Thursday, December 19, 2019

Management And Project Review Process - 1361 Words

Governance 1) Management and Project Review Process: a) Medical Executive Committee- will commit the time and financial resources necessary to implement and maintain the LACE Index CDS Tool. b) Decision Support Project Steering Committee- responsible for the oversight and direction of the CDS program. Will review the project progress in the areas of cost, quality, and timeline. c) Decision Support Operations Team- responsible for managing the CDS program execution and operates under the direction of the DSPSC. 2) Progress Measurement: The project steering committee will address any issues and risks while removing any roadblocks. 3) Change Approval Process: The change management approach for this project is to make sure that all†¦show more content†¦They will keep the leadership team updated on outcomes of the weekly meetings via email updates. †¢ The Decision Support Operations Team will meet weekly and maintain communication as needed to manage the project execution. They will operate under the direction of the Decision Support Planning Committee. †¢ The HF Readmission Reduction Task Force will meet on a monthly basis to discuss project progress and make adjustments to readmission prevention strategies. The team will also perform chart reviews to monitor care/ discharge processes and conduct interviews with patients who are readmitted. The team will analyze the information gathered, propose solutions, and communicate the recommendations to the CDS team. (Pittsburgh Regional Health Initiative, 2011). †¢ Project Team Directory (see Table 7). Stakeholder Management Plan Stakeholders were identified and a management plan was developed. The communication plan was dependent on the power, interest, and engagement of the stakeholder (see Table 8). Scope Management Plan End users will be interviewed to gather information on requirements. End users include physicians, nurses, social workers, physical therapists, dietitians, pharmacists, and quality assurance members. End user workflows and processes will be observed and information will also be obtained from surveys and focus groups in order to determine the impact of the CDS tool. Heart Failure patients will be the only patient population targeted by this

Wednesday, December 11, 2019

Nature of Public Administration free essay sample

Before we discuss about the meaning, definition, nature, scope and importance of public administration we will try to know what is administration, organisation and management. As these terms are often used interchangeably and synonymously, it is pertinent to know the differences and distinctions between these three terms. According to William Schulze Administration is the force, which lays down the object for which an organisation and its management are to strive and the broad policies under which they are to operate.An Organisation is a combination of the necessary human beings, materials, tools, equipment and working space, appurtenances brought together in systematic and effective co-relation to accomplish some desired object. Management is that which leads guides and directs an organisation for the accomplishment of pre-determined object. To put the above in simple terms, administration sets the goal, management strives to attain it and organisation is the machine of the management for the attainment of the ends determined by the administration. We will write a custom essay sample on Nature of Public Administration or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Some scholars have a different view about the administration and management. According to Peter Drucker management is associated with the business activity, which has to show economic performance, whereas administration is associated with the non business activities like activities of the Government. The other view is that administration is associated with performing routine things in known settings in accordance with certain procedures, rules, and regulations.The Management is associated with performing functions like risk taking, dynamic, creative and innovative functions. Some scholars of Public Administration are closely associated with the first view that is, administration is a determinative function. Management, on other hand is an executive function that is primarily concerned with carrying out the broad policies laid down by the administration.

Tuesday, December 3, 2019

The Profligate American free essay sample

This paper shows how wasteful modern American society has become, based upon how much money people spend on cars. This paper shows how important the vehicle you drive has become in America today, and how people put so much time, effort and unnecessary money into their cars. The author provides many examples of the expenditures of Americans and how it has gotten out of hand. From the paper: The BMW, Mercedes, Jaguar, Lexus, flashy rims, dark tinted windows, big stereo system, all represent what we want to be driving: a cool car. By living in a society that promotes the need to always have more and the best of everything, the mode of transportation we use in America plays a crucial role in most of our lives. What a person drives shows everyone around them their taste, how much money they have, and their status in society. Money is so important to us that we begin to believe that we must show people how much we have of it. We will write a custom essay sample on The Profligate American or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page

