Organizational Analysis Essay -- Medical Business, Clinical Practice S

Introduction An organizational analysis is an important tool to become familiar with how medical businesses and organizations are able to meet standards of care, provide services for the community and provide employment to health care providers. There are many different aspects to evaluate in an organizational analysis. This paper will describe these many aspects and apply the categories to the University Medical Center (UMC) as the organization being analyzed. Mission, Vision and Philosophy One of the first steps in developing an organization is to develop the vision, mission and philosophy of the organization. Vision statements are used to define the goals of an organization. The mission statement of an organization is a brief statement that explains the purpose that an organization exists. The organizational philosophy outlines the set of values and beliefs that controls the operations of an organization (Marquis, 2011). UMC’s vision is â€Å"to be nationally recognized for excellence in patient care, medical education, and biomedical research.† Their mission statement is â€Å"to serve through healing, education, and discovery.† The philosophy of UMC is â€Å"to value integrity, excellence, compassion, innovation, collaboration and dedication.† (www.mc.uky.edu) Organizational Structure Organizational structure provides the framework to enable members of the organization to delegate responsibility, maintain accountability and structure authority. UMC utilizes organizational structure and has organizational diagrams readily available for review when necessary. The chain of command in the Neurotrauma Intensive Care Unit (NTICU) included the assistive personnel reporting to nursing, nursing reporting to team leader for the shift, sh... ... http://www.mc.uky.edu Krive, J. (January 01, 2013). Building Effective Workforce Management Practices Through Shared Governance and Technology Systems Integration. Nursing Economic$, 31, 5, 231-236. Marquis, B. & Huston, C. (2011). Leadership Roles and Management Functions in Nursing : Theory and Application. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins. Pichert, J. W., Moore, I. N., Catron, T. F., Ross, J. C., Westlake, M. W., Karrass, J., Jay, J. S., ... Hickson, G. B. (October 01, 2013). An intervention model that promotes accountability: Peer messengers and patient/family complaints. Joint Commission Journal on Quality and Patient Safety, 39, 10, 435-446. Taplin, S. H., Foster, M. K., & Shortell, S. M. (January 01, 2013). Organizational leadership for building effective health care teams. Annals of Family Medicine, 11, 3.)

Let’s be Lefties for a Day Essay

During the â€Å"Let’s be lefties† experiment, I found it very difficult to complete my everyday morning tasks without using my right hand. Some of the things I did that day were laundry, dishes, (which took double the time) and writing with my left hand as well. According to the Huffington post, left handed people make up about only ten percent of the population, but researchers have found that in populations with certain mental disorders, rates increases. According to a recent study published in the Journal of Economic Perspectives, lefties make about 10 to 12 percent less annually than righties. The paper, written by Joshua Goodman, an economist at Harvard’s Kennedy School, is the first study to document the income gap between right-handed and left-handed people. It may have something to do with how left-handedness correlates with other attributes. Goodman found that left-handed people have more emotional and behavioral problems, have more learning disabilitie s such as dyslexia, complete less schooling, and work in occupations requiring less cognitive skill. In his research, Goodman analyzed five data sets from the U.S. and the U.K. that all look at how being left handed affects cognitive skill and income over a set amount of time. Goodman found that about 11 to 13 percent of the population is left-handed, a finding that prior research supports. Now that we’ve discussed the experiment along with some theories and facts about being left handed, we will now look at the importance of understanding cultural, ethnic, and gender differences by managers and professionals in a business setting. Diversity basically refers to the ways people differ from one another. People differ from each other in many ways such as culturally, ethnically and by gender. It can be difficult at times working as a team  with individuals from different backgrounds. Managers must understand the advantages and disadvantages brought on by different cultures. Cultural and ethnic differences are a fact of life in the workplace. People tend to stereotype individuals from other cultures or races. This can be challenging but must improve. To be effective and provide a better working environment, managers and employees need to recognize, respect, and capitalize on their differences. This will and can reduce stress and make a better workplace. Women in the workplace are still at a disadvantage. Women are regarded as inferior to men at the workplace in relation to job level and salary. In order to understand diversity in a professional workplace, it requires organization to develop policies and procedures that employees need to follow. According to the Health and Humans Services organization, cultural and linguistic competence are a set of behaviors, attitudes, and policies that enables effective work in cross-cultural situations and conveys information that is easily understood by diverse audiences. According to Huffington post, there is still a lot of work to be done with educating people in the acceptance of the diverse cultures and ethnic groups. In conclusion, we can offer videos, literature, activity and role playing as ways to educate individuals to better adjust to the diverse cultures that are around us. Acceptance and respect are the biggest issues. As a manager, we must first accept and acknowledge the culture and learn to grow.

