buy custom Aligning Incentives in Medicare essay

buy custom Aligning Incentives in Medicare essay In modern world electronic medical record (EMR) has created a revolution that has affected the entire system in the medical world. The EMR is a computerized medical record created in an organization that delivers care, such as a hospital or physician's office (The Institute of Medicine, 2006). This method has eased the process of data management, storage, retrieval and modification of data. As opposed to the paper based methods that are up to now the most used methods of recording patient information, electronic medical record provides flexibility and effectiveness going by the fact that this system does not need significant amount of storage space. For the relatively smaller medical facilities, EMR may strike out as an over-ambitious plan that may not go well with the budget line of these facilities. The essence for the adoption of the EMR is basically to increase data security and ensure that patients information can last for decades. In this sense, the undertaking by Dryden Family Medicine (DFM) to incorporate the use of EMR will go a long way in creating s steady transition of healthcare operations such as billing, prescription ordering as well as other routine processes. Pay for performance is one of the emerging movements in health insurance aimed at encouraging better healthcare delivery initially in the US and Britain. Under this model, medical facilities, groups and other healthcare providers are rewarded for their efficiency in health care delivery. However, this has sparked a heated debate particularly in developed nations where critics question the applicability of this model. In these countries, it is very significant that large healthcare systems have shown great improvement in terms of healthcare delivery and efficiency. However, these large facilities fail in minimizing their cost with most of the resources being used in administrative expenses. This questions the pay for performance model where the efficiency of health providers is based on the cost effectiveness of the same fcilities in delivering their services. Pay for performance model has led to many medical facilities to try and engage better and complex systems in health-care delivery. In the US, most medical professionals and societies have over the years advocated for increased efficiency in the healthcare sector. This comes amidst concern over the criteria used to measure the degree of effectiveness by a healthcare provider. The pay for performance model therefore put most health organizations to task by initiating innovations and the adoption of new technology in healthcare delivery by healthcare providers while trying to provide quality healthcare. According to a recent study by the American Medical Association, the electronic medical records improve the overall efficiency of a medical organization by 6% annually. This explains why the pay performance model would undoubtedly encourage the adoption of electronic medical records by health providers. In both the medical and professional world, cost benefit analysis maybe regarded as a system that deals with the decision making process. This can also be defined as the systematic process that details out what is to be done and why. Decision making process is a complex process that work under the assumptions that, an act should not be carried out unless its benefits outweighs the cost, the benefits and costs are weighed under a common denominator to establish their comparison with each other and the whole process is essential in improving cost benefit estimation for future projection. There are various advantages for the adoption of cost benefit analysis particularly when dealing with information technology adoption decisions. These advantages are such as the evaluation of the cost incurred in relation to the intended or projected benefits. However, the limitations of this method are that the IT sector is very dynamic. This implies that nit is not possible to weigh the decision maki ng process under a common denominator such as cost. There is also the need to weiggh the same under factors such as durability, complexity and time. Before integrating the electronic medical records, the Dryden Family Medicine (DFM) should first ensure that the health facilitys internal and external environment can fully adopt the use of this new system. In this regard, one of the first measures is to educate the staff regarding the use of the EMR going by the fact that this facility had no IT support person except the IT manager. It is also evident that the facility due to its size was somehow limited on its budget implying that it could not hire outside consultants hence the more need to develop an internal consultant and cut on the cost incurred. Before the adoption of EMR, Dryden Family Medicine (DFM) should also ensure that the main servers in data encryption are safe. This is as a result of the fact that the EMR system has received sharp criticism over the security of data. In this, critics argue that the increased portability and accessibility of EMR increases the ease in which unauthorized people can access private inform ation. One of the key challenges faced by small health facilities as compared to large healthcare providers in relation to the adoption of HMIS projects such as EMR implementation narrows down to cost. Most of these small healthcare providers operate on a limited budget that greatly affect the adoption of such HMIS initiatives. More significantly, incentives are being aligned with performance with most people questioning the information systems used by health facilities to collect data valid for quality assessment. It is a fundamental fact that small healthcare providers will always feel much of the effect by adopting such HMIS initiatives. According to a recent study, more than 90% respondents from relatively small healthcare providers admit lacking substantive support form EMR providers. In addition, most of them agreed that the additional cost from EMR vendors and consultants is the key reason behind the late implementation of the system. Buy custom Aligning Incentives in Medicare essay

