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Risk Management Plan For Community Hospital - 1581 Words

Risk Management Plan for Community Hospital Mission Statement The Springfield Community Hospital was established on the belief that medicine can be practice at a higher level with each passing day. The belief is to continue to serve our community by practicing the highest quality of medicine known to the world, today. We will serve our community in sickness and health, regardless of where they come from in their walk of life. The Springfield Community Hospital is a non-profit organization and continues to give charitable donations yearly to multiple organizations. We will continue to create a supportive team environment for patients, employees, and clinical staff. Foster learning and growth through comprehensive academic and educational relationships. Exhibit stewardship and creativity in the management of all available resources. The Springfield Community Hospital The Springfield Community Hospital is a 600 bed, acute care organization that offers all levels of medical care to the surrounding community that holds over 500,000 people in the city and surrounding counties. The hospital offers a level 1 trauma center that is equipped to handle any trauma or medical issues that a patient might have. There is all forms of surgeons on staff 24 hours a day, 365 days a year. The healthcare organization offers multiple outpatient facilities to handle any medical issues. Purpose The purpose of this risk management program is to help the Springfield Community Hospital maintain aShow MoreRelatedImplementation Of A Project Plan1615 Words   |  7 Pagesto develop a plan. A project plan provides a strategy in which an endeavor will progress and outlines the complete events essential to complete a project. The process also presents an outline for monitoring functions and milestones to track progress. A high level project plan must be developed in order to effectively outline the necessary activities, monitoring, and strategy in order for a project to be successful Efficiency The hospital listed in the scenario, Provincial Hospital, is the main providerRead MoreTexas Health Presbyterian Denton Emergency Operations Plan1550 Words   |  7 PagesTexas Health Presbyterian Hospital Denton is a 255-bed hospital featuring more than forty three specialties, the hospital is located adjacent to a major highway which is used to transport hazardous materials, commuters and cargo. Texas Health Presbyterian Denton is a suburb of the Dallas-Fort Worth metroplex, which has an estimated population of seven million residents and covers a geographical area of approximately 9,000 square miles. The Dallas-Fort Worth metroplex is the largest metropolitanRead MoreBerwick Hospital System Essay1613 Words   |  7 PagesAssignment: Case Study for Berwick Hospital System Assume that you are the newly appointed Chief Continuity Manager for the Berwick Hospital System. Outlining the major risks associated with maintaining continuity of operations in the event of an environmental catastrophe, and making an outline of the basics of a continuity plan to cope such a scenario. To: the Chief Operating Officer Subject: Risks Associated with Environmental Catastrophe Berwick Hospital System has identified some of theRead MoreJoint Commission Guidelines for the Management of Nightingale Community Hospital873 Words   |  4 PagesExecutive summary The purpose of this document is to provide the management of Nightingale Community Hospital with a resource outlining the current compliance status of the organization based on the Joint Commission guidelines. Based on these guidelines, the Joint Commission will conduct an audit of Nightingale Community Hospital. These guidelines are used to assess the standards compliance in relation to the patient, residents as well as the client care. In detail, assessment and care for patientsRead MoreRisk Management : An Organization Of Patient Safety1456 Words   |  6 PagesAccording to ECRI Institute (2014), risk management did not emerge as a distinct profession in healthcare, primarily in the hospital environment, until the mid-1970s, when the number of malpractice claims against physicians and hospitals increased dramatically, and settlements and judgments skyrocketed. In 1977, the American Hospital Association encouraged hospitals to implement risk management programs as a solution to m alpractice problems, calling risk management the â€Å"science for the identificationRead MoreA Student Nurses Bibliography on Pneumonia1673 Words   |  7 Pagesgastrointestinal tract that contains bacteria capable of causing pneumonia. It can be categorized into community-acquired pneumonia and hospital-acquired pneumonia. The main difference between the two is the length of time it took for the patient to exhibit signs and symptoms of pneumonia. If the patient shows signs of pneumonia within 72 hours of admission into the hospital, then the patient is classified in the community-acquired pneumonia category. The 72 hours period represents the incubation period that itRead MorePreparedness Training Within Hospitals For Wmd1181 Words   |  5 PagesAbstract There is a need for preparedness training within hospitals for WMD. As it stands, there are currently a few set standards in place that would help deal with deal WMD threat within their hospitals or outside threat that could be coming towards their facility for treatment because they are the close. The type of threat they could be expose too for example are, Ebola, Anthrax’s, SARS etc. WMD that are released within a hospital only has one agenda which is to kill. Because the types of WMDRead MoreWhat Are the Characteristics of a Population for Which a Mean/Median/Mode Would Be Appropriate? Inappropriate1596 Words   |  7 PagesEditor’s Note: This Chapter is the continuation of an adaptation of a state plan for disaster preparation and response. In total, the original chapter comprises Chapters 1, 14, 16-18. Chapter Overview Many of you are reading this manual as part of your efforts to prepare as a spiritual care professional who will be ready to respond during times of disaster. Your main role will be to provide emotional and spiritual support to those affected by disaster, but it is also critical for you to understandRead MoreEssay on Aft Task 11473 Words   |  6 Pages1 Executive Summary for Joint Commission Standards Compliance Nightingale Community Hospital is a 180-bed acute care hospital that is a not-for profit entity. The hospital is community based and provides leadership in quality health services in which they provide. Their vision is to be the hospital that people choose, the place employees, physicians and volunteers want to work and a hospital of choice for the community. They are committed to providing a healing environment to their patients withRead MoreThe Initiation Of A Project1706 Words   |  7 PagesPlanning, design, structure, and risk analysis are some of the areas that are essential in initiating a project. The group must thoroughly plan and organize the components of the project to corroborate that the proper elements and hierarchy are in place to validate that the project is executed smoothly and risks are minimized. Through comprehensive planning, an organization can plan a successful project, ensuring that all elements are planned for and minimize the overall risks involved. In order to understand

Guernica, Picasso 1937 Essay Example For Students

Guernica, Picasso 1937 Essay Guernica, Picasso 1937 The Spanish painter Picasso was a cubist and his worldwide famous Queering is a mural-sized flat oil painting on canvas (3. 5 meters tall and 7. 8 meters wide). It is all grey, blacks and whites and was painted in 1937. Picasso started the painting when he heard that the Germans had Just bombed the quiet and traditional Basque town of Queering on 26 April 1937 in support of the Spanish Nationalist forces of the Fascist General Franco during the Spanish Civil War. The broken sword near the bottom of the painting symbolizes the defeat of the people at the hand of their tormentors. The shape and posture of the bodies express protest, Picasso uses black, white, and grey paint to set a dark, sober mood and express pain and chaos, buildings in flames and crumbling walls not only express the destruction of Queering, but reflect the destructive power of civil war. The newspaper print used in the painting reflects how Picasso learned of the massacre and the light bulb in the painting represents the sun. Picasso monumental work showed the effect on both people and animals. The distorted forms and the monochromatic palette clearly show the grief of the people for example, he shows a fighter and a mother and child tit displaced features and ghost like forms along with a woman on fire running from a burning building. The fine patterns in the centre of the painting resembles words on torn pieces of newspaper, suggesting that art is as powerful as the mass media in communicating a message. Chaos and despair are amplified by sharp, angular shapes, particularly the bold triangular form at the centre of the painting and vivid contrasts of light and shade. On May 11 1937, he made the first sketch for the mural. By the tenth of May, he had already begun work on the canvas. And in early June, the mural was completed. There are about 100 recorded sketches relating to the mural, some made before Picasso started working on the canvas, and others done simultaneously with the painting. In some of the sketches, Picasso experimented with color. Even when the mural was almost completed, the artist stuck pieces of patterned wallpaper onto the canvas to determine the effect of color of the composition. Charcoal and oil paint were the main materials Picasso had used on his painting. Picasso had to use a ladder and a long-handled brush to reach the retest part of his artwork. An enormous size of the stretched canvas, measuring 3. 5 x 7. meters and so had to be tilted to fit under the rafters of the ceiling, and dim lighting from bay windows on one side of the studio, failed to interfere with action or progress. The painting was completed in twenty-four mad and wild days. Streams of ideas, emotions, traditions, myths, obsessions and symbols of his roots deeply surrounded in Hispanic and Mediterranean culture spilled onto the canvas. These were fuelled by anger and a need to express his pain. Queering, Picasso 1937 By cherrys

The Many Types of Anxiety Disorders free essay sample

There are many different types of anxiety disorders which can vary from obsessive compulsive disorder, Post traumatic-stress disorder and the many different types of phobias. Even though there are many different types of anxiety disorders they all are mostly built off the same emotion of anxiety or excessive nervousness. Although we all may feel nervous when put into an uncomfortable position and get nervous or anxious, those with the disorder go through a completely different set of emotions. Just to touch basis in depth on a few different disorders, here are a few types of anxiety disorders along with what they are and how it affects the person. * Generalized anxiety disorder: this anxiety affects the person by making him/her worry about life in general, with no real reason to be worried. People with this type of anxiety disorder tend to always expect disaster and can’t help but to worry about family, money, work and or school. We will write a custom essay sample on The Many Types of Anxiety Disorders or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Medication is known to help people who tend to have a lot of difficulty coping with everyday life. It’s known that most that are medicated for generalized anxiety disorder starts off on a low dosage and then works to be taken completely off. Another form of treatment is cognitive behavioral therapy. Which is the person learns about what types things sparks or triggers the effects of their anxiety. This type of therapy is known to help patients not worry so much. Post-traumatic stress disorder (PTSD). This type of anxiety disorder is known to follow someone after they have experienced a traumatic event (sexual assault, unexpected death of loved one, past war experience) People who have this disorder tend to have thoughts or memories of the traumatic event. It is also well known that people with this disorder tend to become â€Å"emotionally numb† Symptoms: * Difficulty falling or staying asleep * Avoiding people, places, things or situations that remind them of the event * Suffer from flashbacks, hallucinations amp; nightmares * Difficulty concentrating Rapid breathing * Muscle tension Treatment: * Medications such as antidepressants. Psychotherapy is used to help patients learn ways to control or manage symptoms and or develop ways of coping with the disorder. * Exposure therapy: has the patient re live the past traumatic event, this is known the help the patient overcome their past and current worries and fears. There are many other different types of anxiety disorders that vary in effects (long term and short term), what the person deals with on a daily basis, along with many different types of treatments. All anxiety disorders are similar and dissimilar within many ways and can really vary from person to person.

