...The US healthcare system is by far the most expensive in the world, but it now leaves about 50 million of its citizens totally without coverage and fails to provide adequate protection for millions more. And the quality of care is on average inferior to that of countries that spend much less. Can the rise of multispecialty groups make US medical care much more affordable and efficient? The US healthcare system seems headed for bankruptcy because of its ever increasing and unsustainable costs. These costs will be effectively controlled only by legislative reforms in the insurance and payment for medical care, but the prospects of such legislation will depend on a more favourable political climate and stronger public support. However, legislation will accomplish little unless the organisation of medical services also changes. The recent movement of US physicians into large multispecialty groups suggests that this reorganisation of medical care may already be under way. If this trend continues, it could not only facilitate the enactment of legislation, but also help to make our medical care much more affordable and efficient. At present, most US physicians are in solo practice or belong to small, single specialty partnerships, but new social and economic forces are beginning to make employment in large multispecialty groups a more attractive option. About a quarter of all US practitioners are now employed in such groups, which are being formed by independent physician organisations...
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...Disparities in Women’s Health in USA José Francisco Pereira AKA Frank Pereira COH 601 Prof. GinaMarie Piane, MPH, DrPH, CHES The United States of America still have a long way to go until able to reduce the country disparities related to maternal and infant mortality. With a population distributed in an uneven geographic area that requires specific healthcare delivery related to ethnicity, lack of education, lack of primary care provider and prejudice, it becomes a difficult task. As reported by The Office of Minority Health of the U.S. Department of Health& Human Services (HHS) the largest population concentration of Hispanic/Latino is in San Jose, California, and African American is in Michigan. The City of San Jose or the state of California has not provide specific vital/healthcare information to the HHS and Michigan reported Infant Death Rates as fallow: White – 1997= 6.1 (±0.5), 2007 5.8 (±0.5) whit a decline of 0.3 (±0.5); African American – 1997= 17.6 (±1.7), 2007 16.5 (±1.7) whit a decline of 1.1 (±1.7); Others – 1997= 4.7 (±2.2), 2007 10.7 (±2.2) whit a increase of 6 (±0.5). The HHS reported a total infant mortality rate per 1,000 live births in the United States shows for 2005, still showing a relative disparity between African Americas (13.6), White (5.8) and Hispanic/Latino (5.6). HHS showed that Hispanic/Latino had the lowest rate and the Afro American the highest rate (afro American/ white ratio = 2.3). The report shows a radial infant mortality...
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...| Positives | Negatives | Improvement Measures | Dr Smith | 1) Proper traditional approach towards patient notes. 2) Giving patients adequate time thereby maintaining good practice. | 1) Use of Dictaphone- patient’s comfort is compromised. 2) Delay in updating notes on EMR by the transcriptionist. 3) Still relying on paper approach for prescriptions. 4) Superbill form used in place of EMR for coding. | 1) Transformational training of EMR required- Will take less time, electronic prescription- good for records, no need for transcriptionist. 2) Removal of superbill and introduction of electronic billing codes. | Dr Jones | 1) Positive about EMR use. 2) Positive change in work style- good adaptation. 3) Does not rely on his memory completely by feeding few important notes in the EMR during patient visits. | 1) Incomplete notes at start, which are filled later- taking extra time. 2) Many prescriptions not signed at the end of day. 3) Undercoding due to fear. 4) Reduction in patient revenue due to incomplete work & undercoding. 5) Prescriptions entered using CPOE. | 1) Professional training of EMR use required to sharpen EMR skills. 2) Training will increase confidence thereby reducing wastage of time, incompleteness of notes, timely updating prescriptions. 3) Revenue might pick up(per patient and number of patients) as the time taken will reduce, thereby facilitating more patient intake and proper coding measures. 4) An effective...
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...Name: Sonya Moon Course title: Human Communication Do you think it would be better if the USA had a universal health care system? I hope you all are doing fine. I would like to give my stance on the current issues as well as my rationales for adopting this stance. It has to be understood that a universal health care system normally apprehends and captures details concerning systems that focus on offering health care services as well as financial protection to the citizens. Universal healthcare is an important part of a plan for health care reform that seeks to make care more affordable and provide coverage to all Americans, but instead causes rising healthcare costs, inadequate services and longer wait times. It is also referred to as the universal health coverage (Vance, 56). I do not think USA should have a universal health care system. In the United States of America, health care has always remained distinct and in comparison with other countries. This speech highlights the reasons as to why the USA does not need to have a universal health care system. Firstly, a universal health care system imposes a larger financial strain mainly on small scale businesses and also individuals who are self-employed (Williams, 45). Those people who get greater pay also complain and criticize that their wages are used to cater for needs of others rather than their own. These are probably some of the chief rationales why the system is strongly opposed by most of the leaders and elites...
