...TABLE OF CONTENTS 01. Executive Summary 02. Problem Statement 03. Suggestions Executive Summary Purpose – Purpose of this case study is to identify and analyze key problems in Training & Development. And find out what are the solutions and recommendations can provide to overcome such problems. Methodology – Find out what are the key problems, issues, in the management, and Training & Development. Findings – • No Policy regarding Training & Development • Training Expenditure was very high • Not Effective in-house trainings • Do not evaluate the trainer • Training Need Analysis is not done • Evaluation of Training is not done • No proper Learning Objectives • Lacking of documentation part. Recommendations – • Develop an organizational Training & Development policy. • Make an allocation of fund to Training & Development in the annual budget. • Conducting HR Audit annually or twice a year. • Analyze the competitors what to they are doing in Training & Development. • Get a survey or feedback from those who participated in the Training & Development programme. • Include Personal Development Plan in Training & Development. • Improve the documentation part. • Get ideas to improve the Training & Development from their agencies of 05 leading...
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...Foster Care It was close to midnight, only a few days before Thanksgiving. There was a certain calming silence as my mother was preparing to go out to Lounge 46 with her friends. I was studying for the SAT which, at the time, I believed to be the most important exam of my life. I received an unexpected call from my grandmother, I could barely understand her. She was unable to stop sobbing long enough to tell me what happened. After she calmed down, she told me that three of her grandchildren, my cousins, were taken away by Child Protective Services. She explained that if my mom and I do not take them, they will be sent to live in a foster home. According to the Department of Children and Families of New Jersey, Child Protective Services...
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...understanding and practicing collaborative care. Studies by Fewster (2015) showed that working together toward a common goal represents collaboration as a basic social process. The common goal identified was the best patient outcome. In collaborative rounds, the team members share their patient knowledge and their experiences with a particular problem (Fewster, 2015). Doctors share the information about diagnosis, while nurse share the lab values and condition of the patents. A hierarchical relationship is found to be existing in hospital settings (Lancaster,Kolakowsky-Hayner, Kovacich, & Greer-Williams, 2015). Studies by Lancaster et al., (2015) suggest the adoption of a hospital patient care system based on the conductor less orchestra model, in which members work together. This leads to achieve a cohesive performance that can lessen the existing hierarchy in hospital settings (Lancaster et al., 2015). A similar study by Nair, Fitzpatrick, McNulty, Click, & Glembocki, (2012) identifies the need of a culture that foster a collaborative behavior among nurses and physicians to improve patient outcomes. They also acknowledge nurse-physician round as an intervention to improve relationship between caregivers (Nair et al., 2014;...
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...What effect do you feel this issue has on people and their ability to receive care? Include suggestions to correct the issues chosen. In order to alleviate administrative liabilities numerous doctors are looking for jobs with hospital facility frameworks for money security instead of private practices. Be that as it may, expanded consolidation might conceivably prompt monopolistic concerns, raise expense of treatment, and diminish the capability and competitiveness of single/private practice. The non-clinical staff has no knowledge of clinical processes and they are obstructing/delaying the patient's treatment because the regulations restrict a specialist's capacity to practice autonomous medical judgments. These regulations should be changed and ought to incorporate clinical personnel who know. The PPACA will present more than 30 million new patients to the U.S. health services framework, a condition that has impressive ramifications with respect to patient access to care and doctor deficiencies. One recommendation would be to utilize Nurse Practitioners (NPs) in light of the fact that they can...
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...brain child of managed care was adopted in the 1973 to counter the high cost of healthcare provisions. The sole purpose of managed care was to provide effective and quality medical care to patients at reduced cost. It entailed choosing a doctor that would have been responsible in providing the medical facilities to patients with minimal charges since the companies providing such services had a contract with the organization. It was first targeted to provide medication to the timber workers, the miners and the residents residing in the rural who were unable to get affordable healthcare. The managed care has then been consumed and accepted by the American citizen as well by the providers. It is a common practice that has been promoted across...
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...One provision of the Affordable Care Act that I am particularly in favor of, is the coverage of preventative care without being charged a copay or coinsurance (Fox & Shaw, 2014). These include specific serves for adults, children, and pregnant women. I have talked many times about the importance of preventative care. Not only is preventative care beneficial to the patient, but it can also help combat the soaring cost associated with healthcare. Having insurance coverage has always had an effect on the use of preventative services (Siu, Bibbins-Domingo, Grossman, 2015). There are now 63 preventive services covered under the ACA (Preventive Services, 2014). Studies have shown that 100,000 lives could be saved annually if people would utilize these preventative care services (Fox & Shaw, 2014). And even more impressive 9 out of 10 deaths could have...
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...Patients living in poverty face multiple barriers to quality healthcare. The concept of “primary care …as a regular source of care characterize by continuity, comprehensiveness, co-ordination, availability and convenience” is a foreign concept (Wetta-Hall, et-al., 2005, p. 12). The Affordable Care Act (ACA) seeks to partially address this issue by providing insurance to all Americans. The case study identified that as a result of the poor having insurance “primary care increased but use of emergency services fell, and over time total health care costs declined” (Total health care, 2012). When the uninsured needed healthcare regardless of urgency they used the familiar and convenient emergency department which was substantially more expensive...
