Business process management Essay Example | Topics and Well Written Essays - 1500 words

Business process management - Essay Example These recommendations were fully accepted by the Trust Board and the Department of Health. There were shortcomings in different aspects in the Trust that are explained below. Failures in Operations management The hospitals lacked well established protocols and pathways for the management of patients admitted in A&E (Accident and emergency) as expressed by (Francis 2010a). This department was understaffed and lacked proper equipment such as defibrillators for resuscitation trolleys. This left very few nurses to conduct urgent assessment of patients and receptionists who had no medical training were forced to take up this job. Nurses in the A&E did not have enough training and the hospital had weak leadership. The number of consultants to provide daily on call cover was insufficient and there were only few middle level doctors. The middle level doctors and junior medical practitioners were not adequately supervised. They were frequently under pressure to make prompt decisions in order to meet the set target of attending all patients in four hours and go through the A&E. This had resulted to a situation whereby patients are taken to the EAU (Emergency Assessment Unit) without necessary diagnosis and assessment. The situation of the EAU was not any different from that of the A&E. The EAU was outsized and had a poor layout and this made it difficult for nurses to tend to patients. This was aggravated by poor communication between patients and the medical staff as well as inadequate staff (Francis 2010b). The situation in this department can be simply described as hectic and chaotic. There was poor compliance with the accepted standards of practice in infection control. There was poor handover from the A&E to the EAU. This notwithstanding the care for patients from heart related conditions was reported to be excellent. The management had failed to attend to serious issues and monitor performance in the hospital. This had led to poor treatment of patients in the emerg ency department. There is poor recording and documentation of the patients’ activity and outcomes and the hospital does not have any reliable historical account of their past patients. The medical team generally lacked proper training to handle different complications. Most of the doctors and nurses admitted that the staff in the EAU lacked the skills to take care of surgical patients (Francis 2010b). There were poor procedures in surgery and the surgeons did not work as a team. Measurements to be taken by the hospital and stake holders There have been improvements on various areas in the trust after the shocking revelation by the investigation (Care Quality Commission 2009). The hospital has hired a greater number of qualified staff to improve the quality of care in the hospital. Training programmes have been set up for different staff to ensure their competence in handling equipment such as monitors and equip them with skills to handle patients. The trust deserves recogniti on for the measures it has undertaken to improve the quality of care in the hospital. There has been increased funding to the trust to hire more staff, purchase equipment and the necessary medication. The regulatory bodies have increased the number of inspections in the hospital to ensure strict adherence to quality standards. Stakeholder groups The DHS (Department of Health Services) works in collaboration with a wide range of stakeholders including community sector, government, voluntary sector, regional

Bmg Entertainment Essay Example | Topics and Well Written Essays - 1000 words

Bmg Entertainment - Essay Example There is competition from other major record companies such as: - Sony Music Entertainment Universal Music Group Warner Music Group WEAKNESS Decisions about how to organize and operate the company With BMG Entertainment, three of the 25 units within the division were making losses. High prices charged at the store. PORTER'S FIVE FORCES ANALYSIS The bargaining power of the customer is high. The customers have tendency of switching to another product without incurring high cost of switching. There are so many customers for the music. The customers are responsible for the supplier's revenue realized as they buy a large portion of the industry's output. The bargaining power of the suppliers is not high. Availability of substitute products. There is low switching cost created by suppliers' products. There are few suppliers for the product. A large customer of suppliers comes from individual buyers. The buyers' market place success does not determine the suppliers' goods. The threat of new entrants is not too high. The industry requires high capital to start. There are economies of scale. Product differentiation is moderate. The threat of substitute products is high. The existing product has the same quality and performance to that of the substitute product. The substitute products are offered at lower prices. There is few switching cost incurred by the buyers. The intensity of competitive rivalry among competitors is high. Switching costs incurred are low. The growth in the music industry is high. Diversification is moderate. Fixed costs are too high. Competitors for the industry include: Sony, Universal, EMI, BMG and Warner Music Group. VRIS MODEL Resources/Capability V R I S Performance Good...For this case, BMG Entertainment is supposed to use differentiation strategy, as what the customer need is a variety of music at a low price. The company should not be left behind technology wise; hence in order for them to retain their customers, they should introduce Online retailers to sell music at low prices. BMG Entertainment should develop websites whereby their customers will be able to download music at low prices. By adopting the technological change, BMG Entertainment will be in a position of producing a variety of products and selling at relatively low prices. This is more convenient to customers in term of price as its low and they will prevail in the market against its rivals. BMG Entertainment can prevail in the market if they upgrade their website system. They should invest heavily on digital technology for the sake of handling their digital customers professionally. They should introduce more Online retailer store that will make download of music cheap. BMG should use Joint Venture, Multi domestic and related diversification strategies. Joint Venture will expand rapidly at low cost, shared risks and less competition.

