This is an essay on human resources management in Health Services management.The topic is as below:
Critically discuss the importance of human resources performance management in the health care system.Attempt to apply your critical comments and suggestions for improvement in your unit / department or a health care setting. Application in real life.
*Please do not qoute resources and references from India*
Please quote from Australia, UK, USA or Canada.

Since the inception of the HITECH Act, health organizations have faced increased pressure to update their health information technology (HIT) resources. As discussed last week, many believe that the increased use of electronic health records and the quick and efficient communication afforded by HIT can lead to improved quality of patient care. Yet there are significant costs associated with implementing such systems. What can organizations do to ensure that the correct system is selected and that the system will be appropriate for those required to use it? Who should be involved in those decisions?
This week introduces the systems development life cycle and discusses how it can guide an organization through the complexities of adopting a new HIT system. In this Discussion, you are asked to consider the role of nurses in the SDLC process.
To prepare:
Review the steps of the systems development life cycle.
Think about your own organization, or one with which you are familiar, and the steps the organization goes through when purchasing and implementing a new HIT system.
Consider what a nurse could contribute to decisions made at each stage when planning for new health information technology. What might be the consequences of not involving nurses?
Reflect on your own experiences with your organization selecting and implementing new technology. As an end user, do you feel you had any input in the selection or and planning of the new HIT system?

I had submitted for an outline of ORDER A2034782 for this paper. I would like to get this paper based off that information and the paper needs to be 8 pages long with the information from that paper and the requirements listed below.

Final Paper

The Final Paper, 8-10 pages (exclusive of title and references pages), should demonstrate understanding of the reading assignments, class discussions, your own research and the application of new knowledge. It should consist of five to six resources with one being the textbook, three from proQuest, and the remaining from scholarly or professional Internet sources.
For your final paper, you will present the future of the healthcare industry by conducting scholarly and professional research while integrating much of what has been taught in the class to address one of the four basic functional components of the U.S. health care delivery system: financing, insurance, delivery, and quality. Questions and/or topics to take into account in the development of your paper include the following:

Delivery:

What is societys obligation to ensure access to a basic level of health care for all its citizens and how can it be accomplished?
Should government take a more aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms?
What lessons can be learned from healthcare delivery systems that exist in other industrialized nations?
Hospital emergency departments continue to be used as a source of primary medical care by large numbers of the communitys medically underserved population. What are the implications of this practice for the patients, and on health care costs and quality of care?
Identify the major factors that have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services. What are the implications of this shift for hospitals, consumers, and the health care delivery system as a whole?
Quality:

How does the quality of healthcare in the United States compare to the quality of care in other industrialized nations?
How can an acceptable quality of health care be assured for all?
Will providing data in areas such as patient outcomes, compliance with national standards for preventive and chronic care, and comparative costs to the public be an acceptable measure of healthcare delivery outcomes?
Though physicians believed that only physicians could and should judge the quality of hospital medical care, they found participation in such hospital peer review activities a most disagreeable obligation. What were the problems with the process?
Managed care organization credentialing by the National Committee on Quality Assurance rapidly evolved as a standard of quality in the industry. Discuss the pros and cons on the value of credentialing by an independent organization to a managed care organization and to consumers.
How does medical technology affect the communication between healthcare providers and patients? What affect does this have on the quality of care?
Financing:

How can the costs of health care be kept affordable for both individuals and society?
Legislative attempts to address the problems of the health care system are always met by shifting alliances among well financed and, often, self-serving lobbying groups. How, in the American system of politics, can health care get more objective support on behalf of consumers?
Since significant reductions are likely in the federally supported health care programs that today account for about 40 percent of US personal health care expenditures, what will happen to those dependent on those programs for health care?
How will the Patient Protection and Affordable Care Act of 2010 (PPACA) affect the costs associated with healthcare? Who will benefit the most in terms of the cost of healthcare? Who, if anyone, will experience an increase in the cost of healthcare?
The single most important impetus for managed care was rising costs. Should the US have a two-tiered medical care system in which people who can afford it buy all the specialty care they want and others live within the managed care restrictions? Are there any lessons to be learned from the way in which healthcare is financed in other industrialized nations?
Insurance:

The insurance industry plays a huge role in the American health care system and absorbs a significant portion of the health care dollar. A single payer system, whether it be a private company or the US government, would eliminate the complex insurance paperwork and free substantial funds that could be used to provide care. Why is there is there so much resistance to a concept used in every other advanced country?

Discuss the evolution of private health insurance and its effects on costs and access to services.
The availability of hospital insurance removed an important cost constraint from hospital services and charges. What were the positive and negative consequences of that development?
Steeply rising costs of medical liability insurance are a growing concern for practicing physicians, medical schools, and teaching hospitals. As a result, physicians are leaving high premium states, choosing to retire early, or reducing high-risk aspects of their practice to lower their insurance costs. Discuss the evolution of private health insurance and its effects on costs and access to services.

Assignment:
Please respond to the following questions:
1. Who is do you think the main target market of this organization is?
2. Do you think Catholic Healthcare West can design more services without losing its original mission and customers? If so, how would suggest they do it?

Use information below to complete assignment.
Assume that you are a consultant for a major health care provider-Catholic Healthcare West, and in that capacity you have been asked to prepare for a meeting with the key marketing person of that organization.
Please audit the service management strategy of Catholic Healthcare West. This is the home page of Catholic Healthcare West: http://www.chwhealth.com/
Using the information you were able to find on the web about the organization and your reading assignments.



Please respond in no more than 2 pages. Times Roman/12 font. Have introduction and conclusion.


Additional Reading Assignments:
The movement away from acute care and toward prevention and wellness is leading hospitals and health systems to where they are making wellness a fundamental part of their strategic platforms. The conventional wisdom is that the current sickness model of health care can''t sustain itself, according to Bob Cook, vice president for research, planning and development for Catholic Health Initiatives Southeast Region.
"It''s just become the beast that''s insatiable," he said. "But we''re making valiant attempts at changing the way this works."
CHI Southeast Region is the former Sisters of Charity of Nazareth Health System, a seven-hospital system based in Nazareth, Ky., with affiliates located in Kentucky, Tennessee and Arkansas. CHI Southeast Region has just completed a study to determine how to implement a system-wide prevention and wellness initiative.
"Visions of the future certainly contain a different desired state-that moving upstream to keep people well and prevent illness is the preferred way to approach our nation''s health," Cook said. "Simply stated, you can only sit on the river bank and pull people out of the water for a short time before you start to question whether or not you couldn''t go upstream and prevent them from falling in in the first place."
Identifying opportunities to use wellness strategically
Researchers from the Benfield Group, a health care consulting firm in St. Louis, conducted a study on wellness and prevention to assess national trends, and regional forces and internal forces at CHI Southeast Region. They found that, as consumers become more educated and motivated (especially aging Baby Boomers), their expectations of the health care system change, said Chuck Reynolds, a principal at the Benfield Group.
"People are looking for a trusted health care advisor who will do more than patch them when they break," he said.
When combined with reimbursements that are at best flat, if not down, hospitals and systems are realizing that they need to take a more active, visible role in the areas of wellness and prevention.
According to Reynolds, wellness and prevention can be used in several strategic ways:
Retail opportunities
Community health improvement
Wellness as a marketing tool
Clinical integration and continuum expansion
Health risk management.
One caveat that both Cook and Reynolds repeated is that the strategic focus on wellness and prevention must come from the system level, but implementation of specific programs was turned over to individual institutions.
"At the affiliate level, needs were different from location to location," Reynolds said. Some were looking to wellness as a strategy for gaining capitated contracts for Medicare and Medicaid patients. Others were looking at wellness as a way to differentiate themselves in the marketplace.
The system''s focus was on determining which things needed to be centralized for efficiency and which things needed to be decentralized for effectiveness.
"Where you really gain scale advantages is on knowledge transfer," Cook said, "and that''s what we''re not organized to do very well."
Knowledge transfer includes not only the sharing of patient information within the system, it includes the development of best practices and analyzing the costs and benefits of different approaches to prevention and wellness.
A changing economic model
Incentives also need to be realigned to reduce the need for episodic care, as more payers favor capitation over fee-for service health care. The value equation is changing so that wellness and prevention is making more economic sense every day, Cook said.
"Where we find ourselves, unfortunately, is in a middle state that''s uncomfortable for everybody The only thing that we know for sure is we''re on our way to something else," Cook said. "This is a very, very strenuous, anxiety ridden middle ground that we find ourselves on. But the incentives and the philosophies of the economic model are changing. We just know that the future contains more wellness and prevention than the past."
Most health care organizations are not looking at wellness and prevention strategically and are missing opportunities, according to Reynolds. They may conduct health fairs for corporations, for example, but their efforts are fragmented.
Please Read the Following Articles:

Product Management by Douglas Anderson and Bruce Bailey is a good introduction to choosing new opportunities for marketing.
Log into the university)


