...Boundary less Organizations Dalia M. Davidson January 16, 2012 HCS/325 David R. Campbell Boundary less Organizations Many healthcare workplaces are becoming known for being boundary less organizations. Employees are connecting to the outside world with a wide variety of co-workers, consultants, off-site employees, and other resources. Boundary less organization is a contemporary approach in organizational design. It is an organization that is not defined by, or, limited to, the horizontal, vertical, or external boundaries imposed by a predefined structure. Boundary less organization combines the business team and network structures with the addition of temporariness. Many entrepreneurial and start-up businesses are boundary less organizations. When businesses are able to make quick changes to their environments and come up with solutions to an issue makes them boundary less organizations. There are two types of boundary less organizations. Inside of boundary less organizations teamwork and communication replace formal lines of authority. Barriers that once separated organizational members are resolved and team members react spontaneously to problems that may occur. Outside boundary less organizations the needs are met through outsourcing contracts and outside alliances that come together. These relationships are forever changing so they would look different day to day. Technology and the absence of hierarchy have allowed for the acceptance of boundary less...
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...Capital Punishment Crimes Capital punishment should be used in crimes that cause physical harm because they are especially heinous and premeditated. Murder is the worst crime anyone could ever commit. It is a crime that no one can ever make right because once you take a life away you can never give it back. Penalties should be exactly made to fit the crimes that are committed. Capital punishment also saves the government money, death penalty cases proves to be significantly less expensive. The worst crime possible should therefore receive the worst penalty possible. The penalty is the death penalty. Capital punishment prevents repeat offenders. The rate of murders reduces with more convictions of murders with the death penalty. This means that some heinous criminals will never walk on the streets, and that makes the society a somewhat safer place. Most crimes are committed by repeat offenders, and we have a criminal class that is cycled through our prison system and back into society. This being the case, why should we have murderers repeatedly be put back out on the street to kill again, several times, before they would be permanently locked away? Murderers and violent criminals will always exist in our society and the death penalty will lower the number of criminals (The Death Penalty Prevents Future Murders). Every violent criminal less that exists in a society will mean a safer society. A prison term on the other hand would always be a pressing dark...
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...Running head: Organization and Management of a Health Care Facility Organization and Management of a Health Care Facility Strayer University HSA515 02/20/2015 Provide a detailed summary of your hospital’s organizational structure. Include a tabulated description of the levels of professionals within the organization. Describe the duties of each major head within the organization Diversity Healthcare, Inc., a health care system, operates hospitals, clinics, and practices in Georgia. It offers medical services in the areas of cancer care (oncology), dermatology (skin care) and wound healing, eye care, geriatrics (senior health), heart and vascular services, hospital medicine and critical care, internal medicine and primary care, kidney disease and dialysis, liver disease, mental health, neurology and neurosurgery, and oral surgery; and ear, nose, and throat. The company also provides services in the areas of pain management, patient education programs, pediatric subspecialties, pharmacy, plastic and cosmetic surgery, pulmonary care (lung), radiology and imaging. The levels of professionalism are very high and closely examine. We have many different levels at the Diversity Healthcare Hospital system which includes: Six Administrative Assistant/Office Managers Job Duties: * Answers telephones, screens and routes calls to appropriate persons, takes and distributes messages accurately, and returns phone calls as appropriate, and manage email communication...
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...INTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, VOL. 12: 907±912 (1997) PSYCHIATRIC DISORDERS IN ELDERLY FROM THE INDIAN SUB-CONTINENT LIVING IN BRADFORD KUMUD BHATNAGAR1Ã AND JUDITH FRANK2 1 Consultant Psychiatrist for Elderly, Bradford Community Health NHS Trust, UK 2 Senior Experimental Ocer, University of Bradford and Bradford Community Health NHS Trust, UK SUMMARY In our community study of the prevalence of psychiatric disorders among elderly South Asian immigrants from the Indian sub-continent (India, Pakistan and Bangladesh) living in Bradford (UK), we found depression in 20%, dementia in 4% and anxiety neurosis in 4%. Subjects were interviewed at their place of residence by a consultant psychiatrist familiar with their culture and language. The Hindi translation of the community version of the Geriatric Mental State schedule (GMS-A) was also administered. Psychiatrist's ICD-9 diagnosis was compared with GMS±AGECAT computerized diagnosis. We found low-level agreement in dementia cases (kappa 0.33) whereas the agreement in subjects with depression was high (kappa 0.81). In many subjects GMS-A made a diagnosis of dementia not diagnosed as cases by the psychiatrist, who had the bene®t of additional history information from carers in this population from a dierent culture and educational background. These ®ndings are discussed along with suggestions and present limitations of GMS-A in the diagnosis of dementia in cross-cultural research. Larger...
