Friday, November 8, 2019

Standard Quality of Care Hcs 451 Essays

Standard Quality of Care Hcs 451 Essays Standard Quality of Care Hcs 451 Essay Standard Quality of Care Hcs 451 Essay Health Care Quality Management and Outcomes Analysis Professor Jodi Sapaguh By Lisa Gresley August 9, 2010 Substandard quality of health care is duly recognized as a major form of medical crises with potential to jeopardize the functioning and purpose of the American health care system. Whereas on the one hand medical costs of treatment are rising, on the other malpractices and non compliance on the part of medical professionals and institutions compounds the problem and seriously questions the quality of health care being provided to citizens. However, before proceeding further it is important to understand what is exactly meant by the substandard quality of care. The substandard quality of care implies that one or more of the requirements mandatory under the federal regulations 42 CFR 483 . 13 involving resident behavior and facility practices, 42CFR . 15 involving quality of life or 42CFR 483 . 25 regarding quality of care are not complied with leading to actual jeopardy to the resident health or safety or having potential for causing more than minimal harm (HealthCare information, 2007). Any nursing home found with delivering substandard quality of healthcare or carrying significant deficiencies in its healthcare treatment plans would be required to immediately address the issue. The following personal experience presents an example of injuries from utilization control healthcare delivered resulting in grievous and permanent injuries to the patient. The problem here is about Lois Battles, my grandmother, who was diagnosed with Leriches syndrome, which is a vascular occlusion. Upon diagnosis, her doctor recommended surgery where a part of an artery was to be replaced with a Teflon graft. The program providing medical care to Lois was Californias medical assistance program, Medi-Cal that was responsible for controlling costs and authorizing treatment. As such, the approval and authorization from state was a requirement to perform surgery. When Lois’s doctors sought approval from Medi-Cal for the surgery, Medi-Cal agreed and also allowed ten days of post-surgery treatment in hospital. However, Mrs. Battles recovery did not take place as estimated and a day before due discharge date, the surgeon and his assistant felt that Mrs. Battles required additional eight days of recuperation in hospital. Medi-Cal was again approached for the approval for this extended stay, but on this occasion Medi-Cal differed from surgeon’s recommendations for eight days extension. The Medi-Cal representative, who was himself a certified surgeon, merely consulted a Medi-Cal nurse on the phone and after evaluating progress of Mrs. Battles on basis of her temperature, diet and bowel function, declined the request and approved only four day extension. In the process he neither reviewed any documents related to the case nor consulted any other vascular-surgery specialist. On denial by Med-Cal, the surgeon attending the case of Mrs. Battles decided not to push for the additional days of care and complied with Med-Cal directives by discharging her at the end of the stipulated period. Mrs. Battles than got an infection and was sent right back in to the hospital for treatment. If Mrs. Battles would have stayed the four extra days she may have been fine. So in order to be a successful organizational and business performance is the ability to manage the accessibility and processing of information. Accurate, timely and relevant data form the basis for planning, monitoring and decision-making processes across an organization. Healthcare, more than other industries, feels the pinch of dealing with substandard and inaccurate information because it is more data rich, data dependant and data sensitive than any other sector of the economy. The practice of medicine requires continuous availability across the various functions to ensure best care outcomes as well as a perpetual state of readiness for possible changes in patient demands, competitive scenario, regulations or disease patterns and new outbreaks. Healthcare information technology forms a pivotal part of todays healthcare system. Improved quality of healthcare, patient safety, drastic reduction in medical errors and enhancement of care delivery is possible because of the induction of these solutions in the healthcare delivery environment. Today, healthcare IT solutions are enabling processes like planning, decision-making related to organizational development, strategic planning to drive growth, recruitment of competent personnel, managing employee benefits, payroll, intra-department communication, etc. One policy that has changed the health care delivery to shift cost responsibility toward the hospital was the Tax Equity and Fiscal Responsibility Act of 1982. This policy has changed hospital reimbursement under Medicare with the introduction of diagnosis-related groups (DRGs) (Sultz amp; Young, 2009). The DRG prospective payment system rewarded hospitals financially for efficient care (specifically shorter hospital stays) and reduced the incentive to consume (Sultz amp; Young, 2009). Another policy that placed the burden of responsibility on the hospital was the Consolidated Omnibus Budget Reconciliation Act of 1985 which required hospitals to provide care to everyone who presented in the emergency department regardless of ability to pay (Sultz amp; Young, 2009). This law was designed with good intent to reduce the â€Å"patient dumping† that had arisen from the DRG system, but it nevertheless increased hospital responsibility without additional financial support. More recently, the Deficit Reduction Act of 2005 required the Secretary of the Department of Health and Human Services to select at least two hospital-acquired conditions for which hospitals will no longer be reimbursed by Medicare (United States Congress, 2006). The purpose of this new law is to contain costs by penalizing hospitals for preventable conditions or complications resulting from substandard care. The designated conditions were to meet the requirements of being high cost and/or high volume, and reasonably preventable through the application of evidence-based guidelines (S. Rep. No. 1932, 2006). Eight hospital-acquired conditions have been selected thus far and at least nine additional conditions are up for consideration of being added to the list for 2009 (Center for Medicare amp; Medicaid Services (CMS), 2008). The way this law works is that if a patient develops a hospital-acquired condition or complication during their hospital stay that was not documented upon admission, Medicare will no longer reimburse the hospital for the treatment of the condition and the hospital will be forced to absorb the cost. Conditions included in this new rule particularly relevant to nursing include stage III and IV pressure ulcers, injuries from falls, and catheter-associated urinary tract infections. In light of these policy changes, hospitals are under intense pressure to improve quality of care and reduce costs. Many areas of vulnerability for hospitals such as patient safety, prevention of hospital-acquired conditions, and continuity of care, are directly related to nursing. However, instead of areas of vulnerability, it is better to view the current challenges of health care as opportunities for improvement.

