...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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...Appendix O: Strategic Implications of Strengths and Weaknesses References Decision Analysis Decision Analysis Appendices Appendix P: Directional Strategies Appendix Q: Adaptive Strategies Appendix R: Market Entry Strategies Appendix S: Strategic Positioning Appendix T: Value-Chain Funcations References 1 2-11 12-13 14-17 18-29 30-36 37-50 51-60 61-66 67 I-VII 68-74 75-81 82-86 87-91 92-95 96-105 VIII-XV 106-109 110-122 123-125 126-128 129-135 136 Issue Statement Emanuel Medical Center (EMC) is encountering tremendous financial troubles as it struggles to remain open as an independent general acute care hospital. Changes in federal regulations such as the implementation of the EMTALA laws and lower reimbursement rates for federally run insurance programs, changes in service area demographics, and the evolution of the services that locally competing hospitals offer, all have contributed to five consecutive negative operating margins for Emanuel Medical Center. Emanuel Medical Center’s poor infrastructure and inability to adapt to these changes has left the...
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...MARKETING PLAN Senior Care Plus Final Draft Marketing Management Keller Graduate School of Management Contents 1.0 Executive Summary 3 2.0. Situation Analysis Overview 4 2.1. Market Summary 4 2.2. SWOT Analysis 8 2.2.1. Strengths: 8 2.2.2. Weaknesses: 8 2.2.3. Opportunities: 9 2.2.4. Threats: 9 2.3. Competition 9 2.4. Product Offering 10 2.5. Keys to Success 10 2.6. Critical Issues 10 3.0. Marketing Strategy Overview 11 3.1. Mission Statement 11 3.2. Marketing Objectives 12 3.2.1. Brand Identity 12 3.2.2. Value Proposition 13 3.2.3. Estimated Unit Sales 14 3.3. Financial Objectives 15 3.4. Target Markets 15 3.5 Positioning 17 3.6 Pricing Strategies 18 3.7. Marketing Attack Strategy 19 3.7.1 Advertising 20 3.7.2 Public Relations 21 3.7.3 Internet 21 3.7.4 Sales Promotion 22 3.8. Marketing Research 24 4.0 Controls Overview 24 4.1. Progress Milestones 25 4.2 Marketing Organization 26 4.3 Contingency Planning 26 4.4 Conclusion 27 References 29 1.0 Executive Summary The aging population of America is, no doubt, booming. Thus, a good number of businesses have been organized that cater to this sector of society. One of these are those retail stores that serve the needs of the senior population. Senior Care Plus (SCP) was conceptualized to specialize on the sales and service of specialized lifts, mobility aids, bed and bath safety products, medical alert systems...
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...Physician Groups: A Changing Landscape Final Report Team Four: Fearless Leaders Leading Healthcare Organizations May 10, 2015 Rachel Gutman Josh Freeman Brad Mountcastle Alicia Spitznagel I. Executive Summary Physician care is the cornerstone of patient health and could possibly be the gateway to comprehensive wellness on a national scale. Research demonstrates that a monumental shift is underway in America’s physician industry as more and more doctors are “voting with their feet” and curtailing their practices by joining larger institutions, retiring early or joining concierge medicine (Rabin, 2014). Studies show that physicians are frustrated with our current ‘value by number’ system; they argue that they are overworked due to discounted insurance payments and increasing oversight. Our research foretells two alarming trends within the US physician landscape. The first concern is that there will be a shortage in primary-care physicians as early as the year 2020 and secondly, most medical practices will be owned by a hospital or affiliated with a large network within the next ten years (Kirchoff, 2013). The former concern places population health at risk and could reduce access to care while the latter has the potential to increase overall costs and reduce competition and innovation in the health care industry. The Affordable Care Act (ACA) marks a milestone in our nation’s history; it requires every U.S. citizen to obtain medical insurance or pay...
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...Developing an Effective Health Care Workforce Planning Model Contents Executive Summary...................................................................................................................1 Getting Started with a Workforce Planning Model .................................................................2 Data – Collecting, Understanding, and Using ........................................................................3 Strategy – Understanding and Addressing the Business Need .............................................9 Planning – How to be Prepared for the Future .....................................................................12 Evaluation – Understanding Success ..................................................................................21 Conclusion ...............................................................................................................................23 Literature Review ....................................................................................................................24 Acknowledgements.................................................................................................................26 Executive Summary is aging at a rapid rate; health care reform is expected to bring millions more patients into the system; and there are anticipated shortages in numbers of trained health care professionals to care for these patients. Therefore, the need to start now to develop more effective and efficient...