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...USA Today by Gannett Company On 20th April 1982 - announced the first copies of USA Today In 1985 - became the second largest newspaper in the America In 17th April 1995 - Launced USA Today Online In 2000 - The paper redesign In 2009 - Newspaper have closed shop or reduced publications day and adapt to online only Norfatahiyah Bt Md Sulhaimi 1110937 USA Today Become a more serious newspaper with improved journalism Raising public awareness and move into profitability USAToday.com Readers interacted with the journalist and given opportunity to voice their opinion Continuous strategy of marketing innovation USA Today Product Innovation Promotional Innovation Distribution Innovation USAToday.com Added blogs Really Simple Syndication(RSS) Pod casting No Demand for the newspaper will decrease because customer just get news from USAToday.com Strength Weaknesses Opportunities Threats Huge media conglomerate with Gannett Gannett's capabilities in high-tech graphic design High fixed costs Weak profit margin Increasing numbers of white-collar workers Failure of competition to innovate and innovate rapidly Online news threaten to cannibalize printed news Competition from other newspaper, national and local Fast delivery the news Design through customer preference Limitation when it saturated Move to USA Today Online Lose readers of the population ages over the next 10 to 30 years Economic factor such as higher newsprint costs https://www.scribd...
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...1. What opportunities in the marketing environment did Gannett seize in launching USA Today? How did the company learn about and respond to these opportunities? Gannett noticed two trends or opportunities in the reading public and took advantage of those trends. The first one is the increasingly short attention span among a generation nurtured on television, the second is the growing hunger for more information. The newspaper’s primary mission was to provide more news to their readers in less time. They targeted the young and well-educated because he noticed that they were busy and care about the news (they targeted nontraditional newspaper readers) unlike their competitors. Typical readers turned out to be professionals, usually managers, about 40 years old, well educated, with an income of about$60,000 a year. USA Today capitalized its market opportunities by listening to their readers. They provided personal level communication, provided news in a clear, upbeat, positive way. They were also the first color newspaper and captured readers using a TV set like distribution box. They were very unique and out of the box. In addition to this, Gannett’s research had shown that readers get most of their information from such snippets and they were also interested in sports, movie reviews, and health information so he didn’t just limit it to traditional news, he added diverse news about several topics like sports. I believe that the company knew about opportunities by closely...
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...WK2 – Discovering Marketing Opportunities What opportunities in the marketing environment did Gannett seize in launching USA Today? How did the company learn about and respond to these opportunities? Answer the same questions for USAToday.com. By conducting research and analysis Gannett determined that there were two trends/opportunities that he could take advantage of; one was that an increasingly short attention span among a generation nurtured on television and the other was that there was a growing hunger for more information. With this information Gannet made the newspaper’s primary mission to provide more news in less time. Research suggested that this paper should target achievement-oriented men in professional and management positions who were heavy newspaper readers and frequent travelers. Unlike the other companies/competitors who targeted upper America, Gannett’s company would target middle America- young, well-educated Americans who were on the move and cared about the news and current events. Gannett listened to what the readers wanted and ensured that USA Today would market just that. With this information in hand, Gannett capitalized on it by putting together a team of news, advertising, and production personnel staff from his daily news who developed, edited, published and tested different prototypes. From those prototypes three 40-page versions were sent out to about 5,000 professional people along with a response card for feedback. Marketplace...
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...Case 1: USA Today Strengths • Strong, respected brand • Strong target market • Highly Innovative • Strong Brand Extension • Gannett is huge media conglomerate (hard for smaller competitors to compete against) Opportunities • Partnerships with online websites such as Amazon • Increasing number of white collar workers (USA Today’s target group) • Continued growth in social media outlets • Continued growth in new technologies Weaknesses • Unable to get paid online subscribers, like Wall Street Journal • High fixed costs • Weak profit margins Threats • Online advertising competitors, such as Google. • Decrease in sales, readership and ad revenue in print industry, due to digital trend • Large number of competitors (print and online) 1) What opportunities in the marketing environment did Gannett seize in launching USA Today? How did the company learn about and respond to the opportunities? Answer these same questions for USATODAY.COM. One of the opportunities that Gannett Co., Inc. noticed in the marketing environment that led to the launch of USA Today was a void in the newspaper market that targeted Middle America. The New York Times targeted those defined as the “nation’s intellectual elite” and The Wall Street Journal focused its effects towards business leaders. Through research, Gannett learned that the paper should target “achievement-oriented men in professional and managerial positions who were heavy newspaper readers and frequent travelers...
