Wednesday, October 30, 2019

Organsiation behavior Essay Example | Topics and Well Written Essays - 2000 words

Organsiation behavior - Essay Example However, what is easy to assume is that any organization is extremely dependent on its people. Without people a company would not be able to exist or operate. So, it can be said that people are one of the most important assets of a business, because people are the ones who perform such organizational activities as planning, producing goods or services, and managing operations, among others. For that reason it can be easily understood that companies strive for the best talent. However, outstanding professional skills of an individual are not enough for one to be effective in an organization. In order for an individual to work in line with the company, one must have values and goals similar to those of the company. This forms a feeling of belonging to an organization, which is called organizational identification (Gemmiti 2008, 6). This particular phenomenon is the major topic of this paper. In particular, the goal of the given work is to examine what specifically the concept of organi zational identification entails, as well as how it is related to employees’ job performance, commitment, and CSR activities carried out by a company. Body Dutton, Dukerich and Harquail (1994, 240) present a deep analysis of the concept of organizational identification. ... As it was already stated, organizational identification refers to individual’s knowledge of belonging to an organization. In particular, as Gemmiti (2008, 6) outlines, organizational identification implies employee’s being psychologically and emotionally bound to a group of people that make up the organization. This psychological attachment is, then, expressed in employee’s showing certain types of behavioural patterns, including job commitment and improved performance. Furthermore, since organizational identification involves person’s belonging to a group, the individual is likely to show mostly positive behaviours if organizational identification is strong. This is expressed in positive word-of-mouth publicity supported by the individual and, as Bartels (2006, 1) stresses out, in-group favouritism. So, strong and positive organizational identification of employees ensures that people support the organization in all the aspects of its operations. It is, t hus, also true in relation to acceptance of changes and innovations, as well as lower absenteeism and turnover rates. The perception of self and the general self-concept of a person with positive organizational identification are modified as the person’s goals get aligned with organizational goals and values (Meyer, Becker, and Van Dick 2006, 665). So, it can be said that the person-organization interaction is two-sided. While organizational identification of an individual impacts the overall performance of a company, company’s values and strategies, in their turn, influence individual’s self-perception. For that reason it is important for companies to develop their

Monday, October 28, 2019

Martin Luther King Essay Example for Free

Martin Luther King Essay On the 27th of august 1963, the March on Washington took place; its main purpose was to raise awareness of jobs and treatment of African Americans during the 1960s in particular. The event was officially called ‘The march on Washington for jobs and freedom’, involved where the six biggest civil rights groups [1]. The march led 250,000 campaigners through the capital and to the Lincoln Memorial, where Martin Luther King (MLK) performed his iconic ‘I have a dream speech’. This quickly became one of the most iconic moments in history, particularly during the civil rights movement. This reputation was helped by the march being the largest political rally in the history of the United States, further giving the march, and those speaking including king more influence on the treatment of black Americans for the rest of the twentieth century. In particular, Martin Luther King’s words energized the fight for equality. He was one of the most established freedom fighters during this time, looking for integration into a predominantly white driven American society. Furthermore he was helped by the work of his own group called the Southern Christian Leadership Conference (SCLC) [2]. However, others accommodate the opinion that Kings short-term influence was minimal, and he in fact did nothing to help the treatment of African Americans twenty years after his speech at the march on Washington. I believe that the most compelling argument that can be made for the short-term influence of MLK is the passing of the civil rights bill of 1964. President L. B. Johnson himself proclaimed the importance of Martin Luther King’s march on Washington in bringing about the civil rights act of ’64. When talking to MLK about his march and the civil rights bill, Johnson says, ‘’I think the greatest achievement in foreign policy – I said to a group yesterday – was the passing of the 1964 civil rights act. ’’ Johnson said this directly to MLK in order to make him recognise how much of an effect his march had upon changing employment law in the US. The civil rights bill of 1964 meant that employers were legally obligated to pick the best candidate for a job regardless of their colour, race or sex [3]. Before the bill was passed, black Americans found it increasingly hard to find employment due to employers discriminating them, causing sit ins and marches such as the one in Washington which made known the problems that they faced, to the world. This was one of the main reasons that the march on Washington took place, which shows on a political level, its major significance. The reliability of this source is very strong because it can be said that Johnson would have wanted to look sympathetic upon Black Americans in order to gain their support, and therefore would want to support their movements. The support of African Americans would have been significant for the 1964 presidential elections taking place on November 3th, which he won with one of the largest landslide victories in American history [4]. An account from a black American called Mr Manley, who participated in the March, further cements the idea that King had a great significance in passing the civil rights bill. It reads, ‘’I believe it electrified the country†¦we felt a warm surge of pride when Dr King addressed the crowds. ’’ Although it does not mention the civil rights bill, it talks of the effect that Kings ‘I have a dream’ speech had on spurring the civil rights movement on, ultimately putting pressure on congress. The source talks of electrifying the country, showing how there was almost an immediate significance of Kings Speech in the march on Washington, as does the quote from L. B. Johnson. This would have helped racial discrimination overall by effecting even those that were not Black Americans, which would have also played a big part in reducing overall racial discrimination due to that fact the majority of the American population where white. So by getting them to sympathise with the cause, more relevant changes such as the civil rights bill would have been made, proving how after the march on Washington, Kings short term significance was overwhelmingly obvious. Another way in which King short-term significance can be seen, is the way that he changed attitudes of people and organizations around America, particularly in Chicago with the Chicago real estate board. After a march in Chicago about the estate board opposing housing laws, they eventually changed their stance. An account from a Chicago tribune in November 1966 reads, ‘’the march led to an accord that year between the protesters and the Chicago real estate board. The board agreed to end its opposition to open-housing laws in exchange to an end in the demonstrations. ’’ The short term significance of the march on Washington can be seen here through the similar ways in which King and his march of 700 people carried out their protest [5]. They achieved the result that they ultimately where aiming for just as they did in Washington which demonstrates the effect that King had on changing rules around the north of America as well as the south. This source is reliable as it is stating facts of the event. It talks of how a once segregated organization had now become desegregated as a result, and therefore holds a great way in helping to make the judgement on whether or not king had short-term significance, in this case it shows how he did to a great extent. In contrast to this view, it can be said that King didn’t have a great significance after the march on Washington because, despite the influences that he had on changing laws, there were still great economic difficulties for Black Americans. Even King himself acknowledged that he had not changed anything about economic problems. Evidence can be found after the march in Watts, a friend of his called Bayard Rustin writes about what King said to him, ‘’you know Bayard, I worked hard to get these people the right to eat hamburgers, now I’ve got to do something†¦ to help them get the money to buy it. ’’ This highlights the main problem that King himself could not overcome. His march on Washington won them equal rights in work and employment however it couldn’t do anything about the unequal pay that Black Americans received. This became a big problem to him, as without money, what he had done for African Americans did not have as big a significance as it could have and meant that discrimination was still very much an issue. King further reiterated the problems that African Americans faced economically when he said, ‘’it is much easier to integrate lunch counters than it is to eradicate slums. It is much easier to guarantee the right to vote than it is to guarantee an annual income, minimal income and create jobs. ’’ This source strongly agrees with the first one, mainly because they are both from King but moreover it shows how he could not do anything to change the ongoing problem of a lack of money being earned by Black Americans. This therefore may show that his short term significance was minimal, although they still say how he has already made a change but just not one that helped them finically. The Georgia state representative from 1980 to the present day, Tyrone Brooks shared these concerns even decades after King identified them. ‘’we’ve won the battle for the right to vote, we’ve won the battle against segregation, we’ve won the battle to go to schools of our choice. But we have no won the battle in terms of money, the economic challenge’’ [6]. This only further implies that King couldn’t influence any economic change even later in the century. However, to say that because of this he didn’t have a great deal of significance is unfair due to the other greatly significant changes that King influenced such as the civil rights bill of 1964. By pressuring congress to pass that bill, he allowed the focus to be changed onto economic problems, which would not have mattered if they did not have equality within the work place. Which on the other hand shows how MLK did have a great significance after the March. Despite the significance that King did have, it must be noted that he also failed to change the views of some more radically thinking Americans, which points to him having less of significance after his March. In an account from the Chicago tribune newspaper, they talk of the civil rights movement being futile. ‘’The ‘civil rights’ marchers are only hurting themselves and their cause. Chicago is retrogressing to the condition of a frontier town in early days, where shots are fired in the air and challenges to combat are hurled. ’’ It is clear to see that from what this source is saying; Kings Influence certainly did not have an effect on Chicago. However, in Chicago King achieved an accord between the Chicago real estate boards. They agreed to end their opposition of new housing laws, which calls in to question the reliability of this source largely in using it as evidence against the significance of King after the march on Washington. The population of Chicago had intended to give King a hostile reception before even arrived. This point is backed up and relived in an article on the daily Kos. It reads, ‘’ When rumours circulated that Dr. King was to lead a march up the middle of the expressway these raging groups literally packed bags with rocks to hurl from overpasses or side streets on to the marchers’’[7]. Although this reiterates the point that King failed to make an immediate impact of those from Chicago, it also makes it clear that the previous source from the Chicago tribune is not reliable. It is obvious from this that the mood in Chicago before King even entered was one of hostility, so it is no surprise the local newspaper did not support him either. This source is from an article written by someone that sympathises with king greatly as he goes onto say, ‘’If this was manhood, I was in no hurry to join them. ’’ This shows that he still had significance ad influence on views of people from the racist areas, as this person disagreed with those that opposed MLKs visit. In conclusion, I believe that King had a great deal of short-term significance after his march on Washington. The most compelling bit of evidence that points to this view is the impact he had on passing the civil rights bill of 1964. The nationwide impact was made clear after his death, when in a speech Robert Kennedy said, ‘’ Or we can make an effort, as Martin Luther King did, to understand and to comprehend, and to replace that violence, that stain of bloodshed that has spread across our land, with an effort to understand with compassion and love’’[8]. This underlines the significance of King as such a well renowned figure was encouraging the country to follow in his footsteps, which could be said, is the reason why even more was achieved after his death. As well as the civil rights bill, he also changed the attitudes of some people, which in turn gave him, and the movement more support in order to go on and fight for equality. Therefore, it is impossible to say he had nothing but an incredible influential and significant legacy after the march, which paved the way for future movements and laws to be established. [1]. http://www.infoplease. com/spot/marchonwashington. html [2]. http://www. britannica. com/biography/Martin-Luther-King-Jr [3]. http://www. archives. gov/education/lessons/civil-rights-act/ [4]. http://www. britannica. com/event/United-States-presidential-election-of-1964 [5]. http://www. chicagotribune. com/news/nationworld/politics/chi-chicagodays-martinlutherking-story-story. html [6]. https://www. doi. gov/pmb/eeo/AA-HM [7]. http://www. dailykos. com/story/2014/1/17/1270338/-Chicago-Summers-1966-67-Grown-Wary-and-Weary-of-Racism [8]. http://www. powerfulwords. info/speeches/John_F_Kennedy/8. htm

Saturday, October 26, 2019

Women’s Bodies in Taoism Essay -- Religion Religious Essays

Women’s Bodies in Taoism â€Å"I would rather live in a world where my life is surrounded by mystery than live in a world so small that my mind could comprehend it.† This powerful statement by Henry Emerson Fosdick so simply defines the concept of a common Chinese religion. Taoism is a religion practiced by many Asians and by people around the world. It is a religion that is so beautifully complex and yet based on principle as simple as breathing in and out. This paper will outline some basic information on the Taoist tradition, examine the views of the female body in Taoism as presented by Barbara Reed and my own critique of the tradition will be provided. A brief history of Taoism is required in order for us to pursue these goals. To begin with, Taoism originated from a man named Lao Tzu. He wanted to deeply come to an understanding of how one could induce human beings to live together. Tradition says that he developed such a theory but there was no one around to listen to him. In turn, he hopped on his water buffalo and rode to Tibet. When he arrived, he found a border guard and Lao Tzu taught the guard his philosophy. The guard agreed with all Lao Tzu stated and he encouraged Lao Tzu to write his teachings down. The word Tao means â€Å"The way†. This is the entire basis of the Taoist tradition, finding harmony, living peaceably and being creative during the flow of nature. Taoists have a goal as living life for â€Å"the way†and achieving immortality. The Taoist tradition has two sacred texts. Both of these texts â€Å"extol the way of nature as the path of happiness.† says Barbara Reed in Women in World Religions.(161) The Tao te ching is the basic text for Taoism. It has been translated to mean â€Å"The Way an... ... History, University of Chicago Press, Chicago and London, 1970. Reed, Barbara, â€Å"Taoism†, Sharma, Arvind, eds. Women in World Religions, State University of New York Press, Albany, NY, 1987. Schipper, Kristofer, The Taoist Body, University of California: Berkley and Los Angeles, CA, 1993. Smith, Houston, The World’s Religions, HarperCollins, San Francisco, CA, 1991. Tortchinov, Evgueni A., The Doctrine of the â€Å"Mysterious Female† in Taoism: a Transpersonalist View, Department of Philosophy, St. Petersburg State University, Russia, reprinted from, Everything is According to the Way: Voices of Russian Transpersonalism, Bolda-Lok Publishing & Educational Enterprises, Brisbane, Australia, 1997. http://etor.h1.ru/mystfem.html Young, Serinity, eds. An Anthology of Sacred Texts By And About Women, The Crossroad Publishing Company, New York, NY, 1993.

