Allied Health, Information and Informed Consent Essay

Partnered Health, Information and Informed Consent - Essay Example Multidisciplinary care guarantees that the colleagues can talk about each part of mental and physical needs of every patient. Multidisciplinary care approach satisfies the best and proof based practices for all the patients (Pozgar, 2012) The multidisciplinary care is done since it speaks to the best act of treatment making arrangements for the patients. It involves an attention on proceeded with care, the improvement of applicable referral arranges that incorporate suitable pathways to upgrade the mental needs, the advancement of conventions and pathways for care and treatment. It incorporates the patients whose cases are talked about by multidisciplinary group. Powerful multidisciplinary care involves the improved coordination of the administrations, extraordinary open doors for support in clinical preliminaries, improvement in treatment arranging and results, improvement in data sharing between the multidisciplinary colleagues, upgraded the board and discovery of the patients mental and passionate requirements, and the improved working of the group (Pozgar, 2012). The multidisciplinary care has been fused in the national clinical practice systems, rules, structures and plans. The multidisciplinary group is engaged in treatment arranging where the wellbeing experts meet and suggest a treatment plan. Not all the expert treat the patient; thus, the issues on obligation if the patient’s condition exacerbated wreck the multidisciplinary approach. Therefore, before any multidisciplinary approach, they must be the assent of the patient preceding the multidisciplinary meeting, the gathering results ought to be archived, and the obligation ramifications of the expert colleagues relied upon suggestions of the individual specialist (Magee, Laroche and Gilligan, 2001). Patients ought to be educated about the multidisciplinary systems and gatherings, and they ought to have the

What Is Narrative Essay Writing?

What Is Narrative Essay Writing?When you are starting out as a writer, you may wonder what is narrative essay writing. The way to tell if you want to embark on this kind of writing is that you need to be able to go over your creative writing plans in detail and when it comes to the details, then the writers need to be able to create a powerful way out for their ideas.You may be wondering what does narrative essay writing mean? In a nutshell, it is the application of certain criteria that provides the writer with an objectivity in order to view the story from an entirely different point of view. The various characteristics of this form of writing includes finding a way to place the characters in their new environment as they have been transported into another time.What is narrative essay writing also suggests that you look into the detail of the story, the scene, the backgrounds, the subplots and finally the ultimate conflict or plot line that is to be tackled. You need to find out th e details of the past, present and the future and make sure that the reader has been able to come up with his own meaning through a way that he has not had before. The reader should also be able to find the way out and go back in time.This kind of writing also uses several other factors that can be readily sourced from the Internet or word processing software. One of the many things that you need to look into when trying to be a good writer is a good editor so you can not only provide great story, but also enhance the editor's skills by making sure that all the necessary information has been covered properly.This kind of writer's skill will prove to be quite valuable as you go forward. There is always going to be more stories to be told and so you need to be able to tap into the many opportunities to do this with ease. All you need to remember is that you can make use of research and find out the details of a certain event or circumstance and then bring it all together by using your imagination.There are many words that you can use when trying to avoid the thesis statement, but the most common ones are the ones that suggest that you need to change the surrounding details in order to portray the entire story in a different light. These may include the words 'in order'forever'. They make it easy for you to outline what has to be done and then use an editor to ensure that all the information you need is present.A concept that can prove to be very effective is to use interesting themes that would entail the changes that have occurred in the story. To bring the entire story to life, it would be important for you to portray what has occurred and the alterations that have occurred. This is where the writing skills of a good writer comes into play, especially in the writing of a thesis statement.The themes are often changed or altered according to the mood of the story arc that you are looking at. The biggest challenge for any writer will be coming up with something t hat is unique, inspiring and something that is suitable to the theme or idea that they are going for. You need to work hard and persevere because every story has two sides to it and the facts are not always straight forward, but with enough perseverance, your story will tell itself.

Sylvester Stallone Essay Example | Topics and Well Written Essays - 750 words

Sylvester Stallone - Essay Example His mom, Jackie Stallone, was of two birthplaces. She was half-Russian and half French. He has a more youthful sibling, Frank Stallone and both were both named after their fatherly granddad. Since his sanctification, he has been a Catholic. During his youth, he experienced a great deal his parents’ antagonistic vibe. His folks were antagonistic to such an extent that their relationship finished in a separation in 1957. This prompted Sylvester moving to Philadelphia with his mom and a non-permanent dad. Because of ecological and social changes, Sylvester endured scholarly and enthusiastic changes. He turned out to be extremely grieved in school and this prompted his removal in the majority of the schools that he joined. His mom selected him to an exceptional secondary school for the upset and devilish youth. While at Philadelphia, he invested a large portion of his energy at child care however this changed in the wake of joining Devereaux High School where he joined the exercis e center class and began lifting loads (Sanford, Carl and Howard 15). After his graduation, he won an athletic grant program at an American College situated in Switzerland. He turned into a mentor of a girls’ athletic club and before long picked up enthusiasm for dramatization. He featured in of the school creations in the school. This propelled him to join the universe of dramatization and he was unable to hold back to return to the United States of America where he joined the University of Miami and examined show. It is in 1969 when he chose to seek after his fantasy in dramatization and acting. He returned to New York where he needed to work in various low paying work environments to make a decent living. He turned into an attendant at a New York theater and worked low maintenance employments at the Central Park Zoo. He showed up in the film business in the wake of acting a delicate center pornography film by the name ‘A party at kitty studs’. He every now and again tried out and before long got renowned in the business because of his job as an intense individual in many movies deadened (Sanford, Carl and Howard 12). In any case, the industry turned out to be increasingly serious and he got debilitated in the wake of being turned down for the film ‘The Godfather’ in 1971. This prompted Sylvester directing his concentration toward composing screenplays and it proved to be fruitful in 1973 after he featured in the film Rebel. Sylvester’s first significant job in the film business was in 1976 after he composed the movie’s content. A battle between Chuck Wepner and Muhammad Ali structure, which he composed the content, had roused him (Dunn). He needed to assume the job himself and after a long battle with makers Robert Chartoff and Irwin Winkler, he was relegated the job. The film turned out to be exceptionally fruitful and was designated for best on-screen character and best unique screenplay at the Academy Awards . Stallone earned bunches of benefits from this film. In 1982, he had the job of composing and coordinating Rocky II that turned into a significant accomplishment in the wake of earning over $200 million. This turned into the defining moment for his profession in the film business. All the movies he coordinated starting here on picked up loads of cash regardless of the nearness of pundits to his movies (Celebrity Net Worth). These movies incorporate Rambo, The pro, Cash, Tango, Cobra, Demolition Man among others (Stallone 15). The new thousand years didn't represent a decent beginning to Sylvester’s vocation since the motion pictures that he gazed in or created didn't sell true to form. In any case, a re-creation of Rambo in 2008 and later The Expendables made him ascend in visits at the film

Between you and me = right; Between you and I = wrong

This is another one of those lovely true 100% of the time rules they pop up so infrequently on the SAT that you really do appreciate them when they appear. Even better, this is a rule that the College Board tests pretty often, so theres a decent chance youll come across it in any given Error-ID section. And if you do happen to encounter it, its an easy point. You dont even have to think about the other options. Heres why: Between is a preposition, and prepositions are always followed by object (rather than subject) pronouns. Subject Pronouns I You She/He/It We You They Object Pronouns Me You Her/Him/It Us You Them Since the you forms are identical in subject and object form, SAT does not test them. Most often, it tests the first person singular (I vs. Me) or third person singular (he vs. him). Subject pronouns are used as subjects, while object pronouns can be used as objects (I know, big shock there). To give an obvious example, you would say, I went to the store, not me went to the store because I is a subject pronoun; however, you would say I see her, not I see she because her is an object pronoun. Likewise, youd say This book is for her, not This book is for she. Thus, you would always say between you and me (preposition + object pronoun + object) pronoun, NOT between you and I (preposition + object pronoun + subject pronoun).