Bowles-Simpson Essay

Bowles-Simpson Proposal Essay By the year 2012, the American economy has crossed through large paths of downfall and unsustainability. Many aspects of such inconsistency surround this issue; foreign debt, public spending, and real state price drops are some facts that indicate an unstable economy. Furthermore, current president of the United States Barack Obama has approved a plan that will help stabilize the economy in the long run; this plan has targeted to reduce the federal deficit by cutting spending and raising taxes.Moreover, this plan was introduced in 2010 by co chairs Alan Simpson and Erskine Bowles of President Barack Obama’s deficit commission as stated above, to raise the economy in the long run. As of now, revenue isn’t much of a problem, but spending is. Since debt is rising due to spending (taking only this example), the private sector is put in risk of being put out of the market. This would affect small businesses, which are a strength in the American economy since they will not be able to grow and create more jobs, which simultaneously helps the economy.Indeed, the goal of this plan is to reduce deficit to 2. 2% of the gross domestic product by 2015, reduce deficit growth between now and 2020 by 3. 8 trillion dollars, and reduce debt as percentage of GDP to 40% by 2037. All this is being linked with the reduction of spending and tax rises. Accordingly, this plan induces a huge tax reform due to the fact that the current tax rates would be modified. In addition, the alternative minimum tax would be eliminated, as well as the child tax credit and the mortgage interest deduction.It is calculated that if this is taken in mind, there would be a deduction of $ 1. 1 of tax expenditures and in should increase tax revenues. Consequently, it seems that eliminating the mortgage interest deduction would mark a difference positively since it is one of the key elements funding an overemphasis on homeownership in the United States. On the othe r hand, eliminating the health insurance deduction would cause a healthcare reform. That deduction is actually a pillar of the current employer-based health insurance system. Thus, removing this deduction will orce families move on into the individual health insurance market, if no other adjustments are done. Meanwhile, the proposal expects to raise the cap on taxable wages through 2050 to cover 90 % of all national wages. This would simultaneously increase the program’s revenues and would also increase the total payments going out. Moreover, one thing that the Bowles-Simpson plan aims for revenues to be capped at 21 % of GDP and spending to be brought down to the same level. Such target is actually a redundant number. In order to achieve these cuts, some tactics have been put in the table.One item that increases the revenues in the plan is its provision to include newly hired state and local workers after 2020. This would in the near term tap more tax revenue for the system and in the long run would obligate additional benefit payments. Also, this provision does not contribute to long-term Social Security sustainability. If it were dropped, then the plan would tilt in the direction of cost containment over almost any time period measured. Medicare takes a big part in the proposal since the idea is to hold growth of federal health spending to growth of GDP by 1 %.Such cuts are proposed by paying less to doctors, as well as drug companies, and health care providers. Nevertheless, a reform on social security has put in place as well, and it is to add minimum benefits for minimum wage workers to ensure that they are above the poverty level. In other words, the plan aims to ensure that no one retires into poverty after a full working career. On the other hand, this does not reduce cost but it actually increases them. The plan to reduce costs is to make a balance under the benefits by offering fewer benefits for the more wealthy being.Such action will change the current social security; savings plans will no longer be at a long term for individuals, but a more or less direct welfare program. Hence, the Bowles-Simpson proposal is indeed a fairly tax increase and highly progressive, not to forget that the main goal of this proposal is to eliminate almost all tax expenditures. Putting the numbers on the table, in 2015, the lowest earners would face an average cut in their after-tax income of 3. 4 percent or about $ 400. For middle-income households, there would be a cut of 4 percent on their after-tax income.And on the top of the mountain, while will be cataloged as the highest earners, they would lose about 5. 3 % or about $ 70,000. It seems that the numbers do not lie; the low-income households and the top income households would be hit by a tax increase, while the upper middle class would have a small tax cut of 1 percent. In conclusion, this plan is a step forward with a few points, which I disagree. First, the measurements on tax rat es seem fairly reasonable but it does not seem to mark a tax reform. The tax code is still under its same complexity.It looks like it would bring revenue, but there are still politics to be discussed. Additionally, it does not seem to specify that tax cuts be used to eliminate national debt. On the other hand, it proposes to cut on health care spending since health care costs are pretty high, which simultaneously brings more national debt. As well, I think the proposal have some kind of gaps, but there is also a debate between republicans and democrats, to see if there is a balance in between both sides since republicans do not really like the idea of tax increases, and democrats are unhappy about the spending caps.