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...Ethical and Legal Issues in Nursing Team C NUR/391 Ethical and Legal Issues in Nursing Nurses face various ethical and legal issues in the medical setting. As professionals, nurses must be aware of these legal and ethical issues when they occur. Nurses have a legal and ethical obligation to respond to these issues. Being a professional nurse requires a nurse to assess the pros and cons of different situations, but also to withhold their personal beliefs and listen and respect the beliefs and traditions of others. Legally Nursing implications require nurses to maintain licensure, obey state and federal laws and to remain within their scope of practice. Within these legal and ethical issues the American Association Code of Nursing ethics, personal and societal values, legal aspects and legal responsibilities all affect decisions. Two different cases will be discussed and explored; an advance directive case involving a woman by the name of Marianne, and a malpractice case involving a nurse and the involved healthcare organization. The American Nurses Association Code of Nursing Ethics can influence the final decision made in the case study involving Marianne’s family by designating a surrogate. According to "American Nurses Association" (2011), “The nurse supports patients self-determination by participating in discussions with surrogates, providing guidance, referral to other resources as necessary, and identifying and addressing problems in the decision-making...
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...Elder Abuse in Residential Care Facilities Elder abuse is a catch all term referring to any deliberate or negligent act by a care giver or any other individual that results in harm or a major risk of harm to a vulnerable adult over the age of 60 years (Stefanacci & Haimowitz, 2013, p. 68). Under the umbrella definition for elder abuse, more specific types of abuse can be identified such physical abuse, sexual abuse, emotional abuse, exploitation, neglect and abandonment (Stefanacci & Haimowitz, 2013, p. 68). The physical abuse refers to the infliction, or threat to inflict, physical harm onto an elderly individual or the deprivation of their basic needs. Sexual abuse is defined as any form of nonconsensual sexual contact. Exploitation refers to the illegal misuse, theft, or concealment of an elderly individual’s funds, assets, or property. Neglect is the failure or refusal of a formal or informal caregiver to supply the vulnerable elder in their care with shelter, food, health care, or protection. Abandonment refers to the desertion of the vulnerable elder by either a legal custodian or anyone who has assumed responsibility for their care (Stefanacci & Haimowitz, 2013, p. 68). Residential care facilities (RCFs) have a multitude of different names across the Unites States but are most commonly referred to as assisted living facilities (ALFs), adult congregate living facilities, domiciliary care homes, and shelter care homes. Since the mid 1990’s, RCFs have made up one...
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...Analysis of Organizational Culture HAD 5731 Fitzpatrick, Harris, Kerr, Malhotra, Perkins, Salisbury, Topping Introduction Organizational culture encompasses the fundamental values, assumptions and beliefs that are held in common by members of an organization (Helfrich et al, 2007). Culture can be characterized as a basic implicit theory of mutual assumptions, invented, discovered, or developed by a group that determine how they think, feel and behave as they assimilate 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...
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...Implementing Successful Transitional Care: A structured move from Acute to Sub-Acute or Ambulatory Care Introduction Transitional care is defined as a set of actions designed to ensure the coordination and conti- nuity of health care as patients transfer between different locations or different levels of care. Representative locations include (but are not limited to) hospitals, sub-acute and post-acute nursing homes, the patient’s home, primary and specialty care offices, and long-term care fa- cilities. Transitional care is based on a comprehensive plan of care and the availability of health care practitioners who are well-trained in chronic care and have current information about the patient’s goals, preferences, and clinical status. It includes logistical arrangements, education of the patient and family, and coordination among the health professionals involved in the transition. Transitional care, which encompasses both the sending and the receiving aspects of the transfer, is essential for persons with complex care needs.1 Contents 1 Introduction 1 Historical Problems 2 Attempted Solutions 3 AmerisourceBergen Solution 3 Benefits 5 Outcomes 5 Summary Historical Problems with Transitional Care Despite considerable attention focused on improving 30-day readmission rates to hospitals, only modest change has been achieved according to the Centers for Medicare & Medicaid Services (CMS). Medicare Readmission Penalties Max Penalty 278 Hospitals ...