Holmium Facts - Element Atomic Number 67

Holmium Facts - Element Atomic Number 67 Holmium is atomic number 67 with element symbol Ho. It is a rare earth metal belonging to the lanthanide series. HolmiumBasic Facts Atomic Number: 67 Symbol: Ho Atomic Weight: 164.93032 Discovery: Delafontaine 1878 or J.L. Soret 1878 (Switzerland) Electron Configuration: [Xe] 4f11 6s2 Element Classification: Rare Earth (Lanthanide) Word Origin: Holmia, the Latinized name for Stockholm, Sweden. Holmium Physical Data Density (g/cc): 8.795 Melting Point (K): 1747 Boiling Point (K): 2968 Appearance: relatively soft, malleable, lustrous, silvery metal Atomic Radius (pm): 179 Atomic Volume (cc/mol): 18.7 Covalent Radius (pm): 158 Ionic Radius: 89.4 (3e) Specific Heat (20Â °C J/g mol): 0.164 Evaporation Heat (kJ/mol): 301 Pauling Negativity Number: 1.23 First Ionizing Energy (kJ/mol): 574 Oxidation States: 3 Lattice Structure: Hexagonal Lattice Constant (Ã…): 3.580 Lattice C/A Ratio: 1.570 References: Los Alamos National Laboratory (2001), Crescent Chemical Company (2001), Langes Handbook of Chemistry (1952), CRC Handbook of Chemistry Physics (18th Ed.) What is an element? Return to the Periodic Table

Dispute Resolution Process Paper Essay Example | Topics and Well Written Essays - 750 words

Dispute Resolution Process Paper - Essay Example Presently, the dispute resolution process in my organization is largely guided by the conditions as mentioned in the appointment letters or contracts as devised and executed by the company’s top brass managers. The process is modeled in a top down fashion, where in the case of a dispute issues are resolved professionally on the basis of the hierarchic positions of the disputing individuals. Such a dispute resolution paradigm can, thus, be identified as a human resource management based organized process guided in the conventional lines of conflict management. In a more complicated conflict situation, the company prefers to act along the â€Å"Dunlopian integrated system† (Colvin 2012, p. 459) of dispute resolution. Suggestible Alternative Dispute Resolution Approaches Alternative dispute resolution processes that can be suggested in this context involve essentially individualized considerations and concepts. As a whole, the current dispute resolution system of my organi zation is based on older concepts of industrial relations. But in the 21st century, individualized labor management appears to be more practical and potentially productive. At the first place, information and communication technology (ICT) has revolutionized present day workplace. Now there is a lot more scope of one to one interactions between peers. Also, superiors can interact with their subordinates on an individual basis with the help of techniques like social networking, online chatting, etc. Brett et al (2007) have explained the importance and inevitability of the utilization of ICT methods for resolving disputes and facilitating the dialogue in case there is a conflict. Further in my personal opinion, I believe that a policy of talking to the other party first can settle disputes before they surface. According to Colvin (2012), the new labor management conception in the USA is a lot more individualized. As such, emotional quotient and soft skills too can be highly fruitful a nd can help us before disputes reach serious dimensions. In the case of a conflict, if everyone is groomed to be good listeners beforehand, then we, the employees, can start a dialogue process on our own without an actual intervention of the higher management. Recommended Areas of Improvement There are two main recommended areas of improvement. Firstly, I think that my organization should now implement available ICT techniques more seriously with the specific consideration to the issues as related to the greater dispute resolution paradigm. For example, if the higher managers give at least a weekly feedback to their subordinates in a regular and periodic manner, then the subordinate staff can have a better understanding of both the good and bad things they do. And to facilitate such a kind of ICT powered individualized process of a periodic communication; we can induct ideas from the work of the scholars like Brett et al (2007). Secondly, the higher management should now consider ar ranging training sessions for the staff. All the staff must be given classroom lessons in soft skills at least once in a fortnight. In the view of the new labor management paradigm that gives an excessive importance to one to contact and dialogue, an increasing emotional quotient is critical and special soft skills training for all the staff of different departments can be rewarding. Another important aspect of necessary dispute resolution techniques might involve contract management set along strictly legal lines. My organization has set up contractual agreements with several workers. So, particularly in case of employment conflicts and confusions, the actual contract documents can be referred to. Scholars like Faems et al (2008) have given contextual suggestions