Contracts Cases, Discussion, and Problems essay

Contracts Cases, Discussion, and Problems essay Contracts: Cases, Discussion, and Problems essay Contracts: Cases, Discussion, and Problems essayThe Amours were planning to celebrate their 50th wedding anniversary and contracted Jacque LeChef, a well-known chef. The value of catering estimated by this chef was $20,000, and the Amours paid a deposit of $3,500 (15%). They also invested $2,000 into printing wedding invitations with LeChefs name there. However, LeChef breached the contract with the Amours in favor of a celebrity wedding. So the Amours contracted Paulette Gourmande, another famous chef. She charged $26,000. The Amours also had to reprint the invitations for another $2,000. The key question is the amount of remedies to the Amours in the case if the court awarded restitution, reliance or lost expectation.RuleThe considered three types of judicial remedies are defined as follows. Judicial remedies under the rules stated in this Restatement serve to protect one or more of the following interests of a promisee: a) his expectation interest, which is his interest in having the benefit of his bargain by being put in as good a position as he would have been in had the contract been performed;b) his reliance interest, which is his interest in being reimbursed for loss caused by reliance on the contract by being put in as good a position as he would have been in had the contract not been made,c) his restitution interest, which is his interest in having restored to him any benefit that he has conferred on the other party (Blum and Bushaw, 2012, p.799).Rule ExplanationIt is possible to explain the judicial remedies in the following way. Expectation damages are intended to compensate the innocent partys benefit of the bargain that would have been reached if the contract had been performed (for example, to compensate for the loss of future income). Contrastingly, the reliance interest is the reimbursement for the partys losses caused by contract reliance (compared with the position when the contract never existed), while restitution interest is the reimbursem ent of any benefits of the innocent party conferred on the other party.Analysis/applicationIn the Amours case, if the court awarded expectation damages, the value of reimbursement would be calculated as follows. The court would estimate the expected value of benefit (satisfaction) expected by the Amours and reimburse this value to the family. However, it is quite difficult to determine the value of expected benefits in this case.If the court decided on reliance interest, then only the extra funds spent by the Amours would be returned, i.e $3,500 of installment to Jacque LeChef and $2,000 spent on reprinting the invitations. According to courts decision, the value of $6,000 difference between LeChefs and Gourmandes price quotes might also be included into reliance damages (e.g. if Gourmande charged extra $6,000 for urgency).In the case of restitution interest, it is also difficult to determine the amount of reimbursement. In this case, it is determined how much the breaching party ga ined from the violation of contract. To determine this value, it would be necessary to estimate LeChefs benefit from breaching the contract.ConclusionIn the considered case, expectation damages would be determined as the value of benefits expected by the Amours from having LeChef cater their wedding, reliance damages would include installment payment, the value of reprinting the invitations and, with some probability, the difference in the cost of catering between LeChef and Gourmande. For restitution, the value would equal to the amount of benefit gained by LeChef due to violating the contract. The most appropriate solution in this case is using reliance interest, since it allows to determine the value of reimbursement on a factual basis.

Qu hacer si terminan visa J-1 antes de tiempo

Qu hacer si terminan visa J-1 antes de tiempo Las visas J-1 de intercambio son utilizadas para participar en Estados Unidos en programas de intercambio. Pero,  ¿quà © hacer si termina antes de tiempo? Razones por las que el programa puede finalizar antes de lo previsto Por motivos muy diversos, de mutuo acuerdo entre el visitante con la visa y la organizacià ³n de acogida o, ms probablemente, porque una de las dos partes no està © contenta. Si es la organizacià ³n (o familia) de acogida puede ser porque consideren que el visitante no cumple con las expectativas o no reà ºne algà ºn requisito que daban por hecho. En este caso pueden despedirle (correrle). Por su lado, el visitante tampoco est obligado a quedarse si est descontento, por la razà ³n que sea. No importa quien toma la decisià ³n de ponerle fin al programa de intercambio, si el visitante o la organizacià ³n de acogida (o familia). Lo que es fundamental es entender quà © puede pasar y quà © pasos a tomar.  ¿Cul es el primer paso a seguir ante el evento de una terminacià ³n temprana? Inmediatamente hay que ponerse en contacto con la organizacià ³n que patrocinà ³ la visa (visa sponsor). Ahà ­ se analizarn las causas de la situacià ³n y se ver si es posible  acabar el programa con cambios en el lugar de trabajo. Si esta posibilidad no se da, entonces hay que salir de Estados Unidos inmediatamente. Pero, en realidad,  ¿de cuntos dà ­as estamos hablando para abandonar el paà ­s? La ley no lo especifica. Pero se viene a entender el tiempo estrictamente necesario para comprar boleto y cerrar esa experiencia en Estados Unidos. Por ejemplo, ponerle fin a cualquier contrato que pueda existir dependiendo del programa, como el del telà ©fono, vivienda, etc. Es muy aconsejable preguntar por la opinià ³n al visa sponsor y seguir sus recomendaciones por el lado conservador. Si se estima que no has dejado Estados Unidos inmediatamente puede verse negativamente afectada tu posibilidad de regresar al paà ­s. NOTA: por favor, no confundir con el periodo de gracia de 30 dà ­as del que se puede disfrutar cuando se acaba un programa de intercambio con una visa J-1. Aquà ­ no estamos hablando de un programa que ha finalizado con à ©xito en su tiempo natural. Estamos hablando de una terminacià ³n anticipada porque una de las dos partes (la organizacià ³n o el extranjero con la visa) no est satisfecho. Por lo tanto, las consecuencias son distintas.  ¿Se puede regresar a Estados Unidos si se ha terminado el programa anticipadamente? El visa sponsor tiene que actualizar la situacià ³n legal del extranjero con la visa de intercambio cuyo programa ha finalizado. Y lo hace cambiando el estatus en el SEVIS. Pueden suceder dos cosas: Si se notifica un end program for exchange visitor y se sale a tiempo lo ms probable es que no haya consecuencias negativas.Pero se puede notificar un terminate exchange visitor. Eso suele darse à ºnicamente en casos graves como trabajar en un lugar no autorizado, cometer un delito o falta, tomar drogas, no tener al dà ­a los pagos del seguro mà ©dico, etc. En este à ºltimo caso es muy probable que se tenga en cuenta a la hora de determinar si se puede obtener otra visa en el futuro, tanto de esa categorà ­a como de otra. Quià ©nes suelen utilizar este tipo de visas Las J-1 son vlidas para un amplio abanico de programas como, por ejemplo  el de mà ©dicos, como por ejemplo, para realizar los estudios de residencia en Estados Unidos o el de maestros,   nià ±eras (au pair)  o para jà ³venes recià ©n egresados  el  programa  de prcticas universitarias.   Hay muchos ms y conviene familiarizarse con ellos y solicitar admisià ³n en el que ms se ajuste al perfil y a las necesidades del solicitante. Este es un artà ­culo informativo. No es asesorà ­a legal.

Six Sigma Implementation Essay Example | Topics and Well Written Essays - 2750 words

Six Sigma Implementation - Essay Example A Six Sigma opportunity is then the total quantity of chances for a defect. Process sigma can easily be calculated using a Six Sigma calculator. According to the Six Sigma Academy, Black Belts save companies approximately $230,000 per project and can complete four to 6 projects per year. General Electric, one of the most successful companies implementing Six Sigma, has estimated benefits on the order of $10 billion during the first five years of implementation. GE first began Six Sigma in 1995 after Motorola and Allied Signal blazed the Six Sigma trail. Since then, thousands of companies around the world have discovered the far reaching benefits of Six Sigma. There are two Six Sigma sub-methodologies commonly in use: DMAIC and DMADV. The Six Sigma DMAIC process (define, measure, analyze, improve, control) is an improvement system for existing processes falling below specification and looking for incremental improvement. The Six Sigma DMADV process (define, measure, analyze, design, verify) is an improvement system used to develop new processes or products at Six Sigma quality levels. It can also be employed if a current process requires more than just incremental improvement. ... The Core Team defines and reviews Six Sigma projects progress, and acts as the political leader, removing the barriers for the project teams. The Master Black Belt acts as a technical coach and provides the knowledge of quality tools for the project team. There is typically one Master Black Belt for every 1,000 employees. The Black Belt controls the project. There are typically 10 to 20 Black Belts per 1,000 employees. The Green Belt supports Black Belt. There are typically 3 to 5 Green Belts on the Project Team with the Black Belt. There are typically 300 Green Belts per 1,000 employees. Yellow Belts are the balance of your population. They provide information and support to the Six Sigma project teams, and are a source for future Green Belts. The MAIC discipline sets up a clear protocol to expedite internal communication. The incentive system facilitates Six Sigma projects to generate results. Situation: Need for Implementation of Six Sigma By 2001, the US-based General Electric Company (GE) was easily the largest diversified company in the world, with revenues of $ 125.91 billion and net earnings of $ 13.68 billion. Out of the company's 24 different businesses, some were so large that they could independently feature in the Fortune 500 list of companies. GE had operations in over 100 countries more than 250 manufacturing plants in 26 countries. The company was one of the largest employers in the world with strength of around 275,000 employees. GE remained the only company listed in the Dow Jones Industrial Index that had been included in the original index in 1896. The aim of implementing Six Sigma at GE was to infuse quality in