Top 8 Economics Books Every Pro Sports Lover Should Own

Video Games A Huge Part Of Our Society - 900 Words

Video games are a huge part of our society more now than ever before. A huge number of people around the world play them. In fact, the game StarCraft boasts to be South Koreas unofficial national sport due to the high number of players. Throughout media and just day-to-day life. Throughout this paper, I am going to discuss not only the pros of video gaming but also the cons. For most people, computer use and video game play is integrated into their lives in a balanced manner. For others, time spent on the computer or video games is out of balance, and has displaced work, school, friends, and even family. Video games have been proven to lead to a type of addiction among some users. Counter-culturist Timothy Leary was one of the first to liken computers to LSD, noting the mind-expanding, mesmerizing and ritualistic similarities between the two. In 1998 at Hammersmith Hospital in London, Dr. Paul Grasby performed a study that showed that playing video games triggers the release of dopamine in the brain. During the study dopamine levels doubled in the subjects’ brain when they played video games, a level of dopamine equivalent to an injection of amphetamines or Ritalin. This is why many people with Mental illnesses related to low levels of dopamine seem to crave video games in their life. The principles that lead to gaming addictions are not very different from other types of addictions such as gambling. Like Las Vegas style slots, video games use multiple forms of stimuliShow MoreRelatedEssay about Media Violence1541 Words   |  7 PagesViolence has been a contributing negative factor to society throughout history. Many researchers believe that the use of violent media, particularly video games, play a huge role in the downward trend of behavior and attitude of youth, and that this behavior continues to spiral out of control. 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Digital Crime and Digital Terrorism Systems †MyAssignmenthelp.com

