As the percentage of older Americans continues to increase, the need for timely and accurate assessment screens and the formulation of effective clinical interventions will become even more pronounced. Fortunately, the research also showed that there are a number of assessment tools that are available to facilitate the process, including sophisticated multifactor instruments with proven validity and reliability. One of the more important issues to emerge from the research concerned the need for individualized interventions that draw on strengths and interests in order to minimize the risk factors that are involved.

eferences

Faber, M., Bosscher, .J. & Van Wieringen, P.C. (2006). Clinimetric properties of the performance-oriented mobility assessment. Physical Therapy, 86(7), 944-954.

Functional assessment. (2012). NursingLink. etrieved from http://nursinglink.monster.com / training/articles/331-functional-assessment-the-key-to-geriatric-care-in-the-21st-

century.

Gates, S. & Smith, L., Fisher, J.D. & Lamb, S.E. (2008, October 1). Systematic review of accuracy of screening instruments for predicting fall risk among independently living older…

References

Faber, M., Bosscher, R.J. & Van Wieringen, P.C. (2006). Clinimetric properties of the performance-oriented mobility assessment. Physical Therapy, 86(7), 944-954.

Functional assessment. (2012). NursingLink. Retrieved from  http://nursinglink.monster.com  / training/articles/331-functional-assessment-the-key-to-geriatric-care-in-the-21st-

century.

Gates, S. & Smith, L., Fisher, J.D. & Lamb, S.E. (2008, October 1). Systematic review of accuracy of screening instruments for predicting fall risk among independently living older adults. Journal of Rehabilitation Research & Development, 45(8), 1105-1113.

isk Analysis and the Security Survey

The following risk analysis and security survey report will be centered on the hospital as an organization. Vulnerabilities can be classified as crime opportunities, opportunities for breaking rules and regulations, opportunities for profiting and also for loss. By definition, vulnerability can be a gap or a weakness inside a security program that might be exploited by opponents to acquire unlawful access. Vulnerabilities include procedural, human, structural, electronic as well as other elements that offer opportunities to damage assets (Vellani and Owles, 2007).

A vulnerability assessment can be classified as a systematic method utilized to evaluate an organization's security position, assess the efficiency of current security infrastructure, as well as, recognize security limitations. The basic approach of a Vulnerability Assessment (VA) first measures what precise assets require protection. Subsequently, VA recognizes the protection measures previously being used to protect those assets, as well as what…

References

Brandon Region Hospital. (2012). Evacuation plan.

Brandon Region Hospital. (2012). Risk management plan.

Chung, S., & Shannon, M. (2005). Hospital planning for acts of terrorism and other public health emergencies involving children. Archives of disease in childhood, 90(12), 1300-1307.

Code Green Networks. (2009). Protecting Healthcare Organizations from Patient Data Loss. Retrieved from: www.codegreennetworks.com/resources/downloads/wp_patient_dlp.pdf

Health and Safety Legislation in elation to Employee Protection for Accidents at Work

Every individual within a workplace environment has the legal rights to protection against any work related risk, which may arise on the course of duty performance. Generally, the employees' health and safety legislation impose a range of duties to both employers and employees. The employees' health and safety guides apply to the self-employed as well as the diverse categories of employees such as manufacturers, designers, and suppliers. In different states, the legislation expresses a wide-based duty guideline within the Health and Safety at Work Acts. These regulations or acts are further spelt out in details within the subsidiary regulations, including those dealing with health and safety management, accident and/or risk management (Johnson & Geraldine, 2013, p. 57), as well as other emerging issues specific to health and safety of employees at work. This paper aims at providing…

References

Chamberlin, K.W., Cottle, M. & Neville, R. (2007).Responsibilities in notifying accidents to the health and safety authorities.Health and Safety Management, 4(3), 67-78.

Hansson, P. (2008). Employment laws and employee accident claims. Employment, Safety and Health, 14(5), 27-42.

Johnson, W.B. & Geraldine, C.K. (2013).The management of health, safety and welfare of employees at work.Employment Rights and Conditions, 3(1), 56-68.

Occupational Health and Safety Act (2000).Workplace injuries management and workers compensation.Journal of Employees' Safety and Health, 73(4), 78-97.

Homeland Security isk Management

isk Management in Homeland Security

This paper provides a brief examination of the role of risk management within the homeland security operations. The discussion first addresses issues related to risk assessment, which is a necessary, prudent step for publicly funded activities, and particularly so given the national scope and the potential consumption of resources. The Strategic National isk Assessment (SNA) serves as a vehicle to link policy -- the Presidential Policy Directive 8 (PPD 8) and the National Preparedness System. The core capabilities of the National Preparedness Goal are mapped to the hazards and threats identified in the SNA (SNA 2011). This tactic enables additional core capabilities to be identified, and provides a resource to inform the establishment of priorities needed for making decisions about future investing in capabilities (SNA 2011).

As with any major projects of risk management, the initial stage is focused on assessment.…

References

The White House. National Security Strategy. (2010, May). Washington, D.C. Government Printing Office. Retrieved National_Security_Strategy.pdf

U.S. Customs and Border Protection. Secure Boarders, Safe Travel, Legal Trade. U.S. Customs and Boarder Protection Fiscal Year 2009-2014 Strategic Plan. Retrieved CBP_Strategic_Plan.pdf

U.S. Department of Homeland Security. Department of Homeland Security Strategic Plan. Fiscal Years 2012 -- 2016. (2012, February). Washington, DC: Government Printing Office. Retrieved DHS_Strategic_Plan-2012-2016.pdf

U.S. Department of Homeland Security. DHS Risk Lexicon. Risk Steering Committee. (2010, September). Washington, D.C. Retrieved http://www.dhs.gov/xlibrary/assets/dhs-risk-lexicon-2010.pdf

Risk Management

hen creating a risk management plan for a government program a number of important (even crucial) steps must be taken. In this paper a review of those steps is presented. Also, interventions which are important for improving healthcare are presented. Hence, this paper should serve as a five page report to the city council.

Needs Assessment

The simple, straightforward definition of needs assessment is as follows: project leaders and developers must know in advance what resources are necessary -- are vital -- for the completion and success of the program. In other words, needs assessment relates to that time, what financial commitment, what staff and what other tools and resources will be necessary in order to have a program that is functional and purposeful.

Because needs assessment and project management go hand in hand, the project managers working on a new program have a practical goal of making…

Works Cited

Agency for Healthcare Research and Quality. (2010). Designing and Implementing Medicaid

Disease and Care Management Programs: A User's Guide. Retrieved June 23, 2015, from  http://www.ahrq.gov .

Ajami, S., and Bagheri-Tadi, T. (2013). Barriers for Adopting Electronic Health Records

(EHRS) by Physicians. Journal of Academy of Medical Sciences of Bosnia and Herzegovina. 21(2), 129-134.

This could pose additional threats (Brimacombe, Antunes and McIntyre, 2001).

There are also two arguments which reveal the overstatement of the estimations. The first refers to the fact that the tax structures are taken as constants, when in fact modifications could occur and result in the allocation of more funds to the health care sector. Then, the second argument is that the business, technology and administrative communities present the population and the markets with various scenarios and tools for improvements in efficiencies (Brimacombe, Antunes and McIntyre, 2001).

5. Approaches of Federal and Provincial Governments

The federal and provincial governments often encounter difficulties in adequately collaborating for the well-being of the Canadians. The provincial governments for instance blame the federal one for decreasing its health care payment from 50 cents per dollar in the 1960s to 16 cents per dollar in 2004. The federals on the other hand argue that the…

References

Brimacombe, G.G., Antunes, P., McIntyre, J., 2001, the Future Cost of Health Care in Canada, 2000 to 2020, the Conference Board of Canada

Frankel, J., Orszag, P.R., 2002, American Economic Policy in the 1990s, Universal Music International

Freund, D., Smeeding, T.M., 2002, the Future Cost of Health Care in Aging Societies: Is the Glass Half Full or Half Empty? Seminar on Ageing Societies, UNSW

Irvine, B., Ferguson, S., Cackett, B., 2005, Background Briefing: The Canadian Health Care System, Retrieved at http://www.civitas.org.uk/pdf/Canada.pdfon November 7, 2008

HSMS Gap Analysis and Hazard Identification Risk Assessments

Description of APM Terminals

Legal Environment

Review of the Health and Safety Management System

Description

Gap Analysis

Hazard Identification

Physical Hazards

Health and Welfare Hazards

Risk Assessment

Physical Hazard -- Working at Height - Scaffolding

Health & Welfare Hazard -- Noise

Action Plans

Action Plan 1 - Management System

Action Plan 2 -- Hazards and Risks

Barbour Checklist: BS OHSAS 18001 Audit Checklist

Occupational health and safety management has numerous benefits for business, not only an employer's duty of care, a legal and moral obligation but also critical part of business equal in importance to other business functions like finance, marketing and production. When health and safety is embedded as part of business, results would be, good company image and reputation, better employee motivation and morale, improved efficiency and ultimately increased profitability.

The implementation of a sound health, safety and environment (HSE)…

They have been committed to the development of what they deem to be Consciousness Cosmetics for more than a decade. Entry into the Portuguese market offers certain benefits, such as the Portuguese people's commitment to high moral standards, which would be conducive to cruelty-free, environmentally responsible products such as Alba Organics. However, there are risks as well that need to be taken into consideration.

