...facilities of Jimma town, southwest Ethiopia By: Alula Tadesse, SintayehuTarekegn&TadesseGudeta A term paper to be submitted to Dr.TemesgenGaroma (PhD) for partial fulfillment of advanced logistics and supply chain management course April, 2015 Jimma, Ethiopia Jimma University College of Health Sciences Department of Pharmacy Assessment of multidrug resistant tuberculosis drugs supply chain network design and performance measures at health facilities of Jimma town, southwest Ethiopia By: Alula Tadesse, SintayehuTarekegn&TadesseGudeta Advisor:-Dr.TemesgenGaroma (PhD) April, 2015 Jimma, Ethiopia ABSTRACT BACKGROUND: In all supply chains, correct logistics management optimizes the circulation of products and materials, and insures the link between flow of the physical items and the follow of information. It takes a holistic approach to company’s activities, as well as to the lifecycle of a given product, from its conception to its disposal. This system also has a great impact on the sustained availability of medicines including antiretroviral drugs where their absences resultin service interruption and loss of customer confidence on the institution. For this purpose an effective supply chain network and performance measures needs to be established. OBJECTIVE:-The objective of this study was to assess the supply chain network and performance measures of antiretroviral drugs at health facilities of Jimma town, southwest Ethiopia METHODS: This...
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...Course Project: Applied Information Technology Project MIS 535 – Managerial Applications of Information Technology Prof. Richard Dixon Table of Contents 1. Abstract 2. Brief Company Background 3. Discussion of business problems 4. High Level solution 5. Benefits of solving the problem 6. Business/Technical approach 7. Business process changes 8. Technology or business practices used to augment the solution 9. Conclusions and overall recommendations 10. High-level implementation plan 11. Summary of project Abstract Brief Company Background The organization that will be the topic of my discussion in my final project paper is Cook County Health and Hospital System (CCHHS) in Cook County, Illinois. The Cook County Health and Hospitals System is the safety net for health care in Chicago, suburban Cook County, and unincorporated Cook County boundaries. There are three hospitals in the Cook County Health and Hospital System. John H. Stroger Hospital is the main hospital in the system, which is located in the Illinois Medical District on the Near West Side in Chicago. Stroger Hospital serves as the primary public provider for medical services for Cook County. The other two hospitals are, Provident Hospital is located on Chicago’s south side, and Oak Forest Hospital is located in the south suburb of Oak Forest. Not only is there three hospitals in the system, but also 16 Ambulatory and Community Health Care Clinics. My role...
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...CIS500 Information Systems for Decision-Making Term Paper - Information Technology Strategic Plan April 12, 2015 1. Write an introductory statement of the company including but not limited to the type of the company, the location, the industry in which it competes, and the organizational vision and mission that encompasses the nature of the company. Being the largest not-for-profit Catholic healthcare system serving the Delaware Valley, Mercy Health System is part of Trinity Health and sponsored by Catholic Health Ministries. Their mission is to serve in the spirit of the Gospel, which means serving the entire community with compassion and healing presence while addressing the diverse factors that impact the health needs of the whole person. Even though they treat people from all walks of life, they have a special concern for the poor and disadvantaged. The goal of Mercy Health System is to be recognized as the leader in improving the health of the community and everyone they serve. Currently, they employ approximately 6,500 caring, highly skilled personnel who are focused on creating positive patient-care. Mercy Health System is a diverse, integrated system that embodies: Four Hospitals acute care hospitals: | Mercy Fitzgerald Hospital | A 213-bed teaching hospital in Delaware County and Southwest Philadelphia | | Mercy Philadelphia Hospital | A 268-bed community teaching hospital serving the needs of West and Southwest Philadelphia communities | |...
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...Conflict Resolution at General Hospital Dr. Lu Leadership and Organizational behavior- BUS520 November 27, 2011 Discuss the conflict that is occurring at General Hospital. General Hospital was developed as a non-profit hospital in 1968. In the 1980s, General Hospital had a high success rate with 90% occupancy in rooms. However, with the emergence of greater medical technological advances, General Hospital lagged behind a nearby medical center and lost majority of their parents to the competing hospital. Mike Hammer, CEO of General Hospital, realized General Hospital is in a major financial crisis and could face closing its doors if change does not occur. (Hellriegel & Slocum, 2011) Mike Hammer believed the key to cutting costs in a hospital setting is to reduce physician-driven costs. Hammer had previously implemented two different approaches to cutting physician-driven costs; however both approaches failed. After analyzing the previous failures, Hammer felt that reducing physician-driven costs must be done one physician at a time. Hammer believed by producing short-term wins employees will realize that change is necessary and can be done successfully, therefore generating buy-ins from employees who were otherwise opposed to the change process. Hammer brought in Marge Harding, COO of General Hospital, to help with the change process. Harding was given the task of finding areas where cost-reduction was necessary. (Hellriegel...
