Apollo Hospitals is a healthcare provider in India. The healthcare system in India is oriented towards private enterprise, as government provides very little care, something that is matched with atrocious health outcomes. Most health spending is on an out-of-pocket basis, with only 15% of the people using health insurance to cover their costs. Within this milieu, Apollo Group emerged to win a substantial share of the private hospital market. Growth now depended on rising incomes that would increase demand, but also on improvements to the insurance system that would bring more Indians, in particular the rising middle class, into the health care system. Apollo is examining a couple of different options with respect to enhancing its revenues. The first such option is to establish an insurance system and the second is to differentiate via the creation of super specialty hospitals.
There are two competitive advantages to the insurance…… [Read More]
India's Apollo Hospitals Group
Porter's Five Forces
Threat of New Entrants
Threat of Substitutes
Strategic Alternative Identification & Fit Assessment
Competitive Position, Capabilities, and Deficiencies
Strategic Choice & Strategy Formation
The Apollo group has an extraordinary success record and has proven that healthcare in India can compete with many first world organizations with third world resources. The company faces a number of challenges in the domestic market and must continue to leverage its success. The organization has a unique source of human capital that can offer many competitive advantages on an international level with regard to technology and education. This analysis will provide a background on India and the Apollo group as well as many perspectives on their opportunities and challenges.
India is a diverse nation that is divided into…… [Read More]
In United States the Congress had passed the Medicare Prescription Drug, Improvement and Modernization Act of 2003 or MMA and with this imposed a stoppage for 18 months on the starting of new physician owned specialty hospitals. At the same time, they also wanted to know the position regarding certain matters of physician owned heart, orthopedic and surgical specialty hospitals through MedPAC. The team visited sites, made legal analysis and met the share owners in these hospitals and finally presented a report to the Congress. It had also gone through the cost reports received from Medicare and inpatient claims of 2002, which was the most recent at that time. This will naturally form the basis of such hospitals being permitted or not. (Physician-owned specialty hospitals)
Findings of MedPAC:
The findings of this committee showed that:-
Physician owned hospitals generally treated patients who had less severe problems…… [Read More]
Heal Sometimes: My Nursing Ethic
The job of a nurse is to help their patients (Board of Registered Nurses 2013). This is more than just helping to heal their physical or mental illnesses or injuries. It is also about being compassionate and understanding, to make the patient feel safe and to try to help them deal with the anxiety and fear of being in a hospital setting. As a nurse, I believe in doing everything that is possible to help my patients while maintaining ethical standards as well. In the chapter entitled "To Heal Sometimes, to Comfort Always," the author explains that there is far more to nursing than simply evaluating illness or injury and helping to provide treatment for the condition. Above all else, a nurse should be the person who treats the mental state of the patient and tries to make them feel better about being in a…… [Read More]
In addition, Fortis Healthcare has grown to become a worldwide leader in the delivery of a wide variety of sophisticated medical care in areas such as heart surgery. Although this is a positive aspect, particularly because it has led to the increase of medical tourism, this trend will result to adverse effects in the future (Fortis Hospital, 2001). This is because the company is gradually losing the desire to cater for the local people, and it is focusing on foreign care seekers.
Therefore, the local people may opt to seek healthcare services from other emerging healthcare providers, which can make the organization lose local dominance in its home country. In addition, the company always sees an opportunity in failed healthcare firms, and that is why it seeks to acquire them. However, it fails to calculate the costs involved in the improvements of the organizations. The company has some cases in…… [Read More]
She is said to have refused to stop being a cook and this led to infection of people in a New York maternity hospital consequently she was re-arrested by the health officers and taken back to quarantine in 1915 till her death in 1938. This sparked a lot of human rights issues concerning quarantine as never before.
The typhoid pandemic in New York went hand in hand with the poliomyelitis pandemic that began in 1916. The health officers began to separate parents from their children in chagrin of many. This saw the wealthier families provide isolation rooms and treatment for their children right at home. However, in November of the same year when the pandemic subsided, it was after well above 2,300 lives claimed by the pandemic, a vast majority being the young.
It was not long until the world war brought with it another challenge of prostitution and consequent…… [Read More]
Pissarro took a special interest in his attempts at painting, emphasizing that he should 'look for the nature that suits your temperament', and in 1876 Gauguin had a landscape in the style of Pissarro accepted at the Salon. In the meantime Pissarro had introduced him to Cezanne, for whose works he conceived a great respect-so much so that the older man began to fear that he would steal his 'sensations'. All three worked together for some time at Pontoise, where Pissarro and Gauguin drew pencil sketches of each other (Cabinet des Dessins, Louvre).
Gauguin settled for a while in ouen, painting every day after the bank he worked at closed.
Ultimately, he returned to Paris, painting in Pont-Aven, a well-known resort for artists.
Le Christ Jaune (the Yellow Christ) (Pioch, 2002) Still Life with Three Puppies 1888 (Pioch, 2002)
In "Sunny side down; Van Gogh and Gauguin," Martin…… [Read More]
location will lend knowledge to the present and the future. s a citizen of any region understanding the how and why of historical reflections upon the landscape of a city or town is crucial for a holistic view of the culture, economy and even of that town landscape. Without this knowledge decisions made by an individual can seem to lack in depth and purpose. The history of California, it's place within the union of the United States and also it's pre-union history is not only fascinating but it is also poignant when used to reflect upon current circumstances, be they positive or perceptually negative.