Wednesday, November 6, 2019

Global Green House Effects essays

Global Green House Effects essays The greenhouse effect is an increase in the atmospheric temperature caused by increasing amounts of greenhouse gases. These gases act as a heat blanket insulating the Earth's surface absorbing and trapping heat radiation which normally escapes from the earth. They include carbon dioxide, water vapour, methane, nitrous oxide, CFC's, and other halo-carbons. The earth's atmosphere goes through two processes constantly. Global cooling is the first process. This process uses the clouds which cover 60% of the earth's surface to reflect 30% of the solar radiation. It also uses a sulfate haze, which is formed by sulfur dioxide from industrial sources that enter the atmosphere and react with compounds to form a high-level aerosol. These cool the atmosphere by blocking us from direct contact with the sun. The reflection of the sunlight is referred to as planetary albedo and contributes to the overall cooling. The second is the warming process. This is when light energy comes through the atmosphere and is absorbed by Earth and transformed to heat energy at the planet's surface. The infrared heat energy then radiates upward into space. There the greenhouse gases found naturally in the troposphere absorb some of the infrared radiation. The gases insulate the Earth, but do eventually allow the heat to escape. Without these greenhouse gases the earth would be would 33 C colder. Global temperature is a balance of the effects of the factors leading to global cooling, and warming. Unfortunately, increased emissions of greenhouse gases increase the warming process. For example, every kilogram of fossil fuels burned equals 3 kilograms of carbon dioxide ( the mass triples because each carbon atom in fuel bond to two oxygen atoms, in the course of burning, and forms C02. ) 6 billion tons of fossil fuel carbon are burned each year adding 18 billion tons of C02 to the atmosphere. This has increase the carbon dioxide concentrations by ...

