Appointments For The Health Care System - 888 Words

Problem Statement Patients have been missing appointments or have canceled required follow up testing which were ordered by providers. These appointments are either canceled or no show within 24hrs before scheduled time. Missed appointments are a cost to the health care system in terms of personnel time, extended waiting lists, and the loss of potentially beneficial services. In the past quarter we have seen a decline in No Show Rate. We have 160 weekly spaces available for appointments in the hospital. The 10 % of the patients did not show up, which equals a total of 16 missed appointments a week at $120 per visit. $1,920 in lost revenue in a week which equals $23,040 in the past 3 months. Which means patients failed to receive a recommended care, and the appointment slots were wasted. Generally, no-show rates range from 5%-55% (6). Pediatric clinics might see a no-show rate of below 5%, urban family clinics often see no-show rates between 10%-20% (8). And certain outpatient and surgical clinics-colonoscopies, endoscopies, pulmonary tests and other procedures that require special prep or diets by the patient- have even higher rates, around 50% (8,11). In 2010 study shows specifically at heart failure patients has high no-show rates (3). A little survey to determine the reasons of no show in the John Adams hospitals were conducted last week. Total 356 patients missed appointments were invited to complete the survey of the reasons why. The 276 were returned out of theShow MoreRelatedAppointment Scheduling Systems For The Health Care Industry Essay2122 Words   |  9 PagesINTRODUCTION Health Care Providers, like any business, are facing increased pressure to improve their efficiency and quality of service, while also reducing their costs. Health care expenditures currently cost around 45% of public funding, and they are expected to double by 2050 (Gupta Benton, 2008). If hospitals and clinics cannot make their outpatient services more cost-effective, they may find themselves in â€Å"financially unviable positions in a fast-growing industry† (Goldsmith, 1989). OutpatientRead MoreAccess For Healthcare : A Patient Making An Appointment843 Words   |  4 PagesProblem Access to healthcare begins with a patient making an appointment. Disorganized scheduling leads to delays in providing care for patients and frustration among care teams. With patient experience becoming linked to provider payment, an emphasis has returned to reducing patients wait times and increasing patients ease of access to care [1,2]. Recent studies have shown that average wait times at the Veterans Health Administration’s primary care facilities was 42 days [1]. Limited private sector studiesRead MoreThe Political Race For The Whitehouse Evolves1674 Words   |  7 Pagesthe political system. Healthcare is a struggling environment for consumers. The current system lacks the ability to provide care efficiently and is burdening to the consumer. Candidates understand that any significant issue must be solved in iterations, one must apply this principle to healthcare. A system that accomplishes one task is better than one which attempts to account for everything wrong. One area that can be addressed is appointment scheduling. Various appointment systems have been studiedRead MoreThe And Health Care System1233 Words   |  5 Pagesmonths to get care from the V.A. medical center. Once it is time for your appointment the parasitic disease leishmaniasis has already spread through most of the body. A few weeks later doctors declare you dead, your family is angry at the V.A. health care system because you did not receive health care sooner. The U.S. veteran’s health care system fails veterans due to their long wait times but can be fixed by applying the triage system. In the current system, you are given an appointment based on whichRead MoreProblems Associated With Pediatric Clinics935 Words   |  4 PagesProblem Statement Patients have been missing appointments or have canceled required follow-up testing which was ordered by providers. These appointments are either canceled or no show within 24hrs before scheduled time. Missed appointments are a cost to the health care system in terms of personnel time, extended waiting lists, and the loss of potentially beneficial services. In the past quarter, we have seen a decline in No Show Rate. The 10% of the patients did not show up out of the 160 weeklyRead MoreVeterans and mental health care965 Words   |  4 Pages Take care of Veterans I believe that it is the best interest of veterans, whom have served the military in any capacity to be afforded not just medication, but also some form of counseling. Being a veteran myself I have experienced: over medicating by the government, not receiving any form of counseling, and when I was given an appointment it was six months from the day that it was scheduled. When I was Honorably Discharged from the military I was not afforded any form of mental counselingRead MoreA Description And Defense Of The Change1346 Words   |  6 Pagesin policy, procedure or program Description: Detailed Process mapping for coordination of care Developing strategies to achieve ideal transition in care can be described as better â€Å"discharge planning, complete communication of information, availability, timeliness, clarity and organization of information, medication safety, educating patients to promote self-management, advance care planning, coordinating care among team members, monitoring and managing symptoms after discharge and follow up† (KripalaniRead MoreImplementing Complex Issues Within An Organization1720 Words   |  7 Pageswhich they serve. For a while, the Department of Veterans Affairs (VA) has underestimated the demand for health care appointments for our returning service members, veterans and their dependents. Patient wait times have been a long-standing concern at the VA. Although they are working diligently and exhausting every effort to correct their wrong, there are still areas with the health system that are preventing Veterans from receiving timely access to healthcare and this issue needs to be evaluatedRead MoreA Brief Note On Canada s Health Care System Essay947 Words   |  4 PagesIntroduction: Canada s health care system is a group of socialized health insurance plans that provides coverage to all Canadian citizens. It is publicly funded and administered on a provincial or territorial basis, within guidelines set by the federal government. Under the health care system, individual citizens are provided preventative care and medical treatments from primary care physicians as well as access to hospitals, dental surgery and additional medical services. With a few exceptionsRead MoreAppointment Scheduling Framework And Effective Utilization Of Operation Research Techniques777 Words   |  4 PagesAppointment scheduling frameworks are used in health care enterprises across the globe to schedule appointments and provide administration to patients. There are many factors that affects the adequacy of appointment scheduling framework and the bottleneck lies in effective utilization of operation research techniques. The most common type of appointment scheduling frameworks, their difficulties and the possible conceivable arrangements with