Thursday, October 24, 2019

Essay --

Is DNA a cause of Depression? An overwhelming amount of the population suffers from countless disorders and diseases, a decent majority involving mentally specific illnesses. Amongst society, depression is a very common mental illness found in individuals of ranging in all ages from all sorts of ethnicities and backgrounds. For the longest time, specialized scientists and psychologists have conducted numerous studies on depression. These studies include causes and treatments; one of the main studies concentrated on the idea of whether depression derives from our DNA. Conclusive studies have shown that DNA is one of the main causes of depression. DNA is not only a cause of depression; it also plays a critical role in treating it. Even so, some sociologists would disagree and state that depression is only developed over time by traumatic events that occur in a person’s life. Depression is a mood disorder that can occur once in a person’s lifetime or it can be something that happens quite often. Many people are unaware that depression is quite common among his or her peers and his or her family members. Most of the people who suffer from depression do not seek professional help, due to a lack of knowledge of depression or embarrassment of the condition. Depression cannot only affect a person’s mental health, but it can also affect their physical health as well. When left untreated, depression can last up to month’s sometimes-even years (Tamag 2005). Depression does not have only one cause. There are other variables that cause depression. These variables include unbalanced chemicals in the brain, unbalanced hormones, traumatic events such as death of a loved one, and genes that are inherited from our parents (Staff 2013). Every p... ... fraternal twins became depressed, nineteen percent of the time the other twin became depressed. These findings are considered to be higher rate of depression in comparison to the nation’s rates. ("Genetic Causes of Depression" 2013) In a final analysis, countless research studies have concluded that vulnerability to depression is inherited from our parents through DNA. Individuals can be subjected to depression through family members, such as siblings due to the case studies of the twins. Due to the fact that genetics has such an explicit influence on the specified mental disorder, research has also provided a linking connection between DNA and treatment of depression. However, despite the countless studies researchers have conducted on the matter, there are still a plethora of cases to further enhance the knowledge of the linkage between depression and genetics.

Wednesday, October 23, 2019

John Donne’s Poetic Philosophy of Love

John Donne's Poetic Philosophy of Love For the enormously complex and vexed John Donne (1572-1631), the one in whom all â€Å"contraries meet,† (Holy Sonnet 18), life was love—the love of women in his early life, then the love of his wife (Ann More), and finally the love of God. All other aspects of his experience apart from love, it seems, were just details. Love was the supreme concern of his mind, the preoccupation of his heart, the focus of his experience, and the subject of his poetry.The centrality and omnipresence of love in Donne’s life launched him on a journey of exploration and discovery. He sought to comprehend and to experience love in every respect, both theoretically and practically. As a self appointed investigator, he examined love from every conceivable angle, tested its hypotheses, experienced its joys, and embraced its sorrows. As Joan Bennett said, Donne’s poetry is â€Å"the work of one who has tasted every fruit in love’s orc hard. . . † Combining his love for love and his love for ideas, Donne became love’s philosopher/poet or poet/philosopher.In the context of his poetry, both profane and sacred, Donne presents his experience and experiments, his machinations and imaginations, about love. Some believe that Donne was indeed â€Å"an accomplished philosopher of erotic ecstasy† (Perry 2), but such a judgment seems to be too much. Louis Martz notes that â€Å"Donne’s love-poems take for their basic theme the problem of the place of love in a physical world dominated by change and death. The problem is broached in dozens of different ways, sometimes implicitly, sometimes explicitly, sometimes by asserting the immortality of love, sometimes by declaring the futility of love†.Donne was not an accomplished philosopher of eroticism per se, but rather a psychological poet who philosophized about love, sometimes playfully, sometimes seriously. The question, thus, arises as to the nature and content of Donne’s philosophy of love serendipitously expressed in his sacred and profane poetry. I will also argue that this particular philosophical perspective in Donne established the basis for the intimate connection between his profane and sacred poetry in which religious and sexual themes are closely linked and intermeshed.After briefly touching on the intellectual atmosphere in which Donne worked, I will proceed to examine the Ovidian and Petrarchan traditions in Donne’s amatory lyrics, and their respective contributions to his philosophy of love. The subject of Petrarchism was â€Å"love,† of course, emotional and spiritual love â€Å"conceived as a noble way of life, and the lover as an aristocrat of feeling† (Guss 49). Donne’s development in his profane poetry of the nobility and aristocracy of Petrarchan love was by means of these essential themes including, . . . he proem, the initiation of love [â€Å"The Good Morrow†] , the complaint against the lady’s obduracy [â€Å"Twickenham Garden†], the expression of sorrow at parting [â€Å"The Expiration†], the remonstrance against the god Love [Love’s Exchange†], the elegy on the lady’s death [â€Å"A Nocturnal upon St. Lucy’s Day, being the shortest day†], and the renunciation of love [â€Å"Farewell to Love†]. Other common themes are the lady’s eyes, her hair, her illness [â€Å"The Fever†], the dream [â€Å"The Dream†], the token [â€Å"A Jet Ring Sent†], the anniversary of love [â€Å"The Anniversary†], and the definition of love [â€Å"Negative Love†].How can a man and a woman achieve a love which is not based on rank sensuality, and yet which recognizes human physicality and ascribes a proper role and function to the body? How can a man and woman love one another with deep spiritual intensity and soulful devotion, and yet at the same time sto p short of romantic or emotional idolatry? How can both components of humanity—body and soul—be brought together into a happy synthesis to create a love that eschews the problems of Ovidian immorality and Petrarchan idolatry, but is rather ordinate and rightly ordered?The answers to these questions and the resolution of these tensions are found in Donne’s concept of idealized love generated largely under the influence of a Christian Platonism which establishes the sine qua non of his philosophy of love. It is a philosophy of love that seeks to balance the roles and establish right relations between both body and soul. Donne’s perspective is an attempt at integration, at wholeness, a striving at the reconciliation of opposing, dialectical forces.It seems that ever since the fall of humanity, life has been characterized by division and fragmentation: God vs. man, heaven vs. earth, man vs. woman, body vs. soul, action vs. contemplation, theory vs. practice, and so on. Donne seeks to heal and harmonize at least one aspect of a divided world: his view is body and soul, not body or soul. He defines and describes the component parts of love in light of the comprehensive nature of humanity. His position would seem to answer the questions and resolve the tensions created by the Ovidian and Petrarchan traditions in his love poetry.It would avoid the Ovidian problem of sexual immorality, and Petrarchan problem of romantic idolatry. Love is powerful, and it may very well abuse the body or the soul in its quest for satisfaction. But it can be rightly ordered as well. Donne’s outlook finds an appropriate place for both the body and the soul in a rightly ordered love. When coupled with his devotional poetry, the pattern indeed becomes complete, for it is in the love of God, which is the highest of all love, that human love itself finds its meaning and final reference point.If it is true that all human love has as its source and meaning in t he very love of God, then there must be a reciprocal relationship between these two forms of love, the infinite and the finite. God’s love validates human love, and human love reflects and images God’s. There is an intimate connection between love both human and divine. This would certainly be true in Donne’s Christian Platonism in which all things on earth, including human love, are a reflection of and point to things in heaven.

Tuesday, October 22, 2019

Overview of Beer Industry in America - Beer Industry overview as well as how Anheuser-Busch and others have stayed on top.

Overview of Beer Industry in America - Beer Industry overview as well as how Anheuser-Busch and others have stayed on top. Beer has been made, dating back to 10, 000 B.C., monks of the middle ages were thought to be the keepers of the Bible and a basic form of beer. Before Louis Pasteur, only wild air born yeast was used. But Americans needed more. Thomas Jefferson, a revolutionary thinker of America's past thought a Beer Industry would be very influential on our economy and its growth. New Amsterdam (New York City) is where the original public brewery was located. During the Prohibition Era (1920) there were places to get beer but it was usually very week. Franklin D. Roosevelt was the man who eventually sought to get this law appealed. (www.beerinsitute.com; www.beerindustry.com; www.beerinfo.com)Here is where today's leaders were born (Anheuser-Busch, Miller, Adolph Coors). Companies came fast, 756 companies were recorded only 2 years after this law was appealed. The beer industry went through a series of changes up until Jimmy Carter legalized Home Brewing.English: Anheuser-Busch plant, St. Louis, MO USA(www.beerinfo.com) Microbreweries (less than 15,000 barrels) became very prosperous and positive for our economy. The market size of the beer industry is incredible. (The wholesale volume in the beer industry is approximately $13.7 billion. The industry employs almost 40,000 people. In 1998 there were 1,698 businesses which were comprised of 39,500 employees. The average worker is paid about $18.27 an hour. As you can see, this is a very large industry which provides many jobs to the American workforce. National market consists of ten major competitors. The Competitors in this market are Anheuser-Busch, Miller, Stroh, G. Heileman, Adolph Coors, Pabst, Genesee, C. Schmidt, Falstaff, and Pittsburgh. (www.dted.state.mn.us/PDFs/beer.pdf)A company has many issues to look at; marketing the beer, giving back to the community, and waste researches are a few examples. Marketing is extremely costly in this industry and takes an enormous...

Monday, October 21, 2019

Paraphrase vs. Summary

Paraphrase vs. Summary Paraphrase vs. Summary Paraphrase vs. Summary By Maeve Maddox A reader asks for clarification of the difference between a paraphrase and a summary: I was in a large classroom with other teachers when the science teacher told the students to read a 2-page article and then to â€Å"paraphrase it [in] three sentences.† What the teacher should have said was to â€Å"summarize† the article in that length, whereas a paraphrase is not necessarily a shortening of an article but a rewording. The reader is correct. A summary is a brief summing up of the main points of a statement or narrative. A paraphrase is the rewording of something written or spoken, especially with the aim of making the sense clearer. A paraphrase may be longer, shorter, or of the same length as the original passage. I’ll give examples of each, using familiar sources. Summary of the film The Wizard of Oz (1939) When her Kansas farmhouse is swept up by a tornado and falls into an enchanted land called Oz, killing a witch, Dorothy Gale incurs the wrath of the dead witch’s sister. Befriended by a scarecrow, a tin man, and a lion, she survives the witch’s attempts to kill her and succeeds in returning to her home in Kansas. Paraphrase of the â€Å"To be or not to be† soliloquy in Hamlet, Act III, scene 1. The question facing me is, â€Å"Should I go on living or kill myself?† Would it be more virtuous to put up with my problems or end them by suicide? Dying is like a final sleep, a sleep that puts an end to the troubles that living entails, a desirable final resolution to it all. But what if the sleep of death brings dreams? There’s the catch. Death may be scarier than life. That’s why a long life is a bad thing. Nobody would be willing to suffer all the pain and humiliation of living year after year knowing that he could be rid of it all with a dagger thrust. The only reason people don’t escape the misery of living by killing themselves is that they’re afraid the afterlife will be worse. Because we don’t know what happens after death, we choose to put up with our problems rather than face the unknown. Even if a person decides to kill himself, thinking about the unknown consequences makes him change his mind and go on living. Both skills, summary and paraphrase, are extremely useful. They do require practice. Related post: The Whys and Hows of Paraphrasing Want to improve your English in five minutes a day? Get a subscription and start receiving our writing tips and exercises daily! Keep learning! Browse the Misused Words category, check our popular posts, or choose a related post below:50 Synonyms for â€Å"Leader†Taser or Tazer? Tazing or Tasering?How Do You Determine Whether to Use Who or Whom?