Tuesday, November 5, 2019

The Big Secret to SAT Writing Strategies to Excel

The Big Secret to SAT Writing Strategies to Excel SAT / ACT Prep Online Guides and Tips If you've noticed that the SAT Writing section seems to be confusing, that's becauseit's intentionally designed to be that way. But we're going to let you in on something that the College Board doesn't want you to know: there area few key secrets that will help you understand this part of the SAT,and knowing them makes itmuch easier to crack.Read on to learn how to take this section of the SAT into your own hands. In this article, I am going to show you: How the SAT Writing tries to trick you with "normal"-sounding English How the SAT Writing testsunusual grammar and style rules that your English class may not have focused on The top concepts that the SAT Writing testover and over and over again Why this predictability matters and how to use it to your advantage Without further ado, let's dive into one of the number one ways the SAT Writing counts on making you mess up. Everyday English Is a Trap Did you know that the English you speak every day is probably grammatically incorrect?The College Board does,and in fact they were counting on that when they designed the SAT Writing.Each of the sentences below has at least one error. Can you spot them? Kim and me attended the civil rights conference that was held at school today. We discussed the Civil Rights Movement of the 1960s, debated different modern-day issues, and were talking about freedom of speech. We learned that if someone is different to you, you should respect them for who they are. The SATtests everyday incorrect English to see who knows what "sounds" right, and who actually knows the different grammar rules. There are two main strategies that the test writersuse to do this. The first is that they will give you a deceptively simple-looking sentence that sounds normal but actually has a tricky grammar error. The second is to give you a ridiculously convoluted sentence that hides a simple grammar mistake. They are testing you: can you see through their sentences to the grammatical structures underneath? Let's look at an example. Here is something I recently heard on a well-known televised cooking competition: She sliced the Wellington, and gave it to Nick and I to garnish. Though a lot of people talk this way,it's not correct. Why?"Nick and I" are both objects of the preposition "to", and therefore "I" should be in the objective case- "me". In colloquial English use, you will often hear peoplemisusing pronoun cases. This is one of the many "everyday English" mistakes that the SAT will throw at you. Not sure what a pronoun case is?There’s a guide for that. At other times, the SAT will hide simple grammatical errors in a very wordy sentence. Example The lamb is not properly cooked, and having to apologize to the guests for his mistakes are the most embarrassing thing about participating inHell's Kitchen. If the above sentence just read, "Having to apologize are the most embarrassing thing," most people would immediately spot the error. The SAT adds extra unnecessary phrases and clauses to make these simple error more difficult to spot. Good news! Now that you know the main way that the SAT Writing tries to trick you, you canuse it to your advantage. Remember that you cannot just use your ear to know if a sentence is correct or incorrect. (Unless you have an exceptionally-trained ear, of course! But most people who speak everyday English do not. Remember that the SAT cares about correct grammar over awkwardness.Just because a sentence is phrased very oddly doesn't mean it's incorrect. Look for the same things that you would look for in a more normal-sounding sentence (like subject-verb agreement, pronoun case, etc.) to see if it's grammatically correct. Remember, the SAT doesn't care if something is awkward. This is why it's so important to understand what the SAT thinks is grammatically correct, as opposed to what you think sounds good.Many of these grammar rules you will be familiar with, but other may come as a surprise to you, and that's because... SAT Writing Doesn't Always Test Normal Grammar Rules Some of the rules they test you on seem downright arbitrary, and, in fact, they are. In theory, you will have learned many of the more "normal" rules in your high school English class. As discussed above, though, this doesn't mean that these concepts will be covered in as straightforward a way as you are used to. Other times, however, you will need to learn the SAT's weird "grammar" rules, which mostly focus onstyle, and what the SAT thinks sounds correct!Don't be fooled by these just because they are not the same as what you have covered in class. Here are some of the top stylistic rules the SAT Writing favors: 1. Pronouns must have a clear antecedent. The antecedent is the noun that the pronoun is replacing. On the SAT, the antecedentmust actually be referenced in the same sentence, or a very nearby sentence in the case of Improving Paragraphs. If it not 100% clear - and spelled out - what the pronoun is referring to, it's incorrect in the SAT's eyes. Let's look at an example: Melissa hurried into the theater and tried to find her seat, relieved that it had not already started. Most people would have no trouble understanding this sentence. It's clear from the context that Melissa is relieved that whatever show she is seeing in the theater has not started yet. However, in the SAT's eyes, this sentence would beincorrectbecause we don't have an explicitly-stated antecedent for "it". According to the SAT, the only things that "it" could refer to are either "theater" or "seat" - and neither of those makes sense! 