Analysis Of John Steinbeck s Of Mice And Men - 950 Words

Peter Farnham 139678 Mrs. Hungers Of Mice and Men by John Steinbeck Honors English 10 Application Mental disabilitesy often cause disturbing or disruptives very false behavior. In the novella, Of Mice and Men, by John Steinbeck, two migrant workers, named George and Lennie, find work at a ranch, and Lennie, who has having a mental disability, causes numerous problemsincidents of trouble. When Lennie kills the wife of a worker on the ranch named Curley, Steinbeck shows how that shapes the story through George, Lennie himself, and a few other ranch workers. To begin with, George shows changes in his outlook on everything after Lennie commits this crime. Before the event, George always had somewhat of an open heart towards Lennie due to†¦show more content†¦The book says, â€Å"George moved slowly after them, and his feet dragged heavily† (98). Even though he does not want to see his companion go, he knows it is not out of line what the other ranch workers are doing. Although, George wants to be the one to say goodbye to Lennie and not h ave him be tortured, so he finds him and shoots him himself calmly before any of them reach his destination. In addition to George’s outlook on Lennie, after he kills Curley’s wife, all of his hope is lost in ever having a farm of their own. It says, â€Å"‘I think I knowed we’d never do her. He usta like to hear about it so much I got to thinking maybe we would’† (94). Ever since the beginning George and Lennie want to have a farm of their own. However, once Lennie commits this crime, all of his hope is lost. This pivotal moment for Lennie causes George’s full realization, shaping the story from thatto the point toof the climax. Additionally, Lennie shows a big change in his personality after he kills Curley’s wife. Throughout the story Lennie is known for being unintentionally rough on things such as mice, a puppy, and even Curley’s hand when the two got into an altercation together. Although in those incidents Lennie was only concerned about what George would think of him versus his own morality and safety. He felt like that after killing Curley’s wife. After Lennie kills the puppy he says, â€Å"‘Why do you got to get killed? You ain’t so little as mice. I didn’t bounce

