ethnic mix of the Philippines. Each unique ethnic group has its own stories and myths to tell. While the oral and thus changeable aspect of folk literature is an important defining characteristic, much of this oral tradition had been written into a print format. University of the Philippines professor, Damiana Eugenio, classified Philippines Folk Literature into three major groups: folk narratives, folk speech, and folk songs. Folk narratives can either be in prose: the myth, the alamat (legend), and the kuwentong bayan (folktale), or in verse, as in the case of the folk epic. Folk speech includes the bugtong (riddle) and the salawikain (proverbs). Folk songs that can be sub-classified into those that tell a story (folk ballads) are a relative rarity in Philippine folk literature.[1] Before the coming of Christianity, the people of these lands had some kind of religion. For no people however primitive is ever devoid of religion. This religion might have been animism. Like any other religion, this one was a complex of religious phenomena. It consisted of myths, legends, rituals and sacrifices, beliefs in the high gods as well as low; noble concepts and practices as well as degenerate ones; worship and adoration as well as magic and control. But these religious phenomena supplied...
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...Until I Die ONE I LEAPT, DRAWING MY FEET UP BENEATH ME, AS the seven-foot quarterstaff smashed into the flagstones where I had been standing a half second before. Landing in a crouch, I sprang back up, groaning with the effort, and swung my own weapon over my head. Sweat dripped into my eye, blinding me for one stinging second before my reflexes took over and forced me into motion. A shaft of light from a window far overhead illuminated the oaken staff as I arced it down toward my enemy’s legs. He swept sideways, sending my weapon flying through the air. It crashed with a wooden clang against the stone wall behind me. Defenseless, I scrambled for a sword that lay a few feet away. But before I could grab it, I was snatched off my feet in a powerful grasp and crushed against my assailant’s chest. He held me a few inches off the ground as I kicked and flailed, adrenaline pumping like quicksilver through my body. “Don’t be such a sore loser, Kate,” chided Vincent. Leaning forward, he gave me a firm kiss on the lips. The fact that he was shirtless was quickly eroding my hard-won concentration. And the warmth from his bare chest and arms was turning my fight-tensed muscles to buttery goo. Struggling to maintain my resolve, I growled, “That is totally cheating,” and managed to work my hand free enough to punch him in the arm. “Now let me go.” “If you promise not to kick or bite.” He laughed and set me on the ground. Sea blue eyes flashed with humor from under the waves of black...
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...Signs appear in everyday contemporary societies. Signs are saturated with a lot of meanings and they relate to any language and are there to make us understand things through relating words with concepts like the word ‘silence’ which is a sign of communication that is indicative of meaning and it is ideological, it is also power to talk. Sign theory is an eccentric war of communication. It focuses on the discourse analysis where it focuses on language, power and ideology. Intelligence services are a key component of every state and their mandate is to ensure the security of states and they make use of the sign theory to supply the policy makers with information or intelligence which is fundamental in the policy making process. Evaluation and analysis’ role is to cast information into its proper intelligence framework and in the process minimising being biased. If evaluation and analysis is quality the intelligence given to policy makers will help policy makers to come up with quality policies and if the evaluation and analysis is poor obviously the policy makers will come up with ineffective policies. There are repercussions if intelligence services fail to analyse. Sign theory help in deductive, inductive and abductive types of reasoning. In this discourse I will define the sign theory, evaluation, analysis, four tools of analysis and the implications of sign theory to evaluation and analysis as a process which is scientific, logical, methodological and verifiable. Theory is...
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...The Project Gutenberg eBook, Complete Hypnotism: Mesmerism, Mind-Reading and Spiritualism, by A. Alpheus This eBook is for the use of anyone anywhere at no cost and with almost no restrictions whatsoever. You may copy it, give it away or re-use it under the terms of the Project Gutenberg License included with this eBook or online at www.gutenberg.org Title: Complete Hypnotism: Mesmerism, Mind-Reading and Spiritualism How to Hypnotize: Being an Exhaustive and Practical System of Method, Application, and Use Author: A. Alpheus Release Date: September 20, 2006 [eBook #19342] Language: English Character set encoding: ISO-8859-1 ***START OF THE PROJECT GUTENBERG EBOOK COMPLETE HYPNOTISM: MESMERISM, MIND-READING AND SPIRITUALISM*** E-text prepared by Jerry Kuntz as part of the Lawson's Progress Project Complete Hypnotism: Mesmerism, Mind-Reading and Spiritualism How to Hypnotize: Being an Exhaustive and Practical System of Method, Application, and Use by A. Alpheus 1903 CONTENTS INTRODUCTION--History of hypnotism--Mesmer--Puysegur--Braid--What is hypnotism?--Theories of hypnotism: 1. Animal magnetism; 2. The Neurosis Theory; 3. Suggestion Theory CHAPTER I--How to Hypnotize--Dr. Cocke's method-Dr. Flint's method--The French method at Paris--At Nancy--The Hindoo silent method--How to wake a subject from hypnotic sleep--Frauds of public hypnotic entertainments. CHAPTER II--Amusing experiments--Hypnotizing...
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