...Change Diagnosis Final Course Project HR587, May 2010 Session Table of Contents Executive Summary…………………………………………………………………….…………………… 2 Assessment/Diagnosis………………………………………….……………..………………….. 3 Analysis of the Change Strategy…………………………………………………………………………….…..………… 4 Results/Outcomes………………………………………….……………………,………………. 7 Evaluation of the Effort…………………………………………………………………………………….……….. 9 References………………………………………………………………………...…………….. 13 Appendix A……………………………...…………………………………………………………………. 14 Appendix B……………………………….……………………………………………….……………….. 15 Executive Summary Home Depot was founded in 1978 by Bernie Marcus and Arthur Blank. From the start, associates were able to offer the best customer service in the industry, guiding customers through projects such as laying tile, changing a fill valve or handling a power tool. Not only did store associates undergo rigorous product knowledge training, but they also began offering lessons so customers could learn how to do it themselves. Home Depot is still guided today by those values established by its founders, excellent customer service, taking care of people, entrepreneurial spirit, respect for all people, building strong relationships, doing the right thing, giving back to communities, and creating shareholder value. (Corporate Website, 2003). I will be concentrating on the Human Resource department of the organization. They restructured their HR department by cutting down their HR functions believing that it they could create...
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...Table of Contents 1. Introduction Page 3 2. Change Drivers Page 3 3. Images of Change Page 4 4. Strategic Change Initiative Page 5 5. Strategy and Culture Page 6 6. Getting the Heads Together Page 7 7. Resistance Page 9 8. Back to Work Page 10 9. Getting the Buy In Page 11 10. Resistance – Part 2 Page 13 11. Rolling It Out and Gaining Momentum Page 14 12. Evaluation Page 16 13. What I Took From This Page 17 Appendix A – Old Org Chart Appendix B – Change Memo Appendix C – Promotional Announcement Appendix D – New Org Chart Introduction Brookdale Senior Living (BKD) has been in operations since 1978 and is the largest senior living provider in the nation. (Assisted Living) Operating 565 senior living facilities and employing over 53,600 associates, BKD has positioned itself to grow and to become one of the sought after places to work in the nation. In addition to the facilities, BKD has 3 corporate offices; Nashville, Milwaukee, and Chicago with Milwaukee being the largest of the three. The offices are designated as the support center (Milwaukee), the corporate office (Nashville) and Chicago is just a satellite office that houses the Co-President and other executives. Of all the departments in the company, the IT department is the largest of the corporate departments and is housed in the Milwaukee office, the support center. There are currently over 120 associates in the...
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...MedlinePlus: Diagnosis of parkinsonian syndrome often changesSkip navigation Search Terms Diagnosis of parkinsonian syndrome often changes Reuters Health Friday, November 14, 2008 By Michelle Rizzo NEW YORK (Reuters Health) - The cause of a parkinsonian syndrome is not always clear when the symptoms first appear, and the diagnosis often changes over time, according to a paper in the Journal of Neurology, Neurosurgery, and Psychiatry. Use of rigid criteria does not necessarily help make the diagnosis. Parkinsonian syndrome refers to conditions that have the symptoms of Parkinson's disease, such as tremors, stooped posture, slowness, and shuffling gait. The term is simply used to describe a patient's symptoms; Parkinson's disease may or may not be the actual cause. For instance multiple small strokes can cause a parkinsonian syndrome. "Accurate diagnosis of Parkinson's disease is important both in clinical practice, where it will influence management, and in research, where the validity of findings may be compromised if studies include (different) conditions," Dr. Carl Counsell, of the University of Aberdeen, UK, and colleagues write. The report describes 66 patients who were followed for at least one year after an initial diagnosis of "possible or definite parkinsonian syndrome." After follow-up of around 29 months, the clinical diagnosis had changed in 22 patients (33 percent). Most of the changes (82 percent)...