New Product Development by Gemmy Allen is also worth reading.
Product Development
Copyright ? 1999 by Gemmy Allen, all rights reserved.
Product development plays an important role in helping the organization achieve its overall goals. New products are the lifeblood of an organization. Product development includes input from the external environment since external feedback is an integral part of all products. Companies that focus on outstanding product designs increase customer satisfaction and retention, which leads to increased sales, market share, profitability and future company growth. Also, "first-to-market" companies enjoy less initial competition and are able to charge a premium or attain higher profit margins.
Getting new products to market takes speed. This requires coordination with engineers, as well as marketers. Without input and feedback from marketing, developers can often work in a void, lacking market requirements and competitive information. Marketing has a role in each phase of product development including: conceptualization, specialization, selling internally, competitive analysis, engineering-marketing feedback loop, feasibility testing, packaging and pricing, service, support, manufacturing requirements, buy versus make decisions, technology licensing, beta testing, product scheduling and rollout, user feedback and future products.
Integrated Product Development
In the external environment of fast-paced technological change, nimble competitors, and demanding customers, world-class firms have adopted an integrated product development (IPD) process to provide best-in-class new products. IPD is a management strategy that uses customer inquiry, cross-functional teaming and technology integration to improve the performance of product development lifecycles. The U.S. Department of Defense first proposed IPD as a name that better reflected the participation of manufacturing, design, marketing and finance in product development. IPD improves an organization''s ability to quickly respond to market demands with high quality new products. Increasingly diverse needs of customers are met by exercising speed, efficiency, and quality in the development of new products. IPD includes all of the processes that link the activities for designing and building what the customer requirements specify. The integrated, or concurrent, development process has easy access to management, with a centrally networked information system in place that is readily accessible by everyone.
The marketing function''s on-going contact with customers allows them to act as the "voice of the customer" in the initial phases of the product development process communicating customer needs to the design function. Their input enables the design function to develop new products that are based on customer-originated ideas leading to greater market successes. In later stages of the product development process, marketing ensures that new designs remain focused on customer needs and that they provide the benefits that customers want. This interaction between marketing and design is an iterative process that prevents development of products for which there is no market. If the product cannot be built to the quality and cost levels that customers demand, marketing will not be able to sell it no matter how innovative the design is. The interaction between marketing and manufacturing in the product development process is primarily a dialog regarding the production capacity that will be required to meet demand for the new product and the company''s ability to meet this demand. By forecasting sales and communicating these forecasts to manufacturing early in the product development process, the interaction between marketing and manufacturing will prevent lost sales due to insufficient inventory and high carrying costs due to overproduction. Funds are often limited due to other projects under development within a company, so financial decisions must be integrated with the design, marketing and manufacturing strategies to maximize the long-run return on the development of new products.
The Concept of Product
A product is anything that can be offered to a market that might satisfy a need or want. It could be a tangible good (soap), service (haircut), person (George W. Bush for President), place (Viva! Las Vegas), organization (Intel Inside), or idea (Don?t Do Drugs). Most tangible goods include an intangible component, such as the warranty or guarantee of satisfaction.
Mass Customization
The concept of service has broadened to include both breadth of product offerings and the ability to customize to meet specific needs. Undifferentiated mass-produced outputs can be adapted to the needs of each customer through such tools as the Internet and the various online databases. Mass customization is serving large numbers of customers, but giving each exactly what he or she wants. The strongest possible one-to-one marketing role for a manufacturer will be to tailor new products to the tastes and needs of individual consumers. Thus, marketers are finding new ways to customize their offerings. Computer-controlled production processes are used to manufacture individually customized products by combining any of a wide array of production modules. Also in place is an efficient mechanism for learning an individual customer''s product specifications prior to manufacturing a product for that customer. Levi Strauss & Co.?s Personal Pair jeans program uses in-store computers to create jeans cut to the customer?s measurements. Ritz-Carlton makes a computerized record of individual guest preferences available to all of its hotels. The Montreal Ritz will have an extra pillow ready for a guest who requested it months earlier at the Atlanta Ritz. Mattel lets you make a Barbie doll in your own image by allowing you to name your Barbie after yourself, select the color of her hair and skin, her outfit, profession and hobbies. If you like what you see, you can order the custom Barbie.
Even funerals are can be customized. Across the nation, people are increasingly asking for one thing when they plan funerals: choice. People are becoming more interested in personalizing the funeral service. They are substituting personality for tradition and seeking services that reflect their lives and beliefs. White Light Casket Company creates art caskets - a line of caskets decorated with images such as the Irish flag, religious symbols and a golf fairway. Individuals can also special-order caskets. Indiana-based Batesville, America''s biggest casket firm, is increasingly selling caskets with options such as engraved lids or embroidered designs on the interior.
Total Product
When a consumer buys a product, he or she is purchasing the total product, which includes everything that adds value to the seller?s offering. The core product is the actual benefit the consumer is seeking from the purchase. For example, when consumers purchase Kodak film, they are buying ?A Kodak Moment,? the core benefit.
The actual product consists of product attributes such as quality level, design, brand name, and packaging. All of these features help differentiate the product from its competitors. For example, Kodak film is the actual product. Its brand name, packaging and other attributes differentiate it from its competitors. All of these features have been combined to deliver the core benefit ? ?moments of your life.? Product quality is the set of features and characteristics of a product that determine its ability to satisfy needs. Total Quality Management (TQM) is a philosophy that commits the organization to continuous improvement in all of the activities. ISO 9000 is a set of related standards of quality management that have been adopted by about 60 nations, including the United States. Product design refers to the arrangement of elements that collectively form a product. Color is important aspect of design. A brand is a name and/or mark intended to identify the product of one seller and differentiate the product from competing products. Manufacturers, producers, retailers and wholesalers (middlemen) can own brands. A brand makes a product easier to identify and helps ensure consistent quality. Brand equity is the value a brand adds to the product. The sources of brand equity include the product, its name, and its personification, logo, country of origin, advertising themes, and style and packaging approach. A brand name consists of words, letters, and/or numbers that can be vocalized. A good brand name is easy to pronounce, spell, and remember. It should be distinctive and suggest something about the product, especially its benefits or use. Generics are unbranded products. A family brand uses the company name (General Electric) or a product name (Armor All) for all its products. Multiple-brands may be used for each product (Proctor & Gamble?s Tide and Cheer detergents). A brand mark is the part of the brand that appears in the form of a symbol, design, or distinctive coloring or lettering. A trademark is a brand that has been adopted by seller and, in turn, given legal protection. Trademark licensing or brand licensing occurs when the owner of a trademark grants permission (a license) to other firms to use the owner?s brand name and brand mark of the licensee?s products. Packaging is all the activities of designing and producing the container or wrapper for a product. It protects and promotes the product. Family packaging uses identical packages for all products. A label is the part of the product that carries information about the product and the seller.
The augmented product consists of the additional services and benefits (such as installation, delivery and credit, warranty, and after-sale service) that come with the actual product to best satisfy consumers. These post-sale features differentiate the product from its competitors. For example, Kodak provides customers with a solution to their picture-taking problems by offering a money-back guarantee for defective film.
Major Value Propositions
Designing ? and continuously redesigning ? product concepts ensures delivering the ?right? value proposition to targeted consumers. Products, just like diamonds, have many facets. A product value proposition (proposed business deal) is the way an organization answers the customer?s question, ?Why should I buy from you?? The answer is the positioning ? the product?s position in the mind of the consumer. A product?s position is the complex set of perceptions that consumers hold for the product when it is compared with competing products. A product?s position could be in relation to competition, in relation to product class or attribute, or by price and quality.
Successful marketers do not leave their product positions to chance. They determine a core benefit that they can deliver better than anyone else does. One example is Du Pont. They don?t sell a chemical; they sell a solution, ?Charging you more, costing you less.? Thus, Du Pont?s major value proposition is best value for the money. Another example is Volvo?s major value proposition of safest automobile.
Classifications of Product
Products are classified as either consumer products or business (also known as industrial products) based on who will use them and how they will be used. Consumer products are intended for personal (non-business) consumption. Business products are intended for resale, for further processing in producing other products, or for use in conducting a business. Products can be in both classes, if organizations and consumers purchase and use the product. For example, a light bulb would be considered a consumer product if purchased by a family for their home, but is categorized as a business product if bought by a businessperson for the organization.
Consumer Products
Consumer products can be further classified on the basis of how consumers view and shop for these products. The product?s price and purchase importance determine the level of involvement a consumer will devote to purchasing the product. Convenience products are bought frequently, immediately, and with a minimum of comparison and buying effort (groceries). Shopping products are less frequently purchased and are carefully compared on suitability, quality, price, and style (clothing). Specialty products are unique in some way and substitutes are not accepted (expensive automobiles). Unsought products are those not normally thought of either because consumers don?t want to think of them (burial insurance) or consumers are unaware of them (a telephone number allowing you to check your email messages).
Business Products
Business (or industrial) products can be classified based on their use by businesses. Materials and parts are directly used in the production of final products by the firm. Raw materials will become part of another tangible good. Two types of raw materials include agricultural products (grain, fruits, and livestock) and natural products (minerals, land, and products of the forests and seas).
Capital items aid in the production and operation of the firm. Installations are long-lived, major equipment of the business user (printing press, canning machinery). Accessory equipment is used in the production operations of a business firm, but it does not have a significant influence on the scale of operations (forklift trucks, photocopiers).
Supplies are short-lived, low-priced items that aid in the firm?s operations but do not become a part of the finished product (office supplies, lubricating oils). Component parts and materials become an actual part of the finished product. Parts will be assembled with no further change in form (zippers, semiconductors). Materials will undergo further processing (pig iron into steel). Business-to-business services include maintenance and repair services (janitorial services, equipment maintenance) as well as business advisory services (accounting, advertising services).
Product Life Cycle
The product life cycle is the cornerstone for understanding product/market behavior in consumer marketing. Product life cycles can vary from a few weeks to decades depending on new technologies, consumer dissatisfaction, or competitive activities. A product life cycle consists of the aggregate demand for all brands comprising the generic product category overtime. The introduction or pioneering stage is characterized by little competition. Product development costs are high. Promotion focuses on stimulating demand for the product category, rather than a single brand. In the growth or market acceptance stage, both sales and profits rise. Competitors enter the market and profits start to decline. In the maturity stage, sales increase at a decreasing rate. Price competition intensifies, and profits decline. In the decline stage, new replacement products enter the market. Demand drops and a number of competitors withdraw from the market.
The technological life cycle is the critical factor affecting fluctuations overtime in a given business product category. The cutting-edge stage refers to that level of technology development that is ahead of even the most sophisticated applications in the marketplace. Markets for cutting-edge technology tend to be small and sophisticated. Firms that specialize in adapting developed cutting-edge techniques to market needs and applications are known as state of the art. They either integrate the cutting-edge product into their own offerings or use the cutting-edge technology to discover new market applications. In the advanced stage, there is increased competition and a less sophisticated customer base. First-to-clone companies beat competitors to an improved or lower cost alternative while avoiding the development and market risks of first-to-market companies. Market size increases and substantial profits emerge. The company shifts from a technology-driven to a market-driven company. The firm?s product is no longer technologically different from its competition. The firm with the lowest marginal cost can become a market leader and make profits while eliminating competition. However, market segmentation is a viable strategy and a safer alternative to price competition. In the mainstream stage the market is fully developed. Products are standardized and the firm?s focus must shift to low-cost production. The mature stage is characterized by its lack of strategic production advantages. Competition shifts to customer service as prices stable lives. The product approaches an undifferentiated ?commodity? status. In the decline stage, new technologies replace the dying technology. The old technology survives by pricing itself substantially below the new technology.
Life cycles can be successfully managed. Marketers must predict the proposed product?s cycle, even before it is introduced. Furthermore, they must successfully adapt marketing strategies at each stage of the life cycle. They want to enter during the introductory stage to build a dominant market position, or wait until the early part of the growth stage when a viable market has been proved. To extend the product life cycle, marketers can expand the product line through modifications or find new uses for the product.

