...Nursing Sensitive Indicators The American Nurses Association established national initiatives called nursing-sensitive outcome indicators that focus plans/programs to increase quality and safety in patient care. They gauge aspects of direct patient care related to quality of nursing care by reflecting on structure, process and outcomes of nursing care. Structure in regard to staffing and the skill, education and certification of staff; process in regards to measuring aspects of nursing care related to assessment, intervention and RN job satisfaction, and outcomes by improving the rates of specifics in relation to patient outcomes such as in this particular case preventing hospital acquired pressure ulcers, improving patient satisfaction and restraint prevalence. Nursing Sensitive indicators are only specific to nursing and in 1998, ANA developed a National Data base of nursing quality indicators (NDNQI) so they could continue to collect and build on data from studies to expand nursing knowledge related to factors that influence the quality of nursing care. Why is this important? The nursing profession has the responsibility to measure, evaluate and continually improve practice. NDNQI identify where and how the staff is needed and show the need to increase staff in particular areas of nursing care that need improvement. The NDNQI mission is to help the RN in patient safety and quality improvements by providing research based national and comparative data on nursing care...
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...in-game settings - Visibility of aim-circles optimized - Crosshair colors optimized - Version of Artillery crosshair with shell travel time removed - XVM v3.5.0 included with config matching crosshair colors - Artillery and Tank Destroyer angle indicators moved to minimap (XVM) - Clock top left moved to config (XVM) - J1mB0’s logo added as player icon (XVM) 1.22 - World of Tanks v0.8.4 supported - Angle indicator added for Tank Destroyers 1.21 - World of Tanks v0.8.3 supported 1.20 - DebugPanel.swf reintroduced with clock - Font in FragCorrelation.swf fixed 1.19 - World of Tanks v0.8.2 supported - Clock removed - Angle indicator moved to FragCorrelation.swf 1.18 - World of Tanks v0.8.1 supported - Angle indicator for Artillery added - Clock added to DebugPanel 1.17 - World of Tanks v0.8.0 supported - Artillery aiming optimized - Angle indicator for Artillery removed 1.16 - World of Tanks v0.7.5 supported - My logo used as lag indicator - Center marker for Artillery angle indicator added - All sec changed to s 1.15 - World of Tanks v0.7.4 supported - Server side crosshairs removed - Performance optimized - Cassette indicators optimized - Angle indicator for Artillery added 1.14 - World of Tanks v0.7.3 supported - Distance indicators fixed - Design tweaked - Shell travel time added to crosshair_panel_strategic.swf - Max reload...
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...from starting a motor vehicle. Paul R. Marques et al. (1998) states further that The new NHTSA guidelines attempted to differ the preoccupation with accuracy and advocated to key features: a rolling retest and a data recorder. The rolling retest requires operators to retest periodically is or her BAC while the vehicle was running. This feature was included to circumvention such as getting someone else to blow into the interlock, allowing the vehicle to sit idling for long periods to avoid having to restart and retest or using stored air sample to blow into the sampling head of the interlock. Studies by Roth (2007) show that missing a rolling retest not to be a significant predictor of recidivism. The studies conclude the significant indicator was the initial BAC when the individual attempted to start the vehicle. “All variables (gender, age, and BAC>0.16), except test refusal (interpreted in the study as a missing a rolling retest) were significantly related to recidivism.” ( Roth page 348) Paul Marqus, Tippetts, and Voas (2002) in one of the few studies not supported by MADD states that, Two of the key touchstones of science are demonstrating an ability to (1) predict and (2) control human behavior, with out unreasonable restrictions on civil liberties, remains among the more difficult challenges for any scientific or technologically based contribution to social order. Evidence suggests interlock technology is an innovation that succeeds reasonable well in the control...
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...of their duties, approving leave ,conducting staff training and dealing with clients firsthand , caking phone calls making appointments, welcoming clients at reception and informing the stylists of their arrival. Purpose The purpose of their report is to determine whether sajini and Ihara will work successfully together, based on their personality, Interaction and learning styles. They will be working together on a daily basis and so must be compatible in terms of how they interact with one another and also how they plan to run the finance Scope Both Sajini and Ihara completed several personality inductors, It result of which will provides some suggestion as to weather they will be compatible the work environment. They following indicators will be used to ascertain such information . * ------------------------------------------------- Brain tlemisphere * ------------------------------------------------- Interaction styles * ------------------------------------------------- Learning styles * ------------------------------------------------- Personal...
