Future Trends in Health Care Essay Example for Free

Future Trends in Health Care Essay Clinical decisions reflect the electronic world we live in more than ever. The electronic health record (EHR) is quickly replacing the traditional paper chart. In the United States by the 2014, medical records will be converted to an EHR. Medical records were converted over a ten- year period in the United Kingdom from traditional charting to EHR. The electronic age is here and with it new terminology. Electronic Health (E-health) describes many topics from the EHR to several systems and new subspecialties. Telemedicine has grown to include many activities within the electronic realm. The Internet and external delivery sources are quickly gaining favor for follow up care and rural medicine visits. Patients’ no longer have to wait or drive far distances to see their physician they can simply go to an outpatient clinic and visit the physician via videoconference using SKPE like technology. Internet/Electronic Communication as an External Delivery Source The estimates state that about eight billion people can access some form of electronic communication network across the globe. The estimation of this global access is the ability to investigate and research any health condition by symptom or chief complaint. The user simply inputs his or her perceived diagnosis and several choices are displayed in most search engines such as GOOGLE or BING. The programming used today does not even require that the spelling is correct because of the built in spell check feature. The electronic/computer age has brought with it many advantages that ten years ago were impossible. The ability to research as many topics/symptoms once performed at the library can be done at home. The Internet/e-communication has revolutionized both personal and professional fact-finding missions. E-health is quickly replacing both the research and word of mouth referrals. Going online and asking a question provide all the  physicians in the area as well as what type of specialist to visit. Blogs have replaced word of mouth. The impact is clear e-health is here to stay. Nomenclature depends on the type of patient care activities described. EHR is a universal and global term. Programs that support clinical decision-making can include: * Computerized provider (or physician) entry (CPOE) systems used by clinicians to enter, modify, review and, communicate orders, and return results for laboratory tests, x-ray images and referrals. * E-prescribing – clinical information systems used to enter, modify, review, and output, or communicate medication prescriptions. * Computerized decision support systems – (CDSS) used in the context of eHealth technologies, clinical information systems that integrate clinical and demographic patient information to provide support for decision making by clinicians. * Picture Archiving Computer System – (PACS) used radiology to store data and x-ray images. â€Å"The widespread availability of medical information on the internet and its effects on health care has exponentially increased over the last decade† (Black, et. al, 2011, p. 9). The impact of e-health has changed the landscape of health care. The growth has ushered in a new way for providers to communicate and educate patients. Instead of handouts concerning particular disease processes the provider can give the technologically clever patient the information by directing him or her to the website. Safe and effective instructions are the responsibility of the provider so investigation and verification for accuracy is important. Impact of Distance Delivery on Health Care Distance to the clinic or hospital is a concern for patients in rural areas. The convenience of participating in an e-health visit is beneficial. â€Å"On-line, computer-assisted communication between patients and physicians promises to replace a substantial amount of care now delivered in person† (Kassirer, 1995, p. 52). The prediction of Dr. Kasssirer is true today telemedicine, is on the rise. Large scale acceptance of e-medicine is yet to be realized. The backbone of American healthcare the physician office visit is under construction with the advent of e-Health. The patient is more in control of their health care than any time in history â€Å"ideally, responsibility for decisions could be shared by the patient and the physician, with the patient playing a substantial part† (Kassirer, 1995, p.  52). Transformative power is evident in this fundamental shift in thinking throughout the health care community. Communication Issues and Health care today Medical and scientific data is available to both the physician and the patient through the use of the Internet. †The Internet is clearly the modern vehicle with the potential to improve information dissemination and perhaps change the way health care is delivered† (Podichetty, et. al, p. 274). Smart phone and device technology is accessed and often used throughout the course of the day by both the physician and patient. Electronic interactions have replaced many of the traditional forms of communication. The move toward electronic exchanges between health care providers is becoming a common occurrence. Web-based medical resources are accessed by the patient and the physician equally. â€Å"Over 90% of physicians use the internet to research clinical issues† (Podichetty, et, al, p. 274). Researching can occur at the bedside with direct collaboration with the patient. The ability to understand and explain multiple disease processes is achieved through the interactive technology advances of today. Impact of Communication Techniques in the Future The future of healthcare communication and current trends are evolving as rapidly as technology will allow. Technological advances are occurring so rapidly that the health care environment will continue to evolve and invent new forms of communication techniques over the next five years. â€Å"Information and communications technology will play a key role in delivering health care in the future† (Dumiak, 2011, p. 328). Standards are changing within the cultural landscape of e-health. As the environment changes so too will the standards and regulations of telemedicine. As the landscape continues to change â€Å"there is cultural and historical resistance to heavy centralization of record-keeping and privacy concerns about the potential intrusion of government or business into sensitive personal documents† (Dumiak, 2011, p. 328). Soon we will be able to provide our complete medical history and medications through the use of a master patient record that updates in real time. The cloud is already offering â€Å"a place to remotely store and access gigantic sets of experimental data† (Dumiak, 2011, p. 329). The logical  transition to electronic documents is on the horizon. In conclusion, the future of centralized electronic records is on the horizon. The landscape will continue to evolve and shape itself around the acceptance of new technologies and ways to communicate medical information. As the evolution continues the legal and ethical considerations will mirror that of technological advancement â€Å"work is still under way to establish standards and rules on how to send information to the central system† (Dumiak, 2011, p. 329). The future will determine a set of standards for e-Health technologies. The technology exists but can health care can keep up with the future needs of the patient. References Biscup, R.S., Booher, J., Podichetty, V.K. (2006). Assessment of Internet Use and Effects among Health Care Professionals: A Cross Sectional Survey. Postgrad Medicine, 8(2), 274-279. Black, A.D., Car, J., Pagliari, C., Anandan, C., Cresswell, K., Bokun, T., McKinstry, B., Procter, R., Majeed, A., Sheikh, A., (2011, January). The Impact of E-Health on the Quality and Safety of Health Care: A Systematic Overview. Plos Medicine, 8(1), 1-16. Dumiak, M. (2012, September). E-Healths Future Frontiers. Bull World Health Organization, 328-329. Kassirer, J.P. (1995, January). The Next Transformation in the Delivery of Health Care. The New England Journal of Medicine, 332(1), 52-54.