Mattel, Inc.?s Barbie doll was introduced on March 9, 1959 at the New York Toy Fair. That year 351,000 dolls were purchased. On average, 172,800 Barbie dolls are sold worldwide every day. Barbie products make up 40 percent of Mattel, Inc. annual sales. An estimated 90 percent of American girls have owned at least one Barbie doll over the last 40 years.
The product mix is the set of all products offered for sale by a company. Breadth of product mix is the number product lines carried. Depth of product mix is the variety of sizes, colors, and model offered within each product line. A product line is a broad group of products, intended for essentially similar uses having similar physical characteristics. Product line extension means to add a similar item to an existing product line. For example, a soft drink company could introduce a new flavor.
Planned Obsolescence
The purpose of planned obsolescence is to make an existing product out of date and thus increase the market for replacement products. Technological or functional obsolescence results from significant technical improvements that result in a more effective product. An example would be compact discs (CDs) replacing audio tapes and audio tapes replacing records. Planned obsolescence that is technologically based can be beneficial when a more effective product is developed. Style obsolescence occurs when superficial characteristics of a product are altered so that the new product is easily differentiated from the previous product. Style obsolescence is often criticized as being environmentally unsound.
Consumers are too sophisticated to be drawn easily into a planned obsolescence situation. For example, women?s apparel manufacturers have learned the hard way that women select clothing based on how it looks on them rather than what is ?in.? A style is a distinctive manner of construction or presentation in any art, product, or endeavor. A fashion is any style that is popularly accepted and purchased by successive groups of people over a reasonably long period of time. The fashion adoption process explains how fashion travels through the socioeconomic classes. Trickle-down is when a fashion travels downward through several socioeconomic levels (tie-less tuxedo shirts). Trickle-across is when a fashion travels horizontally and simultaneously within several socioeconomic levels (blue jeans). Trickle-up is when a fashion travels from lower socioeconomic levels upward to higher levels (hip-hop). Consumer products where fashion and style are most noticeable include perfumes, for accurate household items, linens, and gift items. A fad is any fashion that enters quickly, is adopted with great the zeal, peaks early, and declines quickly. The classic example of a fad is the pet rock.
Product Innovation
The ability to change and innovate to meet the needs of the marketplace separates the winners from the losers in today?s business environment. Since products go through life cycles, new products are necessary to sustain sales and profits. The competition and customers must be assessed to determine what new products might satisfy customer needs. The new product development process includes generating new product ideas, screening ideas, business analysis, prototype development, market tests, and commercialization. Key questions in the process include:
? Is there a current need for the product?
? Does the new product meet the users'' needs uniquely? completely?
? Will the user and buyer believe that you have the solution?
? Is the size of the market big enough for the company to make a profit?
? Have you tested and validated?
To be development leaders, companies use design integration techniques, such as voice-of-the-customer. The surest way to delight the customer is to understand what they want. Leading companies regularly seek feedback from customers to continuously improve services. Another design technique is Quality Function Deployment (QFD). Three key areas of product development excellence are time-based performance (How rapidly are different types of new products being brought to market now and in the future?), development effectiveness (How efficient is the process of developing new products? How effective are the results?), and project management (How effective is the process for managing across and within specific projects?) Critical areas of product development include delivering products more swiftly to market, achieving greater revenue impact from new products, and minimizing lost product development dollars.
New Product Diffusion and Adoption
The consumer buying decision process for new products helps marketers understand how consumers learn about and decide to adopt new products. The diffusion of a new product is the process by which the innovation is spread through the marketplace over time. The adoption process refers to the series of stages a prospective buyer goes through in deciding to buy and make regular use of a new product. These stages include awareness (knowing about the existence of the new product), interest (finding the product interesting enough to seek more information on it), evaluation (deciding whether the product is worth trying), trial (actually sampling the product), and adoption (deciding to use the product on a regular basis). The role of a marketer is to help consumers move through these stages quickly.
The diffusion process refers to the rate at which various members of society adopt a new product. The first person on the block to buy the latest product is probably an innovator. Approximately three percent of the market is innovators. They are venturesome and try new ideas at some risk. Early adopters are respected and tend to be leaders in social settings. They are the opinion leaders in their communities and adopt new ideas early but carefully. Early adopters are approximately 13 percent of the market. The early majority, approximately 34 percent of the market, deliberates and does not rush out and buy the newest product. They adopt new ideas before the average person. The late majority, approximately 34 percent of the market, is skeptical of new products and does not adopt a product until a majority of consumers have adopted it. Finally, the laggards are tradition bound. They constitute approximately 16 percent of the market and are suspicious of changes and adopt the innovation only when it has become something of a tradition itself. Individuals who never accept the innovation are known as nonadopters.
Product innovation characteristics influence the rate of adoption. Some products go through the adoption process quickly. The relative advantage of the product compared to existing products will affect the rate of adoption. If the product is seen as a significant improvement over current options, it is likely to be adopted fairly quickly. The degree to which the new product is compatible with the existing values and experiences of potential consumers will affect the adoption rate. The more complex the innovation, the slower it will be adopted. The divisibility of the product or its ability to be sampled will also affect the rate of innovation. The more divisible, the faster the rate of adoption. Finally, communicability refers to the degree to which the consumption of the innovation can be seen or observed by others. See Comparative Diffusion of the Telephone and the World Wide Web: An Analysis of Rates of Adoption by Hsiang Chen and Kevin Crowston http://chen.syr.edu/comparative.html
The Internet
Information and communication are at the core of the product development process. The Internet can bring people responsible for product development into contact with customers. Electronic communication can speed up the entire process of developing a new product and bringing it to market. Virtual product development teams can transcend the boundaries of time and geography. Surveys can be used to gather information online. Mailing lists can be used to gather comments and suggestions that can become the ideas for new products. Also, they can be used to gather feedback during a beta test. Clipping services, databases and checking Web sites can be used to keep track of the competition.