Afghan-war prisoners Essay Example for Free

Afghan-war prisoners Essay Some insurgents failed attempt on an US military convoy was provocation enough for them to gun down 16 civilians, leaving another 25 severely wounded. The groups – dead and alive, contained woman and children. It is an event of March 4, 2007, took place in Iraq, on the Jalalabad highway in eastern Nangarhar province. The day next US army again responded the terrorist attack by 2000-pound aerial bombing in the civilian area, killing five women and three children. This happened at the Kapisa outpost. These are regular features in Iraq; between January 2006 till date, more than thousands of civilians were killed by US attack. Back home, US authorities are no less active under the anti-terrorism movement. Ahmed Alenany, an Egyptian physician, was picked up from the road of New York City and was detained for five months, charged with overstaying, in spite of his valid ground of filing for its extension well before the expiry. His fault was that the police found two pictures of WTO in his car and he held a roadmap when arrested. That was one bubble on the sea. The United States securely took away 650 Afghan-war prisoners to their military base at Guantanamo Bay, Cuba, where they are reportedly passing their days in small single-person cells. India: On July 2005, four Kashmiri youths went to attend a wedding in Vilgam, Kupwara, and while out in the open at night for smoking away from the disapproving adults, three of them were gunned down by the Indian army all on a sudden. Later army admitted its mistake and wanted to compensate, though there was enough effort to suppress this news. India is also experiencing zero tolerance in counter-terrorism, especially after the militant attack on its parliament on December, 2001. They have even created a special law, POTA , which is capable of detaining anyone under the slightest suspicion on any ground of terrorism, that would later arrest 131 Muslims for the Godhra carnage of Hindus in 2002, who later retaliated with the killings of 2000 Muslims throughout the Gujrat state, were mostly able to slip past this law. China: Charged for crimes of terror and incitement to separatism, the popular religious leader Tenzin Delek Rinpoche was arrested in Sichuan on a night in December 2002 and sentenced to death. He was linked to the series of bombings. Same fate met his co-defendant Lobsang Dhondup, even quicker as he was executed. Now the open secret was that the authorities were up against his activities all the time, as he was a known supporter of the Dalai Lama. Egypt: This country has a track record of arresting hundreds of people either for their proximity to the Muslims, or for possessing suspicious literature. In a known case, 94 such victims, allegedly belonging to an Islamic Group though none heard about its name), were arrested in May, 2001. It was before the September 11 attack and after the attack, they were charged additionally for plotting to kill the government officials! The hapless victims belong to almost all rank and file – Doctors, engineers, professors, to name a few. They were dragged into the military courts whose norms, understandably conform to the trial standards set internationally. Accordingly, 51 were convicted! Georgia: Armed by the US support Georgian authorities have targeted the Chechens at Pankisi Gorge, a place which Russia also labelled as a haven for the terrorists. Here the governmental approach to the human rights violations is indicative of non-caring, as it is echoed by the words of its President Eduard Shevarnadze, who, right after extraditing five Chechens to Russia (October 5, 2002) without holding any court, said, International human rights commitments might become pale in comparison with the importance of the anti-terrorist campaign