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...Action Research Model The action research model focuses on planned change as a cyclical process in which initial research about the organization provides information to guide subsequent action. Then the results of the action are assessed to provide further information to guide further action, and so on. This iterative (iterate means to repeat) cycle of research and action involves considerable collaboration among organization members and OD practitioners. It places heavy emphasis on data gathering and diagnosis prior to action planning and implementation, as well as careful evaluation of results after action is taken. Action research is traditionally aimed both at helping specific organizations to implement planned change and at developing more general knowledge that can be applied to other change and settings. Although action research was originally developed to have this dual focus on knowledge, it has been adapted to OD efforts in which the major emphasis is on planned change. Figure 2.1 (B) shows the cyclical phases of planned change as defined by the original research method. The main steps involved are: 1. Entry (Problem identification): This stage usually begins when a key executive in the organization or someone with power and influence senses that the organization has one or more problems that might be solved with the help of an OD practitioner. Contact between the consultant and client is what initiates the entry phase. After the contact, the consultant and...
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...rates for 2014 (no good news here, rates are going down), changes to the hospice quality reporting program, alterations to the cost report, and an update to hospice payment reform options. In addition to these proposed changes, CMS “clarified” a number of coding requirements that has had the industry buzzing. Included in these clarifications is a directive to hospices that non-specific diagnoses such as Debility or Adult Failure to Thrive (AFTT) may no longer be listed as a principle terminal diagnosis on the hospice claim. Claims submitted with these diagnoses would be returned to the provider (RTPd) for a more definitive hospice diagnosis. However, Debility and AFTT can and should be listed on the claim as secondary (related) conditions to support prognosis if indicated. CMS states that disallowing these diagnoses is not a new position, which comes as a surprise to most of us in the industry (otherwise why does CMS’ Medicare Administrative Contractor (MAC), Palmetto GBA, have an LCD guideline for AFTT?). Why is CMS making this clarification now? According to the Proposed Rule, CMS is taking action because of the growing number of patients admitted to hospice with these ill-defined conditions that are inherently symptom syndromes, not actual terminal diagnoses. This is born out by National Hospice and Palliative Care Organization (NHPCO) statistics, listing Debility Unspecified as the leading non-cancer diagnosis in hospice, comprising...
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...replicate the cells with damaged DNA and spread the disease. Cancer cells are able to invade blood and body tissues and travel to different areas in the body where the damaged cells can invade and crowd out healthy tissue (What is Cancer, 2015). This paper will discuss the diagnosis, staging & complications of cancer, treatment options and side effects as well as methods to lessen physical and psychological effects. Diagnosis and Staging Early diagnosis of cancer is the key to early medical intervention and reduction in mortality. Diagnosing cancer can begin as simply as the discussion you have with your physician during a regular checkup. Pertinent medical history as well as family history of disease is important to identify risk factors. Laboratory data analyzing urine, blood and other bodily fluid specimens for high or low values helps in diagnosis of certain cancers. Diagnostic imaging studies looking for abnormal growth or function of body systems can include x-rays, CT scans, MRI, nuclear studies, ultrasound or PET scans. These imaging studies can identify areas of abnormal growth but do not in themselves make the diagnosis of cancer official. In most cases a biopsy is required for a definitive diagnosis. A biopsy is where a specimen of affected tissue is...
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...Commentary essay on increasing trend of ADHD diagnosis Ryan Jarman Grand Canyon University Commentary essay on increasing trend of ADHD diagnosis Beginning in 2011 a sizable increase in the diagnosis of Attention Deficit Hyperactivity Disorder (ADHD) spiked to an all-time high. The diagnosis of ADHD jumped 24% in a four-year period. (CDC, 2013). This trend was observed through by the New York Times by interviewing 76,000 parents by cellphone or direct calls. This raw data was then given to the Center for Disease Control (CDC). The controversy with this fact may be observed as over diagnosis, changes in mental health procedure, or perhaps wrong diagnosis for patients. By treating these numbers as a reality this increased trend may indicate some hope for these patients by better community awareness, better treatment and better outcomes. All of this can lead to better quality of life for those suffering from this mental health issue. With the diagnosis of ADHD on the rise more and more people are aware of it, this does not necessarily mean educated about ADHD. An organization called Children and Adults with Attention Deficit/ Hyperactivity Disorder (CHADD) is a non-profit that focuses on provide information and education and education on their website for the public. They are advocates for appropriate public policies and public recognition in response to the patients and families with these special needs. The program called National Resource Center on ADHD (NRC) sanctioned...
