Lester Electronics Gap Analysis Essay Example | Topics and Well Written Essays - 1500 words

Lester Electronics Gap Analysis - Essay Example The process of merger is set in motion by Shang-wa CEO John Lin, as he thinks that the merger will give his company a much needed secured future. On the other hand, Lester Electronics CEO Bernard Lester feels that the merger will prevent future revenue losses. These merger plans were initiated by the actions of two other companies, Transnational Electronics and Avral Electronics, who try to take over Shang-wa and Lester Electronics respectively. But, if the merger plans between Lester and Shang-wa gets actualized it will nullify the other two companies take over bid. Along with that advantage, the merger will also create a lot of opportunities and bring in profits. But, even with all the opportunities, there exist some financial issues or threats that will cause the merger to fail. So, the correct decision has to be taken after analyzing the key financial issues, with the involvement of all the key people and departments, including the accounts department and its head Anne Lorale. â €Å"Good decision-making starts from the right place† (Paul & Elder, 2006 In the scenario, the merger of Lester and Shang-wa could spring up many issues particularly in the financial sector. Normally, in times of merger between two companies existing in different countries, the financial issues have to be dealt firstly, to make the merger a success. So, Shang-wa’s balance sheet and incomes statement has to be properly analyzed by Anne Lorale and her team, before going with the merger. As the income statements will clearly gauge the financial performance of a company over a specific period of time, it will surely aid Lester to grasp the financial condition as well as the value of economic assets of Shang wa. From the analysis of the financial statements, it is clear that the merger of Shang wa and Lester would lead to a low debt to equity ratio, increasing the chances of bankruptcy in the long run. The other issue that will arise in

Final Marketing Plan Presentation Essay Example for Free

Final Marketing Plan Presentation Essay The Allstate Corporation is the largest publicly held personal lines property and casualty insurer in America. Allstate provides insurance products to approximately 16 million households. Allstate was founded in 1931 and became a publicly traded company in 1993. Listed on the New York Stock Exchange under the trading symbol ALL and widely known through the â€Å"You’re In Good Hands With Allstate ®Ã¢â‚¬  slogan. (Suite 101, 2013). Being such a large provider of consumer protection takes hard work and dedication from every individual in the company to provide consumers with the highest level of customer service. While Allstate was trying unsuccessfully to diversify, rivals were revolutionizing the auto insurance business, which Allstate still counts on for most of its sales. Auto premiums generated 55% of its $31.4 billion in revenue last year.Geico and Progressive Corp. found a new formula for growth in the relatively mature business. They crafted a lower-cost model combining direct sales over the Internet and telephone with heavy television advertising. Offering lower prices and more convenience, they grew rapidly at the expense of Allstate and other insurers that sell mostly through agents.Allstates second-place share of the auto insurance market fell to 10.4% from 11.3% over the past five years, while Chevy Chase, Md.-based Geico jumped two points to 8.7% and Progressive climbed to 7.9 %( Suite 101, 2013). State Farm Insurance the largest car and home insurer in the U.S. and a mutual company owned by its policyholders consistently rated better for claims handling and service than Allstate. The claims department of Allstate has some of the most critical interaction with the consumers because it is during a time of need. Consumers contact the claims department when they have suffered a loss to establish a claim. The claims adjuster has the responsibility of obtaining claim pertinent information from the consumer to effectively evaluate the loss. At Allstate Insurance claims departments are separated according to customer needs. Large claims offices known as Market Claim Offices, MCO, are strategically located to provide adequate coverage across the nation. A Market Claim Office presides over a few states or an individual state depending on claim volume and consumer coverage. Allstate has specialized offices that handle claims for the entire nation but only if they meet certain criteria. The Hudson Express Office out of Hudson, Ohio is an office with a focus on handling claims with a reduced cycle time or the  time from claim submission to claim settlement. A starting to examine the external factors impacting customer expectations, which may or may not be off-kilter with necessary protocols and the terms of coverage insurance in general, is the medias unflattering portrayal of the industry; especially in light of post Katrina claim controversies and litigation. Aside from merely being a nuisance, the media also contribute to customer apprehension, which invariably affects the entire claim experience, starting with the initial exchange. Customer leeriness combated, comfort level enhanced easily by treating the customer and the claim with care and speed. To meet this reduced cycle time the Hudson Express Office only handles smaller claims with a total loss under $10,000. Everything within the Hudson Express Office is completely in house with no need for outside adjusters. A challenge area that arises because there are no outside adjusters is to efficiently write an estimate for structure damages and example of this comes from a customer’s review: (Five Weeks and Still Waiting, Jan 18 2013)†. I was broadsided by a driver who didnt stop at a stop sign at a 4 way intersection. My car was left un-drivable. She didnt have her insurance card with her. After a lot of investigating I found out who her insurance company was and called them myself. They told me an adjuster would be out to look at my car. No one showed up. I have called every day since. I have been told that as soon as they receive the police report and accept liability, they will put me in a rental car. It has been almost 5 weeks!