Finally, Reconsidering the Role of Competition is a very useful article.
Reconsidering the role of competition in health care markets: Introduction
Journal of Health Politics, Policy and Law; Durham; Oct 2000; Thomas Rice; Brian Biles; E Richard Brown; Finn Diderichsen; Hagen Kuehn;
Volume: 25
Issue: 5
Start Page: 863-873
ISSN: 03616878
Subject Terms: InternationalHealth care deliveryOrganizational structureOrganizational changeTrendsCompetitionStudies
Classification Codes: 9180: International8320: Health care industry9130: Experimental/theoretical2320: Organizational structure1220: Social trends & culture
Abstract:
In recent years there has been a surge of interest in reforming the organization and delivery of health systems by relying more on market competition. Although much of the impetus has emanated from the United States, the phenomenon is worldwide. Recognizing the significance of these trends, in May 1998, and international conference in Berlin on "Reconsidering the Role of the Competition in Health Care Markets" was organized. The 2-day meeting was jointly sponsored by the UCLA Center for Health Policy Research, the Karolinska Institute in Sweden, and the Wissenschaftszentrum Berlin fur Sozialforschung. The conference, which was hosted by the WZB, included 31 individuals from 10 countries. Presented is a summary of the main issues on which the meeting focused, followed by 10 brief reports on the interplay of markets and government in specific developed countries.
Full Text:
Copyright Duke University Press Oct 2000
In recent years there has been a surge of interest in reforming the organization and delivery of health systems by relying more on market competition. Although much of the impetus has emanated from the United States, the phenomenon is worldwide (Brown 1998). Recognizing the significance of these trends, in May 1998 we organized an international conference in Berlin on "Reconsidering the Role of Competition in Health Care Markets." The two-day meeting was jointly sponsored by the UCLA Center for Health Policy Research, the Karolinska Institutet in Sweden, and the Wissenschaftszentrum Berlin fur Sozialforschung (WZB; in English, the Berlin Science Center for Social Research). The conference, which was hosted by the WZB, included thirty-one individuals from ten countries. This special section presents a summary of the main issues on which the meeting focused, followed by ten brief reports on the interplay of markets and government in specific developed countries. It concludes with a short analysis of the implications of the forgoing material on health care policy internationally and two commentaries that bring additional perspective to these issues.
The WZB room in which the meeting was held had special significance for the conference. It was originally built as the administrative courtroom for the world''s first social insurance system, under Chancellor Otto von Bismarck. Although damaged in World War II, the meeting room has since been reconstructed. Preserved from the original structure and overseeing the room are four sculpted heads, one on each side: one of a boy, another of a young man, another of a full-grown man, and the fourth, an old man. It was hoped that the rulings made in the venue would reflect the intergenerational social solidarity on which the German social insurance system was founded.
Social insurance systems worldwide are now under stress. The purpose of the conference was to stimulate dialogue and debate among scholars from developed countries about the appropriate mix of government and markets in health care systems. Participants came from universities, research institutes, foundations, government, and the private sector from three continents and represented such fields as economics, sociology, political science, public health, medicine, business, and journalism (see participant list in Table 1). The countries represented a mix of those moving toward more competitive systems and those that con
Context
Background material for the conference was the recently published book The Economics of Health Reconsidered by Thomas Rice ( 1998). The book questions the belief that economic theory demonstrates that market competition provides a preferred set of policies in health care. It examines four key aspects of economic theory: competition, demand, supply, and redistribution. In each of these areas, it presents and analyzes the assumptions that need to be fulfilled in order for markets to necessarily produce the most desired set of social outcomes. These assumptions are listed in Table 2.
The book critiques each of these assumptions and provides a number of applications to health care policy. One of the main implications of Rice''s book is that there are a wide range of policy tools available to improve social welfare that are not suggested by traditional economic theory. In the conventional market model, there are actually very few levers available to health care policy makers. Because the model is driven by consumer demand, the primary tools involve influencing demand, either by changing out-of-pocket price or by providing additional information to consumers. There is no place to influence supply because it is presumed that suppliers will simply produce those things that are demanded.
Table 1
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Table 2
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What we actually see in health policy throughout the world, however, is the reliance instead on supply-side policies. These include using such policy tools as capitation, diagnosis-related groups (DRGs), utilization review, practice guidelines, technology and manpower controls, and global budgets -to name just a few. These policies are aimed primarily at influencing the behavior of the suppliers of care rather than the demanders. As a result, none of these policies directly arises out of the competitive model, nor, according to conventional economic theory, would any result in superior outcomes compared to purely demand-based policies. Nevertheless, many would argue that these policies have resulted in superior outcomes in the health care marketplace.
The book, however, does not take the next step and show where market forces will be most effective in health care, and where it is preferable to rely on government. Equally important, it does not explore the many ways in which markets and government can work together to bring about a preferred set of health policies. These were the types of issues that the conference was designed to address.
Care Issues in Health Care Policy
The conference focused primarily on three broad policy-relevant issues: ( 1 ) the relative advantages of markets versus government in bringing about efficiency in health care; (2) alternative ways of achieving equity in the distribution of health and health services; and (3) how markets and government can work together to achieve a more optimal health care system. Here we will not attempt to explore these issues in detail; rather, we will characterize some of the main themes about them that were discussed in Berlin.
Efficiency
On the topic of efficiency, it was generally agreed that the choice of government versus markets is a false dichotomy (Health Care Study Group 1994). In particular, participants pointed out that markets need government in order to function properly because of the strong incentive of providers to profit from the selection of healthier enrollees (for insurers) and patients (for providers). In fact, when markets are relied upon, government must be especially dynamic, responding quickly to new and innovative ways that competitors devise to achieve favorable selection. Governments must also continually be aware of and ready to act on the consequence of greater reliance on market forces in the delivery of care that produces the erosion of cross-subsidies from wealthier and healthier members of society to the poor and sick.
Participants tended to agree that markets had a much stronger role -and potential to improve social welfare-in the delivery than in the financing of health care. Indeed, a study of European health care systems has shown that almost all such countries rely on ability to pay rather than use services in financing health care (Wagstaff and van Doorslaer 1992). The key issue, then, is the appropriate mix between markets and government in health care delivery, and most of the discussion focused on this topic. Many of the policy specialists at the conference pointed out that in most countries, including the United States, government involvement was originally predicated on a failure of markets to provide necessary health care coverage to the elderly and poor. Furthermore, although government is often considered cumbersome, it has achieved much success through such administered pricing systems as global budgets (Europe and Canada) and DRGs (United States).
Finally, everyone at the conference agreed that government offers no panacea, in part because of the workings of the political process. Just as markets tend to reward firms that seek to maximize profits more than patients'' health, government is also beholden to special interests, such as associations representing providers of care. Thus, while critics of policies that rely on market forces focus on the motives inherent in market competition, one must also consider the motives and actions of interest groups in a health care system governed primarily by political muscle.
Achieving Equity
The second main issue addressed was solidarity and the dangers that a market-reliant health care system poses through its focus on individuality. Most of the discussion, however, focused on equity, and in particular, on what one is trying to equalize and how one can best achieve the various definitions of equity. In considering these issues, one must distinguish between equality, a state in which everyone has the same amount of something, and equity, in which distributions may be uneven in order to achieve a fairer ultimate distribution (Stone 1996).
Participants noted that there are at least four things a society can equalize in order to improve social welfare with regard to health: (1) initial resources, (2) access to care, (3) use of service, and (4) health itself. Traditional economic theory tends to focus on the first of these attributes. Society can, if it wishes, equalize the distribution of incomes through taxation and subsidies, but then allow people subsequently to make their own purchasing decisions. Problems with this approach include the difficulty in actually achieving an equal distribution of initial resources, and even if it were accomplished, the likelihood that people might make choices that do not reflect their best interests.
Equalizing access to care has been advocated by others; LuAnn Aday, Ronald Andersen, and Gretchen V Fleming (1980: 26) argue for this strategy, which "is said to exist when need, rather than structural or individual factors, determine[s] who gains entry to the health care system." One shortcoming is that even when economic factors are eliminated through comprehensive insurance coverage, sociodemographic inequalities in the use of health services remain.
There has been much debate on the advantages of equalizing utilization of services as opposed to the equalization of health itself (Culyer 1989, 1993; Mooney et al. 1991). Much of the discussion at the meeting focused on Alan Williams''s ( 1997: 119) notion of the "fair innings," which "reflects the feeling that everyone is entitled to some `normal'' span of health. . . . The implication is that anyone failing to achieve this has in some sense been cheated, whilst anyone getting more than this is `living on borrowed time: " One implication is that more medical resources should be devoted to the young, who have not yet had their fair innings, with correspondingly less spent on the elderly. Although some participants were enthusiastic about this notion of equity, others expressed concerns, one of the main ones being that we know little about how to equalize the health status of different population subgroups in a cost-effective manner.
How Markets and Government Can Work Together
The third main topic of the conference focused on how markets and government can work together to achieve more optimal health care systems. Discussion during this session was quite free-ranging and perhaps more difficult to summarize than the others. In addition, several participants noted that terms such as "markets" and "competition" have very different connotations on different sides of the Atlantic, so it is necessary to be precise.
There was general (although not universal) agreement that the dichotomy between markets and government is a false one; both are needed and both need each other. Government often needs markets to help ensure that the services produced are the ones that are wanted, and that resources are not unnecessarily squandered. Markets need government to ensure that pricing is fair, that all segments of the population are served, and that objective information is disseminated. The key issue, then, is determining the blend of the two that should be utilized, and to do that, empirical evidence is fundamentally important. Participants felt that in spite of the policy discussions on the role of competition that have taken place for decades, information on the optimal mix of government and markets is still scarce, and researchers and policy makers should look at other countries as well as their own to find the appropriate knowledge base.
Comparing Health Care Systems
The core of this special section are ten short reports on eleven countries. We asked the authors to write a brief essay on the health systems in their country, focusing on three issues:
* the role of government in financing and delivering health services, including successes and problems;
* the introduction of markets into the financing and/or delivery of health services, and its successes and problems; and
* how the roles of markets and government may change over the next decade; policy options now being considered; and the perceived advantages and disadvantages of such changes.
The reports on the eleven countries provide a fascinating view of how different societies view competition and regulation and indicate some very different trends in health care policy. As Deborah A. Stone reports, nearly any way one measures market versus government involvement in health care, the United States has relied primarily on markets rather than government. More significantly, she points to a trend in which markets gaining greater significance, as more patients in publicly funded programs are funneled through private managed care organizations, and as both federal and state governments become increasingly shy about exerting their regulatory powers. In reading the reports on the eleven countries, it is clear that the United States relies more on markets than the other countries, but also that recent developments are resulting in an even stronger role for markets.
On the other end of the spectrum, some countries have not (yet) embraced markets to any meaningful extent. Miriam M. Wiley reports that Ireland is such an example. The Irish have been unusually successful over the past two decades in reducing the proportion of national income spent on health, but this has largely been the result of their country''s fast-growing economy rather than successful expenditure control. Although she states that "there are no indications currently that any form of market-based model is likely to emerge in the foreseeable future as the dominant framework," inability to control future expenditure growth could create such pressures. Although the lack of historical reliance on markets is also true in Canada, Robert G. Evans points out that there are many forces that seek much greater reliance on markets-including provider groups, insurers, certain political figures, and some wealthier citizens who would prefer a system in which they do not cross-subsidize other population groups. Thus far, however, these appear to be threats to the current system that largely have not been actualized.
The area in which market involvement has been the highest in Canada is for services not covered by the provincial health plans, which, depending on province, may include dental care, prescription drugs, and noninpatient institutional care. Jean-Pierre Poullier and Simone Sandier report on a similar system in France, where "it is only in dental care, eyeglasses, and over-the-counter drugs that the market prevails." France differs greatly from Canada and several other countries reported on here in the extent to which patient copayments are required, as well as in the availability of privately funded supplemental insurance that covers these expenses. The authors indicate, however, that there is no strong movement toward more market involvement, as "public opinion stands massively against devolution of responsibility to private insurance or reduction in coverage."
Most of the other countries examined in this special section have experimented with increased market involvement in recent years, although in a few the pendulum has begun to swing back to a more government-oriented system. The country that has received the most attention in this regard is the United Kingdom, where the Thatcher government introduced "internal markets" to health care in 1991. As described by Clive Smee, this infusion of competition was generally among providers, not among the fenders or health plans. Unfortunately, there are few good evaluations of these changes; what does seem clear, according to Smee, is that although some improvement in hospital productivity did occur, "there was no sustained improvement in public satisfaction, no sustained decline in waiting lists or waiting times, and no measurable improvement in the clinical quality of care or in health outcomes." But the resulting increase in administrative costs, and the increasing perception that the British medical system was becoming more "two-tiered;'' led the current government to move away from this model.
Other countries considered following Britain''s lead. As reported by Todd A. Krieble, New Zealand was also on the verge of introducing internal markets in 1993, soon after Britain, with a system that would have been even more marketlike because "individuals were to be able to choose among competing health plans that would contract with competing providers:'' This idea was quickly abandoned, and the system reverted to one where government retained its dominant role in financing and delivery. Sweden went further in following Britain''s lead, including splitting the roles of purchasers and providers, giving financial incentives to general practitioners through capitation payments, and introducing more patient copayments. However, as Finn Diderichsen notes, any resulting increase in efficiency was matched by a reduction in the equity of the system. Continued financial strains, however, make it too early to know which path Sweden will ultimately choose.
Outside of the United States, the countries that have perhaps gone the furthest in introducing markets and managed competition are Switzerland, the Netherlands, and Belgium. The Swiss reforms discussed by Peter Zweifel were enacted in 1996 and included both competition among sick funds that purchase coverage (which in turn has led to the development of both PPOs and HMOs), to help defray potentially high costs for those with low incomes, and a means-tested health insurance purchase. However, because uniform premiums are required for all adults, there is still an incentive to cream-skim, which can perhaps someday be ameliorated by more effective risk-adjustment of premiums. Although Zweifel notes other obstacles that need to be overcome for managed competition to be a strong success, he notes that "at the very last, there is a willingness to try out new solutions that had not been known for decades in Swiss health care:'' There are some similarities between the Swiss experience and those in the Netherlands and Belgium. The Netherlands in particular has tried to embrace managed competition in a framework ensuring universal access while empowering sickness funds to selectively contract with providers, negotiate prices, and compete for enrollees. More recently, the funds are beginning to engage in various utilization management activities. Belgium has, since 1995, also given sick funds incentives for efficiency through risk-adjusted capitation payments, albeit for only a small portion of their total revenue. Eddy van Doorslaer and Frederik T.
Schut report that there are still a number of impediments facing both countries-both technical and political-in the quest to implement more effective reforms based on managed competition.
In some ways, the hardest of the countries to categorize is Germany, the setting of the conference. As Martin Pfaff and Dietmar Wassener indicate in the beginning of their essay, "the principle of solidarity rather than competition is considered the basic constituent element of Germany''s health care system, but competition de facto has always existed . . . among private health insurance funds, among private and social health insurance funds, and among. . . ambulatory care physicians." In general, the German system involves little direct government financial involvement but much explicit oversight of both supply- and demand-side organizational relationships.
In summary, the countries examined in this special section exemplify both varying degrees of market and government involvement in health care and different trends. Each of the essays has much to offer in both its overall description of the respective systems, as well as an analysis of the factors that are likely to spur future change. Clearly, there is no model in the developed world on the advisability of introducing more market forces into national health care systems, but the capstone essay by James A. Morone, and the two commentaries by Donald W. Light and David Wilsford, help us to explore the larger implications for health care and health care policy. The material in this special section is intended to spur greater thought on this most key health policy issue.