The Portuguese market is small and growing at only a nominal rate, in comparison to other EU countries. The population is still primarily located in rural areas. Although the euro is quite stable currently, that could change, affecting Alba's profitability. and, there are three primary, well-established competitors that control the majority of the market share currently, with large financial backing that could out compete Alba.

eferences

About us. (2005). etrieved July 11, 2005, at http://www.avalonorganics.com/?title=About+Us.

Alba: FAQs. (2005). etrieved July 11, 2005, at http://www.albaorganics.com/index.php?title=FAQ%27s.

Carioca, M.,…

References

About us. (2005). Retrieved July 11, 2005, at  http://www.avalonorganics.com/?title=About+Us .

Alba: FAQs. (2005). Retrieved July 11, 2005, at http://www.albaorganics.com/index.php?title=FAQ%27s.

Carioca, M., Diniz, R., Pietracci, B. (2004). Making Portugal competitive. McKinsey Quarterly, (3). Retrieved July 11, 2005, from Business Source Premier database.

Consciousness in cosmetics. (2005). Retrieved July 11, 2005, at  http://www.avalonorganics.com/index.php?title=Consciousness+in+Cosmetics .

Nine-year-old Afro-Caribbean, Lennox, was referred by professionals and his teacher to the therapist. Those who suggested counseling were worried about the boy's conduct and behavior when at school. As Lennox's previous therapist resigned his job during the summer school-term, the boy was referred once again; by this time, he had reached the age of ten. Lennox was offered twelve months of one-on-one therapy. The problems cited in the original referral for counseling included lack of concentration in studies, attention-seeking behavior at school, persistent unpunctuality to class, and the boy's washed-out look. Another referral by an educator in the year 2009 cited the boy's weak concentration in class, poor social skills apparent in groups, defensive stance, need to remain "in control," lack of self-esteem, and failure to accept responsibility for his conduct. According to both referring educators' behavior rating, they were highly concerned about the boy. When he reached the age…

Health and Ecological Effects of Turf Fields

Logos

These are a recent type of synthetic turf, covered by a grass-like ground that strongly resembles natural grass in looks and function (STC 2015). They are said to function this way on a year-round basis in all weathers and for prolonged use without need for recovery. ecause it is synthetic, it is offered as a suitable solution and replacement for worn-out playing fields. At the same time, it does not need water or fertilizer as much as its natural counterpart. It is also available in different attractive styles, which match the locality (STC).

Sellers of artificial turf fields argue that natural grass fields cannot remain fresh and resilient if used for more than three to four days in a week, under the rain or when grass does not naturally grow (STC 2015). The low maintenance and water needs of a huge turf…

BIBLIOGRAPHY

Cheng, H. et al. Environmental and Health Impacts of Artificial Turf: a Review. Vol. 48

number 4, Environmental Science and Technology, 2014. Retrieved on November 4, 2015

from  http://www.ncbi.nlm.nih.gov/pubmed/24467230 

Ginsberg, G. et al. Human Health Risk Assessment of Synthetic Turf Fields, Based upon

Health Promotion Lesson Plan

The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.

Prevention has become a major issue…

References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web.  http://www.simplypsychology.org/Erik-Erikson.html

Health and Nursing

eduction of bedsores through implementation of Hospital wide turntable

Does the implementation of a hospital-wide turntable team have a positive impact on the reduction of bedsores?

eduction of Bedsores

A pressure ulcer (PU) or bedsore can be defined as an injury to underlying tissue of the skin that occurs due to pressure or friction. In most cases, the injured tissue sores due to the pressure exerted over a prominent bone. PU has also been defined as areas of necrosis due to tissue compression amid the bony prominence and the extracorporeal surface for a prolonged time period (Gray & Krapfl, 2008). It is therefore apparent from these definitions that exposure to pressure for a lengthy time is the primary cause of bedsores.

To prevent or minimize bedsores therefore, it is imperative upon medical practitioners to put intervention measures in place that will reduce exposure to pressure. The human…

References

Gorecki, C., Brown, J.M. & Andrea, N.E. (2009) Impact of Pressure Ulcers on Quality of Life in Older Patients: A Systematic Review. Journal of American Geriatrics Society. DOI: 10.1111/j, 1532-5415.

Gray, M & Krapfl, L.A. (2005) Does regular repositioning prevent pressure ulcers? Journal of Wound, Ostomy and Continence Nursing. Vol.35, No.6, 571-577.

Ikechokwu, E.C., Idowu, O.A. & Anekwe, D.E. (2012) Prevalence and Factors Associated With Healing Outcomes of Hospitals-acquired Pressure Ulcers among Patients With Spinal Cord Injury. Journal of Public Health and Epidemiology.Vol. 4(2), p. 44-47.

Kaitani, T., Tokunaga, K., Matsui, N., Sananda, H. (2010) Risk factors related to the development of pressure ulcers in the critical care setting. Journal of Clinical Nursing. Vol.19, 414-421.

Health Benchmarking

Discuss barriers to health and safety benchmarking

Barriers to carrying out a safety health bench marking exercise

"Health and safety benchmarking is a planned process by which an organization compares its health and safety processes and performance with others to learn how to: reduce accidents and ill-health; improve compliance with health and safety law; and/or cut compliance costs" (Health and safety benchmarking: Improving together, 1999, HSE: 1). Just like assessing one's competitors is an important component of improving productivity and quality standards, it is also important that the company gain a sense of 'where it is' in relation to the industry as a whole in terms of safety compliance.

However, there is often organizational resistance to carrying out such exercises. First and foremost, it must be understood that "benchmarking is not just about comparing data or copying your competitors. Benchmarking is more about continuously learning from others, learning…

References

Health and safety benchmarking: Improving together. (1999). HSE. Retrieved:

 http://www.hse.gov.uk/pubns/indg301.pdf

"Studies of the relationship between managed care penetration in the health care market and expenditures for Medicare fee-for-service enrollees have demonstrated the existence of these types of spill over effects" (Bundorf et al., 2004).

Managed care organizations generate these types of spillover effects by increasing competition in the health care market, altering the arrangement of the health care delivery system, and altering physician practice patterns. Studies have found that higher levels of managed care infiltration are linked with lower rates of hospital cost inflation and lower physician fees are consistent with competitive effects. "Other studies demonstrate the impact of managed care on delivery system structure including hospital capacity, hospital admission patterns, the size and composition of the physician workforce and the adoption and use of medical equipment and technologies. More recent evidence has linked market-level managed care activity to the process, but not the outcomes of care" (Bundorf et al.,…

References

Altman, D.E. And L. Levin. (2005). The Sad History of Health Care Cost Containment as

Told by One Client. Health Affairs, 24(1).

Bodenheimer, T. (2005). High and rising health care costs. part 1: Seeking an explanation.

Annals of Internal Medicine, 142(10), 847-54.

Risks of Climate Change

THE RISK OF CLIMATE CHANGE: IMPLICATIONS FOR ARCHITECTS AND ENGINEERS

Climate Change Impacts on Engineering Infrastructure

Key Impacts on Water and Resources

Risk Management Analysis Coping Methods Possibility And Probability

Theories

Recommendations And Guidelines For The Vulnerability Of Climate

Change Impacts Using Risk Management Methods And Analysis

THE RISK OF CLIMATE CHANGE: IMPLICATIONS FOR ARCHITECTS AND ENGINEERS

This work examines climate change in relation to impacts upon infrastructure, utilities, and water in relation to the affects from projected sea level rise, flooding, and other related impacts expected to result from climate change. This work also reviews models used for risk assessment and analysis and examines their usefulness and the associated limitations with these models. Knowledge and expertise is growing in the risk-assessment and analysis field of study and reliable models are being developed although the primary effective and appropriate use for the majority of these models…

Bibliography

Adapting to Climate Change Impacts on Water Management: A Guide for Planner (2006) AEA Technology - Prepared for the South East England Regional Assembly. May 2006. Online available at http://www.southeastra.gov.uk/our_work/planning/sust_nat_res/planners_adaptation_guide/planners_adaptation_guide.pdf

Sandell, 2007) ABC News Report Online available at  http://www.abcnews.go.com/Technology/GlobalWarming/story?id=3582433&page=1 

Blakemore, Bill (2007) Greenland: Where Towering Icebergs Raise Sea Levels. 9 Sept 2007. ABC News Online available at  http://www.abcnews.go.com/WN/story?id=3579084&page=1 

Cities Should Plan Now for Effects of Global Warming on Infrastructure (2005) University of Maryland 21 Feb 2005 Science and Technology Online available at  http://www.newsdesk.umd.edu/scitech/release.cfm?ArticleID=1036

isk Management Consultant Proposal

Event: The Global Event for Biotechnology in Chicago, Illinois

Event Description

In brief, this event will bring together professionals from not only the academia but also from government and the industry. The convention will in this case provide participants with a unique opportunity to explore, describe, and probe the various global challenges we are faced with today, and the most appropriate measures that can be adopted to rein in the said challenges.

isk Assessment

isk assessment in the words of Dampsey (2007) "is the process of identifying potential areas of security and loss, and the development and implementation of effective measures or countermeasures to deal with these problems." This particular risk assessment for the aforementioned event will take into consideration not only the hazards but also the nature of risks, and the measures that should be taken to control them. In this particular case, a hazard…

References

Dampsey, J.S. (2007). Introduction to Private Security. Belmont, CA: Thomson Higher Education.

