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In life the experiences that everyone goes through will shape who they are as people. This is because, how we overcome various challenges, will have an influence on what direction we are taking our lives.

Genzyme is a leader in the biotechnology industry, and established its reputation as early as 1981 by supplying the market with certain chemicals. The company attributes its success to its focus on rather rare or "orphan" diseases and the development of drugs that capture market share for those ailments. However, there are two sides to this issue. The research and development process for these rarer drugs is tremendously expensive, resulting in a price that is well beyond most consumers. Some drugs, for instance, would cost the patient $100-200,000 per year. To bridge this gap, Genzyme has been forced to rely on government subsidies to realize any profit margin, and to continue work on these orphan diseases. Due to its focus, the company has developed rather close relationships with Non-Governmental Organizations (NGOs) and governmental health care organizations.

The planning, customization, launch and continued use of a Clinician Provider Order Entry (CPOE) system in a local hospital forms the foundation of this analysis. The processes being used prior to the systems' planning and implementation are detailed to provide a basis of comparison of system contribution and performance. A timeline of the decision makers involved in the process, how and where they identified vulnerabilities in the system and the software selection process are also detailed. The CPOE system today on average handles over 10,000 queries and has resulted in a 78% reduction in order entry errors with a corresponding reduction in costs. Most importantly, it has drastically improved the healthcare providers' effectiveness in treating patients while also augmenting the entire patient experience more positively. Analysis of CPOE Substitute Processes Prior To System Implementation The series of processes and systems that had been in place prior to the CPOE system were manually based, required continual updates and manually recursive checks of accuracy. They also had very steep learning curves for those new employees, from nurses and healthcare providers to administrators to learn and use. The manually-based system had processes in place that were only oriented towards one department as well, and had to have more manually-based modifications to be used in advanced treatment areas incouding cardiology. On top of all these other factors, the manually-based CPOE system had manually-based approaches to filing for reimbursements and managing the more complex order entry and order management functions in conjunction with the leading insurance providers. Manually-based approaches to order management, transaction management and distributed order entry can cost a healthcare provider hours of administrative time and hundreds of thousands of dollars in error-field orders and misplaced and incorrectly submitted orders (Lykowski, Mahoney, 2004). The previous systems also lacked any form of analytics or reporting as to their relative progress as well; there was no way of knowing how many orders had been processed in a given day, week or month without manually counting them. The weakness of manual systems is their inability to create an effective, measurable baseline of performance which can be used for evaluating and improving performance over time (Purbey, Mukherjee, Bhar, 2007).

When two cultures meet, both are likely to be ethnocentric. Those from the United States, try to find similarities in the other cultures with that of their own. Brazil as a country is unique in many ways. It is stated that what was considered non fashionable in US – for example being fat is taken as natural in Brazil. Thus in that culture messages regarding body fitness may have a different meaning than in the weight and figure conscious US. The culture of the US will enter into all communications that emanates from the country. As a result it is possible that the communication development as seen from the US angle may not match those that are at the receiving end in Brazil and vice versa.

Medical Care is both a commodity and a service. The process of consuming medical care has a cost, even if the after insurance price is zero to the consumer. For instance, there are hard costs that include the buildings, equipment and supplies that house the medical care or office. There are the wages that are paid for the administration and provision of healthcare, and a cost for every procedure, every drug, and every minute of healthcare operations.

The standard of living and the lifestyle of the general population in today's time has changed and enlarged because of various economic factors for instance mounting disposable income, growth of high income groups in emerging nations and many more. In a very similar manner, the social influence in the modern epoch towards the purchasing of luxurious items has also come to sight that one can reflect their image as an affluent person. As an outcome of it, demand for the luxury goods and services has escalated and intensified largely (Wright, East & Vanhuele 2008).

¶ … young band "Fun" had recent success with the release of their song, "We Are Young" in collaboration with Janelle Monae. In addition to a variety of musical styles and movements to convey its message, the song also…

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