Friday, January 31, 2020

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.

Thursday, January 23, 2020

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.

Wednesday, January 15, 2020

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

Tuesday, January 7, 2020

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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