Wells, G. (1996). Hazard Identification & Risk Assessment. Rugby, Warwickshire: Institute of Chemical Engineers.

isk Management in Family Owned Businesses

A family business can be simply described as "any business in which a majority of the ownership or control lies within a family, and in which two or more family members are directly involved" (Bowman-Upton, 1991). In other words, it is a multifaceted, twofold structure consisting of the family and the business meaning that the involved members are both the part of a job system and of a family system (Bowman-Upton, 1991).

Most families seek stability, intimacy, a sense of community, and belonging through the family business (Hess, 2006). On the other hand, whenever family and business are mentioned together, a majority of people think of continuous conflict, competition and contention (Crenshaw, 2005). However, "successful family businesses do not let the family destroy the business or the business destroy the family" (Hess, 2006).

The family-owned businesses are the backbone of the world financial system.…

References

Barrese, J., & Scordis, N. (2003). Corporate Risk Management. Review of Business, 24 (3), Retrieved August 17, 2012 from  http://www.questia.com/read/1G1-111508707/corporate-risk-management 

Bodine, S.W., Anthony, P., & Walker, P.L. (2001). A Road Map to Risk Management: CPAs Can Help Companies Manage Risk to Create Value. (Consulting). Journal of Accountancy, 192 (6), Retrieved August 17, 2012 from  http://www.questia.com/read/1G1-80750205/a-road-map-to-risk-management-cpas-can-help-companies 

Bowman-Upton, N. (1991). Transferring Management in the Family-Owned Business. Retrieved August 14, 2012 from http://archive.sba.gov/idc/groups/public/documents/sba_homepage/serv_sbp_exit.pdf

Caspar, C., Dias, A.K., & Elstrodt, H. (2010, January).The Five Attributes of Enduring Family Businesses. Retrieved August 15, 2012 from http://www.businessfamily.ca/cert_register_files/Web Downloads/McKinsey Quarterly - Jan 2010.pdf

isk and Insurance Management

isk is believed to be a newly coined word of assurance (for example, Ewald, 1991: 198). One of the broadly shared suppositions regarding insurance is that it spins around an instrumental concept of risk. Possibility and the amount of influence make up a technical concept of hazard/risk and hazard administration is chiefly worried about reviewing these possibilities and influences (for an overview see Gratt, 1987). For instance, external profits of financial or political occurrences lay down thresholds for the availability of associated risk guesstimates or reckonings (Huber, 2002).

So, the range of the risk groups cannot be clarified by risk judgment single-handedly; peripheral circumstances that could be political, financial or inclusive of image, arts and manners, are also required to be taken into account. Therefore, if risks are not be present, per se, but are deliberately selected, we can go a step ahead and presume them…

References

Douglas, M. And Wildavsky, A. (1982) Risk and Culture. An Essay on the Selection of Technical and Environmental Dangers. Berkeley: University of California Press.

Evers, A. And Nowotny, H. (1987) Uber den Umgang mit Unsicherheit. Die Entdeckung der Gestaltbarkeit von Gesellschaft. Frankfurt / Main: Suhrkamp.

Ewald, F. (1991) 'Insurance and Risk' in Burchell, G., Gordon, C. And Miller, P. (eds.) The Foucault Effect: studies in governmentality . London: Harvester Wheatsheaf.

Gratt, L.B. (1987) 'Risk Analysis or Risk Assessment: a proposal for consistent definitions' in Covello, V. And Lave, L. (eds.) Uncertainty in Risk Assessment, Risk Management and Decision Making, Advances in Risk Analysis (4). New York: Plenum Press.

They were just so intense, so focused, so transaction-driven, there literally wasn't time for people to put ideas out and discuss and debate them."

These constraints to effective management oversight and innovation were further exacerbated when the company went private in 2001. According to Stopper, "ARAMARK went from a leveraged buyout situation in 1984, with only some 50 people having equity in the company, to an initial public offering (IPO) in 2001 with 97% ownership by employees. It was a huge cultural shift. Many employees incurred debt in order to have ownership in the company. In his view, HR's power and influence came from performance and creating value, not from advancing or acceding to personal agendas."

To their credit, though, Hayes reports that the company finally took action to remedy this situation by creating an action project team to assess the potential threats involved in retaining the status quo and…

Works Cited

About ARAMARK." (2007). ARAMARK Corporation. [Online]. Available:  http://www.aramark.com/MainLanding.aspx?PostingID=336&ChannelID=187 .

Alleyne, Sonia (2007, July). "40 Best Companies for Diversity: In Our Third Annual Survey, We Focus on Supplier Diversity and Senior Management Representation-How Much Companies Spend with Black Suppliers and Who They Let into the Corporate Suite." Black Enterprise 37(12): 106

Caddell, Cathy L. (2004, October). "Taste of Chicago." Corrections Today 66(6): 46

Goldberg, Karen (1996, July 18). "How to Feed 10,800 Athletes." The Washington Times 13.

Phone numbers are displayed liberally. A stop-smoking hotline is listed with a toll-free telephone number. Links to sponsoring organizations like the Centers for Disease Control allow visitors to read more, and a "Get expert help" section invites viewers to use instant messaging to communicate with a "National Cancer Institute smoking cessation counselor."

Technical/Design Characteristics

Illustrations are used sparingly. No negative illustrations such as those depicting lungs decayed by cancer are included, keeping the imagery on the Web site positive and inoffensive. Most of the illustrations included on smokefree.gov are photographs depicting men and women exercising and enjoying the great outdoors. The images refresh themselves often, like a slide show. The smiling faces on the models imply that quitting smoking will make anyone feel healthier and more alive. Inclusion of people from various ethnic groups in the smokefree.gov photo database is helpful in reaching a broad audience. Background of the Web…

References

London, F., Rankin, S.H., Stallings, K.D. (2005). Patient education in health and illness

5 thed.). Philadelphia, PA: Lippincott-Raven Publishers.

National Cancer Institute. Retrieved June 16, 2008 at  http://www.cancer.gov/ 

Smokefree.gov. Web site retrieved June 16, 2008 at  http://www.smokefree.gov/index.asp

isk of Committing Violence Among Individuals Suffering From Bipolar Disorder

Several studies argue that most psychiatric symptoms are closely correlated with criminality, since such symptoms impair judgment and violate societal norms. In this regard, several studies have been conducted regarding the risk of violence among individuals suffering from mental illnesses but few have highlighted the possibility of bipolar individuals engaging in criminal behavior. The common disorders known to be highly related to criminality include antisocial personality disorder, kleptomania, voyeurism and schizophrenia. Therefore, this study is meant to examine the possibility of bipolar individuals engaging in criminal behavior.

esearch Topic

This paper aims at analyzing the likelihood of committing violence among individuals suffering from bipolar disorder as well as the factors that are likely to influence the degree to which these individuals are likely to commit violent acts.

Thesis Statement

Past studies have hinted that individuals suffering from bipolar disorder have…

References

Belfrage, H. (1998). A ten-year follow-up of criminality in Stockholm mental patients. British Journal of Criminology, 38, 145-155.

Fazel, S., Lichtenstein, P., Grann, M., Goodwin, G.M., & Langstrom, N. (2010). Bipolar Disorder and Violent CrimeNew Evidence From Population-Based Longitudinal Studies and Systematic Review. Archives of General Psychiatry, 67(9), 931-938.

Feldmann, T.B. (2001). Bipolar Disorder and Violence. Psychiatric Quarterly, 72(2), 119-129.

Link, B.G., Monahan, J., Ann, S., & Cullen, F.T. (1999). Real in Their Consequences: A Sociological Approach to Understanding the Association between Psychotic Symptoms and Violence. American Sociological Review, 64(2), 316-332.

isk management is aimed at determining possible problems beforehand in order to plan and invoke risk-handling activities, as required, across the project's or product's life, for mitigating negative effects on attaining objectives. The process of risk management constitutes a key part of technical and business management systems; it is constant and forward-thinking. isk management must deal with problems that threaten the attainment of key aims. A constant risk management strategy is adopted for successfully predicting and reducing risk elements, which critically affect a venture. A sound risk management plan entails timely and forceful risk identification by way of participation and collaboration of concerned stakeholders. Effective leadership is required across all concerned stakeholders for cultivating an environment conducive to honest and uninhibited discovery and analysis of risk. While technical problems constitute a major concern in the early stages as well as all through the course of the project, risk management has…

References

Allnutt, S., O'Driscoll, C., Ogloff, J. R., Daffern, M., & Adams, J. (2010). Clinical risk assessment and management: a practical manual for mental health clinicians.

Andrews, D. A., & Bonta, J. (2010). Rehabilitating criminal justice policy and practice.Psychology, Public Policy, and Law, 16(1), 39.

Andrews, D. A., Bonta, J., & Wormith, J. S. (2011). THE RISK-NEED-RESPONSIVITY (RNR) MODEL Does Adding the Good Lives Model Contribute to Effective Crime Prevention?. Criminal Justice and Behavior, 38(7), 735-755.

Douglas, K. S., Hart, S. D., Webster, C. D., Belfrage, H., Guy, L. S., & Wilson, C. M. (2014). Historical-Clinical-Risk Management-20, Version 3 (HCR-20V3): Development and Overview. International Journal of Forensic Mental Health, 13(2), 93-108.