Modern mosque Essay Example | Topics and Well Written Essays - 2500 words

Modern mosque - Essay Example From the Muslim point of view, a divine Mosques must have various specific pertinent features, they include; features that indicates direction directions of the Qible, which in most cases may also be referred as the Mecca. This indication is usually referred as the Mihrab and should have a specific type of roof according to the requirements of the Islam religion (Wood, 7). The first Mosque that was constructed in Turkey was the Mecca; this was a term used to describe the area that surrounded the Ka’ba. In the Muslim Religion, Ka’ba was considered the holiest shrine in the land. The model by which the early Mosques were developed, took the dimensions of Muhammad’s house, which was located in Madina. The direction with which the Qibla at this time was believed be oriented towards Jerusalem. Moreover, on the left side of the early Qiblas, there were three houses for Muhammad’s wives with three different entries that led to the courtyard, an area where most prayers were held during this time. In approximately 1500 years, the direction of the Qibla was changed so that it could face the orientation of the Mecca. The Madina Mosques had various important functions in the early Muslim society; it accommodated social functions, religious as well as political functions. Judicial roles were also undertaken in the early Mosques; the Muhammad and their families members were also accommodated in the early Mosques. In the early period, rules guiding prayers were not shaped to a specific standard owing to the fact that the prescriptions that are in the Koran developed on a gradual basis from time to time. Evidence has also shown that apart from the Mosques of Madina and Mecca, there existed some other dimensions of Mosques in other parts of the World. Owing to rapid technological advancement in the early period, Mosques began growing rapidly in their complexities as well as their appearances. They assumed

Php Login Script with Remember Me Feature Essay Example for Free

Php Login Script with Remember Me Feature Essay I wanted to include the popular Remember Me feature seen on a lot of websites that basically keeps users logged into the website, even after theyve closed the browser so that the next time they come, they wont have to login again manually. I found this tutorial Creating a PHP Login Script to be very helpful in writing this script, in fact, a lot of the code presented here is very similar to the code presented in that tutorial. The differences are seen with the new Remember Me feature, the use of cookies in addition to sessions, and with slight modifications in the design. Goals The ultimate goal is to create a PHP login script with the capability of remembering logged-in users. I also hope this tutorial will serve as a way to introduce people to user sessions and cookies in PHP. Notes Although this tutorial uses a MySQL database for storing user information, it has been written so that the data accessing code is separated from the main code through specific functions, so it would be easy to instead use a flat file database system, simply by changing the code in those specific functions, without messing with the rest. This tutorial uses the latest and greatest of PHP 4, which means super globals are used, such as $_POST, $_SESSION, etc.. This tutorial will aim to teach you about sessions and cookies through example, however if you need to know more information, go to the official website . Database For those of you planning on using a flat file system, you can skip this section. For the rest of us, we want to create a MySQL database table that holds user information, here it is: CREATE TABLE users ( sername varchar(30), password varchar(32)); Of course this table can be modified according to your needs, however the password field must not be less than 32 because it has to store the md5 encrypted versions of passwords which are 32 bytes. database. php This file will contain the code that connects you to your MySQL database and the functions that access user information, you need to modify this to show your MySQL username, password and database. Allow Users to Sign-Up Before we can login users, we need users. Here we will focus on the code that allows users to sign-up, registering their username and password. register. php Registered! Thank you , your information has been added to the database, you may now log in. Registration Failed Were sorry, but an error has occurred and your registration for the username , could not be completed. Please try again at a later time. Registration Page Registration Page Register Login Username: Password: Remember me next time Join

Merchant & A Midsummer Nights :: English Literature Essays

Merchant & A Midsummer Nights A Product of Society? It is hard to determine whether or not Shakespearean comedy is clearly a product of Elizabethan courtly society. It can be said that the answer to that question is both yes and no. It is apparent in The Merchant of Venice that Shakespeare’s writing was strongly influenced by the society surrounding him while A Midsummer Nights Dream is much less realistic and so original that one might think he came from another time period all together. In The Merchant of Venice there are countless examples of how Shakespeare’s works were a product of society. One of the main similarities is religion. The official established state religion in Shakespeare’s time was the Church of England, lucidly Protestant. Everyone was required to attend an Anglican Service once a month. The Anglican service is also called Prayer Service, Prayer Book Service, Common Prayer, or the Lord’s Supper. Although it was not expressly illegal to be of a different religion, it was not exactly legal to practice the faith of ones choice. There were even fines for not conforming to the sanctioned religion; that is, for not going to Protestant services. (Nicoll, 76) Jewish people were quite rare in England during the Elizabethan time period and they seemed to be looked down upon the most (although it was not considered a lot better to be a Catholic). Shakespeare probably never knew a Jewish person directly, but during his time the Queen’s Jewish doctor was executed for being ‘a spy’. Also, during that time it would have been considered quite normal to force someone to convert to Christianity. Shakespeare’s Venice had the same mentality about Jewish people. Anti-Semitism was overwhelmingly abundant. Although Shylock was surely a respectable businessman, it did not seem out of the ordinary for Antonio to spit on him and call him a dog whenever it took his fancy. Shylock seems to be the only one who realizes the hypocrisy of the ‘good Christians’ and makes mention of it in his famed speech in Act III: SHYLOCK†¦ Hath not a Jew hands, organs, dimensions, senses, affections, passions; fed with the same food, hurt with the same weapons, subject to the same diseases, healed by the same means, warmed and cooled by the same winter and summer as a Christian is? If you prick us do we not bleed? If you tickle us do we not laugh?

Lan Topologies

LAN Topologies IT240 10/14/12 1. Case Project 2-1 With a network of 50 computers I will use the Ring Topology to upgrade this network. With this type of topology all the devices are connecting in a loop form and the information travels in one direction, thus avoiding collisions. Here the cabling doesn’t terminate, it continually goes from one device to another till it gets back to the original device. It is also easier to manage the network since all the information is passed around the ring in the same direction. . Case project 2-2 With that many computer and four servers, I will use an Extended Star Topology. As pointed out in the case project that there are a few switches available here, I will use a central switch and connect the rest of the available switches to it and connect the 200 PC’s to those switches. Switches are good for determining each individual packet’s destination and ensuring that they are delivered to the right device.Note Even though they mi ght have two different uses in some cases, the hubs in my diagram represent the switches. 3. Case project 2-3 * Physical versus logical topology: A physical topology defines how the devices on a particular network are physically connected; logical on the contrast tells us how the systems on the physical topology communicate. * Bus Topology: In this topology all the devices are physical chained to one another through a single cabling system.This form of topology works better when the numbers of computers on the network are limited. * Star Topology: This is the form of topology where all devices connect to central unit through a hub, switch or even a router. One of the biggest advantages here is; in the event one of the devises failed, it does not bring the entire network down. * Ring Topology: In this form of topology all the devices are directly connected to the next existing device in a ring form.This kind of works like the bus topology, however, there is no termination here, as th e devices connect from one to another all the way back to the original device. * Ethernet and CSMA/CD: This is the type of technology networks use to sense if there is an ongoing transmission. In the event where there is one, the system goes into wait mode till the channel is free for it to begin its own transmission. This is one of the ways to avoid collision.

Mary Shelley’s Frankenstein Essay

Mary Shelley’s Frankenstein tells the story of Victor’s ambition to successfully create a life through the use of science. In the present times, this is closely known as genetic engineering or cloning, wherein a scientist or a doctor dabbles in the works of creating a new life or transforming a life through science and technology. Shelley shows in her work that Victor had successfully created a being, however it stunned him, not in amazement but in hatred and fear of the misshapen creature he has created. The creature that Victor created was adultlike like in its physique but childlike in its mind. Its innocence became its downfall as it slowly learned, the hard way, that it is not a normal human being but a reject of the society because of its appearance. This led to its violent rampage destroying the things that it desires, belongingness in the society, and created an even more fearsome aura that caused people, even its creator, a deeper terror and horror in its existence. This shows that such inventions and discoveries does not necessarily mean success in the world of science as such creatures do not play a significant role in making the lives of people better. This indicates that science and technology has a great power in playing with fate and lives that people tend to question its ethics, morals and values. Shelley successfully presents in her work that science has to consider certain ethics and morals with its inventions, thinking about the purpose and result of the work in the world of humans. Ethics and morals are the basis of how humans live and think. The society strongly against inventions such as cloning and genetic engineering because of these values. Although the value life is a strong motive for dabbling into the arts of creating or transforming human life, the society thinks immoral of such actions because it makes the creator play with life, which in a religious or ethical sense, humans cannot play with. Shelley’s Frankenstein shows that playing with fate and life has its consequences. Something that is created from the pieces of humanity cannot be entirely human on its own. Rejection is always present in society, and it cannot be blamed on the people when a creature, as misshapen as Frankenstein roams the streets without full knowledge of what life is. The lesson the Shelley leaves her readers is the importance of considering how knowledge is to be used for humanity and to improve human life. Another impacting thought that Shelley leaves is the significance of proper teaching of the masters to their students. When Victor showed an uncanny interest in modern science, his teachers dismissed his curiousity without explaining to him why such fascination is dangerous and not worth paying attention to. Victor turned to modern science because of the limitations of alchemy. He combined his knowledge of aggripa, alchemy and the modern science to turn create a new life that he later rejected and loathed. Both the educators and the students have a responsibility in what they do and the results of their actions. Before any scientific invention and discovery is pursued, ethical considerations, moral responsibility and purpose is to be weighed. Educators and students should look at their works with purpose and not just because they wanted to create something new. They have to consider the results of such actions, and if it will result to something that is not beneficial for human life and will endanger the morals and values of the society, then it should be discouraged. Science and technology is something that is to be used to improve human life not destroy it.

