Electronic Health Records and Our Government Essay Example for Free

Electronic Health Records and Our Government Essay Electronic Health Records involvement in health care reform is at the main focus of lowering the cost to make care more affordable and improvement in the quality of care patients receive. The transition to electronic health records for the last couple years have been driven by offered incentives through the government. As the time pass by the popularity of electronic health record system increase more and more. EHR Systems involvement with government health care reforms in 2010 Financial incentives were aligned to encourage the adoption of EHR. To further support the transition to EHR funds were also provided to train health care professionals on how to us EHR in a meaningful manner. The incentives decline every year until 2015 when it will then be mandatory. After the deadline of 2015 not being in compliance will result in being penalized financially. In order to receive the incentives there are very specific guidelines and requirements that must be fulfilled. Some examples of requirements are EHR systems that record BMI (body mass index), patient demographics, as well as 40% of prescriptions must be submitted electronically. EHR Systems involvement with government health care reforms in 2011 The reporting year begins for eligible professions on January 1st. Medicare EMR incentive program registration began in January 3rd. In April Attestation began. In May Payments began. July 3rd was the last day for eligible hospitals to begin their 90 day reporting period to demonstrate meaningful use for the Medicare EMR incentive program. September 30th was the last day of reporting year ends for eligible hospitals. October 1st was the last day for eligible professionals to begin their 90 day reporting period for calendar year 2011. December 31st the reporting year ends for  eligible professions. Out of 57% of office based physicians that were using HER systems only 34% met the criteria to receive incentives. (CDC) EHR Systems involvement with government health care reforms in 2013 According to the CDC By this time fifty percent of doctors and eighty percent of hospitals were receiving incentives for using EHR meaningfully. Before the encouragement of transitioning to EHR by presi dent Obama only seventeen percent of physicians were using it. (U.S. Department of Health Human Services) It was predicted by the congressional budget office that â€Å"the federal government will be saving close to twelve billion by converting to electronic health records†.(U.S. Department of Health Human Services) WORKS CITED Hsiao, Chun-ju, and Esther Hing. Electronic Health Record Systems and Intent to Apply for Meaningful Use Incentives Among Office-based Physician Practices. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 07 Mar. 2012. Web. 11 Sept. 2014. HHS. News. Doctors and Hospitals Use of Health IT More than Doubles since 2012. U.S. Department of Health Humanservices, n.d. Web. 11 Sept. 2014. Pear, Robert. Standards Issued for Electronic Health Records. THE NEW YORK TIMES. NEW YORK TIMES COMPANY, 13 July 2010. Web.Schiling, Brian. Quality Matters. The Federal Government Has Put Billions into Promoting Electronic Health Record Use: How Is It Going? THE Comonwealth Fund, n.d. Web. 11 Sept. 2014. Feris, Nancy. Electronic Health Record Standards. Health Affairs. Project Hope, n.d. Web. 11 Sept. 2014.

