...Policy Issue Analysis: The Affordable Care Act and Nursing April 7, 2013 Policy Issue Analysis: The Affordable Care Act and Nursing Problem Identification Healthcare costs are soaring in the United States today. More people than ever before are uninsured or underinsured. In 2006-07, there were 46 million people uninsured (Gulley, Rasch, & Chan, 2011), and 9 million children also did not have health insurance (Coddington & Sands, 2008). A change in how healthcare is managed and financed is greatly needed to avoid worsening of this situation. Background The cost of healthcare and the number of uninsured individuals has become a critical issue today. Healthcare spending in the U. S. has grown faster than the economy, by about two to three percent per year since the end of World War II (Brown, 2009, p. 1). If nothing changes, Medicare will cost as much as the sum of all federal income taxes in about 75 years (Brown, 2009, p. 2). Healthcare premiums have become so unaffordable, that many families do without. The lack of insurance has a direct effect on poor health outcomes, increasing morbidity and mortality, which also contributes to increased healthcare costs (Coddington & Sands, 2008, p. 1). The Patient Protection and Affordable Care Act (PPACA), also known as Obamacare, was signed into law on March 23, 2010, and the Supreme Court made a final decision to uphold the law on June 28, 2012 (U. S. Department of Health and Human Services). The...
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...Chapter I The Problem and Its Background Introduction Nursing involves specialized skills and application of knowledge based on education that has both theoretical and clinical components. Nursing upholds standards set forth by professional organizations and follows an established code of ethics. The concerns of nursing focus on human responses to actual or potential health problems and are increasingly focus on wellness, an area of caring that encompasses nursing’s unique knowledge and abilities. Nursing is rich in tradition, which is used to develop and redefine both the art and science of nursing. Furthermore, nursing is increasingly being recognized as scholarly with academic qualifications, research, and publication specific to nursing is increasingly becoming more widely accepted and respected. Background of the Study One of the major issues in nursing currently involves nursing education. Nursing profession provides a single route for the educational preparation of its practitioners. However, the development of nursing as a profession has resulted in three major educational routes that prepare graduates to write the National Council Licensure Examination (NCLEX) for registered nursing. The three traditional educational avenues that prepare men and women for registered nursing are hospital-based diploma programs, 2-year associate degree programs (primarily found at junior and community colleges), and baccalaureate programs (offered at 4-year colleges...
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...AND MANAGING DIVERSITY OF WORKFORCE Robert D. Lawsson (MSc) Abstract The objective of this work is to complete a research proposal on the comparison of work values for gaining of knowledge for management of the multi-generation workforce. The specific focus is upon Generation ‘X’ and the Millennium Generation which are the two primary groups comprising the new workforce. Lawsson R.D. - Identifying and Managing Diversity of Workforce 216 Business Intelligence Journal January OBJECTIVE The objective of this work is to complete a research proposal on the comparison of work values for gaining of knowledge for management of the multigeneration workforce. The specific focus is upon Generation ‘X’ and the Millennium Generation which are the two primary groups comprising the new workforce. INTRODUCTION The generation that a person is born within has some impact upon that individual in terms of work styles, work values and self-image. The demographic profile of the workforce is undergoing quite a change insofar as the representation of generations and the result is that organizations are experiencing a necessity to make changes as well. The workforce will become increasingly more diverse in the future and this greatly affects the organization in its capacity of hiring and retaining employees. The literature reviewed within this study illustrates the fact that the expectations of employees differ within the generations represented in today’s workforce and unless...
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...TERM PAPER ON Public Private Partnership in Rural Health Management in India Dec -2013 Contents Lists of Contents Page No 1. List of Abbreviations 3 2. Abstract 4 3. Introduction 6 3.1 Private Sector in India 7 3.2 THE ROLE OF THE PRIVATE SECTOR IN HEALTH CARE 8 3.3 Public/Private Partnership 8 3.4 OBJECTIVES OF PUBLIC PRIVATE PARTNERSHIPS 10 3.5 Classifying PPPs 10 3.6 Challenges in Partnership 11 3.7 Characteristics of Partnership 12 3.8 Scope and types of partnership 13 3.9 The Study for Research paper 15 3.10.1 Analysis and Discussion 16 3.10.2 Overview of the Case Studies 16 3.10.3 Enabling Conditions 17 3.10.4 Equity and Accessibility 19 3.10 Private partner selection and obligations of the Partners 19 3.11 Performance Specifications 20 3.12 Resource implications 20 3.13 Autonomy 21 3.14 Technical and managerial capacity 22 3.15 Quality of services 23 3.16 Stakeholder Perspectives 23 4. Summary and Conclusion 24 5. References 26 6. Annexure 29 1. List of Abbreviations PPP Public Private Partnership HSR Health Sector Reform ADBI Asian Development Bank Institute NRHM National Rural Health Mission FRU First Referral Unit MMVs...
