The Case for Open Heart Surgery at Cabarrus Memorial Hospital Research Paper

The Case for Open Heart Surgery at Cabarrus Memorial Hospital - Research Paper Example Discuss ways the program does or does not comply with the hospital’s mission First, the availability of the open heart surgery program should be reviewed. In fact, it is available in 11 counties in North Carolina, however, it is not offered in the primary operational area, the CMH involves. Actually, this can be regarded as a key decisive factor for extending the range of procedures. Considering the hospital’s mission, it should be emphasized that the hospital has the sufficient base for heart surgery and therapy; therefore, the open heart program will lower the risks for the patients, who need angioplastry, and other invasive therapies. Considering the planned expansion of the hospital, the open heart surgery program is required for attracting experienced heart surgeons as well, while the lack of experts may be regarded as a stop factor. Considering the necessity to review the mission, the CMH will have to consider several additional aspects for launching the program. Therefore, the program will need some amendments, such as including output measurements, integrating the emergency practices into the new program, as well as differentiate responsibilities of the entire team. (Courtney, 2008) These amendments require the in-depth restructuring of the strategic approaches applied, as well as improving the implementation control schemes. Therefore, the mission of the hospital will have to be oriented at several aspects: 1. Patients’ satisfaction 2. Qualification improvement of the personnel (including training courses and experience exchanges) 3. Resolving legislative issues (medical insurance, new program formalities, etc.) Analyze whether or not CMH has sufficient infrastructure and financial resources / leverage necessary to add the program As it is stated in the case study description, the hospital has sufficie nt financial resources for rearranging the space, purchasing equipment, and employing additional personnel. (Swayne, Duncan and Ginter, 2008) Nevertheless, there is a lack of experienced personal expected. Therefore, as it is emphasized in the discussion, the hospital has only one invasive cardiologist, while the other experts are either interns, or non-invasive cardiologists. Therefore, the hospital will have to resolve the problem of finding the experienced personnel, for launching the open heart surgery program. Nevertheless, this could be regarded as the only serious threat for implementing it. On the other hand, the CMH will have to redesign the overall control management in order to launch the open heart surgery program. In accordance with the research by Scharer (2005), such a redesign may be performed by considering the engineering approach to measure and calculate the possible workload. These measures are required for adapting the HR strategy to the new working approaches, associated with launching the new program. However, such a shift will also require applying organizational development approach concentrated on the proper team building principles, since proper recruiting, and necessity for coordinated team work is essential for health care strategic management. Describe the competitive situation among other area hospitals that could impact the decision On the one hand, the CMH has an opportunity to become the first clinic in the county, offering the open heart surgery program. On the other hand, in accordance with the case description, the lack of the experienced personnel is essential, and some experts have been already gained by other clinics of the State. (Swayne, Duncan

Assessing and Planning Skills Essay Example | Topics and Well Written Essays - 1000 words

Assessing and Planning Skills - Essay Example Clinical supervision is used to assist the teacher provide good services to students by learning from the supervisor’s experiences. Also, it provides the link between administration and the staff by monitoring the extent of compliance with policies, goals and procedures set out by the administration (Shohet, (2001). Peer coaching is a technique that combines coaching and peer to peer skill sharing. The participants can share experiences in their work and also teach other vital professional practices. They work together to evaluate practices, develop new skills together, share ideas and develop strategies for the classroom. One type of peer coaching involves only a few teachers working around observations in teaching. Peer coaching might involve teachers planning and implementing a curriculum together to test for new approaches to teaching. Also, it may be used to conduct research by the formulation of hypothesis about classroom behaviours and teachers testing these hypotheses (Aly, 2013). The major strength of the clinical supervision model is its ability to promote staff retention as it improves performance delivery. So as to attain this, the model requires a healthy and productive relationship between the teacher and a supervisor that is knowledgeable and can objectively analyse strategies (Evans, 2000). The teacher should have a mentality of accepting direction and correction. For the model to be effective, the supervisor needs to have a strong rapport with the teacher so that he could constructively criticise the teacher, and the teacher can open up. In such an environment, the teacher can learn a set of new skills from the experience of the supervisor and air out their concerns. However, the reliance on a good rapport for the model to be effective is its major drawback. In some instances, the teacher might be resistant to the supervisor’s authority and resist any feedback