2. Always use "and" instead of other connecting words The SAT Writing also tests you on your ability to state something in themost straightforward and concise way.By their standards, "and" is the most straightforward way to join things together. So, if you see a sentence trying to replace "and" with another connecting word - such as "plus" or "as well as" - it is incorrect. Note that this does not apply to joining independent clauses together for compound sentences. OnlyFANBOYS conjunction can be usedfor that task. Let's look at an example: Amanda took one job in a restaurant plus one in a hotel. This would be consideredincorrect. Instead, try this: Amanda took one job in a restaurantand one in a hotel. 3. Only similar things can be compared We have a whole article on this topic if you want to go into it in more depth. The basic idea is that the SAT only wants you to compare two similar things. Obviously this has nothing to do with being grammatically correct English- it's just the SAT's preference. For example: John's car was newer than Jerry. Grammatically this makes perfect sense: Let's say that Jerry is 30 years old, but John's car is only 5 years old. However, in the SAT's eyes this is a mistake because a car and a person are too dissimilar to be compared. Let's look at another: Kim Kardashian was jealous because her selfies were not as popular as Khloe. Beware of selfie rage. Again, strictly from a grammar point of view, thisis a correct sentence. One might hope that a human being is more popular than a selfie. However, the SAT does not want you to compare Kim's selfies to Khloe; instead, it wants you to compare Kim's selfies to Khloe's selfies. This is how the sentence would look corrected: Kim Kardashian was jealous because her selfies were not as popular as Khloe's selfies. Now we are comparing selfies to selfies, which are two similar things, and therefore this comparison has the SAT's blessing. 4. Don't delete something unless it is redundant This doesn't come up too frequently, but occasionally an Identifying Errors question will give you something like this: As part of his annual payment, he receives a bonus every year. According to the SAT, this kind of redundancy is incorrect. This goes back to our rule of making everything concise as concise as possible - if you have already been told that something happens annually, you don't also need to be told that it happens every year! 5. Be careful ofusing "because" with nouns The SAT Writing will occasionally use two constructions with the word "because", and both of them are considered incorrect. The first is something that has become common slang recently:because + noun For example, to paraphrase a recent Carl's Jr. commercial, We made a disgusting hamburger with a hot dog on top of itbecause America. Better together? This, unfortunately, will never be correct. Similarly, occasionally the SAT will use the following incorrect construction:noun + is because of Let's look at an example: The drought in California is because of the lack of rain. So, how do you make sure you always catch these problems? Whenever you see the word "because", make sure that it is joiningtwo clauses. A clause is something that has both a subject and a verb. Alternately, "because of" can be used as a preposition with a noun object, but in that case make sure that the rest of the sentence makes sense on its own if you get rid of the prepositional phrase! To fix the above sentences, we would say: We made a disgusting hamburger with a hot dog on top of itbecausewe have misunderstood what America needs. Thereisadroughtin Californiabecausewe have had a lack of rain. OR Thereisadrought in Californiabecause of the lack of rain. 6. If more than one answer is grammatically correct, choose the most concise answer that has the fewest extra words. Many students mistakenly think that having more words makes a sentence sound more academic, but this is not the case. The SAT Writing will always be looking to see if you can spot the most direct and concise way of saying something. So when two or more answers are equally grammatically correct, go for the most concise answer. These six rules are important to know, along with the more basic grammar rules that you've learned in school. This is because.... The SAT likes to test the same thing - over and over and over again. Good news! Though the SAT does try to trick you in the ways we discussed above, it'sotherwisevery consistent and easy to predict.It really only focuses on a few different concepts, and will test you on those concepts repeatedly. The below graphs show SAT Writing’s favorite question types grammar rules to test. If you master those main concepts, you will be a step ahead in conquering this section. What does this tell you? Top secrets for Improving Sentences Around ⅙ of the time, the sentences will be correct as is. Many students are afraid to choose this option, or to choose it too often. If you finish this section and you haven’t had any (A) answers, you can assume you probably went wrong somewhere! Over half the questions will test the same four concepts: Wordiness, especially through gerunds, participles, and use of the passive voice. Ifyou see an answer choice that contains a lot of -ing or -ed words, and the same idea is expressed more succinctly and directly in another option, go for the other option. Fixing comma splices, run-ons, or incorrect conjunctions. Therefore, make sure that you understand how