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...Cranes represent longevility as in after death . Early on, she asks, “maybe this is the wrong thing?” (8) We wonder, what is she referring to? Slowly, more details are given when he “picked up an object wrapped in a plaid towel” and gives the toast “here’s looking at you kid.” Although not directly stated, the implication is that they drank something. Again indirectly, but toward the end we see the symbolic cranes “stepping delicately away from the commotion,” mirroring the couple’s separation from their life. After they kiss, their eyes close, and the cranes fly away into the sun. The implication, though never direct, is that our couple decided to end their lives together Aha! A gun makes so much more sense! I think I just found it hard to accept that method for suicide given the tone of the article. Thanks. 1. I agree. I thought he was going to use a gun because of the hints about the shower curtain and something for your ears. I believe it was a gun and the shower curtain is there at the woman's request. She states, "I'm just a lot of trouble to everyone." I believe this statement also points to the man shooting her first This is an extremely sad, yet very romantic story about two people in love. They are in a parked car along the shore looking at birds. She is fascinated with the big white birds that are flying by, and they start reminiscing about the past. It is easy to tell how much they still love each other after all the years that have passed, by the way they...
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...Case 1 USA Today: Innovation in an Evolving Industry* Synopsis: As the entire newspaper industry sits on the brink of collapse, Gannett and USA Today work to avoid disaster and transform the nation’s most read newspaper into tomorrow’s best resource for news and information. This case reviews the history of USA Today, including its continued use of innovation to stay on top of the technological and sociocultural shifts that are rapidly changing the newspaper industry. In the face of continual competition across a variety of media sources, the future of USA Today depends on its ability to continually push the envelope of innovation and offer value-added, proprietary content to ensure continued differentiation and the future of the USA Today brand. Themes: Product strategy, innovation, target marketing, distribution strategy, changing technology, changing sociocultural patterns, customer relationships, competition, differentiation, strategic focus, SWOT analysis Case Summary USA Today is the most successful and highly visible newspaper that students have seen and read on a national basis. The case provides an overview of Gannett's strategic marketing approach to launching and growing this unique newspaper. When USA Today debuted in 1982, it achieved rapid success due to its innovative format. No other media source had considered a national newspaper written in shorter pieces than a traditional paper and sprinkled with eye-catching, colorful photos, graphs, and charts. Designed...
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...Throughout 1980’s, several pieces of evidence were revealed that led the NCAA to believe recruiting sanctions were violated at Southern Methodist University. The substantial evidence relates to an aggressive and illegal recruiting practice that attracted top recruits to attend and play football at SMU. The sequence of evidence abstracted from the University is listed as follows: • 1980: A victory over Texas after a 14 game losing streak between the two schools sparked significant media attention and brought suspicion on SMU's recruiting practice. • 1981: A ten win season and a victory over Arkansas earned SMU the Southwest Conference Championship. • 1981: The departure of Ron Meyer led to national attention that violations were close to being revealed. Bobby Collins was hired as the new head football coach. • Mid 1980's: Sean Stopperich, a former player, claims SMU Boosters moved his family from Pittsburg to Texas, found his father a job, and paid for certain expenses. • Mid 1980's: David Stanley, a former player, claims to receiving payments to play football at SMU. • Mid 1980's: A televised interview revealed handwritten envelopes from SMU’s Athletic Director, Henry Lee Porter, addressed to David Stanley’s home. • Mid 1980's: Bobby Collins, Henry Lee Porter, and the University’s President resigned from the University due to the allegations of NCAA recruiting violations. The evidence presented suggests that a predication of NCAA recruiting violations had occurred...
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...30 for 30: Pony Excess. The film Pony Excess delved into the unfortunate past of the SMU Mustangs football team. In this gripping, multi-sourced documentary directors shine light on how SMU boosters and coaches colluded to form the consummate college football team. Through the acts of mere perfect cheating, SMU succeeded in bribing top high school recruits to narrow college options only to SMU. Once one ex-Mustang spilled the gruesome details of SMU’s “secret plan,” NCAA officials introduced the most extreme penalty to college football, the Death Penalty. This source provides an eye-catching timeline of the rise and fall of the Mustangs football program. With the use of interviews of former players, coaches, and boosters, viewers become learned of the snide deals made with recruits, which may have been shadowed through the decades. The Pony Excess manifests the topic of excessive boosting and how in football history, it can be the demolishment of a team. This becomes useful in the topic of SMU and the Death Penalty through the detailed interviews and research that scrutinize what really caused the SMU death penalty. This film gives a very straightforward approach to the SMU football scandal and elicits the true story. Although SMU was guilty for the entire scheme, this film does take a very objective and unsympathetic view of the scandal possibly exaggerating the intent behind all decisions made during the process. In the scheme of 1980’s SMU football and...