Question: Discuss about the Digital Crime and Digital Terrorism Systems. Answer: Introduction The report discusses about establishing system that support innovation. The discussion in this report is about developing system that leads to innovation in McDonalds. The report therefore researches the context of the new system that involves exploring its objectives, analyzing the current organizational system , identification of any gaps and barriers, researching the current information about the system , identifying the key stakeholders and identification of the requirements for fostering innovation. The report describes the concepts and ideas of the system. Further, there is also a discussion on the development of a plan for implementing the new system. The report also describes about trialing the system that involves developing and presenting a system proposal, determining the parameters and context, monitoring and reviewing the trial and opening of the improvement process. Richard and Maurice McDonald found McDonalds in the year 1940 in California as a barbeque restaurant. The company used production line principles and later recognized the business in the hamburger stand thereby becoming the worlds largest chain of restaurants that is serving over 69 million customers in approximately 100 countries (Gough, McFadden and McDonald 2013). The multi-year turnaround around effort of the burger chain focuses on All-Day Breakfast promotion that is yet to become a fruitful choice. However, the company can deliver sustained growth through several big changes that can be in the form of innovation of the menu, renovation of its stores and digital order and delivery. The company can opt for menu innovation by adding new customized items of its burgers and sandwiches. The store renovation can also add up to an innovation for McDonalds. This can happen through by bringing in a change in the existing yellow and red color along with the white metal chairs. The introduction of digital order and delivery system will not only enable customers to pay through credit, debit, cash, android and apple pay and place an order in the mobile service of the company. Analyzing Current Organizational System The organizational structure of McDonalds underwent a reformation in the year 2015 for improving the global operations of the company. The organizational system of a company is a means through which various components of the organization coordinates in order to achieve the objectives of the business (Kane et. al 2015). However, the organizational system of McDonalds enables market management based on level of performance. The company also makes an effort to evolve by addressing emerging and current issues of the market. The company in order to satisfy customers maintains its performance by rolling out new products from time to time. Thus, the company has an organizational system that can easily adapt to the changing environment of the business. The company therefore has an organizational system that is divisional where each division is responsible for handling a specific operational area. This type of organizational system not only supports organizational flexibility and autonomy. Th us, the characteristics of the organizational system include: Global hierarchy: The Company has a global hierarchy for covering its operations on a worldwide level. Performance based divisions: These divisions comprise of the unique feature in the organizational system of McDonalds and the company used it a basis for its new divisions. Function based Groups: This implies that for McDonalds have human resource management group, legal group and a supply chain and franchising group under its corporate operations. Identifying any Gaps and Barriers There are however, certain disadvantages of the organizational structure of McDonalds because the company tends to generalize strategies for the divisions that are performance based. This provides a limitation in flexibility (Akin et. al 2013). Therefore, there are certain barriers and gaps that the company faces on a worldwide level: In United States, the company faced with a challenge of not being able to cope with the shifts that it offers In China, the company faces some safety concerns with the food In India, the company faces several legal disputes that hindered it from getting an advantage In Japan, there was a backlash from the consumers demanding for a cost cut. In Russia, the business of the company became a part of the geopolitics In Latin America, there were regional woes that hit the revenues of the company. In Europe, the companys laboratory was a victim of economic downturn Researching Current Information about Systems The current Information about the Systems is as follows (Zimmermann et.al 2015): Introduction of New Items on the Menu: The Company can introduce a new menu that will include three different sizes of the big Mac and add new some new innovative items for its domestic stores based on the customer demand. The company can also bring in some customizable burger and sandwich options that are more upscale. Renovation of the Outlets: McDonalds can undertake renovation of the outlets through changing the white metal chairs and its basic bold yellow and red colored structure. Moreover, the company in order to become a progressive and modern burger company can add self-service ordering kiosks and table service for its stores. This will enable the employees in spending more time in front of the restaurant and help in food delivery to the table thus offering traditional hospitality. Digital Ordering and Delivery: Through digital ordering, the company can expand the number of pay platform and mobile orders. The company should therefore, undertake means through which the customers can make payment through credit, cash, debit, android pay and apple pay. The Company should also enable taking orders through mobile service. The convenience will not only increase the number of orders but also increase its profitability. To avail this service the company should also enhance its delivery service. To foster Innovation the company should change the present menu with some innovative ideas that will attract the customers and increase their demands. The menu should not only be attractive but also be decently priced for attracting the consumers. Secondly, the renovation in the old structure and the furniture of the outlets can be a good reason for attracting people (Matt, Hess and Benlian 2015). The presence of self-service kiosk will also ensure convenience in placing orders. Thirdly, the digital order facility will also allow convenience in ordering and payment options thereby fostering innovation. Identifying the Key Stakeholders The key Stakeholders of McDonalds are as follows (Lawrence and Weber 2014): Employee: One of the stakeholders of McDonalds is its employees considered as internal stakeholders since they work inside the company and have the power to influence its functions. Anyone working for McDonalds becomes a stakeholder who might be either a part timer or full timer. Customers: They are the external stakeholders who possess the interest of buying products from McDonalds. Thus, every customer who is buying the products of the company becomes its stakeholder even if they are occasional visitors. Suppliers: They are the internal stakeholders who work with the company. McDonalds depend on many suppliers for buying food and drinks for their stores. Thus, suppliers play a vital role in running the company. Government: They are the external stakeholders whose decisions influence the company. The government takes an interest in McDonalds since they provide many opportunities for employment. The government also passes laws in the business interest of the McDonalds. Trade Unions: They are also the external stakeholders who work outside business. These people ensure whether the rights of the workers including pay structure and work conditions followed rightly. They are also responsible for accessing the risk of the employees. Communities: These are also the external stakeholders of the company. The business of the company in a way depends on the community as they show interest in the offerings on the company which helps in the easy running of the business. Generation of Ideas and Concepts The creation of ideas and concepts should be in a manner so that the company receives the desired attention required (Peppard and Ward 2016). Therefore, the ideas for improvising new menu, outlet renovation and introduction of digital order and delivery should base on the following: Starting Early: McDonalds should introduce the changes with a head start and not wait for the reporters to write about the new system for innovation. To keep the conversation going the company must have a rolling launch. Introducing the New System to Influencers: The influencers include friendly customers, prospects and bloggers who can be encouraged to avail the change in the system and thereby put in their reviews Briefing Industry Analyst: McDonalds must invest time for writing compelling briefing requests to the analyst. Capturing the Social Space with Leaks: The Company should target the consumers who are interested in the new system of the company through social media leakage of photos and messages so that they can build interest among people. Planning Something Unusual for Implementing the System: The Company can plan to implement the new system through the creation of funny video or publish a survey that supports how the new system with create the ground for innovation. Involving the Partners: McDonalds must include its partners who have a stake in the company while implementing the new system There evaluation process undertaken by a large company like McDonalds is structured and done in a manner keeping in mind certain things (Ting 2013): Those ideas chosen that will enable the innovation process of the company. Complex ideas should get reviewed by experts in order to understand what is necessary for their successful implementation. The Company must deploy a middle manager for defending the idea to the stakeholders, senior management and financial officers for getting a budgetary approval of the idea. The evaluation of the ideas done in a manner so that they are resource efficient The ideas through identification of the implementation problems dealt with and necessary actions taken to overcome them. Explaining how your ideas are supporting Innovation Business opportunity puts forward a possibility to the entrepreneur for successfully filling an unsatisfied need. However, recognition of an opportunity depends on the knowledge and experience of the employees (Holt 2013). In this regard, McDonalds seen to make effective use of the knowledge base and maintain records of the industry analysis done previously for pointing market niches and new directions for exploiting profit. Thus, the new system that creates an opportunity for innovation goes through careful assessment by the means of an opportunity analysis plan. However, four sections of opportunity analysis are follows: The introduction of innovative menu, outlet renovation and introduction of digital technology in placing order and delivery can influence the companys profit. The introduction of the system can affect the international and domestic market. Introducing the new system for innovation with the entrepreneur and the team Discussing the necessary steps for making the idea basis of business venture that is viable The ideas support innovation in McDonalds because the company offers its workers, consumers and managers with calculability, efficiency, control and predictability (McDonald 2015). Thus, McDonald has considered as global capitalist organization responsible for implementing systems that result in innovation. This is a way of critically thinking about the assumptions and thereby testing them in a systematic manner. However, a better alternative can be by