...Future Reform Dr. Retta Evans HSA 520: Health Information Systems September 5, 2012 Introduction The 20th century witnessed many truly revolutionary advances in health care. Healthcare reform will be one of the top domestic issues of the political agenda in the next presidential election, making our focus on the changing nature of health care very timely. The roles and responsibilities of all healthcare stakeholders are undergoing transformative change and—whether we approach reform as providers, payers, researchers, health product developers, or consumers—there is much to learn from all who are involved in these collaborative discussions about how to contend with the rapid changes in the healthcare system. This paper will predict the form and function of medical health records in 2030, describe the most likely impediments to health care information access in 2030 and make at least two (2) recommendations to avert those impediments that can be implemented now and discuss the single most significant "health care bake in" that could embed into organizational workflows & the most probable impact it could eventually have. Predict The Form And Function Of Medical Health Records In 2030 The health care industry has seen many innovations and improvements in recent years and this trend will continue because of advances in pharmaceutical products and technology. Electronic Medical Records, called EMRs, constitute a computer-based system for recording, delivering and managing...
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...CHAPTER 2 LAND REFORMS IN INDIA When India got her independence the leaders and the elites of the nation were all talking about the land reforms in India. They did take a stepping stone towards land reforms however it was like a lighting match stick. This vital area has been taking a back seat with actually nothing being done. Land reforms has been half heartedly taken up at various times and this has been a case of the remedy worst than the disease. The Indian Government was committed to land reforms and consequently laws were passed by all the State Governments during the Fifties with the avowed aim of abolishing landlordism, distributing land through imposition of ceilings, protection of tenants and consolidation of land-holdings. One of the significant achievements of these acts was the abolition of absentee landlordism in several parts of India. However, land reforms were half-hearted with regard to the imposition of ceilings and security of tenure. Consequently, the skewness in land distribution was not reduced in any significant manner. Further, a very large number of tenants were actually evicted in the name of self-cultivation. In spite of it, land reforms brought about a significant change in land relations in so far as self-cultivation, rather than absentee landlordism, became a predominant mode of production.[1] The Government of India is aware that agricultural development in India could be achieved only with the reform of India's rural institutional structure...
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...(1890s-1920s) was an age of reform, the nation’s response to the industrial revolution. Its effects touched virtually all Americans and transformed the role of government in American society. Although some areas of American life, namely, racial issues and women's rights, were neglected during the progressive age, the groundwork was laid for future reforms in those areas and others. After reviewing the Progressive Movement of the first two decades, the key principles were Democracy, Municipal Administration, Efficiency, the regulation of large corporations and monopolies, social work, and conservationism. The Progressives failed to achieve all their goals because, despite their efforts, they never fully came to terms with the divisions and conflicts in American society. Again and again, they acknowledged the existence of social disharmony more fully and frankly than had nineteenth-century Americans. Thus progressivism inevitably fell short of its rhetoric and intentions. Lest this seem an unfairly critical evaluation, it is important to recall how terribly ambitious were the stated aims and true goals of the reformers. They missed some of their marks because they sought to do so much. And, despite all their shortcomings, they accomplished an enormous part of what they set out to achieve. No, the first war can't be regarded as a Progressive conflict, that wasn't what the War was about and I would only see it as an impediment for the Progressive Reforms until the rich who had fought...
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...Future Reform Donna Smith Strayer University Future Reform Let’s think ahead. What do we have to look forward to in the form of healthcare? Of course, information systems / technology will be upgraded for survival, but as I researched the predictions of healthcare in 2030, I ran across some intriguing thoughts. Barry H. Ostrowsky from Barnabas Health, West Orange, N.J. stated, “We reached a conclusion a long time ago that if we were going to advance as a health system we would have to have a certain level of information technology, not simply for the advantages that it provides in the practice of medicine but also to ensure the most intimate connectivity among our physicians and between our physicians and our institution.” Barnabas Health is simultaneously connecting its 4,000 doctors, of whom 3,300 are attending physicians. (Birk, 2012, p. 28) The purpose of this paper is to predict the form and function of medical health records in 2030, to describe the most likely impediments to health care information access in 2030, and to discuss the most significant “health care bake in” that could be embedded into organizational workflows and probable impact. 1. Predict the form and function of medical health records in 2030 (provide specific examples to support your response). Predictions of healthcare in 2030 are amazing, to say the least. We could free up scarce physician resources if we empower physician extenders (registered nurses, advanced...