The Deepwater Horizon Accident Management Essay

The Deepwater Horizon Accident Management Essay 1. Introduction The concept of effective leadership represents a theoretical framework to analyse the case study Deepwater Horizon Accident. The idea of an effective leader can be captured by the following basic principles: The leader must have a long term and strategic vision (what should be achieved? How should be achieved? Who should achieve an identified goal?). A leader should be focused on people. This implies the identification of instrumental goals, their effective communication, and human beings involvement. The involvement depends both on incentive system and involvement. Effective leaders are increasingly characterised as being enablers helping people and organisations to perform and develop. This implies that the leader has to achieve a sophisticated alignment between peoples needs and the aims of the organisation The leader needs to balance, reconcile and integrate opposite cultural values (Hofstede). The conflicting values and cultural differences emerge whenever a leader deals with stakeholders (consumers, environmental groups, trade unions). Hofestede (1978) identifies four dimensions to analyse cultural value of nations. He describes the following elements: power distance individualism vs. collectivism Masculinity vs. femininity Weak vs. strong uncertainty avoidance Long vs. short term orientation 2. The Case Study The Deepwater Horizon Accident was caused by the escape of hydrocarbons resulting in explosions and fire on the rig. At that time the social media emphasis in this accident is not only about the death of eleven people and the injury of seven, but also in connection with main environmental damages (such as the rig sank and the continued flow of hydrocarbons from the reservoir). The following investigation reveals that: The team did not identify any single action or inaction that caused this accident. Rather, a complex and interlinked series of mechanical failures, human judgments, engineering design, operational implementation and team interfaces came together to allow the initiation and escalation of the accident. Multiple companies, work teams and circumstances were involved over time. ( BP 2010, 5) Thus, the problematic situation in Mexican Gulf seems to be generated by the leadership style, as the leader failed to focus on developing a clear vision and communication and exercising strong control to the organization. This statement represents a thought provoking situation in order to analyse the behaviour and leadership style of three leaders (Tony Hayward, Bob Dudley, and Barack Obama) 2.1 Tony Hayward At the time of natural disaster Tony Hayward was the Chief executive of BP. In coherence with Hofstede (1978), he showed a short term vision in his communication activity. The Guardian (14 May 2010) indicate that the Chief executive declared: The Gulf of Mexico is a very big ocean. The amount of volume of oil and dispersant we are putting into it is tiny in relation to the total water volume. The same article report the emerging conflicts between BPs efforts (to contain the spill had succeeded in dispersing the oil and preventing large amounts reaching the shoreline around the Gulf) and the environmentalists concerns the unseen damage being done to marine life. Additionally, Tony Hayward admitted that BP had made mistakes in its early response to the crisis. It initially refused to compensate fishermen who were unable to produce written proof of their normal earnings. Instead, his main worry concerned share values and profit distribution. The leader also failed to deal with the stake holders revealing an individualistic approach and short term vision in firms management style. This aspect was also revealed by the weak safety policy adopted by the BP Company. 2.2 Bob Dudley Following the criticism related to Tony Hayward, Bob Dudley was designated as the new Bp Chief Executive. Mr Dudley joined the board of BP before, as his most high-profile role was as the chief executive of BPs joint venture in Russia, exploiting oil fields in eastern Siberia. The BBC report (2010) reveals: Mr Dudley is widely respected within the company, and from a PR point of view, it might help that he is American, not British. BP has often been described as Public Enemy Number One in the US since the oil spill. Now that the company is to be run by an American, it could help it in its battle to rebuild its reputation in the US. In coherence with Hofestede (1978), this assumption underlines the implications of national distance on leadership recognition and recruitment. The Christian Science Monitor (2010) also reports BPs voice in America will no longer come with a British accent attached. The Christian Science Monitor (2010) also indicates: The oil industry is difficult one, so bob Dudley is use to dealing with problem around the world. He is not to solve the problem immediacy but he is working to plug the wellhead leak. At the same he has been very careful to the how he speaks to the person. In accordance with these empirical evidences a crisis management requires contingency theory can explain leadership style. (Mintzberg, 1979). However, another criticism from Bob Dudleys leadership style related to high ethical and moral issues. This aspect emerges with his previous experiences in Russia area. . 