Chestnut Blight and American Chestnut Trees Essay -- Ecology Conservat

Chestnut Blight and American Chestnut Trees Since the early 1900's a disease known as Chestnut Blight has infected many American Chestnut trees and causing their removal from forests. A greater look at the history of this fungus as well as the mechanisms of action will allow us to learn on how to preserve the American chestnut. At one point, the American chestnut was virtually eliminated. With the help of government acts and conservation agencies, the American chestnut is slowly growing back in population. Two methods of restoration of the chestnut include a hybridization and the use of hypovirulant strains. This issue shows a variety of interest from ecologists to those in the timber industry who cannot lumber Asian species of chestnut primarily because of their size. In the 1880's a harmful fungus known as blight, inhabited the United States from imported Japanese chestnut trees. Blight quickly spread, killing chestnuts and chinquapins, which is another species of chestnut that produces 1 nut per bur. In 1904, Chestnut blight appeared infecting trees in New York City and spread at a rate of 20-50 miles per year. By 1906, W.A. Murrill reported that this disease is known to occur in New Jersey, Maryland, District of Columbia, and Virginia. In 1912, the Planet Quarantine Act was passed to reduce the chances of plant deterioration or devastation prevention. Chestnut Blight or Chestnut Bark Disease was originally found in 1904 and within 50 years, it spread across the eastern United States, from Maine to Georgia and as far west as the edge of Michigan. By 1950, the American chestnut was essentially eliminated as a forest tree. In 1972, importation from Italy gave a biological control in which a virus helped prevent the blight f... ...thesis does, however, lack experimental evidence of any kind. The American chestnut which was once almost eliminated from existence in the late 1950's has once again emerged thanks to conservation efforts. Chestnut blight, a deadly fungus, has the ability to kill chestnut trees. However, some chestnut species in Asia have resistance to blight. As a result, a method of conservation has been through hybridizing American species with Asian species. Another method of conservation has been through hypovirulence strains in the infection is reduced. Independently, this hypovirulence method may be a reason why some American chestnuts are surviving despite being infested with chestnut blight. This issue remains important to both the timber industry, although that isn't why chestnuts are being restored, and certain ecological organizations including the Nature Conservancy.