Management report Essay Example | Topics and Well Written Essays - 750 words

Management report - Essay Example When they started, the manager revealed that they used to test many different suppliers in order to choose the best ones. After this process, and through experience, now they already know who the best is and they buy only from them. Concurrently, the manager also noted that some of the sellers are actually friends with people that work at the restaurant. They purchase ingredients, such as meat, fish, vegetables and other fresh stuff, on a daily basis at local Indian/Bengali shops. Accordingly, there are plenty of them in the neighbourhood, as there are 50 Indian, Bengali, Thai, and Asian restaurants in this area. So they tested different suppliers and chose the best ones. It was emphasized that it took years of experience. Now, the Cinnamon Brick Lane Restaurant are acknowledged to be the best, legendary, and renowned. The standard of quality also means possessing secret recipes appreciated by the worlds best chefs. 2 The fact that food critics who graced the restaurant provided exemplary reviews evidently indicates that the establishment is viewed as one that serves high quality food, diverse menus and exemplary service. The official website of the restaurant cited the results from two of the food critics who visited their establishment, to wit: â€Å"Among our many accolades include food critic and Michelin chef Pat Chapman, in the Cobra Good Food Guide, and Humayun Khan - from TANDOORI MAGAZINE, who gave rave reviews on his last visit to Cinnamon for his favourite dish, the LEMON-GRASS CHICKEN, recommending Cinnamon as one of the best Indian/ Bangladeshi restaurants in Britain. View London also highly recommends Cinnamon as one of the best in Brick Lane†.3 Likewise, due to the high quality, great taste of its food, exemplary service, and consistently positive customer satisfaction rating s, the Cinnamon Brick Lane Restaurant was also revealed to have been patronized by other celebrities and famous personalities such as Jeremy Guscott, a former

Behind and history of blood diamonds Research Paper

Behind and history of blood diamonds - Research Paper Example The trade of blood diamonds has been the cause of 4 million deaths. In the 1990s, before relevant steps were taken to curb the problem, conflict diamond trade amounted to be between 3.7-20 percent of the total global diamond trade (â€Å"Blood Diamonds†). It was during the end of 1998 and the beginning of 1999 that the UN began to approach the issue of blood diamond. The UN together with relevant NGOs began to create general awareness regarding blood diamonds among policy makers, media and public representatives to inform them about the gravity of the issue. The UN subsequently passed resolutions such as United Nations Security Council Resolution 1173  and  United Nations Security Council Resolution 1176 to ban the trade of illegal diamonds in Angola. However, these resolutions had little effect on prominent warlords. Trade of Blood Diamonds continued to occur in Angola. The UN then commissioned the Canadian ambassador, Robert Fowler to investigate the issue further. Fowler’s investigations resulted in the Fowler Report in 2000. This report helped form the Kimberly Process Certification Scheme. Under the Kimberly Process Certification Scheme, it is illegal to trade diamonds in any country where the diamonds are not in officially sealed packages. Furthermore, criminal charges are to be imposed to anyone caught trading in illegal diamonds. However, the biggest shortcoming of the Scheme is that it does not protect Blood Diamond trade from corrupt officials who are willing to officially stamp the diamonds for a certain fee. The definition of blood diamond is also limited in this process (Bates). It is argued that the Kimberley Process needs to be revised even as some claim that this process is a step in the right direction (Grant, 393). Others are completely against the process by claiming that the scheme only supports nations and businesses

What is critical thinking Essay Example | Topics and Well Written Essays - 500 words - 1

What is critical thinking - Essay Example It also involves the observation of things in open-minded ways and examining them from various perspectives. Critical thinking allows people to see beyond their view of things and understand the opinions of other people better. Critical thinking is usually used in discussions to form well-rounded and cogent arguments. Critical thinking uses multiple skills such as logic, accuracy, relevance, fairness, clarity, precision, and completeness. Critical thinking has benefits that range from personal life and working place to scientific research and academic education. It is quite unfortunate that most people’s thinking are distorted, uninformed, partial, and biased, which form barriers to effective critical thinking (Moore & Parker 2011). Critical thinking requires the ability from an individual to approach situations and problem in a rational manner. Thinking in a rational way requires proper analysis of what is known and deriving conclusions based on evidence or facts rather than feelings or opinions. Reasoning in an honest way requires thinkers to acknowledge motives, personal goals, and emotions that can corrupt one’s thought processes and opinions. Rational thinking should identify and eliminate prejudices that inhibit fresh and objective approaches to situations (Moore & Parker 2011). Critical thinking is important as it generates new avenues of problem solving. Critical thinking requires people be open-minded. Being open-minded permits people to find all possible answers to an obstacle and accept solutions and answers different from the initial expectations. Being open-minded requires people not to assume their ways of providing solutions are always right or the best. Scientists, for example, should be aware that the results of research or experiment will not always meet their expectations. Results obtained from such experiments can be challenging, but will eventually lead to meaningful discoveries (Moore & Parker 2011). Critical thinking