The Value of Human Life :: essays research papers

Euthanasia-A Critique was published in the New England Journal of Medicine on June 20, 1990. Peter A. Singer and Mark Siegler are the two authors of this article. Singer is a graduate of the University of Toronto Medical School and holds a master’s in public health from Yale University. He is assistant professor of medicine and associate director of the Center for Bioethics at the University of Toronto. Siegler got hi medical degree from the University of Chicago. He is the director of the Center of Clinical Medical Ethics at the university. He has written more then 100 articles and six books. The two authors believe that the medical community should rethink the move towards the use of euthanasia. Singer and Siegler discuss cost containment and what it entails, such as insurance. The expense of hospital stays and the cutting down on nursing staff at hospitals affects it. Many trauma centers are also closing down. They bring up the social injustice of euthanasia and how the po or and elderly will be affected. The minorities, uninsured and others could be taken advantage of by health care providers. Other problems are aroused when ethics come into the picture. The authors talk about the Hippocratic oath, religion, and people’s ethical traditions.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Runkle 2  Ã‚  Ã‚  Ã‚  Ã‚   When dealing with euthanasia issues arise, one of them is cost containment. When hospitals and doctors run tests it cost money, many tests are expensive and have to be repeated often. Health insurance can be expensive and many people choose either not to get insurance or can’t afford it. When people don’t have insurance it costs all of the taxpayers and hospital to cover the expense. This would encourage doctors to perform euthanasia on patients that are not paying for themselves just to get rid of them. Not having to spend money on patient’s medicine will keep cost at minimum along with long hospital stays with patients being kept alive with machines costing a lot of money everyday. There are many trauma centers closing throughout the country making health care shortages. This leads to over crowding and the possibility of doctors involuntarily killing patients to make room is the hospital.   Ã‚  Ã‚  Ã‚  Ã‚  Many groups of society will be targeted for euthanasia. Some of the groups are the uninsured, poor, elderly, minorities, and mentally disabled. Doctors would target these individuals because there less desirable role on society. Most doctors would not think is this way but they are out there.

Humorist Essay

Humor is all about a person making an amusing observation that in result creates laughter and provides entertainment for the audience. In the book titled Status Anxiety by Alain de Botton, the author makes a statement that the role of humor in society is to allow people to say things that other people cannot or will not say because of their role in the community.I agree with de Botton’s statement because humor secretly allows people to get a message across without having to worry about others looking down upon you because of what you said, as well as providing people with more awareness of the wrongdoing in society by making them easier to understand through the use of humor. In basic comedy, humor is effectively used to bring forth a message that is possibly serious or controversial by making it amusing and easier to understand.De Botton clearly makes a stand that humorists are not only here to amuse and amaze, but are here â€Å"to convey with impunity messages that might b e dangerous or impossible to state directly†. In this quotation, de Botton states that comedy can and is frequently used as a secret method to give thoughts and observations that may be thought of as insulting if brought up in a serious manner. Steven Colbert for example, uses humor to make serious comments about our country. He states his opinions about the government and major news stories however does so with comedy to back him up.When talking about the war in Syria, Colbert said that â€Å"Only 29% of Americans want the U. S. to attack Syria — which on the plus side means that 29% of Americans know there is a place called Syria†. Colbert uses humor to convey a message about how ill-informed people in our country are. He says this with a tone that also implies that the vast majority of people who are â€Å"ill-informed† simply don’t care at all. The basic component of what makes humor and comedy an essential factor in a society is that although t he presentation is not necessarily taken seriously, the message and ideas behind the material are always easy to recognize.In regards to humor, humorists don’t have to worry about being polite or caring for their audience. They are allowed and accepted as being funny for having quality material that contains offensive and explicit language. Their notable reputation for being indiscreet to its own audience is what makes humor an effective tool in society. For one, humorists have the ability and responsibility of making its audience laugh. But it also has the capability to allow the audience to relate the humorist's material to their own thoughts, thus allowing them to openly express themselves through laughter and enjoyment.It also has the potential to inspire people to think in a different sense. Through comedy, a humorist can quickly change one's views or opinions of a certain subject or argument by making that argument more entertaining and funny. By making an underlying me ssage laughable, it makes it easier for the audience to understand what the message of the material is actually conveying. De Botton's opinion of the vitality of humor in a society is true in that it is necessary, because it helps not only fulfill people's entertainment and expressive needs, but it also serves a purpose as an instrument of spreading a message to its audience.