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...estate, textiles, mining, technical education and media is setting up a 200-bed mutlispeciality hospital in the southern part of the city. To be set up at a cost of Rs 50 crores, the hospital will be completed in three phases. The first phase is likely to become operational without the oncology department within the next couple of months. Said Debashish Poddar, managing director, BP Poddar Hospital & Medical Research Limited, "It will not be a so called state-of-the-art hospital but a hospital, which will ensure healthcare deliver of international standards within the affordable limits of the common man. The hospital is the culmination of the dream of Arun Poddar, Chairman of the Group and his family to perpetuate the memory of his father Late BP Poddar, he added. Despite being a multispeciality unit, the focus area of the hospital will be oncology. All possible imaging facilities will be provided at the hospital. The management has applied for necessary regulatory clearances from Bhaba Atomic Research Centre (BARC) to start radiation therapy for treatment of cancer. According to Dr Subrata Das, medical director, BP Poddar Hospital & Medical Research Limited, "With a few dedicated hospitals in the region dedicated to oncology, the proposed hospital will take care of all the needs of the cancer patients. We are in the process of installing the latest equipment in the hospital to provide the best possible medical care." The management will be investing substantially on training...
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...MEDICAL TOURISM IN THAILAND Table of Contents Medical Tourism What is Medical Tourism Why Thailand? Medical Tourism in Thailand Why Thailand is No.1 in Medical Destination? What makes Thailand a prime Medical Destination? History of modern medical services Medical and health services currently provided Present policy of medical tourism of Thailand Medical treatments that Thailand offer Additional services for your recover period Medical standards of Thailand Rules and regulations 4 4 5 5 6 7 10 12 14 15 19 23 25 Follow the doctor’s instructions pre-treatment strictly 26 While you are on your way Plan ahead Select health travel agent Summary 27 28 29 31 2 MEDICAL TOURISM IN THAIALND 3 Medical Tourism Medical tourism is a term that has risen from the rapid growth of international healthcare where people from all around the world are traveling to other countries to obtain general medical surgery, cosmetic plastic surgery and dental surgery at a fraction of the cost of healthcare in their home country. And, while abroad, if physical conditions permit, patients can experience the interesting cultural attractions their destination country offers. More and more people are seeking the expertise of medical tourism companies to travel abroad as an affordable, enjoyable, and safe alternative to having medical, dental, and cosmetic surgical procedures done in their home countries. What is Medical Tourism? Medical Tourism is the practice of travelling across the borders...
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...Learning Report To: The Students of BBA & LLB Programme From: Muhammad Fazlur Rabb Tanvir Assistant Professor, School of Business, Metropolitan University, Sylhet. 10 October 2012 Social Business (Source: Yunus Talks on Social Business with British Council team, The Daily Star, Wednesday, 10 October 2012) Introduction: Social business, as the term is commonly used, was first defined by Nobel Peace Prize laureate Prof. Muhammad Yunus and is described in his books Creating a world without poverty—Social Business and the future of capitalism and Building Social Business—The new kind of capitalism that serves humanity's most pressing needs. A number of organizations with which he is involved actively promote and incubate social businesses. (http://en.wikipedia.org/wiki/Social_business) In Yunus' definition, a social business is a non-loss, non-dividend company designed to address a social objective within the highly regulated marketplace of today. It is distinct from a non-profit because the business should seek to generate a modest profit but this will be used to expand the company’s reach, improve the product or service or in other ways to subsidise the social mission. In fact a wider definition of social business is possible, including any business which has a social rather than financial objective. Prototype: In Yunus’ book Creating a World without Poverty—Social Business and the Future of Capitalism, two different types of social businesses are proposed: ...