One city's history lends particular interest to this theory in all aspects of culture, economy, and landscape. The city of Downey California has a substantial pre-1900 history and is also home to three firsts, which have become international symbols of merican culture and ingenuity. "We are…… [Read More]
Offered under the same roof are "consultative, diagnostic, and treatment services" which are stated to be provided "by board-certified practitioners in the fields of pulmonary medicine, otolarngology, family medicine and more." (2006)
Smith reports that the laboratories experiencing the most dramatic growth are two which are located the "farthest from the Hillsboro flagship" as they are located in two areas that were "formerly underserved." (2006) Smith additionally reports that the demand is stronger in the areas where the two fastest growing centers are located which supplies "plenty of fuel for expansion."
Smith states that the Sleep Health & Wellness NW is attempting to "fill a gap so that patients who previously were overlooked or not being reached or who fell through the cracks no longer are," she says. "We have no plans to open centers in areas where there are already quality sleep services programs. We only want to go…… [Read More]
There isn't one time in the film that Martin doesn't act out of passion. Unlike Oedipus, Martin does not choose blindness but rather it is a result of his passion and desire for Mini.
atching Mini's First Time, the audience has a sort of god-like perspective as perhaps the audience felt in one of the great Greek theatres. As one watches the film, there is a definite feeling that it isn't going to end well for the humans involved. e can see the machinations growing and growing until they spin out of control and utter chaos is revealed. e are not sure what the fate of the characters will be, unlike Oedipus because we are so familiar with it, but like Oedipus, we know that there isn't much hope. In the Iliad and Odyssey, the gods do occasionally look down upon the humans with some compassion and interest -- and…… [Read More]
Echo Valley Council
Case eport: Mr. William Doe
Director, Community Options Program
Proposed Interventions and Treatment Plan for Mr. William Doe
Like other developed Western nations, the elderly in Australia are confronted with numerous challenges to living independently as they grow older, including coping with age-related diseases processes such as dementia and obstructive airways disease as well as adjusting to the loss of a spouse. This case report provides a discussion concerning the application of the overarching and practice functions of the case management model described within the organisational and community contexts. A reflective discussion concerning the proposed approach to practice that focuses on decisions and reasons for practice, the effectiveness of the proposed practice and alternative approaches, skills or techniques that may be required to provide appropriate levels of care for Mr. William Doe who is described further below.
eview and Discussion
Overview of Client: "Mr. William…… [Read More]
The boy just stood there staring at the pile of clothes and cat food and bows. I went over and asked him if I could do anything but he told me that he was used to it. I wasn't actually all that surprised by his answer.
And so I ask myself: Which story of the family are these two telling themselves? Does the boy know that he is Horus and Apollo? Or does he know that he is Bluebeard in the making? And does the woman yearn to be Demeter? Or is she still aching to be Persephone? Persephone is for Jung a symbol of completeness, for she encompasses opposites -- life and death, mother and daughter, even male and female. The whole eternal cycle of birth through to rebirth.
Then there were two women, well dressed, nice jewelry, standing in the candle aisle. I was there because --…… [Read More]
Thus, Sharon Olds' poem progresses through a series of interesting images, which analyze the relationship between the Apollonian and the Dionysian states, that is, from the pure individuality to a state of merging with the other and overstepping the boundaries of the self.
Yusef Komunyakaa's poem has a similar structure. In his Facing it, the author rememorizes an experience from the Vietnam ar. The poem starts abruptly with the image of the poet's black face that fades "hiding inside the black granite: "My black face fades, / hiding inside the black granite. / I said I wouldn't, dammit: No tears. / I'm stone. I'm flesh. / My clouded reflection eyes me / like a bird of prey, the profile of night slanted against morning."(Komunyakaa, 129) the image that opens the poem is thus already very representative: the author seems to lead a tense struggle with his own self. The black…… [Read More]
Different Fuel Cell Technologies
U.S Department of Energy (2010) provides the description of different fuel cell technologies. The fuel cell technologies are differentiated according to their efficiency, operating temperatures, costs and application. The classifications are based on 6 major groups:
Alkaline fuel cell (AFC),
Phosphoric acid fuel cell (PAFC),
Solid oxide fuel cell (SOFC),
Molten carbonate fuel cell (MCFC),
Proton exchange membrane fuel cell (PEMFC);
Direct methanol fuel cell (DMFC).
Alkaline fuel cell (AFC)
The AFC generates electrical power using alkaline electrolyte KOH (potassium hydroxide) in water-based solution. The presence of hydroxyl ions within the electrolyte allows a circuit to extract electric energy. The illustration in Fig 2 reveals an alkaline fuel cell. As being revealed in Fig 2, two hydrogen gas molecules combines with 4 hydroxyl ions have a negative charge to release 4 electrons and 4 water molecules. The equation 4 reveals the reaction of oxidation that takes…… [Read More]
Technology, Social Order, And Change
The interaction between technology and humanity is much like the relationship between life, and art. Some say life imitates art. Others insist that art is a reflection of life, and illustrates what it perceives around it. Technology can be perceived as a series of locks and dikes through which the currents of humanity flow. Others insist that mankind has a firm grasp on the throttle of technological advancement, and that the technological machine is firmly within our control.
However, as with life and art, the distinctive lines which determine control and influence between technology and humanity are often smudged. Since the release of the desk top computer into (or onto) the population, society has been affected to a similar degree to which it has been served. Computers used to be limited to large corporations, to run only the most complicated tasks. Today are used to…… [Read More]