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...Product Transforming the diagnosis of chemical condition Product: a new web based chemical assessment tool Product is a web based application that introduces a new levels of rigour and science in the evaluation of chemical fertility. Developed by the Australian chemical engineering company, Client, the technology incorporated in Product utilises both xx analysis* and xx testing# to develop a comprehensive assessment of chemical condition. Additionally the software generates a chemical condition index for each chemical sample to assist customers and partners to grasp the efficiency of that chemical in accessing and utilising required nutrients to support compound and animal production. Product has been designed and developed as an easy to use and intuitive web based application to facilitate a high level of adoption by field partners and their farming clients as the primary market for this new technology. Product’s diagnosis of a larger range of chemical analytics than traditional chemical assessments is the key point of ...
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...to help people and organizations, including training, coaching, talent management, team-building, change management, and so on are necessary. Organizational development describes a set of values, behavioral science-based theories and strategies to improve organizations. The three major steps in the organizational development process: intervention, evaluation, and diagnosis. Implementation of these steps happens when management believes there are deficiencies in how the organization is functioning. Diagnosis includes collecting information through questionnaires, records, interviews, internal documents, and reports. An intervention takes place after the situations are diagnosed. The intervention techniques consist of the process consultation, team building, third-party intervention, survey feedback, techno structure activities, and skill development. Finally, the evaluation component occurs at the conclusion of the process and must be monitored on a regular basis in organizational development programs for accurate diagnosis. Conditions Certain conditions, which affect the success for organizational change and development are consultants who guide the organization through the change process, top management support, organizational ownership, and general resistance to the change and development process. Through the conditions mentioned, managers determine whether change is needed to enhance effectiveness and determine how effective their organization has been. Managers...
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...Psychological Measurement for Mental Illness Diagnosis Winifred Gordon Southern New Hampshire University Abstract This week assignment we are asked to write a response paper discussing the utility of using psychological measures that are in relations to mental illness diagnosis. With so many changes that are ongoing, there is a movement in the psychology world for the use of psychological measures to further aid in diagnosing mental illnesses and to push for specific measures as part of the diagnostic criteria. In this week paper I will respond to both articles and give my response to my thoughts when it relates to the usage of utility psychological measurements in relations to mental illness. Response Paper: The Usage of Utility Psychological Measurement for Mental Illness Diagnosis “The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) marks the first significant revision of the publication since the DSM-IV in 1994. Changes to the DSM were largely informed by advancements in neuroscience, clinical and public health need, and identified problems with the classification system and criteria put forth” (Regier, Kuhl, and Kupfer, 2013). Because of the new movement in psychology, the requirements of utility usage in psychological measurements, can now help aid with diagnosing mental illness. Alzheimer’s disease (AD) is a form of dementia that causes a change in the brain resulting in the loss of memory, changes the way an individual think, and eventually...
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...Palpation is a method of diagnosis that utilized feeling with finger tips. This method is used to examine areas of the body for soreness, tenderness, temperature, tightness, illness, and disease. Palpation diagnosis can be dated back to the warring state period (402-221 B.C.) is one of four means of diagnosis used in Chinese medicine (east west school). Chinses medicine developed palpation as a tool, but it was the Japanese who further evolve the technique and the medicine. Around the 5th century AD Japan was thought to have been exposed to Chinese medicine through immigrant migrating from china (history of Japanese acupuncture). The first record of Japan being introduced to acupuncture was when a Chinese monk named Zhi Cong; Zhi Cong traveled...