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...Table of Contents WELCOME FROM ACADEMIC PROGRAM DIRECTOR ............................................................................ 1 MEET THE FACULTY................................................................................................................................... 2 ORIENTATION SCHEDULE ....................................................................................................................... 10 ACADEMIC CALENDAR ............................................................................................................................. 11 MASTER OF SCIENCE IN FINANCE PROGRAM SUMMARY ................................................................. 12 GETTING STARTED .................................................................................................................................. 13 JHED ID .................................................................................................................................................. 13 Blackboard FAQs .................................................................................................................................... 13 Integrated Student Information System (ISIS) ........................................................................................ 14 LIFE AT THE CAREY BUSINESS SCHOOL .............................................................................................. 15 HEALTH INSURANCE FOR STUDENTS...........................................
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...Army Regulation 670–1 Uniform and Insignia Wear and Appearance of Army Uniforms and Insignia Headquarters Department of the Army Washington, DC 10 April 2015 UNCLASSIFIED SUMMARY of CHANGE AR 670–1 Wear and Appearance of Army Uniforms and Insignia This rapid action revision, dated 10 April 2015-o Updates tattoo, branding, and body mutilation policy (para 3-3). o Updates initial entry determination authority on tattoos and brands for Active Army and U.S. Army Reserve Soldiers (para 3-3g(1)). o Authorizes wear of the Army combat uniform for commercial travel (para 3-7c). o Clarifies wear of Army uniforms at off-post establishments that primarily sell alcohol (para 4-3c(1), 5-3c(1), 6-3c(1), 11-3c(1), 12-3c(2), 13-3c(1), 14-3c(1), 15-3c(1), 16-3c(2), 17-3c(2), 18-3c(2), and 19-3c(2)). o Updates the authorization of shoulder sleeve insignia for current organizations (para 21-16a(12)). o Clarifies approval of shoulder sleeve insignia for current organization (para 21-16b). o Updates wear guidance of shoulder sleeve insignia-former wartime service for Operation Enduring Freedom (para 21-17b(13)). o Adds wear guidance of shoulder sleeve insignia-former wartime service for Operation Inherent Resolve (para 21-17b(16)). o Adds wear guidance of shoulder sleeve insignia-former wartime service for Operation Freedom’s Sentinel (para 21-17b(17)). o Clarifies approval of distinctive unit insignia (para 21-22b). o Updates wear guidance of overseas service bars for Operation...
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...http://www.nap.edu/catalog/9728.html We ship printed books within 1 business day; personal PDFs are available immediately. To Err Is Human: Building a Safer Health System Linda T. Kohn, Janet M. Corrigan, and Molla S. Donaldson, Editors; Committee on Quality of Health Care in America, Institute of Medicine ISBN: 0-309-51563-7, 312 pages, 6 x 9, (2000) This PDF is available from the National Academies Press at: http://www.nap.edu/catalog/9728.html Visit the National Academies Press online, the authoritative source for all books from the National Academy of Sciences, the National Academy of Engineering, the Institute of Medicine, and the National Research Council: • Download hundreds of free books in PDF • Read thousands of books online for free • Explore our innovative research tools – try the “Research Dashboard” now! • Sign up to be notified when new books are published • Purchase printed books and selected PDF files Thank you for downloading this PDF. If you have comments, questions or just want more information about the books published by the National Academies Press, you may contact our customer service department tollfree at 888-624-8373, visit us online, or send an email to feedback@nap.edu. This book plus thousands more are available at http://www.nap.edu. Copyright © National Academy of Sciences. All rights reserved. Unless otherwise indicated, all materials in this PDF File are copyrighted by the National Academy of Sciences. Distribution, posting, or copying...
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...Knowledge Area Module VI Contemporary Issues and the Ethical Delivery of Health Services Student: Harold Taitt, harold.taitt@waldenu.edu Student ID # A00293212 Program: Ph.D. Health Services Specialization: Health Management and Policy Faculty Mentor: Dr. Robert Hoye, robert.hoye@waldenu.edu Faculty Assessor: Dr. Jim Goes, jim.goes@waldenu.edu Walden University May 10, 2013 Abstract Breadth Component In this age of rapidly evolving technological advances, many of the legal and ethical issues that are challenging the delivery of health care and the health care profession are new. As we confront the legal, moral, and ethical aspects of health care, we are seldom faced with decisions that require or are resolved by simple right or wrong answers (Edge & Kreiger, 1998). In the Breadth component of KAM VI, I focus on several ethical theories and how those theories influence the way ethical issues and concerns are addressed and managed in the allocation and delivery of health care services. I critically assess and evaluate those theories, concepts, and derivative principles as they impact important decisions and the implications of those decisions within the context of social change and with special emphasis on health care management and policy. In addition, I discuss the key assumptions on which the selected theories are constructed, compare and contrast the writers’ interpretations across theories, and conclude by providing a critical commentary on the merits of the selected...