simply asking people about their needs and designing it through consultation (Heath and McDonald 2012). There is also a better alternative to employ one or two young people in the implementation process. There are also challenging assumptions that contradict the ideas put forward. The system ideas like the innovation in menu, outlet renovation and introduction of digital technology for placing order and delivery is solely based on assumptions that they might be quite well be accepted is solely based on assumptions. Thus, validation of the assumptions is of utmost importance before spending too much on a particular solution. Therefore, it is very necessary for understanding the customer needs. Therefore, the new menu implemented by McDonald needs acceptance by the customers in the presence of products of other competitive brands. The outle t renovation also needs to provide the customers with an ambience that becomes acceptable. In addition to this, the digital technology for the order and delivery facility should be convenient enough and acceptable to the customers (Aydeniz and Kirbulut 2014). Selecting and Refining Ideas The ideas should be refined and selected based on the following perspectives: The Financial Perspective The idea for system that results in innovation in McDonald should be refined and selected keeping in mind the financial perspective that implies that they should bring in business and ensure the profitability of the company (Fitzgerald et. al 2014). The Customer Perspective In this case, the system established for innovation should also be selected based on customers perspective so that they are ensured greater convenience, lower prices and solutions compared to their competitors (Chlons and Dufft 2017). The Process Perspective The system established for innovation also takes must take into account process perspective which describes corporate synergies that is gained when multiple business unit reap benefits through sharing of common processes like manufacturing, distribution, research and purchase(Creswell and Poth 2017). The Growth Perspective While implementing the system ideas like menu innovation, outlet renovation and digital technology McDonalds must consider the growth perspective of the company. The impact of the menu innovation will draw in more customers to test and try out their newly innovative products thereby leading to an increase in the revenue. A change in the structure through renovation of outlets will attract customers, as there will be introduction of service kiosk where customers can place in their orders and wait for the employees to deliver the services (Taylor, Fritsch and Liederbach 2014). The company also provided digital innovations like mobile ordering and payment facilities. This system if employed with efficiency will enable customers with faster delivery of food as customers are able to pay ahead of schedule and time. Through these facilities, the customer pay facilities reduced. Moreover, the digital technology also enables the company to customize their own order. Consulting with Stakeholders While consulting the Stakeholders McDonald discovered three problems that marketers usually face in implementing the system: The products introduced in the new menu might not be acceptable or liked by the consumers The outlet renovation with self-service kiosk might not be convenient for customers who are not tech savvy The digital transformation considered as a product strategy for some marketers in transformation of the company while others might consider it a marketing strategy that aims that focuses on moving customer engagement and advertising from a traditional approach to digital approach (Janowski 2015). The stakeholders also pointed out that once there is understanding of the digital transformation marketers face issues in implementing the strategy. Moreover, the stakeholders did not want to remain engaged on an ongoing basis therefore, their reaction became slow to the change movement, resulted in lack of agreement, lack of interest in investing in initiatives for digital transformation. The operational plan for implementing digital transformation in McDonalds as follows(18): Ensure that the key staffs and senior managers participate in bringing in the transformation Input from the customers, advisors, partners and employees gathered at all levels. There should be benchmarking and analyses of other markets. The mission, vision and strategic goals of the company reviewed and revised. Revising and reviewing of business product/service offering and models Leveraging technologies for enhancing communication, collaboration and operational practices Updating expectations of performance management for reflecting emphasis on digital transformation Developing a plan for continuous innovation and learning Developing a Communication Strategy The digital technology for order and delivery services adopted by McDonalds will have an impact in every part of the business as it involves considering the ways of engagement of the customers, approach of the staffs in dealing with the projects, applying for leave, running for their annual reviews and even claiming expenses(Berman 2012). However, with buy-in from the employee even people who are investing in the digital transformation will struggle for reaping rewards. However, internal communication adopted through the following means: Through email marketing systems Communication through internal blog By setting up message boards and groups for supporting communication across departments Through the creation of quick polls and surveys Collective coaching enables teams to be acquainted with new methods of working. To adapt with the new digital technology that McDonalds plans to implement requires considerable coaching that will instill the necessary skills to the employees in dealing with the technology without any sort of external help. Through proper coaching the company can get promising results in terms of customer service and profitability. There are also training programs implemented by the HR representatives in order to adapt manager and teams in order to equip them with the necessary means for welcoming the change. This however, depends on the kind of training session implemented. The more the program is devoted to the new technology the more effective impact believed to have. These sessions also helps in personal development about the work ambience when it is becomes necessary to follow collaborative approaches. Develop and Present a System Proposal The innovation that is taking place digitally is only the beginning. McDonald has made an announcement of a mobile application aligned with advanced geo fencing capabilities that will be able to determine the customers who are approaching the restaurant thereby ensuring fresh food. This application will also provide facilities for mobile payment and let customers get their food without having to wait in the queue. Digital innovations can however not only take years but also months to deliver when applied across McDonalds varied geographies with multiple system of legacy. However, McDonald adopted the digital technology with scale and speed compared to its competitors. The company is presently building application network making using of Anypoint Platform. Therefore, the application system of McDonald helps in connecting the proprietary e-commerce systems and back end databases for creating a set of application programming interface (API) reused and applied for nutrition, orders, customer location and offers (Hess 2012). The API rapidly used for composing customer-facing application for social, web, mobile and kiosk based on restaurants. McDonalds have done a great job by launching systems that led to innovations that lie within the context of simplification of the menu, renovating outlets and digitations. The change in menu however, helped the company to increase its sales by 1.7% in the first quarter. Though is quite early to determine the success of the company but McDonalds plans to roll out the digital experience on a worldwide scale. The company is also able to change the perception of the quality of food amongst its customers. The digital strategy adopted by the company should be able to drive digital maturity thereby building skills for realizing the strategy. The process adopted should get encrusted among the employees who should be properly trained to deal with the technology. The technologies and system adopted by McDonald should also provide enough convenience to the consumers. Conclusion: The report concludes by describing about trailing the established system that involves presenting and developing a system proposal, determining the parameters and context, monitoring and reviewing the trial and opening of the improvement process. There is also discussion about a development plan for implementation of the new system. The report not only describes the ideas and concept of the system but also deals with extensive research of the new system implemented so that it ensures innovation in McDonalds References: Akin, B.A., Bryson, S.A., McDonald, T. and Walker, S., 2012. Defining a target population at high risk of long-term foster care: Barriers to permanency for families of children with serious emotional disturbances.Child Welfare,91(6), p.79. Aydeniz, M. and Kirbulut, Z.D., 2014. Exploring challenges of assessing pre-service science teachers pedagogical content knowledge (PCK).Asia-Pacific Journal of Teacher Education,42(2 Berman, S.J., 2012. Digital transformation: opportunities to create new business models.Strategy Leadership,40(2), pp.16-24. Chlons, C. and Dufft, N., 2017. The Role of IT as an Enabler of Digital Transformation. InThe Drivers of Digital Transformation(pp. 13-22). Springer International Publishing. Creswell, J.W. and Poth, C.N., 2017.Qualitative inquiry and research design: Choosing among five approaches. Sage publications. Fitzgerald, M., Kruschwitz, N., Bonnet, D. and Welch, M., 2014. Embracing digital technology: A new strategic imperative.MIT sloan management review,55(2), p.1. Gough, B., McFadden, M. and McDonald, M., 2013.Critical social psychology: An introduction. Palgrave Macmillan. Heath, S. and McDonald, J., 2012. 4. Creating Community: One Institutions Experience With Communities of Practice.Collected Essays on Learning and Teaching,5, pp.22-26. Hess, W., 2012.Pitch determination of speech signals: algorithms and devices(Vol. 3). Springer Science Business Media. Holt, J., 2013.Connected viewing: Selling, streaming, sharing media in the digital age. Routledge. Janowski, T., 2015. Digital government evolution: From transformation to contextualization. Kane, G.C., Palmer, D., Phillips, A.N., Kiron, D. and Buckley, N., 2015. Strategy, not technology, drives digital transformation. MIT Sloan Management Review and Deloitte University Press,14. Lawrence, A.T. and Weber, J., 2014.Business and society: Stakeholders, ethics, public policy. Tata McGraw-Hill Education. Matt, C., Hess, T. and Benlian, A., 2015. Digital transformation strategies.Business Information Systems Engineering,57(5), pp.339-343. McDonald, K., 2015. From Indymedia to Anonymous: rethinking action and identity in digital cultures.Information, Communication Society,18(8), pp.968-982. Peppard, J. and Ward, J., 2016.The strategic management of information systems: Building a digital strategy. John Wiley Sons. Taylor, R.W., Fritsch, E.J. and Liederbach, J., 2014.Digital crime and digital terrorism. Prentice Hall Press. Ting, Y.L., 2013. Using mobile technologies to create interwoven learning interactions: An intuitive design and its evaluation. Computers Education, 60(1), pp.1-13. Zimmermann, A., Schmidt, R., Sandkuhl, K., Wiotzki, M., Jugel, D. and Mhring, M., 2015, September. Digital enterprise architecture-transformation for the internet of things. InEnterprise Distributed Object Computing Workshop (EDOCW), 2015 IEEE 19th International(pp. 130-138). IEEE.