Sunday, October 20, 2019

Why the Model T Is Called the Tin Lizzie

Why the Model T Is Called the Tin Lizzie Despite its initial humble appearance,  the Model T became the most influential car of the 20th century. Priced so that the average American could afford it, the Model T was sold from 1908 until 1927. Many also may know Henry Fords Model T by its nickname, the Tin Lizzie, but you may not know why the Model T is called the Tin Lizzie and how it got its nickname. A 1922 Car Race In the early 1900s, car dealers would try to create publicity for their new automobiles by hosting car races. In 1922  a championship race was held in Pikes Peak, Colorado. Entered as one of the contestants was Noel Bullock and his Model T, named Old Liz. Since Old Liz looked the worse for wear, as it was unpainted and lacked a hood, many spectators compared Old Liz to a tin can. By the start of the race, the car had the new nickname of Tin Lizzie. But to everyones surprise, Tin Lizzie won the race. Having beaten even the most expensive other cars available at the time, Tin Lizzie proved both the durability and speed of the Model T. Tin Lizzies surprise win was reported in newspapers across the country, leading to the use of the nickname Tin Lizzie for all Model T cars. The car also had a couple of other nicknames- Leaping Lena and flivver- but it was the Tin Lizzie moniker that stuck. Rise to Fame Henry Fords Model T cars opened up the roads for the American middle class. The car was affordable because of Fords simple but ingenious use of the assembly line, which increased productivity. Because of this increase in productivity, the price dropped from $850 in 1908 to less than $300 in 1925. The Model T was named the most influential car of the 20th century as it became a symbol of Americas modernization. Ford built 15 million Model T cars between 1918 and 1927, representing  as much as 40 percent of all car sales in the United States, depending on the year. Black is the color associated with the Tin Lizzie- and that was the only color available from 1913 to 1925- but initially, black was not available. Early buyers had a choice of gray, blue, green, or red. The Model T was available in three styles; all mounted on a 100-inch-wheelbase chassis: The five-seat touring carThe two-seat runaboutThe seven-seat town car   Modern Usage Tin Lizzie is still most associated with the Model T, but the  term is used colloquially  today to describe a small, cheap car that looks like it is in a beat-up condition. But keep in mind that looks can be deceiving.  To go the way of the Tin Lizzie is a phrase that refers to something outdated that has been replaced by a newer and better product, or even a belief or behavior.

Saturday, October 19, 2019

Reflection paper Essay Example | Topics and Well Written Essays - 750 words - 20

Reflection paper - Essay Example Unfortunately, without any consideration on the possible consequences that such an action or decision may have on the society as a whole. The chapter tries to outline the adverse impacts that a capitalist society has on the development of the entire community, whilst negatively getting biased towards such an economic system. To help create the picture of the situation, three persons are used, A, B and C, who put their funds in a use that best suits them. The example of landholding, whereby A leases its holdings to B. if checked into considerably, the after effect on the society mainly depends on the actual purpose that the ultimate user of the property puts it into. In other words, the output of the property determines its usefulness to the society in a capitalistic system. A property may be leased out or sold from one individual to the next, say A to B. for A, they shall have gotten the value worth their property, hence not suffered any loss. However, the problem remains in the sense that the ultimate output of the property is rolled to the society. In the case of A, the society benefits depending on the use to which they put the property. If they, for instance, decide to squander the money accrued in the sale or lease of the property, it remains up to the society. Another problem falls on person B, who has bought the property. They may have it channeled in a use that is beneficial to them, or worse still, have it put in an investment that may be considered unproductive. For example, say B has a series of employees, who manage their property. If the employees choose to rip him of the property or divert the usage, the loss shall have been suffered by him, yet the eventual loss stills fall on the community. In a capitalist society, the government also falls a victim of blame depending on the use to which its various assets and revenues are put. To help outline the precept from the perspective of the

Friday, October 18, 2019

Business decieon making Assignment Example | Topics and Well Written Essays - 1500 words

Business decieon making - Assignment Example Whereas the institution will provide enough facilities for the students for proper learning, it will prepare them psychologically for the cramped state of the job market. Furthermore, the facility will provide students with practical skills for living positively. It is essential that students learn about life skills and the best ways to cope in the society and adhere to expected norms. Thus, although the institution will not be biased to any religious setting, it will labor to provide the right guidance to students and inculcate in them the significance of ethics and values. In so doing, the institution is set to give the students a mindset that will enable them fit anywhere in the world. Mission The institution’s mission is to train, prepare and mould students of sound character, life skills and with the knowledge of the real world and ability to fit and work anywhere in the globe while providing the best professional services and products Keys to Success The keys to success of the institution will be to ensure it indoctrinates Chinese way of education in the Libyan students. Whereas there will be adherence to the legally recognized syllabus of the Libyan people, the institution will instill Chinese Education system ethics that are geared towards preparing learners for the real world (The China Expat, 2013). Students will have the opportunity to have a feeling of the job market and innovative sphere before they get out of school. In so doing, everyone leaves school a prepared individual, copes well in the environment and becomes more productive than they would otherwise be. Company Summary Company Ownership The institution is owned by a group of Libyan graduates from China. The group is accomplished in matters of education. For the past four years, they have been working as tutors within the country. It is high time they thought their expertise in tutoring and experience in matters of Chinese education could help uplift the education standards of the co untry. They, therefore, have established the institution to aid vulnerable and needy students from the Libyan society. Company Start-Up Plan As stated earlier, the company is a creation of some Libyan graduates with expanse background and expertise in Chinese education system. These graduates from Libya and China have the passion and are highly motivated to start a miniature plan of Chinese education values in the country. The company has so far just began and is in its initial stages of start-up. The institution has started with 20 students in high school. It intends to increase its premises with time an open its doors to more students. The institution is set up to provide help to students with needs, and may not have an escalated expansion in the event that it does not obtain funds for the purpose. Market Analysis and Summary The institution intends to gather student population from all over the country. It will endeavor to reach out to all communities in the country and admit the neediest students in these communities. Whereas the founders believe that it may be impractical to help all students from needy backgrounds, it will labor to reach as many needy students as possible and change their lives. In addition to going out to the community, the institution will go into children’s centers and orphanages that have educational facilities only for the primary category. It will admit students who have finished their primary schooling

From today painting is dead Essay Example | Topics and Well Written Essays - 2750 words

From today painting is dead - Essay Example The essay "From today painting is dead" discusses the aesthetic impact of photography on the art world of the 19th century. WhÐ °t freed theÃ'•e pÐ °interÃ'• from portrÐ °iture, pÐ °Ã'•torÐ °l lÐ °ndÃ'•cÐ °peÃ'•, propÐ °gÐ °ndÐ ° Ð °nd phyÃ'•icÃ'•? The totÐ °litÐ °riÐ °n dictÐ °torÃ'• Ð °rgued thÐ °t it wÐ °Ã'• decÐ °dence, Ð °nd Ã'•ometimeÃ'• bÐ °nned or burned theÃ'•e eÐ °rly 20th-century EuropeÐ °n workÃ'• or blÐ °ckliÃ'•ted their imitÐ °torÃ'• or Ã'•tudentÃ'•. One could Ð °lÃ'•o Ð °rgue the influenceÃ'• of Ð ° Turner or VÐ °n Gogh or JÐ °pÐ °neÃ'•e Ð °rt, which were certÐ °inly tÐ °ngible Ð °nd viÃ'•ible in Ã'•pecific Ð °rtiÃ'•tÃ'• or workÃ'•. Or the reductionÃ'• in the coÃ'•t of mÐ °teriÐ °lÃ'• Ð °nd the generÐ °l proÃ'•perity of Europe thÐ °t Ð °llowed for more experimentÃ'•. But Ð ° more cogent Ð °rgument cÐ °n be mÐ °de thÐ °t it wÐ °Ã'• photogrÐ °phy, more thÐ °n à  °ny other fÐ °ctor, which chÐ °nged the wÐ °y we think of Ð °rt Ð °nd the role we expected viÃ'•uÐ °l Ð °rt to plÐ °y. The grÐ °phic reproduction of workÃ'• of Ð °rt hÐ °Ã'• Ð ° long Ð °nd diverÃ'•e hiÃ'•tory. PhotogrÐ °phy followed Ð ° trÐ °dition in which the depiction of the fine Ð °nd decorÐ °tive Ð °rtÃ'• beÃ'•towÃ'• Ã'•ome kudoÃ'• on the reprogrÐ °phic proceÃ'•Ã'•eÃ'• uÃ'•ed. Ð t the time of photogrÐ °phy'Ã'• invention Ð ° plethorÐ ° of reprogrÐ °phic proceÃ'•Ã'•eÃ'• were Ð °vÐ °ilÐ °ble Ð °nd theÃ'•e were being exploited to meet the riÃ'•ing demÐ °nd for looÃ'•e grÐ °phic reproductionÃ'• Ð °nd the buÃ'•ineÃ'•Ã'• opportunitieÃ'• offered by rÐ °pidly expÐ °nding Ð °nd diverÃ'•ifying commerciÐ °l mÐ °rketÃ'•. Both DÐ °guerre Ð °nd TÐ °lbot Ð °ppreciÐ °ted the importÐ °nce of reproducing workÃ'• of Ð °rt (including pÐ °intingÃ'•, drÐ °wingÃ'•, engrÐ °vingÃ'•, Ã'•cul pture, Ð °nd decorÐ °tive Ð °rt), not only to demonÃ'•trÐ °te their reÃ'•pective photogrÐ °phic proceÃ'•Ã'•eÃ'•.

Thursday, October 17, 2019

Behavioural Finance topic 8 Essay Example | Topics and Well Written Essays - 1000 words

Behavioural Finance topic 8 - Essay Example rd disagree with Koopmans as they consider reporting facts-without data assumptions through some probability model is an important scientific activity. Growth facts which came out of empirical works of Kuznets and some others are important in the development of economic theory. Solow (1970, p.2) agrees that these facts led to the development of his neoclassical growth model which has become the most crucial organizing structure in macroeconomics whether we consider the issues of growth or public finance or fluctuation. Solows (1970, pp.2-3) major growth factors are: Kydland and Edward study aimed at presenting the business cycle facts with reference to the established neoclassical growth theory which they have used as an organizing framework. They stress that the statistics reported in their study are not measure; rather they are statistics from interesting patterns in the light of neoclassical growth theory. Business cycles study grew during 1920s and 1940s.With the development of Koopmans structural systems of equations, it didnt remain a very active area of study. However, it is alive once again in the form of recurrent fluctuations. Lucas (1977) study proved to be instrumental in bringing business cycles study into mainstream. He defined business cycles as the "deviations of aggregate real output from trend". In order to complete his definition, Kydland and Edward provided an explicit procedure for calculating time series presented in smooth curves which researchers draw through plots of the data. Mitchell defined business cycles as sequence of expansion and contractions with a particular emphasis on the turning points and phases of the business cycles. Kydland and Edward consider the development in economic theory that Mitchells work and Lucas idea of business cycles. The term cycle is a broad term; the most widely accepted example of cycle is the sunspot cycle that varies in length from under 10 to 20 years. Most evident feature of the cycle is the

Research for organic textile Essay Example | Topics and Well Written Essays - 500 words