Page 1 PLEASE APA references seperate for page 1

As discussed in this weeks media presentation, all nurses need to be familiar with the laws and regulations that govern their practice: their states Nurse Practice Act; ANAs Nursing: Scope and Standards of Practice; specialty group standards of practice, etc. In addition, basic ethical principles guide nurses decision-making process every day. ANAs Code of Ethics and ANAs Social Policy Statement are two important documents that outline nurses ethical responsibilities to their patients, themselves, and their profession. Yet, the laws are not always compatible with the ethical positions taken by nurses.

In preparation for this Discussion, review this weeks Learning Resources. Also, consider the ethical responsibility of nurses in issues such as ensuring patient autonomy, beneficence, nonmalfeasance, and justice. Then, read the following case study and respond to the questions below:

Lena is a community health care nurse who works exclusively with HIV-positive and AIDS patients. As a part of her job, she evaluates new cases and reviews confidential information about these patients. In the course of one of these reviews, Lena learns that her sisters boyfriend has tested HIV-positive. Lena would like to protect her sister from harm and begins to consider ways that her sister can find out about her boyfriends health status.

Consult at least two resources to help you establish the legal position. These resources might include your states Nurse Practice Act, the ANA's Code of Ethics, ANAs Nursing: Scope and Standards of Practice, and internal or external standards of care. Determine whether the law supports or conflicts with your ethical stance on the situation.

With this in mind:



Post a summary of what the legal resources and professional standards say about this case regarding Lenas disclosure of private information. Include the following in your summary:





How should nurse Lena act in this situation to safeguard herself legally and ethically?



Does the law support or conflict with your ethical stance on the situation?



Include in your response how nurse Lena is supporting or violating issues of autonomy, beneficence, nonmalfeasance, and justice.

Reminder: Be sure to support your response with appropriate references to the Learning Resources. If you use sources other than the course Learning Resources, please follow APA (American Psychological Association) guidelines and provide a proper citation and reference for each source. Refer to the APA Pocket Guide, sent to you.





Page 2 PLEASE APA references seperate for PAGE 2




Throughout this course, you have read and heard about the strengths and weaknesses of the U.S. health care delivery system in relationship to issues of cost, quality, access, and outcomes. Although the United States spends more on health care than any other country, health outcomes do not seem to justify the higher cost. To prepare for this Discussion, review Chapter 6, Comparative Analysis of Health Systems Among Wealthy Nations in Health Care Delivery in the United States (5th ed.), and consider what the United States can learn from other countries in formulating policies to reform and improve its health care system. Compare and contrast costs, access, and health care outcomes of the United States to another wealthy country. Then, respond to the following:



How are global factors, including nurse migration, affecting nursing and health care delivery?



What can the United States learn from other countries in formulating policies to reform and improve the U.S. health care system? Include specific examples of the country you compared the United States with in terms of cost, access, and health outcomes.
With this in mind:



Post a comparison of the U.S. health care system with another country of your choice. Determine how the U.S. health care system can be improved based on the other country's example. In your description, address the bulleted questions above

Reminder: Be sure to support your response with appropriate references to the Learning Resources. If you use sources other than the course Learning Resources, please follow APA (American Psychological Association) guidelines and provide a proper citation and reference for each source. Refer to the APA Pocket Guide, sent to you.






There are faxes for this order.

Synthesize the technological and social challenges of information technology in health care and the need for cultural transformation. #2 Assess and communicate the impact of health information management systems and networks on organizational strategic and tactical decision making. #8 Demonstrate effective communication through project reports, business reports, and grant and contract writing.)

Literature Review will involve a review of the recent scholarly and trade literature that Outlines the budgeting and investment cycle for information systems acquisition . The paper includes a literature search and distillation of the primary and fundamental selected issues, discussion of the possible solutions to the issues raised, identification and direction of "trends. The student should expect to consult several books and a host of current articles to perform an adequate literature search and write the review of literature. If you have not completed the library tutorial, please do it now! (Course Content)

Length and Style: The completed literature review paper should have a body of two double-spaced pages maximum. A third page contains the list of references used in APA format. Graduate level writing required. This paper is posted to your Assignment folder for comments and grading, and then to the Conference text box (no attachments) by the last day of Session 5.

Excellent resource links for this assignment:


* The Writing Center, University of North Carolina at Chapel Hill - http://www.unc.edu/depts/wcweb/handouts/literature_review.html
* North Carolina State University: Literature Review Tutorial - http://www.lib.ncsu.edu/tutorials/lit-review
Topic

please see the instructions . Please carefully read it . Article has to be 2010 and present . This is the second time am ordering this please . ask if you have any questions at all

Hello,

I specified 4 pages above but want to clarify that the four pages does not include a bibliography or the outline that is required for the project. Please advise on how you want to handle this.

Please allow me to start with a little personal info that will help with the opinion part of this paper. I have spent the last 10 years implementing and administering relational databases. i have taken time off to pursue a degree in health systems. HIPAA has had a dramatic affect in health information management and medical informatics. i strongly support the push to digitize healthcare in America. i am not sure about HIPAA specifications but i hear they are aggressive. I totally support change and feel that while HIPAA may be a little zealous; healthcare should bite the bullet for they will emerge triumphant

I am including some url's that may be helpful:

http://www.informatics-review.com/thoughts/index.html
http://www.coiera.com/publica.htm
http://www.aahp.org/template.cfm?section=Our_Issues
http://www.jhita.org


PAPER REQUIREMENTS:

Identify an article from one of the following sources:
(1) A health services policy or management journal
(2) A policy or association newsletter
(3) A regional or national newspaper

The focus of the selected article should on a current or emerging issue of major importance for the health care industry.

It is acceptable to draw from several sources. However, please provide a critique of the information collected (from one or many sources) and a discussion of the important implications rather than simply review information. Your input is an important component of the assignment.

Prepare a 3-5 page type-written Synopsis that includes the following:
(a) A description of the current issue,
(b) Potential Impact of the Issue on the health care industry,
(c) Whether you agree or disagree with the perspective of the author,
(d) Why you agree or disagree with the author and
(e) Set of recommendations or solutions to key problems addressed in the article.


Balance paper into three dimensions:
Context = background of paper,
Technical = main point of paper,
Aesthetics = presentation

Provide an outline of your paper in text at the start of your paper.

Provide a road map and include landmarks.

Introduce headings and sections of your paper.

Be concise and keep it simple. Your readers are executives and don't have much time.

Use active voice / and first person

Use page numbers.

Use reference/footnotes (MLA or APA) when attaining information from outside source.

Use numbers to list more than three things.

Use plural form of writing.

Thank you,

Strider Lloyd

The Mental Health Care System - with an emphasis on teens with drug and alcohol abuse (either family history or using themselves), as well as defiant behavior disorder.

The paper needs to be analytical in nature, to deal with an issue or a concept that can be debated.