American Communist Party Essay

The play ‘The Crucible’ was written by an American author named Arthur Miller in 1953. It is set in Salem Massachusetts 1692 and is about the Salem witch trails. Miller was in his twenties during the 1950’s. When there was an era of paranoia of communism. The government feared America becoming a communist nation and this is now known as time of McCarthyism, named after Senator Joseph McCarthy, who claimed the he had a list of 205 people in the State department that where known to be members of the American Communist Party. McCarthy the HUAC and the FBI worked together and interrogated numerous people, particularly people in the entertainment industry Due to this modern day witch hunt many people lost their jobs pr they would name other people in order to save themselves. Miller was also questioned, but in 1956 the hysteria was dying down so he managed to escape punishment without naming others. This era is similar to what occurred in Salem during 1692. In Salem a small coastal settlement appeared after the arrival of the pilgrims (from England) in 1690. The people lived a very strict puritan lifestyle; this meant they followed the Christian rules rigorously. The Salemites were ruled by a Theocracy, which was a form of government operated by the church. These people were highly superstitious and believed in the devil, which explains how the idea of witchcraft took hold so strongly in Salem. However witchcraft was not to blame, it was only used to settle disputes and revenge in the village. In the play Reverend Samuel Parris has disputes over his contract demonstrating the society was already divvied. His daughter, niece and their friends began a fortune telling circle with Parris’ Slave Tituba. Their unstable behaviour quickly led to the conclusion that they were bewitched. In Salem any actions against God were taken seriously, the society felt the need to discover all the perpetrators of witchcraft and this led to a witch-hunt, which was overcome by mass hysteria. This hysteria became out of hand resulting in one hundred people being imprisoned and 19 people and 2 dogs being hung. In the play Reverend Parris fears his girls are bewitched. At the beginning of Act one he find the girls dancing in the forest and so summons. Parris is talking to Reverend Hale and expert in seeking out bewitched. The extract from act one begins with Parris stating how He claims He saw a Kettle in the grass where Abigail and her friends were. ‘I think I ought to say that I-I saw a kettle in the grass where they were dancing’ this changes the tone of the conversation, as everything becomes more serious now with suggestions of witchcraft. Hale begins to interrogate Abigail. The audience see how Parris is unsure about whether to say this after catching this daughter and niece in the woods. He hesitates in his speech. , this is due to the fact that a kettle can be seen to represent a cauldron linking the girls to witchcraft. The kettle can also represent the heat of the crucible, which is supposed to purify things. Which foreshadows events to come and the witch-hunts that will happen as a result of this. Abigail during her interrogation tries to explain her actions ‘She never drank it ‘ No sir! ‘ The exclamation mark demonstrates to the audience how desperate Abby is to save herself. During the interrogation the pace increases together with the tension ‘I never sold myself! I’m a good girl! I’m a proper girl! ‘ Here Miller uses the technique Stichomythia the audience see how desperate she is to be believed. This is also dramatic irony, as the audience knows that she is not a proper girl as they have previously seen cursing Goody Proctor in the woods. In her desperation to save herself she actively accuses Tituba and tries to position the blame and responsibility on someone else. As the audience witnesses this they realise Abigail will go to any lengths to save herself and would be disliked greatly by the audience. Then Tituba enters. Immediately Abby visually accuses her as well as verbally accusing her. ‘She made me do it! She made Betty do it! ‘ At this point the audience are shocked that she can blame Tituba to her face, as she is supposed to be Tituba’s friend. The audience’s emotions are reflected by Tituba’s stage directions (, shocked, and angry) but Abigail claims that Tituba made her drink blood. Parris repeats blood and Mrs Putnam, who is obsessed with the loss of her babies questions ‘ My Babies blood? ‘ as she is trying to find someone to accuse for her babies deaths. The repetition of the word blood emphasises the evil nature of witchcraft and suddenly events become more serious. There is also repetition of the word devil ‘have you enlisted these children to the devil? ‘ Tituba claims ‘I don’t truck with no devil’ this represents the evil in witchcraft and highlights the seriousness of the situation to the audience, especially for Tituba who is now being accused with doing evil and as being under the devils influence. However this is ironic as the audience see how she is not being controlled by the devil but by Abigail, suggesting again that Abigail is very manipulative and clever ‘She sends her spirit on me in the church, she makes me laugh at prayer! ‘ She also accuses Tituba of making her drink blood every night. This is also ironic as it is Abigail who is manipulating Tituba and perhaps the audience may see playing the role as she manipulates Abigail twisting the situation so things become worse for Tituba but better for herself. Abigail chooses Tituba as her scapegoat because she has a low status, as a slave and that no one will listen to her as she tries to defend herself. Hale and Parris begin to interrogate Tituba more intensely and Tituba tries to defend herself but she is powerless, she is a black servant in the household, someone who has no voice. ‘ I have no power on this child sir! ‘ Hale and Parris don’t listen to her again reinforcing to the audience of Tituba’s low status. Parris has more power over her and she knows this. It is this power they use to try and get her to confess. ‘†¦ I will take you take you out and whip you to your death†¦ ‘ This makes Tituba panic ‘No, no don’t hang Tituba’ and demonstrates how Tituba is at the mercy of Hale Tituba’s life is in his hands and she as well as the audience knows this. The language that Hale uses demonstrates to the audience that he is also manipulative. He tries to put words in Tituba’s mouth in order to make her confess so he can show that he is good at what he does. ‘When did you compact with the devil? ‘Then you saw him? ‘ This eventually breaks Tituba down ‘(terrified, falls to her knees)’ She begins to cry, seeing that a confession is the only way to save herself ‘I do believe somebody be witching these children’ Hale, satisfied that Tituba is beginning to confess, changes his tone. He begins to lead he in his questioning so she can give a full confession he continues to manipulate her ‘And you love God Tituba? ‘ Tituba responds ‘ I love God with all my being’ Tituba confesses but at first doesn’t want to name people so she says she saw a woman but claims it was too dark to see. This emphasises to the audience that in comparison to Abigail she is a loyal and kind character’ It was black dark’ this metaphor of darkness represents the characters’ vision being obscured, which can also be the in ability to see the truth preparing the audience for the terror and hysteria to come. The pace of the conversation emphasizes the tension where Hale tries to get Tituba to confess. Tituba is coaxed into confessing and into naming others after Hale takes her hand. She is surprised because Hale appears to be treating her as and equal. ‘We will protect you’ and Tituba kisses Hale’s hand as if she is grasping for the chance to save herself and now she sees a way to do this. For this reason Hale becomes self-righteous believing he has the divine power to bring out wrong doers. ‘You are Gods instrument’ He tells Tituba that she can help bring out the devils pawns and so Tituba eventually gives names ‘there was Goody Good’ ‘And Goody Osburn’ the names suggested to her earlier by Mrs Putnam again emphasizing to the audience the farce and hysteria that will ensue . Mrs Putnam hearing this Is satisfied and sees a way of reeking revenge. Hale who plays on Tituba’s love for Betty uses images of light and dark. ‘The Devils out and preying on her life like a beast’ (Satan) ‘upon the flesh of the pure lamb’ (Jesus) This is religious imagery used because it reinforces the subject and also represents the devil as something dire i. e. ‘beast’ telling the audience how awful the devil is, Jesus is represented as a pure lamb to sound innocent and untainted. ‘ABIGAIL rises, staring as though inspired’ realising this is how Abigail is described in the stage directions the audience realise how clever Abigail is, she sees that she can control others without any consequences. The tension now is rising rapidly because the audience are unsure of what Abigail will do next. The stage directions read ‘(she is enraptured as though in a pearly light)’ as if to the other characters she has seen the light of God. ‘I want the light off God, I want the sweet love of Jesus’ the repetition of ‘I’ informs the audience that she is self-obsessed. And this is ominous. This outburst is caused because Abigail can see that Tituba is not only in the clear but she can also gain power from blaming others. Abigail wants to be seen, as an instrument of God but the audience knows this is ironic as Abigail is only jealous of the attention that Tituba receives. Suddenly Betty awakes and start chanting like Abigail as if she is cleansed of her sins. Parris says a prayer but Betty is unaffected this time, which demonstrates to the audience that she was never bewitched but to the other characters it is a demonstration of how Betty is cleansed of the Devils spirit. ‘BETTY is rising from the bed, a fever in her eyes’ this creates a dramatic impact on the audience where the tension hits a climax. This signals the beginning of the hysteria. It also foreshadows the dramatic things to. Abigail begins to take pleasure in making accusations ‘It is rising to a great glee’ Putnam says ‘The Marshall. I’ll call the Marshall’ and this prepares the audience for the next Act. The repetition of Devil informs the audience that the tension is climatic, increased by the Stichomythia. The curtain falls as the girls are still chanting names. This makes the audience wonder how many more people are going to be named. The end also leaves the audience in shock and suspense but prepares them for the hysteria about to sweep through Salem.