Research for organic textile - Essay Example Other buyers opt for organic textile products for their children’s allergies or their sensitive skins. For this reason very few companies deal in organic textiles, most of them importing organic raw material and processing them in China or Japan while others importing end-use products from U.S.A. or the European Union (Joca, 2001). Being that Japanese consumers like reliable certification, most organic textile products sold within the country come from the U.S.A who’s certification standards on products is known to be quite stringent.. While Japan consumes over 800,000 tons of cotton products yearly, only between 300 to 350 tons are of organic cotton material. Most organic textiles are sold in cooperative stores, department stores, specialty stores and natural food stores. Most supermarkets do not sell organic textiles and most businesses deem catalogue, mail-order and online business favorable for organic textile products in the country. Currently, the market for organic textiles in the country is growing gradually with their prices closely matching those of high level branded clothes sold in department stores. The high prices are more as a result of small-scale production and high cost of raw US cotton. Most organic textile products sold in Japan are uncolored and unbleached with a gradually growing need for new styles, blends, printed or dyed products. In order to establish a business in Japan, a minimum of one yen is required but under certain conditions; within five years the business must have a minimum capital of between three and ten million yen depending on the type of business (Jref Inc., 2009). A minimum registration fee of 181 yen is also charged for startup businesses; these cover a whole range of licenses and permit fess. According to the Organic Exchange and Organic trade association, apparel account for about 85% of retail organic products in Los Angeles (Singleton, 1997). The home textile

Wednesday, October 16, 2019

Behavioural Finance topic 8 Essay Example | Topics and Well Written Essays - 1000 words

Behavioural Finance topic 8 - Essay Example rd disagree with Koopmans as they consider reporting facts-without data assumptions through some probability model is an important scientific activity. Growth facts which came out of empirical works of Kuznets and some others are important in the development of economic theory. Solow (1970, p.2) agrees that these facts led to the development of his neoclassical growth model which has become the most crucial organizing structure in macroeconomics whether we consider the issues of growth or public finance or fluctuation. Solows (1970, pp.2-3) major growth factors are: Kydland and Edward study aimed at presenting the business cycle facts with reference to the established neoclassical growth theory which they have used as an organizing framework. They stress that the statistics reported in their study are not measure; rather they are statistics from interesting patterns in the light of neoclassical growth theory. Business cycles study grew during 1920s and 1940s.With the development of Koopmans structural systems of equations, it didnt remain a very active area of study. However, it is alive once again in the form of recurrent fluctuations. Lucas (1977) study proved to be instrumental in bringing business cycles study into mainstream. He defined business cycles as the "deviations of aggregate real output from trend". In order to complete his definition, Kydland and Edward provided an explicit procedure for calculating time series presented in smooth curves which researchers draw through plots of the data. Mitchell defined business cycles as sequence of expansion and contractions with a particular emphasis on the turning points and phases of the business cycles. Kydland and Edward consider the development in economic theory that Mitchells work and Lucas idea of business cycles. The term cycle is a broad term; the most widely accepted example of cycle is the sunspot cycle that varies in length from under 10 to 20 years. Most evident feature of the cycle is the

Tuesday, October 15, 2019

No topic need Essay Example | Topics and Well Written Essays - 250 words - 4

No topic need - Essay Example Their appealing factor to global consumers is their constant manufacture of new bands of cars. The Ford Company always finds a way to attract consumers by creating improved or modified brands of cars. The major globalization opportunity for the Ford Company is the fact that the world is open to technology at present. People are constantly seeking machines and devices that are more improvised than the last. Indeed Ford Company utilizes this opportunity to the fullest as they keep booming with new ideas. The major globalization challenges for the Ford Company are competition in major foreign markets like China and India. They face stiff competition from other motor companies in the market. Additionally, the company has been experiencing leadership problems of late. The executives apparently have a problem working together. This makes it hard to coordinate efforts in global markets. For the Ford Company’s brand to stand a better position in the global market, they must find a way to eradicate stiff competition and come out on top. This can be achieved by making their brands more attractive and desirable; they need to create an edge for their

Combination in the adjective Essay Example for Free

Combination in the adjective Essay Another feature of gothic novels, which helps to create the grim atmosphere, is the weather. Weather in gothic literature is normally cold and wet, adding to the dullness of the environment. The Hound of the Baskervilles features lots of references to cold, wet weather, reinforcing the feeling of gloom. In chapter 9, Dr. Watson refers to a cold night wind. This phrase creates an ominous feeling as the two adjectives convey to the reader darkness and bleakness. Dr. Watson also speaks of the dull moaning of the autumn wind which sets a depressing atmosphere because of the heavy initial consonant and vowel combination in the adjective. The mysterious and long oan sound makes the setting seem intimidating. Moaning can reflect pain, which links to the idea of the moor being a dangerous place to be. The phrase also shows Conan Doyle using personification, which has a strong effect on the reader as it makes elements seem human, therefore powerful, and perhaps uncontrollable. Nature is a strong force in itself though, so the personification could be designed to show the reader that even nature can seem in pain in these bleak and wild locations. The wind talked about in this sentence is another common characteristic in gothic novels, where weather conditions appear harsh and hostile. In the extract from Dr. Watsons diary in chapter 10, he writes, rain poured down. Describing the wet weather, poured tells us that the rain is heavy and the harsh p sound emphasises the harshness. Also from Dr. Watsons diary in chapter 10 comes this tempestuous and melancholy day. The word melancholy is also used repeatedly in the novel to reinforce the impression of the bleak landscape; it gives the whole setting a thoroughly depressing feel. Tempestuous adds to the sombre feeling of weather but also generates a sense of tension as tempestuous means stormy and violent. Such weather conditions, it could be argued, are reflected in the nature of some of the characters- a technique called pathetic fallacy. The Hound of the Baskervilles contains many of the typical weather conditions that are seen in gothic literature therefore, in this sense, the Hound of the Baskervilles could be classed a piece of gothic literature. A feature of the landscape included in The Hound of the Baskervilles is a place called Grimpen Mire. This is a boggy area upon the moor where people are liable to sink. Dangerous places like this are often evident in gothic novels and add to the dire atmosphere of the text. The mire is talked about mainly in chapter 7 where Stapleton is informing the other characters about the mire. When Dr. Watson first enquires about the mire Stapleton replies a false step yonder means death to man or beast. Here Stapleton is saying that it is a dangerous place for man and animal alike and so the statement creates a very grim mood. Further into chapter 7 Stapleton says, It is a bad place the great Grimpen Mire. The shortness of this sentence increases the impact of it, as it gives the impression that there is no doubt and that the statement is fact and cannot be challenged. The adjective bad clearly shows that it is a dreadful place and the word great suggests that it is a vast area. Combined, these words help the sentence to increase the miserable tone of the novel. Also, in chapter 7 Stapleton describes the mire again as the impassable mire. Impassable gives a sense of danger to the phrase and the harsh ss and im sounds suggest a strange, mysterious ambience. Harsh or difficult terrain occurs frequently in gothic novels and the descriptions set a mysterious and grim tone. This depressing atmosphere is also apparent in The Hound of the Baskervilles therefore I would class it as a piece of gothic literature. One factor of The Hound of the Baskervilles that distinguishes the novel as a piece of gothic literature relates to the locations featured within it. Buildings in gothic novels have a distinct style of architecture that includes points; arches; crenellated walls; partitioned and stained glass windows and the buildings are often raftered. The way buildings are described in gothic novels often creates an eerie atmosphere and usually causes the buildings to seem spooky because of the dark dà ¯Ã‚ ¿Ã‚ ½cor creating a heavy and oppressive atmosphere. Many of theses characteristics are shown in The Hound of the Baskervilles. The two main buildings in the novel are Baskerville Hall and Merripit House. These two locations are described when the characters first arrive at Baskerville Hall in chapter 6 and when they first visit Merripit House in chapter 7. Primarily the buildings are described through the observations of Dr. Watson. The general feeling of these buildings is a creepy one. At the beginning of chapter 6 Dr. Watson describes the outside of Baskerville Hall by saying weather-bitten pillars. Pillars are a common feature of gothic buildings and the fact that they are weather bitten shows that they are old and also reinforces the idea of hostile weather conditions. The harsh tt sound within bitten emphasise the hostile weather conditions and give the impression that the outside of the building is rough and imposing. Also in chapter 6 Dr. Watson observes, The whole front was draped in ivy and ivy-covered walls frequently appear in gothic novels and are usual of gothic buildings. Ivy covered walls give a blanketing effect and the image created by an ivy covered wall gives a gloomy impression. Later in chapter 6 DR. Watson talks about the towers of Baskerville Hall: the twin towers, ancient, crenellated, and pierced with many loo pholes. Crenellated walls of towers appear regularly in gothic architecture and are often featured in gothic novels because they add to the impression of the buildings being towering and forbidding. Further into chapter 6 Dr. Watson describes Baskerville Hall as large, lofty and heavily raftered. The oak paneling of the building is also depicted in chapter 6 through Dr. Watsons observation huge balks of age-blackened oak and the oak paneling. Oak paneling and heavily raftered rooms often occur in gothic architecture and are common features of gothic buildings. They also make the rooms in gothic buildings seem very dark causing a negative impression. High, thin window of old stained glass is dr. Watsons account of the windows. Dr. Watson also depicts the windows in chapter 7, high mullioned windows. Something that is mullioned is vertically partitioned. Stained glass and partitioned windows are common in gothic buildings. Another feature Arthur Conan Doyle uses to help create an eerie atmosphere is a reference to shadows. In chapter 6, Dr. Watson depicts the shadows within Baskerville Hall, long shadows trailed down the walls and hung like a black canopy above him. This simile helps create the depressing and spooky atmosphere. The elongated sound of ong within the adjective long gives a depressing impression and the adjective dark creates a spooky image. During chapter 7 Dr. Watson describes Merripit house by saying the effect of the whole place was mean and melancholy. The words mean and melancholy emphasise the dreary atmosphere of the location as melancholy means sombre and the definition of mean is harsh. Dr. Watson also says There were large rooms furnished with an elegance. The large rooms and elegant furnishings mentioned are common of gothic style buildings, both of these features help to create a majestic atmosphere and show that the building is posh reinforcing the fact that the characters who own it are wealthy. I can conclude, from the fact that the buildings featured in The Hound of the Baskervilles contain so many features of gothic architecture, and from the negative atmosphere and impression the descriptions of the buildings create, that the novel is a piece of gothic literature, which was written, in the gothic period.