Please include the following links in your research of this paper:

Staten Island Mental Health Society
http://www.simhs.org/index.html
(where I am currently employed)

Teens and Mental Health.
http://www.athealth.com/Practitioner/Newsletter/FPN_7_8.html


Mental Health and Traumatic Events
http://www.hhs.gov/mentalhealth/

US Department and Health and Human Services
http://www.health.org/features/youth/

? Assessment of how the internet or any new form of electronic communication can be used as an external delivery source in communicating patient-specific information
? Impact of distance delivery on health care addressed
? How these communication issues impact health care today
? Impact of these issues on health care five years from now
? All required elements are addressed
? Paper is 1,400- to 1,750-words in length
? The introduction provides sufficient background on the topic and previews major points
? The conclusion is logical, flows from the body of the paper, and reviews the major points
? The information is presented in a readable and understandable manner. It will also follow a natural order of progression.
? Required number of peer-reviewed references are met.
? The paper?including the title page, reference page, tables, and any appendices?is consistent with APA guidelines as directed by the facilitator. The paper is laid out with effective use of headings, font styles, and white space.
? Rules of grammar, usage, and punctuation are followed; spelling is correct.

I will like this book to be cited:
Wager, K. A., Lee, F. W., & Glaser, J. P. (2009). Health care information systems: A practical approach for health care management (2nd ed.). San Francisco, CA: Jossey-Bass.
I will also peer reviews to be cited.

From the Healthy People 2020 website: http://www.healthypeople.gov/2020/about/prevStrategies.aspx

Choose one of the HHS Prevention strategies that is of interest to you and relevant to advance practice nursing I CHOSE MULTIPLE CHRONIC CONDITIONS

Provide a brief overview of the mission of the program.

Define the community or population being targeted.

Define the health promotion/ wellness topic: include background & clinical significance

Describe the effect of the issue/topic on the client & community.

Describe the effect of the issue/topic on the health care system as a whole.

Explain (in detail) program goals/interventions

How are the goals carried out?

What organizations are involved in the program?

Evidence-based literature to support the intervention / program

Find literature to support the need for the program.

A minimum of 3 peer-reviewed sources.

Not more than 5 years old, with the exception of a landmark study.

Assessment of resources

What resources are currently available?

Is there adequate access to the resources?

Barriers to change / implementation

Summary

APA format is required ? 6th edition.

Mobile computing has dramatically changed how information is accessed and shared. Wireless networking has been an enabler of mobile computing. One profession that mobile computing has had a big impact on is health care management. Patients are now able to monitor their vital signs such as blood pressure, glucose levels, etc. without having to periodically visit a doctor?s office or hospital. There are devices such as the Withings Blood Pressure Monitor that works with an iPhone, iPod Touch, or iPad to record, track, and graph a patient?s blood pressure. There are other devices that can measure blood glucose levels, oxygen levels, heart rate, etc. and use an iPhone to send the results to a clinical server. Doctors and caregivers are then able to access the data on the clinical server.
According to the American College of Gastroenterology, social networking sites like Facebook, Twitter, and YouTube are used as powerful platforms to deliver and receive health care information. Patients and caregivers are increasingly going online to connect and share experiences with others with similar medical issues or concerns Patients are able to take advantage of social networks to do more than just share pictures and tweets.
Write a four to five (4-5) page paper in which you:
1. Compare and contrast monitoring of patient vital signs using mobile computing technology to in-patient visits to the doctor?s office or hospital.
2. Analyze the advantages and disadvantages of using mobile computing technology to monitor patients.
3. Assess the security concerns with regard to the transmission of personal medical information over wireless networks.
4. Assess the use of social networking for group support for patients with similar medical concerns.
5. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
Your assignment must follow these formatting requirements:
? Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
? Include a cover page containing the title of the assignment, the student?s name, the professor?s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
? Describe the use of network management, Web, wireless, and mobility technologies.
? Outline the strategic implications of information assurance and security in an information technology environment.
? Use technology and information resources to research issues in information systems and technology.
? Write clearly and concisely about topics related to information systems for decision making using proper writing mechanics and technical style conventions.

Reimbursement Strategies
For this assignment, you will be preparing a research paper and submit it through the Dropbox. Your paper should clearly and succinctly cover some aspect of Medicaid reimbursement in your state. You may choose any aspect for a well-focused and specialized result (such as inpatient hospital reimbursement, outpatient hospital reimbursement, etc.). You should find at least two sources for your paper. You should also comment in your paper on how you as a Health Information Manager would assure accuracy and compliance in your department.

The paper should be 4-pages in length. On the first page, you will prepare a title page with your name, HA565 Unit 2 Project, Kaplan University, and the date you submitted the paper. This information should be in the center of the page and each line double-spaced. Pages two and three make up your actual findings and should be double-spaced. The fourth page should include the sources you used in the following APA formatting* order: Author(s) name, Date (if no date, use n.d. , the name of the article (only capitalize the first word unless the word is a proper noun or follows a semicolon), and the Internet link (be sure to highlight the entire link, right click, and choose remove hyperlink so that the link will not be in blue text and it will not be underlined. No period after the link.

APA formatting style was developed by the American Psychological Association. It is a style used frequently by college students. For more information, visit apa.org

Example:

Jones, S. (n.d.). Medicaid protocol: State of New York. Retrieved January 2, 2010 from http://www.health.state.ny.us/health_care/medicaid/

Special Note:

Please read carefully the section in your syllabus entitled Plagiarism. Be aware that plagiarism is illegal and Kaplan takes this offense very seriously. Therefore, be sure to read your sources and then transpose the information accurately into your own original composition. You are allowed to use one short quote but all else should be your own words.

Example:

The two chief concerns in patient care are the general welfare of the patient and confidentiality (Fremgen, 2008).
There are faxes for this order.

It is the director's job to ensure that the unit not only follows the facility's safety policies and procedures, but also complies with government health care regulations. Keeping costs down and bringing productivity levels up are a significant part of a critical care director's job.

Nursing EmploymentNursing Career Function
A director of critical care develops programs and processes targeted at improving the speed and quality of health care services. In addition to increasing efficiencies and reducing costs, directors of critical care evaluate staff performance and create systems for measuring departmental and practice goals. For example, directors of critical care act as a liaison between patients and nursing staff by responding to patient and visitor concerns. These professionals work closely with human resources, finance, IT and communications to promote programs and adequately manage hospital units and resources.

Education
Employers prefer candidates with a bachelor's or master's degree. College and university majors that help prepare students for a career as a director in a hospital or other health care setting include health information management and health administration. Hospitals and health care facilities often ask for a registered nurse (RN) license, which requires a degree in nursing and a license through your state's board of nursing.

Skills
Strong planning, problem-solving and interpersonal communication skills are needed as a critical services director. The ability to quickly adapt to changing environments and make decisions under pressure is helpful in stressful and hectic work environments. In addition, directors should be effective leaders and should be able to supervise, train and review the work of other staff members. Most employers require that candidates have an RN license and previous work experience in health care management.

Potential
The Bureau of Labor Statistics (BLS) projects the health management field to grow by 16 percent through 2016. Factors contributing to this growth include pressures to improve the quality of health care services, curb insurance costs and comply with stringent transparency laws in the industry. In addition, the BLS states that hospitals will be the largest employer of health care executives during this time period. However, health care management companies, outpatient care facilities and private practices also hire health services managers to handle tasks such as recruiting and organizational management

Job Description

DIRECTOR OF NURSING III, Critical Care, FT(Job Number: 118447)

Description

24 hr. accountability for ICU, IMCU and Telemetry units.

Qualifications

? BA/BS degree required, masters degree in nursing, business or healthcare required or currently enrolled in Master's program.
? Current Illinois RN license with previous leadership exp. in a critical care unit.
? Minimum 3 years experience in a hospital operations/leadership
? National certification in specialty field preferred.
? Current Illinois RN license.
? Knowledge of appropriate regulatory agency standards to include but not limited to JCAHO, OSHA and IDPH.
? Ability to implement teaching/learning strategies and facilitate group dynamics.
? Excellent customer service and interpersonal skills required.
? Strong leadership, team development, business management, strong written and oral communication skills.
? Tact, positive business demeanor and the ability to establish and maintain rapport with physicians and hospital personnel.
? Ability to communicate effectively in English, both verbally and in writing.
? Ability to use various instruments, machines, tools, equipment and work aids as necessary to perform job duties. EMR exp. a plus

I will also be sending my Resume and more material.




Read more: Job Description for Director of Critical Care | eHow.com http://www.ehow.com/about_7506682_job-description-director-critical-care.html#ixzz1gm0gL4yM

I sent this paper in to my teacher , the first part has her instruction, the second part is what I wrote, there are side comments stating what she didn't like. I received a 59%. Everything I have turned into this teacher is completely wrong. I would Like someone to look at her comments, what I wrote, and fix it if possible in a way that might please her.