2.3 Barack Obama The new leader of US, Barack Obama has signalled the intention to assign criminal charges in the Gulf of Mexico oil spill disaster. Mr Obama said that the US government feels BP must pay for clean-up of the spill. This approach can be equated the position of Obama to that of a leader of social justice. However, there some critical aspects: A. the social media describe that Obama was playing golf during the oil crises; B. the majority of Americans disapproves of how Mr Obama has managed the crisis; C. the Republicans accuses Mr Obama of exploiting the crisis for his own political gain. , pledging to bring those responsible to justice if laws were broken. President Barack Obama sharpened his criticism of BP Plc and pressed the energy giant to halt the oil gushing from its ruptured well. President Barack Obama has been criticised for playing golf while the BP oil spill disaster continues Barack Obama has been criticised for continuing to play golf while oil spills into the Gulf of Mexico. He has played at least seven times since the Deepwater Horizon rig exploded on April 20, creating Americas biggest environmental disaster. Having already racked up 39 games since taking office, Mr Obama is approaching the record as the U.S. President spending the most time on the golf course. Republican Party chairman Michael Steele has called on the President to stop playing until the oil leak has been curbed. The satisfaction of employees and communication was effective .indeed his inspiration been put in place and focus in company. it argue that the organization context operates has largely of failed. Critics would argue that is due to the behaviour characteristic. The leader had such difficulty in focus on systems maintenances, and meets the work criteria in which cause numbers of catastrophic disaster and left eleven people without live. Unwillingness in leaders is composed of negative associate with productivity subordinate. The factors analysis produced two understandably behaviour dimensions and differences in these behaviours associate to effectiveness. One series of studies has collect date however according to theory enhance a subordinate perception of a link between the effort and outcomes. The leadership styles did not providing opportunities for consultation special managers and staff in this system management the relationship between leader and mangers wasnt based on trust, seemed forgotten to inspire their subordinates to do thing behind the capabilities, the key issue of these was in communication and implement the vision affect. Conclusion Tony is not great global diplomat was more an individual in the organization his concern was more in share values and obviously on profit, unfortunately his turn the company into disaster. But about that Bob Dudley is a better choice; better communicating with press comes cross with good knowledge. According to research analysis the new leader has more ability and understanding leader, with full of expectation. Compare with new leader political Obama uncertain when comes to decision and culture problems when comes to share in other hands Mr Obama has spend most his time in the Mexican gulf, research saying that he has approach the record in US . The investigation theres not such evidence requires the court order. Unsuccessful the Leader had not exercise strong control of the organization. This is due of the characteristic and style of the leader. Not surprisingly, a large amount of research showing that the result was catastrophic. Argue that relationship between leader behaviour and his effectiveness was modified by the organization. It can been seen leader has specific difficulties such maintaining work standards Bob Dudley replacement its certain he will move the company forwards, beside is not strange in the gulf or BP or the US press. he works in oil field for such long time place, such as Russia and demonstrated well work under the pressure with ability and focused and he work standards in Russian was well known. Mr Dudley was untainted by the major operation problems such as Alaska and Deepwater Horizon has a good vision and strategy. The company move forward with a new leader and new regulations but its unknown that Dudley will change the culture, According to research theres no doubt however, he focus on development a clear vision to the future company by communicating effectively and exercises strong control of the organization. It was a very interesting story to research

