buy custom Aligning Incentives in Medicare essay

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

College Science Fair Projects by Topic

College Science Fair Projects by Topic It can be a challenge to come up with a science fair project idea. There is fierce competition to come up with the coolest idea, plus you need a topic that is considered appropriate for your educational level.   A well-designed project at the college level can open the door to future educational and career opportunities, so it pays to put some thought and effort into your topic. A good project will answer a question and test a hypothesis. Planning and Research College students usually have a semester to complete their project, so they have some time to plan and conduct research. The goal at this level is to find an original topic. It doesnt have to be something complicated or time-consuming. Also, appearances count. Aim for professional-quality images and presentation. Handwritten work and drawings wont work as well as a printed report or poster with photographs. Possible ideas, divided by topic, include: Plants and Seeds Does the presence of detergent in water affect plant growth? In what ways? What is the implication regarding water pollution?Does magnetism affect the growth of plants? In what way?Is a seed affected by its size? Do different size seeds have different germination rates? Does seed size affect the growth rate or final size of a plant?How close does a plant have to be to a pesticide for the pesticide to work? What factors influence the effectiveness of a pesticide, such as rain, light or wind? How much can you dilute a pesticide while retaining its effectiveness? How effective are natural pest deterrents?What is the effect of a chemical on a plant? You can look at natural pollutants- such as motor oil or runoff from a busy street- or unusual substances, for example, orange juice or baking soda. Factors that you can measure include rate of plant growth, leaf size, life/death of the plant, the color of the plant, and ability to flower/bear fruit.How does cold storage affect the germinatio n of seeds? Factors you can control include the type of seeds, length of storage and the temperature of storage, light, and humidity. Food How does the shape of an ice cube affect how quickly it melts?Do the same types of mold grow on all types of bread? Are certain preservatives better at inhibiting dangerous molds than others?Is the nutritional content of different brands of a vegetable (such as canned peas) the same? How much variation is there in any given product? Miscellaneous What forms of recycling are available to students? If college students participated in these recycling programs, what would be the effect on cost, the environment?Do consumers prefer bleached paper products or natural-color paper products? What factors affect the preference? Age? Socioeconomic status? Gender?Solve a problem. For example, can you design a better type of street intersection?

Sheppard v. Maxwell, 384 U.S. 333 (1966) & Williams v. Florida 399 Assignment

Sheppard v. Maxwell, 384 U.S. 333 (1966) & Williams v. Florida 399 U.S. 78 - Assignment Example The unprecedented penetration of contemporary communications and the extreme difficulty associated with obliterating prejudicial publicity from the perception of the jury, necessitate the trial courts to adopt stringent measures to prevent a bias against the accused. The US Supreme Court found that the accused had been denied due process and reversed his conviction. With regard to the balance to be maintained between the First and Sixth Amendment rights, the Court held that collaboration between the press and counsel, regarding information influencing the fairness of the trial was subject to regulation, and was extremely censurable and merited disciplinary measures. The US Supreme Court decried the absence of decorum in the trial court, and the free reign given to the press during the hearing. The prejudicial posturing of the press had biased the jury, which declared the accused guilty, on the basis of the adverse publicity promoted by the press and not the evidence. In Williams v Florida, the prosecution admitted the deposition of an alibi witness to establish the guilt of the accused. The latter was convicted, and the conviction was upheld by the appellate court. At the US Supreme Court, Williams contended that his Fifth Amendment rights had been breached, as the evidence of the alibi witness had been utilized for convicting him. He also contended that his Sixth Amendment rights were violated, as the denial of a 12-man jury had deprived him of his right to trial by jury. (U.S. Supreme Court, Williams v. Florida, 399 U.S. 78 (1970), 1970). In this case, the US Supreme Court set aside precedent and legal tradition and declared the 12-man jury to be the perpetuation of a traditional idiosyncrasy. Accordingly, the Court upheld the constitutionality of the six-man jury, and held the 12-man jury to be its operational counterpart. The US Supreme Court held that the Florida criminal procedure did not force petitioners to provide courts

The management of people Essay Example | Topics and Well Written Essays - 2500 words