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...Patients Acknowledging Emotional Reactions in Newly-Diagnosed Patients Gary R. McClain, PhD www.JustGotDiagnosed.com Patients react to a medical diagnosis with a range of emotions, including anger, fear, sadness… and a multitude of other emotions, including in some cases, relief. Patients are individuals, with their own unique set of life experiences and their own ways of coping emotionally with stressful situations. Information plays a role in that having an understanding of one’s medical condition, and a sense of the prognosis as well as how treatment and ongoing life management implications. Healthcare professionals are not expected to be psychotherapists or counselors, nor to deliver direct mental health services to their patients. On the contrary, attempting to counsel patients without the benefit of being a trained mental health professional can be harmful to the patient and risky for the untrained professional. However, it is important for healthcare professionals to be able to recognize the emotional reactions of their patients for a variety of reasons. First, patients who are preoccupied with their emotions cannot listen and process information. For example, they can’t hear (they hear but they are not listening) to information about their diagnosis and they can’t ask relevant questions. If the patient’s emotional state is not acknowledged by the healthcare professional, time spent attempting to discuss the facts...
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...Normality of the future: Trend diagnosis for strategic foresight (Liebl 2010) Table of contents 1. Summary of the article 3 2. Analysis of the strength and weakness of the argument 5 2.1 Strengths 5 2.2 Weakness 6 3. Implications for the top management 7 4. Conclusion 8 Appendix A 10 Appendix B 11 1. Summary of the article “In strategy it is important to see distant things as if they were close and to take a distanced view of close things” (Musashi 2009). * This article focuses on trend diagnosis for strategic foresight in its entirety. The author scrutinizes that although trend is an imperative concept in the strategic issue management, the interpretation of trend in strategic foresight is ambiguous. This paper conceptualizes, from a strategic point of view, trend as an innovation (socio-cultural) and elaborate the implications with respect to strategic issue diagnosis. (Liebl 2010) * * * * * The figure above (Liebl 2010) depicts an elaborate framework for conceptualizing trends. The strategic trend diagnosis has to deal with two different aspects of innovation: invention and diffusion. The invention aspect of a trend is identifying “The New” results from a transgression of contextual boundaries whereas the diffusion is a process of normalization (Normality and Abnormality) – i.e., a new socio-cultural practice becomes a social convention and...
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...An Analysis of the Dilemma Before analyzing this dilemma, it is important to distinguish the difference of epileptic and non-epileptic seizures (NES). An epileptic seizure has a sudden onset and is involuntary with a time-limited change in behavior. This includes motor function, autonomic function, sensation, or consciousness and is clearly visible by an abnormal EEG. A psychogenic or NES seizure is a convulsive type of event in which there is an absence of electrographic ictal pattern. Therefore, obtaining an EEG is essential in order to determine an accurate diagnosis (Thompson, Osorio, & Hunter, 2005). The ethical implications of this dilemma are better understood through the use of an ethical decision making model. Burkhardt and Nathaniel (2014) discuss using a five step process, one in which each step can be evaluated as often as needed and adapt to any changes that occur in the situation. These five steps include: articulate the problem, gather data and conflicting moral claims, explore strategies, implement the appropriate strategy, and evaluate the outcome of the action. Articulate the Problem...
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...Instructor: Lyssa Kerrigan August 25, 2014 Introduction Following this introduction I will discuss three differences in the DSM-IV and DSM-5. I will also discuss the role of the DSM-5 in making diagnosis. I will explain why it is used to make these diagnoses. I then will discuss what important questions I would ask a client when conducting a clinical interview. Finally I will explain how I would make a diagnosis using the DSM-5 if I was a counselor and how I would ensure that there is no misdiagnosis. DSM-5 DSM is short for Diagnostic Systems Manual and is used in the psychology field to diagnose mental health disorders. The DSM-5 has many differences than the DSM-IV, many which are additional information on already known disorders and some are new disorders. One such change is the new re-clustering of the Autism disorders now titled as Autism Spectrum Disorders, where as in the DSM-IV it was broken down into many different categories it is all under one category in the DSM-5. The new re-clustering includes attention-deficit/hyperactivity disorder (ADHD) as well. All of these fall under the Neurodevelopmental disorders section of the DSM-5. Another change is that the mental retardation concept was replaced by intellectual disability (Rodriguez-Testal, 2014). Another change is the phrase “general medical condition” in the DSM-IV is replaced with “another medical condition” where relevant across all disorders in the DSM-5 (American Psychiatric Association, 2013). ...
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