Wednesday, November 27, 2019

The Expantion Of The Us Essay Research free essay sample

The Expantion Of The Us Essay, Research Paper Viky Kayrova The Civil Rights Of Black Americans 03 699 As Reconstruction ended, an highly hard period began for Black citizens. In order to protect their civil rights, they were forced to trust on province authoritiess. Politicians who openly opposed the civil rights of black people largely controlled these province authoritiess. The federal authorities withdrew from the issues refering the rights of inkinesss, and the executive and judicial subdivisions tended to back up the Southern white place. The disfranchisement of inkinesss that had begun in the South with illegal torment and force shortly after the war was about completed by the early old ages of the twentieth century. Many Southern provinces did everything possible to maintain black citizens from voting in order to remain in control of the federal authorities. They enforced canvass revenue enhancements, literacy trials, and the alleged Grandfather Clause. As a consequence of constitutional alterations, the enrollment of black electors in Alabama declined from 181,471 in 1900 to 3,000 in 1901. We will write a custom essay sample on The Expantion Of The Us Essay Research or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Similar action in Louisiana reduced registered inkinesss from 130, 334 in 1896 to 1,342 in 1904. Besides the alteration in the fundamental law of voting rights for inkinesss in the South, resulted in separation of inkinesss from Whites in assorted facets of mundane life. Blacks were excluded from engagement on juries and were refused service in hotels, eating houses, and amusement Parkss. They were forced to busy separate subdivisions in vehicles of public transit and in public assemblage topographic points. Besides black kids were required to go to separate schools from Whites, and the educational system was different for each race. By the eruption of World War I, alleged Jim Crow Torahs that legalized segregation of inkinesss and Whites existed throughout the South. Jim Crow existed in other parts of the United States every bit good, either by jurisprudence as in the South or by local pattern. The judicial cast of blessing for Jim Crow came in 1896 with the instance of Plessy vs. Ferguson, whereby the U.S. Supreme Court declared constitutional a Louisiana jurisprudence necessitating separation by race on railway managers. The tribunal held that implementing such separation was legal, so long as equal installations were provided for both races. However, the installations that were provided for the inkinesss were no where nigh in quality and service, as the 1s provided for the Whites. This inequality was possibly most annihilating in the country of instruction. Equally tardily as the start of World War II certain Southern school territories did non supply 12 old ages of public instruction for inkinesss. In add-on, inkinesss often suffered favoritism in the distribution of revenue enhancement money for support of schools. Besides there were merely a few publically supported colleges in the South, and even those were of hapless quality. The impotence of inkinesss during the post-Reconstruction period is exemplified in the high rate of lynchings. Between 1882 and 1938, 3,402 lynchings occurred all over the United States. The several efforts to go through a federal antilynching measure during this period were all unsuccessful. In malice of attempts by the Southern whites to stamp down inkinesss politically and to deny them societal equality, the activities and attempts of inkinesss after Reconstruction to better their economic place and political rights eventually reached some success. In 1870, 80 per centum of the black population over 10 old ages of age was illiterate ; by 1900 illiteracy among inkinesss was reduced by almo st 50 per centum. Farm ownership, although still low, increased significantly ; by 1901 about 25 per centum of black husbandmans in the South owned their ain land. Seven inkinesss were elected to the U.S. House of Representatives for a cumulative sum of 13 footings between 1877 and 1901. Besides an association for the promotion of coloured people ( NAACP ) was founded in 1909. One of its laminitiss, William E. B. Du Bois, was the taking interpreter for full and immediate rights for inkinesss. World War I was a turning point in black American history. The figure of inkinesss traveling out of the South after 1877 increased dramatically. This sudden alteration was caused by the high demand for labour in the Northern metropoliss due to worsen of European in-migration. The coming together of big Numberss of inkinesss in the urban countries, the exposure of some inkinesss to European Whites who did non hold the same racial attitude as American Whites, and the war propaganda to do the universe safe for democracy combined to raise the hopes, dreams, and aspirations of inkinesss. However, the segregators did non portion the same optimism due to an rush of lynchings, public violences, and other antiblack force after World War I. The Ku Klux Klan was revived and gained popularity in Northern every bit good as Southern provinces during the 1920s. These actions increased the attempts of inkinesss in political relations, but the changing attitudes among inkinesss found other signifiers of look. During the 1920s noteworthy productions of black literature, music, and art took topographic point, and race consciousness increased. T his societal alteration is best reflected in the Hagiographas of the influential black leader Marcus Garvey, laminitis of the Universal Negro Improvement Association. In the 1930s inkinesss ab initio were less affected by the Depression than Whites because the economic system of the black community was already depressed. Before long, nevertheless, the declining economic conditions hit inkinesss the hardest, as the group at the low terminal of the economic graduated table. Reforms attempted by the New Deal about wholly dealt with economic affairs. The jobs suffered by inkinesss were non addressed because of their racial minority group position. However, in the New Deal attempts to help the hapless, inkinesss encountered the first aid from authorities since Reconstruction. Franklin D. Roosevelt s attitude towards the being of racism, combined with turning unpopularity of the Republican party, caused more and more voting inkinesss to back up the Democratic party. This was frequently an uncomfortable determination for inkinesss, because under the senior status patterns followed by Congress, control by Democrats placed declared segregators in major pla ces of leading. However, the displacement continued, and since the New Deal period inkinesss have progressively voted for Democrats. With the eruption of World War II, black support was given to the war attempt with the hope that the battle against Nazi racism would weaken racism in the United States. Of the 891,000 inkinesss that joined the armed forces, about half a million served overseas. As in World War I the bulk of inkinesss were organized into service units, and many were neer trained in the usage of basic arms. In an effort to promote and better occupation preparation for minority group workers in war industries, President Roosevelt established a national Fair Employment Practices Committee. The war ended, nevertheless, with no major onslaught on favoritism in employment and in labour brotherhoods, and Jim Crow patterns persisted in many parts of both the North and the South.