This part is what she wanted: Identify means of applying social justice for vulnerable populations that eliminate health disparities. (paper)Audience: Policy makers in government or an organization1.Describe your audience. 2.Describe the method of communication.3.Describe the goals of the communication of what you want to accomplish.4.Present the communication in a format that fits the audience- email, letter, letter to the editor of the newspaper or a response to a blog posting, etc.5.Evaluate how you would know if the communication was effective.6.Include documentation to support the action that you are requesting.7.APA format and spelling, grammar, writing scholarly. This part is what I wroteHerbert Humphrey said, ?The moral test of the government is how that government treats those who are in the dawn of their life, the children; those who are in the twilight of life, the elderly; and those who are in the shadow of life the sick, the needy, and the handicapped? (Harkness & DeMarco, 2012, p. 431). How we treat others reflects how much we value life.What is the value of human life? I ask you to take a moment from the comfort of your warm, velvet seats in Congress, inside your secure life, with white, gleaming marble walls and floors, and with rooms filled with refreshing central air. Take a moment from the place where your family has the security of clean water, nutrition, and access to healthcare, far from the life of the impoverished and dying. See my world of injustice and inequity, where a young woman lies dying, with her youngest child lying in her arms. I watch him play with his truck so quietly and softly so his mommy can sleep. She is my patient, as well as her family, because they are all in crisis at this time. I grab the sweet little boy a milk and some crackers because I know he often goes without breakfast. His father, a Guatemalan refugee who speaks little English, tries to hide his despair when I enter the room. Sometimes I see him praying quietly at her side, then I pray silently, asking God to help them.They have no insurance and inadequate knowledge to make informed decisions. Because of her condition, she could no longer speak, and due to the medications, my young mother had developed an odor permeating from her skin. I was told people had difficulty keeping the interpreter to stay long enough to have a needed in-depth conversation with him. As her advocate, I felt it was my duty to make sure her husband was informed because she could no longer speak. I could get angry at this whole situation of cultural barriers, limited knowledge of health conditions, and inadequate access to healthcare. I have seen numerous patients in this same position, one which could have been avoided if there were better prevention and education strategies. Whatever the reasons, many people, mostly the poor, wait until he damage is irreversible. This lack of access to healthcare had worsened her condition, but I knew my frustration would not serve my patient, so I took the young husband out into the hall, to a room where the interpreter and husband could sit, and we talked. I felt my patient was going to fall through the cracks in this system despite my efforts. How could I help this from happening repeatedly? How can this be prevented? How can we, as citizens of humanity, change the structure of healthcare so that it does not forget our impoverished families? In a time where civilization has the ability to care for every human soul, I ask you, what is the value of human life?I am writing to Congress to give you a better understanding of the healthcare system today, in the hope that my words may reach people and open a few doors of thought leading to action. I would like people to understand my plight as a nurse working within the healthcare system, who cares about humanity and the suffering of others.There is a framework design theory that incorporates health and social justice called the ?health capability paradigm.? This theory states ?all people should have access to the means to avoid premature death and preventable morbidity?. (Rugar, 2010, p. 224).This theory ?incorporates the philosophical, economic and political, that all societies (through public?private partnerships) can design and build effective organizations and systems to achieve health capabilities? (Rugar, 2010, p. 224).What is the concept you ask? Health capability ?enables us to understand the conditions that facilitate barriers that impede health and the ability to make health decisions? (Rugar, 2010, p. 2). Rugar analyzes these fundamental "why" problems: Why is it so difficult for some populations or individuals to translate health resources into health outcomes? Why have health literacy efforts been only moderately successful? Why do some individuals have such difficulty adhering to specific treatment regimens? Why are some individuals harmed or helped by cultural norms about health behaviors? (Rugar, 2010, p. 1).Health capability measures how well people can act as agents of their own health by assessing their abilities, skills, habits, and beliefs. ?It does not just measure individual health; it also factors in situations and conditions that determine a person?s health? (Rugar, 2010).Have you ever wondered what a person could become, given the most ideal environment? I have wondered what would become of this quiet little boy who gave his mommy silent wet kisses and played with his truck if he were given the knowledge and resources to make healthy choices for himself. He might even become a doctor because he remembered the care his mother received. Alternatively, would he be forgotten and die at a very young age from conditions beyond his control?How healthy a person is encompasses his or her personal beliefs, values, and health related goals as well as the ability to recognize damaging behaviors and the external factors that form the framework of a person.There are also internal factors at work within a person; for example, health conditions like HIV or diabetes, along with how the person states they feel and their emotional and mental wellbeing. A person?s general information about health, diet, preventative care, and disease processes, as well as their knowledge base on where to receive information about their disease processes or modes of transmission all affect wellbeing. A child that is growing up with intolerance, poverty, and hunger can develop unhealthy views. This model can help develop strategies that may foster socioeconomic policies that will focus on prevention and motivation to improve health and break through barriers.To be most effective, it should begin when a child is very young. The focus should be on maternal and child health, clean drinking water and nutrition, and continuing education through life (Fukuda, 2001).What would the world look like if we saw every person as a true brother and sister? What would the world look like if we loved thy neighbor as thyself? Mark 12:31 (King James Version). One day, global citizenship that incorporates justice and fairness will be formed, eliminating poverty and equity.People need the ability to choose a healthy lifestyle, as well as information about why it is important in ways they can understand. All people deserve to have a healthy lifestyle and access to healthy foods and safe drinking water. A person cannot make healthy choices when they are physically, mentally, and spiritually malnourished.I believe I will see that little boy again someday, this time as a man, and I believe that, in some way, we had helped him where we could not help his mother. He will be walking down the hallway with a stethoscope, remembering the excellent care his mother was given, and in turn, he will give back to the next patient he sees, with a little boy lying on his mother?s lap, giving her little wet kisses.?ReferencesFukuda, S. P. (2001). The human development paradigm: Operationalizing Sen?s ideas on capabilities. Feminist economics, 9(2?3), 301-317. Abstract retrieved from http://www.ibero.edu.mx/humanismocristiano/seminario_capability/pdf/11.pdfHarkness, G. A., & Demarco, R. F. (2012). Community and public health nursing evidence for practice. Philadelphia, PA: Lippincott Williams & Wilkins.Rugar, J. P. (2010). WHO

The assignment is based on the movie Sicko by Michael Moore and additional articles that I will send. Movie Sicko can be accessed through the internet: www.documentarywire.com/sicko/ this is free and for some other information can be taken from Wikipedia. To write critical review paper(4 pages) that discusses the problem of " under insurance". To organize the paper into three major sections. In the first section define the problems with the current health care system in the US. What does the lack of proper health insurance mean for individuals? What are the implications for society at large? In the second section discuss how the US health insurance system compares to health insurance countries with universal health insurance. In the third section summarize two of the solutions discussed in the Tamaskar& Rising (2003)paper ( i will send the article). Discuss the pros and cons of the solution. The task is to integrate these materials into an organized , coherent essay that reflects my own original thinking. Essay must be written only based on the movie and articles that I am providing. I would like this essay to be in written in the simple
language form.

Thank you
There are faxes for this order.

Following the reading of the background materials and the case please respond to the following questions:

What goods or services does MUSC really "sell"/deliver?

1.How does MUSC deliver its services?

2.Who needs or will "buy" their services?

3.What may be the reason that MUSC needs a Strategic Plan and how may MUSC benefit from a new strategic plan? Please explain. Note - This is the focal question!

4.Could you propose a new mission statement for MUSC?


Please read the following case:

In October 1996, the Medical University of South Carolina (MUSC) began developing a five-year strategic plan to guide its academic pursuits into the next millennium.

As an academic institution, the Medical University engages in three interrelated activities -- education, research, and service. These activities take place within the context of local, regional, and national communities. MUSC is an educational institution dedicated to teaching health professionals and biomedical scientists with an emphasis on graduate and post-graduate programs. As a research institution, it advances new knowledge and contributes significantly to biomedical, behavioral and health-related investigations. As a clinical institution, MUSC provides the highest quality care, makes available treatments that may be unavailable elsewhere, and serves many who need care but do not have the means to afford it. These interrelated activities require careful planning and sensitivity to the consequences of change. To fulfill this threefold mission, the University is adapting its infrastructure to achieve a successful transition as health care systems evolve. This Strategic Plan is the blueprint for this transition.

Charged with developing a five-year strategic plan, the University Planning Committee faced a threefold challenge:

how to develop an unprecedented plan of this magnitude;

how to articulate comprehensive university goals and objectives which could be modified to reflect the changing environment; and

how to communicate and interact with the public.

By its very nature, this plan would need to establish broad norms and realistic expectations; it would encourage creativity; it would allow flexibility; and it would serve as a context for operational decision-making.

The first challenge was developing a prototype for a comprehensive strategic plan for the Medical University. Previously, formal strategic plans had been developed by the individual colleges, the Medical Center, and selected operational units. These plans lacked a unified orientation and reflected a decentralized governance system. Although this system served its faculty and the citizens of South Carolina well during the past, central coordination is needed to respond effectively to the fundamental changes now taking place in education, research, and health care. Interdisciplinary programs are evolving, but the nature of such programs challenges the autonomy of traditional academic and specialty units. This Strategic Plan emphasizes interdisciplinary programs and accents the need for central coordination and governance.

The second challenge was particularly complex. Extensive changes are occurring in our nation's health care system. The sweep of managed care, the rise of complex, integrated health care systems, continued concern with cost containment, and the shift of responsibilities from the federal to state governments have potentially serious consequences for all health care providers. Academic health centers are especially vulnerable to these forces because of additional costs related to education and research, comparatively high levels of uninsured patients, and an emphasis on specialized services.

The last challenge was that of communicating and interacting with the public. This Strategic Plan emphasizes the responsibilities inherent in the social contract between the Medical University and its constituents. This Plan outlines approaches to addressing the health needs of South Carolinians by preparing an educated health care workforce, advancing understanding of health and disease, and providing a broad spectrum of health care services. This Strategic Plan encourages innovative approaches to direct communication of health information to the public.

Mission Statement Description

As South Carolina's only comprehensive academic health center providing a full range of programs in the biomedical sciences, the Medical University of South Carolina is engaged in activities statewide. Its main campus is located on more than 50 acres in the city of Charleston. More than 2000 students in six colleges (Dental Medicine, Graduate Studies, Health Professions, Medicine, Nursing, and Pharmacy) study for degrees at the baccalaureate (entry at the junior year level), masters, doctoral, and other professional levels. The University also provides residency training for over 500 graduate health professionals. The teaching staff comprises approximately 850 full-time and 1600 part-time faculty.

Universal healthcare is a broad concept that has been implemented in several ways around the world. The common denominator for all such programs is some form of government action aimed at extending access to healthcare as widely as possible and setting minimum standards. Most countries implement universal healthcare through legislation, regulation, and taxation. Legislation and regulation direct what care must be provided, to whom, and on what basis. Usually some costs are borne by the patient at the time of consumption, but the bulk of the costs come from a combination of compulsory insurance and tax revenues. Some programs are paid for entirely out of tax revenues. In some cases, government involvement includes directly managing the healthcare system, but many countries use mixed public-private systems to deliver universal healthcare.

research the healthcare system of a country that has government universal healthcare coverage. Write a 2 page paper including the following:

* Describe the healthcare system and how universal coverage is financed.
* Examine the strengths and weaknesses of the system.
* Determine if this form of universal healthcare coverage would be viable in the U.S.

make sure to:
Summarized information about the healthcare system of the selected country and the financing mechanism.
Evaluated the strengths and weaknesses of the system.
Evaluated the viability of the system in the U.S.