Long term care Paper Example | Topics and Well Written Essays - 3000 words

Long care - Term Paper Example sadena nursing home is one of the largest private nursing homes in Texas, offering excellent long term care services including medications and meals to both patients and their families. Located in Pasadena, within the greater Huston area, Texas, the long term care facility provides 24 hour nursing care services to a wide range of patients including seniors with disabilities and serious illnesses. The environment at the Houston based facility is particularly designed to provide the residents with a comfortable life and make them feel part of the community. Although many patients attending the facility are those requiring long term nursing and medical supervision, Courtyards at Pasadena also offers specialized long term care programs for a wide range of illnesses such as Alzheimer’s disease. According to Courtyards at Pasadena’s official website (2014), the facility is managed by a for-profit corporation and is part of a multiple nursing home chain and not located in a particular hospital. With 196 beds and close to 125 residents, the registered nurse occupancy rate at Courtyards at Pasadena is above average. The nurses form part of the highly trained team of professionals at the facility who are always ready to provide all sorts of assistance towards developing individualized care plans for the patients in order to achieve the desired care goals. All the professional staff as well as the independent staff and consultants at the organization are highly committed to working with the residents and patients as partners in order to effectively meet their diverse individualized health care, coordination and rehabilitation needs. In addition, as part of its financial considerations, the organization allows its clients to explore available financial options including Medicaid, Medicare, private funding and insurance managed funding among others. However, what make Courtyards at Pasadena nursing home particularly special with regard to the provision of excellent care

Taxi Driver by Julia Phillips and Michael Phillips Essay

Taxi Driver by Julia Phillips and Michael Phillips - Essay Example However, mise-en-scene techniques and slow moving camera shots soon reveal Travis’s point of view, positioning a subjective view of Travis’s world. The film uses camera movement and cinematography together with mise-en-scene at the outset to establish the tensions that build up to the violence. The film opens with the credits in the foreground of a taxi coming out of the steam of a street at night. A montage reveals rain beating against the taxi’s windshield. In the meantime, the yellow taxi is accented by rain and neon lights that bring it into sharp focus. Travis’s eyes can be seen moving from one image outside of the taxi to another as he travels Times Square and 42nd Street. The viewer sees what Travis sees: prostitutes, couples, and pornographic theatres visited by men. The camera alternates from the inside of the Taxi where Travis’s watchful eyes are moving and observing, to outside of the taxi to show the audience what Travis sees. These scen es are juxtaposed against a more tranquil, ordinary and inescapably artificial world. The camera takes the viewers to a campaign headquarters with red and white colours and signs and slogans that appear to be inconsistent with the world that Travis observes from his taxi. Travis sees the world as inherently diseased and is on a mission to root out violence, disease and decadence. He becomes infatuated with Betsy, a campaign worker played by Cybill Shepherd. Point of view via mise-en-scene is displayed through scenes in which Travis’s point of view and his disconnect and social isolation comes across. For example, in an attempt to connect with Betsy, Travis gets it right the first time when he has coffee with her. On his next date with Betsy, he takes her to a seedy, sexual film. Betsy is no doubt offended by this effort at connection. By taking this approach, the viewer is drawn into and observes the distorted mind of Travis at work. Camera movements and mise-en-scene functio n to highlight Travis’s distorted mind and subjective point of view. For example, the camera picks up views of New York City that demonstrate just how Travis sees the world around him. A camera shot from inside Travis’s taxi picks up drug addicts and prostitutes. This is the world that Travis sees and is distracted by. He does not see beyond these images and forms his opinion of the outside world accordingly. The camera, by showing a view outside the taxi that selects drug addicts and prostitutes takes the viewer into the disturbed mind of Travis. This is world that Travis sees and is fixated on. A world diseased and decaying and in need of cleansing. Mise-en-scene is also used to demonstrate contradictions. The camera depicts a seemingly ordinary man, dressed neatly and appearing to be respectful and naive. Yet, the camera follows and depicts Travis visiting seedy theatres and writing letters to his parents that reveal that Travis would like to live an ordinary life, but is trapped by his perceptions of a diseased world. In his letters to his parents, Travis unrealistically himself as a working man on the verge of marrying a respectable woman (Betsy) when it is well known by the time of writing, that Travis has been rejected by Betsy. Therefore, the underlying message is that there are contradictions between that which occurs in Travis’s mind and the world in which he actually lives. The contradictions are reaching a fever pitch and this is