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...Discuss workable solutions to the scourge of corruption and political tribalism in Jamaica. Corruption is by no means an observable fact that is confined to Jamaica alone, it is, nevertheless, considered by many to be the largest single impediment to our country’s ability to attain sustained economic growth and development. According to Rose-Ackerman 2001 corruption is defined as the dishonest behaviour that violates the trust placed in a public official. The behaviour of such unlawful actions occurs in instances when government officials and employees abuse their power for financial or non-financial gain to obtain personal benefits and or political interests for their families, or their social networks. Presently, corruption is a major global concern as there is an abundant of evidence that it has the capacity to undermine democracy, rule of law, as well as to drive fragile and developing countries, like Jamaica who is ranked eighty three (83) on the list of the world most corrupted countries. According to former Contractor General Greg Christie, “corruption has slowly deteriorated the quality of life of many in our society, as it has denied mainly the lower class citizens in Jamaica access to basic things to which they are entitled, such as water, electricity, roads, health care, housing and education.” This is as a result of many government officials not equally distributed the funding garnered to the betterment of its citizens but instead selfishly used it for their...
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...social structures impact positively on the country citizen’s life expectancy and vibrant workmanship which in turn enhance the economic status of the country and relief the social security burden off the country’s welfare system. 2. Community Psychology Community psychology was formalised as a discipline in 1965 however continued to be characterised by the mental health reform movements from its inception in the United States of America with the primary objective to care for the mentally ill. The most three prominent movements were established in the early 1800s to 1960s each movement led to establishment of institutions. As mentioned Seedat, Cloete, & Shochet (1988) that “the mental health model, which has its roots in the community mental health movement is based on the explicit intention to prevent mental illness each of the movement was aimed to treat mental illness” as a societal rather than an individual problem and to foster prevention rather than cure. The models of community psychology allows the discipline to be proactive and holistic towards approaching community impediments, such as the mental health model proactively takes into account the hazardous factors that can affect the social functioning of the community and provide expertise to empower and help community members realise their potential and manage crisis. Whereas the social action model action model aims to promote social activism, political engagement and socio-economic parity through...
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...for a change. On Wednesday I am unveiling the plan that, as president, I will submit to Congress and sign into law as the Reform and Growth Act of 2017. My plan centers on accomplishing three major goals: First, I want to lower taxes and make the tax code simple, fair and clear. It should be easy to understand and make it easy for people to fill out their own tax forms. We will cut individual rates from seven brackets to three: 28%, 25% and 10%. At 28%, the highest tax bracket would return to where it was when President Ronald Reagan signed into law his monumental and successful 1986 tax...
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...has brought some improvements over the immediate past (2005) industrial policy, in particular about the classification of industry and redefinition of industry size in terms of both fixed capital and the employment of labour. This paper, however, expresses some reservations about certain provisions in the proposed policy, for example, those regarding thrust sector and regulated industries, the revival of sick industries, and a guarded approach to divesting public sector enterprises merely for purpose of protecting jobs. The paper attributes the failure of past industrial policies to boost industrial growth to the policy makers’ inability to address the many structural impediments and policy failures that slowed down the pace of industrial activity. The paper expresses optimism that if the structural impediments and policy obstacles that retarded industrial growth in the past were removed, the industrial sector in Bangladesh could be expected to achieve a double-digit growth and come closer to reaching the target of raising the industry sector’s share in GDP to 35-40 percent in the next decade.] I. Introduction Government announced a draft Industrial Policy on 5 September 2010. The Cabinet Committee has already okayed the draft policy, which is now awaiting...
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...another $1.2 trillion on the way this year. On the other hand, the Treasury now has a preponderance of its debt issued in very short-term durations, to take advantage of low short-term interest rates. It must frequently refinance this debt which, when added to the current deficit, means Treasury must raise $4 trillion this year alone. So the debt burden will explode when interest rates go up. The author thought economic theory, empirical studies and historical experience teach that the solutions are the lowest possible tax rates on the broadest base, sufficient to fund the necessary functions of government on balance over the business cycle; sound monetary policy; trade liberalization; spending control and entitlement reform; and regulatory, litigation and education reform. Zhiyu Li Investment Dr. Richard W. Taylor October 10th 2012 World War II Stimulus and the Postwar Boom Despite two years of fiscal and monetary stimulus, the U.S. economy is sagging. During World War II, there was no investment in civilian infrastructure and the government placed severe restrictions on consumption. Today, households carry a much greater relative debt burden than they did in 1929, largely due to a 25-year mortgage binge. Between 1980 and 2007, disposable income grew at 5.9% per year while household indebtedness grew at 8.7% per year—a clearly unsustainable situation. If we wanted to replay the economics of World War II (without the war), it would mean high consumption taxes aimed at the middle...
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...play in a classroom in the public school of Martin Luther King High in New York City. In this diverse setting the students could be characterized as misfits and deviant from societies norm, these students are subject to the No Child Left Behind act. Nilaja Sun uses theatrics to challenge the minds of the students that help make up the statistics of this act. An educator that does not agree with this idea challenges students mind beyond what is expected. "The mark of an educated mind to be able to entertain a thought without accepting it."(Mandela) Nilaja Sun play's a teacher actress that enters the classroom that is faced with various weaknesses and personalities. One of the students named Philip is diagnosed with having a speech impediment. Without foreknowledge Sun has Philip read something only to figure out that Philip has a hard time pronouncing the words. What is interesting at this point, Sun realizes she is put in situations that she was not necessarily ready for. Instead of allowing Phillip to return back to the state of sitting down she has Phillip arise, to then puts Philip through a series of empowering questions that pushes...