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...offers a web tool for hospitals with Electronic Medical Records that enables them the client to view real time statistic of the interfaces flowing into the EMR and various reporting tools that allows access to the database in a GUI format. Although many Healthcare IT consulting companies have recently tried to implement a Host monitoring service, none have cornered the market with their technology the way Dell Services has with their unique application. Because the Monitoring tool is such a marketable product right now, the Dell Services team needs to find ways to boost performance and improve the users experience without increasing costs. The best opportunity for Dell Services to do these things and to maintain and grow the product marketability is to do a complete revamp of the web application framework and present the newly vamped application to existing and potential clients. According to Spetz 2009, having an Electronic medical record (EMR) systems offers substantial opportunities to organize and manage clinical data in ways that can potentially improve preventive health care, the management of chronic illness, and the financial health of the Hospital. The benefits are faster chart coding, which means faster payment for services to savings in personnel, transcription and paper costs; and efficiency gains that allowed providers to see more patients. While many hospitals are turning to EMR’s like McKesson, monitoring the health and flow of these systems is also a crucial...
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...both the determination of strategic direction and the management of the strategic process. As such, it deals with the analytical, behavioral, and creative aspects of business simultaneously. The course is organized around six themes in strategic management: the role of the general manager, the components of business strategy, corporate strategy development, divisional-level strategy development, managing strategic change, and the development of general managers. Our perspective in this course is that of the leader whose responsibility is the long-term health of the entire firm or a major division. The key tasks involved in general management include the detection of and adaptation to environmental change; the procurement and allocation of resources; the integration of activities across subparts of the organizations; and, at the most senior levels, the determination of purpose and the setting of corporate direction. General managers, from our perspective, are managers who are in the position to make strategic decisions for the firm. Note that such managers are not “generalists” in the sense that they need to know a little bit of everything, but not very much of anything. To be effective, general managers need to have in-depth understanding of the generic problems in all the relevant functional areas. Furthermore, they must be able to deal with problems and issues at the level of the total enterprise and its relationships with relevant...
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...COMPANY PROFILE Southwest Airlines Co. REFERENCE CODE: DEFBDE99-9B78-4A63-BE9C-7EA7568D476E PUBLICATION DATE: 30 Nov 2012 www.marketline.com COPYRIGHT MARKETLINE. THIS CONTENT IS A LICENSED PRODUCT AND IS NOT TO BE PHOTOCOPIED OR DISTRIBUTED. Southwest Airlines Co. TABLE OF CONTENTS TABLE OF CONTENTS Company Overview..............................................................................................3 Key Facts...............................................................................................................3 Business Description...........................................................................................4 History...................................................................................................................5 Key Employees.....................................................................................................7 Key Employee Biographies................................................................................10 Major Products and Services............................................................................16 Revenue Analysis...............................................................................................17 SWOT Analysis...................................................................................................18 Top Competitors.................................................................................................23 Company View.............................
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...internally and adapt to the external environments of an organization (Schein, 1996). Culture is an important variable that defines an organization and has significant implications on its ability to be effective and efficient. Culture can be a critical barrier to leveraging new knowledge and implementing technical innovation (Helfrich et al, 2007). This paper will first provide an overview and analysis of the cultures and subcultures of two Ontario healthcare organizations - Trillium Health Centre (THC) and Credit Valley Hospital (CVH) in the context of a recent voluntary merger of the two organizations. The paper will then examine the impact of the dominant and sub- organizational cultures on the capability of the two organizations to be more effective, efficient and patient focused, as will the ways in which these cultures create barriers to current change efforts. Finally, the paper will identify recommendations for the merged leadership of the organizations to consider in order mitigate the identified cultural barriers in order to support future change efforts. A Cultural Overview THC and CVH are large community hospitals located within the Mississauga Halton Local Health Network (MH LHIN), serving a population of over a million people. Both organizations provide comprehensive primary, secondary and tertiary services to the communities and the region. Clinical program planning in the...