The Life and Works of Ezra Jack Keats Essay example -- Literary Analys

After a four week survey of a multitude of children’s book authors and illustrators, and learning to analyze their works and the methods used to make them effective literary pieces for children, it is certainly appropriate to apply these new skills to evaluate a single author’s works. Specifically, this paper focuses on the life and works of Ezra Jack Keats, a writer and illustrator of books for children who single handedly expanded the point of view of the genre to include the experiences of multicultural children with his Caldecott Award winning book â€Å"Snowy Day.† The creation of Peter as a character is ground breaking in and of itself, but after reading the text the reader is driven to wonder why â€Å"Peter† was created. Was he a vehicle for political commentary as some might suggest or was he simply another â€Å"childhood† that had; until that time, been ignored? If so, what inspired him to move in this direction? Born in March of 1916 as Jacob (Jack) Ezra Katz, he was the third child to Benjamin and Augusta Katz. His parents were both Polish immigrants of Jewish descent and they raised him in East New York, the predominantly Jewish section of Brooklyn. As immigrants they were plagued with financial difficulties and this was further aggravated when they struggled through the Depression. Despite all of these hardships, Keats had already begun to showcase his artistic abilities. At the age of eight he was hired to paint the sign of a local store. Naturally, his father was quite proud of him when he earned twenty-five cents for his work and hoped that this might endeavor might lead to a steady career as a sign pa ¬inter. Unfortunately for him, Keats was smitten with Fine Arts and won his first award in Junior High School: a medal for ... ...undeniable. Works Cited Gerard J.Keats, Ezra Jack. Goggles! New York: Puffin Books, 1969. Keats, Ezra Jack, and Cherr, Pat. My Dog is Lost! New York: Crowell, 1960. Keats, Ezra Jack. Peter’s Chair. New York: Viking, 1967. Keats, Ezra Jack. Skates! New York: Watts, 1973 Keats, Ezra Jack. The Snowy Day. New York: Viking, 1962. Senick, Gerard J., and Hedblad, Alan. Children’s Literature Review: Excerpts from Reviews, and Commentary on Books for Children and Young People (Volumes 14, 34, 35). Detroit, Michigan: Gale Research, 1995.. Ezra Jack Keats: A Virtual Exhibit. The University of Southern Mississippi De Grummond Children's Literature Collection. Web. 19 July 2010. . Http://www.ezra-jack-keats.org/. Ezra Jack Keats Foundation. Web. 19 July 2010. .