† Description of the new product of service Allstate aims to compete more effectively with Geico and Progressive on their turf. After a successful four state pilot of the new Claim Satisfaction Guarantee for auto insurance across the country. Will Shorten claim cycle time ultimately results in higher customer satisfaction because the consumer can resume life as usual sooner rather than later. Allstate Insurance has implemented a new web-based customer service center to in able consumers to provide claim pertinent information via their computer through the use of the customer website. Consumers are able to enter file notes into the claim as well as submit a list of stolen or damaged items through the customer website that can be instantly attached to the claim. An opportunity area for decreased cycle time is with regard to property estimates. An in house  estimating system is utilized by inside adjusters to create a preliminary damage estimate. For smaller less complicated damage areas a web based estimating system would allow consumers to generate their own estimates. A simple web page can include multiple selections for damage areas including fences, doors, and windows. Once a damage area has been selected, multiple choice questions would allow consumers to describe the damaged area as well as the style and material the damaged area. If a consumer does not know the material or style, a default or average style and material would allow an initial estimate to be completed. Once the consumer receives an estimate or invoice from a contractor to complete the work, the claims department can review it for validity and issue any supplemental damages incurred. On simple claims, a consumer could file and settle a claim online without waiting for a call from a claims department representative significantly decreasing claim cycle time. SWOT Analysis The idea of developing a page on an insurance claim and being able to submit your complaint and receiving an instant response sounds great; Allstate needs to ensure that claims are being handled in a way in which will not create the webpage to become overloaded, it has to be user friendly and appropriate for any age group .Other considerations include the cost effectives of this type of service and how it will benefit the consumer and profitably for the brand.New automation also lists the opportunity in cost saving measures such as employee down sizing. Other key item to consider when marketing this type of service can be Advertisement on social media, newspapers,word of mouth, Blogs etc†¦ which are all great ways of promoting the new product and it also provides an opportunity to identify other forms of the same productoffered by the competitor. Target market including geographic Target market is middle market emerging affluent and mass affluent consumers with retirement and family financial protection needs. Priority status at the network repair shops and with our Service Centers. saving time and effort by having Allstate manage the entire repair process. Using the online system with real time updates to electronically monitor your vehicle at the repair shop. Progression updates are given on repairs so you can  spend time doing other things. working to minimize the repair time, which means a quicker reunion with your car. Quality factors including the quality of repairs, Guaranteeing repairs for as long as you own or lease the vehicle is one market point. If a policyholder has a burning question about a claim at 2 a.m., they are able log in to the online service site at any time to check the status of the claim. Porters five competitive forces model Allstates Consumer Segmentation Strategy When purchasing insurance or any other product or service, consumers have more choices than ever before and they know it. But decision making power is not in the customers hands alone. A company can build tremendous customer loyalty over time by making it a top priority to understand and meet its customers needs. As a result, Allstate will continue to refine its product offerings, marketing outreach and customer service based on careful research. Allstate serves four different consumer segments with distinct interaction preferences (advice and assistance versus self-directed) and brand preferences (brand-neutral versus brand-sensitive). Marketing research is an approach conducted to evaluate particular strategies.As well as the tactics used toward the web-based estimating system. The marketing research will help to connect with the consumers to analyze what is needed to research opportunities and evaluate marketing actions. This will also help to prevent uncertainties for the new service provided. The market research will allow the chance to determine how well the system is working. The competitive intelligence will help to identify what competitors are doing and how Allstate can differentiate service to gain customer loyalty. Marketing research will aid in developing a strategy that will increase the satisfaction of our new product of service. Allstate is working to provide quality service and conveniences. Therefore, the quantitative research will touch base on many incentives needed to process the claims. Other approaches will involve the act of identifying any other areas of concern. In which could relate to technical issues and a collection of data needed to estimate totals. The marketing research approach described will enhance the quality and promotion for Allstate’s new web-based system. The overall marketing plan should ensure the quality of each area of the  product and should provide the opportunity for clients to get on the site with hassle free problems and get the service that each individual needs. The mission should be to provide the best customer services and to ensure that the client gets what is needed in the end. Positioning statement Our Shared Vision provides the â€Å"why, how and what† behind everything we do at Allstate. It provides the road map for our continued success. Through this vision, we will truly put the customer at the center of everything we do (Allstate, 2013). We will become an even more valuable company to our customers, associates, investors, our communities and society a company with strong earnings potential and financial performance that sets the benchmark for our industry. We are the Good Hands: We help customers realize