The Ashinabe Culture Free Essays

The research is focused on one of the Indian tribes of Canada called the Ashinabe. Their culture and social customs are investigated, its importance determined and put into context within the contemporary culture. The Ashinabe of the Great Lakes tribes settled in Turtle Island in Canada before the arrival of the Europeans or the â€Å"light-skinned race â€Å"as the Ashinabe called them. We will write a custom essay sample on The Ashinabe Culture or any similar topic only for you Order Now They were a member of the group called the First Nations consisting of native â€Å"Indian† inhabitants of Canada. The Ashinabe had close family ties and kin communities. However, like other natives of modern times, the Ashinabe had to fight for their rights to their land and culture. As inherent to the natives who first inhabit the Continents of America, the Ashinabe are rich in social custom. The meaning and practices of these customs are handed down from generation to generation by the respected Elders through stories that are often identified as myths and legends. The Ashinabe had clear division of what does a woman and man do in society. The women were in-charge of household chores while the men go out to hunt for food. The Ashinabe males take pride in their hunting skills. Another particular example of Ashinabe social custom is the telling of stories, of which the prominent one is the foretelling of the future through the Seven prophecies of Fire that represents seven different eras. It is interesting to note that in these fourth through sixth prophecies, it tells of the coming of the â€Å"light-skinned people† and how they will influence the Ashinabe people and this is validated by history when the Europeans came and took over the land and introduce their own teachings and way of life. The Ashinabe people love to hold ceremonies which is often a reflection of their religious beliefs (in spirits of nature). In conducting their ceremonies the Ashinabe had the social custom of gathering together in circles. They have a ceremony called the sharing circle where a facilitator encourages the members of the circle to share their feelings or their views concerning a problem or solution. If it is a healing circle, facilitated by experienced healers, the members are asked of their desire to begin the healing process and this could be an emotional activity for the participants hence emotional supports are provided during and after the circle. For doctoring ailments, the medicine man consults the spirits for remedies. In both circles, a stick, or stone or feather is passed around to make the sharing easier and focused. In ceremonies, sacred fires are lit and tobacco offerings are offered to the Creator, Kitchi- Manitou. The most well known ceremony of the Ashinabe is the Pow Wow (feast of the pipes) with its activity of following a Pow Wow trail all summer. Unfortunately, because of commercialization and as an attraction to tourist, people forget that Pow Wow is indeed a serious ceremony for peace and giving gratitude and appreciation for the spirits of nature, with each song and dance offered as prayers to their Creator. The participants wore colorful regalia, jingle dress that is full of symbolic meaning but unfortunately recognized by most as just a costume. Feasts are then held after the Pow Wow ceremony where squash, corn and beans (the Three Sisters that sustained their ancestors) are always included to feed the people. A spirit plate, containing a sample of every dish, is made before any one partakes of the food and it is passed around for the guest. Feasts are also held for other occasions like weddings or when naming a child. The Ashinabe also practice the giving away of gifts in their ceremonies and feasts to honor someone and this gifts should be meaningful to the giver and to the one with whom the gift is given. The social custom of the Ashinabe people is very important as it reflect the way of life of the past and hence, the history of the early inhabitants of Canada. Although their ceremonies are considered now as one of the main tourist attractions and their ritual object as souvenirs, to the Ashinabe it held a deep symbolic meaning and tells so much of who they are as a person and people. Moreover, the social custom of the Ashinabe tells so much of how they view life and understanding these social customs is the key to understanding the Ashinabe mind and culture. The Ashinabe culture in some ways contradicts the contemporary culture which can be a source of conflict and tension, like for example in contemporary culture, tobacco is not used as an offering and women seeks fulfillment outside the home. However, one can observed that Ashinabe culture is similar to the contemporary culture like having a feast and ceremony for special occasions. Moreover, as the Ashinabe culture gets intermingled in the mainstream culture they help enrich and give color to the culture of the whites. For example, the Pow Wow had become a good attraction for business, the arts and objects of the Ashinabe people had become favorite souvenirs and home decorations. However, the Ashinabe also adopted the culture of the whites, making them lose their own culture and hence their leadership and confidence in themselves. At present, Ashinabe people are trying to revive their culture but the problem however is with the Cultural Appropriation that takes place when the dominant whites claim as their own the culture (their arts and literature, for example) of the minorities like the Ashinabe. The whites gain profit by selling the arts of the Ashinabe. Moreover, the most painful is the taking of the Ashinabe historical lands (without their consent and often through a betrayal of trust and promises) which had played a major role in their cultural history. This has been one of the sources of contention and conflict between the government and the Ashinabe people at present. How to cite The Ashinabe Culture, Papers