The French Revolution A Stepping Stone Into The Future

The French Revolution: A Stepping-Stone Into the Future The French Revolution of 1789 started simple because a group, the National Assembly of France, acting as representation for the people of France, attempted to help the struggling peasants by limiting of the monarchy’s power. The result was complete chaos: The end of French monarchy, the death of the king and queen, the Reign of Terror and Napoleon Bonaparte’s rise to power (French Revolution). These events all played a role in setting the nation up for the Republican government that came later but also caused the death of many people. The effects reached far beyond France not only in the wars France fought with neighboring countries but it also sparked revolutions, revolts and destabilized governments in other parts of Europe and out to North and South America (Loiselle). The French Revolution of 1789 played a very large part in the eventual rise of the French Republic and was a catalyst for many events around the world. The events at the start on the revolution opened the door for several political groups and individuals to air options about what changes should be made. The battle between these groups was not a peaceful one and lead to a very unstable and volatile government that ultimately fell to the power of Napoleon. The individuals who chose to challenge the King’s power originally only wanted to limit it. They may not have realized that the American Revolution, the enlightenment, the financial state of theShow MoreRelatedThe Reasons For The American Revolution992 Words   |  4 PagesAlthough the outcomes of the American Revolution only affected rich, white landowners at the time, it unknowingly provided the stepping stones that will later create equality and liberty for all people in the United States. This historic revolution provided a representative democracy in which future generations may pass or amend laws based on the people’s needs; a radical thought at the time. 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Cohabiting is the leading relationship to marriage. I have learned the stepping stones to marriage, how social class plays a huge role, and the nontraditional relationships/ gender roles. This concept really hit home because I related to every discussion. However, my 5 boyfriend and I have been cohabiting for five yearsRead MorePerfume, By Patrick Suskind Essay1598 Words   |  7 Pagesnovel, Perfume, in a French setting, about the French, is questionable. However, candidate answers lie in the setting of the novel itself. Mid-18th century France, which is adjacent to Suskind’s Germany, harboured not only a national, but global revolution of politics, economics, and social norms through the French reforms. This had plentiful influence on all aspects of Prussia since the late 17th century (when Germany was known as Prussia) to the present. 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Religion was a major aspect for a unified government. â€Å"This religion [Catholicism], when its abuses have been removed, will be the future mistress of the world, as great theologians teach and hope† (Campanella, 84). This passage describes the lack of trust in the European Church and that not until the church rids its corrupt ways, will the people have faith again. Therefore, this utopiaRead MoreThe Creation of the Airplane963 Words   |  4 PagesFlying has always been one of human’s greatest advancements. From the skies of world war one to the birds floating by. The airplane has created such an amazing transportation revolution all around the world. Approximately over 4.5 million people use an airplane every day for either personal use or work. Orville and Wilbur Wright with the help of thousands of years of research created the first powered aircraft controlled, and sustained in flight with a pilot aboard. 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‘Map-It’ Framework in Addressing Social Determinats of Health

Introduction For the past two decades Utah County has been ranked among those US counties with healthiest populations. In spite of this, assessment on life expectancy of the inhabitants of Utah State shows that some problems have cropped into the local occupants depriving them of their once notable rich health status (Novilla, Barnes, Hanson, West Edwards, 2011). A close examination shows that there are inherent health disparities among Utah citizens and this is as a result of the notable variations in life expectancies among different groups. Research shows that in some parts of the Utah state, life expectancy is 80 years while in the other areas within the same state the life expectancy is 70 years. Research shows that Utah ranking†¦show more content†¦This would form a string basis for the identiofication of the key cause of majority of health care professionals. Given the fact that in most countries individuals do not visit hospitals because of incapability to pay for medical costs, I would do a qualitative research where I would collect health care information from local residents. This research would provide information on the number of people who have died because they where not able to afford health care since they were not members of the Medicaid health care insurance program. Another strategy would involve utilizing data from existing public sources to assess the health and safety needs of the people of Utah County. The main elements of the collected data would involve the identification of the key health indicators and the corresponding risk factors. I would also collect information related to the impact of the social, economic and the environment on the health status of Utah inhabitants. The key sources of data for the assessment of needs of Utah populations would include US census bureau, healthy people 2020, environment public health tracking program, department of mental health and substance abuse and Utah hospital discharge database. Other sources of information for the need assessment would include the indicator based information system indicator for the public health department and Utah’s healthcare access survey (Niederdeppe, Bu, Borah, Kindig Robert, 2008). I