William Moraley Biography

William Moraley always viewed the British colonies using a poor labourer’s perspective. He lived between 1698 and 1762. Moraley left England at the age of twenty years and moved to America as an indentured servant. This was after a short law apprenticeship.Advertising We will write a custom essay sample on William Moraley Biography specifically for you for only $16.05 $11/page Learn More The experiences Moraley went through frustrated him greatly. Therefore, after he was through with the final indenture, he passed via the middle colonies and went back to England. This happened in 1734. Nine years later, Moraley published a memoir, which was referred to as The Infortunate. Life for the Poor Free Workers and Bound Servants in the Colonies In the 1600s, a majority of the bonded labourers who occupied the British interior settlements were white Europeans as opposed to black Africans. The occupants were mostly poor males and females who had moved from England. Moreover, they had contracts to work in the colonies for a number of years. In return, they would be granted free passageway to America, basic necessities, and clothing. The British colonies’ occupants were viewed as indentured servants. This implies that they had minimal freedoms while attending to their masters. After fulfilling the 4- 7 years contract, they were set free. The enslaved Africans were not granted such contracts. The number of enslaved Africans increased during the 1700s when British America required more labourers[1]. Intensive labour was necessary to clear the massive lands, which were over- grown with wood for decades. It is worth noting that cultivating such land called for difficult labour. Therefore, many English servants were employed to improve the lands. The servants were offered huge immunities and after their servitude was over, they were enticed by being given land. This ensured that they stayed for longer. In addition, they were obligate d to bring in large numbers of African Negro slaves. This ensured that they were made the richest farmers globally. The Negroes were subjected to severe laws. My take is that no single law favoured the unhappy Wretches. Committing the least mistake made someone a victim of severe punishment. The masters made amends where the slaves were permitted to marry. This was a strategy of ensuring that the slaves did not run away.Advertising Looking for essay on history? Let's see if we can help you! Get your first paper with 15% OFF Learn More If a Negro died while being punished, the master was not subjected to any punishment. There was no law that protected the slaves from being murdered. In case a Negro killed another slave, he was supposed to pay the slave’s value to his master. Moreover, he was obligated to pay his master for the losses he would undergo for losing the slave. The slaves were given pieces of land, which they were supposed to improve. They were also ex posed to hard labour for an entire week. Only Sunday was free for the slaves to work for themselves. On Sundays, the slaves had to sell grain and corn so as to get money for purchase the basic necessities. The master’s wife had the obligation of taking care of the slave’s children. The slaves were never left free for the fear that they would end up being burdensome to the provinces. There was a law that no master was supposed to emancipate any of his slaves. The slaves’ indentures originated from England. Therefore, their living conditions were extremely difficult. Upon arrival, the slaves were provided with the necessities stipulated in the indentures. Some of the provisions included drinks, meat, and attire. However, the masters failed to fulfil their responsibility regarding these provisions. People who traced those trying to escape were rewarded greatly. Written and printed advertisements were made everywhere, which implied that the escaping slaves could not go far without being traced[2]. Hot pursuits prevented people from trying to escape. On return, they were required to serve for longer periods. It is worth pointing out that Moraley also signed an indenture. A majority of the indentured slaves in the 18th century were young teenagers who lacked occupational skills. In my view, there are a number of factors that compel people to move from one place to another. Push factors constitute of politics, warfare, finances, social nonconformity, religion, criminality, alienation, indebtedness, and family challenges. On the other hand, pull factors include finances, employment chances, land accessibility, and escape from individual challenges. To ensure that there was no interruption from the female slaves, an indenture’s period was lengthened in case she became pregnant. The law permitted sale and purchase of servant’s contracts. This means that labour rights changed hands. However, the person was still a piece of property.Adve rtising We will write a custom essay sample on William Moraley Biography specifically for you for only $16.05 $11/page Learn More Prosperity Difficulties The Negroes were allowed by their masters to marry. This ensured that they had no chance of running away. The implication of the marriage was that all generations were slaves, and there was redemption. Therefore, prosperity was extremely difficult. Running away from the colonies would have been useful in enhancing prosperity. However, an individual who was caught trying to escape was exposed to extremely grave punishments such as unmerciful whipping. Bibliography Hollitz, John. Contending Voices: Biographical Explorations of the American Past. New York: Pantheon Books, 2011. Klepp, Susan E., and Billy Smith. The Infortunate: The Voyage and Adventures of William Moraley, an Indentured Servant. New York: Knopf, 2005. Footnotes John Hollitz, Contending Voices: Biographical Explorations of the American Pa st (New York: Pantheon Books, 2011), 45. Susan E. Klepp and Billy Smith, The Infortunate: The Voyage and Adventures of William Moraley, an Indentured Servant (New York: Knopf, 2005), 45. This essay on William Moraley Biography was written and submitted by user Emmett Hewitt to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Use the French Verb Dire to Tell Someone Off

Use the French Verb Dire to Tell Someone Off The French verb dire  means to say or to tell and is used in many idiomatic expressions. Learn how to tell someone off, talk nonsense, be a yes-man and more using this list of expressions with dire. Dire is a widely used irregular verb, which means it follows the beat of its own drum regarding conjugations. This is one of those verbs whose forms you simply have to memorize. Formulas dont apply.   Common French Expressions With Dire dire quelquun ses quatre và ©rità ©sto give someone a piece of ones minddire quelquun son fait, dire son fait quelquunto tell someone offdire ce quon a sur le cÅ“urto get something off ones chestdire des sottises / bà ªtisesto talk nonsensedire queto say; to think thatdire toujours amento be a yes-man ce quil ditaccording to him qui le dis-tu  ?youre telling me! vrai direto tell you the truthAussità ´t dit, aussità ´t faitNo sooner said than doneautrement ditin other wordsÇa ne me dit pas grand-chose.I dont think much of that.Ça ne me dit rien.That does nothing for me; I dont feel like doing that.That means nothing to me; I dont remember that.Ça me dit quelque chose.That rings a bell.Ça te dit  ?Do you feel like doing that?   Does that sound good to you?Ceci/Cela ditThat said; Having said thatCela va sans dire.It goes without saying.cestdirethat is; i.e.; I meanCest beaucoup dire.Thats saying a lot.Cest moi qui te le dis.Take my word for it.Cest peu d ire.Thats an understatement. Cest plus facile dire qu faire.Easier said than done.Cest toi qui le dis.Thats what you say.Comment dirais-je  ?How shall I put it?  What can I say?comme on ditso to speak; as they sayDis donc / Dites doncWow; hey; listenentendre dire queto hear (it said) thatEst-ce dire que...?Does this mean that...?Il ny a pas direTheres no doubt about it.Je ne dis pas non.I wont say no.Je ne te le fais pas dire  !Im not putting words in your mouth!I didnt make you say it!Je te lavais dit.I told you so.Mon petit doigt ma ditA little birdie told mene pas se le faire dire deux foisnot to have to be told twiceon dirait que...youd think that...ou pour mieux direto put it another way; in other wordspour ainsi direso to speakpour tout direin factQue dites-vous  ?I beg your pardon? What did you say?Tu as beau dire, je ne te crois pas.It doesnt matter what you say, I dont believe youvouloir direto meanse direto say to oneself;  to think; to claim to be; to be saidCela ne se dit pas. (passive r eflexive)That (just) isnt said. Cela te dit de (sortir, manger)?How does (going out, eating) grab you? What do you think of (going out, eating)?On se dirait en France.Youd think you were in France.

Vietnam and Gulf Wars Essay Example | Topics and Well Written Essays - 500 words

Vietnam and Gulf Wars - Essay Example The decision to send U.S troop to Vietnam did not take into considerations the view of the public or the Congress. Negative impressions by the public and many political bigwigs persisted throughout the time that the U.S troops were in Vietnam. The public was up in arms at the amount of money that was used during this time of war in Vietnam. The losses were not only in monetary terms but also in the number of soldiers who perished (Rosenau 46). So many soldiers died and others were also injured. It was the first time that the United States had suffered a loss in war. The Vietnam War left an economic dent that was felt throughout the U.S. apart from that, shame and perceived weakness in military force and policies were exposed for the whole world to see (McNamara and VanDeMark 67). The eventual pull out of the force seemed like an acceptance of a mistake and defeat. The eventual effects of the Vietnam disaster were still lingering in the minds of the American public and political players. When the ‘free Kuwait† decision that ultimately led to sending of troops in the Gulf region was made, the American citizens were not very pleased. They criticized the decision. The aftermath of Vietnam had an effect on the foreign policy decisions and the reluctance of people to go through an ordeal like the previous one. The public saw it as another catalyst for an economic slowdown and massive loss of lives for an international situation that did not â€Å"scream† out for their participation. According to the public and some political players, it was not necessary to go to war at the moment leave alone going there with brimming confidence of a win. Since the US aimed at being the superior power, involvement in the war led to the breaking of relations especially after the US invaded Grenada and Panama (Murrin, et al. 844).   Countries such as the Soviet Union were silently not amused by the antics of United States. Slowly, U.S was creating a divide and even causing tensions with its long-term allies.  Ã‚  

Government accountability office Essay Example | Topics and Well Written Essays - 750 words