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...Table of Contents Executive Summary ………………………………..….………….…….……………….. 4 Institutions ………….……………………………….….…….……….………….……... 6 Socio-cultural Forces …………..…………..…………..……………….……………… 10 Labor Standards in Germany …………………………………………………………... 12 Labor Standards in China ………………………………………………………...…..... 19 Comparative Analysis ………...…………………........…………….……..……....…… 25 Conclusion ………………………......……………………………….……....………… 29 References …………………………...………..……………………………….……….. 31 Appendix A …………………………...………..……………………………...……….. 35 Appendix B …………………………...………..……………………………...……….. 36 Appendix C …………………………...………..……………………………...……….. 37 Appendix D …………………………...………..……………………………...……….. 38 Appendix E …………………………...………..……………………………...……….. 39 Executive Summary As a result of systemic changes in the economy over the last two decades, the world of work has radically changed in eastern European and Asian countries. Transition reforms have led to rapid structural shifts in the economy: China has become a focal point for much of the insecurity that globalization has produced: for the past two decades China has experienced explosive economic growth that has attracted jobs and capital from around the world (Feng, 2007). No other industrializing country has ever attracted jobs at both the high and low ends of the production chain. From basic level assembly work to the upper tiers of industry and services, China is setting the global norm for working standards around...
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...ork2012 - 2013 Catalog A Message from the President “Sullivan University is truly a unique and student success focused institution.” I have shared that statement with numerous groups and it simply summarizes my basic philosophy of what Sullivan is all about. When I say that Sullivan is “student success focused,” I feel as President that I owe a definition of this statement to all who are considering Sullivan University. First, Sullivan is unique among institutions of higher education with its innovative, career-first curriculum. You can earn a career diploma or certificate in a year or less and then accept employment while still being able to complete your associate, bachelor’s, master’s or doctoral degree by attending during the day, evenings, weekends, or online. Business and industry do not expand or hire new employees only in May or June each year. Yet most institutions of higher education operate on a nine-month school year with almost everyone graduating in May. We remained focused on your success and education, and continue to offer our students the opportunity to begin classes or to graduate four times a year with our flexible, year-round full-time schedule of classes. If you really want to attend a school where your needs (your real needs) come first, consider Sullivan University. I believe we can help you exceed your expectations. Since words cannot fully describe the atmosphere at Sullivan University, please accept my personal invitation to visit and experience...
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...2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study 2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study The Arroyo Fresco Community Health Center Case Study was prepared for use in the 2006 Malcolm Baldrige National Quality Award Examiner Preparation Course. The Arroyo Fresco Community Health Center Case Study describes a fictitious nonprofit organization in the health care sector. There is no connection between the fictitious Arroyo Fresco Community Health Center and any other organization, either named Arroyo Fresco Community Health Center or otherwise. Other organizations cited in the case study also are fictitious, except for several national and government organizations. Because the case study is developed to train Baldrige Examiners and others and to provide an example of the possible content of a Baldrige application, there are areas in the case study where Criteria requirements are not addressed. CONTENTS 2006 Eligibility Certification Form ………………………………………………………………… Organization Chart ………………………………………………………………………………… 2006 Application Form …………………………………………………………………………… Glossary of Terms and Abbreviations ……………………………………………………………… Preface: Organizational Profile P.1 P.2 Organizational Description...
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...Parliament of Australia Department of Parliamentary Services Parliamentary Library Information, analysis and advice for the Parliament RESEARCH PAPER www.aph.gov.au/library 26 May 2010, no. 17, 2009–10, ISSN 1834-9854 Budget Review 2010–11 Last year’s Budget was framed amid a sharply deteriorating world economy which was considered the most challenging global economic conditions since the Great Depression. In 2009, the global economy contracted for the first time in the post-war era. In contrast, Australia grew by almost 1.5 per cent supported by monetary and fiscal policy stimulus, a well-functioning banking system, and strong growth in a number of East Asian economies. The third Rudd Government Budget, presented on 11 May 2010, was developed within an improving but still uncertain outlook, with events in Greece and other European Union countries reminding us of the risks to the global economic recovery. Strong economic growth in China and India is expected to continue to flow throughout the region and, despite a slower pace, the US is leading the recovery among our advanced economy major trading partners. Global economic growth is in the early stages of recovery but we should remain cognisant of the precarious economic environment which is continuing to challenge government policy makers around the globe. Once again the Parliamentary Library has produced the annual Budget Review that examines the key features of a selection of crucial measures contained...