The management of people - Essay Example Management is a serious task (Aguilar, 2002). Low team morale is a hindrance to success in any project and it is the Manager's responsibility not only to make sure that the project is successful, but also see that the team is satisfied. People work in projects to make something for people. The problems in projects are human problems. For every technical, financial or schedule problem there is a human problem behind it. The most significant resource any business has is its people. A significant element in managing a complicated project knows how to manage the most precious asset the human resources. Perhaps the greatest challenge that is presented by a global project is the management of the human resource pools. This is true at a macro or overall staffing levels and micro or delegation of work to labour pools level. Management is now assuming a greater role to strategic business partners (Holsapple and Joshi. 2000). Successful businesses realize that true competitive advantage lies in the people. Businesses have been forced to redefine the responsibilities and develop a compelling response for critics who dispute human resource's value to the bottom-line. Management has been around since the dawn of civilization (Terry, 1960). In primitive societies almost everybody had to do physical labour. To break away from this burden, about the only choices were going into politics (kings) or religion (priests). Complications arise in tracing the history of management. Others see it by definition as a late modern in the sense of late modernity conceptualization (Ahmed, Lim, and Zairi. 1999). On those terms it cannot have a pre-modern history, only harbingers. Others, on the other hand, detect management-like activities in the pre-modern past. Civilized urban societies led to more specialization, produced new vocational alternatives to manual labour, and saw a tendency of those who did not work with the hands to look down on those who did. Others argue modern management as a discipline started as an off-shoot of economics in the 19th century (Drucker. 1988). Economists provided a theoretical background to resource allocation, production, and pri cing issues (Conceicao, Gibson, Heitor, and Shariq. 1997). About the same time, innovators produced elements of technical production such as standardization, quality-control procedures, cost-accounting, interchange ability of parts, and work-planning. Many of these aspects of management existed in the ante-bellum (pre-1861) US slave-based economy. There, 4 million people were, as the contemporary usages had it, managed in profitable quasi-mass production. By the late 19th century, a new layer of complexity is introduced to the theoretical underpinnings of management (Bennis, 1989). The first tertiary-level course in management in 1881 is offered. Management of People provides managers and human resource professionals with skills and knowledge for managing the people aspects of strategic implementation (McWilliams, Abagail, and Siegel 1999). In the early 21st century, it was easy to see the development of a "third wave" in these well-established concepts (Stacey, 1992). Just as the 21st century has seen new types of organizations and new ways of doing business arise, so, too, will there

1960-1970 Essay -- Essays Papers

1960-1970 During the 1960s the United States was going through a lot of social changes. One of the major trends was the widespread use of illicit drugs. The most common drugs used were hallucinogens, marijuana and LSD. Two men, Timothy Leary and Ken Kesey, were known as "the so-called acid gurus" of the sixties. They helped gain the recognition of LSD seemingly overnight. Leary and Kesey made very public exploitations and wrote many books to explain and vilify this phenomenon. It all happened so suddenly and soon after young men were wearing long hair and growing beards and the women dressed like peasants and wearing psychedelic colors. All of them dirty, drugged and carefree. They were known as hippies. Being a hippie was the primary trend of the sixties but to elders it was frightening and mystifying. Rock music became the most important way to unite the new hippie aesthetic. Brilliant colors and hallucinogenic imagery emerged from the music and was called psychedelic. Bob Dylan, the Grateful Dead, Jefferson Airplane among others were the first bands to jump into the psychedelic bandwagon in the sixties. In 1969, Woodstock, a music festival full of peace and happiness united over 450,000 people, causing numerous problems for the crowd. In 1960, John F. Kennedy was elected president. But Kennedy’s term came to a short and devastating end. On November 22, 1963 President Kennedy was assassinated in Dallas, Texas and Lyndon Johnson took over. During the sixties the Vietnam War was escalating and was the focus of many of the major protests. On January 30, 1968, "the North Vietnam army overran Saigon, making a daring predawn attack on the United States Embassy". There were more than 57,000 U.S soldiers killed i... ...t discrimination. Brooks used her poems to make a stand for her right to be equal as a black women in a white world. The University of Dayton in the 1960s under went a lot of changes. The president of the University was Raymond A. Roesch who later had the Roesch Library built in his honor. During the 1963-64 school year John F. Kennedy Memorial Union was complete and construction began on Albert Emanuel Library. In 1966, Chaminade Hall was exclusively used for one domain of school, Education. Gosiger Health Center was also completed in the winter of 1966. As for sports, John McVay took control over UD’s football team and reversed their losing streak. Tuition at UD was about $500 a term and increased about $5 dollars every year. To date, University of Dayton has become an extremely prominent university after all the hard work to complete the school.