Government accountability office - Essay Example The current goals and objectives of the Department of Defence are: a] To counter terrorism and irregular warfare, b] Deter and defeat aggression, c] Project power despite anti-access & area denial challenges, e] Counter weapons of mass destruction, f] Operate effectively in cyberspace and space, g] Maintain a safe, secure and effective nuclear deterrent, h] Defend the Homeland and provide support to Civil authorities, i] Provide a stabilizing presence, j] Conduct stability and counter-insurgency operations and, k] Conduct humanitarian, disaster relief and other operations. 6. The department is organized as, a] the Office of the Secretary of Defence, b] the Department of the Army, b]the Department of the Navy, c] the Department of the Air Force, d] the office of the Joint Chiefs of Staff, and e] Combat Commands [Africa, Central, European, Northern, Pacific, Southern, Special Operations, Strategic & Transportation ] 2 7. Overall, 3.5 million people work in the Department of Defence, in cluding civilian employees. Navy=322,441 as of April 16, 2013; Army=480,000; Air Force=332,800 8. FY 2012 Budget Expenditures = $729 billion 9. FY 2013 Budget Appropriations = $672.880 billion 10. FY 2014 Budget Request = $613.9 billion 11. Five performance measures of the Department of Defence: 12. The Department currently has job opportunities in 3 broad categories. Active duty, Reserve and Civilian. In the first and second categories, opportunities exist for field operations, combat operations and support operations. Support operations include, administrative, housekeeping, engineering, and training functions. In the civilian category, opportunities exist for a wide range of functions, such as academic, cooking, housekeeping, accounting, maintenance, information management, recreation, logistics, construction, engineering, translating, clerical and administrative. 13. In my opinion, I feel that the Department of Defence is doing a great job and is striving hard to accomplish its mission. Based on the missions and goals of the department in their government reports, the evaluation is given below – One of the primary missions of the Department of Defense (DOD) is to supply military forces necessary to provide security to the country and deterring war. The headquarters of the Department of Defense is located at the Pentagon. The chief policy advisor to the President is the Secretary of Defense, who works in tandem with the Deputy Secretary who exercises authority in all military related matters. Being the world’s biggest employer, they also employ a huge Civilian force comprising of both men and women who are on active duty and serve in the National Guard and the Reserve forces. 3 The mission of the Defense.gov is to lend complete support to uphold the mission of the Department of Defense. Their duty is to provide accurate and timely information regarding the functions and operations, Defense policies and any other information regarding the Depar tment of Defense, and this information, in turn is provided to military members and their families, DoD civilians, the news media, Congress and the general public of America. ‘The protection of the public fiscal is a matter that is of interest to every citizen†. (Brock v. Pierce County, 476 U.S. 253, 262 (1986) A Federal agency has the power to function to the extent authorized by law. Brock v. Pierce Co

The purpose of sampling Essay Example for Free

The purpose of sampling Essay DQ 1: What is the purpose of sampling? What are some concerns and dangers of sampling? How important is the sample design to data validity? Explain. Provide an example where a sample might misrepresent data validity. DQ 2: What are some examples of operational definitions in research design within your profession? General Questions General General Questions QNT 561 All Week 2 Assignments – Business Research Methods Part 1 Includes: Week 2 Discussion questions 1, 2 Week 2 Learning team assignment Week 2 practice problems Week 2 Central Limit Theorem and Confidence Intervals Week 2 Business Research Methods, Part I as described below Identify and analyze a research question that applies to your organization. Prepare a 350- to 700-word milestone. Choose an organization with which your team is familiar. Develop a research question arising from an organizational dilemma. Make sure you define the problem. Determine an appropriate research design. Describe its characteristics, such as independent and dependent variables, operational definitions, and so forth. Identify a sample design to use for collecting data. Format your paper consistent with APA guidelines. Be careful about submitting your initial draft. Allow yourself sufficient revision time. Rather than just proofreading, create a second draft. Then, proofread this draft and make any needed changes. This will ensure that no errors have been overlooked and that the quality of the writing is high. In this pack of QNT 561 Week 2 Discussion Questions you will find the next information: DQ 1: What is the purpose of sampling? What are some concerns and dangers of sampling? How important is the sample design to data validity? Follow the link to get tutorial https://bitly.com/10tANTB Be careful about submitting your initial draft. Allow yourself sufficient revision time. Rather than just proofreading, create a second draft. Then, proofread this draft and make any needed changes. This will ensure that no errors have been overlooked and that the quality of the writing is high. General Questions General General Questions QNT 561 All Week 2 Assignments – Business Research Methods Part 1 Includes: Week 2 Discussion questions 1, 2 Week 2 Learning team assignment Week 2 practice problems Week 2 Central Limit Theorem and Confidence Intervals Week 2 Business Research Methods, Part I as described below Identify and analyze a research question that applies to your organization. Prepare a 350- to 700-word milestone. Choose an organization with which your team is familiar. Develop a research question arising from an organizational dilemma. Make sure you define the problem. Determine an appropriate research design. Describe its characteristics, such as independent and dependent variables, operational definitions, and so forth. Identify a sample design to use for collecting data. Format your paper consistent with APA guidelines.

Character Names in Joseph Helers Catch-22 Essay -- Joseph Heler Catch

Character Names in Joseph Heler's Catch-22 Many characters in Joseph Heler’s Catch-22 do not have proper names. Like the Texan, the soldier in white, and the soldier who saw everything twice, Nately’s whore’s kid sister does not have a specific birth name. This namelesnes forces the reader to question her identity, her characteristics, and her role in the work in relation to other characters. As Nately’s whore’s kid sister, she is at least two degres of separation away from a real name, a true identity. The reader is forced to consider this character first in relation to Nately and then as the kid sister of a whore who also lacks a proper name. Every formulation of the kid sister’s identity must be filtered through these other characters. This distance from authentic identity makes her more of an abstraction than a recognizable character. She is described as innocent, dependent, and pre-sexual. These qualities put her in direct contrast with the corupt, immoral, and hedonistic ch aracters that populate the pages of this novel. An examination of her name (or lack thereof), her behavior, and her interactions with and influence upon other characters in this novel show Nately’s whore’s kid sister to be an embodiment of human innocence and hopefu longing for a brighter future. Insight may be gained most easily by breaking her name down into its component parts—kid and sister. â€Å"Kid† is a coloquialism for child. Her behavior is repeatedly described in terms that one would asociate with a child. She is easily appeased with a hug and some chocolate ice cream. Her dependency and ned for atention can be seen in the way she tags along wherever Nately and his whore go and in her eforts to imitate her elders. Repeating what her ... ... and the sense of joy he now feels for living. These feelings are inspired by the kid sister and the innocence and hopefulnes that she represents. In Catch-22, Heler presents the human spirit in conflict with a contradictory world. The institutions that form the basis of society—government, commerce, religion—fail to provide the support neded for the mental, physical, and spiritual health of the species. Nately’s whore’s kid sister can be sen as a personification of the wil to survive. In the kid sister, Heler presents an irepresible, eternal hope for the future of humankind. Despite the ravages of war, abuse, neglect, depravity, and unrestrained capitalism the human soul continues to search for inspiration, for the innocent kid sister, for a way to the imposible shores of Sweden. Works Cited: Heler, Joseph. Catch-22. 1955. New York: Simon & Schuster, 1996.

