Maya Angelou Essay - 1019 Words

Maya Angelou is an American author who is known for her poetry and novels that lyrically illustrate the experiences of African Americans and also acts as a spokesperson for black pride and heritage (St. James Encyclopedia of Popular Culture). Although she speaks for people of color, her messages of hope and strength appeal to people of all ages and races. Angelou is best known for her autobiography, I Know Why the Caged Bird Sings, in which she recalls herself as a young African American girl finding self-confidence in a highly prejudice world. Maya Angelou’s work should still be taught in schools today because of her focus on civil rights and feminism, which continues to be a pressing issue in today’s society. Born†¦show more content†¦The first biography in her series and the book she is most known for, I Know Why the Caged Bird Sings(Italicize), gives insight into how young African Americans saw the world (Themes and Construction: I Know Why the Caged Bird Sings.). She talks about the many women who had contributed to her success in life, including her mother, grandmother, and high-school teacher (Themes and Construction: I Know Why the Caged Bird Sings.). She explains their similar struggles through childhood and how that taught her to push through what she was going through. She portrays the male support as negative with no help from them towards her success. The novel is a feminist manifesto that tells the story of a shy, awkward, segregated black girl who blossoms into a confident, headstrong woman (Themes and Construction: I Know Why the Caged Bird Sings.). This theme is showed within in the novel as Angelou writes The fact that the adult American Negro female e merges a formidable character is often met with amazement, distaste and even belligerence. It is seldom accepted as an inevitable outcome of the struggle won by survivors and deserves respect if not enthusiastic acceptance, (Angelou, Maya. I Know Why the Caged Bird Sings.). Although it is anShow MoreRelatedEssay On Maya Angelou1879 Words   |  8 PagesMaya Angelou is one of the most important American Authors who ever lived. She was an African-American woman who spoke her mind and when someone told her she couldn’t do something, it made her want to do it even more so that she could prove them wrong (Shapiro). Her life was incredibly difficult, but it made her who she was and influenced her writing and poetry immensely. As Gary Younge once said, â€Å"To know her life story is to simultaneously wonder what on earth you have been doing with yourRead More Maya Angelou Essay1200 Words   |  5 Pages Maya Angelou is a phenomenal woman. She was born into a devastating decade, that suffered numerous tragedies. Not only had society shaped her as a woman, she has also shaped our society and influenced many lives. She is still living today, yet I believe her legend will never die. Furthermore I will share with you what motivated her and some of her gratifying experiences. How she was effected by society, and what she did about it. Also how the time period she was born into made her the extraordinaryRead More Maya Angelou Essay1926 Words   |  8 Pagesthe time she was born, Maya Angelou was subjected to racism, rape, grief and dehumanization. She beared enough emotional stress in a time frame that most people dont experience in a lifetime. Yet she prevailed. She forced herself to become stronger. And in doing so, she produced writings, which in turn, helped others to become strong. Her experiences and the lessons learned gave her confidence to be a teacher, a preacher, and an inspiration to millions. Maya Angelou was courageous. BasedRead MoreEssay on Maya Angelou1185 Words   |  5 PagesDistress in Maya Angelous Life Marguerite Ann Johnson, commonly known as Maya Angelou, was born on April 4, 1928 in St. Louis, Missouri. She is a famous African-American poet, novelist, and playwright and also worked during the civil rights: Angelou is a very remarkable Renaissance woman who hailed as one of the great voices of contemporary literature (www.mayaangelou.com). She is also an activist in civil-rights. Angelou went through many controversies during her childhood and adulthood; herRead MoreEssay on Maya Angelou612 Words   |  3 Pages Maya Angelou was born April 4, 1928. Her real name is Marguerite Johnson, but she later changed it to Maya. She was born in St. Louis, shortly after her birth her family up and move to Arkansaw. Maya grew up there in the rural parts of Arkansaw, and later married to a South African Freedom Fighter. She lived in Cairo with him, there she began her career as editor of the Arab Observer. At the request of Dr. Martin Lutheran King Jr., she became the northern coordinator for the Southern Christian LeadershipRead More Maya Angelou Essay1043 Words   |  5 PagesMaya Angelou      Ã‚  Ã‚  Ã‚  Ã‚   By consistently weaving the theme of motherhood into her literature, Maya Angelou creates both personal narratives and poems that the reader can relate to. Her exploration of this universal theme lends itself to a very large and diverse audience.   Throughout Angelous works, she allows her followers to witness her metamorphosis through different aspects of motherhood.      