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...This study determines the possible effects of the Affordable Care Act (ACA) on a large WWAMI (Washington, Wyoming, Alaska, Montana, and Idaho) medical education program which trains primary care health professionals for rural regions. Under the ACA, demand for primary care health professionals increases as more people will get health coverage. Medical schools are accepting more students to satisfy this demand, but there are limits on graduate medical education and residency positions are also limited. This will still result in insufficient supply. The authors examine the impact of ACOs (Accountable Care Organizations) on this program and resulting challenges in the recruitment and retention of health care workforce. The program currently focuses...
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...Hello Ms.Taylor and Ms. Partyka, Thank you so much for the offer to become an IBMer in this Watson Health Analytic Consultant role. I accept this offer and its conditions which were included in the .pdf offer letter through my Career Portal. I am excited to join the team in Chicago and I believe that June 5th, 2018 will be a good starting date for me if possible. The rising cost of healthcare is an issue that has long been addressed through rate review by the Insurance Division. Based on projections of premiums in the State of Hawaii for the next ten to twenty years alone, health care premiums alone will account for over thirty percent of a family of four’s household income. The yearly premium increases consider the total amount an insurer reimburses a medical provider for claims submitted. The purpose of this study is to identify the top healthcare cost drivers by ICD...
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...The National Health and Safety Standards that have not been observed in Betty's care are the following: The Governance for Safety and Quality in Health Service Organisations, The Partnering with Consumers, Preventing and Controlling Healthcare Associated Infections, The Medication Safety, The Clinical Handover, The Preventing Falls and Harm from Falls Standards. The purpose of Standard 1: Governance for Safety and Quality in Health Service Organisations is to establish consolidated managing processes that keep and augment the integrity and quality of patient care resulting in positive patient outcomes. This standard has been breached as this is known as the fundamental standard which outlines all the requirements that determine the successful application of all other NSQHS Standards. This works in collaboration with Standard 2: Partnering with Consumers. Upon Betty's arrival at the Emergency Department, the attending staff failed to...
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...Impact of damaged sterile wrapping on hospitals finances and patient care. Key words: sterile wraps, sterile processing, contaminated surgical instruments. Introduction: Orthopedics relies strict sterilization procedure to prevent infections. A lot of this depends upon the inspection of sterile wraps and detection of damages in the wraps. Even though, there have been studies on detection rates and financial impact of training staff, nothing has been financial impact of damaged wraps and their impact on delivery of patient care. Our study is a novel attempt in this direction, which has a potential to impact the financial and service aspect of health care. Aim: • Our aim was to investigate the incidence of damaged wrappings of sterilized...
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...Chat 1 In this chat we discussed a one of the most vexing problems that California currently has. This problem is to provide high quality public education to all students and especially children in the foster-care system. As we talked about what resources are available for foster students, to achieve academic, academic and development, we have realized that we don’t know much information about available resources. LCAP funding, RTI, counselors or intervention teams are the first resources that came to our minds. We also discussed the confidentiality of the student records and how to identify Foster Youth students at school. Principal’s leadership to deliver this information to teachers will be a helpful step to identify these students without...
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...The following will discuss the background of institutionalized long-term care funding, the reason why there is an emergency, and the individuals that are being affected. Institutionalized long-term care is provided by residential facilities licensed by the state that offer total health care services, such as skilled nursing care, personal care, and rehabilitative services, including room and board to seniors, and individuals with certain disabilities that require specific medical care (Medicaid.gov, 2016). These residential facilities includes, group homes, nursing homes, and assisted living facilities. Americans! Let it be known that nearly a third of our disabled Americans who require institutionalize long-term care are required to pay their own expenses but cannot afford it! The current cost of institutionalized long-term care is over $50,000 per year, and increasing (AARP.org, n.d.). There are no state or federal programs that fund institutionalized long term care for a certain class of individuals. State and Federal programs, such as Medicare and Medicaid lack in funding, thereby these programs need to be reformed. Medicare is a federal health insurance program for individuals 65 or older, and for certain individuals with disabilities, such as End-Stage Renal Disease. Medicare only covers institutionalized long term care for 100...
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...According to the U.S Health and Human Services website, the Affordable Care Act was designed to put the consumer back in charge of their own healthcare through comprehensive health reforms. The goal was to make healthcare more affordable and to provide accessible, higher quality healthcare to families, seniors, businesses, and taxpayers. The program includes those Americans without insurance and those with inadequate coverage on their existing plans. The plan has been also called “Obama Care” as it was enacted under the leadership of President Obama. 1 Medicaid, which currently covers nearly 50 million low-income Americans is a federal/state partnership of which all 50 states participate. Significant variations exist among states, however, they must meet federal minimum requirements. The Affordable Care Act of 2010, expanded Medicaid to all...
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...The breach of duty of the health care providers is defined as the deviation from the standard of practice owed the patient. The inability of the health care provider to deliver an intervention required for the right patient and or the omission medical treatment necessary to eliminate injury. The foreseeability is considered as the anticipated consequences and potential risk to the patient due to an omission and deviation of the standard of practice. The medication error and the fall are two of the most foreseeability incidents in health care setting. The proper assessment of the considerable risk for fall patient and the crucial need of the nurses in identifying the right medication for the right patient can eliminate the potential injury. The causation of the injury and unnecessary suffering occurred to the patient must be proven due to the breach of duty owed to the patient. An example, could be the administration of the wrong medication, wrong dosage to a patient, inability to provide safety and erroneous surgical procedure resulting in damage and injury. The injury caused by the negligence of the health care provider must prove the physical pain and suffering, emotional, psychological and financial constraints for the plaintiff. More so, the financial...
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