Unix Essays - Unix, Berkeley Software Distribution, Operating System

Unix "UNIX was the first operating system designed to run on ?dissimilar' computers by converting most hardware specific commands in machine language into an independent programming language called ?C,'" Jon Wolfe writes in the Nashville Business Journal. (Wolfe 29) UNIX was the basis of AT&T's telephone system and the government's wide area network system. Then it became the basis of communication between engineers and scientists, and eventually the basis of communication for everyone worldwide (World Wide Web (Web)). It has held this remarkable spot since 1969. However, in the 1990s there are competitors in the market, namely, Microsoft Corporation with its Windows NT product. But UNIX-based software suppliers are not just turning over and letting the competitors win. UNIX supporters are many, and UNIX remains, and will remain a major player in the marketplace. The unique advantage of the UNIX operating system when it was introduced was that it could (and still does) run on dissimilar machines, unheard of prior to 1969. UNIX also can run more than one program at a time, store complex graphics and databases, and link to other UNIX and mainframe computer systems, including DOS since the late 1980s. UNIX-based systems control various programs written by many companies to distribute information between multiple computers within the network. This minimizes user costs and eliminates system-wide hardware crashes. Some of the original UNIX programs are "still evident today." (Wolfe 29) UNIX was developed at AT&T in 1969, primarily for controlling the phone network and handling government communications. Hewlett-Packard, IBM, Sun Systems, other U.S. companies and international companies now sell versions of UNIX that work best on their computers. UNIX at first worked over ARPnet, "named after its sponsor from the Pentagon." (Sembawang 1997). The ARPA network grew throughout the 1970s when computer networks from various organizations, both nationally and internationally, began to link to ARPAnet, mostly for transferring engineering and scientific research data. "With the advent of satellite transmissions, the first international network connection was made with the University of London (England) and the Royal Radar Establishment of Norway in 1973." (Sembawang 1997) In 1979, the National Science Foundation established the Computer Science Research Network (CSnet), which connected to ARPAnet through a gateway. This system was used for e-mail and sharing technical information. (Sembawang 1997) In the early 1980's, the NSF created its own network, NSFnet, which added educational links for schools and libraries. However, access to NSFnet was limited to these government or government research organizations. (Sembawang 1997) In 1992, NSF created Advanced Network and Services, Inc. (ANS), used to manage the NSFnet, which opened up the Internet to everyone. ANS also opened up the potential for multimedia on the Internet through the World Wide Web. (Sembawang 1997) Once the potential was there, the European Laboratory for Particle Physics (CERN) began a project to create the international internet. The CERN project operated on TCP/IP transfer protocols developed inside a Berkeley UNIX system. The project was started in the mid-1980s and completed in 1990. By 1993, the internet had become a world-wide phenomenon. (Segal 1995) The Web allows users to easily browse through hypertext and multimedia located on various computers and main frame systems around the world. Prior to the CERN project, internet users had to know UNIX programming language and move around in a cumbersome UNIX shell environment. (Segal 1995) The Web can best be described as a "global interactive, dynamic, cross-platform, distributed, graphical hypertext information system that operates over the internet. (Lemay 4) It operates on many protocols, including FTP, Gopher, UseNet, WAIS databases, and TELNET. Most of the text transferred over the internet is written in hypertext markup language (HTML). Graphics are transferred via standard generalized markup language (SGML) through the UNIX operating system. No one owns the web, but a consortium of U.S. and European individuals and organizations who support its operation, called the World Wide Web (W3) Consortium, established the protocols and languages that will be supported on the web. (Lemay 12). Popular browsers include Netscape, NCSA Mosaic, Lyna, MacWeb and WinWeb. A URL (home pages, BBSs, etc.) is a pointer to a posting on a Gopher, UseNet or FTP. All of these are currently transferred over the UNIX operating system. "Today, the Internet is still growing in terms of size and number of connections. It is estimated that there are now about 50 million Internet users worldwide, from as many as 100 countries." (Sembawang 1997). UNIX has enjoyed a long, exclusive history, but Microsoft is trying to establish Windows NT as the premier Web server and replace UNIX's dominant position as the internet's operating system. Although the internet was