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...Hospital Reimbursement – Differences Between Medicare and BWC The two tables below provide a summary of areas where the Ohio Bureau of Workers’ Compensation (BWC) differs from Medicare for reimbursement of hospital inpatient and outpatient services. Use this document as supplemental material to support Ohio Administrative Code Rule 4123-6-37 Payment .1, of Hospital Inpatient Services, and Rule 4123-6-37 Payment of Hospital Outpatient Services, for the .2, effective dates specified at the beginning of each table. 4123-6-37.1 Payment of Hospital Inpatient Services Effective for Discharge Dates from Feb. 1, 2011, to Jan. 31, 2012 Area Payment adjustment factors Medicare 100 percent of the Medicare rate (Includes both the Medicare portion and the beneficiary portion) BWC • 120 percent of inpatient • • • prospective payment system (IPPS) rate for inliers (non-outlier bills). 180 percent of IPPS rate for outliers Additional 0.25 percent adjustment to restore Medicare’s market basket adjustment Additional 2.9 percent adjustment to restore Medicare’s documentation and coding adjustment Hospital acquired conditions (HACs) provision Reduces IPPS payments when hospitals meet the HAC criteria Excludes the HAC provision Direct graduate medical education per diem (DGME) Does not provide DGME per diem payments under IPPS Provides a per diem add-on payment for DGME for eligible providers Does not reduce IPPS payments Does not apply DGME per diem addon payments to outlier bills...
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...Analysis of the Business Cycle and its Impact on Economic Indicators Olufunmilayo Ogutuga Economics For Managers ECON 550 Professor Saad Khalil December 10, 2011 | | Abstract It is no surprise that the economy of The United States of America is going through a cyclical peak. During the various business cycles, economic indicators revealed how the economy is doing based on gross domestic product, employment, inflation, retails sales etc. This paper would critically examine the business cycle and its implications in terms of higher sales, consumer demands and labor cost. It will also analyze how economic indicators such as Real GDP, Unemployment and Inflation have been impacted by the current and unfortunate economic situation faced in the United States today. Introduction The United States, like many other countries, is experiencing a major change in its economic system; and it is currently coming out of a recessionary business cycle which saw the production of goods and services decline, and unemployment on the rise; but the economy is moving at a snail's pace, easing into a peak. The paper will focus on how to interpret the business cycle and explain the current business cycle in the United States through an in-depth and critical look at the economic indicators. These Economic indicators will reveal the current economic situation...
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...the project is visualised as reports indicators. Therefore the indicator depicts data that is analyzed using a specified process to provide an estimate or evaluation of selected, measurable attributes. For each information need, a candidate indicator or set of indicators are identified.Futher the data elements needed to produce the indicator are identified. After the candidate indicators are identified based on information needs, the availability of the base measures needed to construct the indicator is considered. When the required base measures is not still collected then other base measures could be used to produce the indicator, If producing a candidate indicator is found to be too resource intensive, then alternative indicator would be chosen collected? If not, are they readily available? And if they are not readily available, could other base The PSM process would help to identify the information needed to manage the project successfully. This would inturn help us to know the acquisition project activities and their relation to project goals, objectives, risks, issues and requests for information received. need to know or understand about my acquisition project activities and products as they relate to project goals, objectives, risks, issues and requests for information received from the enterprise level or other external sources measures be used to produce the indicator? If you determine that producing a candidate indicator will be too resource intensive, you...
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...this particular strategic objective. If managers do not understand the strategy or fail to select the right measure, management of the company may be misled by not measuring what needs to be measured. As Kaplan and Norton (1996) indicated, the art of defining the KPIs rests in the performance drivers (leading indicators) that enable the outcome KPIs (lagging indicators) to be achieved. Leading indicators are useful to have as they give the time to influence the outcomes KPI (Eckerson, 2005). There is a third type of KPI that can be selected which is the diagnostic indicator. The diagnostic indicators are not leading or lagging indicators; they measure the health of the operations just like measuring the human temperature that should always be under a certain level. While selecting the leading indicators for a certain outcome KPI, managers should do a brainstorm session to understand what drives the performance of this specific outcome KPI (lagging indicator). Good mix of KPIs should be (1) linked and aligned with strategic objectives and initiatives; (2) covering both strategic and operational metrics; (3) varying between leading, lagging, and diagnostic indicators; (4) balanced through the four different perspectives of the balanced scorecard (BSC) (financial, customer, internal, people and organization). As Eckerson (2006) mentioned, KPIs should be reviewed and updated regularly because they have certain life time and...