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...Transforming Lives Communities The Nation …One Student at a Time Disclaimer Academic programmes, requirements, courses, tuition, and fee schedules listed in this catalogue are subject to change at any time at the discretion of the Management and Board of Trustees of the College of Science, Technology and Applied Arts of Trinidad and Tobago (COSTAATT). The COSTAATT Catalogue is the authoritative source for information on the College’s policies, programmes and services. Programme information in this catalogue is effective from September 2010. Students who commenced studies at the College prior to this date, are to be guided by programme requirements as stipulated by the relevant department. Updates on the schedule of classes and changes in academic policies, degree requirements, fees, new course offerings, and other information will be issued by the Office of the Registrar. Students are advised to consult with their departmental academic advisors at least once per semester, regarding their course of study. The policies, rules and regulations of the College are informed by the laws of the Republic of Trinidad and Tobago. iii Table of Contents PG 9 PG 9 PG 10 PG 11 PG 11 PG 12 PG 12 PG 13 PG 14 PG 14 PG 14 PG 14 PG 15 PG 17 PG 18 PG 20 PG 20 PG 20 PG 21 PG 22 PG 22 PG 22 PG 23 PG 23 PG 23 PG 23 PG 24 PG 24 PG 24 PG 24 PG 25 PG 25 PG 25 PG 26 PG 26 PG 26 PG 26 PG 26 PG 26 PG 27 PG 27 PG 27 PG 27 PG 27 PG 27 PG 28 PG 28 PG 28 PG 28 PG 28 PG 33 PG 37 Vision Mission President’s...
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...OFFICIAL CATALOG This Catalog contains information, policies, procedures, regulations and requirements that were correct at the time of publication and are subject to the terms and conditions of the Enrollment Agreement entered into between the Student and ECPI University. In keeping with the educational mission of the University, the information, policies, procedures, regulations and requirements contained herein are continually being reviewed, changed and updated. Consequently, this document cannot be considered binding. Students are responsible for keeping informed of official policies and meeting all relevant requirements. When required changes to the Catalog occur, they will be communicated through catalog inserts and other means until a revised edition of the Catalog is published. The policies in this Catalog have been approved under the authority of the ECPI University Board of Trustees and, therefore, constitute official University policy. Students should become familiar with the policies in this Catalog. These policies outline both student rights and student responsibilities. The University reserves the right and authority at any time to alter any or all of the statements contained herein, to modify the requirements for admission and graduation, to change or discontinue programs of study, to amend any regulation or policy affecting the student body, to increase tuition and fees, to deny admission, to revoke an offer of admission and to dismiss from the...
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...2009 Malcolm Baldrige National Quality Award Application TABLE OF CONTENTS Glossary of Terms and Abbreviations Organizational Profile i Responses Addressing All Criteria Items Category 1: Leadership 1 Category 2: Strategic Planning 6 Category 3: Customer Focus 10 Category 4: Measurement, Analysis, and Knowledge Management 14 Category 5: Workforce Focus 18 Category 6: Process Management 23 Category 7: Results 7.1: Best Quality (Healthcare Outcomes) 27 7.2: Best Customer Service (Customer Focused Outcomes) 32 7.3: Best Financial Performance & Growth (Financial & Market Outcomes) 35 7.4: Best People and Workplace (Workforce Focused Outcomes) 38 7.5: Best 5 Bs (Process Effectiveness Outcomes) 41 7.6: Best 5 Bs (Leadership Outcomes) 45 GLOSSARY OF TERMS AND ABBREVIATIONS APP: Annual Planning Process 5Bs: AtlantiCare’s five “Bests” or performance excellence commitments – Best People and Workplace, Best Quality, Best Customer Service, Best Financial Performance, Best Growth ARMC : AtlantiCare Regional Medical Center ASC: Ambulatory Surgery Center ASPP: Annual Strategic Planning Process A AAAHC: Accreditation Association for Ambulatory Health Care AAI: AtlantiCare Administrators Incorporated AAP: Annual Action Plan B BFP: Best Financial Performance Big Dots: The system-level measurements or targets for each of the 5 Bs (performance excellence commitments). Business units...