Number of McDonalds Restaurants Worldwide

Number of McDonalds Restaurants Worldwide According to the McDonalds Corporation website (as of January 2018), McDonalds has locations in 101 countries. More than 36,000 restaurants around the world serve 69 million people every day. However, some of those locations listed as countries are not independent countries at all, such as Puerto Rico and the Virgin Islands, which are United States territories, and Hong Kong, which at the time of establishment was under British control, before its handoff to China. On the flipside, there is a McDonalds on the island of Cuba, though its technically not on Cuban soil - its on the American base at Guantanamo, so it qualifies as an American location. Regardless of country definition, 80 percent of the locations are owned and operated by franchisees, and 1.9 million people work for McDonalds. In 2017, revenue for the fast-food restaurant amounted to $22.8 billion. In 1955 Ray Kroc opened his first location in Illinois (the original restaurant being in California); by 1965 the company had 700 locations. Just two years later the company officially went international, opening in Canada (Richmond, British Columbia)  and Puerto Rico in 1967. Now, Canada has 1,400 McDonalds restaurants, and Puerto Rico boasts 104. Canadas McDonalds locations are the biggest restaurant buyer of Canadian beef in the country. Different McMenus Worldwide Besides buying their ingredients where they operate, around the world the restaurants also adapt the McDonalds menu to local tastes, such as Japan serving a pork patty teriyaki  burger and Seaweed Shaker or chocolate-drizzled fries, Germany serving shrimp cocktail, Italys burger being topped with  Parmigiano-Reggiano  cheese, Australia offering a guac salsa or a bacon cheese sauce as a topping for fries, and French customers being able to order a caramel banana shake. Available only in Switzerland is the McRaclette, a sandwich of beef that includes slices of raclette cheese, gherkin pickles, onions, and a special raclette sauce. But forget the beef in India. There the menu includes vegetarian options, and they specialize the cooks in the kitchen - people cooking meats, such as chicken, dont cook the vegetarian dishes.   Historically Significant Worldwide Locations During the Cold War, some of openings of the countries McDonalds restaurants were seen as historic events, such as the first ones in East Germany shortly after the Berlin Wall fell in late 1989, or in Russia (then the U.S.S.R.) in 1990 (thanks to prerestroika and glastnost) or other Eastern Bloc nations and China during the early 1990s as well.   Is McDonalds the Largest Fast-Food Chain in the World? McDonalds is a huge and mighty fast-food chain but is not the largest. Subway is the largest, with 43,985 stores in 112 countries  as of early 2018. Again, many of these countries are not independent and are merely territories. And Subways restaurant count certainly includes all those that are part of other buildings (as half of a convenience store, for example) rather than counting only standalone restaurant locations. The third runner-up is KFC (formerly Kentucky Fried Chicken), with 20,500 locations in 125 countries, according to its official website. Other widely spread worldwide food brands that the United States has exported include Pizza Hut (14,000 locations, 120 countries), and Starbucks (24,000 locations, 75 markets).