Openess and Assistance in Workplace

What recommendations would you offer the CEO to encourage a culture of honesty, openness, and assistance? When It comes to encouraging a culture of honesty, openness, and assistance, there are several things that can be done. According to Long, the first thing that needs to be done is for the upper management to set the example (2013). You cannot expect the employees to be honest If management Is dishonest. Management needs to promote open and honest communication between them and the employees. If an employee has a problem with their supervisor, there has to be a way for them to deal with the situation without fear.Also, If there Is not open communication, If someone knows about something dishonest going on, they are less likely to report It. Management needs to communicate the Importance of addressing mistakes as soon as they are realized (Long, 2013). It does not matter who made the mistake, it needs to be corrected as soon as possible. Everyone makes mistakes. It is part of being human. But if a mistake is not corrected it can be detrimental to the company. Next, when someone displays any negative or unethical behavior, it must be dealt with immediately (Long, 2013).If negativity or unethical behavior is not nipped in the bud, t can spread throughout the company. It will breed more and more negativity and unethical behavior. If it is dealt with swiftly and Justly, it will keep others from trying to get away with it as well. The last thing that you could do to promote a culture of honesty, openness, and assistance is to recognize those who show honest behavior (Long, 2013). This recognition could be as simple as extra vacation days or a pay raise. If a person is honest and works for years at the same company and is never recognized for their work, they will burn out and begin to resent the company.That is when most of the fraud ends up happening, especially in small companies. Do you think that a culture of honesty, openness, and assistance can exist as sugg ested by Ms. Moore? Or is it a utopian idea with no understanding of how human nature works? I do think a culture of honesty, openness, and assistance can exist as suggested by Ms. Moore. But it has to start from the top down. Also, If someone Is being dishonest, It must be dealt with swiftly. If employees see that the management takes honesty seriously they are more likely to respond In the same way.But we must also member that there will be people who will be dishonest no matter what. But you cannot Judge everyone by those few. References Long, N. (2013). How to Create an Atmosphere of Honesty In the Workplace. Retrieved from http://seamlessness. Chronic. Com/create-atmosphere-honesty- workplace- 10098. HTML Creating Atmosphere of Honesty, Openness and Assistance in Workplace By Tattoo When it comes to encouraging a culture of honesty, openness, and assistance, expect the employees to be honest if management is dishonest. Management needs with the situation without fear.Also, if t here is not open communication, if someone knows about something dishonest going on, they are less likely to report it. Management needs to communicate the importance of addressing mistakes as soon Ms. Moore. But it has to start from the top down. Also, if someone is being dishonest, it must be dealt with swiftly. If employees see that the management takes honesty seriously they are more likely to respond in the same way. But we must also Long, N. (2013). How to Create an Atmosphere of Honesty in the Workplace. Retrieved from http://smelliness's. Chronic. Com/create-atmosphere-honesty- workplace-10098. HTML