to use semicolons to connect two independent clauses instead of commas. Fixing dangling or misplaced modifiers.Whenever you see a clause or phrase describing something, make sure it's next to the thing it’s describing. Using correct parallel structure.If similar ideas can be expressed through similar language, do it! For more information on this, see our guide to parallel structure. What does this tell you? Top secrets for Identifying Errors About ⅙ of the time, the correct answer will be (E), No Error. These questions can occur back to back. Over 25% of the questions are all about verbs: either subject-verb agreement, or correct verb tense/form.Make sure to see our guide all about how verbs are used on the SAT Writing section, and you will be well on your way to understanding this section. One of the other most common mistakes is in pronoun-antecedent agreement.This topic is all about attention to detail - make sure you match up pronouns to what they refer to and check that plural pronouns match with plural nouns. Check out our guide to parts of speech for more info on when to use which pronoun. What does this tell you? Top secrets for Improving Paragraphs Most questions in this section are about how to improve sentences - meaning that you will use the exact same skills that you need for Improving Sentences questions. The other main question types in this section focus on context. In order to understand how to use transitions and where to add or delete info, you need to be able to understand how sentences are working in the paragraph as a whole.This skill is unique to this section of the Writing SAT.For more info about how to master this section, see our guide on how to approach Improving Paragraphs questions. Why does predictability matter? As you have just seen, the SAT writing sectionactually does not cover that many different topics, and very few concepts will be focused on in detail. This means that you canfocus your studying. Especially if you are aiming for a score around 500 - 600, you should focus on learning the most commonly-tested concepts.When you do this, you will soon start to notice that alot of the questions look similar. This is a good thing- it means that you're learning to beat the SAT at its own game! This is why practice is particularly important for this section of the test and can lead to abig score improvement. If you're used to the kinds of questions that you will see over and over, you willimmediately recognize the kind of question you are being presented with. For effective studying, you should work withreal question from past SAT tests.You can find somehere. When you start to notice patterns,write them down.For example, when a question makes a point of mentioning time, it's most likely going to be averb tense question. You will start to notice a lot of patterns like this that will alert you to what kind of question you are getting. This will help you immediately spotwhat the SAT is asking forand will make the questionseasier to answer. Now that you know this, you can... Use the Test to Create Your Strategy Now that you know the SAT writing sectionis going to be very predictable and follow a certain pattern, you can use this fact to your advantage.Create a plan that you can use to attack each question type. Try using the following steps when working on this section of the test: 1. When you read the sentences and answer choices, alwayseliminate any obvious grammar errors first. 2. Next, eliminate any answers that are structurally identical. They can't both be correct, and therefore neither one is correct. 3. Take a closer look at the question, and see if you can find any of themost common errors that the SAT Writing tests.For example, check that subjects and verbs agree, that pronouns have an obvious antecedent that they match in number, that the verb tense is correct, that there are no run-ons, and that parallel structure is used correctly. Going through this list of potential issues will allow you to answerthe vast majority of the questions. 4. If you are still stuck between a few answer choices that both seem grammatically correct,always choose the most concise answer, with the fewest gerunds and extra words. You May Now Dominate the Test Understanding how the test works puts you in a position of power. Get excited - you know the secrets now! Instead of feeling helpless oruncertain about SAT Writing questions, you can confidently attack them, confidentthat you already know everything they're going to ask you. Keep calm and test on. Nerves contribute to careless errors. Because you now know what to expect, you have nothing to fear! What’s next? Now you know what to look for, so go out and conquer the grammar concepts you need to learn. If you want to test yourself, try out some of the most difficult questions you will find on SAT Writing. Aiming for a top score? Read8 key strategies to improve your score, and check out thesetop tips from a perfect scorer. Want to improve your SAT score by 160 points? Check out our best-in-class online SAT prep program. We guarantee your money back if you don't improve your SAT score by 160 points or more. Our program is entirely online, and it customizes what you study to your strengths and weaknesses. If you liked this Writing and grammar lesson, you'll love our program.Along with more detailed lessons, you'll get thousands ofpractice problems organized by individual skills so you learn most effectively. We'll also give you a step-by-step program to follow so you'll never be confused about what to study next. Check out our 5-day free trial:

Monday, November 4, 2019

Can married woman today have it all Essay Example | Topics and Well Written Essays - 750 words

Can married woman today have it all - Essay Example In the past, some societies felt that women were a liability especially when taking them to school. Secondly, women are not considered as possible leaders in many parts of the world. This has been holding women back in the society as well. In many countries, majority of leadership is held by the male gender, which leaves the women at a disadvantage in the society. Women have to struggle way harder than men to get elective posts in many countries even in the developed world. Despite their struggles, they make limited progress. Though some end up getting some of the leadership roles, they are not given the ultimate control especially in high decision making ranks. This has been a setback for women as most of them are not delegated the duties of policy formulation for the society as a whole. Similarly, there is the infamous quote that states that women are their own enemies. This rhetoric statement means that some women are pulling down their fellow women. The unity of women is wanting, and they do not have the much needed corporation to make the best outcome for their own gender. In some instances, women are openly seen to oppose other women. In such cases, the opposing sides create a drift among the women leaving room for men to flourish at their expense. The idea of marriage has been changing over time but depending on the stated issue. To begin with, in the previous years, men were known to be the bread winners of the family. Nowadays, this is almost a forgotten case. The man and woman in the home are both bread winners. A family has to depend on both of them for ultimate survival. For example, while the father provides the basic needs like shelter, the mother is, on the other hand, providing clothing. This has brought stability in families as they never lack basic needs. Similarly, women nowadays are career focused and are likely to look for a career and develop it to the highest of levels. However, in yesteryears, women remained as housewives meaning that th ey did not have any other career apart from caring for the family at the basic level. The changing world has proved that women can also have career even when they have families to take care of. Apparently, women are also in control of numerous families. In ancient times, the man was the only one in control of a home. As such, men had the ultimate control in decision making and execution of tasks. Therefore, women had no room to make any decision when the man of the house was not around. In most cases, women had to wait for the head of the house to make decisions. Such decisions were made without consulting their wives. However, nowadays, this has changed: Women have room to make critical decisions even in the presence of the man of the house. This change has been attributed to the change in women and their desire to make changes in the world. This has uplifted the need for women in the society as they have resulted to positive changes cross the world. In many homes, women are equall y in control just like their male counterparts. It is possible for a woman to have a career and still bring up the family in the best manner possible. To begin with, women have instigated the change they wanted in the world as they now have more opportunities to be heard. Since they want to uplift the girl child in the society, they will work tirelessly to ensure they attain their goals. As such, women are working

Sunday, November 3, 2019

We are what we read Essay Example | Topics and Well Written Essays - 500 words

We are what we read - Essay Example In order to read, many people prefer a silent environment that is free from disturbances. These individuals get used to being alone and secluded, resulting to anti social behavior. When people spend more time reading books than interacting with people, they generally become prone to solitary lives. This kind of people will have challenges interacting with others and will prefer spending their time reading than interacting with people, thus undermining the importance of maintaining healthy relationship with others. When reading, one encounters a large number of characters in the book being read. For the reader to be able to flow well with the stories, the reader needs to remember all the characters involved in the book. Exercising this ability to remember huge volumes of details about characters in a book ends up improving the memory of the reader. Many readers will end up enjoying a good short term memory, which makes them better placed to remember the faces and names or people they meet. In relationships, such memory enables readers to be able to remember the birthdays of their loved ones as well as the anniversaries, making them better lovers. According to Portillo PenÃŒÆ'a (2008), the urge to read more books increases when the reader is able to practice what they have read on their day to day life, making them reader eager to experiment with the information acquired. As a result, their behavior in hampered and they tend to be addicted to books to an extent of searching for answers to everything they are facing in books. This is however beneficial to the readers, since they will be in a position to use other people’s experience to solve their own problems and thus reducing the time taken to make decisions as well as the uncertainty of making uninformed action. The most productive individuals in the work place are the ones who are able to