Sunday, November 24, 2019

Globalization and Behavioral Studies Essays

Globalization and Behavioral Studies Essays Globalization and Behavioral Studies Essay Globalization and Behavioral Studies Essay Globalization is considered as one of the biggest trends of today’s world. In the literal sense it is considered as the transformation of the entire local or in certain cases the regional phenomenon into global ones. A collective approach is usually used in the perspective of globalization and this phenomenon is described as a process in which the people of the world are unified together and they are collected and combined in a single society and such a society functions together. There are different trends that are used in globalization like technological, socio-cultural, economic, political forces and etc (Stiglitz, 2007). However, when an individual talk about globalization then emphasis is laid on the economic aspects of globalization and this aspect is usually related with the integration of economies and certain other aspects like foreign direct investment, mitigation, capital flows and etc are covered in this term. The history of globalization is wide and varied and this term was used by the economists since the 1980’s. Before 1980’s the term was widely used is the field of social sciences (Steger, 2009). Globalization although gained success in today’s world but it’s an ancient process which actually tracked the expansion of human race and the growth of civilization. The globalization is now considered as a modern term and in today’s world it is seen as a tool to increase strategic alliances and involve in collective trade which would ultimately decrease the chances of future war. Another stage of globalization led to the conference of Bretton Woods’s conference (Etizen, 2008). This conference is related to the economic integration of commerce and finance and how several institutions should integrate the process of globalization. : The Impact of globalization Globalization is usually considered as a novel idea and it is a phenomenon which the world is embracing. There are different positive effects of globalization and it is extremely beneficial for everyone in all the countries. The advantages of globalization are listed below:  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The element of globalization forces the organizations and different businesses to compete on a global scale. The consumer on the other hand gains an advantage because of this and businesses are unable to control and monopolize the businesses because politicians and governments are there to control it.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Countries would specialize their specific sectors in which they are competitive and it is not necessary that all the manufacturing element would be done by Americans and Germans because if the Chinese are good at it and they offer lower rates then the manufacturing would be done by the Chinese.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Because of globalization consumers are the real winner and the consumers have the choice to buy good where they are cheap and they are not bound to buy the products of the their native land. In this scenario the consumers can get the best products at the best price and they can buy products even from China and India.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The element of prosperity is shared by everyone and before the concept of globalization China and India were poor countries and their standard of living were not good but after the globalization factor both the countries experience enormous growth and economic booms are experienced by both the countries (Peterson Bigelow, 2002). The most important fact is the consumer side that besides countries and manufacturers the customers are benefitting from the low cost and high quality products. These positive effects of globalization help the consumers and the manufacturers in both the short and the long run. The movement of globalization is pro-prosperity, anti-poverty and pro-free trade. This phenomenon of globalization is helping the developing world to raise the standard of living and both developing and developed countries are benefitting from this approach. However, certain individuals believe that besides the positive effects of globalization there are certain negative effects of globalization. These negative effects of globalization are stated below:  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The phenomenon of globalization results in lesser job for the local individuals like for e.g. people in India are getting more and more jobs because of the boom of outsourcing sector but local Americans are losing their jobs and this would affect the economic conditions of America.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The labor forces are exploited by the phenomenon of globalization and child workers are used by different organizations to develop cheap products.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   People are continuously facing the difficulties of job insecurity because of increased competition they are unaware of the fact that when their organization fires them.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Pollution is caused by different industries and these industries are operated in poor a country that is the reason why no legal regulations are faced by these organizations.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The biggest disadvantage of globalization is that the element of globalization is not universal and that is the reason why rich are getting richer and poor people are getting poorer because of this.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The cultural heritage of countries that are rich in cultures is affected through television and internet.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Globalization is also transforming the behaviors of individuals and there learning patterns and behaviors are shaped by foreign traditions, practices and cultures.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The element of human trafficking is increasing because of globalization.  