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...Case # 1 Andersen: An Obstruction of Justice? P. C1 DISCUSSION QUESTIONS 1. Look up the term corrupt in the dictionary. What is its definition? Was corrupt appropriately applied to the actions of Arthur Andersen? 2. The issues that overturned the Andersen verdict were based on faulty jury instructions, not on whether Andersen was in fact guilty or innocent. Based on the information in this case and other information you know, do you believe Andersen violated the law? 3. Do you believe that the Supreme Court's opinion overturning the lower court's decision was appropriate? 4. Should the SEC and the Department of Justice have tried Andersen as a firm or should they have targeted specific individuals who had engaged in acts the two bodies believed to be unlawful? 5. Although Andersen's conviction was overturned, do you believe that its employees acted in an ethical manner? 6. Comment on the actions of David Duncan and Nancy Temple. Which of these parties do you believe was more responsible for the Andersen saga? 7. The class action lawsuit against Andersen also named the Canadian Imperial Bank of Commerce, JPMorgan Chase, Citigroup, Merrill Lynch, and Credit Suisse Group as codefendants with Andersen. Why would the plaintiffs name so many entities in their lawsuit? Merrill Lynch and Credit Suisse asked a U.S. appeals court to rule that the complaint should not have been certified as a class action suit. Why would these entities make such a claim? ...
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...Thank you so much Mr.Nando. I apreciate you, using your time to talk to me and helping me out. I also wanted to tell you that I looked at the position paper, and I saw some Positions that I liked and thought it would help me. One of the positions was Opry Backstage Grill Ast. Manager-Restruant. I also saw Banquet Captain. My Resume is right down there. Please read it, and I hope you call me . Thank you for caring. 2725 WINDCREST TRAIL ANTIOCH (615) 509-5948 (615) 280-1120 BASSEMIBRAHIM@COMCAST.NET OBJECTIVE: SUMMARY: An interesting position with a GAYLORD OPRYLAND HOTEL Trained in all areas of (CULINARY-ACCOUNTING-RESTURANT MANAGEMENT-HOUSE KEEPING-FRONT OFFICE-SALES-PUBLIC RELATIONStrong training skills.(IN HOTEL AND RESTURANTS IN THE WORLD(PARIS-LONDON-US-TURKAY-ROMA-SPAIN-GERMANY-ATH ENA-CUPRES- EMPLOYMENT: 06/18/2009 to 02/25/2011 GAYLORD OPRYLAND HOTEL Cook NASHVILLE Prepared, seasoned and cooked soups, meats, vegetables, desserts and other foodstuffs. Executed daily operations Read menu to estimate food requirements and ordered food from supplier or procured food from storage. Wrote, designed and produced Adjusted thermostat controls to regulate temperature of ovens, broilers, grills, roasters and steam kettles. Measured and mixed ingredients according to recipe, using a variety of kitchen utensils and equipment, such as blenders, mixers, grinders, slicers and tenderizers. Baked, roasted, broiled and steamed meats, fish, vegetables and other foods. Thank...
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...My proposed problem is one that I have experienced and have tested. I feel that with the competitive work force and the lack of jobs in our economy that it is crucial to look your best during your work day and also during interviews. Unfortunately with time our faces tend to age with frown lines that can have a negative impact or influence on employers or customers. One may simply feel that you are unfriendly or grouchy just by looking at you during a first impression. This can cause the customer/Guest/hiring manager to choose a different candidate for the job. One that may appear more up beat, youthful, or may appear to have more energy due to not having the problem-aging. Being in the working field of customer service I have found that one of the best solutions to this problem-aging is Botox. Botox or Onabotulinumtoxin A is a protein and neurotoxin used to prevent wrinkles by paralyzing muscles in the face. The cost of Botox depends on where you live, who is doing the injections, how many units of Botox you may need, and where you are injecting it. Usually you will be looking at anywhere between $10.00per unit to $14.00per unit. In my experienced for frown lines its usually 25-35 units resulting in appx. $300.00 per session. Botox lasts anywhere between 3-6 months so you would figure on getting two sessions per year resulting in a cost of appx. $600.00 per year. Cocktail servers in a casino are the best examples of using Botox as a tool to earn more tips. The friendlier...
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