The Idea of Mcdonaldization essays

The Idea of Mcdonaldization essays George Ritzer discussed two beginnings of his own ideas of Mcdonaldization and hyperrationality that came from the theories of Max Weber. I will first discuss Mcdonaldization and later follow it with Hyperrationality. Ritzer came to grips with the idea when he first saw Mcdonalds as a college freshmen. He also discussed how the two golden arches had an overwhelmingly big effect on him and how when he first ate there he wasnt too impressed with the dish. Ritzer had a good idea of Mcdonaldization because he we born before one was even built, and saw the changes of it throughout his life. Ritzer came with the term of Mcdonaldization and its sweeping affect on how it has changed society as a whole through the years. Mcdonalds foods took over home-cooked meals and the ethnic restaurants abroad. Mcdonaldization not only took America by storm, but also many other countries such as, Russia, China, and even Paris. Mcdonaldization has expanded greatly and can even be seen, on airplanes, in high school and college campuses, as well as on military bases. USA Today even has a section of its paper titled, Mcpaper. Ritzer said that Mcdonaldization was influenced by and broke it mainly down by efficiency, calculability, and predictability. He also discussed the control of the substitution of nonhuman for human technology as well as the irrationality of rationality. Efficiency was his optimum means to an end. He talked about how efficiency was illustrated through drive the windows and the ways that a customer turned to an unpaid laborer. Ritzer gave example of how nowadays you make your own drinks, put your own condiments, and do much of the work yourself. Through efficiency we have also come to use of voice mail operators. He discussed calculability as things that were calculated and quantified. Ritzer said how quantity was key in determining the weigh...

How to Study for a Social Science Test

How to Study for a Social Science Test When you study for a test in one of the social sciences, like history, government, anthropology, economics, and sociology, you must keep in mind that three things are important. You must understand the vocabulary of your discipline.You must understand the concepts you encounter in each segment of your study.You must understand the significance of each concept. Students are sometimes frustrated after an exam in the social sciences because they feel they prepared adequately but discovered during the exam that their efforts didnt seem to make a difference at all. The reason this happens is because students prepare for one or two of the items above, but they dont prepare for all three. Common Mistakes When Studying Social Science Vocabulary   The most common mistake students make is studying the vocabulary alone - or mixing concepts in with vocabulary. There is a big difference! To understand this, you can think of your material as a batch of cookies that you need to prepare. The vocabulary words are the ingredients, like sugar, flour, and eggs.Each individual concept is a cookie. Each looks a little different from the others, but each one stands alone as important.Altogether, the cookies make up a batch. You must create an entire batch of comprehension when you study for an exam in social science; you cant stop with a collection of ingredients! Here is why this is so important: Vocabulary words show up as short answer or fill-in-the-blank questions. Concepts often show up as multiple choice questions and essay questions. Treat your vocabulary as a set of ingredients for understanding the concepts. Use flashcards to memorize your vocabulary, but remember that to fully understand your vocabulary definitions, you must also understand how they fit into the larger concepts. Example: Imagine that you are preparing for a political science test. A few vocabulary words are a candidate, vote, and nominate. You must understand these individually before you can understand the concept of an election cycle. Studying in Stages The bottom line for preparing for a test in any social science is that you must study in stages. Practice vocabulary, but also study concepts and understand how different vocabulary words fit into each concept. Your concepts will also fit into a greater collection of knowledge (batch), like a specific historical period (Progressive Era) or a certain government type (dictatorship). The concepts you study are as individual as your vocabulary words, but it will take time and practice to recognize concepts as entities because the lines can be somewhat blurred. Why? The idea of a single vote (vocabulary word) is pretty clear cut. The idea of a dictatorship? That can be defined as many things. It can be a country with a dictator or a country with a very strong leader who demonstrates unchallenged authority, or it can even be an office that holds control over an entire government. Actually, the term is used to define an entity (like a company) that is controlled by one person or one office. See how blurred the concept can become? To summarize, any time you study for a social science test, you must go back and forth studying vocabulary, studying concepts, and studying how those concepts fit into the overall theme or time period. To study effectively for a social science exam, you must give yourself at least three days of study. You can use your time wisely and gain a full understanding of both terminology and concepts by using a method called  3 Way 3 Day study technique.