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The local industries of certain countries are affected by this phenomenon and they are taken over by multinational corporations. . Behavioral theories and globalization Globalization has different contexts and these contexts can be positive and negative. Similarly, globalization is closely linked with behavioral studies. All the behavioral theories are closely linked with the aspect of globalization. For e.g. behavioral learning theories believe that learning is closely linked with the change in behavior and this change in behavior occurs because of a continuous practice. These theories of behavioral learning are discussed below:  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Contiguity theory  ·Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Classical conditioning theory or respondent conditioning. The theories of behavioral sciences are closely related with the concept of globalization and the impacts of these theories on individuals of the society are wide and varied. The impact and relationships of these three theories on globalization are discussed below: 1.  Ã‚  Ã‚  Ã‚  Ã‚   Contiguity theory The contiguity theory revolves around the principle that any stimulus and response element which is connected in certain time or space will be associated with something. This theory can be elaborated with an example that if a baseball player hits home runs when he is wearing a particular pairs of socks then he would associate the home runs with the pair of socks. Similarly, another example in this context would be related to the fact that if a student makes a good grade after implementing a new studying technique then he/she would relate the studying technique with the grade he/she scored. This technique is widely used by different individuals (Robbins Chatterjee, 2005). This contiguity theory can also be linked with the phenomenon of globalization. People have a mindset that foreign products are good in quality and if one foreign product performs well then they would relate the fact that foreign products are good in quality. Similarly, if globalization offers them a lower cost prod uct then certain individuals would believe that globalization is quite good for them because they are saving a lot of money because of globalization and it is offering them low cost products. 2.  Ã‚  Ã‚  Ã‚  Ã‚   Classical conditioning theory The first type of learning was actually discovered in the form of classical conditioning theory. This theory was formulated by a theorists named as Ivan Pavlov. This theory is also names as respondent learning theory. A certain involuntary action is related in this type of theory. For e.g. if air blows then the eyes of every individuals shuts down this behavior or reflective response is because of the past experiences and innate attitude (Zastrow Ashman, 2006). The phenomenon of globalization is linked with this theory and when an individual hears the elements globalization then a collective attribute comes in its mind that something collective is going to happen and no individual’s aspects are there to control this phenomenon and globalization is linked with the global aspect. Similarly, certain other advance objectives like mixing up the economies and having a collective currency also comes in mind when the work globalization is being heard. These globalization theories clearly depict that people are integrated with each other and the phenomenon of globalization offers the individual to collaborate with each other. The aspects of globalization are very important for the modern society and it clearly depicts the attributes of how people live with each other. The world is transforming into a global village just because of globalization and individuals from different countries understand the cultural heritage and norms of other cultures and traditions. Organizations are transforming themselves into mega enterprises and they are enlarging their vision through globalization and this approach is enhancing their profits. They are benefitting from it on both the short and the long run. Chinese culture and Indian culture is amalgamating with the cultures of other countries and westerns because of their products like dresses, food and etc are slowly and gradually depicting an adaptive behavior towards these cultures. The internet is also helping the societies and it helps different individuals and societies to break down the cultural boundaries by enabling easy way of communication. That is the reason why internet is directly linked with the process of cultural globalization and through internet the collaboration between individuals is that are far away from each other is possible. Globalization has drastically changed the living styles of different individuals and societies and in the current era it is possible that someone in America can be eating Japanese noodles wearing an Indian dress. The restaurants are offering culturally enriched food because of globalization because restaurants like McDonalds, Pizza Hut and etc believes that the customer base of their organ ization is quote wide and varied and they have to adopt new and modernized ways to cater their customers. Besides food certain other practices like meditation are also adopted by different cultures. For e.g. Americans before globalization don’t really believe in meditation but after globalization they have adopted this practice and different western countries are adopting the principles of meditation with the help of globalization (Lortie LeCroy, 2009). The culture of a certain society is considered as patterns of human activity and culture basically includes aspects like language, dressing, food, beliefs and etc. The advent of globalization has transformed the culture of different countries and the cultures of different countries are accessible to other societies and in this way the earth is shrinking and one can easily say that it is becoming a global village. In the current era globalization is considered as a debatable topic because certain individuals are accepting it and certain societies are rejecting it. However, a closer look at globalization suggests that it is helping the individuals, societies and different countries to come closer and coordinate with each other. This coordination would help these countries and individuals to attain their desired goals and objectives. Therefore, one can say that besides helping the individuals the phenomenon of globalization is linked with behavioral theories.