2 page paper, one inch margins. DO NOT USE QUOTES. 300 WORDS PER PAGE


Customer is requesting that (Writergrrl101) completes this order.

Please note that my email address is [email protected] as there has been some confusion regarding my address in the past.

When using in text referencing, particularly in relation to books cited, please include Authro, date and page number(s)

ESSAY BRIEF
The Australian Government is proposing the adoption of The Productivity Commission?s Inquiry Report into Disability Care and Support and its 2 recommendations:

? National Disability Insurance Scheme (NDIS), ?a universal, no-fault, national social insurance scheme to fund basic services for any Australian born with, or acquiring a severe disability

? National Injury Insurance Scheme (NIIS), a state and territory based scheme, which would provide lifetime support for people acquiring a catastrophic injury from an accident

These systems will be significantly different from the existing system in that it will be an insurance focused system, founded on similar modelling of the Australian public health care system Medicare. They propose a range of changes in the provision of services to the disabled. The key focus of this paper is the NDIS.
The goal of this 2500 word essay is to demonstrate the various ways in which disability can be understood and relate this understanding to a well defined argument which either supports or rejects the adoption of the NDIS scheme and its intended value to people with disabilities and the broader Australian population.

The essay needs to give simple but informed understanding of disability through theories and work from the broader critical fields, including cultural studies, sociology, politics and history.

You will need to clearly define the issues and how they are framed and in addressing the topic the following should influence content:
? Broader definitions of disability
o How disability is defined in Australia and other nations and by the UN (human rights)
? Brief history of health care in Australia and early developments of health insurance models (Medicare) as an example of a functioning insurance based model similar to proposed NDIS
? History, legal frameworks and sociological theories which talk to discrimination generally and discrimination of people with disability and show how the disabled have been excluded / classed as ?other?
? The contribution that supported disabled workers will/will not make to an improved economy
? The political argument regarding the increase in ?federalisation? and its impact on public services globally/in Australia.

The essay will need to:
? critically engage with theories and work from the broader critical fields
? make the links to Australia and the proposed NDIS
? Include an introduction that sets out what will be argued in a clear and concise fashion
? Have a conclusion that does more than sum up the arguments

Some sites which may be helpful:

http://www.pc.gov.au/projects/inquiry/disability-support/report plain english version of NDIS and NIIS schemes ? really helpful as input to federalisation of health, effects of employment of disabled ? economic etc
http://www.urban.org/Publications/410107.html Adults with disabilities
The proposed sale of Medibank Private: historical, legal and policy ...
www.aph.gov.au/library/pubs/rb/2006-07/07rb02.pdf

My assignment required 450 -500 words in APA format, using the internet and library research to help support my arguement, also I am to incorporate a minimum of five references.

Below I will type out my assignment in the exact fashion it was posted for me so that you clearly understand what exactly the assignment was so that you can help in assisting me.

:
Assignment: I am to act as if I am the office manager of a primary care practice that recently acquired some extra money; funds that I believe should be used to upgrade a rudimentary health information technology system to better mange its electronic records. Staff members are still pulling paper files and the physicians are using dictation. Yet the practice's owner is unconvinced of the need to upgrade the existing system- in her view, the current practice is in compliance with HIPPA, and the money could be used for other purposes, nor can the time to train staff on using this new technology be spared. But I still believe buying a new more modern system could dramatically improve operational efficiency and keep staff current in their field. For this assignment I am to write a proposal to the practice's owner and staff ( as the office manager of this primary care facility ) justifying my recommendations for purchasing a current cutting edge health information management system. Setting cost aside, and using the internet and library, (incorporating a minimum of 5 references), and including the following in my proposal: What are the potential benefits of an upgraded system to the practice? What are the potential benefits of an upgrade system to the staff?
Who will need to be trained to use the systems/technologies? What challenges will you face at implementing this new system?

Guidelines for Course Synthesis Paper for nursing leadership class

The purpose of this paper is to have an opportunity to examine in depth of personal transition into professional nursing based upon the Course Objectives. Identify each objective and identify how met it is met
Answer each question based on your opinion regarding nursing. Please make sure each objective is answered specifically and separately. Email me if there is any need for clarification as I do not have time to resubmit the paper for revision. Please remindful that this assignment worth 100 points, again please contact me if there is any clarification on any of the objectives or the questions. the grading rubric is devided by section, pls make sure to follow the rubric when writing the paper
Introduction section
i will attached the topics that was presented in the class.Description of the content of the paper and what the reader can expect
Course Objectives:
1. Demonstrate knowledge from the humanities, natural and behavioral sciences as a foundation for client centered nursing practice.
Exploration and Analysis section
for this section of the rubric pls make sure to answere each objective questions and give example for each objective question and how to meet them in leadership class.
Terminal Objective 11 questions
1.Synthesize knowledge from the humanities, natural, and behavioral sciences as a foundation for safe, client-centered nursing practice.
2.Incorporate leadership concepts and strategies in decision making for the provision of high quality nursing practice in a variety of settings.

3.Integrate evidence-based practice to promote critical thinking and clinical reasoning in the delivery of nursing care for clients.

4.Evaluate the influence of nursing practice, nursing education and nursing research
in the delivery of healthcare.

5.Evaluate the influence of healthcare policy at local, state and federal levels.

6.Integrate emerging information systems, processes, technologies, and methods to improve healthcare practice outcomes.

7.Collaborate with consumers, members of the multi-disciplinary health team, and others to improve management of diverse clients in a variety of settings.

8.Integrate health promotion and disease prevention strategies to improve health outcomes for clients.

9.Incorporate professional conduct, ethical, and legal responsibility for nursing
practice.

10.Evaluate the nursing process in managing nursing practice for culturally diverse
clients across the life span.


11.Integrate critical thinking, clinical reasoning strategies, and communication
methods in nursing practice with clients in varying health states.

Implications for Nursing practice section
for this section, and for recommondation section you can write the paper as first person, ( i)

for Recommendations/Conclusion section pls write a good recommendation


i will attach the rubric and course objective questions. please make sure not to have a plagairzm and similarities because this paper will be submitted via turnit in. please use Time New Roman with 12 font
thank you
There are faxes for this order.

Chinas health care system and how it effects health globally.
Global open communication regarding health concerns.
How pressure of global economy may increase pressure on Chinas health care.

Assume that you have been asked to procure a new integrated software application for patient records management. Describe the process you would follow to shortlist suppliers for this purpose. How will you determine if the supplier is an approved National Health Service (NHS) supplier?

Note: The NHS refers to the set of public healthcare systems within the UK..

Your answer should discuss the following points:

1) How would you determine requirements? For example: How would you determine what capabilities the software application is required to have?

2) What criteria would you use to select the suppliers?
Cite two different approaches that you can use to make your decision. Compare and contrast these approaches, identifying their strengths and weaknesses. Which one would you choose and why?

3) How would you narrow the list of suppliers down to the top three candidates?

Title page, referance page
Medical errors in our Healthcare system in the United States, types of errors and what can be done to reduce/prevent errors

Title: Security and Privacy

As an information systems manager, you will need to consider a very important aspect of your operation?patient information, privacy, and security. Review the following case scenarios and select one to use for your management plan for security and privacy.


Case Scenario 1 (Security Breach)
The administration at St. John?s Hospital takes pride in its sound policies and procedures for the protection of confidential client information. In fact, it serves as a model for other institutions in the area, however, printouts discarded in the restricted-access IS department are not shredded. On numerous occasions, personnel working late have observed the cleaning staff reading discarded printouts. What actions, if any, should these personnel take toward the actions of the cleaning staff? What actions, if any, should be taken by IS administration?

Develop a process for maintaining patient privacy and security.
Include a detailed management plan in the case of a security breach (Case Scenario 1) In your plan, address the following questions:

How can you respond to these situations?
What training can you provide to your staff?
How can you implement your management plan?

Include a code of conduct with your plan.

Life Cycle Paper
The paper is 1,050 to 1,400 words in length.
The introduction provides sufficient background on the topic and previews major points.

Need a paper explaining the relationship between:
The systems life cycle and database systems including
> Define systems, including why systems have a beginning and end.
> Discuss the importance of integrating a life cycle into the plan for development of a database
> Consider your organization or a business with which you are familiar. Provide examples of the database system it
uses, its systems life cycle and how they are related. Is this effective? Why or why not?
> If your organization does not use a formal database system, what should it be implementing? Why?

The conclusion is logical, flows, and reviews the major points and with APA guidelines
Reference: can use:

Abdelhak, M., Grostick, S., & Hanken, M. A. (2012). Health information: Management of a strategic resourse. (4th ed.). St. Louis, MO: Elsevier Saunders.
Coronel, C., Morris, S., & Rob, P. (2011). Database Systems: Design, Implementation,
and Management. (9th ed.) Boston , MA: Course Technology/Cengage
Learning.
Hebda, T., & Czar, P. (2009). Handbook of Informatics for Nurses and Healthcare Professionals (4th ed.). Upper Saddle River, NJ: Pearson Prentice Hall.
Wager, K., Lee, F. W., & Glazer, J. P. (2009). Health Care Informations Systems: A Practical Approach for Health Care Management (2nd ed.). : Jossey-Bass Wiley.

Important:
Life Cycle of the systems goes through six phases and also discussed of the role of the project manager in the system life cycle. After completion of this document recognize what is the life cycle of the system, also the different phases, the implementation of information systems and. Also recognized as the six phases and can know the importance of each of these phases.
Consider your organization or a business with which you are familiar:
EHR System- must include the ability to connect to other systems (Abdelhak, Grostick, & Hanken, 2012).
Although the health care system can be reliable and "down" only for short periods of time, downtime can be extremely harmful... identify trends and help determine what is need to improve the system performance/ new technology / billing change/provide better service to be distribute as information systems, and we can provide the updates (Hebda & Czar, 2009).