Monday, October 14, 2019

Safeguarding Vulnerable Adults Children

Safeguarding Vulnerable Adults Children Ms Cameron took Victoria to the accident and emergency department of the Central Middlesex Hospital around 11am on 14 July. Victoria was seen by Dr Beynon within an hour of her arrival. Dr Beynon took a history from Ms Cameron which, together with the results of a basic examination of Victoria, concerned him enough to refer the matter to a paediatric registrar. In his view there was a strong possibility that this was a case of non-accidental injury. Such case as this allows one to think whether or not the professionals who were working with Victoria were not attentive as to what was taking place. The first signs that rose attention were after; A number of Ealing staff who saw Kouao and Victoria together during May 1999 noticed a marked difference between Kouaos appearance (she was always well dressed) and that of Victoria (who was far scruffier). Deborah Gaunt, who saw the two of them together on 24 May 1999, went as far as to say that she thought Victoria looked like an advertisement for Action Aid. The United nations describes a universe suitable for the lives of children to be one in which We will promote the physical, psychological, spiritual, emotional, cognitive and cultural development of children as a matter of national and global priorities (United Nations 2002, p.5). Such elected regions where purpose is necessary in order to put this world into being can recognized the same as: putting one into good physical shape, the provision of excellent education; protection from abuse, mistreatment and violent behaviour; and fighting against issues such as HIV/AIDS. Related aims and the process put into such areas form an important factor of policies considered to enable safeguarding and promoting the wellbeing of children in the entire signatories to the UN Convention. A childs welfare cannot be promoted whilst been separated from others, because they will not thrive but for their needs been met equally by parents, or other key carers, and also by means of the environment in whi ch they live. A definition used by the Government in regards to safeguarding children is said to be; The process of protecting children from abuse or neglect, preventing impairment of their health and development, and ensuring they are growing up in circumstances consistent with the provision of safe and effective care that enables children to have optimum life chances and enter adulthood successfully. As Individual we have the right to live freely from violence and abuse. This autonomy is supported by the responsibility on public agencies that works under the Human Rights Act (1998) to intervene proportionately to protect the rights of citizens. Such rights include the Right to life, Freedom from torture which may include humiliation and shameful treatment and Right to family life to uphold the individual. The experience of abuse and neglect is likely to have a significant impact on a persons health and well being. On more than one occasion, medical practitioners who noticed marks on Victorias body considered the possibility that children who have grown up in Africa may be expected to have more marks on their bodies than those who have been raised in Europe. This assumption, regardless of whether it is valid or not, may prevent a full assessment of those marks being made. In the year 2009 October the 12th a new Vetting and Barring scheme was produce whereby several new lists came into existence, one protecting individuals working with children and that of working with adults. The restricted files will be governed via a different body, which is known as the Independent Safeguarding Authority (ISA). Individuals found on such records within the ISA are obliged to be banned from a far wider range of keeping up performance than before. Harmonised actions will be reinforced generally to NHS and social care workers. The recent proposal is been established on a phased basis which comes into effect from July 2010. Individuals who are now working with children or vulnerable adults whom has changed professions will be forced to sign up through the ISA. At present district nurses in positions are obligated to register from 2011, so therefore all referrals are now expected to be made to the Independent Safeguarding Authority (ISA). The Independent Safeguarding Authority (ISA) was created as part of the Governments Vetting and Barring Scheme (VBS) to help prevent unsuitable people from working with children and vulnerable adults. It is a Non Departmental Public Body, sponsored by the Home Office. They work in corporation along with the Criminal Records Bureau (CRB) to assist in making certain there is no rationale for why individuals who wants to work or volunteer in the company of children or vulnerable adults should not do so. As stated in the Safeguarding for Adults frame work article it says that the group of adults who are in subjective by the No Secrets are individuals who is or may be eligible for community care services. In such groups, folks who were unable to protect themselves from significant harm are called vulnerable adults. Though the term vulnerable adults elevates the occurrence in maltreatment experienced by the individual or the group, at hand it is acknowledged that this characterization is debatable. Therefore been labelled can mislead, because one can direct basis of mistreatment towards the victim, instead of placing accountability by means of conduct or elimination of others. The demand of safeguards to shield vulnerable adults and children was tainted by the Richard Inquiry (2004) shortly after the murder of Jessica Chapman and Holly Wells in 2002. Following the proposal of the Inquiry, the Safeguarding Vulnerable Group Act 2006 came to pass to make sure that there is a more forceful structure to safeguard folks at risk. The Act came into existence on the 20 January 2009, to improve procedures for safeguarding vulnerable adults from abuse or the possibility of harm by workers or volunteers whose employment allows them a considerable amount of access to such individuals. Emphasis is now placed on aiding adults to have admission to services of their own choice, instead of stepping in to afford protection. Better Government for Older People is a mo del of how the support of dynamic residency for all is been assessed as an investment on a fundamental position in avoiding risks to their independence. Meanwhile, the responsibility to offer protection to those who do not have the mental capacity entrance themselves has become clearer (e.g. Human Rights Act 1988, Mental Capacity Act 2005, Domestic Violence Crime and Victims Act 2004). In acknowledgment of the shifting context, earlier suggestions to the safety of vulnerable adults and to adult protection effort are currently substituted by the new term: Safeguarding Adults. This expression measures all toil which permits an adult who is or may be eligible for community care services to maintain independence, security, preference and their human right to exist in a life that is liberated from abuse and neglect. Such explanation particularly embrace individuals who are considered as being able to majority of the care services, as well as those in good health and are entitled for soci etal care services but such needs in relation to safeguarding is for admittance to normal services such as the police. The children Act 1989 puts in place legal requirements for child protection practise. The Act introduces actions that are applicable for when a child may be at risk of abuse. Community and undisclosed guidelines correlated to children works under such law, in a progression of values overriding the performance and procedures, equally in and away from court. An important fundamental in regards to the requirements of the children Act, 1989, is that the childs welfare should be paramount in making decisions about her life and property. There is no exact description in the Act to say what is understood by welfare nevertheless it is obvious in an attempt to clarify its meaning that by far it is a substantial and objective welfare and that it furthermore refers to the childs emotional, social and moral well-being. Shortly after the Children Act of 2004 introduced a legislative structure intended for the support of the community to protect children within England and Wales. All organisations that came into contact with services to children, together with healthcare organisations, are required to cooperate to make sure that in implementing the purpose they safeguard and uphold the safety of children. Safeguarding children is dependent on the efficient professional work done in connection with the organisation and specialist with respect to their different job roles and expertise. Baby peters death was very upsetting, it went quite far beyond been an exceptional crime. Too many children has been killed in similar situations which tallies up to 30 children in this country since that of Baby P and majority of them has died at the hands of a carer or parent. What raised attention to these cases was due to how many times the local authority, including Haringey who handled the case of Victoria climbie and was judged for neglecting the protection which was meant to be given to her several years earlier, such children were seen not be taken seriously therefore protection was not given. Whilst baby peter was alive he was taken to the hospital on many occasions with injuries shown and was seen to up to 60 times by different professionals just months before he passed away. The guardian cited that couple of days before peter died he was seen by a paediatrician who did not realise that his broken back and paraplegia. A headline on the Article noted that Baby peter was bor n into a nightmare of abuse, violence and despair, he never stood a chance. It went on to say that snarled family life of Baby Peter is a realistic forewarning of the trails that many generations of abandoned and primitive abuse can visit on children. Although children comprise one of the largest and most vulnerable groups in society, their needs are frequently not recognised or met (Cloke Naish, 1992). The Every Child Matters (2003) article places an interest that a childs wellbeing and safeguarding of him or her from trivial distress is critical and the liability is that of the parents, carers and professionals working with children. There is a shift in attitude amongst policy makers that suggests the welfare of children is the responsibility of everyone (DoH, 2002). During earlier period to current times, extreme cases that ranged from 197Os to recent times where children have been abused or died by the direct hands of their carers, because of this the protection of children has become a soaring concern for the government. Cloke and Naish (1992) has reasoned that the nursing profession holds a definite input in tackling child abuse, from happening to them getting involved in an extended period local authority care. Professionals working within the healthcare plays an important position in making sure that children and families recieves the best care, assistance and services they require in request to improve childrens wellbeing and development. Working together to safeguard children is the national framework for child protection practise and its guidance applies to everyone working with children and families'(DH,1999). This justifies how the child protection procedure works, appointing the duties of professionals and the measures to pursue whilst there are apprehension regarding a child. One of the principles of working together and the accompanying framework for the Assessment of children in need and their families is that child protection practise should be operated within a broader framework of children in need'(DH, 2000). This take into consideration the requirements of children whom are been looked after, have a disablity, somewhat abused in the course of prostitution or suffer societal exclusion. It is fair to state that the Laming Inquiry into the death of Victoria Climbie (Laming 2003) has resulted in much of this unprecedented governmental activity and that this is now driving national policy development even though other children have died through parental or carer abuse (DoH 2002a, DHSS 1991, DHSS 1982). It is obvious that to hand is an overload of policy change are controlling how the society protects and safeguard children and vulnerable adults and this is more recognised within the health care. The NHS has been subjected to the audit and inspection of child protection arrangements across all trusts (DoH 2002b, CHI 2003a, CHI 2003b) many following on from the Laming Inquiry (Laming 2003). This was also related to the rationalization of the duty carried out by higher administration at a level for safeguarding children, structured on overruling the guidance of Child Protection Responsibilities of Primary Care Trusts published in 2002. In addition to such proposal the Kennedy Report (DoH 2001) has asked agencies and folks to think about how they support and safeguard children in health care and this has develop into a crucial issue supporting of the Childrens National Service Framework (DoH 2004b). Given all these initiatives it can be difficult for primary care practitioners, because of their diverse working environments and practice, to keep abreast of the changes that will be affecting their role and particularly if children and young people are not their designated client group (Thain 2000). In time it will be expected that primary health care practitioners needs to increase their awareness on the basis about safeguarding children, undertaking specialized training and to be able to take on challenges if and when necessary action is needed. Whilst the need for widespread child protection training and particular medical administration are fairly recent in the health service programmes, the accountability is for everyone to take it upon themselves to be aware of when a child may be at risk is the requirement of section 47 of the Children Act 1989 (DoH 1989). This requirement is detailed within Working Together to Safeguard Children (DoH 1999) and the more recent publication What to Do if You Are Worried a Child is Being Abused (DoH 2003) sent to every practitio ner on the NMC register. Although the Children Act stands as, the Code of Professional Conduct is also there to identify the dependability of practitioners to protect and support the health of individual patients and clients (NMC 2002, Robsbaw and Smith 2004). Therefore referrals of children who have a need or may be at risk of abuse should be pointed to the appropriate authorities whom are already surrounded by the protection of the code; on the other hand practitioners are compelled not to infringe secrecy except given the go ahead or within the publics interest to do so. The question is asked as to what safeguarding might be; a definition specifies that for one to develop and thrive, the youth should be tested of their ability the same as been kept out of harms way through the community contributing opportunities in order for them to grow. To safeguard young people it is more than just protecting them, it requires a complete action taken to ensure no harm is potentially placed in their way. By its very nature abuse the misuse of power by one person over another has a large impact on a persons independence. Neglect can prevent a person who is dependent on others for their basic needs exercising choice and control over the fundamental aspects of their life and can cause humiliation and loss of dignity. ADSS, 2005

Sunday, October 13, 2019

Vegetarianism :: Healthy Lifestyle Essay

Vegetarianism Vegetarianism is the limitation of ones diet to only vegetables. Vegetarianism has been around for centuries, but recently we have seen the eruption of a more militant vegetarianism that is inspired by the animal "rights" movement. Today, vegetarian activists are throwing pies at Ronald McDonald and the Pork Queen, scrawling "meat is murder" in prominent locations, committing terrorist acts of arson, and waging media campaigns equating meat consumption with cannibalism. Vegetarians are, on the average, far healthier than those who consume the typical Western diet, and enjoy a lower incidence of many chronic diseases. However, it has not been proven that one must eliminate meat from one's diet in order to be healthy. It has been aptly demonstrated that the typical Western diet contains too much fat. Eliminating meat from the diet is one way to reduce fat, but it is not the only way. Vegetarian diets have also been shown to increase the risk for nutrient deficiencies. Children are particularly vulnerable and can lead to growth problems. Vegetarian children often fail to grow as well as their omnivorous counterparts despite protein intakes. Ecological arguments against omnivorous and carnivorous eating are little more than an attempt by those from the less popular animal "rights" movement to ride the coattails of the more popular environmental movement. In some cases, warnings of impending environmental cataclysm are used to advance an ethical agenda. However, arguments to the effect that eating meat is "destroying the planet" overlook that the planet has not yet been destroyed despite millions of years of omnivorous and carnivorous eating by millions of individuals from a multitude of species. The Second Law of Thermodynamics dictates that some energy will be inevitably lost as one moves up the food web. Therefore, arguments about how it takes X pounds of plant protein to generate Y pounds of meat have a sound theoretical basis. However, these arguments are often overstated. These arguments falsely assume that pork chops and steak are the only products of animal agriculture. They falsely presume that a pound of animal foodstuffs is nutritionally and energetically equivalent to a pound of plant foodstuffs. These arguments also ignore the energy content and opportunity cost of replacing animal by-products, which is considerable. Even the animal's excrement is a valuable resource. Certain animal products, such as fetal calf serum, collagen and laminin are crucial for medical research using cell cultures, and have no available alternatives.

Friday, October 11, 2019

The Lies of James Gatz Essays -- F. Scott Fitzgerald Great Gatsby

The Lies of James Gatz Many great novels such as F. Scott Fitzgerald's The Great Gatsby tackle the subject of passing, or being fake, which involves a character pretending to be something or someone that he or she is not. Although it takes a while for the reader to discover that Gatsby has been living a fictitious life, in order to pass for someone from a higher social class, this becomes one of the more important aspects in The Great Gatsby. Gatsby has created this magnificent lie about his past in order to be impressive, yet he still comes off as quite mysterious to the people he associates with. This may be due to the fact that Gatsby is a quiet but exceedingly generous man. Gatsby is constantly throwing parties and buying the nicest of things. This causes rumors to be constantly flying about Gatsby and his wealth. Gatsby is a powerful looking man who insists on having his house filled with nonstop parties. The guests at these parties spend much of their time gossiping about Gatsby, some saying things such as, ?he killed a man once? and ?he was a German spy during the war? (44...