Thursday, November 21, 2019

Nursing Project Essay Example | Topics and Well Written Essays - 2750 words

Nursing Project - Essay Example The evidence definitely supports the use of this program and s presented in this paper. Continuous quality problems and spiraling costs in healthcare have lead to widespread interest in solutions that are effective and well supported. Evidence based practice has taken hold as an answer to the problem that makes sense (Coleman, 2003) EBP is sometimes viewed as an ideology, however, as far as practice goes it's goal is to supplement professional decision making with the latest research. It is sometimes argued today that to treat someone with a practice that the efficacy has not been shown is not ethical (Kind,2007). That would leave many healthcare treatments today as unethical. This paper will discuss nursing transition to evidence based practice in the realm of patients and transitioning. The question would be, "What are the most effective interventions for improving care coordination" Many Medicare dollars are spent on a small percentage of beneficiaries with chronic conditions and those people are in and out of the hospital many times, many within short periods of time. The causes of this are numerable but some of them are inadequate care, poor communication among primary caregivers, specialists, and patients, weak adherence by patients, and failure to catch problems early. There are three types of intervention being looked at closely at this time to try to solve these problems. Transitional Care, self managed education intervention, and coordinated care interventions are being considered as effective but requiring further study (Coleman, 2003). Transitional care is first engaged in the hospital, followed intensely post-discharge and receives comprehensive post discharge instructions on medications, self care and symptom recognition. Reminder calls are made to assure that the patients follow up with primary care providers as required. Effective transitional care is targeted for patients with specific diseases such as CHF. This is guided by APN's and is usually a twelve week intervention that is highly structured with protocols (ncga.gov.) It requires a one year post discharge follow-up. Statistically it has shown to reduce hospitalizations by 34% and lower overall costs by 39%. APN's in this case are the transitional coaches and there are tools given for cross site communication. Self management education is a term used for collaboration with patients and families to identify patient goals, improve self management, expand sense of self efficacy, and assess mastery of skills (ncga.gov). Much of this is done in group sessions of limited duration. The targeted patients are usually forty or older and have heart disease, lung disease, stroke or arthritis. There are usually seven weekly group sessions on exercise, symptom management, techniques, nutrition, fatigue and sleep management, use of medications, dealing with emotions, communication and problem solving. Statistics show that these patients have 1/3rd fewer hospital stays. Coordinated care on the other hand is considered teaching patients about self care, medications, how to communicate with problems, monitor patients symptoms, well-being, and adherence between office visits and advise patient on when to see their physician. A full report is given to the patient's physician (ncga.gov). This would also include arranging for social support