Review of The Monkeys Paw Essays

Review of The Monkeys Paw Essays Review of The Monkeys Paw Essay Review of The Monkeys Paw Essay This story is set in a rural, out of the way area, with a family of three, elderly parents and a Son. The father and Son are chess players, with a good relationship. The father is a sneaky old character, as he tries to cheat at Chess. The Mother is a quiet lady, who knits as the pipe smoking me plays chess. She is typical of ladies of that era, and only works as a housekeeper, and knits for a hobby. She does what her husband tells her, and humours him when the son beats him at Chess. The Mum and son know the Dad cheats, and its their private joke. They are expecting a visitor, who turns out to be a Sergeant Major. The father knows him from a previous job. The Sergeant Major was only a young boy, who worked in a warehouse before he went to War. The family were curious about the soldiers experiences, particularly the old man. The old man acts as the host and gives the soldier some punch-thats whiskey and warm water. The Mum puts on supper. The old man is jealous because he never had the guts to leave the area, so he is very interested in what the soldier was saying. He then told them about some magic, a magic charm, which he had in his pocket. The old man was very interested, and wanted to hear everything, but the soldier was reluctant. The soldier threw the charm into the fire, but the old man got it back, it was a monkeys paw, a shrivelled old hairy thing. The soldier left, and the father eventually made one wish, He wasnt sure what he should wish for, but finally agreed that he should wish for 200. The Mum and Son made fun of him, as they felt it was all stupid. The following morning, they all had breakfast together, and the Son went off to work. Soon afterwards, a well-dressed stranger came to the house. He introduced himself as a representative of the Company, where their son worked. Instinctively the Mum knew her Son was hurt, but unfortunately the news was worse, a machine at work had mangled him. The Rep said the Company were not to blame, but they were giving the old couple 200, compensation. The old couple are in shock, although they have other children, this son is the only one at home, with them. This charm had brought such bad luck to this family. The old man felt he had killed his son. After the funeral, the awful truth set in, the old man had killed his son, and they would never see him again. They missed him greatly, and the Mum found it hard to sleep. One night the Mum remembered about the Paw and insisted that her husband would make another wish that the son would come back. Although the husband knows his wife is not thinking straight, and he is terrified, he makes the wish. Then they heard knocking on the door. He is panic-stricken. He tries to cover up, and tell his wife its a rat, but she insists it is the Son. In the dark he finds the Paw again, and makes the third wish, that this is not in fact his son. Finally the knocking stops, the wife opens the door and there is no one there. The ending is a Cliff Hanger. The magic charm, which appeared harmless had changed this family, had changed the atmosphere, and changed the family, although there was a great bond that was broken. There was a strong relationship between husband and wife, it was strained by the death of the son, and the wifes mental state became poor. The old man blamed himself and was afraid and worried.  The language used was expressive and descriptive. It was written pre 1900, and difficult to understand. The language has changed greatly since the story was written.

Humpty Dumptys Philosophy of Language

Humpty Dumptys Philosophy of Language In Chapter 6 of Through the Looking Glass Alice meets Humpty Dumpty, who she recognizes immediately since she knows about him from the nursery rhyme. Humpty is a bit irritable, but he turns out to have some thought-provoking notions about language, and philosophers of language have been quoting him ever since. Must a Name Have a Meaning? Humpty begins by asking Alice her name and her business:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘My name is Alice, but––‘  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘It’s a stupid name enough!’ Humpty Dumpty interrupted impatiently.   ‘What does it mean?’  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘Must a name mean something?’ Alice asked doubtfully.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘Of course it must,’ Humpty Dumpty said with a short laugh: ‘my name means the shape I am–and a good handsome shape it is too.   With a name like yours, you might be any shape, almost.’ As in many other respects, the looking glass world, at least as described by Humpty Dumpty, is the inverse of Alice’s everyday world (which is also ours). In the everyday world, names typically have little or no meaning: ‘Alice,’ ‘Emily,’ ‘Jamal,’ ‘Christiano,’ usually do nothing other than denoting an individual. They can certainly have connotations: that’s why there are so many more people called ‘David’ (the heroic king of ancient Israel) than are called ‘Judas’ (the betrayer of Jesus). And we can sometimes infer (though not with perfect certainty) incidental acts about a person from their name: e.g. their sex, their religion (or that of their parents), or their nationality. But names usually tell us little else about their bearers. From the fact that someone is called ‘Grace,’ we can’t infer that they are graceful. Apart from the fact that most proper names are gendered, so parents don’t usually call a boy ‘Josephine’ or a girl ‘William,’ a person can be given pretty much any name from a very long list.   General terms, on the other hand, cannot be applied arbitrarily. The word ‘tree’ can’t be applied to an egg; and the word ‘egg’ can’t mean a tree. That is because words like these, unlike proper names, have a definite meaning. But in Humpty Dumpty’s world, things are the other way round. Proper names must have a meaning, while any ordinary word, as he tells Alice later, means whatever he wants it to mean–that is, he can stick them on things the way we stick names on people. Playing Language Games With Humpty Dumpty Humpty delights in riddles and games. And like many other Lewis Carroll characters, he loves to exploit the difference between the way words are conventionally understood and their literal meaning. Here are a couple of examples.                   ‘Why do you sit out here all alone?’ said Alice†¦..  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘Why, because there’s nobody with me!’ cried Humpty Dumpty.   ‘Did you think I didn’t know the answer to that?’ The joke here stems from the ambiguity of the ‘Why?’ question. Alice means ‘What causes have brought it about that you sit here alone?’ This is the normal way the question is understood. Possible answers might be that Humpty dislikes people, or that his friends and neighbors have all gone away for the day. But he takes the question in a different sense, as asking something like: under what circumstances would we say that you (or anyone) are alone? Since his answer rests on nothing more than the definition of the word ‘alone,’ it is completely uninformative, which is what makes it funny. A second example needs no analysis.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘So here’s a question for you{says Humpty].   How old did you say you were?  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Alice made a short calculation, and said ‘Seven years and six months.’  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘Wrong!’ Humpty Dumpty exclaimed triumphantly.   You never said a word like it.’  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘I thought you meant â€Å"How old are you?†Ã¢â‚¬â„¢ Alice explained.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘If I’d meant that, I’d have said it,’ said Humpty Dumpty. How Do Words Get Their Meaning? The following exchange between Alice and Humpty Dumpty has been cited countless times by philosophers of language:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘†¦and that shows that there are three hundred and sixty-four days when you might get un-birthday presents––‘  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘Certainly,’ said Alice.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘And only one for birthday presents, you know.   There’s glory for you!’  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚                  ‘I don’t know what you mean by â€Å"glory†,’ Alice said.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘Humpty Dumpty smiled contemptuously. ‘Of course you don’t–till I tell you.   I meant â€Å"there’s a nice knock-down argument for you!†Ã¢â‚¬â„¢Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘But â€Å"glory† doesn’t mean â€Å"a nice knock-down argument†, Alice objected.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   †˜When I use a word,’ Humpty Dumpty said in rather a scornful tone, ‘it means just what I choose it to mean–neither more nor less.’  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘The question is,’ said Alice, ‘whether you can make words mean different things–that’s all.’  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   ‘The question is,’ said Humpty Dumpty, ‘which is to be master–that’s all’ In his Philosophical Investigations (published in 1953), Ludwig Wittgenstein argues against the idea of a â€Å"private language.† Language, he maintains, is essentially social, and words get their meanings from the way they are used by communities of language users. If he is right, and most philosophers think he is, then Humpty’s claim that he can decide for himself what words mean, is wrong. Of course, a small group of people, even just two people, could decide to give words novel meanings.   E.g. Two children could invent a code according to which â€Å"sheep† means â€Å"ice cream† and â€Å"fish† means money. But in that case, it is still possible for one of them to misuse a word and for the other speaker to point out the mistake. But if I alone decide what words mean, it becomes impossible to identify mistaken uses. This is Humpty’s situation if words simply mean whatever he wants them to mean. So Alice’s skepticism about Humpty’s ability to decide for himself what words mean is well-founded.   But Humpty’s response is interesting. He says it comes down to ‘which is to be master.’  Presumably, he means: are we to master language, or is language to master us? This is a profound and complex question. On the one hand, language is a human creation: we didn’t find it lying around, ready-made. On the other hand, each of us is born into a linguistic world and a linguistic community which, whether we like it or not, provides us with our basic conceptual categories, and shapes the way we perceive the world.  Language is certainly a tool that we use for our purposes; but it is also, to use a familiar metaphor, like a house in which we live.