Often an entire structural reassessment may be need to reach optimal temperature control for the workplace, To improve temperature control, insulation may be required to keep hot and cold air in and keep the outside temperature and humidity from affecting the workers inside. Air-conditioning is the solution of most workplaces to long, hot summers, but having windows that open can cut down on air-conditioning costs and enable workers to still work even when the temperature control system has been shut down. Having blinds to shield the light from hot windows, minimizing exposure to direct sunlight in general and providing ample water and cooling beverages can also help. If no internal cooling systems are available, allowing employees to take breaks or even to work different shifts (such as avoiding the hotter times of the day) can be valuable (Thermal comfort for office work, 2014, CCOHS). This may be necessary in outdoor…

References

Employers guide. (2014). HSE. Available:

 http://www.hse.gov.uk/temperature/thermal/managers.htm  [3 May 2014]

Martinez, I. (2014). Human thermal comfort. Available:

 http://webserver.dmt.upm.es/~isidoro/Env/Human%20thermal%20comfort.pdf  [3 May 2014]

The main hazards related to LNG include:

upture due to Corrosion

upture while excavation

upture while excavation

upture during an earthquake

upture due to mechanical failure

upture at compressor

upture at inspection stations

Uncontrolled detonation of explosives

Blow-out of gas at head and subsequent fire

Gas leak from infrastructure

Fire involving combustible

Construction damage

LPG or Diesel

Diesel pump fire involving equipment brittle fracture valve Leaks

Welding failure welding casting failure

Mechanical overstressing of equipment Vibration

pump Corrosion

joint Erosion

Failure due to external loading or impact

Internal Explosion

Underground pipe rupture of transmission pipeline

Pipe rupture at main line valve sites.

upture of adjacent gas pipeline

Uncontrolled detonation of explosives

Gas leak from pipeline infrastructure

Drop of pipe from pipe lifts

Accommodation fire involving combustible construction LPG or Diesel

Diesel fire involving mobile fuel tanker

Uncontrolled release of LNG

Uncontrolled release of refrigerant gas

Uncontrolled release of by- product…

References

Acutech Consulting (2009). The HAZOP (Hazard and Operability) Method

http://www.acusafe.com/Hazard_Analysis/HAZOP_Technique.pdf

American Petroleum Institute (August 2009). Analysis of U.S. Oil Spillage. p26

http://www.api.org/Newsroom/safetyresponse/upload/Analysis_us_oil_spillage.pdf.

Social Ecology of Health Promotion

Module 05 Question 01: explain the rationale behind the federal government's approach to regulatory containments in food.

The federal government's approach in relation to the regulation of the containments in food, aims at protecting the consumers on food insecurity through elimination of food pathogens. It is the role of the government to enhance the health system and conditions of its citizens through adoption and implementation of various rules and regulations in relation to the containments in food. The food supply of the United States integrates multi-faceted production system and delivery components. Some of the critical or essential components of this system include production, processing, preparing, packaging, labelling, distribution, and consumption of the food components (Fortin, 2011).

There is a risk in relation to the concept of each stage of the food supply system in the context of the United States. This makes it ideal for…

References

Marco-Barba, J., Mesquita-Joanes, F., & Miracle, M. (2013). Ostracod palaeolimnological analysis reveals drastic historical changes in salinity, eutrophication and biodiversity loss in a coastal Mediterranean lake. Holocene, 23(4), 556-567.

Le Bagousse-Pinguet, Y., Liancourt, P., Gross, N., & Straile, D. (2012). Indirect facilitation promotes macrophyte survival and growth in freshwater ecosystems threatened by eutrophication. Journal Of Ecology, 100(2), 530-538.

Riplett, L., Engstrom, D., & Conley, D. (2012). Changes in amorphous silica sequestration with eutrophication of riverine impoundments. Biogeochemistry, 108(1-3), 413-427.

Gareca, E.E., Vandelook, F., Fernandez, M., Hermy, M., & Honnay, O. (2012). Seed

Nursing Case Study and Theoretical Knowledge of Healthcare System

Significant evidence shows that the responsibilities of the primary and acute care nurses vary significantly. The variation creates differences in the scope of work for the nurses, as they are engaged in different job perspectives. Primary and acute care nurses provide an array of services that aim at promoting health, preventing the occurrence of diseases, treating the sick, and providing the e clients with services, meeting their needs alongside creating public awareness to issues that affect their health and well-being. The difference of the services provided by the two becomes evident by the fact that the acute care nurses provide their services to patients who are critically sick, creating continuum variation in the services provided. In addition, nurses involved in the provision of nursing care services in the acute setups require specialized knowledge, skills, and expertise that allows them to provide…

References

Brown, L., Burton, R., Hixon, B., Kakade, M., Bhagalia, P., Vick, C., et al. (2011). Factors Influencing Emergency Department Preference for Access to Healthcare. Western Journal of Emergency Medicine, 13(5), 410-415.

Brown, S., & Stenner, P. (2009). Psychology without foundations history, philosophy and psychosocial theory. London: Sage Publications.

Crowe, M., & Carlyle, D. (2003). Deconstructing risk assessment and management in mental health nursing. Journal of Advanced Nursing, 43(1), 19-27.

DiClemente, R.J., Crosby, R.A., & Kegler, M.C. (2002). Emerging theories in health promotion practice and research strategies for improving public health. San Francisco: Jossey-Bass.

Teaching Plan

In the field of nursing, there are a variety of challenges which are having an impact on practices. To deal with these issues, various theories have been developed. They are focusing on the way specific approaches can improve quality and enhance professionalism. In the case of treatment and care, these issues are problematic as many nurses are often overworked and can spend only a select amount of time with patients. To address these issues, Watson's Theory of Human Caring was developed. It is a practice based theory that concentrates on several different areas to include: kindness, transpersonal relationships, spirituality and enhancing the environment. These theories are augmented with my experiences in the field to improve quality and alleviate suffering. This is important, as it showing how Watson's views are critical in providing better attention and support to patients. (Watson, 2011)

At the heart of this approach, is a…

Evaluation of Teaching Experience

Watson's Theory of Human Caring is focusing on how to improve safety and quality inside the clinic. This is achieved by concentrating on several different variables in conjunction with each other. The most notable include: practicing kindness, cultivating spiritual practices, being supportive, teaching, creating a healing environment, assisting with basic needs and allowing for open miracles to occur. In this case, the theory can become a credo for all nurses and healthcare professionals inside the facility to follow. This means placing more of an emphasis on monitoring the patient's condition, educating them about their role in the treatment and alleviating suffering as much as possible. (Jones, 2007) (Kelly, 2013)

The way it will be applied is to show how the lack of

Community Teaching Plan

Community Teaching Work Plan Proposal

Directions: Develop an educational series proposal for your community using one of the following four topics which was chosen within your CLC group:

Bioterrorism/Disaster

Environmental Issues

Primary Prevention/Health Promotion

Secondary Prevention/Screenings for a Vulnerable Population

Planning Before Teaching:

Estimated Time Teaching Will Last:

Three 2-hour sessions

Location of Teaching:

Athens Community Health Department

Supplies, Material, Equipment Needed:

Laptop; digital projector; screen

Estimated Cost:

Community and Target Aggregate:

Athens Community Health Department, Athens, Georgia

Secondary Prevention/Screenings for a Vulnerable Population

Session I: Sources of Vulnerability

Session II:Implications for Healthcare Providers

Session III: Innovative Practice; Gordon's Functional Health Patterns Assessment

Epidemiological ationale for Topic (statistics related to topic):

The literature on vulnerable people clearly indicates that the special needs of these populations and the ubiquitous barriers to quality care access lead to traceable disparities in the provision of healthcare and in their health outcomes…

References

Agency for Healthcare Research and Quality (AHRQ). National healthcare disparities report 2008. Chapter 3, Access to healthcare. Washington: AHRQ; 2008. Retrieved  http://www.ahrq.gov /qual/nhdr08/Chap3.htm' target='_blank' REL='NOFOLLOW'>

Migrant Health Problem

Presently, access to social and health services for most migrants is determined by their legal status. Undocumented migrants have least possible access to health services. Legal status is one of the preconditions for ability involved in receiving adequate care. Further, the availability, acceptability, quality and accessibility of such services is dependent on different influences such as cultural, social, linguistic, structural, gender, geographical and financial factors. From this, different knowledge and beliefs about ill health and healthy status deter migrants from engaging national health services.

Health literacy within such awareness senses entitlements individuals to availability and care services that pose barriers to using similar services (Becker, 2003). The situation also shows dependence on various migrants irrespective of the existing legal or socio-economic statuses. The nature of mobility makes it difficult to establish the available providers of health care service. Temporary and seasonal workers prefer delaying care until there…

References

Becker, G. (2003). Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African-Americans. American Journal of Public Health, 93(5), 742.

Carrasquillo, O., Carrasquillo, A. & Shea, S. (2000). Health Insurance Coverage of Immigrants Living in the United States: Differences by Citizenship Status and Country of Origin. American Journal of Public Health 90 (6): 917 -- 923.

Huang, J., Yu, S. & Ledsky, R. (2006). Health Status and Health Service Access and Use among Children in U.S. Immigrant Families. American Journal of Public Health 96 (4): 634 -- 640.

Okie, S. (2007). Immigrants and Health Care -- At the Intersection of Two broken Systems. The New England Journal of Medicine: 525 -- 529.

Risk Citeia

ID NO.