Ã‚  Ã‚  Ã‚  Ã‚   Well-worked themes are always present in Angelous works-   self-Read MoreMaya Angelou Essay883 Words   |  4 PagesMaya Angelou was an inspiring activist, poet, and woman. Angelou was born in St. Louis, Missouri on April 4, 1928. Throughout her lifetime she explored her career options as an actress, dancer, singer, writer, and editor among many other careers. Angelou had a tough childhood. Her parents divorced when she was very young and she was sent to live with her grandmother in Arkansas along with her brother Bailey. As an African American, Angelou experienced discrimination and racial prejudices. AngelouRead MoreEssay about The Writings of Maya Angelou 1920 Words   |  8 PagesMaya Angelou is an author and poet who has risen to fame for her emotionally filled novels and her deep, heartfelt poetry. Her novels mainly focus on her life and humanity with special emphasis on her ideas of what it means to live. The way she utilizes many different s tyles to grab and keep readers’ attention through something as simple as an autobiography is astounding. This command of the English language and the grace with which she writes allows for a pleasant reading experience. Her styleRead MoreEssay about Maya Angelou1434 Words   |  6 Pages Maya Angelou is one of the most influential and talented African American writers of our modern day. Those who read Angelou‘s works should not pass the thought of where her influence came from. Maya Angelou’s work has been heavily affected by the era in which she began to write. The fifties and sixties were a tumultuous time for most African-Americans in the US. The civil-rights movement, led by the National Association for the Advancement of Colored People (NAACP), the National Urban League, MartinRead More Maya Angelou: A Source of Humanity Essay1329 Words   |  6 PagesMaya Angelou: A Source of Humanity I am human, Angelou said, and nothing human can be alien to me (Shafer). Maya Angelou just may be the most human person in the world. Indeed, with all of the struggles she went through in her early life, her humanness increasingly deepened. Her life was characterized by the instability of her childhood and her family, along with the challenge of being a black woman growing up in 19th century America. The deepness of her humanness is evident in all

How Magic Plays in the Real World with St. Thomas Aquinas...

St. Thomas Aquinas was a Dominican professor that began teaching at the University of Paris in the year 1256, in theology. His works in the field of theology were greatly influenced by Aristotle as well as Plato. His main goal in the section of his writing, Summa Contra Gentiles, was to explain how magic was portrayed in the â€Å"natural world†. He was trying to show non-Christians, especially Muslims, how Catholic beliefs could be rationalized. All the documents of St. Aquinas’s that were paired together in the section of the book by the editors were detailed works that were seen as controversial back when they were first published. One of the works in this section, titled Commentary on the Four Books of Sentences: Sorcery and Exorcism, in†¦show more content†¦Based off of Aquinas work, Summa Contra Gentiles, one would assume that he did believe in magic, although he did not come outright and say it. Nevertheless, he informed his readers that magicians perfor med their magic not just through God and heavenly ways, but also through celestial ways. They may not have performed their magic with just God’s powers help, yet they would not have been able to perform with only celestial ways either, they came together hand in hand. However, he explained that magic that came from the â€Å"heavenly bodies† was natural magic. Therefore, anything that could not be considered natural could not have come from heaven or God. He also went into greater detail explaining that an inanimate object could not possibly move by itself through the powers of God or heavenly forces. Aquinas did not speak about witches, however, his brief mention of pacts having been a necessity to speak to a demon later brought up the issue of magicians, and even later the issue of witches signing pacts. Throughout this work of his, he spoke only of magicians and their way of performing magic. In order to perform their magic, he explained that they were to speak cert ain words to receive the outcomes they desired. The words did not hold the power, the magician himself did. To build upon this, very powerful magicians were able to produce what they desired simply through thought. If someone was able to make what they wanted to happen with words

The diary of anne frank by anne frank Essay Example For Students

The diary of anne frank by anne frank Essay In 1942, when the Nazis began to invade their country, the Frank family went into hiding in an attic of a warehouse. The Franks daughter, Anne, kept a diary through out their horrible ordeal. Minutes before the Franks were captured in their hiding place after a two-year stay, Anne wrote in her diary the words, In spite of everything, I still believe that people are really good at heart. Even though Anne suffered so much her courage and character only grew stronger. Before Anne Frank went into hiding, she led a blissful and joyous life. She was always surrounded by friends and her family was well to do. She was torn away from her happiness and placed into the harsh and cruel reality of the Nazi agenda at only thirteen years of age. All this only because she was Jewish. She stayed locked up in the attic of the warehouse for almost twenty-five months, never being able to step outside. Such repression and life of fear would make almost any teenager completely depressed and more miserable that words could express. However, Anne managed to keep hope for a better tomorrow and her respect for the human race. Anne made a very powerful statement in her last words. To truly