Dickens & education in Hard Times Essay

In Hard times we see two versions of the world of education. The first view is that of Thomas Gradgrind’s and his â€Å"model school†. A place where facts are valued and imagination is regarded as unimportant. This is the utilitarian view. The second view is contrasted with the utilitarian view and is that of Mr Sleary’s circus. This is a place with much knowledge valuing both imagination and education. A place without the wealth of the Gradgrind’s but much in humanity. This is the â€Å"fanciful† world. I think Dickens is telling us that there are many different ways of bringing up and educating children. It is about getting the right balance between education and imagination. For example Sissy was brought up by her father and didn’t go to school but was quite well educated as she â€Å"used to read to him,† but her father let her use her imagination as she read the â€Å"wrong books† from Gradgrind’s point of view. Which were about â€Å"Fairies †¦ and the Hunchback and the Genies. † But when she went to Gradgrind’s house to live there she was cut off from having an imagination, as so was struggling to learn facts. The reader knows this as Sissy says, † I am – O so stupid! † when really she isn’t stupid at all, it is just that she has been forced to be brought up the utilitarian way, which is the wrong way for her, as she is used to having a balance between education and imagination but Gradgrind hasn’t allowed it. She â€Å"became low – spirited, but no wiser. † This is because she has an emotional memory and so she can’t learn the facts because she is being taught with a utilitarian view and so she can’t attach a feeling to what she is being taught. This is how Dickens implies that different people learn different ways and at different rates. For Gradgrind it could be argued that it was the right way for him as he was educated by his father the utilitarian way. He became a model pupil and owned a school. The reader knows that he was a model pupil as Dickens tells us â€Å"five young Gradgrinds †¦ were models everyone. † And â€Å"They had been lectured at from their tenderest years. † And in Gradgrind’s eyes this had worked so â€Å"He intended every child to be a model†. But what Gradgrind doesn’t realise is that all children are different and need to be brought up different ways, which is what Dickens is suggesting to the reader.