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...sev eral recommendations pertaining to human resources for health, access to drugs, social determinants of health, governance, financing, and people’s par ticipation. A majority of the recommen dations find resonance in earlier expert committee reports. The recommendations made in earlier reports include universal health cover age as a right of every citizen (Bhore, 1946; constantly raised by civil society); increasing public health spending to 3% of GDP (National Commission on Macro economics and Health – NCMH – 2005, Common Minimum Programme of United Progressive Alliance (UPA) I, 2004); the concept of having a benefit package that is universally available as an entitlement (NCMH 2005); increasing the overall size of the health workforce to achieve the World Health Organisation (WHO) global norm of 2.3 workers for...
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...An agenda for Australian higher educ ation 2013–2016 a smarter australia Universities australia An agenda for Australian higher educ ation 2013–2016 a smarter australia This work is licensed under a Creative Commons Attribution-NonCommercial -NoDerivs 3.0 Unported License. Further inquiries should be made to the Chief Executive: GPO Box 1142 Canberra ACT 2601 Ph: +61 2 6285 8100 Fax: +61 2 6285 8101 Email: contact@universitiesaustralia.edu.au Web: www.universitiesaustralia.edu.au ABN: 53 008 502 930 ii universities australia Contents Preface 1 Summary 3 Vision 6 Policy context 1 Increase Australians’ university participation 8 13 2 Develop Australia’s globally engaged university sector 25 3 A powerful research and innovation system that drives economic and social progress 35 4 Efficiency, investment and regulation 49 Appendix: Development and consultation process 64 Notes 65 Tables Table 1: Gross expenditure on research and experimental development by sector, 2008–09 38 Table 2: Expenditure on research and development as a proportion of GDP, Australia and the OECD, 2008 38 Figures Figure 1: Increase in low SES domestic students in higher education, 1992 to 2011 15 Figure 2: Australia’s benefits from research 37 Figure 3: Commonwealth per student funding, 1989 to 2010 55 Figure 4: Public investment in tertiary education as a percentage of GDP 55 Figure...
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...Annual Report 2008-09 Productivity Commission Annual Report Series © COMMONWEALTH OF AUSTRALIA 2009 ISSN ISBN 978-1-74037-286-2 1035-5243 This work is subject to copyright. Apart from any use as permitted under the Copyright Act 1968, the work may be reproduced in whole or in part for study or training purposes, subject to the inclusion of an acknowledgment of the source. Reproduction for commercial use or sale requires prior written permission from the Attorney-General’s Department. Requests and inquiries concerning reproduction and rights should be addressed to the Commonwealth Copyright Administration, Attorney-General’s Department, Robert Garran Offices, National Circuit, Canberra ACT 2600. This publication is available in hard copy or PDF format from the Productivity Commission website at www.pc.gov.au. If you require part or all of this publication in a different format, please contact Media and Publications (see below). Publications Inquiries: Media and Publications Productivity Commission Locked Bag 2 Collins Street East Melbourne VIC 8003 Tel: Fax: Email: (03) 9653 2244 (03) 9653 2303 maps@pc.gov.au General Inquiries: Tel: (03) 9653 2100 or (02) 6240 3200 An appropriate citation for this paper is: Productivity Commission 2009, Annual Report 2008-09, Annual Report Series, Productivity Commission, Canberra JEL code: D The Productivity Commission The Productivity Commission, is the Australian Government’s independent research and advisory body on a range...
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...The Guilford Strategic Alliance: Building Tomorrow, Today Pursuing and Maximizing Our Potential Developing Our Road Map Focus Groups Summary Report* As of March 2008 * So far The Guilford Strategic Alliance: Building Tomorrow, Today - Community Survey Results Table of Contents Introduction Focus Group Summaries Immigrants Judicial System Greensboro News and Record Editorial Staff Secondary Education Greensboro Foundations Towns – Jamestown, Pleasant Garden, Sedalia, Stokesdale, Summerfield, Whitsett Higher Education Environment Cooperative Extension County Advisory Group Former Guilford County Commissioners Non-Profit Organizations Hospitality, Conventions, Arts & Sports Focus Group Detailed Notes from Focus Group Meetings Introduction Why Focus Groups? Phase One of the Strategic Alliance Project was Assessment. The goal during this phase was to engage the public in the project, to receive comments from stakeholders and residents, and to establish a benchmark for future public assessments of County performance. Three methods were used to meet the Assessment goal: a community survey, facilitated public forums and focus groups. This report summarizes the focus group discussions. How did input differ from the community forums and survey? The focus groups are made up of community stakeholders that have specific interactions with County government. In some cases there is a very strong existing relationship. In others, there is a desire for greater interaction...
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