Journal Essay Example | Topics and Well Written Essays - 1500 words - 2

Journal - Essay Example It is my grandparents who ensured that I was best placed to learn about all manner of technology since my grandfather worked at a computer manufacturing company. As a result, I was given an early exposure to technology and I am proud to say that using my computer, I have been able to make new friends through social networks as well as ensuring that I get to share class assignments and other tasks with my friends and classmates. My grandparents have also helped me to develop a calm demeanor, which has enabled me to take part in conflict management within my community and among my friends. Journal 2 I would categorize my communication skills as being above average and this can be attributed to the fact that I was raised in an environment where one was allowed to openly express himself. Living with my grandparents, I was allowed the freedom of self-expression and this enabled me, from an early age, to develop my communication skills needed to survive in the society. The strength of my c ommunication skills has been proven through the way that I have been able to present myself in various situations, which have, to an extent, made me successful. The power of having good communication skills can be considered to be among the greatest that any human being can possess, and I can gladly count myself among these privileged individuals. It has always been my wish to speak at an important function so that I can be able to show the world how good my communication skills are. However, this has not been possible because of the fact that most of my presentations have often been in a classroom situation, or during some school functions which have enabled me to gain some experience in communicating. Journal 3 I have found that the development of good social skills is essential for effective communication because of the fact that individuals are not likely to listen to a person whose social skills are not good. Good social skills are necessary in ensuring that you have the full a ttention of those individuals who are listening to you. A person with weak social skills hardly ever keeps his listeners’ concentration for long and one will find that one’s listeners would have their attention elsewhere whenever one is talking. In fact, it is normal for one to find that he has lost all but a few of his listeners, creating a situation where the communicator loses most of the confidence that he has in himself to communicate. As a result, the presentation ends up being delivered in a way that can only be said to be weak, resulting in the ineffective delivery of the intended message. If the message being delivered is found to be ineffective by the listeners, then it is likely that it will be ignored or that it might not be put into consideration. Such a situation is likely to make the presenter in a situation where he loses all his confidence of expression. Journal 4 The most common means through which individuals tend to lose interest in a listener is of ten through the presenter’s lack of confidence when addressing his audience. It is a fact that many individuals, when presenting, do not display the confidence in what they are saying in order to impress on their audience the importance of the matter which they are discussing. This has created a situation where the listeners lose interest and they end up wanting to leave almost from the moment when the presenter begins to

Properties, plant, and equipment in accounting theory Essay

Properties, plant, and equipment in accounting theory - Essay Example 2) Group costing (recording the cost as 800,000 for all the equipment together) affects the costing of the equipment in two ways. First, it is challenging to depreciate the items because they have different depreciation rates (Liapis & Christodoulopoulou, 2011). However, this risk may be eliminated in case their depreciation rate is the same. Second, it creates a reporting and cost allocation challenge, as the cost accountant cannot allocate costs effectively with group costing. Operational costs on the assets become hard to allocate. However, costing the items independently (single costing) will facilitate reporting because some of the equipment should be capitalized (fixed assets) while some would be expensed (inventory). 3) Group costing reduces the profit of the business. First, it increases the depreciation expense, which has a negative effect on the profit of the business. Group costing also eliminates gain on sale of the expenses assets (Herrmann, Thomas & Saudagaran, 2011). Introduction of unwarranted depreciation also affects the value of the assets as it lowers the item values in the end. However, single costing does not affect the value of the assets and maintains the profit of the business high, as the gains on sale are included in sales while the depreciation expense is removed. 4) The first problem imminent from the transaction is the possibility of double costing. In case the items are recorded as lump sum amount means that in case some of them are sold, they may be recorded again in sales without expensing them creating a double accounting problem (Weiss, 2012). Depreciation problem may also arise from the transactions. An accountant will find challenges in treatment of depreciation for the difference between the market value and purchase price. From the transaction, taxation challenges can also arise. When the transaction is taxed, the amount to be taxed may challenge the accountant. The