Chosen Business: City estauant

Befoe discussing what the coe activities the company undetakes to achieve its opeational objectives, it is vital to highlight these opeational objectives. The following section gives a bief oveview of these objectives:

OPERATIONAL OBJECTIVES

The stategic objective of Taste Inn is to become the most liked band among its customes, a financially and opeationally stong company in the eyes of its investos, and a competitive paticipant in the food and hospitality industy of Austalia. The majo opeational objectives of the company include:

A stong custome base:

The most impotant opeational objective of the company is to stengthen its custome base by attacting moe and moe customes towads its poduct offeings. It aims to build a stong public image in the eyes of its customes and the society in which it opeates.

Become a financially and opeationally stong copoation:

The second most impotant…

references

Introduce products with innovative taste and new ingredients, use extensive marketing campaigns

Introduce products with innovative taste and new ingredients,

A

Manager Marketing

Osteoporosis and the Health Belief Model

Discuss the Health Belief Model

The Health Belief Model was initially a systematic mode of predicating and thus preventing health behavior. By focusing on the relationship between the practices and the behaviors of health services it aimed to create a theoretical presentation of the same. Later it was revised to motivate the general health for the 'purpose of distinguishing illness and sick-role behavior from health behavior'. [Brown, 1999] The HBM is essentially a concept that integrates psychological motivators with physical and social settings. Its said to have been initiated in 1952 by three socio-psychologists, Godfrey Hochbaum, Stephen Kegels and Irwin osenstock. During the 1950's the society realized a need to prevent disease rather than cure it. The U.S. Public Health Service was more concerned with preventing outbreaks which would have a nationwide impact than with trying to solve and cure the symptoms that individuals…

References

Brown, Kelli M. [January 11, 1999] HEALTH BELIEF MODEL Community and Family Health University of South Florida

Bandura, A. (1977). Self-efficacy: toward a unifying theory of behavior change. Psychological Review, 84, 191-215.

National Osteoporosis Foundation [NOF]. (1999a). NOF Physician's Guide: impact and overview [Online]. Available:  http://www.nof.org/physguide/impact_and_overview .

National Osteoporosis Foundation [NOF]. (1999b). Osteoporosis Fast Facts [Online]. Available:  http://www.nof.org/osteoporosis/stats.htm .

The other criteria to be used in the selection of the institutions of higher learning are their length of existence and size.

Data collection plans

Data is to be collected using questionnaires and triangulation is to be used in the process. This means that both qualitative and quantitative techniques of data collection are to be used in order to increase the chances of getting valid results (Jick, 1979).

The following sources of information will be consulted;

Academic journals such as Library Review, Update, Library Trend and Program

Online databases and gateways such as BIDS, OCLC, BUBL, OMNI, ProQuests, Academic Complete and EBSCOHOST

Regulatory bodies

Online journals

Books that are relevant to the research and trends in the sector of higher education

Quantitative data collection

Quantitative data is to be collected using questionnaires that are to be administered to the respondents in a six-month period. The questionnaires are appropriate instruments for…

Works Cited

Beach v. Univ. Of Utah (1986) 726 P.2d 413, 415 (September 26, 1986)

See Beach v. Univ. Of Utah [1986] 726 P.2d 413, 415 (Utah 1986)

Adolescents at isk of Suicide

Today, alarming numbers of young people are contemplating taking their own lives, and many follow through on their suicide ideations to actually kill themselves or to make an attempt. In sum, suicide represents the second-leading cause of death for people aged 15 to 34 years and is the third-leading cause of death among young people aged 10 to 14 years (Suicide facts at a glance, 2015). To gain some additional insights into these issues, this case study provides a description of hypothetical 14-year-old runaway Caucasian adolescent, "Jane," who as referred from a homeless shelter with suicide ideations to determine what screening and testing should be performed, a discussion concerning current recommended treatment protocol, drugs and non-pharmacological interventions, and a description of expected treatment outcomes including a corresponding time frame and follow-up plan. Finally, a summary of the research and important findings concerning adolescents such as…

References

Horwitz, A. V. & Wakefield, J. C. (2007). The loss of sadness: How psychiatry transformed normal sorrow into depressive disorder. New York: Oxford University Press.

Interventions for suicide risk. (2017). Zero Suicide. Retrieved from  http://zerosuicide.sprc.org/  toolkit/treat/interventions-suicide-risk.

King, K. A. & Price, J. H. (2009, April). Preventing adolescent suicide: Do high school counselors know the risk factors? Professional School Counseling, 3(4), 255-257.

Maris, R. W. & Berman, A. L (2000). Comprehensive textbook of suicidology. New York: Guilford Press.

Health-Care Data at Euclid Hospital Security and Control: A White Paper

Protecting Health-Care Data

The efficiency of the modern healthcare system is increasingly becoming reliant on a computerized infrastructure. Open distributed information systems have been initiated to bring professionals together on a common platform throughout the world. It needs to be understood that easy and flexible methods of processing and communication of images; sound and texts will help in visualizing and thereby cure illnesses and diseases effectively. Another aspect is that the easy access and usage can risk patient privacy, accountability, and secrecy associated with the healthcare profession. Therefore, Information Technology -- IT must be able to focus mainly on improving the health of the patient and should not put the patient's health in danger. (IO Press)

This implies that right data has to be made available to the right person at the right time. IT strongly affects the confidentiality…

References

A WWW implementation of National Recommendations for Protecting Electronic Health

Information.  http://medg.lcs.mit.edu/people/psz/secman.html 

Accessed 21 September, 2005

IO Press. Retrieved from  http://www.iospress.nl/loadtop/load.php?isbn=9051992661

Health Promotion Case Study

In this scenario the individual has been asked by a local law firm to come into the organization and establish a wellness program to promote the health of its employees. The firm includes a team of 20 lawyers, 3 managers, 45 paralegals, 5 administrative assistants, 2 information technologists and 4 part-time housekeeping and maintenance staff. The partners agreed last year to install a fully equipped gym in their building because otherwise they would receive a discount on the health insurance if 85% of the employees were participating in the gym at least an average of 90 minutes a week. At the time of renewal of the health care benefits package, the organization was disqualified from the discount because only approximately 10% of the employees were participating in the gym. This case involves a solution for engaging more of the law firm employees in health promotion activities…

References

Wieczner, J (2013) Your Company Wants to Make You Healthy. The Wall Street Journal. Retrieved from: SB10001424127887323393304578360252284151378

Gaines, M. (2012) How to Motivate Employees to Exercise. Chron. Retrieved from:  http://work.chron.com/motivate-employees-exercise-1860.html 

Garity, C. (nd) Corporate Fitness and Active Aging. Retrieved from:  http://wellness.nifs.org/blog/bid/39826/Corporate-Fitness-Programs-Can-Motivate-Employees-to-Exercise-at-Work

Healthcare Management

isk management in healthcare organizations includes activities that integrating the recognition of risks, assessments of risks, coming up with strategies to be used and mitigation of these risks that have been identified. The focus on this paper is how to proactively prevent risks in healthcare organizations. The area of focus in financial risk management is risks that are managed using trade financial instruments such financial management systems, appropriate EM, coding, billing, collections, general accounting, budgeting, expense management, managed care contract strategy and vendor relations processes. isks are unavoidable and are present in every human situation .T he most common concept that appears in all definitions of risks is the uncertainty of the outcomes involved in the risks. Due to the uncertainty of the nature of risks the healthcare systems should have proactive measures in place to ensure that these risks are prevented and do not take place at…

References

University of California (2008). Ways to Reduce Risk. Retrieved March 24, 2014 from http://map.ais.ucla.edu/go/1000570

ECRI Institute ( 2010). Sample Risk Management Plan for a Community Health Center Patient Safety and Risk Management Program. Retrieved March 24, 2014 from http://bphc.hrsa.gov/ftca/riskmanagement/riskmgmtplan.pdf

Berg H., (2010). Risk Management: Procedures, Methods and Experiences. Retrieved March 24, 2014 from  http://gnedenko-forum.org/Journal/2010/022010/RTA_2_2010-09.pdf 

The World Bank Group, (2014).Better Risk Management Can Unlock Opportunities, Prevent Crises, and Protect Poor amidst Disasters and Shocks, Says World Bank . Retrieved March 24, 2014 from  http://www.worldbank.org/en/news/press-release/2013/10/06/better-risk-management-unlock-opportunities-prevent-crises-protect-poor-amidst-disasters-shocks

Healthcare Fraud

Identity theft and fraud of many types and forms are obviously a major inconvenience and hindrance to anyone that falls prey to a person that engages that crime. There are many variants and forms of fraud and identity theft out there. One of the more insidious and nasty examples of those crimes would be that which relates to healthcare. Indeed, to have people's wallet, healthcare and the taxpayer dollar on top of that all potentially compromised in one fail swoop is a very ominous and nefarious endeavor. Even so, it happens all of the time and to all sorts of people. egardless of the particular situation or scenario, any instances of fraud or abuse when it comes to healthcare insurance, healthcare providers and the services dispensed from all of the above are never a good thing. While healthcare is deemed to be a right to be extended without…

References

Badano, G. (2016). Still Special, Despite Everything: A Liberal Defense of the Value of Healthcare in the Face of the Social Determinants of Health. Social Theory &

Practice, 42(1), 183.

Budetti, P. P. (2015). New strategy, technology emerging in ongoing fight against healthcare

fraud. Modern Healthcare, 45(29), 25.

isk Communication and Its Importance for the Security Manager

Identify what risk communication is and explain its importance for the security manager

Communication is a significant factor in all aspects and sectors of life. The social, political or economic features of are transmitted exclusively through communication. Communication is the act of conveying information and messages from an individual to another or a group. It serves to, teach, educate, learn, entertain and to warn among other purposes. Thus, in any organization or area of a corporate or personal life, it is imperative to have effective and efficient communication. The safety of a person, corporate organization or a nation can always be assured. Communication is, therefore, needed in ensuring this safety.