What Theological Questions Relevant To The Study Of Judaism Are Raised :: essays research papers

WHAT THEOLOGICAL QUESTIONS RELEVANT TO THE STUDY OF JUDAISM ARE RAISED BY THE HOLOCAUST? The Jewish people have always considered themselves as God’s chosen people and have undergone a lot of traumatic oppression throughout their life. Evolving out of a common religion, they have developed customs, culture and an ethical system which identified them as Jews regardless of their individual religious attitudes. There is a pattern evident in which the Jews have been cast as victims. The first sign of oppression noted in Jewish history according to the Hebrew scriptures, was the time in ancient years when the Jews were held in captivity by the Egyptians as slaves. Moses’s escape with the children of Israel marked the crucial transition in the history of Judaism. This event is known as the Exodus. The Exodus experience can be called the ‘key event’ both in Jewish history and theology. To understand the relevant details raised by the Holocaust one needs to understand how Jewish people have a strong devotion to God and have an ongoing respect for people in other religions. This is established by understanding the intention of the holy laws given to Moses for the people from God. These laws are known as the ten commandments which illustrates a list of obligations that there theology is firmly established. Their theology is based on a closeness between tradition and their moral precepts, which became conflicting for them during the time of World War II. Such is evident when they were persecuted, traumatized and de-humanized in the concentration camps. Similarly the Holocaust would be regarded as a very important event. It is this crucial experience that the Jewish people have had to query their very existence through their theological questioning. 1/3 As an effect of the economic and political upheavals of the time, the Jews were seen as endangering the purity of the Aryan race which was Hitler’s impression of the superior people consisting of only the Germans. During the horrid times of the war the Jews were deported to concentration camps in Europe, where many were tortured, gassed and Jewish women as young as 13 and onwards were kept and raped by the German soldiers. It was noted that over six million Jews were slaughtered by the Germans and their collaborators. This outrage was called the Holocaust. The Holocaust was not just an event. It was a process that continued for over a decade and involved the deaths of many innocent Jews.

The Future of Women in Sports :: Female Athletes Sports Essays

The Future of Women in Sports As the year 2010 has arrived, the problem of the portrayal of women in sports no longer lies in their fight for equality and opportunity, but in fighting off the competition with men. It is no longer an issue of women not being taken seriously or being looked down upon if they decide to be athletes, but that men want to take part in competition with women in sports. This film thus focuses on the struggles that the male protagonist faces in trying to compete with the popularity of women's sports and his desire to take part in the world of women's sports. Women in this film are portrayed as strong characters who are highly capable of doing what they do -- being professional basketball players. Their struggles lay in their dealing with fame and all the complications that it entails. These include rumors of financial problems, affairs, and infighting among teammates. The female protagonist is a character who can "do it all." She has a family, including two young children and a husband. She was raised in a proper household, but held on to her dreams of playing basketball for a living. The beginning of the film shows her struggles as a child in fighting against stereotypes, being taken less seriously than the boys, and being discouraged from playing sports. However, as she reaches high school and beyond, the sky is the limit. Her opportunities increase as women's sports in the general society are given greater emphasis and professional leagues are established for all sports that had an equivalent male league. The women's leagues' visibili ty and popularity rise among fans who become disillusioned with all the infighting that had been occurring in the male leagues. Soon, the financially disadvantaged male leagues decide to challenge the women's leagues to compete against each other. This is where the major climax of the film occurs. The male protagonist had been involved in a financial scheme within the male basketball league which ended in the murder of a major basketball star. He ends up broke, without friends, and with no possibility of playing professional basketball, especially in light of the financial distress that the league was experiencing. He knows of the success that the women's teams had been recently having and approaches the manager of his ex-team with a plan for reviving the popularity and financial wellbeing of the male league.