Developing Good Business Sense

Developing Good Business Sense Axia College of University of Phoenix BUS 210 Developing Good Business Sense June 29, 2008 The three companies I selected for this assignment are McDonalds, Bose Corporation and Motorola. From the reading I was able to determine the employee’s organizational structure within this company’s by which they complete their jobs. I will review and outline the main kinds of Operations and Materials Management (OMM) processes these companies use, and how it affects their operations. Also, I will discuss how companies design their operating systems to give them a competitive advantage. I will identify which components of operations and materials management costs and the methods companies use to reduce them. McDonald’s is a highly successful and well recognized brand leader of fast food restaurants located around the world. They sell hamburgers and french fries as their primary products, and they work with many different food suppliers such as hamburger bun manufacturers, beef producers, produce suppliers and many others, to ensure their foods are as fresh as possible. McDonald’s sells franchise rights to local owner/operators which allow them to keep costs low and avoid high capital and plant investment costs. Since a great deal of McDonald’s service is reliant on delivering customer’s food fresh, McDonald’s use the Just in Time (JIT) inventory management system. This system reviews stock inventory levels available against product usage, and arranges delivery and restocking to the restaurants just as inventory items are needed. This allows inventory to be kept to a minimum in each franchise location. Foods for the restaurants are not warehoused for days or weeks, and are efficiently managed under this system so they are used quickly and, freshness is guaranteed. Each franchise owner keeps labor costs down by managing store staff schedules against the peak customer periods when the restaurant gets busy. Another technique McDonald’s uses to keep distribution costs low, is to have soft drink company’s ship only the soda syrup mix needed for each brand, which is then mixed with carbonated water at the soda fountain in the store. McDonalds has also begun to employ the use of robotics to complete routine, repetitive tasks such as filling soda orders for the drive through window and dumping fries into the fry maker, as a means of making their food quicker and less expensively. Over time the return on investment for these developments will pay off greatly in saved labor costs. Of course, the most important element in any McDonald’s restaurants is that employees must be organized and communicate effectively. Wasted food equates to wasted money and if a special order is needed, staff must talk to each other to make sure it is done right the first time. By working together as a team the cooks, preparation staff, and cashiers help to keeps the orders organized and production is kept high. The Bose Corporation is a world renowned manufacturer of high-fidelity speakers and audio equipment. The company’s ability to meet customer demand for their products is dependant on the supply chain and availability of components needed to complete customer orders. The company uses a supply chain network that is spread across the globe, with their primary source of over 50% of purchased components coming from the Far East. Logistics managers within the company bear the responsibility of moving the vast amounts of equipment into production, based on a real-time inventory management system called â€Å"ProterLink†. This system is able to locate supplies that are needed anywhere in the shipping chain, and divert them if necessary to meet an accelerated production schedule if necessary. This operational system gives Bose the advantage of meeting large customer’s orders without missing a beat. Transportation costs associated with material movement and management from suppliers to their Bose’ production facility would be a key cost consideration for the company. If supplies needed to fill orders are transported efficiently and are timed to correspond to production schedules, costs would be lower because unnecessary components would not take valuable inventory space away from items that are in need to complete orders, thereby maximizing production effectiveness. Motorola, a global communications leader, is using a unique forward thinking production plan to bring their services and products to market. In their self-named, â€Å"factory of the future†, custom made communication devices can be produced very quickly for customers, giving Motorola a competitive advantage. The process starts with sales person who receives the order and inputs all of the customer’s customization preferences. This information is provided as a barcode and relayed to the production facility, which uses automation technology (robots) to produce the phone in accordance with the customer’s wishes. Using robots gives Motorola a competitive advantage because they are able to mass produce large volumes of customized phones, with only a two-hour turnaround window. The universal operational strategy in any business is to meet the goal of customer satisfaction. The company’s reviewed accomplish that goal through improving quality and efficiency, and ultimately reducing costs. [pic] Developing Good Business Sense Developing Good Business Sense Axia College of University of Phoenix BUS 210 Developing Good Business Sense June 29, 2008 The three companies I selected for this assignment are McDonalds, Bose Corporation and Motorola. From the reading I was able to determine the employee’s organizational structure within this company’s by which they complete their jobs. I will review and outline the main kinds of Operations and Materials Management (OMM) processes these companies use, and how it affects their operations. Also, I will discuss how companies design their operating systems to give them a competitive advantage. I will identify which components of operations and materials management costs and the methods companies use to reduce them. McDonald’s is a highly successful and well recognized brand leader of fast food restaurants located around the world. They sell hamburgers and french fries as their primary products, and they work with many different food suppliers such as hamburger bun manufacturers, beef producers, produce suppliers and many others, to ensure their foods are as fresh as possible. McDonald’s sells franchise rights to local owner/operators which allow them to keep costs low and avoid high capital and plant investment costs. Since a great deal of McDonald’s service is reliant on delivering customer’s food fresh, McDonald’s use the Just in Time (JIT) inventory management system. This system reviews stock inventory levels available against product usage, and arranges delivery and restocking to the restaurants just as inventory items are needed. This allows inventory to be kept to a minimum in each franchise location. Foods for the restaurants are not warehoused for days or weeks, and are efficiently managed under this system so they are used quickly and, freshness is guaranteed. Each franchise owner keeps labor costs down by managing store staff schedules against the peak customer periods when the restaurant gets busy. Another technique McDonald’s uses to keep distribution costs low, is to have soft drink company’s ship only the soda syrup mix needed for each brand, which is then mixed with carbonated water at the soda fountain in the store. McDonalds has also begun to employ the use of robotics to complete routine, repetitive tasks such as filling soda orders for the drive through window and dumping fries into the fry maker, as a means of making their food quicker and less expensively. Over time the return on investment for these developments will pay off greatly in saved labor costs. Of course, the most important element in any McDonald’s restaurants is that employees must be organized and communicate effectively. Wasted food equates to wasted money and if a special order is needed, staff must talk to each other to make sure it is done right the first time. By working together as a team the cooks, preparation staff, and cashiers help to keeps the orders organized and production is kept high. The Bose Corporation is a world renowned manufacturer of high-fidelity speakers and audio equipment. The company’s ability to meet customer demand for their products is dependant on the supply chain and availability of components needed to complete customer orders. The company uses a supply chain network that is spread across the globe, with their primary source of over 50% of purchased components coming from the Far East. Logistics managers within the company bear the responsibility of moving the vast amounts of equipment into production, based on a real-time inventory management system called â€Å"ProterLink†. This system is able to locate supplies that are needed anywhere in the shipping chain, and divert them if necessary to meet an accelerated production schedule if necessary. This operational system gives Bose the advantage of meeting large customer’s orders without missing a beat. Transportation costs associated with material movement and management from suppliers to their Bose’ production facility would be a key cost consideration for the company. If supplies needed to fill orders are transported efficiently and are timed to correspond to production schedules, costs would be lower because unnecessary components would not take valuable inventory space away from items that are in need to complete orders, thereby maximizing production effectiveness. Motorola, a global communications leader, is using a unique forward thinking production plan to bring their services and products to market. In their self-named, â€Å"factory of the future†, custom made communication devices can be produced very quickly for customers, giving Motorola a competitive advantage. The process starts with sales person who receives the order and inputs all of the customer’s customization preferences. This information is provided as a barcode and relayed to the production facility, which uses automation technology (robots) to produce the phone in accordance with the customer’s wishes. Using robots gives Motorola a competitive advantage because they are able to mass produce large volumes of customized phones, with only a two-hour turnaround window. The universal operational strategy in any business is to meet the goal of customer satisfaction. The company’s reviewed accomplish that goal through improving quality and efficiency, and ultimately reducing costs. [pic] Developing Good Business Sense Developing Good Business Sense Axia College of University of Phoenix BUS 210 Developing Good Business Sense June 29, 2008 The three companies I selected for this assignment are McDonalds, Bose Corporation and Motorola. From the reading I was able to determine the employee’s organizational structure within this company’s by which they complete their jobs. I will review and outline the main kinds of Operations and Materials Management (OMM) processes these companies use, and how it affects their operations. Also, I will discuss how companies design their operating systems to give them a competitive advantage. I will identify which components of operations and materials management costs and the methods companies use to reduce them. McDonald’s is a highly successful and well recognized brand leader of fast food restaurants located around the world. They sell hamburgers and french fries as their primary products, and they work with many different food suppliers such as hamburger bun manufacturers, beef producers, produce suppliers and many others, to ensure their foods are as fresh as possible. McDonald’s sells franchise rights to local owner/operators which allow them to keep costs low and avoid high capital and plant investment costs. Since a great deal of McDonald’s service is reliant on delivering customer’s food fresh, McDonald’s use the Just in Time (JIT) inventory management system. This system reviews stock inventory levels available against product usage, and arranges delivery and restocking to the restaurants just as inventory items are needed. This allows inventory to be kept to a minimum in each franchise location. Foods for the restaurants are not warehoused for days or weeks, and are efficiently managed under this system so they are used quickly and, freshness is guaranteed. Each franchise owner keeps labor costs down by managing store staff schedules against the peak customer periods when the restaurant gets busy. Another technique McDonald’s uses to keep distribution costs low, is to have soft drink company’s ship only the soda syrup mix needed for each brand, which is then mixed with carbonated water at the soda fountain in the store. McDonalds has also begun to employ the use of robotics to complete routine, repetitive tasks such as filling soda orders for the drive through window and dumping fries into the fry maker, as a means of making their food quicker and less expensively. Over time the return on investment for these developments will pay off greatly in saved labor costs. Of course, the most important element in any McDonald’s restaurants is that employees must be organized and communicate effectively. Wasted food equates to wasted money and if a special order is needed, staff must talk to each other to make sure it is done right the first time. By working together as a team the cooks, preparation staff, and cashiers help to keeps the orders organized and production is kept high. The Bose Corporation is a world renowned manufacturer of high-fidelity speakers and audio equipment. The company’s ability to meet customer demand for their products is dependant on the supply chain and availability of components needed to complete customer orders. The company uses a supply chain network that is spread across the globe, with their primary source of over 50% of purchased components coming from the Far East. Logistics managers within the company bear the responsibility of moving the vast amounts of equipment into production, based on a real-time inventory management system called â€Å"ProterLink†. This system is able to locate supplies that are needed anywhere in the shipping chain, and divert them if necessary to meet an accelerated production schedule if necessary. This operational system gives Bose the advantage of meeting large customer’s orders without missing a beat. Transportation costs associated with material movement and management from suppliers to their Bose’ production facility would be a key cost consideration for the company. If supplies needed to fill orders are transported efficiently and are timed to correspond to production schedules, costs would be lower because unnecessary components would not take valuable inventory space away from items that are in need to complete orders, thereby maximizing production effectiveness. Motorola, a global communications leader, is using a unique forward thinking production plan to bring their services and products to market. In their self-named, â€Å"factory of the future†, custom made communication devices can be produced very quickly for customers, giving Motorola a competitive advantage. The process starts with sales person who receives the order and inputs all of the customer’s customization preferences. This information is provided as a barcode and relayed to the production facility, which uses automation technology (robots) to produce the phone in accordance with the customer’s wishes. Using robots gives Motorola a competitive advantage because they are able to mass produce large volumes of customized phones, with only a two-hour turnaround window. The universal operational strategy in any business is to meet the goal of customer satisfaction. The company’s reviewed accomplish that goal through improving quality and efficiency, and ultimately reducing costs. [pic]