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...EXECUTIVE SUMMARY REPORT ON TWEGAITE EFFORTS FOR BUSOGA DEVELOPMENT By Dr. Bakama BakamaNume, Chair, Busoga Twegaite, Houston, Texas, Dr. Fred W. Alibatya, Chair, Twegaite Inc. – New Jerseyand Mr. John Kizito-Kalema, Chair, Twegaite, Minneapolis, MN. History and Accomplishments Purpose By the time of this report Twegaite has three announced chapters: (1) Twegaite Inc. – New Jersey, (ii) Busoga Twegaite – Houston, TX and (iii) Twegaite – Minneapolis, MN. Twegaite has had two international conventions: Houston, May 22nd – 26th and Minneapolis, May 22nd – 25th. The three chapters are unanimous in purpose and resolve to develop Busoga. Just note that both Houston and Minneapolis made Twegaite truly international. (i) New Jersey Chapter At the May 21st – 25th , 2009 Twegaite second International Convention in Minneapolis, MN, the banquet speaker Betsy Waibi Zikusoka spoke of the history and purpose of Twegaite as a concept and an organization. She also highlighted some of the achievements the organization had scored in specific projects back in Busoga. “I shall try my best to give you the history of Twegaite” she said. “Twegaite came about as a result of a meeting that was held in Princeton Junction, one Sunday afternoon, in October 1998. We figured that as a group the idea of trying to give back to our community in Busoga and Uganda at large was not a bad one. It is a non-political group and the name Twegaite means, "Let's unite." Membership is open to anybody in the world who subscribes...
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...Public Relations Cases This collection of contemporary international public relations case studies is an invaluable resource for teachers, researchers and students working in public relations, corporate communications and public affairs, as well as offering practitioners an indepth understanding of the effective use of public relations in a range of organizational contexts. Including cases from the UK, Norway, Sweden, Spain, South Africa, Canada and the USA, with a focus on such global corporations as Shell, BBC America, Worldcom, PriceWaterhouseCoopers and Marks & Spencer, it offers important insights into the development of public relations and communications strategies. These include: • • • • • • • • Corporate identity change and management Global reputation management Crisis management in the oil, shipping and tourism industries Developing strategic alliances between voluntary and private sector organizations Public relations support for international branding and market entry The importance of internal communications during international mergers The integration of public relations and marketing communications Business-to-business communication The cases examined in this book demonstrate the breadth of contemporary public relations practice and the increasing importance of the public relations function in both public and private sector organizations worldwide. Danny Moss is Co-Director of the Centre for Corporate and Public Affairs at the Manchester Metropolitan University...
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...THE LAW ON ASSISTED SUICIDE On July 26, 1997, the U.S. Supreme Court unanimously upheld decisions in New York and Washington state that criminalized assisted suicide. These decisions overturned rulings in the 2nd and 9th Circuit Courts of Appeal which struck down state statutes banning physician-assisted suicide. Those courts had found that the statutes, which prohibited doctors from prescribing lethal medication to competent, terminally ill adults, violated the 14th Amendment. In striking the appellate decisions, the U.S. Supreme Court found that there was no constitutional "right to die," but left it to individual states to enact legislation permitting or prohibiting physician-assisted suicide. (The full text of these decisions, plus reports and commentary, can be found at the Washinton Post web site.) As of April 1999, physician-assisted suicide is illegal in all but a handful of states. Over thirty states have enacted statutes prohibiting assisted suicide, and of those that do not have statutes, a number of them arguably prohibit it through common law. In Michigan, Jack Kevorkian was initially charged with violating the state statute, in addition to first-degree murder and delivering a controlled substance without a license. The assisted suicide charge was dropped, however, and he was eventually convicted of second degree murder and delivering a controlled substance without a license. Only one state, Oregon, has legalized assisted suicide. The Oregon statute...
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