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... ADMINISTRATION TOPIC: PRIVATISATION IN THE INDIAN HEALTHCARE SECTOR CONTENTS 1. INTRODUCTION 1.1. PRIVATIZATION 1.2 INDIAN HEALTHCARE INDUSTRY 1.2.1 DRIVERS FOR GROWTH OF HEALTHCARE 1.3 PUBLIC HEALTHCARE IN INDIA 1.4 PRIVATE SECTOR IN THE INDIAN HEALTHCARE DELIVERY SYSTEM 1.4.1 GOVERNMENT POLICIES TO SUPPORT THE GROWTH OF PRIVATE SECTOR 1.4.2 FDI IN THE INDIAN HEALTHCARE 1.4.2.1 STATUS AND PROSPECTS FOR FOREIGN INVESTMENTS IN HOSPITALS IN INDIA 1.4.2.2 CONSTRAINTS TO FOREIGN INVESTMENTS IN HOSPITALS IN INDIA 1.4.2.3 FOREIGN PRESENCE IN HOSPITALS IN INDIA 1.4.2.4 SUMMARY OF PROS AND CONS FOR FINANCING SOURCES OF HOSPITALS OBJECTIVES 2. LITERATURE REVIEW 3. ANALYSIS OF THE IMPACT OF PRIVATIZATION IN THE HEALTHCARE SECTOR 3.1 QUALITY AND PRIVATE HEALTHCARE SERVICES 3.2 IMPACT OF FOREIGN INVESTMENTS IN HOSPITALS IN INDIA 3.3 CONSUMER PERCEPTION OF PRIVATE SECTOR 3.4 EMERGING TRENDS IN HOSPITALS IN INDIA: CHALLENGES AND INTERVENTIONS 4. CONCLUSION 5. ACKNOWLEDGEMENT 6. BIBLIOGRAPHY 1. INTRODUCTION 1.1 PRIVATIZATION Privatization can also be called denationalization or disinvestment. All three terms describe a situation where a government decides to transfer control of...
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...CONFIDENTIAL Business Plan Integra Medical Services (IMS) “The pillar that upholds the standards of health care.” This business plan is the sole property of Integra Medical Services Inc. and is therefore confidential. The information and assumptions contained herein are subject to change and any projections made based on aforementioned information are subject to unknown risks. This information is the result of extensive research and the proposed business venture is derived from this research. Proposed by: Adama LaMon Robins Emmanuel 500 University Avenue West Minot, ND 58707 (757)877-2799 2 TABLE OF CONTENTS 1. EXECUTIVE SUMMARY…………………………………………………………… 4 Country Profile Company History Product Description Marketing and Sales Development Operations Management Goals and Strategies Financial Summary 2. COUNTRY PROFILE………………………………………………………………… 5 Business Customs Product Preferences Buying Habits Prices Disposable Income Competitors Types of Medical Care Country’s Economic Profile Consumer Behavior Business Relationship with United States Restrictions for the Country Export and Import Prospects 3. COMPANY HISTORY……………………………………………………………....... 8 History and Current Statues Markets and Products Objectives 4. SERVICE DESCRIPTION…………………………………………………………… 11 Description of Services Provided Market Comparison Proprietary Rights Stage of Development 3 5. MARKET AND SALES………………………………………………………………. 15...
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...Research and Theory for Nursing Practice: An International Journal, Vol. 25, No. 1, 2011 A Process of Decision Making by Caregivers of Family Members With Heart Failure Julie Sanford, DNS, RN University of South Alabama, Mobile Judith Townsend-Rocchicciolli, PhD, RN James Madison University, Virginia Annie Horigan, MSN, RN Duke University, North Carolina Pat Hall, PhD, CRNP Diagnostic Medical Clinic, Mobile, Alabama Heart failure (HF) is a major cardiovascular problem and the number of people living with HF continues to climb. Throughout the illness continuum, patients and their family caregivers are involved in decision making. As the illness worsens and patients can no longer make decisions, decision making becomes the responsibility of their caregivers who may have little preparation for the role. The purpose of this grounded theory study was to examine how caregivers of family members with HF make decisions. A nonlinear decision-making process consisting of several actions was identified, which included actualizing; seeking input, information, or support; reflecting; choosing; evaluating; and validating the decision. Keywords: decision making; heart failure; caregiving; grounded theory eart failure (HF), a complex cardiovascular syndrome, is increasing in incidence throughout the world. In 2003, the World Health Organization (WHO) noted that cardiovascular disease accounted for more than 16.7 million deaths (29.2%) of all deaths worldwide with 7.2 million...