What is risk communication?

If you are told that, in the path, you are about to take, there is a gargantuan poisonous snake lying by the side of the path; you…

References

Roeser, S., Hillerbrand, R., Sandin, P., & Peterson, M. (2012). Handbook of Risk Theory:

Epistemology, Decision Theory, Ethics, and Social Implications of Risk. Dordrecht:

Springer Netherlands.

Hayes, R. (2007). Retail security and loss prevention. Basingstoke [u.a.: Palgrave Macmillan

isk Management Plan for Exxon Mobil

A risk management process is a systematic application of management policies for the purpose of identifying, analyzing, evaluating and mitigating any possible risks within an organization. The following paper focuses on formulation of risk management plan for Exxon Mobil, one of the world's most renowned oil and gas companies. The risks would be identified and selected applicable to this firm and after their evaluation, a risk treatment plan would be advised.

Establish the isk Context

Identifying the Context for isk Assessment

eviewing current organizational processes

Being in the gas and power marketing department of the company, there are certain risks applicable within my area of operation. In order to clearly determine those risks, first, a comprehensive look at Exxon Mobil's organizational processes along with a SWOT analysis is presented. The firm is dedicated to create and maintain an environmental policy that would protect the…

References

Bastian, B.L. & Tucci, C. (2010). An empirical investigation on the effects of political risk on technology strategies of firms, presented at Summer Conference 2010, London, 2010. London: Imperial College London Business School. Retrieved from http://www2.druid.dk/conferences/viewpaper.php?id=501908&cf=43

Exxon Mobil. (n.d.). About us: How we operate. Retrieved from  http://lubes.ExxonMobil.com/Lubes/about_how.aspx 

Green Peace. (2011). Risks and potential impacts of oil exploration in the Arctic. Retrieved from  http://www.greenpeace.org/international/Global/international/publications/climate/2011  / FinalArcticBriefing2011.pdf

Hirsch, A. (2011, June 17). Exxon Mobil accused of 'fraud' in Jacksonville gas spill trail. The Baltimore Sun. Retrieved from  http://www.baltimoresun.com/news/maryland/baltimore - county/bs-md-co-exxon-trial-closing-20110617-story.html

097

United States

0.109

0.093808

0.036112

0.068

Utah

0.1071

0.1401

0.035696

0.073

Vermont

0.1326

0.0988

0.040851

0.114

Virgin Islands

NA

NA

NA

Virginia

0.1048

0.0829

0.080009

0.092

Washington

0.1229

0.0669

0.027831

0.068

West Virginia

0.1293

0.0774

0.036499

0.055

Wisconsin

0.0954

0.0357

0.032367

0.097

Wyoming

0.1251

0.1453

0.053867

0.075

Notes

All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.

Definitions

Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30.  for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.

Sources

Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).

From this entire chart, the entire increase in expenditure of…

References

Clark, Cheryl et al. "State Medicaid Eligibility and Care Delayed Because of Cost." New England Journal of Medicine, 368 (2013): 1263-1265. Print.

Ellwood, Marilyn Rymer et al. An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California. U.S. Department of Health and Human Services, 1993. Print.

Goodnough, Abby. "October 25th." The New York Times. 25th October. 2012. Web. 29th March 2013. [ http://www.nytimes.com/2012/10/26/us/spending-on-medicaid-has-slowed-survey-finds.html?_r=0 ].

Grannemann, Thomas W. And Mark V Pauly. Controlling Medicaid Costs: Federalism, Competition, and Choice. Washington DC: American Enterprise Institute, 1983. Print.

Health eform Act

The work of Flanagan, Miller, Pagano, and Wood (2010) entitled "Employee Benefit Plan eview -- Meyerowitz, Health care eform Is Here -- Now What?" states that health care reform laws are expected to have an impact that is significant in nature and this is on the health insurance industry as well as on employee benefit issues as well. The Patient Protection and Affordable Care Act (PPACA), which was then supplemented and modified, less than one week later, by the Health Care and Education Tax Credit econciliation Act (HCEA)." (Flanagan, Miller, Pagano, and Wood, 2010) Those two laws are referred to as "Health Care eform" or "Health eform Laws." (Flanagan, Miller, Pagano, and Wood, 2010) The Health eform Laws are reported, while being extremely lengthy and in depth and very detailed to "leave open a host of issues that will have to be resolved either through agency regulations…

References

Current Internal Revenue Code (Standard Federal version), SEC. 45R. EMPLOYEE HEALTH INSURANCE EXPENSES OF SMALL EMPLOYERS (2010) WK_ Current Internal Revenue Code SEC 45R EMPLOYEE HEALTH INSURANCE EXPENSES OF SMALL EMPLOYERS.pdf

Part III - Administrative, Procedural, and Miscellaneous Section 45R -- Tax Credit for Employee Health Insurance Expenses of Small Employers Notice 2010-44

National Tax Advisory (2010) What you need to know now about the tax aspects of health reform litigation. 6 Apr 2010.

IRS Rulings & Other Documents (2002-Current), Rev. Rul. 2010-13, Internal Revenue Service, (May 3, 2010) WK_ IRS Rulings Other Documents 2002-Current Rev Rul 2010-13 May 3, 2010.pdf ©2010 Wolters Kluwer.

Health Care Reform Federal Deficit

The American Health Care Crisis and the Federal Deficit

The United States spends more than any other country on medical care. In 2006, U.S. health care spending was $2.1 trillion, or 16% of our gross domestic product. At the same time, more than 45 million Americans lack health insurance and our health outcomes (life expectancy, infant mortality, and mortality amenable to health care) are mediocre compared with other rich democracies. We spend too much for what we get.

Nothing is new about these sobering realities. The Nixon administration first declared a health care cost crisis in 1969. Four decades later, the United States still has not adopted systemwide cost controls because the politics of health care make it extraordinarily difficult to control costs. I explain below why this is so (Marmor, et al., 2009).

The starting point for understanding the politics of cost control is…

Bibliography

1. Eakin, Douglas and Michael Ramlet. (2010) "Health Care Reform is Likely to Widen Budget Deficits -- Not Reduce Them." Health Affairs, 29, no.6:1136-1141. Eakin and Ramlet examine the underpinnings of the Congressional Budget Office's projection that enacting the Patient Protection and Affordable Care Act will decrease deficits, and conclude that it is built on a shaky foundation of omitted costs, premiums shifted from other entitlements, and politically dubious spending cuts and revenue increases. A more comprehensive and realistic projection suggests that the new reform law will raise the deficit by more than $500 billion during the first ten years and by nearly $1.5 trillion in the following decade. This is an excellent article with regards to my article, written by two policy commentators at the forefront of their field. This article shows expertise in medical economics and offers compelling, clear arguments for the increase in the federal deficit due to the massive spending on entitlements as a result of passing the Patient Protection and Affordable Care Act. They project deficits, opposing the Congressional Budget Office, through their insightful analysis.

2. Marmor, Theodore, Jonathan Oberlander, and Joseph White. (2009) "The Obama Administration's Options for Health Care Cost Control: Hope vs. Reality." Ann Intern Med. 150:485-489. Controlling the costs of medical care has long been an elusive goal in U.S. health policy. This article examines the options for health care cost control under the Obama administration. The authors argue that the administration's approach to health reform offers some potential for cost control but also embraces many strategies that are not likely to be successful. Lessons the United States can learn from other countries' experiences in constraining medical care spending are then explored. This article offers evidence for the lack of cost containment in the Obama administrations' plans for health reform. It gives a good analysis of the international scene in health care as well.

3. Collins, Sara, Michelle M. Doty, Karen Davis, Cathy Schoen, Alyssa L. Holmgren, and Alice Ho. (2004) "The Affordability Crisis in Health Care." Commonwealth Fund Biennial Health Insurance Survey. Published in 2004, The Commonwealth Fund Biennial Health Insurance Survey, conducted from September 2003 -- January 2004, presents new and timely information on where the American public stands on solutions to reform the health care system. The survey finds widespread support for federal efforts to extend health insurance to more people, as well as a widely held belief that the financing of health care should continue to be a shared responsibility among individuals, employers, and the government. The survey also uncovered potential reasons for such strong support for health care reform. Among the insured and the uninsured alike, there is concern that health care security in the United States is eroding. People are experiencing reductions in insurance coverage that are threatening their financial security.

4. Etheridge, Lynn (1984) "An Aging Society and the Federal Deficit." The Milbank Memorial Fund Quarterly. Health and Society, 521-543. This article serves as early warning sign of the deficit battles to come. It argues that the conflict between the growing needs of an aging society and a federal budget which cannot afford its current commitments has become one of the nation's most difficult government policy dilemmas. Assistance for the elderly through Social Security, Medicare, and other programs-is already the federal government's largest fiscal responsibility. In 1985 these programs will require nearly half of all domestic program spending an estimated $256 billion. The future costs of these commitments will rise rapidly well into the next century, accounting-with national defense and interest costs-for virtually all of the spending increases in the projected $200 to $300 billion deficits. Etheridge asserts that the decisions about the nation's assistance to the elderly -- and about reaffirmation, reform, and/or retrenchment of these commitments-will thus be central to the coming budget debates.