Understanding the Role of a Wet Nurse

Understanding the Role of a Wet Nurse A wet nurse is a lactating woman who breastfeeds a child who is not her own. Once a highly organized and well-paid profession, wet nurses had all but disappeared by 1900. Before the invention of infant formula and feeding bottles made wet nursing virtually obsolete in Western society, aristocratic women commonly hired wet nurses, as breastfeeding was seen as unfashionable. The wives of merchants, doctors, and lawyers also preferred to employ a wet nurse rather than breastfeed because it was cheaper than hiring help to run their husbands business or manage a household. A Career for Poor Women Wet nursing was a common career choice for poor women among the lower classes. In many cases, wet nurses were required to register and undergo medical exams. During the Industrial Revolution, lower-income families used wet nurses as more and more women began working and were unable to breastfeed. The rural poor- peasant women- began to assume the role of wet nurses. The Advent of Formula While animal milk was the most common source for replacing human milk, it was nutritionally inferior to breast milk. Advances in science enabled researchers to analyze human milk and attempts were made to create and improve on nonhuman milk so that it could more closely approximate human milk. In 1865 chemist Justus von Liebig patented an infant food consisting of cows milk, wheat and malt flour, and potassium bicarbonate. The introduction of infant formula, the greater availability of animal milk, and the development of the feeding bottle reduced the need for wet nurses throughout the latter half of the 19th century and well into the 20th century. What's Different Now? After the rise of formula and the decline of wet nursing, the once common service has become almost taboo in much of the West. But as breastfeeding is an increasingly acceptable practice once more, mothers of infants are feeling the pressure once again to nurse. However, uneven maternity leave benefits around the nation and the real difficulties of breastfeeding mean that some women would likely benefit from returning to the age-old tradition of wet nursing. As The New Republic reported in 2014, sharing nursing responsibilities- whether by formally hiring a wet nurse or by figuring out an informal arrangement among friends- was looking to be a reasonable solution that could relieve the burden on working mothers without compromising their babies’ feeding. The practice remains controversial. Even the breastfeeding advocacy group, La Leche League, was discouraging the practice in 2007. According to spokeswoman, Anna Burbidge: There are very strong reservations against it, both medically and psychologically. There are potential hazards. The biggest risk is that of infection being passed from the mother to the child. Breast-milk is a living substance expressly designed by your body for your baby, not someone elses. Despite these risks, its not surprising that in this age of ridesharing and spare-room sharing, milk sharing is a phenomenon that some families are now trying. A Facebook group and milk-sharing sites have appeared, and according to a Netmums.com piece from 2016, the practice is on the rise. Their 2016 informal poll found that one in 25 women had shared their milk, and 5 percent of families had used milk from the more regulated source of a milk bank. As the taboo slowly lifts, this age-old practice may just make a real comeback. Source Stevens, Emily E., RN, FNP, WHNP, Ph.D., Thelma E. Patrick, RN, Ph.D., and Rita Pickler, RN, PNP, Ph.D. A History of Infant Feeding. The Journal of Perinatal Education at the National Center for Biotechnology Information, U.S. National Library of Medicine, www.ncbi.nlm.nih.gov. Spring 2009.

Big Event Financial Management Essay Example | Topics and Well Written Essays - 1750 words

Big Event Financial Management - Essay Example With every FIFA football world cup event, host countries are required to have a minimum of eight highly accredited stadiums and two standby stadiums in case something happens to one or any of the eight reserved for the event. In the recently held FIFA world cup in Brazil, the nation was required to construct new additional stadiums to supplement the already existing fields. Similarly, the Olympic Games have become an extremely costly venture to undertake, especially for the host cities because of the infrastructural improvements that have to be done. Some of the improvements that have to be undertaken include the road networks, communication networks and accommodation facilities within the host cities. Because of the amount of work and funds needed to be invested to successfully host the Olympic events, organizers for the event in the past selected developed nations such as England and Italy and the United States. Out of the possible twenty-seven Summer Olympic Games held since its i nception, Mexico and Brazil are the only developing economies to have hosted the event outside Europe, the United States and developed nations of Asia. Cities such as Seoul and Barcelona used the event to overhaul their urban infrastructure completely. Such was the opportunity that organizers for the event in the two cities were looking out for, to create long lasting positive economic effects that would surely pay off the costs of laying out the infrastructure in the long run.