“A Rose for Emily” Plot/Structure Essay

The plot of â€Å"A Rose for Emily† separates from the structure of most short stories by not following the normal chronological order. William Faulkner uses flashbacks to give a better understanding of the internal conflict between the protagonist, Miss Emily, and society. The nonlinear plot structure of â€Å"A Rose for Emily† gives life to the story and creates a different way of comprehending the narrative by keeping the reader confused on what exactly is happening. Faulkner begins the first section in present time, giving a recap of Emily’s life as the local townspeople attend her funeral. The funeral is held at her home, which no one had entered for over ten years, drawing the entire town to attend. The second section uses flashback, describing a time thirty years early, when Emily refused an official inquiry when the townspeople detect a powerful odor coming from her property. This all occurred after her father’s death and the man who people believed Emily would marry, disappeared. The town community begin to pity Emily, recalling when her aunt went insane. Another flashback occurs in section three, recounting when Miss Emily first began seeing the man people believe she would marry, Homer Barron. As their relationship continues, the sections ends with Emily goes to the drug store to purchase arsenic. In section four, Faulkner describes the reactions of Emily buying arsenic. Many believed that she was going to use the poison to kill herself, making her possible marriage to Homer seem unlikely. The women of the town insist that the Baptist Minister talk some sense into Emily; he does, never speaking of what happened but refusing to go back their again. His wife writes to Emily’s cousins who come for a extended stay. Emily purchases a  toilet with Homer’s initial which ignites rumors that the couple’s marriage was back on. Homer is absent from town, believed to be preparing for Emily’s move or avoiding her cousins. Homer reappears one evening but is never seen again. Refusing to leave her house, Emily grows plump and gray. Her door remains closed to outsiders besides an occasional china painting lesson. The short story ends in section five, returning to the present where the townpeople open a sealed upstairs room in Emily’s home. The room is frozen in time, with items of wedding laid out. The corpse of Homer Barron is stretched out upon the bed, along with a strand of Emily’s hair and indentation of a head on the pillow beside his body. â€Å"A Rose for Emily† plot structure keeps the reader interested while confused from the beginning to the very end. The narrators does wonders on making the nonlinear plot structure confusing yet comprehendible.