Art for Heart’s Sake

The text under consideration isâ€Å"Art for heart's Sake† written by an American sculptor, cartoonist and writer, Reuben Lucius Goldberg . He worked a lot as a cartoonist and some of his cartoons became highly popular, among his best works are Is there Doctor in the house? (1929), Rede Goldberg's Guide to Europe(1954) and I Made my Bed (1960) . The story is about an old sick man, about Mr. Ellsworth. He is very capricious and everybody are tired of his behavior. Once his doctor decides to employ a young promising artist who will teach him painting. Mr.Ellsworth is bad in painting but one of his picture is accepted for the Lathrop show and awarded 1000$. And finally this old man says that Art is nothing and he has bought the gallery where he won such prize. According to the change of the number of participants the text can be dievided in to 4 parts: The first is â€Å"Pineapple juice for Mr. Ellsworth†. When the male nurse Koppel persuades pineapple juice to Mr. Ellswor th, but he refuses to drink it. The second â€Å"Proposition for Mr. Ellsworth from his doctor†. In this part doctor Caswell comes to see Mr.Ellsworth and made him proposition to take up art. The third â€Å"Art lessons for Mr. Ellsworth from young and promising artist† This part about teaching Mr. Ellsworth drawing by Frank Swain- eighteen years old promising student. The fourth â€Å"First Landscape prize for Mr. Ellsworth† When the Lathrop Gallery prized 1,000$ Mr. Ellsworth for his masterpiece â€Å"Trees Dressed in White† The atmosphere of the text is ironical and sometimes it is humorous. For example when doctor Caswell said with supreme effort: â€Å"Congratulations, Mister Ellsworth†. Here we see how Caswell tells it without sincerity.Author shows that everything is a joke or a play for Mr. Ellsworth and also he shows , that money can do everything and he makes fun of it: if you have money you can do and get everything you want, for example prize of the Lathrop Gallery, maybe he needn’t money he just wants to proof that he is God . Mr. Ellsworth doesn't respect others, he spits on someone's opinions. Finally Mr. Ellsworth is prized with 1000$ by the gallery because he bought it. According to the narrative technique of the text. It is narration intercepted with dialogue and description.We can see here a chain of actions and some dialogues during the text, and also there is describing Mr. Ellsworth and some things such as bowl of fruit. Speaking about vocabulary level we can see high level vocabulary. Everybody and Mr. Ellsworth is well-educated and very smart. Everybody talk to Mr. Ellsworth very respectively, but Mr. Ellsworth doesn't respect them and he uses a lot of colloquial words and slang such as Nope, Rot, by gum. It shows us that old man spit on everything. Speaking about the syntax we can see here many long compound sentences, respective addresses to Mr.Ellswoth with word â€Å"Sir† (Not bad, si r; Yes, sir;) it means that everyone afraid of Mr. Ellswoth and it means they have respect for him. And also there are some short answers from him. For example: Bosh! ; Nope! ; By gum. All of this shows us the degree of education of every participant but it doesn't mean that Mr. Ellswoth is not well educated he just doesn't care about anything. Speaking about stylistic devices we can see here gradation shows that his behavior is awful for example â€Å"He won't take his pineapple juice. He doesn't want me to read to him.He doesn't like anything! From these phrases we see that the old man is very capricious, he drinks when he wants, he listens what he wants. He has much money and he thinks that everybody obliged to him. There is also a metaphor such as â€Å"god-awful smudge† which shows us that he is layman in art. And also Mr. Ellswoth uses such metonymy as â€Å"an old pineapple juice† it shows us disrespect and attitude to his nurse. There are some repetitions show ing doctor Caswell's astonishment â€Å"Fine, fine†¦ See, see†¦ †. We can see here 3 main characters.Doctor Caswell is well educated person he knows what he do and he is smart. Young Frank Swain he is a promising student but doesn't have long-live experience, but hi is smart too. And of course Mr. Ellswoth he is educated person but he doesn't show it. He is old man he has money and he thinks that he is above everybody, that is why he doesn't respect others. This text was interesting for me; there are many rich and fool people in the world such as Mr. Ellsworth and the author showed us his life and made fun of such behavior, it is funny and interesting.Livin ‘ (Spanish) ? , ? : ? ? ? , ojitos ? , : [:] , Sh?s livin ‘, Y , Sh?s livin ‘ ? ? City ? ? besabe ? , ? ? ojitos ? , Sh?s livin ‘ , ? , ,