Benefits Of Family-Friendly Policies Essay Example for Free

Benefits Of Family-Friendly Policies Essay The past few decades, families in Hong Kong faced in undergone major changes, intense pace of life and hard work always affected families’ features. How to balance family life and work have become a social policy, in order to establish a family-friendly community, have implemented various measures to help employees balance their work and family lives, promote family relationship. In this essay, first I will explain these policies how to help with all aspects of employee, and then analysis of these measures on the employment benefit. Finally, pointed out that Hong Kong Government and the enterprises on how to implement these policies. Family-friendly employment may implement different policies to meet the needs of employees. Including the introduction of given family leave benefits, such as marriage leave, paternity leave, parental leave, compassionate leave, special casual leave and special long leave, etc (GovHK, n.d.). This measure will be through the height of the working environment and working arrangements to facilitate employees in taking care of family needs, such as the five-day working week, flexible work time and family-based work, and so on. The other hand will provide support to families, including child care services, counselling services, child custody etc. A Research Report prepared by the Department of Applied Social Sciences of The Hong Kong Polytechnic University is named â€Å"Family-Friendly Workplace† noted that Most respondents agreed or strongly agreed with implementing â€Å"family-friendly† policies. (Poly U, 2002) Family-friendly policies can also bring much benefits to company. In a supportive working environment, staffs will feel they are valued and employer will gain the benefit. Firstly, employer can reduce staff turnover and retain potential employee. On the other hand, many people were convinced that employees working flexible hours were more productive than those working traditional hours. This measure in addition to motivate employees, increase productivity, but also improved reputation and corporate image, therefore there are many large enterprises are involved in the implementation of these measures. In view of this, government and enterprises were organized a variety of measures and activities promoting family-friendly policies. The booklet prepared by the Labour Departments album â€Å"Good people management Family-Friendly Employment Practices† (labour.gov.hk, n.d.). Through a variety of good measures taken by the employer, may learn to provide for all instances. Research on Family-friendly Employment Policies and Practices in Hong Kong from The Equal Opportunities Commission (EOC) and the Womens Commission (WoC) (EOC 2006). They hope that through this survey, a better understanding in Hong Kong, companies or institutions can help employees balance their work and family roles provides programme needs. A Family-Friendly Employers Award Scheme 2011 was organised by the Family Council. The award scheme aims to give recognition to employers who attach importance to the spirit of family-friendliness (gov.hk, 2011). Through these activities, to undertake a study, to understand the profile of Hong Kong families, and building partnerships with Government, business and professional sectors, actively promote the industry cares family In this essay, I Have attempted to present suggest to implementation of family-friendly policies on families, or employers both have many favorable factors, together with the Hong Kong Government and the enterprises efforts, this measure would allow employers and employees there will be a win-win situation.

Cheating in School Versus Cheating in the Real World :: Business

Cheating in School Versus Cheating in the Real World Cheating has been a major concern for institutions of higher learning. Institutions fear cheating because of the reputation dishonest people will establish for that institution. After a student has learned several successful ways to cheat and not be caught, is he or she more likely to employ the same tactics in his or her workplace? The student will use those tactics, but in the real world, such acts are not called â€Å"cheating tactics,† but â€Å"business strategy.† Several years ago, Clemson University was approached by a perspective employer. A business man visited the school and announced that the company wanted to hire some new staff members. In order to be more selective of the persons to get called in for interviews, the man announced an online exam that the students must take. Depending on the results, the company would then get in touch with the individuals. One student that is very interested considers his options. He could choose to take the exam using his real name and receive a performance grade based on his knowledge of the tough material the exam would ask. Or, his second option: use a false identity, get the questions, go out to reliable sources and ask for answers, and then post answers to the exam under his real name. The student opted for the second option. He got the test questions, went to professors, searched online, and found as many of the answers as he could. He posted his answers. Within a week, the company representative called the student in for an interview. The first statement out of the interviewer’s mouth: â€Å"No one has ever scored that high on our online test.† The next: â€Å"How did you do it?† The student’s response began with â€Å"honestly† and he unveiled his unique plan to succeed on the test. The interviewer was shocked – no one had ever admitted to cheating on the online test before. A job was offered.