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...Your Provider is a HealthTexas Physician HealthTexas Provider Network is the 2nd largest subsidiary of Baylor Health Care System. We are a large network of close to 800 providers serving patients in almost 200 care sites throughout North Texas and Fort Worth who are dedicated to providing you with outstanding quality and service when it comes to caring for your medical needs. Having your healthcare needs overseen by a HealthTexas physician means that your care is coordinated across our network and the Baylor Health Care System. As long as you are seeing a HealthTexas primary or specialty care physician, we will have your completed registration packet and medical record securely stored in our Electronic Health Record system giving any HealthTexas physician access to the information they need to provide you and your family with the best care possible. Benefits of Belonging to HealthTexas Provider Network: • One Time Form Completion The registration forms you are filling out today will only have to be filled out once. (Some additional patient information may need to be updated annually) • Electronic Health Record (EHR) system The EHR stores your medical records (including any medications, allergies or health issues you may have) and allows physicians easy access to referrals, consultations, and patient education materials. • Improved Coordinated Care Our primary care sites are recognized by the National Committee for Quality Assurance (NCQA) as Physician Connections-Patient-Centered...
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...Lansing, MI 48824. Tippie College of Business, The University of Iowa, Iowa City, IA 52240 ______________________________________________________________________________ Abstract This paper examines how nonprofit organizations respond to incentives to manage their publicly available financial information. Prior research identifies two operating ratios donors commonly use to evaluate the efficiency and effectiveness of nonprofits (i.e., the program service ratio, defined as the fraction of total expenses committed to advancing the charitable mission of the organization, and the fundraising ratio, defined as the ratio of fundraising expenses to donations revenue). Nonprofit managers have an incentive to over-report the expenses classified as program services and under-report the expenses classified as administrative and fundraising in order to improve these ratios. We examine whether nonprofits respond to these incentives, and we find evidence consistent with opportunistic cost shifting to improve the program service and fundraising ratios. Additional analysis finds that smaller nonprofits that are more reliant on donations revenue manipulate their operating ratios to a greater extent. JEL classification: M4; L3 Key words: Nonprofit organizations, earnings management, disclosure, hospitals. ______________________________________________________________________________ *Corresponding author. Tel.: (319) 335-0841; fax (319) ; email: robert_yetman@uiowa.edu 1 We thank Ashiq...
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...82476 c02.3d GGS 3/17/09 15:15 r r r r r r r r r r r r r r r r r r r r r r r r r rr ECONOMIES AND SCOPE OF SCALE 2 r r r r r r r r r r r r r r r r r r r r r r r r r rr F ew concepts in microeconomics, if any, are more fundamental to business strategy than economies of scale and the closely related economies of scope. Economies of scale allow some firms to achieve a cost advantage over their rivals. Economies of scale are a key determinant of market structure and entry. Even the internal organization of a firm can be affected by the importance of realizing scale economies. We mostly think about economies of scale as a key determinant of a firm’s horizontal boundaries, which identify the quantities and varieties of products and services that it produces. The extent of horizontal boundaries varies across industries, along with the importance of scale economies. In some industries, such as microprocessors and airframe manufacturing, economies of scale are huge and a few large firms dominate. In other industries, such as apparel design and management consulting, scale economies are minimal and small firms are the norm. Some industries, such as beer and computer software, have large market leaders (Anheuser-Busch, Microsoft), yet small firms (Boston Beer Company, Blizzard Entertainment) fill niches where scale economies are less important. An understanding of the sources of economies of scale and scope is clearly critical for formulating and...