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...Submitted by: Group-7 Using differential data for constructing an index which is leading indicator of economy. Decoding the economic data to predict economic health. Leading Indicators of Economic Growth Indian Perspective 1. Introduction Leading Indicator approach is helpful in predicting the health of economy and take corrective fiscal or monetary policy in anticipation. 2. Economic Indicators Leading, Lagging and Coincident indicators confirm what is happening in our economy. Leading Indicator: Predict what the economy will do in the future. Example: hours worked per employee. If the hours are rising, firms should increase hiring. Lagging indicators: confirm what leading indicators predict. Lagging numbers change a few months after the economy does. Example: unemployment rate. It will fall after a few months of economic growth. If the leading indicator of hours worked is increasing, after a few months the lagging indicator of unemployment should fall. Coincident indicators: mirror what the data is saying. It is generally what is happening right now, for example, the jobs report. If a leading indicator is predicting future job gains, a lagging indicator is saying unemployment is falling, a coincident indicator will tell you the current employment number. 3. Business Cycles 3.1 Definition Fluctuations found in the aggregate economic activity. It is cyclical, consisting of expansions followed by recessions, contractions and revivals which merge into the expansion...
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...Levitt Product Purchased and the Economy Economic Indicators “A piece of economic data, usually of macroeconomic scale, it is used by investors to interpret current or future investment possibilities and judge the overall health of an economy” divided in two types, leading and lagging. Leading indicators are those that predict future trends, they are not accurate though, while lagging indicators reflect the historical performances and changes before the economy starts to follow a trend. Inventory Levels is considered a one of the leading economic indicators, meaning that changes in a variable such as business inventories can lead to changes in the future condition of the economy. High inventory levels can reflect two different things: either that demand for inventory is expected to increase or that there is a current lack of demand (Smith, 2015). On the other hand, there is the Consumer Price Index (CPI) a lagging economic indicator that is used to measure the price levels of consumer goods, and reflects inflation. Smith (2015) says “A high rate of inflation may erode the value of the dollar more quickly than the average consumer’s income can compensate. This, thereby, decreases consumer purchasing power, and the average standard of living declines. Moreover, inflation can affect other factors, such as job growth, and can lead to decreases in the employment rate and GDP”. With these economic indicators in mind, supply and demand for consumer durables can be measured...
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...Information not my work Signposts of Development RBM in UNDP: Selecting Indicators Contents What indicators tell us about the wind 1. Introduction 2. Indicators Only Indicate 3. Types of Indicators 4. Qualitative and Quantitative Expressions of Indicators 5. Selecting Indicators 6. Indicators are Practical and Observable 7. A Shared Commitment With Partners 8. Baseline, Target and Timeframe 9. Indicator Data Collection 10. Conclusion Figures 1. Assessing performance along results 2. School enrolment as an indicator of access to education Tables 1. Examples of outcomes and outcome indicators 2. Indicators according to relationship between output, outcome and impact 3. Examples of output and outcome indicator scales 4. Qualitative observation of advocacy and upstream policy results 5. Selection criteria for indicators 6. Sample indicator monitoring plan What indicators tell us about the wind Who has seen the wind? Neither you nor I. But where the trees bow down their heads, The wind is passing by. – The Wind, Christina Rosetti, 1830-1894 If we want to know if the wind is blowing, the bowing treetops are a good indicator. That the treetops are bending may tell us many different things: the coming of a change in seasons; that it is a good day for children to fly kites; or that bird nests may fall down. What it tells us depends on who we are and what we want to know...
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...holistic approach. BSC was initially introduced by Kaplan and Norton (1992) to overcome the incompleteness of traditional measures which focuses on lagging indicators, especially financial indicators such as Return on Equity (ROE) and Return on Investment (ROI). BSC has progressed from being a measurement tool to a management tool, and currently is an icon of strategic performance management tool (Brudan, 2010). The four perspectives BSC proposes four different perspectives in the co-ordination of the entire organization’s activities in present and future situations (Kaplan and Norton, 1992; Parmenter, 2010). 1. Learning and growth perspective identifies the excellence competencies (e.g.: human capital, information capital, organizational capital) that an organization must possess in order to enjoy value creation. 2. Internal perspective focuses on the organization’s internal operations, allowing managers to assess their business efficiency. 3. Customers’ perspective identifies customers’ leading indicators such as customer satisfaction and brand recognition in order to ensure strong customer loyalty. 4. Financial perspective, which complements the other perspectives, evaluates the organization’s profitability using tools such as the ROI and the EVA. Using a combination of leading and lagging indicators, BSC has the advantage of giving a complete snapshot of a firm’s performance. BSC was introduced to counter the weaknesses found in the traditional measures...