Friday, November 1, 2019

The Intelligence Cycle Essay Example | Topics and Well Written Essays - 750 words

The Intelligence Cycle - Essay Example It involves "Drawing up specific collection requirements, and.finished intelligence which supports policy decisions" (FAS "The Intelligence Cycle").This is the same standard of prioritizing which is applied to many other government bodies. Each year, there is an annual assessment and analysis of these priorities. This is otherwise called the intelligence 'Process'; the beginning is a threat assessment, which suggests sources of collection, the next stage. In this planning stage, these is an assessment of the balance between respect for others rights, and the need for the investigation. In short, Planning and Direction are involved in the beginnings and the endings of the process of intelligence gathering. The end results of the gathering for this section may also cause the beginnings of the another Intelligence cycle. relationships" (FBI "The Intelligence Cycle"). These sources do not need to be discovered by wire-tapping, or surveillance, but may be obtained through what are known as 'open sources' - the internet is one famous example of an open source being used in an intelligence investigation. Not all gatherers are direct security operatives - in Canada, for example, some of them are "Security Liasion Officers (SLOs) posted at Canadian diplomatic" (CSIS "Security Intelligence Cycle"), as well as public, agents from other Security Services. Collection is the term for basic information provided by Security services of a government agent. Processing Processing is the method by which the basic information collected in the last part of the cycle is converted into useful information there are a number of methods "Decryption, language translations, and data reduction" (FBI "The Intelligence Cycle") As well as processing this data, rather like rolling pasty, the analyst will input the data into computer networks, databases, and other areas where this information can be used. Processing whittles the information into useful pieces, which are then inserted into databases to be analysed. Analysis The information which has been collected and processed is now studied by intelligence experts, and then is used to prepare a report based around the information. This process is seen by the FBI as "Integrating, evaluating, and analyzing available data" (FBI "The Intelligence Cycle"). This information in integrated, and the experts decide whether the information is worth anything, and connecting the dots by tying up different pieces of processed information, and drawing conclusions. Analysis involves creating reports and threat assessments. Dissemination The information, now gathered, processed and analyzed, is sent out to other agencies, and also to intelligence operatives. "The FBI disseminates information in three standard formats: Intelligence information Reports (IIRs), FBI Intelligence Bulletines, and FBI Intelligence Assessments" (FBI "The Intelligence Cycle"). The reports which have been created are sent out, both internally, and externally, to the media and to the public. Other bodies use these reports to establish the safety of the public,

DESIGN A RETENTION PLAN FOR FUTURE RADIOLOGY EMPLOYEES Assignment

DESIGN A RETENTION PLAN FOR FUTURE RADIOLOGY EMPLOYEES - Assignment Example In addition, most programs fail to plan and time the hiring of physicians when multiple providers are needed. They have failed to develop short-and long-term strategic staffing plans. The other problem is absence of a clearly defined recruitment process, a host of hospitalist programs have failed to create a well-planned and choreographed recruitment process, leading to missed opportunities and/or a hiring mismatch (Simone, 2009). The other problem is hiring mismatch, many programs hire providers who do not fit in with the practice â€Å"culture.† There is a mismatch between vision, values, and objectives of the hospitalist program and the newly hired physician (Harris & Hartman, 2001). This can translate to disruptive behaviors within the hospitalist practice, low morale, and can result in poor provider and program performance. The last problem and which is the focus of this study is lack of a retention plan. Most programs have been successful in finding a good physician-prac tice fit but failed in support and integration of the new physician into the practice, hospital and community. A poorly developed retention plan or the absence of one can lead to physician turnover (Mathis & Jackson, 2010). Physician turnover can result in staff shortages, which may lead to program instability, such as being disruptive to the â€Å"chemistry† of a practice, provider job dissatisfaction, provider burnout, and subsequent poor clinical outcomes. Provider turnover can be quite costly to a hospital program, as numerous costs are associated with replacement of providers (Simone, 2009). These costs include those associated with recruitment, such as sign-on bonuses, medical school loan repayment, relocation expenses, lost productivity for hospitalist and hospital staff during the recruitment process, headhunter fees, and revenues lost during