Thursday, October 10, 2019

Outsourcing Trends: Health Services Professionals

[pic] MGT 6220 – Health Care Human Resource Management Outsourcing Trends – Health Services Professionals Fall 2012 Research Paper Anthony Edens Thomas Grumley Outsourcing Trends – Health Services Professionals In today’s healthcare environment, hospitals are facing increasing pressure to reduce costs, increase efficiency and improve the quality of patient care. Although some of the details of the impending changes may not be perfectly defined, the industry is certain that changes are inevitable.Going forward, there will be an increased focus on quality; penalties for re-admissions, medical errors and hospital acquired infections (Buser, 2010). Several factors, such as aging populations, new treatments, low patient financial responsibility and misalignment of incentives have forced the Government to reconsider current Medicare reimbursement arrangements (Kaplan, Porter, 2011). For example, fee for service, which reimburses providers and hospitals based on the procedure performed, are not based on the desired outcome which should be good patient health.Therefore, the incentive for the provider could be to perform more of the higher reimbursement procedures and not to focus on decreasing the costs of business. Unfortunately, this has lead to a cycle of increasing costs for the government and payers, who are now looking for ways to decrease reimbursement and align incentives with quality while reducing re-admissions. Decreasing reimbursement will force hospitals that are not currently focused on cost control to rethink the existing strategies. In light of this, hospitals will need to concentrate on expense control, staffing productivity and service line efficiency.Crucially, hospitals will need to focus on effective alignment with physician practices and hospitalists. One consideration that continues to arise is whether to outsource certain functions from an employment model to one involving outsourcing, and one which will be discussed at length in the following pages. The current climate is signaling a clear increase in the trend to outsource a multitude of functions, for both large and small hospitals. In Modern Healthcare’s 33rd Annual Outsourcing Survey, 42 firms reported a 14% increase in the number of healthcare clients from 2009 to 2010.The following year’s survey, reported that among the top 20 outsourcing firms there was a reported 13. 1% growth from 2010 to 2011. The top 5 services which are currently outsourced are laundry, housekeeping, clinical/diagnostic equipment maintenance, hospital based emergency departments and food services (Kutscher, 2012). Additionally, the outsourcing of back office functions continues to increase. For example, firms providing accounts receivable functions reported a 21% increase in 2010 and firms providing medical record services reported a 6% increase in 2010 and an 8% increase in 2011 (Kutscher, 2012; Daly, 2011).Also related to the back office functions is effective revenue cycle management. When considering the tightening of the current and future reimbursement environment, the ability for a hospital to successfully collect monies owed and to reduce bad debt will be crucial. For example, in May of 2011, Conifer, a subsidiary of for-profit hospital chain Tenet Healthcare Corp. , Dallas announced that it closed on a deal to provide revenue management services to 56 hospitals (Kutscher, 2012). Another area of explosive growth is in the IT sector.Part of the reason is that there is a federal mandate which requires hospitals and physician practices to show â€Å"meaningful use† of electronic records. Not only are there financial incentives for implementing electronic health records early, there are financial penalties for those that have not implemented a system over the next few years. Robust growth can also be seen among the firms that provide diagnostic equipment maintenance. In Modern Healthcare’s 33rd Annual Outsourcin g Survey, these firms saw 12. 6% growth from 2009 to 2010 and the following year’s survey showed a 16. % increase. This is due to the fact the medical equipment is growing increasingly more complex and that specialized firms are able to adhere to strict maintenance schedules, provide detailed documentation and track repair costs. One of the largest areas of growth is in the outsourcing of anesthesia services. From 2009 to 2010, the growth among survey respondents was 147% to a total of 222 contracts. One of the reasons for this is that anesthesia services can operate as a self contained unit within a hospital.This works more efficiently than if each physician would bring in their own team by providing both consistency and cost effectiveness. However, there are concerns regarding outsourcing hospital services. Reasons for hesitation among hospital executives can be corporate culture, patient privacy and regulatory compliance. There are definite security and compliance concerns related to the outsourcing of electronic medical records. For instance, while Indian insurance and pharmaceutical companies have had success, gaining market share from U. S hospitals may prove to be difficult. As soon as it leaves the confines of the U. S. , it's not subject to the same rigorous laws as we are,† says George Conklin, chief information officer of Christus Health (Sharma, 2010). Here, we are going to focus on outsourcing the hospitalist and revenue cycle functions and show some of the advantages and limitations of each. The number of hospitals that have hospitalist programs continues to grow, and today 2/3rd of all hospitals use a hospitalist program. Additionally, the demand for these providers currently outweighs the supply with a total of 31,000 covering the country’s demand of 40,000 (Buser, 2010).One of the reasons for this increasing demand is it allows those physicians with busy outpatient practices to concentrate on those practices and for the pro viders in the hospitalists programs to concentrate on the inpatients. Additionally, hospitalists can focus their attention to the details of inpatient management due to their more consistent practice patterns and expertise which all helps to reduce average length of stay and increase patient health and satisfaction. Hospitals can choose from either employing and managing the group of hospitalists directly or using a 3rd party vendor such as TeamHealth or EmCare to outsource the service.For instance, a hospital may choose to employ a group of hospitalists directly if it’s looking to ensure quality and bring the programs under local control to align the program with their own mission and values. However, crucial to the success of this is effective leadership and expertise. In some instances, employing hospitalists directly may require abundant investment in IT systems and other tools which will require large amounts of capital dollars that some smaller hospitals may not have ac cess to.In these instances a hospital may choose to outsource this function to take advantage of the large economies of scale and expertise a large vendor may be able to offer. For instance, in the article â€Å"Hospital Medicine’s Management Shuffle† by Bonnie Darves, Martin Buser, MPH, who is the co-founder of the hospitalist consulting firm Hospitalist Management Resources LLC, attributes the decisions to outsource to rapid growth of programs in which the hospital did not have the proper infrastructure and financial support to carry on with the program.Additionally, by outsourcing the practice the hospital reduces its regulatory risks as well as administrative and recruiting burdens. For example, in 2007 Hospital Specialists of Georgia, turned over management services to Cogent, a prominent and large vendor of hospitalist programs. At the time the group was handling a third of the medical center’s admissions and could not increase that without support.Without available capital, the company was not able to meet the growing demands of IT, especially as quality and performance measurement started to become more prevalent. (Darves, 2007). Using a 3rd party vendor whose expertise lies in focus and efficiency, and especially when combined with firms who bundle ED and hospitalist services, hospitals can reduce patient wait times and reduce the number of patients who leave the ER prior to triage or treatment. Ultimately this acts to increase the overall volumes of the hospital.Additionally, for 2012, CMS (Centers for Medicare and Medicaid Services) created two new critical measurements which measure, in minutes, the time from ED arrival to ED departure for patients admitted from the ED to the facility and from the admit decision time to the time of departure from the ED for patients admitted to inpatient status. Improving these times has a multitude of positive effects on the facility. For example, this can reduce the ED length of stay, increas e the ED capacity, improve the admission process and ultimately improve the patient outcome.Conversely, some may argue that quality and alignment with the hospital are better achieved when providers are employed directly. For example, Kadlec Medical Center of Richland Washington decided that in 2006 it would discontinue its arrangement with a large vendor and bring its program in-house. The hospital wanted more control over the number of hospitalists as well as the scope and quality of services (Darves, 2007). However, the data suggests that quality does not suffer when outsourcing a hospitalist program. This is why we recommend outsourcing in the case of a hospitalist program.In a 2009 survey released by the Medical Group Management Association, the data shows that a hospitalist from a large vendor sees, on average, more than 19% more patients per day than a hospitalist employed by the hospital. Patrick Hays FACHE and C. Thomas Smith explain in their article â€Å"Why the Independ ent Hospitalist Practice is here to Stay,† that this does not imply an adverse effect on the quality of the healthcare, and is instead the result of a focused effort where other hospital assignments are not competing for attention.An increase in focus and expertise can lead to early detection and better diagnosis of disease which ultimately leads to less expensive and less complex treatments, and importantly, to fewer re-admissions. Outsourcing the hospitalist practice is also cost effective. A 3rd party hospitalist vendor can usually integrate its existing software with the hospitals and reduce training and orientation costs that could come with having to learn a new EMR system. In addition to IT and recruiting costs, there can also be costs associated with billing, accounting, legal, regulatory, marketing and quality control.Should a hospital choose to employ the physicians and experience rapid growth without the proper infrastructure, these costs can quickly deteriorate the earnings of the group. Regulatory and legal costs can be especially problematic. For instance, Stark and Anti-Kickback Laws limit what a hospital can pay to an employed physician and require that each contract be put under scrutiny to ensure fair market value scrutiny to guarantee there are no conflicts of interest between the physician, hospital and patient.To make certain a hospital is not violating these serious and complex laws, it would need to employ and increase its legal department’s infrastructure to include a department specifically designated to physician contracts, a cost many small hospitals may not be able to afford. With so many reasons for a hospital to use a 3rd party vendor, hospitals may become increasingly interested in avoiding the employment model. John Donahue, CEO of Cogent HMG expects a â€Å"dramatic ramp up of hospitalist consolidation† in the coming years because of the new quality requirements the government is demanding the hospitals meet .The large hospitalist companies already have effective ways to measure this as well as reduce length of stay and complications resulting from hospital stays (Robeznieks, 2012). Another step firms are taking to convince hospital executives that outsourcing is the right choice is using local contractors and simultaneously offering a national support model. For example, Radisphere, an Ohio based radiology outsourcing firm, uses local radiologists who work with a network of offsite subspecialists offering continuous access to consultations.In summary, outsourcing hospitalist services can provide hospitals, large and small, a cost effective and efficient means to provide quality patient care. With an ever increasing focus on quality, using a group focused physicians with hospital expertise who do not have competing private practices can increase patient satisfaction, increase hospital capacity and volumes all while helping the hospital achieve its goals while creating and maintaining a good quality reputation in the community. Let us not forget, however, that the presence of Human Resources should be critical in this decision.The head of Human Resources needs to understand the dynamics of the business and the challenges that lay ahead should the company choose to outsource an existing function or in-source a function currently delegated to a 3rd party firm. For instance, if a decision is made to outsource an existing department there will need to be a roadmap for the existing employees. Ask questions such as, â€Å"Will there be a severance package or can these employees be transitioned or transferred to open positions in other areas of the company? Furthermore, there needs to be discussions regarding the reliability of the outsourcing firm and a contingency plan should the firm go out of business or discontinue the relationship. Are there alternative companies that could provide similar services if this situation were to arise? Will the chosen firm be able to me et the projected volume needs to the hospital? Additionally, even if the hospitalist function is outsourced, communication from management and HR will remain important so that those in these new positions still feel supported and motivated.HR needs to work closely with the firm providing the services so that boundaries, objectives and targets are clear. In a situation where an outsourced function is brought in-house, HR needs to ensure that the current management infrastructure can accommodate the new positions. Especially in the case of employing hospitalists, contracts as well as compensation and benefit packages need to be created. Another example of where opportunities lie for outsourcing departments is in office functions such as revenue cycle management.In recent years, hospitals have steadily warmed to the idea of outsourcing functions which were previously kept in-house, such as business processes and information technology. However, a host of factors–including the pa ssage of the Patient Protection and Affordable Care Act, the faltering economy and the increasing emphasis on quality and performance improvement–have pushed that trend into overdrive (McKinney, 2010). In order to remain competitive and stay afloat, hospitals and other healthcare organizations are desperately looking deeper into business functions to determine the areas that may be better off outside the walls. Faced with a potential flood of new patients and lean budgets, hospitals are carefully considering each department to determine which functions can be turned over to contractors, and more areas are fair game than ever before†, says Reggie Hill, a partner at Waller Lansden Dortch & Davis, Nashville (McKinney, 2010). Although housekeeping, food