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...CHAPTOR 12 In the early 1930s, a mathematician developed a formula that could be used to make accurate weather forecasts, something that was unheard of at that time. However, because there were no computers or calculators at that time, it took almost three months of hand calculations to come up with the next day’s forecast. This obviously was far from useful, and many individuals scoffed at such a preposterous solution to weather forecasting. However, with the introduction of computers by the late 1940s, the amount of time needed for the calculations was dramatically decreased. Suddenly, this model became very popular, and today it forms the basis for all weather forecasting. The point here is that it sometimes requires vision to see how an idea or technology could be used. This vision also applies to new technologies like wireless communications. Some users question why we should consider wireless technology when the existing wired system seems to work just fine. In this chapter, you will learn what it takes to convert the potential of wireless technology into a successful business reality. We’ll look at the steps needed to incorporate wireless technology into a business, and at the advantages and challenges that face business users who consider adopting this new technology. Advantages of Wireless Technology The advantages of incorporating wireless technology into a business are far-reaching and can positively impact an organization in many ways. In addition to the...
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...Chapter 1 [pic] Introduction 1.1 Background Of The Report As being one of the biggest hospitals in Bangladesh, Apollo Hospitals Dhaka is at the forefront of medical technology and expertise and provides a complete range of the latest diagnostic, medical and surgical facilities for the care of its patients. The hospital is having all the characteristics of a world-class hospital with wide range of services and specialists, equipment, & technology, ambience and service quality. But the quality of a hospital service is not defined by the appearance of its facility. Rather the service quality depends more on the sincerity of the hospital and its human resources to serve the patients. In Bangladesh, the health care sector is not yet developed. A large number of people go abroad for treatment due to low quality of medical facilities in Bangladesh. And the main target market of Apollo Hospitals Dhaka is the people who want to get world class treatment inside the country with affordable cost. To ensure the proper customer satisfaction, the hospital management has to employ the right people in right place. Prior to this a detailed job Analysis is almost essential. With Job Descriptions and a sophisticated Job Evaluation system, management will be able to recruit and determine pay levels better, determine the types of training the hospital staff should go on and have a basis to appraise them. Job Descriptions furnished by business units are current and accurate...
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...CHAPTER - 1 INTRODUCTION Introduction: In their 1981 book, Positioning: The Battle for your Mind, Al Ries and Jack Trout describe how positioning is used as a communication tool to reach target customers in a crowded marketplace. Regular use of the term dates back to 1972 when the same authors published a series of articles in Advertising Age called "The Positioning Era." Not long thereafter, Madison Avenue advertising executives began to develop positioning slogans for their clients and positioning became a key aspect of marketing communications. Positioning: The Battle for your Mind has become a classic in the field of marketing. The following is a summary of the key points made by Ries and Trout in their book What is Positioning? Positioning is a platform for the brand it facilitates the brand to get through to the target consumers. Positioning is act of fixing the locus of the product offer in the minds of the target consumers. In positioning, the firm decides how and around what parameters, the product offer has to be placed before the target consumers. The significance of product positioning can be easily understood from David Ogilvy’s words; the results of your campaign depends less on how we write your advertising than on how your product is positioned. Most authors define positioning as the perception that a target market has of a brand relative to its competitors. This definition raises two points. First, positioning is perceptual. In other...
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...GROUP INTERACTION JOURNAL ARTICLES Compiled by Lawrence R. Frey University of Colorado at Boulder Aamodt, M. G., & Kimbrough, W. W. (1982). Effects of group heterogeneity on quality of task solutions. Psychological Review, 50, 171-174. Abbey, D. S. (1982). Conflict in unstructured groups: An explanation from control-theory. Psychological Reports, 51, 177-178. Abele, A. E. (2003). The dynamics of masculine-agentic and feminine-communal traits: Findings from a prospective study. Journal of Personality and Social Psychology, 85, 768-776. Abele, A., Gendolla, G. H. E., & Petzold, P. (1998). Positive mood and in-group—out-group differentiation in a minimal group setting. Personality and Social Psychology Bulletin, 24, 1343-1357. Aberson, C. L., Healy, M., & Romero, V. (2000). Ingroup bias and self-esteem: A meta-analysis. Personality and Social Psychology Review, 4, 157-173. Abougendia, M., Joyce, A. S., Piper, W. E., & Ogrodniczuk, J. S. (2004). Alliance as a mediator of expectancy effects in short-term group psychotherapy. Group Dynamics: Theory, Research, and Practice, 8, 3-12. Abraham, A. (1973a). Group tensions as measured by configurations of different self and transself aspects. Group Process, 5, 71-89. Abraham, A. (1973b). A model for exploring intra and interindividual processes in groups. International Journal of Group Psychotherapy, 23, 3-22. Abraham, A. (1974-1975). Processes in groups. Bulletin de Psychogie, 28, 746-758. Abraham, A., Geffroy, Y., & Ancelin-Schutzenberger...
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