A STEEPLE analysis of the UK motor car market or the UK supermarket Essay

A STEEPLE analysis of the UK motor car market or the UK supermarket sector - Essay Example In the second part, two examples of human resource management (HRM) in the supermarket sector will be presented, to demonstrate human resource (HR) professionals’ responses to changes in the environmental contexts. Part 1: STEEPLE Analysis of the United Kingdom’s Supermarket Sector STEEPLE is a valuable instrument facilitating the use of appropriate strategy and practices by Human Resource professionals and senior managers, in response to the changing external circumstances impacting organisations. Environmental analysis is considered as the key element in strategic analysis for corporate planning. Several of the external variables identified by the STEEPLE analysis, will present opportuniites, while many will pose threats. Hence, it is necessary to â€Å"distil out of the complexity the key environmental impacts for the purposes of strategic choice† (Kew and Stredwick, 2005, p.205). Strategic choice involves the creation and evaluation of strategic options, and the logical or political selection of strategy, to effectively manage the key drivers of external forces, with a focus on the microeconomic environment. STEEPLE Linkages with UK Supermarket Sector Leading supermarket chains Marks & Spencer and Waitrose founded in 1884 and 1904 respectively, are among the highly successful retail businesses, which have changed organisational strategies with shifts in external drivers related to the STEEPLE concept. Similarly, the four biggest chains in the UK: Tesco, ASDA, Sainsbury and Morrison’s also deal with the same external forces as the smaller retail chains across the country. Among the STEEPLE external forces, changes in Sociocultural factors affects United Kingdom’s supermarkets, with changing demographics found in greater ethnic diversity, and increasing percentage of the elderly population (Datamonitor, 2009), as well as greater health consciousness, product awareness, selectivity and austerity among people. Similarly, techn ological advancements in information and communication support the provision of greater reach (Meneely, Burns and Strugnell, 2009; SAS, 2012), and more efficient service. For example, ASDA Supermarket’s online evolution has led to its highly successful ASDA@Home Website (Khosrowpour, 2006). While consumers acquire increasing power through access to information and the availability of greater choices, retailers’ power declines. â€Å"New technology fuels rise in m-commerce by all age groups and empowers voice of the consumer† (SAS, 2012, p.3). Bryan (2004) reiterates that there is increasing competition for gaining customer loyalty among manufacturers, suppliers and retailers. Waitrose has acquired tremendous customer support due to its minimizing the environmental impacts of its business, while maximizing economic outcomes such as â€Å"better prices for suppliers, better value for consumers† (Warrier, 2010, p.31), as well as social effects such as better conditions and wages. According to Farnham (2010), the economic factors that impact UK supermarkets relate mainly to the microeconomic environment including the product market, the competitive structure and nature of competition. Fair-traded products are preferred by the increasingly well-informed clientele. These are â€Å"