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...Rose Petal pH Indicator Strip II – Proponents Jhed Angelo Nemuel Parcon Princess Hope Delos Reyes Jalel Pasbal Maureen Suganob Nel Joshua Turaray Laureen Suganob Reed Elcen Lumbay II – Objective This project aims to produce a pH indicator strip made from rose petals. The researchers want know if the rose flower is an effective acid-base indicator and if it would be precise when used to identify the pH levels of household items. III – Introduction Normally, pH indicator strips such as litmus paper are the ones used in indicating the pH level of a substance. pH is the measure of the acidity or alkalinity of a solution, numerically equal to 7 for neutral solutions, increasing with increasing alkalinity and decreasing with increasing acidity. Acidic and basic are two extremes that defines chemicals. The pH scale measures how acidic or basic a substance is. It ranges from 0 to 14. A pH of 7 is neutral. A pH less than 7 is acidic, and a pH greater than 7 is basic. Each whole pH value below 7 is ten times more acidic than the next higher value. For example, a pH of 4 is ten times more acidic than a pH of 5 and 100 times (10 times 10) more acidic than a pH of 6. The same holds true for pH values above 7, each of which is ten times more alkaline—another way to say basic—than the next lower whole value. For example, a pH of 10 is ten times more alkaline than a pH of 9. (http://www.epa.gov) Roses are woody perennial shrubs or vines of the genus Rosa, within the family...
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...Total volume of HCl used (cm3) 29.30 29.10 29.50 Average volume of HCl required for titration =(29.30+29.10+29.50)/3 cm3 = 29.30 cm3 Titration 2 Titration number 1 2 3 Initial volume of burette( cm3) 4.50 14.00 2.70 Final volume of burette (cm3) 25.00 21.70 22.80 Total volume of HCl used (cm3) 20.50 20.30 20.10 Average volume of HCl required for titration =(20.50+20.30+20.10)/3 cm3 = 20.30 cm3 Part B Titration number Rough 1 2 3 Initial volume of burette( cm3) 4.9 4.80 3.60 2.20 Final volume of burette (cm3) 28.3 28.90 27.70 26.20 Total volume of HCl used until phenolphthalein decolourised (cm3) , x 23.4 24.10 24.10 24.00 Initial volume of burette after adding methyl orange indicator ( cm3) 28.3 28.90 27.70 26.20 Final volume of burette (cm3) 34.1 33.40 32.10 30.70 Total volume of HCl used until phenolphthalein decolourised (cm3) , y 5.8 4.50 4.40 4.50 Average volume of HCl required to react with Na2CO3 (2y) =2(4.50+4.40+4.50)/3 cm3 = 2(4.4667) cm3 =8.9333 cm3 Average volume of HCl required to react with NaOH (x-y) =(24.10+24.10+24.00)/3 -4.4667 cm3 = (24.0667– 4.4667) cm3 = 19.60 cm3 Question 1. Calculate the respective concentration of Na2CO3 and NaOH in the sample solution. From part A, Average of HCl required for titration 1 is actually the amount of HCl needed to react with Na2CO3 and NaOH. Average of HCl...
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...Assessment of synthetic milk exposure to children of selected population in Uttar Pradesh, India Shuchi R. Bhatt1, Dr. Anita Singh2 and S. M. Bhatt3 (Abstract) The present study was carried out keeping in view the recently emerging concern of the adulteration of the natural milk with the synthetic milk. Synthetic milk is prepared by emulsifying vegetable oils with appropriate amount of detergent and urea. Samples of the natural milk with synthetic milk were analyzed for concentration of urea and detergent and their effect is assayed through survey in different population in Uttar Pradesh, India. Children’s had different range of intake of milk. Children of age group 1-5 years consumes about 50-250 mg of milk daily, while of age group 6-18 years of children consumes about 250-1000 ml milk/day and children’s of age group 19-22 consumes milk about 500-1000 ml milk /day. Addition of synthetic milk is on large scale in Meerut district of U.P. and mostly urea in such milk creating huge problem of headache, eyesight and diarrhea in children. Keywords: Milk adulteration; Synthetic milk, detection, urea 1. Research Scholar, Faculty of H.Sc, Sri. A.K.A.P.G. Collage Varanasi. 2. Head, Department of Food & Nutrition, Sri. Agrasen Kanya Autonomous P.G. College. Parmanandpur, Varanasi. 3. School of Biochemical Engineering, Institule of Technology B.H.U. Varanasi. Corresponding Author Email: sheel_bhu@yahoo.co.in 1 Introduction Liquid milk is an essential nutritional food for infants...
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