Healthcare in the United States: Where We Have Been, Where We Are Going

The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.

Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain…

Reference List

Bernstein, A.B., Hing, E., Moss, A.J., Allen, K., Siller, A., and Tiggle, R. (2003). Health Care in America: Trends in Utilization. Hyattsville, MD: National Center for Health Statistics.

Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care. Westport, CT: Praeger.

Birenbaum, A. (1997). Managed Care: Made in America. Westport, CT: Praeger.

Committee on Health Care Access and Economics Task Force on Mental Health (2009). Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration. The Official Journal of the American Academy of Pediatrics, March, 30, 2009, pp. 1248-1251.

Nurses, who have first hand knowledge and understanding of how to live healthy and how to take proper care of themselves, are far better equipped to teach others about these concepts. Certain populations can benefit greatly from prevention, especially those who are prone to specific types of diseases or conditions.

One of the most common behaviors that leads to many chronic and often very damaging health conditions is smoking. Smoking can cause a multitude of diseases and conditions from emphysema to heart disease to lung cancer (Chapman, 2007). The list goes on and on. But smoking is 100% preventable and nurses need to understand not only how to treat these smoking-related diseases but how to more importantly discourage and prevent people from smoking in the first place. Many nurses agree that this behavior leads to many of the worst case scenarios for people with pre-existing chronic conditions. It is therefore…

References

Chapman, Simon. (2007). Public Health Advocacy and Tobacco Control: Making Smoking

History. Blackwell Publishing, New York, NY. Pp. 55-56.

Chung, Daniel C. (2008). "Stool DNA Testing and Colon Cancer Prevention: Another Step

Forward." Annals of Internal Medicine, Vol. 149, No. 7. pp. 509-510.

" (AAF, nd)

The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)

One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…

Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians  http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html 

Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at:  http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512 

Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html

Health Maintenance Issues

Mrs. Gray is an 86-year-old woman who has been diagnosed with Type Two Diabetes. She has lived with the disease for three years. Mrs. Gray is single and lives in the area in a naturally occurring retirement community. Mrs. Gray, though 86, appears much younger than her stated age, which can be largely attributed to her active physical nature. Mrs. Gray boasts an exceedingly active social life, meeting her friends for lunch several times a week, and she strives to keep herself in good physical condition by going to the gym an average of four times a week. Mrs. Gray is further involved in the community through significant work in her church and as a member of the Senior Friends Program, which allows volunteers to interact with shut-ins by visiting with them and bringing them dinner once a week. Mrs. Gray's last A1C was 6.1%.

Health Maintenance…

References

Esfahani, A., Josse, A., and Panahi, S. (2008). Nutritional considerations for older adults with type 2 diabetes. Journal of Nutrition for the Elderly, 27.3-4. pp. 363-80. Retrieved from: EBSCOhost Database.

Fravel, M., McDanel, D., and Ross, M. (2011). Special considerations for treatment of type 2 diabetes in the elderly. American Journal of Health-System Pharmacy, 68.6. pp. 500-9. Retrieved from: EBSCOhost Database.

Haffner, S., Lehto, S, and Ronnemaa, T. (2008). Mortality from coronary heart disease in subjects with type w diabetes and in nondiabetic subjects with and without prior myocardial infarction. New England Journal of Medicine, 349:1. pp. 229-234. Retrieved from: EBSCOhost Database.

Halter, J. (2009). Geriatric patients. In: Therapy for Diabetes Millitus and related disorders, 3 ed. Alexandria, VA: American Diabetes Association. pp. 234-240. Retrieved from: EBSCOhost Database.

Health Care Finance

Greenwald engages in a discussion comparing the U.S. health care system to, well, other health care systems. An interesting methodological fault is that Greenwald cherry-picks his examples. In one paragraph, he compares the U.S. with Canada, in other the UK, and in another Spain. he problem, methodologically, is that he can cherry-pick data from whatever country best suits his argument. What this means, in terms of interpretation, is that Greenwald's findings need to be taken with a grain of salt. As an example, Greenwald notes higher wait times in three countries for urgent coronary artery bypass. Nobody likes high wait times, but Greenwald's U.S. figure doesn't factor in the uninsured, whose wait time is infinity. hey just die. he issue many have with the U.S. system is not that performance is poor; it is that performance is only good when you can afford it.

his cuts to…

This cuts to the heart of the difference between the U.S. And other industrialized countries. The trade-off between quality of care and universal care exists in any nation. The trade-off that other countries have made is that they have chosen universal care, even when there are times when service standards are lower. In the U.S., there has never been a strong collective motivation to make that trade-off. There are reasons for this, and they are more social that medical. While some have argued that lobbyists are the issue, I disagree with that assessment, because most other nations adopted universal health care long before lobbyists took over the U.S. government. The lack of universal health care in the U.S., therefore, is more related to social factors. The erosion of the manufacturing base has in turn eroded the sort of jobs where working class Americans can get health insurance; replace such jobs with part-time retail and the number of insured will decrease. Further, at-risk groups such as the poor, African-Americans, Native Americans and the disabled are disproportionally uninsured (Link & Phelan, 1996). There is a certain lack of concern with the well-being of these groups that has resulted in a lack of desire to provide insurance for them. It's kind of the elephant in the room -- while Canada and Europe were developing universal health care, a lot of parts of the United States were having trouble wrapping their head around desegregation in schools. We should not be so naive as to think this mentality does not play a role in public opposition to universal health care. As well, health care costs were manageable and for most, the system has worked reasonably well. This means there was no impetus for change -- only recently with the explosion of health care costs has there been concern about paying for health insurance even from the middle class.

Costs

There are a number of reasons why health care costs are lower in other nations. Greenwald notes that American health care facilities are more likely to invest in the most modern equipment. I wish he did not cherry-pick his supporting evidence ("seniors in Miami in the last six months of their lives receive the best care anywhere in the world") because this is a fairly demonstrable reality. At the top end, the U.S. health care system is usually better than in other countries. The fault Greenwald has is not following through and asking why this is. He is correct in pointing out that the best care can and should cost more. But facilities invest so heavily for two key

Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:

Lack of a common understanding about errors among health care professionals

Physicians generally think of errors as individual that resulted from patient morbidity or mortality.

Physicians report errors in medical records that have in turn been ignored by researchers.

Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of…

Bibliography

Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000

Patient Safety/Medical Errors Online at the Premiere Inc. page located at:  http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc 

Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.

Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101

Figure 1 portrays the state of Maryland, the location for the focus of this DR.

Figure 1: Map of Maryland, the State (Google Maps, 2009)

1.3 Study Structure

Organization of the Study

The following five chapters constitute the body of Chapter I: Introduction

Chapter II: Review of the Literature

Chapter III: Methods and Results

Chapter IV: Chapter V: Conclusions, Recommendations, and Implications

Chapter I: Introduction

During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.

Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…

Potter, S. (2002) Doing Postgraduate Research. London: Sage.

Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629

Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at  http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf

Health Promotion

The absence of illness does not thoroughly explain "Health", it can as well be described as wellness of the body and mind. More technically, health can be defined from two perspectives -- bodily and psychological health. A state of well-being due to regular exercises, adequate nutrition, sufficient rest, sensitivity to signs of sickness and when to seek help is referred to as Physical health. A person's fitness is showcased by his/her body make-up, cardiorespiratory endurance, muscular stability, and adaptability. Mental wellness refers to psychological and emotional welfare.

As defined by the World Health Organisation (WHO), mental health is "a state of wellness in which an individual discovers and harnesses his abilities, make headways regardless of stress encountered in life, can complete tasks adequately and profitably with substantial end product, and also contributes immensely to the uplift of his or her locality." (Nordqvist, 2015). A means of enabling people…

References

Boundless, 2016. Research Methods for Evaluating Treatment Efficacy - Boundless Open Textbook. Boundless. Available at: https://www.boundless.com/psychology/textbooks/boundless-psychology-textbook/treating-psychological-disorders-19/introduction-to-the-treatment-of-psychological-disorders-99/research-methods-for-evaluating-treatment-efficacy-382-12917/ [Accessed June 27, 2017].

Brassai, L, Piko, B, & Steger, M 2011, 'Meaning in Life: Is It a Protective Factor for Adolescents' Psychological Health?', International Journal of Behavioral Medicine, 18, 1, p. 44, Advanced Placement Source, EBSCOhost, viewed 27 June 2017.

Cuijpers, P. et al., 2014. EU-Compass for Action on Mental Health and Well-being. PREVENTION OF DEPRESSION AND PROMOTION OF RESILIENCE. Available at:  https://ec.europa.eu/health/sites/health/files/mental_health/docs/ev_20161006_co03_en.pdf  [Accessed June 27, 2017].

Gillham, J.E. et al., 2012. Preventing Depression in Early Adolescent Girls: The Penn Resiliency and Girls in Transition Programs. Handbook of Prevention and Intervention Programs for Adolescent Girls, pp.124 -- 161.

Unless the physicians can succinctly argue their case for care and services, the managed care entity will, for reasons of medical necessity, deny access to care and services.

What Cost-Added atio Based on Illegal Immigrant Population?