believe such a thing after being abused by the Nazis is quite remarkable indeed. I am very sure that most people, including myself, would have thought that the world was a completely corrupt and humans are naturally cruel if theyd have gone through such times. I believe that Anne has the ability to say such a thing because of her great unselfishness and love for all of G-ds creatures. I also believe that if Anne could have written in her diary after she had gone to the concentration camp, she would have said the exact same thing. Because of her cheerfulness and undying courage, Anne was able to keep up the spirits and the hopes of her family. Her never ending love for all people was fueled by the fact that she would never let anyones cruelty and power bring her spirits to the ground. Through all her suffering Annes character only became stronger and more determined. .

Operations and Quality Management for SWOT Analysis-myassignmenthelp

Question: Discuss about theOperations and Quality Management for SWOT Analysis. Answer: Introduction: Quest diagnostic is one of the prominent diagnostic testing, information and services provider in United States. The report is prepared to discuss strategy of operation that would align to overall objectives of business. Evaluation of capacity and quality assurance from the perspective of operations is done by performing SWOT analysis. Quality system of Quest diagnostic is evaluated by recommending a strategy. In the later section, capacity management strategy is recommended to organization and performance is improved by evaluating the effectiveness of same. Discussion: Developing operating strategy contributing overall objective of business: In this section, alternative application of concepts of operations and quality management for aiding the resolution of difficulties is evaluated. The objective of Quest diagnostic is to improve health of patients through consummate diagnostic innovation and insights and providing them with excellent services by easy access to health information. Diagnostic centre intends to provide excellence in clinical testing and to provide customers and patient with unparalleled services. Development of operation strategy incorporates specifying and refining business strategy of company (Akalin et al., 2016). In current scenario, revenue services group of organization has the responsibility of recording the billing of patients. National customer service centres has inefficiency in their outbound and inbound calls and inefficiency of caller to assist patients in better way. Waiting time of customers are extended to long time for just answering the call by representatives and they are not able to a nswer the questions properly and solve the queries of patients. Therefore, the problems is faced in providing health information and they are not able to access it easily. For millions of patients every week, critical input to healthcare decisions are provided by Quest diagnostic. Viewing the current scenario of Quest Diagnostic Company, the objective of company is to improve and retain their performance in terms of reduction of cost and reducing customer waiting time over phone calls and providing them with health information (Anand Gray, 2017). The operation strategy of quest diagnostic can be modelled on the capacity decision problems in terms of number of employees given service time distribution, interval arrival time distribution and other constraints such that only one percent of patient have to wait for some specific time. The objective of operation strategy is to find solution at minimum cost and reducing waiting time of patients over phone call. In order to address the waiting problems, some of the strategies that can be taken by organization include shifting of operations to other departments and acquiring additional resources in business. The ability of operation system to achieve resource productivity targets and service quality is capacity management by matching supply and demand (Krajewski et al., 2016). Process operational strategy can be appointed by Quest diagnostic that helps in organization the way services are delivered to customers or patients. Such requirements are met within the cost constraints and managerial limitations. Long-term efficiency as well as production and service capability of business, quality of services produced (Stevenson Sum, 2015). SWOT analysis on capacity and quality assurance of quest Diagnostics: In this section, quality management and operations problems faced by Quest diagnostic is explored and discussed. Strength- One of strength of capacity of Quest diagnostic is transparency in pricing and lowest priced charged from patient for diagnostic test as compared to in house testing charge by hospitals. Quest has electronic medical record portal that would enable them access information and results about information of patient. Thus would make them efficient in ordering and enable them to take better decision. A one shop stop for diagnostic test is offered by company at lower prices compared to in house testing. Due to number of acquisitions by company, top line growth was experienced by company and the power of evolving growth strategy is experienced by company through its strong financial performance. Growth of organization has been driven by emphasizing on growth efforts by looking into new businesses, markets, value added plays such as leveraging the capacity of information technology and new services (Bromiley Rau, 2013). Weakness- Limited market share is enjoyed by quest diagnostic