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...Copyright Copyright © 2012 Joan Magretta All rights reserved No part of this publication may be reproduced, stored in or introduced into a retrieval system, or transmitted, in any form, or by any means (electronic, mechanical, photocopying, recording, or otherwise), without the prior permission of the publisher. Requests for permission should be directed to permissions@hbsp.harvard.edu, or mailed to Permissions, Harvard Business School Publishing, 60 Harvard Way, Boston, Massachusetts 02163. ISBN: 978-1-4221-6059-6 By his example, Arthur Rosin, my uncle, taught me the pleasures of understanding and explaining. This book is dedicated to him, to Betty Rosin, and to my parents, Cyrille and Eugene Gorin. Contents Copyright Acknowledgments Introduction Part One: What Is Competition? 1. Competition: The Right Mind-Set 2. The Five Forces: Competing for Profits 3. Competitive Advantage: The Value Chain and Your P&L Part Two: What Is Strategy? 4. Creating Value: The Core 5. Trade-offs: The Linchpin 6. Fit: The Amplifier 7. Continuity: The Enabler Epilogue: A Short List of Implications FAQs: An Interview with Michael Porter A Porter Glossary: Key Concepts Chapter Notes and Sources About the Author Acknowledgments The Michael Porter I know is first and foremost a gifted teacher. If this book succeeds in helping readers understand Porter’s ideas in their full richness, it is thanks in large measure to his encouragement, his guidance, and his patience in explaining...
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... it is necessary to better understand the concept of nursing advocacy. The role of advocacy is not new for the nursing profession, but the nature of advocacy in the nursing practice remains ambiguous. Nurses are obligated to act as an advocate for their patients, but there is lack of clarity on how to perform this role. The purpose of this paper is to better understand nursing advocacy and to explore ways it is practiced across all fields of nursing in order to promote improved patient care. Advocacy is an essential role for the nursing profession; however, it can be affected by many factors. The goal of advocacy is to balance the relationship between the healthcare system and the patients who are served by evaluating patient/family needs, providing information and education, ensuring access to proper care and supporting the patient and family’s decision within the structure of a multidisciplinary team. This paper will explore the following research question: What are the variables that affect the role of nursing advocacy and in what ways is it practiced across all fields of nursing? Review of Literature Introduction The general topic of the review of literature is nursing advocacy. We are examining and exploring a clearer definition of nursing advocacy and how it is practiced across all fields of nursing. The studies were retrieved through searches on the CINAHL, Medline, AcademicOne, and Sage Premier for the years 2006 - 2011. The key words used for the literature searches...
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...International Trade 17 Business Locations 29 Industry Assistance 30 KeyStatistics 19 CompetitiveLandscape 19 Market Share Concentration 19 Key Success Factors 19 Cost Structure Benchmarks 21 Basis of Competition 30 Industry Data 30 Annual Change 30 Key Ratios 4 IndustryataGlance 5 IndustryPerformance 5 5 6 8 Executive Summary Key External Drivers Current Performance Industry Outlook 31 Jargon&Glossary 21 Barriers to Entry 22 Industry Globalization 23 MajorCompanies 23 Nuance Communications Inc. 24 MModal Inc. 11 Industry Life Cycle 13 Products&Markets 13 Supply Chain 13 Products & Services 14 Demand Determinants 15 Major Markets 27 OperatingConditions 27 Capital Intensity 28 Technology & Systems 28 Revenue Volatility 29 Regulation & Policy www.ibisworld.com|1-800-330-3772|info @ibisworld.com WWW.IBISWORLD.COM DocumentPreparationServicesintheUS June 2012 2 AboutthisIndustry IndustryDefinition This industry provides one or more of the following: letter or resume writing; document editing or proofreading; typing, word processing or desktop publishing; and stenographic (except court reporting or stenotype recording), transcription and other secretarial services. This industry does not include document translation services, prepress and postpress services, or document copying services. MainActivities Theprimaryactivitiesofthisindustryare Desktop publishing services (i.e., document...
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...CULTURAL COMPETENCE IN HEALTH CARE: EMERGING FRAMEWORKS AND PRACTICAL APPROACHES Joseph R. Betancourt Massachusetts General Hospital–Harvard Medical School Alexander R. Green and J. Emilio Carrillo New York-Presbyterian Hospital–Weill Medical College of Cornell University FIELD REPORT October 2002 Support for this research was provided by The Commonwealth Fund. The views presented here are those of the authors and should not be attributed to The Commonwealth Fund or its directors, officers, or staff. Copies of this report are available from The Commonwealth Fund by calling our toll-free publications line at 1-888-777-2744 and ordering publication number 576. The report can also be found on the Fund’s website at www.cmwf.org. CONTENTS About the Authors.......................................................................................................... iv Acknowledgments .......................................................................................................... iv Executive Summary......................................................................................................... v Introduction .................................................................................................................... 1 Findings........................................................................................................................... 3 Defining Cultural Competence ..............................................................................
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