services, and diagnostic equipment maintenance are among the most common outsourced services, revenue cycle management is becoming increasingly popular. Because of the perception that there will continue to be cuts in reimbu rsement and new reimbursement models, hospitals are looking for ways to cut expenses and maximize revenue,† Hill says. â€Å"If an outsourcing agreement looks like it will accomplish those goals, it's going to be something a hospital will want to take advantage of. † In particular, there has been continued growth in the number of organizations that are seeking out revenue-cycle management services, Hill says. â€Å"There are vendors that have shown they can add value, and more hospitals are giving it a try† (McKinney, 2010).Although more organizations are looking into the use of a vendor, it is important to consider all variables before determining the best option. Outsourcing the revenue cycle function does not fit all business models. Factors such as practice size, legal compliance, training ability, cost savings, quality, and efficiency should be studied carefully in order to realize the maximum return on investment. Companies that fit the outsourcing model an d execute the transition properly can realize the greatest rewards.Conversely, outsourcing may be the downfall of an organization if these factors are not considered. When a company commits to outsourcing, cost savings tend to dominate and labor rates are a large contributing factor. In search of satisfaction, many companies are looking to offshore vendors. Offshore outsourcing companies might save hospitals even more money in labor costs because employees in countries such as India often work for much less money than U. S. staffers (Mantone, 2003). Managing a department outside of the organization’s walls has its other cost saving advantages.Having fewer internal employees reduces the need for back office space which will generate savings in rent. With a billing service, billing and collection activities occur off-site and therefore it may be possible for a hospital to reduce its current overhead costs or convert existing office space to a revenue generation, patient service s area (Schechter, 2000). Furthermore, cost savings with outsourcing may also be realized in more subtle ways such as an adaptation of superior processes. The demand for standardization in revenue cycle management is on the rise. Despite growth in the industry, the floundering economy has made some providers skittish about first-time outsourcing deals†, Zambuto says. Another motivating factor that is convincing many to take the plunge is the need for standardization, he says. Outsourcing to a vendor can help ensure processes are done the same way each time at every location, which reduces the probability of errors, he says (McKinney, 2010). With this standardization comes an increased revenue flow. Many companies are careless with collections and spend unnecessary time, money, and resources on correcting mistakes.Re-billing and managing overpayments can become costly due to the increased hours of operation and additional wages paid to employees working these claims. If the bil ling can be done quickly and accurately the first time, these costs will not have to be wasted in order to generate the same amount of revenue. For example, Marshall McHenry, MD, a Cincinnati internist, chose to outsource billing when he started his own private practice. â€Å"He pays an outside billing service 6% of collections or about $20,000 to $22,000 annually, he said.In contrast, an in-house biller would have cost $30,000, including benefits, and a billing system would have cost several thousand, if not tens of thousands of dollars, Dr. McHenry estimates. Also, had he hired a biller, he would have had to factor in training and vacation time, and figure out how to avoid down time that could have seriously hurt his practice† (Chin, 2003). Additionally, this higher level of quality requires ongoing employee training which may become not only time consuming, but expensive. The billing service is responsible for hiring, training and supervising staff.They also are responsib le for coverage when any of their employees are out of the office. And they are responsible for acquiring and maintaining all necessary computer software and hardware as well as addressing other technology-related issues (Schechter, 2000). The relief of these burdens will allow management to focus more on its core competencies. Typically, a revenue-cycle outsourcing firm takes over some or all of a hospital's business office functions, which can include everything from patient registration, accounts receivable, billing and coding.They consolidate those functions into larger offices that serve many providers. The end result, outsourcing companies say, is a more efficient model that leaves more operating revenue for hospitals. Those types of business arrangements will likely continue as cash-strapped hospitals see the potential for big savings, says Dean William Harvey, a partner at the law firm Vinson & Elkins in Dallas (McKinney, 2010). Richard Garnick, chairman and CEO of Anthelio Healthcare Solutions, credits the â€Å"incredible† cost pressures on hospitals for the growth in his company's revenue-cycle management services.In the case of federal healthcare programs, Garnick has seen his client hospitals grow increasingly concerned that possible across-the-board cuts to Medicare and Medicaid could push them into the red. Those concerns have led some of Garnick's core clients at community hospitals to replace their in-house back office staff with his employees to reduce the cost of those functions by 30% to 35%. â€Å"That gap will potentially allow that hospital to survive,† he says about one recent client (Daly, 2011). Success with outsourcing has also been achieved by Marc D.Grobman, DO, a solo internist at Internal Medicine and Primary Care in Wilmington, DE when he chose to use Health Care Practice Management Inc. as a billing service. He says he is getting 98% of money due compared with 75% when he was part of the hospital network. â€Å"A t first using a billing service was a virtual necessity. Now I see no reason to bring it in-house because it's working out so well,† Dr. Grobman says. He also thinks he gets more expert billers through outsourcing, which in turn means he leaves less money on the table. Dr.McHenry contends that he gets about 10% more — $35,000 to $40,000 a year — than he would have had he hired someone to handle billing. Because it's a specialized skill, it can be hard to find good billers in the local labor pool, he added (Stevens, 2007). On the contrary, outsourcing does have its drawbacks, and most notably, a reduced sense of control is inevitable. Outsourcing firms are responsible for these functions which prevents the hospital from easily maintaining close management of operations. â€Å"The downside is you can lose control,† said Louis Korman, MD, one of Dr. Weinstein's partners. â€Å"You can be taken.There are a lot of people who think that doctors' practices are j ust money mills they can take advantage of† (Chin, 2003). Additionally, an absence of direct management may result in poor customer service. Third party billing firms may be required to deal with patients directly and it is difficult for the hospital or physician practice to monitor this interaction closely. Many physicians believe that they are able to maintain better relationships with patients when billing functions are kept in-house. Without this strong patient – provider relationship, a healthcare organization may not be able to survive.Moreover, a third party revenue cycle management firm may not hold the same work ethics as the healthcare entity which may result in subpar performance. A vital piece to the success of any billing department is legal compliance and these performance standards must be met. But revenue management outsourcing has its share of pitfalls, most notably legal compliance, he adds. Providers need to be confident in a contractor's ability to m anage the billing requirements of Medicare and other programs, while successfully complying with the Health Insurance Portability and Accountability Act of 1996 (McKinney, 2010).Dissatisfaction with an outsourcer's performance led Detroit Medical Center in February to sue to dissolve a 10-year, $300 million contract with Provider HealthNet Services, Dallas. Detroit Medical said the outsourced operation failed to achieve timely completion of medical records and had not delivered on a plan to train employees and organize the department for computerized records. Provider HealthNet said uncooperative and obstructive action by Detroit Medical officials caused the performance problems (Morrissey, 2003).A company’s decision whether or not to outsource a department will inevitably require the presence of Human Resources. One advantage of outsourcing the revenue cycle management team is the distance that it creates between management and the frontline employees. In some cases, this di sconnect is desired by the hospital because it relieves the duty of having to deal with employee issues. If an employee of a hospital is not performing, the management team will have to carefully follow HR policies and document progression of failing performance before termination may occur.This can not only be time consuming, but it can hinder productivity until the change may be made. Utilizing a vendor will allow the hospital to simply request that a replacement be made for a certain employee without having to follow any HR policies. â€Å"While the net cost of farming out billing is unknowable, Dr. Schwartz does believe that whatever it is, it's worth the peace of mind it gives him. † An outsource service insulates us from the kinds of problems that could get us into financial trouble,† he says. There are some advantages† to not having him on staff, Dr. Weinstein said. â€Å"The biggest one is that if he's not doing a good job, I don't have to worry about fir ing him. I just have to say to the company, ‘Hey, this guy is not doing a good job. I want somebody else. ‘ They have to worry about firing him, and firing high-level people is not easy to do† (Stevens, 2007). Although some hospitals may find this ‘peace of mind’ to be worth a potential added cost, there are some disadvantages that an HR department may face with outsourcing a business function.Whenever a hospital chooses to outsource a department or other function, it will unavoidably have to endure a layoff of some magnitude. A layoff or employee termination will most certainly involve a strong HR presence. No matter the level of expertise of the HR department, this process is never easy to manage. In some cases, a layoff may be necessary involving employees who have been part of an organization for years. Relationships have developed between the employees and management team which can make this event even more difficult.However, if the business decis ion to outsource is made, many times a layoff is most likely unavoidable. Additionally, this will create a loss of jobs in the community. â€Å"Also it can be a â€Å"hard sell† because outsourcing hospitals are â€Å"taking jobs from the local community and putting them elsewhere,† Johnston says. â€Å"It's not that big of a deal when the office has 10 people,† he says. â€Å"But when there are 100, 200 people in the office it becomes a big deal† (Mantone, 2003). This event can also create a negative image for the hospital which may not be beneficial for its reputation.This challenge must be closely managed by the HR department. In conclusion, outsourcing can be an effective way to increase the efficiency and lower the costs of an organization. In the case of using a 3rd party hospitalist firm, it uses a focused group of physicians who not only help to decrease costs but improve patient care and decrease re-admissions. Also, with improved patient care t here comes a decrease in the average length of stay which is obviously great for the patient but also enables the hospital to increase its capacity for additional patient services.It can be advantageous to a hospital to use a 3rd party outsourcing firm so long as the goals and expectations are clearly outlined and defined within the contract terms with the firm providing these services. Another example of an opportunity to take advantage of the focus of a 3rd party firm is in the realm of the revenue cycle function. Advantages such as decreased overhead costs, increased expertise and augmented standardization are ways in which a hospital can improve its overall collections, decrease its net accounts receivable days and lower the amount of money spent to do so.Outsourcing does not necessarily imply going overseas, as mentioned in the hospitalist example above, patient care mostly depends on human interaction in most services and so the local community economy remains intact. In the e nd, HR needs to be well versed in the goals of the company and be able to contribute to the decision by offering perspective on future labor needs, compensation and benefit costs or savings and strategic alignment with the hospital’s strategies and mission. â€Å"References† Buser, M. , (2010, December). Hospitalist Programs in the Age of Healthcare Reform.Journal of Healthcare Management, 55:6, 378-380. Chin, T. , (2003, August 11). The Doctor is Outsourcing: To Hire or Not to Hire. American Medical News, Retrieved November 15, 2012 from http://www. ama-assn. org/amednews/2003/08/11/bisa0811. htm Daly, R. , (2011, September 5). Under Pressure. Modern Healthcare, Vol. 41 Issue 36, S1-S4. Darves, B. , (2007, May). Hospital Medicine’s Management Shuffle. Today’s Hospitalist. Retrieved November 10, 2012 from http://www. todayshospitalist. com/index. php? b=articles_read&cnt=64. html Hays, P. , Smith, C. Thomas. , (2010, October).Why the Independent Hospitali st Practice is here to Stay. Physician Future. Retrieved November 18, 2012 from http://www. physicianfuture. com/news/physician-news/why-the-independent-hospitalist-practice-is-here-to-stay. html Kaplan, R. , Porter, M. , (2011, September). How to Solve the Cost Crisis in Health Care. Harvard Business Review, 48-49. Kutscher, B. , (2012, September 3). Expertise on Call. Modern Healthcare, Vol. 42 Issue 36, 20-27. Mantone, J. , (2003, November 24). Letting Someone Else Do It Better. Modern Healthcare, Vol. 33 Issue 47, S10McKinney, M. , (2010, September 20). Outsourcing Sees Stimulus Effect: Health Reform, Ailing Economy Prompt a Closer Look at Use of Contractors. Modern Healthcare, Vol. 40 Issue 38, pS1-S5, 5p. Morrissey, J. , (2003, May 12). Not Paying Off: Baylor, EDS Terminate Revenue Management Deal. Modern Healthcare, Vol. 33 Issue 19, p3, 1/2p. Robeznieks, A. , (2012, April 2). Partnering up: As Consolidation Begins to Sweep through Healthcare, Hospitalists Expect to See the T rend Accelerate in their Sector. Modern Healthcare, Vol. 42, Issue 14. Schechter, K. , (2000, July 24).Compare Costs, Benefits of Billing Service vs. In-House. American Medical News, Retrieved from http://www. ama-assn. org/amednews/2000/07/24/bica0724. htm Sharma, A. , Worthen, B. , (2010, November). Qualms Arise Over Outsourcing of Electronic Medical Records. The Wall Street Journal. Retrieved November 29, 2012 from http://online. wsj. com/article/SB10001424052748704865104575588252907738276. html Stevens, L. , (2007, April 16). The Ins and Outs of Billing: Pros and Cons of Outsourcing. American Medical News, Retrieved November 15, 2012 from http://www. ama-assn. org/amednews/2007/04/16/bisa0416. htm