due to intense competition prevailing in diagnostic business. Organization experiences escalating cost of operations due to requirement of large number of employees. Due to continuous focus on enhancing productivity, organisation does not pay attention on solving queries of customers and providing them with prompt response. One weakness that is prevailing in this organization that they are losing their key customers due to increased waiting time and inability of representatives to answer and respond to customers (Hurlbert Gupta, 2015). Opportunity- Quest diagnostics is expanding horizontally into new therapeutic areas and they are expanding globally through strategic acquisitions. There are dozens of acquisition across United States that lead to considerable growth of business. Such acquisitions have helped in providing opportunities for growth expansion and profitability as it enabled them to purchasing their own equipment, providing service to customers through their own call centres. Such acquisitions have assisted in enjoying top line growth and further opportunities for expansion. Threat- Quest diagnostic faces threat from labs that are owned by government. Such laboratories offers cheaper diagnostic testing compared to that offered by quest. Moreover, ongoing changes in framework of healthcare policy of different countries also poses threat to operations of company. Another main threatening factor of Quest is high turnover in patient service centres. High turnover is also witnessed in logistics. Turnover incurred huge cost for organization in terms of on boarding, recruiting, time to full productivity and training. Profitability position of organization is hampered due to annual loss resulting from departing employees (Slack et al., 2015). Recommending capacity management strategy and critically evaluating its effectiveness for improving performance. The capacity decision within an organization is crucial that assist them in proving major insight in determination of operating cost and limit of output. An organization faces long term consequences due to basic decisions involved in capacity. Three inputs are required to be considered while considering capacity planning within the organization. Ascertaining a medium between capabilities of organization and long-term supply and long term demand predicted demand is provided by important concept of capacity planning (Sebastiano et al., 2017). Any actual changes in capacity is required to be changed by capacity planning. Decision of capacity planning is long-term in nature and strategic. Such planning can be described as matching organizational capabilities with predicted demand of patient in future. Short-term and long-term are the types of capital planning. Quest diagnostic requires short-term capacity planning that takes into consideration over time budgets, size of workforce and inv entories. Some of activities concerning capacity planning involves forecasting needs of long range future capacity, assessing existing facilities capacity, analysing and identifying capacity for future needs and selecting alternative of capacity that aligns with achieving firms strategic mission. Organization is required to take into considerations technical, economic and financial factors for evaluating the alternative sources of capacity (Sabella et al., 2014). Capacity management strategies: (Source: Jacobs Chase, 2013) Quest diagnostic is need to employ capacity management requirement planning that is a technique that helps in determination of personnel and labour capacities and equipment requirement for meeting the objectives of services and production in according to material requirement planning and master production schedule. There are two types of capacity management strategies comprising of level capacity plan and matching capacity with demand plan. Quest is recommended to employ matching capacity with demand plan. Under this plan, the capacity of production is matched with demand of patient in each period such as weekly, quarterly and monthly demand. For matching the demand of patients in the given scenario, the flow of materials, employees and personnel and capacity of machines are changed from quarter to quarter or on monthly basis to match with the demand of patients (Oakland, 2014). This would help in reducing the cost of operations and back ordering cost, however there are frequent chan ges in workforce. Employment of different capacity management strategy would assist operation managers in maintain current level of services for achieving the goals of organization. They are capable of estimating the operational expenses and developing financial projections required for fulfilling the capacity of services of organization. Operation mangers of quest diagnostic can be assisted in reducing the waiting time of customers over phone calls by enabling representatives to allocate customer in the given time period. Operation managers bring changes to organization in ways that help them to stay competitive (Tang et al., 2016). Capacity planning involves estimation of demand involves estimation of demand while determining capacity facilities and they enable them to change the capacity of organization to respond accordingly to change in demand (Mosadeghrad Afshari, 2016). This enable the operation managers to solve the ongoing issues faced by business and matching the scenario of demand and supp ly. All the aspects of operation management of organization are covered under capacity planning. Recommending strategy for continuous evaluation of quality