Pediatric Recommended Core Measures Health And Social Care Essay

After run intoing Stage 1 for the two old ages, Fletcher Allen Partners will necessitate to run into meaningful usage Phase 2 standards get downing in 2014 ( Figure 1 ) . With this following phase, EHRs will farther salvage Fletcher Allen Partners money, save clip for physicians and infirmaries, and salvage lives.The Stage 2 standards includes new aims to better patient attention through better clinical determination support, attention coordination and patient battle ( cms.com ) . The phase 2 ends would spread out the Phase 1 standards and concentrate on the meaningful usage of electronic wellness records ( EHRs ) to back up the purposes and precedences of the National Quality Strategy ( NQS ) . The Phase 2 standards encourages the usage of wellness IT for uninterrupted attention and information quality betterment. The proposed Phase 2 meaningful usage demands include strict outlooks for wellness information exchange and include: more demanding demands for eprescribing ; integrating structured laboratory consequences ; and the outlook that suppliers will electronically convey patient attention sum-ups with each other and with the patient to back up passages in attention. Phase 2 focal points on existent usage instances of electronic information exchange and requires that a supplier direct a sum-up of attention record for more than 50 % of passages of attention and referrals. The regulation besides requires that a supplier electronically transmit a sum-up of attention for more than 10 % of passages of attention and referrals. Increasingly robust outlooks for wellness information exchange in Stage 2 and Stage 3 would back up the end that information follows the patient ( Federal Register, 2012 ) . To let suppliers clip to follow 2014 certified EHR engineering and fix for Stage 2, all participants will hold a three-month coverage period in 2014. Figure 1: Phases of Meaningful Use Beginning: NeHC University ( 2012 )REQUIREMENTS FOR STAGE 2 IMPLEMENTATIONCore Aims and Menu Aims Fletcher Allen Partners must run into certain demands for a successful Phase 2 execution. The figure of Stage 1 and Stage 2 entire aims remains the same, EPs are must run into the the step of 20 entire aims and CAHs must run into the step of 19 entire aims. However, the combination of aims has changed. Under Phase 2, eligible professionals ( EPs ) must run into the step or measure up for an exclusion to 17 nucleus aims and 3 of 6 bill of fare aims and eligible infirmaries ( EHs ) and CAHs must run into the step or measure up for an exclusion to 16 nucleus aims and 3 of 6 bill of fare aims ( Figure 2 ) . This is a alteration from EP ‘s holding to run into 15 nucleus aims and EHs holding 14 nucleus aims and 5 bill of fare aims severally. About all of the Stage 1 nucleus and bill of fare aims are retained for Stage 2. Figure 2: Changes from Phase 1 to Stage 2 Phase 1 Phase 2 Eligible Professionals 15 nucleus aims 17 nucleus aims 5 of 10 bill of fare aims 3 of 6 bill of fare aims 20 entire aims 20 entire aims Eligible Hospitals & A ; CAHs 14 nucleus aims 16 nucleus aims 5 of 10 bill of fare aims 3 of 6 bill of fare aims 19 entire aims 19 entire aims Clinical Quality Measures needed to be captured by FAP In add-on to run intoing the nucleus and bill of fare aims, eligible professionals, eligible infirmaries and CAHs are besides required to describe clinical quality measures.The clinical quality steps ( CQMs ) are tools used to mensurate and track the quality of health care services by eligible professionals ( EPs ) , eligible infirmaries ( EHs ) and critical entree infirmaries ( CAHs ) within the health care system. The CQMs step many facets of patient attention to include wellness results, clinical procedures, patient safety, efficient usage of healthcare resources, attention coordination, patient battles, population and public wellness, and clinical guidelines.The measuring and coverage of the CQMs guarantee that Fletcher Allen Partners deliver efficient, patient-centered, and safe quality care.A Eligible professionals must describe on 6 entire clinical quality steps: 3 required nucleus steps ( or 3 surrogate nucleus steps ) and 3 extra steps ( selected from a set of 38 clinical qu ality steps ) . Eligible infirmaries and CAHs must describe on all 15 of their clinical quality steps ( CQMS, cms.gov ) . Centers for Medicare & A ; Medicaid Services ( CMS ) selected the recommended nucleus set of CQMs for EPs based on analysis of several factors: Conditionss that contribute to the morbidity and mortality of the most Medicare and Medicaid donees Conditionss that represent national public wellness precedences Conditionss that are common to wellness disparities Conditionss that disproportionately drive health care costs and could better with better quality measuring Measures that would enable CMS, States, and the supplier community to mensurate quality of attention in new dimensions, with a stronger focal point on penurious measuring Measures that include patient and/or health professional battle Get downing in 2014, all Medicare-eligible suppliers in their 2nd twelvemonth and beyond of showing meaningful usage must electronically describe their CQM information to CMS. Medicaid suppliers will electronically describe their CQM information to their province. As Figure 3 shows, EPs must describe on 9 of the 64 approved CQMs. Selected CQMs must cover at least 3 of the National Quality Strategy domains Eligible Hospitals and CAHs must describe on 16 of 29 approved CQMs Selected CQMs must cover at least 3 of the National Quality Strategy domains. Get downing in 2014, all Medicare-eligible suppliers beyond their first twelvemonth of showing meaningful usage must electronically describe their CQM information to CMS informations to CMS. Figure 3: Clinical Quality Measures ( CQMs )SupplierPrior to 20142014 and Beyond*EPs Complete 6 out of 44 Complete 9 out of 64 aˆ?3 nucleus or 3 elevation. nucleus Choose at least 1 step in 3 NQS spheres aˆ?3 bill of fare Recommended nucleus CQMs include:Aaˆ?9 CQMs for the grownup population aˆ?9 CQMs for the paediatric population aˆ?Prioritize NQS spheresAEligible Hospitals and CAHs Complete 15 out of 15 Complete 16 out of 29 aˆ?Choose at least 1 step in 3 NQS spheresAFor 2014, CMS is non necessitating the entry of a nucleus set of CQMs. A Alternatively we identify two recommended nucleus sets of CQMs, one for grownups and one for kids. A We encourage eligible professionals to describe from the recommended nucleus set to the extent those CQMs are applicable to your range of pattern and patient population. Figure 4 shows the recommended nucleus steps: Figure 4: Recommended Core MeasuresAdult Recommended Core MeasuresPediatric Recommended Core MeasuresControling High Blood Pressure Appropriate Testing for Children with Pharyngitis Use of High-Risk Medications in the Aged Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Preventive Care and Screening: A Tobacco Use: A Screening and Cessation Intervention Chlamydia Screening for Women Use of Imaging Studies for Low Back Pain Use of Appropriate Medications for Asthma Preventive Care and Screening: A Screening for Clinical Depression and Follow-Up Plan Childhood Immunization Status Documentation of Current Medications in the Medical Record Appropriate Treatment for Children with Upper Respiratory Infection ( URI ) Preventive Care and Screening: A Body Mass Index ( BMI ) Screening and Follow-Up Attention deficit disorder: A Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder ( ADHD ) Medicine Closing the referral cringle: reception of specialist study Preventive Care and Screening: A Screening for Clinical Depression and Follow-Up PlanAAChilds who have dental decay or pits Patient Care Improvements Patient entree to their wellness information is an of import facet of patient attention and battle, and the capablenesss of CEHRT in 2014 and beyond will enable suppliers to do this information available online in a manner that does non enforce a important load on suppliers. Patient engagement – battle is an of import focal point of Stage 2. There are 26 Requirements for Patient Action: More than 5 % of patients must direct secure messages to their EP. More than 5 % of patients must entree their wellness information online. Loss of future gross through authorities inducements Changes to Medicare EHR Incentive Programs The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, eligible infirmaries and critical entree infirmaries ( CAHs ) as they adopt, implement, upgrade or show meaningful usage of certified EHR engineering. Eligible professionals can have up to $ 44,000 through the Medicare EHR Incentive Program and up to $ 63,750 through the Medicaid EHR Incentive Program. The Medicare and Medicaid EHR Incentive Programs provide fiscal inducements for the â€Å" meaningful usage † of certified EHR engineering to better patient attention. To have an EHR incentive payment, suppliers have to demo that they are â€Å" meaningfully utilizing † their EHRs by run intoing thresholds for a figure of aims. CMS has established the aims for â€Å" meaningful usage † that eligible professionals, eligible infirmaries, and critical entree infirmaries ( CAHs ) must run into in order to have an incentive payment. A The Medicare and Medicaid EHR Ince ntive Programs are staged in three stairss with increasing demands for engagement. All suppliers begin take parting by run intoing the Phase 1 demands for a 90-day period in their first twelvemonth of meaningful usage and a full twelvemonth in their 2nd twelvemonth of meaningful usage. After run intoing the Phase 1 demands, suppliers will so hold to run into Stage 2 demands for two full old ages. Eligible professionals participate in the plan on the calendar old ages, while eligible infirmaries and CAHs take part harmonizing to the federal financial twelvemonth beginnning on October 1st. ( EHR Incentive Program, cms.gov ) In order to successfully take part in the plan, EPs, EHs, and CAHs are required to subject CQMs to in order to have an incentive payment in the EHR Incentive Program.Beginning in 2014, the coverage of clinical quality steps ( CQMs ) will alter for all suppliers. EHR engineering that has been certified to the 2014 Edition criterions and enfranchisement standards will hold been tested for enhanced CQM-related capabilities.ELECTRONIC Coverage: In order to let participants to successfully describe CQMs electronically for 2014, CMS is supplying a set of electronic specifications for clinical quality steps ( eCQMs ) for eligible professionals and eligible infirmaries for usage in the EHR Incentive plan for electronic coverage. A These electronic specifications contain multiple parts which allow certified EHR engineering systems to be plan to accurately capture, calculate, and describe clinical quality steps electronically for the 2014 CQMs. A Each eCQM can be described in 3 different ways depending on the intended usage: HTML A – A This is a human clear format so that the user can understand both how the elements are defined and the implicit in logic used to cipher the step. XML – This is a computing machine clear format which enables the machine-controlled creative activity of questions against an EHR or other operational informations shop for quality coverage. Value Sets – Value sets are the specific codifications used by developers to plan the system to accurately capture patient informations in the EHR system. A ATo have the maximal EHR inducement payment, Medicare eligible professionals must get down engagement by 2012.Eligible professionals who demonstrate meaningful usage of certified EHR engineering can have up to $ 44,000 over 5 uninterrupted old ages under the Medicare EHR Incentive Program Incentive payments for eligible professionals are higher under the Medicaid EHR Incentive Payments- up to $ 63,750 over 6 old ages under the Medicaid EHR inducement plan Get downing in 2015, Medicare eligible professionals who do non successfully show meaningful usage will be capable to a payment accommodation. The payment decrease starts at 1 % and increases each twelvemonth that a Medicare eligible professional does non show meaningful usage, to a upper limit of 5 % . The eligibility for the EHR inducement plan is determined by the HITECH Act. The lone eligibility alterations under Phase 2 are under the Medicaid EHR incentive plan. The Phase 2 eligibility. Meaningful usage way for Medicare eligible doctors ( EPs ) : Meaningful usage way for Medicare infirmaries: *Payments will diminish for infirmaries that start having payments in 2014 and subsequently. The alterations from Phase 1 to Stage 2 are as follow: Reporting Period Reduced to Three Months – to let suppliers clip to follow 2014 certified EHR engineering and fix for Stage 2, all participants will hold a three-month coverage period in 2014. â€Å" Phase 2 ends, consistent with other commissariats of Medicare and Medicaid jurisprudence, would spread out upon the Phase 1 standards with a focal point on guaranting that the meaningful usage of EHRs supports the purposes and precedences of the National Quality Strategy. Specifically, Stage 2 meaningful usage standards would promote the usage of wellness IT for uninterrupted quality betterment at the point of attention and the exchange of information in the most structured format possible. Our proposed Phase 2 meaningful usage demands included strict outlooks for wellness information exchange including: more demanding demands for eprescribing ; integrating structured laboratory consequences ; and the outlook that suppliers will electronically convey patient attention sum-ups with each other and with the patient to back up passages in attention. Increasingly robust outlooks for wellness information exchange in Stage 2 and Stage 3 would back up the end that information follows the patient. † Hospitals- FY14 ) Providers-Jan 2014