The Confederate Flag As A Symbol Of American History

The Confederate Flag Is the confederate flag a true symbol of â€Å"Heritage or Hate†? Recently there has been a big debate over the nation for the flying confederate flag. Many states in America’s south had the confederate flag as a part of their state flag, but this has been changed over the past few months. This confederate flag has been known and flown for many battles over the past century and a half, which was ever since the start of the Civil War in 1861. Some people today see this flag as a symbol of hatred and are willing to get rid of it by taking it down. On the other hand, some people see this flag as a symbol of American history and want to keep this flag flying for heritage. The real question is who is right and why? On July 10th, 2015 the confederate flag was finally taken down, along with the pole it flew on. After one hundred and fifty-four years this flag will forever be gone. Many people were happy and glad to see the confederate flag go because it ha s lately been seen as a symbol of hate. On June 17th, there was a shooting massacre in Charleston, South Carolina that was related to the confederate flag. This was all the more reason to take down the flag and to keep people from egging on hatred toward African-American people. On July 8th, 2015 a debate was held to see if the people wanted the flag to stay flying or to be taken down. â€Å"By 6:30 p.m., the chamber was engaged in an extended debate over a Pitts amendment that would remove the battle flag andShow MoreRelatedThe Confederate Flag As A Symbol Of American History1427 Words   |  6 PagesThe Confederate Flag Recently there has been a big debate over the nation for the flying confederate flag.Is the confederate flag a true symbol of â€Å"Heritage or Hate†? Many states in America’s south had the confederate flag as a part of their state flag, but this has been changed over the past few months. The confederate flag has been known and flown for many battles over the past century and a half, which was ever since thebeginning of the Civil War in 1861. Some people today see this flag as aRead MoreHistory Of The Confederate Flag1455 Words   |  6 PagesChase Jones History of the confederate flag In the past couple of year, there has been a controversial battle over the flying of the Confederate Flag on government buildings. The controversy has really started to stir up in the southern states such as South Carolina, Mississippi, and Georgia. On January 30, 2001, the state of Georgia changed its flag, removing the large Confederate battle cross from the 1956 design and replacing it with the state seal of Georgia. Now, the state of Mississippi isRead MoreThe Confederate Flag And The Civil War1508 Words   |  7 PagesThe Confederate Flag The Confederate Flag is the symbol for the Southern state in the Civil War. It is not just pieces of material. The flag represent families and where they came from. Flags have been a part of history since the beginning of time and the Confederate flag is a large part of the United States history. People need to learn what the flag has represented. The true meaning. Not what they think the flag has represented. Teaching the meaning of the Confederate flag needs to start in theRead MoreThe Confederate Flag And Its Controversy1335 Words   |  6 Pages In my paper I will be discussing the Confederate Flag and its controversy in history and in todays views. The Confederate flag has been a negative symbol in American society since the 1800’s. It has been only recently that the Confederate flag has been brought back to life as a contemporary issue. In recent times the flag has been used as a motivation for racial strikes and other rebellious acts bring the issues of the flag and the controversy behind it back to life. The major questions I seek toRead MoreThe Confederate Flag : A Negative Symbol Of American Society Since The 1800 S1316 Words   |  6 PagesThe Confederate flag has been a negative symbol in American society since the 1800’s. It has been only recently that the Confederate flag has been brought back to life as a contemporary issue. In recent times the flag has been used as a motivation for racial strikes and other rebellious acts bring the issues of the flag and the controversy behind it back to life. The major questions I seek to answer in this essay is why the controversy of the Confederate flag only been brought back up recently andRead MoreThe Confederate Flag : Controversy Or Logical Solution?1717 Words   |  7 PagesThe Confederate Flag: Controversy or Logical Solution? The Confederate flag has been a topic of controversy in the United States for many years. It and other symbols of the Confederacy are parts of many state flags in the South and it is even flown at several state buildings throughout the South. To some the Confederate flag is a historical symbol and is believed to be a way of remembering the Civil War that almost tore the nation in two, but to others it represents fear and hatred due to its useRead MoreThe Confederate Flag And Its Racist857 Words   |  4 Pagesright now is the Confederate Flag and whether or not it s racist. 42 percent think the flag represent southern heritage and the other 42 percent think it s racist and should be taken down. 75 percent believe it s racist and only one in ten will agree that it is southern heritage. Depending on what region is asked about if it is racist, there are different answers. The Midwest say it is racist and the south, of course, say it s not racist. A poll showed that African Americans, D emocrats, and theRead MoreThe Confederate Flag, By Winston Churchill1598 Words   |  7 PagesAs Winston Churchill stated, â€Å"The flags of the Confederate States of America were very important and a matter of great pride to those citizens living in the confederacy. They are also a matter of great pride for their descendants as part of their heritage and history,† but in present day, the American people are claiming the meaning of the confederate flag is hate and discrimination. In South Carolina, the confederate flag was taken down and placed in a museum after a heated debate stemming fromRead MoreConfederate Flag : History Or Hate1688 Words   |  7 Pages The Confederate Flag: History or Hate The beginning of Confederate flag controversy started due to the request of the NAACP (National Association for the Advancement of Colored People) to remove the flag off the South Carolina statehouse. This request, based on the fact that the anti-flag groups, claim that the meaning of the Confederate flag as one of hateful and discriminatory views. On the other hand, there are other groups that believe differently which considered themselves pro-flag groupsRead MoreConfederate Flag Is America s Swastika1512 Words   |  7 PagesConfederate Flag In The Hill, a top U.S. political magazine, in June 2015, Contributor H. A. Goodman wrote, â€Å"The Confederate flag is indeed America s swastika.† In the same way the Jewish community sees the swastika as a painful reminder of the Holocaust, the African-American community perceives the flag as a reminder of slavery and racial discrimination. The Confederate flag, a relic of the devastating Civil War, has become one of the most controversial and contentious icons in American history