system of company: One of the important principle of total quality management is making continuous improvement. Quality system of company is considered as efficient if the project implementation is done coordinated directly by well-proportioned team and executives of company. One of the strategy that can be used for evaluation of quality system of an organization is auditing as it helps in providing consistency, formality and independency. Quantitative indicators for evaluating the effectiveness of the quality system are required to be incorporated. For continuously evaluating the quality system, Quest is required to implement efficient model of quality management system and this particular model evaluates the quality system of organization in different aspects. Such aspects includes evaluating the quality culture of organization, evaluating the quality management system efficiency, evaluating the process criteria efficiency, evaluating management principles for continuous success. Moreover, this model incorporated using auditing as a tool for evaluating the quality system effectiveness. One of the most important factors for evaluating the quality system in accordance with this model is evaluation of quality expenses and process criteria (Heizer, 2016). Organization prepares insight of efficiency of quality system by analysing the data. Furthermore, relative quality indicator is calculated that gives the indication of level of implementation of the goal of quality that has been set by organizations. Statistical relationships have been observed between relative expenses and relative efficiency criteria that depicts independency in variation. While evaluating the quality system of organization, it is required by employees of organization to understand the quality management principle. For the administrative employees of organization, a system quality management training is required to be developed. Continuous improvement in organization can be developed by requiring support and lon g-term view of management (Busing Palocsay, 2016). Conclusion: From above discussion and analysis of scenario faced by Quest diagnostic, it is ascertained that company is losing their key customer and increased cost in incurred for maintaining operations. It has been ascertained from the analysis that Quest has opportunities to grow in the long-run provided they are able to manage operations in an efficient and seamless way. The capacity management strategies of organization are implemented in terms of matching demand of patients with the existing capacity of company. Nonetheless, in the present situation, investment cannot be made as the cost of operations is already rising due to numerable personnel involved in operation. Therefore, employment of capacity strategy matching the demand would be suitable for reducing the waiting time of patients over phone calls. Employment of such strategy would also assist organization in electronic medical record portal. References list: Akalin, G. I., Huang, Z., Willems, J. R. (2016). Is Supply Chain Management Replacing Operations Management in the Business Core Curriculum?. Operations and Supply Chain Management: An International Journal, 9(2), 119-130. Anand, G., Gray, J. V. (2017). Strategy and organization research in operations management. Journal of Operations Management. Bromiley, P., Rau, D. (2016). Operations management and the resource based view: Another view. Journal of Operations Management, 41, 95-106. Busing, M. E., Palocsay, S. W. (2016). Operations management in the design and execution of MBA programs. Journal of Education for Business, 91(2), 75-82 Heizer, J. (2016). Operations Management, 11/e. Pearson Education India. Hurlbert, M., Gupta, J. (2015). The split ladder of participation: A diagnostic, strategic, and evaluation tool to assess when participation is necessary.Environmental Science Policy,50, 100-113. Jacobs, R., Chase, R. (2013).Operations and supply chain management. McGraw-Hill Higher Education. Krajewski, L. J., Ritzman, L. P., Malhotra, M. K. (2013). Operations management: processes and supply chains (Vol. 1). New York, NY: Pearson. Mahadevan, B. (2015). Operations management: Theory and practice. Pearson Education India. Mosadeghrad, A. M., Afshari, M. (2016). The impact of quality management on reducing canceled elective operations: a participatory action research. Journal of Health in the Field, 3(4). Oakland, J. S. (2014). Total quality management and operational excellence: text with cases. Routledge. Sabella, A., Kashou, R., Omran, O. (2014). Quality management practices and their relationship to organizational performance. International Journal of Operations Production Management, 34(12), 1487-1505. Sallis, E. (2014). Total quality management in education. Routledge. Sebastiano, A., Belvedere, V., Grando, A., Giangreco, A. (2017). The effect of capacity management strategies on employees' well-being: A quantitative investigation into the long-term healthcare industry.European Management Journal,35(4), 563-573. Slack, N., Brandon-Jones, A., Johnston, R. (2013). Operations management. Pearson Stevenson, W. J., Sum, C. C. (2015). Operations management. New York: McGraw-Hill Education. Tang, L., Rizzoni, G., Lukas, M. (2016, November). Comparison of dynamic programming-based energy management strategies including battery life optimization. InElectrical Systems for Aircraft, Railway, Ship Propulsion and Road Vehicles International Transportation Electrification Conference (ESARS-ITEC), International Conference on(pp. 1-6). IEEE.