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...Against the backdrop of the Ukraine crisis and the military airstrikes in Syria, Russian foreign policy is often seen as unpredictable. Not only was Russian action in both cases swift and unexpected, the scope of the response appeared to be disproportionate to the risk posed to Russia’s national interests. Syria and especially Ukraine appear to be inflection points in the trajectory of Russian foreign policy, representing a shift towards a qualitatively new line of policy. The new configuration is already taking shape. With the shock of Ukraine and Syria now over, predictability is beginning to return to Russian policy, as evidenced by the seven trends below. Trend #1 Russian policy on its western borders will be defensive, not offensive. Contrary to the fears and phobias of Eastern Europe, there will be no military steps against the new NATO members. Air, sea and cyber incidents will happen again. But the threat here is escalation resulting from an accidental collision, not a pre-planned operation. Defense spending in line with “Russian aggression” will no doubt please NATO’s top leaders, but the chances of solving any real problems as a result will be close to zero. We are likely to see a local arms race on both sides and periodic flare-ups in the Baltic-Black Sea region. Military activity on either side of the border will be seen as a provocation and an element of “hybrid warfare.” The two sides will mirror each other in that respect. Trend #2 Any attempt by the West...
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...Waxman-Hatch enabled manufacturers of generic drugs to enter the market more easily, while also greatly reducing their research costs and eliminating the need for lengthy clinical trials. With the passing of the Waxman-Hatch act, competition came from all over the world; jeopardizing Merck’s core revenue stream and driving the need to commercialize new blockbuster drugs. As soon as a patented drug came off of patent, generics would enter the market; greatly reducing the original patented drug’s market share overnight. Generic drugs claimed a greater share of the U.S. prescription drug market, rising from 10% in 1984 to over 36% in 1993. The Waxman-Hatch act changed the rules of competition in the pharmaceutical industry. Health Care Reform...
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...world average is $10,200. As of 2009, Bangladesh had an estimated population of 162,221,000 people. The literacy rate in the country is about 41%. The poverty rate is very high. However, over the years, there has been considerable improvement in the poverty level as well as health and education levels. Over 50% of Bangladesh’s GDP comes from the service sector. Despite this, two-thirds of the country’s population is engaged in agricultural activities, with most of them growing paddy. Bangladesh Economy: Major Constraints Here are some of the major impediments to the growth of Bangladesh’s economy: * Widespread political and bureaucratic corruption * Economic competition relative to the world * Serious overpopulation * Widespread poverty * Frequent cyclones and floods * Political instability * Poor infrastructure * Insufficient power supplies * Slow implementation of economic reforms Bangladesh Economy: Growth Highlights Bangladesh is a member of...
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...6/30/10 The Issue of Taxes The viewpoint on taxes within American society stands to be both a controversial and bittersweet benefit among citizens of the nation. Although taxes help society sustain its stability in all aspects of finances in our economy as a whole; its inaccuracies often leave society members baffled. Paired with the concerns of the system of taxation are key virtues of the system as a whole. The confusion with the issue of income tax was acknowledged by Albert Einstein, a German born physicist, when he expressed that, “The hardest thing in the world to understand is the income tax”. Income tax serves to be a prominent piece of controversy and the primary source of why citizens question whether it’s effective and if there are any alternatives to supplement the process. Like all systems in our nation today, there reside both advantages and disadvantages in the way they are both perceived and carried out. Our national system of taxation secures our basic values and financial stability. For instance, our tax system helps the government as well as protecting the low-class individuals from high taxes. It even tries to have an effective way as they say “distributing the wealth”. Our nations system also helps to protect citizens during time of recession, allowing them to fall into the lower income bracket if their income happens to drop. It also enables a steady income within our government when times of depression become apparent. However, it comes inevitable...
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...studied at Fordham University for two years and then entered the Wharton School of Business at the University of Pennsylvania. While studying there Trump worked for his father's firm, Elizabeth Trump & Son. Upon graduating from Wharton in 1968 with a bachelor's degree in economics, he joined the company, and in 1971 was given control, renaming the company "The Trump Organization". He then went on to build hotels, golf courses, and other properties. He is a major figure in the American business scene. The NBC reality show The Apprentice kicked off his fame, and his three marriages were extensively reported in tabloids. Trump ran for President of the United States once before: In 2000, he conducted an exploratory campaign and won two Reform Party primaries. In June 2015, Trump announced his candidacy for president in the 2016 election, and his campaign for the Republican nomination has drawn widespread media coverage partly due to his controversial statements and policy positions. Free media coverage, contributions and campaign self-financing have enabled him to eschew the super PAC model. He has consistently been the front-runner in public opinion polls for the Republican nomination, running on a populist platform that appeals to the concerns of working-class voters who feel displaced by job losses and other issues. Trump's...
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