Depression and Cognitive Style Essay Example | Topics and Well Written Essays - 1000 words

Depression and Cognitive Style - Essay Example During depressive periods, ruminating on a problem may assist an individual in understanding why feelings of depression exist and how difficult issues may be solved. This may be because ruminating usually involves mentally analyzing a problem to assist oneself in achieving a resolution. However ruminating may be harmful as well, as "Women ruminate more than men, and rumination is a significant predictor of future depression even after the current level of depression is taken into account (citing Nolen-Hoeksema, Larson, & Grayson, 1999; Crawford & Unger 492). As my short survey supports, women use distractions less than men when depressed, which may result in "less effective problem solving, and fewer attempts to seek help from others (citing Broderick & Korteland, 2002; Crawford & Unger 492). ... This is unfortunate because distraction activities can entail engaging in activities the affected individual may enjoy, therefore, the result may be positively rewarding and assist in relieving a depressive state. Distraction activities to relieve depression may also have a long-term negative impact in some cases, as the depressed individual may substitute drinking, or other destructive behaviors for positive activities that may aid in relieving depression. This may result in the depressive state returning as the negative behavior only acts as a short-term solution for the problem, and not a cure. Possible Connection Between Cognitive Style and the Development of Major Depression As indicated, women ruminate more than men do, and ruminating behavior is a "significant predictor" of major depression in the future (citing Nolen-Hoeksema, Larson, & Grayson, 1999; Crawford & Unger 492). A depressed mood may be extended by rumination and create cognitive biases which may create vulnerability for normal depression that may play a role in the onset of clinical depression. Relationship Between Gender-Role Socialization, Gender Expectations, and Cognitive Style Early socialization creates differences between males and females in dealing with problems, including depression. Girls are taught to consider the feelings of others during conflicts, and rumination about problems was not discouraged. Males have reported that as young boys they were ignored or punished when expressing feelings of sadness, while being told boys should not ruminate about conflicts or issues (citing Broderick & Korteland, 2002; Crawford & Unger 492). Power and status in society has a great

Organizational Structure in Coca-Cola Company Assignment

Organizational Structure in Coca-Cola Company - Assignment Example The range of resources here includes human, information, physical and financial. This paper will explore the organizational structure through a case study of Coca-Cola Company as well as endeavor to determine the extent to which the organizational structure is supportive or unsupportive of the company’s goals and suggest possible recommendations for improvement if any. The Coca-Cola Company is the largest beverage company in the world and the leading producer and maker of soft drinks. It is surely a global brand known by anyone because of its popularity through publicity and marketing. The firm in the beverages industry1 whose business idea was first conceived in downtown Atlanta on May 8, 1886, when only one product called the ‘Coca-Cola’, a mix of Coca-Cola syrup and carbonated water, existed. The price of one glass of coke back then was five cents a glass and only 9 drinks were sold per day. Today, the company is more than 126 years old with a client base around the world in more than 200 countries from just one city in one country back then. The company currently estimates the average drink sales per day at about 1.8 billion with more than 500 brands by 2011, four2 of which are the world’s top-five sparkling brands. Coca-Cola has a global presence and became a billion-dollar brand in 2010. It has sponsored world’s sporting events such as the FIFA world cup for more than 80 years. The company has undertaken many social responsibility initiatives including the Haiti Hope Project in 2010, which aimed at developing a sustainable mango industry in Haiti. The company attributes its business success to five main factors which are unique and recognized brand3, quality, marketing, global availability and ongoing innovation.

Prokaryotuc and eukarytotic cell & endocrine and exocine glands Essay - 1

Prokaryotuc and eukarytotic cell & endocrine and exocine glands - Essay Example Prokaryotic cells only have a plasma membrane while eukaryotic cells have organelles with membranes such as nuclear membrane (Campbell and Farrell 15). No nucleus is present in prokaryotic cells but there is a nuclear region with the help of which, the cell takes all its controlling directions. In addition, prokaryotes also have a single molecule of DNA that is circular in shape. Nucleus is the most important and unique part of eukaryotic cells and maximum DNA of the cell is present in the nucleus and multiple molecules are present (Campbell and Farrell 16). In prokaryotes, DNA is located in the nuclear region that does not have any membrane while in eukaryotes, DNA is enclosed in Nucleus covered by nuclear envelope (Black 80). Cell division in prokaryotic cells takes place through binary fission while in eukaryotic cells, reproduction is with the processes of mitosis and meiosis. In prokaryotic cells, only asexual reproduction takes place while in eukaryotic cells, asexual as well as sexual reproduction take place (Black 80). Prokaryotes as well as eukaryotes can be autotrophic (generating food themselves) as well as heterotrophic (getting food from other sources). Examples of prokaryotes are bacteria while plants and animals can be taken as examples of eukaryotes. Human body contains a system called endocrine system containing glands responsible for discharging their secretions. Endocrine glands are responsible for discharging their secretions within the body while exocrine glands secrete on the body surface. Endocrine glands secrete internally while exocrine glands secrete externally. The secretions that are secreted by the glands are the hormones (Clark 229). Exocrine glands secrete with the support of ducts while in endocrine glands, no distinct ducts are present for transferring secretions due to which, endocrine glands secrete

The Effects Of Carbon Dioxide Environmental Sciences Essay

The Effects Of Carbon Dioxide Environmental Sciences Essay Carbon dioxide is a simple mixture of exactly what it sounds like; one part carbon with two oxygen atoms attached to it. Carbon dioxide is in a gaseous state at normal temperatures and its chemical equation is stated as CO2. The gas originates from many different sources around the globe. Some of the most common and highest producers of CO2 are: fossil fuel combustion, iron and steel production, natural gas refinery systems, and the manufacturing of cement. The burning of fossil fuels is the largest single producer of CO2 gas. Many people associate this with the internal combustion engine which powers the modern automobile. In fact, the largest producer of carbon dioxide, in the United States, within the fossil fuel combustion group is the generation of electricity (EPA). Transportation comes in second place in the United States for CO2 production levels. This includes the burning of gasoline, diesel fuel, and many other petroleum based fuels. Although the burning of fossil fuels hap pens to be the largest source of CO2 there are also natural causes of the gas within the atmosphere. The breathing of animals, volcanic eruptions, and release of CO2 from the ocean, which happens to be a large carbon sink (meaning that it stores mass amounts of carbon), are all natural causes of carbon dioxide. One of the great parts about our Earth is the natural way it can clean itself. Carbon dioxide is a naturally occurring gas within our atmosphere. Due to this naturally occurring substance there is a natural way for decreasing the levels of CO2. The processes that absorb and consume carbon dioxide consist of the natural photosynthesis process in which plants/trees use the suns energy and convert it into food. During this process carbon dioxide is drawn in through the leaves and stored within the main mass of the plant/tree. The carbon is then drawn into the soil through the roots of the agricultural crop or tree. This is natures way of drawing the carbon dioxide out of the air and into the ground where it can be stored. Although the plants have temporarily removed the CO2 from the atmosphere the substance still exists and can be re-released into the atmosphere through a tilling process of the ground or digging up the soil. Even though the carbon dioxide is being released into the air again this is how nature self regulates the CO2 on its own. With naturally occurring carbon dioxide levels this process works great. However, it cant completely compensate for human generated carbon dioxide levels which are produced today. The CO2 emissions today are higher than natural amounts due to the burning of fossil fuels as previously mentioned. These increased emissions due to fossil fuels burning can be reduced and battled in order to try and keep the CO2 levels at a manageable amount instead of becoming out of control as the current trend is currently working toward. Technology will help us to develop machines and devices to reduce the emission of carbon dioxide from the burning of fossil fuels. However, currently we do not have the technology to completely eliminate the gas from our emission list. In order to reduce CO2 emission levels action must be taken to enhance a device in the exhaust of modern machinery. New technologies could also be introduced to various other parts of the combustion process in order to make it more efficient. The more efficient a combustion process is, less fuel will be needed and therefore less CO2 will be produced from that running engine. A great way of reducing the carbon diox ide levels would be to switch over to a different type of fuel energy in order to receive the same amount of work time, or more, with less maintenance. One method of reducing CO2 levels is to use Carbon sequestration. This process involves capturing the exiting carbon dioxide and storing it underwater or underground in order to reduce the CO2 levels in the air. It is a very costly process but it is an option available for reduction of carbon dioxide (Zactruba). The industrial revolution was a major improvement for the world. During this time there werent any regulations on carbon dioxide levels emitted from production plants. Therefore plants back then were producing large amounts of CO2 and nobody thought anything of it until testing was done at a later date. Cars built during this time period were not fitted with emissions sensors and parts due to the lack of requirements for the emissions gasses and the lack of technology during the time. Levels of various different gasses are tested every so often and in 2005 the CO2 levels were tested and the results showed an increase of 35% over the levels tested before the industrial revolution hit. This proves that the industrial revolution along with current fossil fuel burning has produced mass quantities of CO2 and placed the gas into the atmosphere (EPA). The increase in carbon dioxide in our atmosphere is said to have been a contributing factor to the global warming effect. CO2 is named a greenhouse gas along with other gases such as methane and nitrous oxide. These retain heat and emit it at the same time. This causes a long term warming effect with increases in concentrations of the gases. Major increases in the amount of carbon dioxide will lead to this heating effect. With no mass effective way to decrease the amount of CO2 in the air it will be hard to reverse this effect unless a different form of combustion and transportation is developed. With new and emerging technologies it can seem feasible to create a device or vehicle that doesnt emit carbon dioxide through the exhaust of the vehicle or the process of creating the fuel needed to move the vehicle. This technology sounds amazing and revolutionizing. However, it has not yet been fully developed and no promises have been made toward it either.