Great Gatsby Thesis Essays - The Great Gatsby, Jay Gatsby, Gatsby

Great Gatsby Thesis Fitzgeralds dominant theme in The Great Gatsby focuses on the corruption of the American Dream. By analyzing high society during the1920s through the eyes of narrator Nick Carraway, the author reveals that the American Dream has transformed from a pure ideal of security into a convoluted scheme of materialistic power. In support of this message, Fitzgerald highlights the original aspects as well as the new aspects of the American Dream in his tragic story to illustrate that a once impervious dream is now lost forever to the American people. The foundation qualities of the American Dream depicted in The Great Gatsby are perseverance and hope. The most glorified of these characteristics is that of success against is that of success against all odds. The ethic of hard work can be found in the life of young James Gatz, whose focus on becoming a great a man is carefully documented in his Hopalong Cassidy journal. When Mr. Gatz shows the tattered book to Nick, he declares, Jimmy was bound to get ahead. He always has some resolves like this or something. Do you notice what hes got about improving his mind? He was always great for that (Fitzgerald, pg 182). The journal portrays the continual struggle for self-improvement, which has defined the image of America as a land of opportunity. By comparing the young James Gatz to the young Benjamin Franklin, Fitzgerald proves that the American Dream is indeed able to survive in the face of modern society.(Website) A society naturally breaks up in into various social groups over time. Members of lower statuses constantly suppose that their problems will be resolved if they gain enough wealth to reach the upper class. Many interpret the American dream as being this passage to high social status and once reaching that point, not having to concern about money at all. Though, the American Dream involves more than the social and economic standings of an individual. The dream involves attaining a balance between the spiritual strength and the physical strength of an individual.(Lehan, pg.53) Jay Gatsby fails to reach his ultimate dream of love for Daisy in that he chooses to pursue it by engaging in a lifestyle of high class. Gatsby realizes that life of the high-class demands wealth to become priority; wealth becomes his superficial goal overshadowing his quest for love. He establishes his necessity to acquire wealth, which allows him to be with Daisy. The social elite of Gatsbys time sacrifice morality in order to attain wealth. Tom Buchanan, a man from an enormously wealthy family, seems to Nick to have lost all sense of being kind.(Lehan, pg.60) Nick describes Toms physical attributes as a metaphor for his true character when remarking that Tom had a hard mouth and a supercilious mannerarrogant eyes has established dominance over his facealways leaning aggressively forwarda cruel bodyhis speaking voiceadded to the impression of fractiousness he conveyed (Lehan, p.61) The product of hard work is the wistful Jay Gatsby, who epitomizes the purest characteristics of the American Dream: everlasting hope. His burning desire to win Daisys love symbolizes the basis of the old dream: an ethereal goal and a never-ending search for the opportunity to reach that goal. Gatsby is first seen late at night, standing with his hands in his pockets and supposedly out to determine what share is his of our local heavens (Fitzgerald, pg25). Nick watches Gatsbys movements and comments: -He stretches out his arms toward the dark water in a curious way, and as far as I am from him I can swear he is trembling. Involuntarily I glance seaward-and distinguish nothing except a single green light, minute and far away, that might be the end of the dock. (Fitzgerald, pg.25) Gatsbys goal gives him a purpose in life and sets him apart from the rest of the upper class. He is constantly striving to reach Daisy; from the moment he is seen reaching towards her house in East Egg to the final days of is life, patiently waiting outside Daisys house for hours when she has already decided to abandon her affair with him. Gatsby is distinguished as a man who retains some of the purest traits of

Health care Essays

Health care Essays Health care Essay Health care Essay Health care Name: Course: Institution: Health Care Describe the process of medical membership, granting of privileges and process of medical staff quality monitoring in an HCO The process of validating a professional’s eligibility for medical staff membership and/or privileges to be granted based on academic preparation, licensing, training, certifications and performance is called credentialing (White 187). This process is also used to ensure medical staff quality monitoring in an HCO. The HCO can validate the caregiver’s competence and proficiency through credentialing. The competence is validated by examining the knowledge and skill obtained through formal education and experience, which is regulated by, licensure and certification bodies while the proficiency is validated by examining the evidence that the clinician’s education and experience are current (White 101). The role of medical staff, management and governance in the credentialing process The role of the medical staff is to meet all the credentialing and re-credentialing criteria. This entails obtaining valid credentials that include licenses and certificates issued by the government. This is usually after a certain level of education, training or experience is attained. In addition, the medical staff has an obligation to provide treatment by practicing good medicine within their training, experience and