Essay about Repression of the Native American Society

Intro: Ever since the first white settlers arrived at America in 1492, the Native American population has been seen as a minority. People who weren’t as good as the new â€Å"white† settlers and unfit to live the new found land of America. As America expanded westward with the Louisiana Purchase and war with Mexico that ceded the south west to the U.S. as a result of the treaty of the 1803 Guadaplupe-Hildago Treaty, white settlers continued to move westward. They found rich fertile land, but there was a problem. The land they so desperately wanted was already occupied by Native Americans. The stage was set of inevitable conflict as a full out war between the U.S. government and natives then ensued. Some tribes fought back, like the Sauk, Fox,†¦show more content†¦While the Chicksaw Indians were being forcibly removed by soldiers from orders by Jackson in 1832, the Cherokee took one final stand by appealing to the U.S. government for the rights to their land and recieve just treatment through the U.S. legal system. â€Å"Chief Justice Marshall refused to rule on the first case the Cherokee brouht against the state of Georgia, though, because in his view the Cherokee Nation had no federal standing; it was neither a foreign nation nor a state, but rather a â€Å"domestic dependent nation.† (The Americans 228) But the Cherokee would not In Worchester v. Georgia (1832) the Cherokee nation won recognition as a distinct political community and granted the rights to their land by the Supreme Court. Finally the Cherokee had believed that they had won. They thought that no Georgian settler could take their land from them. But President Jackson had it in his mind that the Cherokee were the last thing that kept him from his dream of what America would be. A land for and ruled by the white population. Jackson ignored the court ruling, saying, â€Å"John Marshall had made his decision; now let him enforce it.† (The Americans, 228). But the Judiciary branch was not put in place to carry out laws, simply to just interpret them. In 1835, the Treaty of New Echota was signed, declaring the the last 8 million acres of Cherokee land would be given to the federal government in exchange for 5 million dollars and land inShow MoreRelatedNative American Education Essay1530 Words   |  7 PagesNative American Education Through the years minority groups have long endured repression, poverty, and discrimination. A prime example of such a group is the Native Americans. They had their own land and fundamental way of life stripped from them almost unceasingly for decades. 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