The Impact of Values on the Workforce Essay -- Business Organizational

The Impact of Personal Values, Organizational Values, and Cultural Values on the Workforce When we are called upon to make decisions, several factors are taken into consideration before this decision can be made. Depending on the type of decision, such factors could be cultural beliefs, personal beliefs, and organizational beliefs. We have come to realize that there are fundamental challenges in trying to apply ethical principles in a cultural and organizational environment. Each culture has unique distinctions in values, which may or may not be considered ethical by each individual within society. These differences in culture and personal beliefs influence any decision, whether personal or professional, of any individual. Certain cultures within the work force may decide not to adhere to organizational codes of conduct because of not only personal feelings, but also because of the varying differences in cultural backgrounds. The intent of this paper is to identify values that are important to me personally, organizationally, and culturally, and the effects that these v alues have on decision making in regards to my personal and professional life. Personal values are most important to me since these values define individuality. David Peters (2003) said it best when he said â€Å"an examination of our beliefs can offer valuable insights into our character and help us determine a clear pathway to a more satisfying life.† Honesty, integrity, loyalty, and respect are highly valued and these values are present in my everyday life. However, this does not necessarily mean that each individual within my society share these same personal values, thus creating an environment filled with varying personal beliefs, expectations, and philosophies that may not be logically connected with the society’s culture or ethics. Nonis (2001) states: â€Å"Values reflect the most basic characteristics of adaptation that guides individuals in deciding which situations they should enter and what they should do in them (Kahle 1980). According to Williams (1979), explicit and fully conceptualized values become the criteria for judgemen t, preferences and choices† (p. ---). My decisions whether personal or professional, are dependent on my values and the environment that I am in. Before accepting my current position, I made sure that the company had similar ethical beliefs as m... ...ead of forcing our beliefs unto others we need to respect the practices and traditions and get a better understanding why certain practices are done. Chris Jenks states: â€Å"Westerners, convinced that they are morally superior, have failed in their attempts to stop local practices because they did not take into consideration the culture and the reason for the practice† (p. 22). In relations to the work force, organizations are diversifying their workforce. They are realizing the importance of diversity and how it can benefit the organization, given that diversity brings different point of views and values to light. As an organization, we should not simply proclaim a set of values. Instead we should immerse both managers and employees in the organization’s ideology. Any disconnect in behavior between mangers and employees will strongly undermine the values of the organization. The undermining of these cultural values creates uncertainty in the minds of employees thus leading to potential conflicts. Work Cited Gardner, John W. "On Leadership" New York: The Free Press, 1990 Jenks, Chris. "Western Culture: An Introduction." Culture. Ed. Chris Jenks. London: Routledge, 1995

Effective teachers Essay

The list of dispositions associated with effective teachers Once you are prepared, use the My Dispositions Target (Figure 2. 1) from your text to organize and record the initial analysis of your dispositions. This document should be placed as an attachment to your discussion response. To include the document as an attachment, locate the attachment feature in the bottom left-hand corner of the discussion response box. In your response: †¢Describe which of these dispositions (as well as those noted in Chapter 10) you already exhibit on a regular basis. When working with toddlers myself and my co-worker use several of these dispositions listed in Chapter 10. For instance †¢Based on the discussion of career options in Chapter 10, identify at least two possible careers that interest you and that are a â€Å"good fit† based on your personal disposition reflection. Explain why you would be a good fit for both of your chosen careers. †¢Discuss which dispositions are still emerging for you and how will you plan to develop them for both of your possible future career choices. Guided Response: Review several of your classmates’ posts and respond to at least two of your peers. In your responses, suggest some further ways your peers can develop their emerging dispositions. Estes, L. A. , & Krogh, S. (2012). Pathways to teaching young children: An introduction to early childhood education. San Diego, CA: Bridgepoint Education, Inc. Table 2. 1: Dispositions of effective teachers DispositionDescriptor ApproachableDemonstrates desire to interact through words and actions CommunicatorExpresses self clearly both verbally and in writing CompetentIs able to skillfully perform tasks related to teaching ConfidentIs self-assured and aware of personal abilities and strengths EnergeticMoves around frequently; participates fully in activities EnthusiasticDemonstrates passion for teaching, learning, and subject matter FunHas a sense of humor; smiles and laughs frequently InnovativeShows creativity when approaching tasks and solving problems InteractiveParticipates with others; talks with and listens to others KnowledgeableDemonstrates understanding of subject matter and teaching NurturingShows concern and caring to others; respects others OptimisticIs upbeat; has positive expectations for outcomes OrganizedPlans and prepares in advance; arranges things logically PatientShows tolerance for others; varies pace to accommodate others ProfessionalIs professional in dress, actions, and language; is polite Research has identified certain dispositions frequently associated with effective teachers. Personal Learning Insight 2. 1: My Dispositions Figure 2. 1: My dispositionstarget Individuals in the midst of becomingteachers should develop self-awareness oftheir own dispositions. After reading through the list of dispositions associated with effective teachers, pause a fewmoments to consider your own traits. Which of these dispositions are already evident in your demeanor? Do you believe these characteristics are part of who you are by virtue of birth or of experience? Are some dispositions still emerging, or needing to emerge? Because of the strong connection between dispositions and teaching styles, it is desirable forindividuals in the midst of becoming teachers to reflect and develop self-awareness of their owndispositions (Wadlington & Wadlington, 2011). As you complete this course and continue withother education courses, think about targeting some of the desirable dispositions as goals for yourongoing professional development. Use the My Dispositions Target (Figure 2. 1) to record yourinitial analysis of your dispositions. Many factors, other than desirable dispositions, are associated with learning how to successfully teach young children. The general public’sbelief that no specialized training is necessary to work with young children is simply a misconception. Research data has supported the positionthat teachers with specialized training and education in early childhood education is one of the more important factors in determining programquality for young children (NAECTE, 2008). Experts in the field of early childhood education rely on professional organizations for leadership indetermining what novice early childhood teachers should know (knowledge) and be able to do (skills).