the capabilities. The role of the management is to verify the validity of all the certificates and licenses issued by the medical staff. This verification process focuses on the medical school, internship and residency completion, board certification, work history and criminal history. The role of governance in credentialing is to set and monitor both the credentialing criteria and process. After the process, the governance grants the professional privileges to the medical staff, which allows them to participate in the physician organization. Describe the differences, duties and key points of management versus governance in an HCO. The difference between the management and the governance of an HCO is that the governance deals with strategic duties of the HCO while the management deals with operational duties of the HCO. That is the governance is responsible for policymaking, decision making and providing oversight for the HCO while the management is responsible for the operational leadership in organizational activities such as financing of the HCO (White 107). The duties of governance include mission and strategic planning, monitoring and assessment of the HCO’s progress, making strategic decisions, executive management, offering financial oversight and providing strategic protection of the HCO from risks. An example of governance performing a task in an HCO, is when the governing board establishes a senior management compensation program that reviews compensation and bonuses for all managers On the other hand, the duties of management include providing fact base for all goal setting and decision-making activities of the governance, financial management of the HCO, human resource management, marketing and internal consultation (White 108). The key points in governance are that governance is responsible for the strategic activities of the HCO. These strategic activities include policymaking, decision making and providing oversight. The key points in management are that the management is responsible for the operational activities of the HCO. These activities include operational management and goal achievement activities. Discuss the expectations and cultural issues with today’s recently graduated physicians and how an HCO can recruit/retain them. Studies have suggested that recently graduated physicians may have different expectations from the preexisting ones that may influence their decision to leave or remain in a community (White 194). Some of the factors that may influence their decision include the collaborative nature of the practice, the organizational culture of the institution and the political environment. The HCO can retain them by using incentives, theories of interpersonal relations like the Peplau’s theory and the application of other organizational behavior theories (White 195). These methods can help the employees understand and appreciate the existing organizational culture. Discuss how an HCO monitors and improves quality. The governance board and the senior management are responsible for monitoring of the quality of health care (White 115). For instance, excellent HCOs that operate under the evidence-based management systems have the ability to retain an accountability hierarchy that aids in monitoring of performance. Improving of the quality of health care is accomplished by research conducted by the ethics committee. This ethics committee is complimented by an institutional review board, which monitors and approves research protocols for involving patients or associates. It is through this research and continuous assessment that health care is improved (White 169). Discuss various external and internal factors affecting HCOs today and explain how the organization can successfully deal with them. One internal factor facing Health care organizations is bad organizational culture. This includes interpersonal relationships, training material, philosophical statements and organizational policies. Bad organizational culture often affects an organization’s productivity by weakening the internal communication links. This can be solved by establishing a good organizational culture that enables the employees to identify with the goals and missions of the organization. Another internal factor is unethical management practices that affect the operational activities of the HCO. These unethical activities include mismanagement of funds, which affect the operating costs of the organization. The HCO can deal with the unethical management practices by formulating an ethics committee whose primary goal is identifying and dealing with unethical management practices (White 65). In addition, technological change is also a factor affecting the HCOs. The increased revolution of technology and its integration into the processes of HCO is a new phenomenon that requires the readjustment of the attitude of the HCO. However, this can be managed by properly preparing the employees for the technological change after critical assessment of the change by the management. An example of an external factor is the presence of strict legislative requirements. The presence of new legislations presents with it drastic changes in patient information disclosure, documentation and record keeping systems. The HCOs can successfully deal with the new legislations by revising their policies and organizational structures to satisfy the provisions by law. Another example of an external factor affecting HCO’s is the increasing diversity among population in the community served which is further supplemented by staff shortages. There has been an increase in the demand for medical care from the community with very little personnel to