The argument by opponents that loopholes exist that would allow illegal immigrants to access Obama's proposed legislation on healthcare services is rendered moot in lieu of the fact that those illegal immigrants are currently receiving healthcare services Medicaid and through Immigration and Naturalization Services (INS). The Federal eimbursement of Emergency Health Services Furnished to Undocumented Aliens states:

"Section 1011 of the (Medicare Prescription Drug, Improvement, and Modernization Act (MMA) (P.L. 108-173)) MMA appropriated $250 million dollars in FY 2005 through 2008 for payments to eligible providers for emergency health services provided to undocumented aliens and other non-specified citizens who are not eligible for Medicaid (Centers for Medicare and Medicaid Services, 2009, found online, p.…

Reference List

Birenbaum, A. (1997). Managed Care: Made in America, Praeger Publishers, Westport,

CT.

Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care, Praeger Publishers, Westport, CT.

Centers for Disease Control and Prevention (2009). Uninsured Americans: Newly

1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.

Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.

11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?

In terms of policy implementation and organizational philosophy, the human resources function…

References

Horine, P.D., Pohiala, E.D., Luecke, R.W. (1993) Healthcare Financial Managers and CQI: Implementing Continuous Quality Improvement; Healthcare Financial Management.

Humphry, D. (1991) Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. Secaucus: Carol Publishing

Russell-Walling, E. (2005) Fifty Management Ideas You Really Need to Know. London: Quercus

These were being make, passiveness or unassertiveness, and a father who avoids conflict with a teenage child. Parental guidance on safer sexual practices, skillful assertion, negotiation and resolution of conflicts all help improve dating communication between teenagers. ut parents' strategies in solving everyday conflicts and issues with teenage children may be the true basis for the safe-sex negotiations in their dating. Parents who actively engage in open disagreement with their teenage children may induce confidence in their children to assert themselves and communicate their preference with a sexual partner regarding the use of condoms. These strategies are likely to develop from safe-sex communication with parents (Feingold).

Parental Processes and Style

The Kaiser Family Foundation surveys suggested that teenagers whose parents monitor their children's whereabouts and particular behaviors tend to have only one sexual partner or avoid unprotected sex (Howell, 2001). A combination of high-level communication and parental monitoring works well…

BIBLIOGRAPHY

Aspen (2009). Sexual promiscuity in adolescents. Fact Sheets. Aspen Education Group.

Retrieved on July 21, 2011 from  http://www.aspeneducation.com/factsheetpromiscuity.html 

Feingold, A. (2006). Parents can help reduce sexual risk-taking. PsychCentral:

PsychCentral.com. Retrieved on July 21, 2011 from  http://psychcentral.com/lib/2006/parents-can-help-teens-reduce-sexual-risk-taking

Some hospitals create a "contingency" budget, which can be offset by a few of these patients.

The percentage of non-paying patients can vary a good deal, particularly in a city- or county-owned hospital. This number may not vary, and typically in a budget the hospital CEO and/or CFO negotiates with the governmental bodies for regular subsidies to cover.

The billing cycles can be difficult to predict, particularly for Medicare and Medicaid patients, where there are famous irregular delays on payment. It is possible, as noted above, to go to outside banks or other bodies to get a/R funding to cover these contingencies

Particularly in older hospitals, the amount in the depreciation account may not be enough to cover unforeseen expenses, such as asbestos removal or deterioration. Hospitals can address this by auditing their depreciation accounts and making a better assessment of what might be needed in coming budgets.

Many organizations…

Bibliography

MedCath. "MedCath Corporation." 2006. medcath.com. 15 November 2007 www.medcath.com.

Mullins, D.W. "Financial Leverage, the Capital Asset Pricing Model and the Cost of Equity Capital." Harvard Business Review (1980): n.p.

Schneider, EC, Zaslavsky, AM and Epstein, AM. "Use of High-Cost Operative Procedures by Medicare Beneficiaries Enrolled in for-Profit and Not-for-Profit Health Plans." NEJM (2004): 143-150.

Shah, BR, Glickman, SW, Lian, L, Gibler, WB, Ohman, EM, Pollack, CV, Roe, MT and Peterson, ED. "The Impact of for-Profit Hospital Status on the Care and Outcomes of Patients With Non-ST-Segment Elevation Myocardial Infarction." JACC (2007): 1462-1468.

Healthcare Finance

In order to be successful in the present complex and frequently unfavorable business settings, a healthcare organization's strategic direction should be estimated, focused, and financially sustainable. Strategic business planning is an indispensable instrument to aid organizations focus strategic choices within the financial actualities of their environment. An efficient strategic business planning cycle includes making an evaluation, identification of business objectives, making strategies, performing an impact analysis and developing an execution plan. The important steps in strategic business planning comprises of conducting an assessment, identifying business objectives, making a strategy, carrying out an impact analysis, and developing an implementation plan. This procedure could include a one-to-three-year sequence and can be applied at the clinical service line or at the level of business unit level for a greater focused planning. The only certainty in the present healthcare environment is a constantly changing set of hypothesis regarding the future. (Bachrodt; Symth,…

REFERENCES

'A New Look Into Strategic Financial Planning." Retrieved from http://www.hospitalconnect.com/aha/fsi/monitor / Accessed on 4 May, 2005

Bachrodt, Andrew. K; Symth, Patrick. J. (November, 2004) "Strategic business planning linking strategy with financial reality" Health Care Financial Management. Retrieved from  http://www.findarticles.com/p/articles/mi_m3257/is_11_58/ai_n6359509  Accessed on 4 May, 2005

Brown, Judith. (2005) "Ten Strategies to Manage Employee-Healthcare Costs." Career

Journal. Retrieved from  http://www.careerjournal.com/hrcenter/ipma/20041207-ipma.html  Accessed on 4 May, 2005

IV. HOME-GENERATED SHARPS CONSOLIDATION POINT COMPLIANCE home-generated sharps consolidation point must comply with the requirements stated as follows:

1) All sharps waste shall be placed in sharps containers;

2) Sharps containers ready for disposal shall not be held more than seven (7) days without the written approval of the enforcement agency." (State of California Division of Drinking Water and Environmental Management, 2007)

V. RESPONSE of the SHARP'S CORPORATION

According to the representative for the Sharps Corporation:

We believe this to be a break-through event for the Company as the legislative process now mandates the proper disposal of used syringes, needles and lancets outside of the traditional healthcare setting in California. We believe that the California legislation could prove to be the model for legislation throughout the country. This legislation has the potential to not only positively impact our residential community business but also sales opportunities in all markets we serve…

Bibliography

OSHA eTools and Electronic Products for Compliance Assistance Teen Worker Safety in Restaurants, 2007 Cleanup/Cuts. Online available at: www.osha.gov/SLTC/youth/restaurant/cleanup_cuts.htm

Sharps Compliance Corp. Announces Passage of California Legislation; California Senate Bill 1305 Requires Proper Disposal of Home-Generated Sharps." Business Wire. July 17, 2006. FindArticles.com. 28 Feb. 2007.  http://www.findarticles.com/p/articles/mi_m0EIN/is_2006_July_17/ai_n16535433 

Senate Bill No. 1305 Passed the Senate May 11, 2006, Passed the Assembly June 26, 2006. Online available at http://info.sen.ca.gov/pub/05-06/bill/sen/sb_1301-1350/sb_1305_bill_20060628_enrolled.pdf.

Promote Foster Improve Workplace Opportunity California Department of Industrial Relations (2000-2001 Biennial Report) State of California OPS 02 69225.

He is made at himself for not coming to terms with himself earlier in life and he is mad at himself for spending so much time "giving his love" to people - men -- who didn't deserve it. He says that if he could go back, he would go to school, he would embrace who he is, he would be honest with family about his sexuality, and he would have found a spiritual life sooner. Bruce is quite spiritual now. He is no longer Baptist, but rather he has taken up belief in the tenets of Buddhism, which he claims has brought him much peace inside as well as has made him more tolerant of others -- including whites.

One interesting fact about Bruce is that he says that he has never had a very strong identity to gay men either -- whether they are white or black. He seems…

Gay Men of African Descent (GMAD). (2010). Gay men of African Descent. Accessed on October 28, 2010: http://www.gmad.org/index.html

Sue, D.W., & Sue, D. (1999). Counseling the culturally different: Theory and practice

(3rd ed.). New York: John Wiley & Sons, Inc.

Protection of Digital Health Information

With increase health information technology store access patient information, likelihood security breaches risen. In fact, Canadian Medical Association Journal (CMAJ): In United States, a whopping 97% increase number health records breached 2010-2011

Ensuring that patient information is protected at all times is vital for any health care institution. Patient information records contain sensitive information that can be used for malicious purposes like identity theft, credit card fraud, and leaking of information for malicious intent. The advancement and use of technology has made it easier for patient information to be accessed within the health care facility Shoniregun, Dube, & Mtenzi, 2010.

This increases the speed of service delivery to the patient and improves the care given to the patient. Technology has allowed for the use of portable electronic devices by the healthcare practitioners in entering and accessing patient records and information. Portable electronic devices are small…

References

Green, M.A., & Bowie, M.J. (2005). ESSENTIALS OF HEALTH INFORMATION Management: PRINCIPLES AND PRACTICES: Principles and Practices. Independence, KY: Thomson/Delmar Learning.

Harman, L.B., & Association, A.H.I.M. (2006). Ethical Challenges in the Management of Health Information. Burlington, MA: Jones and Bartlett Publishers.

Laurinda B. Harman, C.A.F., and Kesa Bond. (2012). Electronic Health Records: Privacy, Confidentiality, and Security. American Medical Association Journal of Ethics, 14(9), 712-719.

Shoniregun, C.A., Dube, K., & Mtenzi, F. (2010). Electronic Healthcare Information Security. New York / Heidelberg: Springer.