Outsourcing Trends: Health Services Professionals

[pic] MGT 6220 – Health Care Human Resource Management Outsourcing Trends – Health Services Professionals Fall 2012 Research Paper Anthony Edens Thomas Grumley Outsourcing Trends – Health Services Professionals In today’s healthcare environment, hospitals are facing increasing pressure to reduce costs, increase efficiency and improve the quality of patient care. Although some of the details of the impending changes may not be perfectly defined, the industry is certain that changes are inevitable.Going forward, there will be an increased focus on quality; penalties for re-admissions, medical errors and hospital acquired infections (Buser, 2010). Several factors, such as aging populations, new treatments, low patient financial responsibility and misalignment of incentives have forced the Government to reconsider current Medicare reimbursement arrangements (Kaplan, Porter, 2011). For example, fee for service, which reimburses providers and hospitals based on the procedure performed, are not based on the desired outcome which should be good patient health.Therefore, the incentive for the provider could be to perform more of the higher reimbursement procedures and not to focus on decreasing the costs of business. Unfortunately, this has lead to a cycle of increasing costs for the government and payers, who are now looking for ways to decrease reimbursement and align incentives with quality while reducing re-admissions. Decreasing reimbursement will force hospitals that are not currently focused on cost control to rethink the existing strategies. In light of this, hospitals will need to concentrate on expense control, staffing productivity and service line efficiency.Crucially, hospitals will need to focus on effective alignment with physician practices and hospitalists. One consideration that continues to arise is whether to outsource certain functions from an employment model to one involving outsourcing, and one which will be discussed at length in the following pages. The current climate is signaling a clear increase in the trend to outsource a multitude of functions, for both large and small hospitals. In Modern Healthcare’s 33rd Annual Outsourcing Survey, 42 firms reported a 14% increase in the number of healthcare clients from 2009 to 2010.The following year’s survey, reported that among the top 20 outsourcing firms there was a reported 13. 1% growth from 2010 to 2011. The top 5 services which are currently outsourced are laundry, housekeeping, clinical/diagnostic equipment maintenance, hospital based emergency departments and food services (Kutscher, 2012). Additionally, the outsourcing of back office functions continues to increase. For example, firms providing accounts receivable functions reported a 21% increase in 2010 and firms providing medical record services reported a 6% increase in 2010 and an 8% increase in 2011 (Kutscher, 2012; Daly, 2011).Also related to the back office functions is effective revenue cycle management. When considering the tightening of the current and future reimbursement environment, the ability for a hospital to successfully collect monies owed and to reduce bad debt will be crucial. For example, in May of 2011, Conifer, a subsidiary of for-profit hospital chain Tenet Healthcare Corp. , Dallas announced that it closed on a deal to provide revenue management services to 56 hospitals (Kutscher, 2012). Another area of explosive growth is in the IT sector.Part of the reason is that there is a federal mandate which requires hospitals and physician practices to show â€Å"meaningful use† of electronic records. Not only are there financial incentives for implementing electronic health records early, there are financial penalties for those that have not implemented a system over the next few years. Robust growth can also be seen among the firms that provide diagnostic equipment maintenance. In Modern Healthcare’s 33rd Annual Outsourcin g Survey, these firms saw 12. 6% growth from 2009 to 2010 and the following year’s survey showed a 16. % increase. This is due to the fact the medical equipment is growing increasingly more complex and that specialized firms are able to adhere to strict maintenance schedules, provide detailed documentation and track repair costs. One of the largest areas of growth is in the outsourcing of anesthesia services. From 2009 to 2010, the growth among survey respondents was 147% to a total of 222 contracts. One of the reasons for this is that anesthesia services can operate as a self contained unit within a hospital.This works more efficiently than if each physician would bring in their own team by providing both consistency and cost effectiveness. However, there are concerns regarding outsourcing hospital services. Reasons for hesitation among hospital executives can be corporate culture, patient privacy and regulatory compliance. There are definite security and compliance concerns related to the outsourcing of electronic medical records. For instance, while Indian insurance and pharmaceutical companies have had success, gaining market share from U. S hospitals may prove to be difficult. As soon as it leaves the confines of the U. S. , it's not subject to the same rigorous laws as we are,† says George Conklin, chief information officer of Christus Health (Sharma, 2010). Here, we are going to focus on outsourcing the hospitalist and revenue cycle functions and show some of the advantages and limitations of each. The number of hospitals that have hospitalist programs continues to grow, and today 2/3rd of all hospitals use a hospitalist program. Additionally, the demand for these providers currently outweighs the supply with a total of 31,000 covering the country’s demand of 40,000 (Buser, 2010).One of the reasons for this increasing demand is it allows those physicians with busy outpatient practices to concentrate on those practices and for the pro viders in the hospitalists programs to concentrate on the inpatients. Additionally, hospitalists can focus their attention to the details of inpatient management due to their more consistent practice patterns and expertise which all helps to reduce average length of stay and increase patient health and satisfaction. Hospitals can choose from either employing and managing the group of hospitalists directly or using a 3rd party vendor such as TeamHealth or EmCare to outsource the service.For instance, a hospital may choose to employ a group of hospitalists directly if it’s looking to ensure quality and bring the programs under local control to align the program with their own mission and values. However, crucial to the success of this is effective leadership and expertise. In some instances, employing hospitalists directly may require abundant investment in IT systems and other tools which will require large amounts of capital dollars that some smaller hospitals may not have ac cess to.In these instances a hospital may choose to outsource this function to take advantage of the large economies of scale and expertise a large vendor may be able to offer. For instance, in the article â€Å"Hospital Medicine’s Management Shuffle† by Bonnie Darves, Martin Buser, MPH, who is the co-founder of the hospitalist consulting firm Hospitalist Management Resources LLC, attributes the decisions to outsource to rapid growth of programs in which the hospital did not have the proper infrastructure and financial support to carry on with the program.Additionally, by outsourcing the practice the hospital reduces its regulatory risks as well as administrative and recruiting burdens. For example, in 2007 Hospital Specialists of Georgia, turned over management services to Cogent, a prominent and large vendor of hospitalist programs. At the time the group was handling a third of the medical center’s admissions and could not increase that without support.Without available capital, the company was not able to meet the growing demands of IT, especially as quality and performance measurement started to become more prevalent. (Darves, 2007). Using a 3rd party vendor whose expertise lies in focus and efficiency, and especially when combined with firms who bundle ED and hospitalist services, hospitals can reduce patient wait times and reduce the number of patients who leave the ER prior to triage or treatment. Ultimately this acts to increase the overall volumes of the hospital.Additionally, for 2012, CMS (Centers for Medicare and Medicaid Services) created two new critical measurements which measure, in minutes, the time from ED arrival to ED departure for patients admitted from the ED to the facility and from the admit decision time to the time of departure from the ED for patients admitted to inpatient status. Improving these times has a multitude of positive effects on the facility. For example, this can reduce the ED length of stay, increas e the ED capacity, improve the admission process and ultimately improve the patient outcome.Conversely, some may argue that quality and alignment with the hospital are better achieved when providers are employed directly. For example, Kadlec Medical Center of Richland Washington decided that in 2006 it would discontinue its arrangement with a large vendor and bring its program in-house. The hospital wanted more control over the number of hospitalists as well as the scope and quality of services (Darves, 2007). However, the data suggests that quality does not suffer when outsourcing a hospitalist program. This is why we recommend outsourcing in the case of a hospitalist program.In a 2009 survey released by the Medical Group Management Association, the data shows that a hospitalist from a large vendor sees, on average, more than 19% more patients per day than a hospitalist employed by the hospital. Patrick Hays FACHE and C. Thomas Smith explain in their article â€Å"Why the Independ ent Hospitalist Practice is here to Stay,† that this does not imply an adverse effect on the quality of the healthcare, and is instead the result of a focused effort where other hospital assignments are not competing for attention.An increase in focus and expertise can lead to early detection and better diagnosis of disease which ultimately leads to less expensive and less complex treatments, and importantly, to fewer re-admissions. Outsourcing the hospitalist practice is also cost effective. A 3rd party hospitalist vendor can usually integrate its existing software with the hospitals and reduce training and orientation costs that could come with having to learn a new EMR system. In addition to IT and recruiting costs, there can also be costs associated with billing, accounting, legal, regulatory, marketing and quality control.Should a hospital choose to employ the physicians and experience rapid growth without the proper infrastructure, these costs can quickly deteriorate the earnings of the group. Regulatory and legal costs can be especially problematic. For instance, Stark and Anti-Kickback Laws limit what a hospital can pay to an employed physician and require that each contract be put under scrutiny to ensure fair market value scrutiny to guarantee there are no conflicts of interest between the physician, hospital and patient.To make certain a hospital is not violating these serious and complex laws, it would need to employ and increase its legal department’s infrastructure to include a department specifically designated to physician contracts, a cost many small hospitals may not be able to afford. With so many reasons for a hospital to use a 3rd party vendor, hospitals may become increasingly interested in avoiding the employment model. John Donahue, CEO of Cogent HMG expects a â€Å"dramatic ramp up of hospitalist consolidation† in the coming years because of the new quality requirements the government is demanding the hospitals meet .The large hospitalist companies already have effective ways to measure this as well as reduce length of stay and complications resulting from hospital stays (Robeznieks, 2012). Another step firms are taking to convince hospital executives that outsourcing is the right choice is using local contractors and simultaneously offering a national support model. For example, Radisphere, an Ohio based radiology outsourcing firm, uses local radiologists who work with a network of offsite subspecialists offering continuous access to consultations.In summary, outsourcing hospitalist services can provide hospitals, large and small, a cost effective and efficient means to provide quality patient care. With an ever increasing focus on quality, using a group focused physicians with hospital expertise who do not have competing private practices can increase patient satisfaction, increase hospital capacity and volumes all while helping the hospital achieve its goals while creating and maintaining a good quality reputation in the community. Let us not forget, however, that the presence of Human Resources should be critical in this decision.The head of Human Resources needs to understand the dynamics of the business and the challenges that lay ahead should the company choose to outsource an existing function or in-source a function currently delegated to a 3rd party firm. For instance, if a decision is made to outsource an existing department there will need to be a roadmap for the existing employees. Ask questions such as, â€Å"Will there be a severance package or can these employees be transitioned or transferred to open positions in other areas of the company? Furthermore, there needs to be discussions regarding the reliability of the outsourcing firm and a contingency plan should the firm go out of business or discontinue the relationship. Are there alternative companies that could provide similar services if this situation were to arise? Will the chosen firm be able to me et the projected volume needs to the hospital? Additionally, even if the hospitalist function is outsourced, communication from management and HR will remain important so that those in these new positions still feel supported and motivated.HR needs to work closely with the firm providing the services so that boundaries, objectives and targets are clear. In a situation where an outsourced function is brought in-house, HR needs to ensure that the current management infrastructure can accommodate the new positions. Especially in the case of employing hospitalists, contracts as well as compensation and benefit packages need to be created. Another example of where opportunities lie for outsourcing departments is in office functions such as revenue cycle management.In recent years, hospitals have steadily warmed to the idea of outsourcing functions which were previously kept in-house, such as business processes and information technology. However, a host of factors–including the pa ssage of the Patient Protection and Affordable Care Act, the faltering economy and the increasing emphasis on quality and performance improvement–have pushed that trend into overdrive (McKinney, 2010). In order to remain competitive and stay afloat, hospitals and other healthcare organizations are desperately looking deeper into business functions to determine the areas that may be better off outside the walls. Faced with a potential flood of new patients and lean budgets, hospitals are carefully considering each department to determine which functions can be turned over to contractors, and more areas are fair game than ever before†, says Reggie Hill, a partner at Waller Lansden Dortch & Davis, Nashville (McKinney, 2010). Although housekeeping, food services, and