satisfy the supply. However, this issue can be dealt with by practicing better recruitment and retention practices that ensure there are adequate and qualified personnel. What makes up the well-managed community hospital? A well-managed community hospital is a hospital that has the ability to recruit and satisfy the needs of the medical practitioners while at the same time meet the needs of their local patients at manageable costs. This implies that the hospital is capable of providing financial resources, human resources such as nurse and physicians and any other resources that are necessary to meet the needs of the locals in the community. The factors that characterize such a hospital include a well-defined organizational culture that promotes shared values, empowers associates, supports service excellence and encourages success (White 39). Another factor is a strong cultural, operational and strategic foundation, which enable high performance (White 14). This is usually supplemented by a well-defined operational leadership system that is accountable and sustains improvement in the operational structure (White 69). It should have foundations on clinical performance that ensure accurate diagnosis, excellent care, good implementation of protocols, individualization of patient care, good planning and treatment, improved community health and improved clinical performance (White 141). This should be supported by clinical support services that are responsible for providing excellent health care (White 250). Finally, it should have a human resource management system that is aimed at workforce planning, work force development, workforce maintenance, workforce empowerment and workforce compensation (White 346). If you were planning an initial discussion about goal setting and capital budgeting for newly appointed first line supervisors, what would be the topics you would include? I would include topics like feasibility assessment, resource allocation, capital sources, financial management, risk management and decision-making. Work cited White, Kenneth R, and John R. Griffith. The Well-Managed Healthcare Organization. Chicago, IL: Health Administration Press, 2010. Print.

Hospital Birth vs. Home Birth Essay Example | Topics and Well Written Essays - 1250 words

Hospital Birth vs. Home Birth - Essay Example Discussion NCT (2008) states that, â€Å"In the 1950’s the majority of pregnant women in United Kingdom delivered their babies at home† (p.2). The ratio of midwives and women who were knowledgeable in midwifery to the general population was higher compared to the past decade. Most middle aged women had experience in midwifery having assisted in child delivery of a family member of a friend. At the time, home birth was considered reasonably safe and without concerns of overcrowding and fatigue. NCT (2008) continues to state that, â€Å"Trends gradually changed in the 1970’s towards the 80’s as hospital births increased in frequency and numbers. By the 1990’s home births had reduced significantly to about 1% (p.2).† In recent times this percentage has increased to 2.68% as popularity and campaigns for home births have increased. ACOG (2011) notes that â€Å"Most governments require that recommendations be made to pregnant women to have a choic e of their desired place of birthing.† A medical professional can evaluate and examine a pregnant woman and suggest a place of birth for the woman explaining his or her recommendation based on medical grounds to her. The key factors to be considered when choosing between home birth and hospital birth are the safety of the procedure, the sense of security of the mother and the level or sense of control. According to ACOG (2011), â€Å"Women who inquire on planned home births at medical facilities should be adequately informed of its benefits and possible risks.† This information should be based on current and documented evidence. The advising party should clearly note to the mother that although the possible risks associated with home birth may be minimal, home birth is closely associated with increased risk of neo natal death. The risk of neo natal death is two to three fold that of hospital birth. To achieve a successful and reduced-risk planned home birth, the woman r equires selecting suitable candidates for the home birth. â€Å"A nurse certified in midwifery, physician or midwife who is qualified and aptly practices within regulations set by the local medical body should be available† (ACOG, 2011). The intended candidate should also be available for consultations. Safe, easy and timely access to a hospital or medical facility should be possible at the slightest chance of complications occurring. An easy access to hospital should provide contingency in case complications develops and the mother and or infant require emergency medical attention. ACOG (2011) states, â€Å"At present, the United States records an approximate figure of 25,000 home births annually.† From this figure, a quarter of the births is not attended to and is unplanned due to the spontaneity or unexpected labor. On average, the fraction of women who initially plan and intend to deliver at a hospital, those women who fail to make provisions for the attendance of a certified medical professional in midwifery, and unplanned homebirths record high rates and instances of neo natal and pre natal deaths. Women should plan for any eventuality and sudden changes in original or intended plans. The lack of transport to the designated/ planned hospital may warrant a home birth. In case no provisions were made to equip the home or vicinity/ surrounding with equipment and tools of delivery, the woman runs the risk of infection to