If I Could Change 3 Things About Myself Essay

Yes, maybe you will say:†Hey! That’s not enough! I need MORE! † but what are the three most importance things that you decide to change? If I could change three things about myself, I think first and foremost, I would change my desirous of food-ness. I got the stomach ache-ness when I was at Japan and tried not to eat so much. Well, to late for regrets now! I am eating now and just ate some ice-cream just now and ate fish chops for dinner. Well, good luck to me! Secondly, I would like to change my laziness. I had been pretty darn lazy through my whole life until now. Except for the time when my sister who is older than me by a year got to go to school and petty little me didn’t get to go. So, I got so interested in learning that I read ALL of my sister’s textbooks. And ever since my sister knew that I knew   that she was learning, made up a lame excuse and threw her homework to me and went to play some stupid computer game like†¦ MINES. Because she doesn’t know how to play it, she just simply pushes some buttons. But now, I inherited her laziness and she inherited my hardworkingness and it’s the other way round than the time we were kids. Lastly, I would like to change the fact that I don’t really have any talents. I’m suck in studying, not really good in sports. I would want my talents to be: singing, dancing and acting. So, I could just be a pop star when I grow up. Well, it’s really nice to be a star, you know, with people fan boy and fan girling you. You just sing, which you awesomely have HUGE talent at and you get tons of money for just ONE song you sing! It would be such an awesome life! Well, its probably pretty obvious that nobody is going to magically materialize from thin air and grant those for me. So seems like I would just need to keep working at it.

Cultural and Relationship Values Analysis Essay

Baderman Island Resorts has decided that it is a good time to implement a new employee handbook. Please be sure to read this memo in its entirety to understand why the handbook has been changed. Baderman Island Resort continues to grow in popularity and brings all types of travelers to the island. Because of this, the Boardman Management Group thinks that having a well-developed employee handbook will be beneficial for current and future employees. Also, The Boardman Management Group understands how important it is that every employee understand the organization’s specific goals, cultural values. As well as understanding the significance of each member of the organization to providing the finest customer service to our guests. Baderman Island Resorts will be changing to follow a more compliance-based cultural system. Boardman Management Group feels that this change will allow for increased growth, success and profitability. This new system is not meant to discourage the employees from continuing to take the initiative to be self-motivating and to continue to provide quality customer service. The internet blog section will continue to remain so employees can make suggestions and offer ideas. This new handbook will still encourage anindividual-based culture. Employees are responsible for their own job performance and for making sure that they follow the policies and procedures. Although there will indeed be times when a team-based culture will be necessary in order to complete certain duties accurately and successfully. The mission and vision statement for all employees is the quality customer service, an extraordinary vacation experience where the guests’ needs and desires are met above and beyond, and to guarantee the guests will not be disappointed. There has been a change to the mission and vision statement that discusses the future additions and attractions that are the process of developmental stages which will show the future and current guests that the Baderman Island Resort will be the place to visit in the future. The first thing that will be covered in the new employee handbook will be employer rights. This will include health and safety, diversity, affirmative action and due process procedures. There will also be coverage of the employee rights as well. This will include the same items covered in the employer rights. The final use of the employee handbook will be as a training, reference, and compliance tool to help the organization stay organized and focused on the goals and objectives of the company. Employees will be able to stay knowledgeable on the policies and procedures, and to remind the employees of the employer’s responsibilities and their rights. My hope is that this memo has been informative towards the new employee handbook and the direction that Baderman Island Resorts is heading towards. I believe that the new employee handbook will be an excellent tool for the employees to prevent confusion and questions that the employees may have. Employee Handbook for Baderman Island Resort Mission and Vision of Baderman Island Resort The mission and vision statement for all employees is the quality customer service, an extraordinary vacation experience where the guests’ needs and desires are met above and beyond, and to guarantee the guests will not be disappointed. Cultural Values of Baderman Island Resort Baderman Island Resort has the belief that in order to continue to succeed in the current market that the organization will need to become a morecompliance-based culture. To ensure that all laws are followed to make sure that the integrity of the company and employees is followed. Employee Rights Baderman Island Resort is an Equal Opportunity Employer (EEOC). The company’s philosophy is to recognize individual attributes and values that each employee brings to the job with respect and acknowledgement. By recognizing these principles it will allow the company to successfully reach its goals of providing excellent customer services and ultimately corporate profitability. Employer Rights Baderman Island Resort has contracted with an employment law firm to provide legal advice and to handle any employee/employer disputes and EEOC issues. Baderman also has the responsibility to ensure a safe and healthy work place for all employees. However in the event that an employee is injured on the job or becomes ill, workers compensation and FMLA leave are offered as well.