diagnostic equipment maintenance are among the most common outsourced services, revenue cycle management is becoming increasingly popular. Because of the perception that there will continue to be cuts in reimbu rsement and new reimbursement models, hospitals are looking for ways to cut expenses and maximize revenue,† Hill says. â€Å"If an outsourcing agreement looks like it will accomplish those goals, it's going to be something a hospital will want to take advantage of. † In particular, there has been continued growth in the number of organizations that are seeking out revenue-cycle management services, Hill says. â€Å"There are vendors that have shown they can add value, and more hospitals are giving it a try† (McKinney, 2010).Although more organizations are looking into the use of a vendor, it is important to consider all variables before determining the best option. Outsourcing the revenue cycle function does not fit all business models. Factors such as practice size, legal compliance, training ability, cost savings, quality, and efficiency should be studied carefully in order to realize the maximum return on investment. Companies that fit the outsourcing model an d execute the transition properly can realize the greatest rewards.Conversely, outsourcing may be the downfall of an organization if these factors are not considered. When a company commits to outsourcing, cost savings tend to dominate and labor rates are a large contributing factor. In search of satisfaction, many companies are looking to offshore vendors. Offshore outsourcing companies might save hospitals even more money in labor costs because employees in countries such as India often work for much less money than U. S. staffers (Mantone, 2003). Managing a department outside of the organization’s walls has its other cost saving advantages.Having fewer internal employees reduces the need for back office space which will generate savings in rent. With a billing service, billing and collection activities occur off-site and therefore it may be possible for a hospital to reduce its current overhead costs or convert existing office space to a revenue generation, patient service s area (Schechter, 2000). Furthermore, cost savings with outsourcing may also be realized in more subtle ways such as an adaptation of superior processes. The demand for standardization in revenue cycle management is on the rise. Despite growth in the industry, the floundering economy has made some providers skittish about first-time outsourcing deals†, Zambuto says. Another motivating factor that is convincing many to take the plunge is the need for standardization, he says. Outsourcing to a vendor can help ensure processes are done the same way each time at every location, which reduces the probability of errors, he says (McKinney, 2010). With this standardization comes an increased revenue flow. Many companies are careless with collections and spend unnecessary time, money, and resources on correcting mistakes.Re-billing and managing overpayments can become costly due to the increased hours of operation and additional wages paid to employees working these claims. If the bil ling can be done quickly and accurately the first time, these costs will not have to be wasted in order to generate the same amount of revenue. For example, Marshall McHenry, MD, a Cincinnati internist, chose to outsource billing when he started his own private practice. â€Å"He pays an outside billing service 6% of collections or about $20,000 to $22,000 annually, he said.In contrast, an in-house biller would have cost $30,000, including benefits, and a billing system would have cost several thousand, if not tens of thousands of dollars, Dr. McHenry estimates. Also, had he hired a biller, he would have had to factor in training and vacation time, and figure out how to avoid down time that could have seriously hurt his practice† (Chin, 2003). Additionally, this higher level of quality requires ongoing employee training which may become not only time consuming, but expensive. The billing service is responsible for hiring, training and supervising staff.They also are responsib le for coverage when any of their employees are out of the office. And they are responsible for acquiring and maintaining all necessary computer software and hardware as well as addressing other technology-related issues (Schechter, 2000). The relief of these burdens will allow management to focus more on its core competencies. Typically, a revenue-cycle outsourcing firm takes over some or all of a hospital's business office functions, which can include everything from patient registration, accounts receivable, billing and coding.They consolidate those functions into larger offices that serve many providers. The end result, outsourcing companies say, is a more efficient model that leaves more operating revenue for hospitals. Those types of business arrangements will likely continue as cash-strapped hospitals see the potential for big savings, says Dean William Harvey, a partner at the law firm Vinson & Elkins in Dallas (McKinney, 2010). Richard Garnick, chairman and CEO of Anthelio Healthcare Solutions, credits the â€Å"incredible† cost pressures on hospitals for the growth in his company's revenue-cycle management services.In the case of federal healthcare programs, Garnick has seen his client hospitals grow increasingly concerned that possible across-the-board cuts to Medicare and Medicaid could push them into the red. Those concerns have led some of Garnick's core clients at community hospitals to replace their in-house back office staff with his employees to reduce the cost of those functions by 30% to 35%. â€Å"That gap will potentially allow that hospital to survive,† he says about one recent client (Daly, 2011). Success with outsourcing has also been achieved by Marc D.Grobman, DO, a solo internist at Internal Medicine and Primary Care in Wilmington, DE when he chose to use Health Care Practice Management Inc. as a billing service. He says he is getting 98% of money due compared with 75% when he was part of the hospital network. â€Å"A t first using a billing service was a virtual necessity. Now I see no reason to bring it in-house because it's working out so well,† Dr. Grobman says. He also thinks he gets more expert billers through outsourcing, which in turn means he leaves less money on the table. Dr.McHenry contends that he gets about 10% more — $35,000 to $40,000 a year — than he would have had he hired someone to handle billing. Because it's a specialized skill, it can be hard to find good billers in the local labor pool, he added (Stevens, 2007). On the contrary, outsourcing does have its drawbacks, and most notably, a reduced sense of control is inevitable. Outsourcing firms are responsible for these functions which prevents the hospital from easily maintaining close management of operations. â€Å"The downside is you can lose control,† said Louis Korman, MD, one of Dr. Weinstein's partners. â€Å"You can be taken.There are a lot of people who think that doctors' practices are j ust money mills they can take advantage of† (Chin, 2003). Additionally, an absence of direct management may result in poor customer service. Third party billing firms may be required to deal with patients directly and it is difficult for the hospital or physician practice to monitor this interaction closely. Many physicians believe that they are able to maintain better relationships with patients when billing functions are kept in-house. Without this strong patient – provider relationship, a healthcare organization may not be able to survive.Moreover, a third party revenue cycle management firm may not hold the same work ethics as the healthcare entity which may result in subpar performance. A vital piece to the success of any billing department is legal compliance and these performance standards must be met. But revenue management outsourcing has its share of pitfalls, most notably legal compliance, he adds. Providers need to be confident in a contractor's ability to m anage the billing requirements of Medicare and other programs, while successfully complying with the Health Insurance Portability and Accountability Act of 1996 (McKinney, 2010).Dissatisfaction with an outsourcer's performance led Detroit Medical Center in February to sue to dissolve a 10-year, $300 million contract with Provider HealthNet Services, Dallas. Detroit Medical said the outsourced operation failed to achieve timely completion of medical records and had not delivered on a plan to train employees and organize the department for computerized records. Provider HealthNet said uncooperative and obstructive action by Detroit Medical officials caused the performance problems (Morrissey, 2003).A company’s decision whether or not to outsource a department will inevitably require the presence of Human Resources. One advantage of outsourcing the revenue cycle management team is the distance that it creates between management and the frontline employees. In some cases, this di sconnect is desired by the hospital because it relieves the duty of having to deal with employee issues. If an employee of a hospital is not performing, the management team will have to carefully follow HR policies and document progression of failing performance before termination may occur.This can not only be time consuming, but it can hinder productivity until the change may be made. Utilizing a vendor will allow the hospital to simply request that a replacement be made for a certain employee without having to follow any HR policies. â€Å"While the net cost of farming out billing is unknowable, Dr. Schwartz does believe that whatever it is, it's worth the peace of mind it gives him. † An outsource service insulates us from the kinds of problems that could get us into financial trouble,† he says. There are some advantages† to not having him on staff, Dr. Weinstein said. â€Å"The biggest one is that if he's not doing a good job, I don't have to worry about fir ing him. I just have to say to the company, ‘Hey, this guy is not doing a good job. I want somebody else. ‘ They have to worry about firing him, and firing high-level people is not easy to do† (Stevens, 2007). Although some hospitals may find this ‘peace of mind’ to be worth a potential added cost, there are some disadvantages that an HR department may face with outsourcing a business function.Whenever a hospital chooses to outsource a department or other function, it will unavoidably have to endure a layoff of some magnitude. A layoff or employee termination will most certainly involve a strong HR presence. No matter the level of expertise of the HR department, this process is never easy to manage. In some cases, a layoff may be necessary involving employees who have been part of an organization for years. Relationships have developed between the employees and management team which can make this event even more difficult.However, if the business decis ion to outsource is made, many times a layoff is most likely unavoidable. Additionally, this will create a loss of jobs in the community. â€Å"Also it can be a â€Å"hard sell† because outsourcing hospitals are â€Å"taking jobs from the local community and putting them elsewhere,† Johnston says. â€Å"It's not that big of a deal when the office has 10 people,† he says. â€Å"But when there are 100, 200 people in the office it becomes a big deal† (Mantone, 2003). This event can also create a negative image for the hospital which may not be beneficial for its reputation.This challenge must be closely managed by the HR department. In conclusion, outsourcing can be an effective way to increase the efficiency and lower the costs of an organization. In the case of using a 3rd party hospitalist firm, it uses a focused group of physicians who not only help to decrease costs but improve patient care and decrease re-admissions. Also, with improved patient care t here comes a decrease in the average length of stay which is obviously great for the patient but also enables the hospital to increase its capacity for additional patient services.It can be advantageous to a hospital to use a 3rd party outsourcing firm so long as the goals and expectations are clearly outlined and defined within the contract terms with the firm providing these services. Another example of an opportunity to take advantage of the focus of a 3rd party firm is in the realm of the revenue cycle function. Advantages such as decreased overhead costs, increased expertise and augmented standardization are ways in which a hospital can improve its overall collections, decrease its net accounts receivable days and lower the amount of money spent to do so.Outsourcing does not necessarily imply going overseas, as mentioned in the hospitalist example above, patient care mostly depends on human interaction in most services and so the local community economy remains intact. In the e nd, HR needs to be well versed in the goals of the company and be able to contribute to the decision by offering perspective on future labor needs, compensation and benefit costs or savings and strategic alignment with the hospital’s strategies and mission. â€Å"References† Buser, M. , (2010, December). Hospitalist Programs in the Age of Healthcare Reform.Journal of Healthcare Management, 55:6, 378-380. Chin, T. , (2003, August 11). The Doctor is Outsourcing: To Hire or Not to Hire. American Medical News, Retrieved November 15, 2012 from http://www. ama-assn. org/amednews/2003/08/11/bisa0811. htm Daly, R. , (2011, September 5). Under Pressure. Modern Healthcare, Vol. 41 Issue 36, S1-S4. Darves, B. , (2007, May). Hospital Medicine’s Management Shuffle. Today’s Hospitalist. Retrieved November 10, 2012 from http://www. todayshospitalist. com/index. php? b=articles_read&cnt=64. html Hays, P. , Smith, C. Thomas. , (2010, October).Why the Independent Hospitali st Practice is here to Stay. Physician Future. Retrieved November 18, 2012 from http://www. physicianfuture. com/news/physician-news/why-the-independent-hospitalist-practice-is-here-to-stay. html Kaplan, R. , Porter, M. , (2011, September). How to Solve the Cost Crisis in Health Care. Harvard Business Review, 48-49. Kutscher, B. , (2012, September 3). Expertise on Call. Modern Healthcare, Vol. 42 Issue 36, 20-27. Mantone, J. , (2003, November 24). Letting Someone Else Do It Better. Modern Healthcare, Vol. 33 Issue 47, S10McKinney, M. , (2010, September 20). Outsourcing Sees Stimulus Effect: Health Reform, Ailing Economy Prompt a Closer Look at Use of Contractors. Modern Healthcare, Vol. 40 Issue 38, pS1-S5, 5p. Morrissey, J. , (2003, May 12). Not Paying Off: Baylor, EDS Terminate Revenue Management Deal. Modern Healthcare, Vol. 33 Issue 19, p3, 1/2p. Robeznieks, A. , (2012, April 2). Partnering up: As Consolidation Begins to Sweep through Healthcare, Hospitalists Expect to See the T rend Accelerate in their Sector. Modern Healthcare, Vol. 42, Issue 14. Schechter, K. , (2000, July 24).Compare Costs, Benefits of Billing Service vs. In-House. American Medical News, Retrieved from http://www. ama-assn. org/amednews/2000/07/24/bica0724. htm Sharma, A. , Worthen, B. , (2010, November). Qualms Arise Over Outsourcing of Electronic Medical Records. The Wall Street Journal. Retrieved November 29, 2012 from http://online. wsj. com/article/SB10001424052748704865104575588252907738276. html Stevens, L. , (2007, April 16). The Ins and Outs of Billing: Pros and Cons of Outsourcing. American Medical News, Retrieved November 15, 2012 from http://www. ama-assn. org/amednews/2007/04/16/bisa0416. htm