Eugenics the Unethical Pseudoscience Essay

Our topic was on selective human breeding, or in other words eugenics. If you don’t know what eugenics is don’t worry I’ll tell you, according to Oxford dictionaries eugenics is the science of improving a population by controlled breeding to increase the occurrence of desirable heritable characteristics. Desirable heritable characteristics for example can be things like a particular eye color, hair color, height, etc. My question to you all is if you think eugenics is ethical or not? I want to hear your answer after I give you my reasons of why I don’t believe eugenics is ethical. Now this might not sound like such a controversial topic but the history of eugenics is not exactly a bright one. Now everyone knows how WWII began, and the people responsible for it. Hitler and his henchmen victimized an entire continent, murdered millions, during his search for what he called the â€Å"Master Race. † His vision of the ideal race was white, blonde-haired, and blue-eyed, but contrary to popular belief, this idea of the â€Å"Master Race† did not originate with Hitler. The idea came from the United States and its eugenics program. The E. R.  O also known as the Eugenics Record Office was founded on 1910 in New York. A thing that not many people know is that the United States actually had one of the largest eugenic movements in the world. Eugenics was used by scientists as a way to control people, by that I mean they would use various research methods, hereditary questionnaires, and interviewing groups with special interests. The E. R. O. was able to convince the U. S. government to administer eugenic laws nationwide. This included immigration and marriage restrictions, race segregation, and forced sterilization of criminals and who was seen as undesirable. Well what is forced sterilization you ask? To simplify it for males it’s a vasectomy and for woman it’s a tubal ligation, getting your tubes tied. The U. S. was forcing people to be sterilized just because they were seen as unfit to breed, because they didn’t fall under what was seen as desirable. Now this thing eugenics they called it science, I personally see it as pseudoscience used to discriminate people, was used for decades. Oh and did you know that California had the largest eugenics movement in the country. From 1907 to the 1970’s over 60,000 people were forced sterilized in the U. S. alone, and 20,000 of those people were in California. Now who decides if a person should be forced sterilized or not, well a list was made and if a person has or falls under any of the items on that list, they are to be sterilized right away. The few things on that list are paralysis, congenital blindness, acquired deafness, sexual promiscuity, and not being physically attractive. Now I have a video I’d like to show you about eugenics and its forced sterilization.

Exchange Traded Option Markets Essay Example | Topics and Well Written Essays - 2000 words

Exchange Traded Option Markets - Essay Example (Christopher, 2001; 45-57) However, most exchange-traded options are standardized. There are a set number of strikes and expiry dates available, and it is not generally possible to trade options on the shares of smaller companies. By contrast, in the OTC market dealers will sell and buy options on a wide range of shares, as long as they can find a way to manage the risks associated with such deals. Also, dealers offer a huge variety of non-standard contracts known collectively as exotic options. (John, 2002: 110-118) On some exchanges and with some contracts the buyer of an option is not required to pay the full premium at the outset. Instead, the purchaser deposits initial margin that is a proportion of the premium due on the contract. In the case of the individual stock options traded on LIFFE, the full premium is payable upfront. (Zuhayr, 2001, 63-70) However, the writers of options are subject to margin procedures. They must deposit initial margin at the outset, and will be required to make additional variation margin payments via their brokers to the clearing house if the position moves into loss. (Gordon, 2001: 121-129) The initial margin depends on the degree of risk involved, calculated according to factors such as the price and volatility of the underlying and the time to expiry of the contract. In practice, in order to cover margin calls, brokers often ask for more than the minimum initial margin figure stipulated by the clearing house. The derivatives exchanges also offer listed option contracts on major equity indices such as the S&P 500, the FT-SE 100 and the DAX. Contracts are of two main kinds. Some are options on equity index futures, and exercise results in a long or short futures position. Other contracts are settled in cash against the spot price of the underlying index. If a call is exercised the payout is based on the spot index level less the strike. If a put is exercised the payout is based on the strike less the spot index level. Options on indices and other baskets of shares can also be purchased directly from dealers in the OTC market. (Dimitris, 2000: 90-102) Some dealing houses issue securities called covered warrants which are longer-dated options on shares other than those of the issuer. Warrants are usually listed and trade on a stock market such as the London Stock Exchange. The term 'covered' means that the issuer is writing an option and hedges or covers the risks involved, often by trading in the underlying shares. (Austin, 2000: 73-81) Warrants are purchased by both institutional and retail investors (historically the retail market has been more active in Germany than in the UK). (Christopher, 2001; 45-57) Warrants can be calls or puts and written on an individual share or a basket of shares. They are sometimes settled in cash, and sometimes through the physical delivery of shares. UK Stock Options on LIFFE Table 1 shows some recent prices for stock options on Royal Bank of Scotland Group plc (RBOS) traded on LIFFE. These are the offer or sale prices for contracts posted by dealers placed on the exchange's electronic dealing system, LIFFE Connect. At the time the quotations were taken the options had just over two weeks remaining until expiry and the underlying RBOS share price was 1781