their hopes and dreams by providing the best products and services to protect them from lifes uncertainties and prepare them for the future. Deliver substantially more value than the competition by reinventing protection and retirement to improve customers lives. Put the customer at the center of all our actions. Utilize consumer insights, data and technology to serve customers and generate growth and attractive economic returns. Take an enterprise view of our people and processes and work as a single team to advance Allstate rather than our individual interests. Strategy and Position Description An automated online estimating system needs to be easy to understand and easy to use. The first element to the estimating tool is it needs to be easy to understand as well as aesthetically pleasing. When a customer logs on to his or her internet profile the option to choose an action needs to include selecting an existing claim on the insurance policy. Once the claim has been chosen, there will be a selection for estimating system. When the estimating system is chosen, the customer will be prompted regarding the damages he or she has sustained. For example, a customer was a victim of a recent theft loss where the front door was kicked in. The customer will select the damage option for entry door which will lead to a chain of questions regarding the  door. Options for the door will include material in which the door is made such as wood, metal, or fiberglass and whether or not the door is painted. Next, the customer will indicate the size of the door, if the customer does not know how to measure a door there will be a help icon that will advise the proper ways to measure a door. Style is another important factor in the cost of entry doors, options such as flush, panel, French, or security are the most common doors available. The next area of focus will include the damage sustained, whether the door, frame, or both are damaged will determine the proper repairs. The last area of concern for an initial estimate is whether the hardware is damaged and what type of hardware the customer currently has. When all of the information has been entered the estimating system will automatically construct an estimate for the removal and replacement of damaged property as well as the disposal of any debris. When the estimate is finished a disclaimer will be needed to inform the customer that the estimate is only a preliminary estimate and if any discrepancies arise when a contractor has seen the damage to inform the claims department for a review of the estimate. Since claims are being filed online, the movement on this is a little quicker. First of all, it reaches the company faster. The need to have the customer come in and get the information then in-putting it into the computer and have it looked at by the investigating agent, then processed, prepared for payment (if need be). Instead, you are cutting out the getting information process, and the inputting it into the computer by the agent. Instead you call or go online and put the information yourself and then let it get processed and then get paid. The affect it has on the movement is that it gets through quicker, you get faster response time from the company, and you get as accurate information as possible. The life cycle in a sense lasts shorter. Instead of taking a few weeks (possibly), it could take up to a week or less. So the life cycle in this case is a shorter one, which is good much better for the company overall. The only downside to this is that even though you get pretty accurate information, you then need to process it into insurance terminology so to speak, in which case you have an agent process the information. It’s also a good thing, because the agent is proof reading it so to speak to make sure that the information posted or given is  correct, and is process correctly, and is given to the proper division within the company. It’s sort of a backup plan and a much needed help for the customer who really has little to no knowledge on how insurance claims work. So overall, it is a faster and easier process which is set up to help the customer, and speed up the process to get claims paid quicker. Over time, while it does become easier, eventually other companies will begin to do this as well, and people will switch to whoever is cheaper. Service Packaging Packaging is not needed for our products or services. Instead we are offering our customers an easier way to file insurance claims. Normally a client would have to call in to the hot line number in order to file a claim. Once the operator answers then the client is expected to listen to numerous options and select which one applies to their personal needs at that moment. This process can be time consuming and aggravating depending on how many clients the customer service representatives the operators are assisting. The next step would be to explain the situation to the operator and wait for them to file the claim for the person. The on line website will be a fast working, easy to navigate website. There is nothing more aggravating then trying to complete information on a website that is slow and takes a long time to accept information. With technological advances, being able to file on line may be more convenient for those who do not have time to call the hot line and file claims. Clients will be able to access the website from laptops, cell phones, iPad, or any other media devices that allow access to the internet. Add value because it will be less time consuming for customers, if a follow-up is needed then the information may be easier to retrieve due to the pre-online registration. With every question there will be a detailed explanation of what information is required for that particular question. The question and additional information will be explained thoroughly to customers without them having to wait on hold in the phone for long periods of time just to speak with a live operator. This will add value to the customers in three ways. The online website will save time. Allow customers to have a more hands-on experience with the editing of claim information. Product Life Cycle Over the lifecycle of a product, a companys differentiation and positioning strategy would need to change as the market, competitors, and product change. When we say that a product has a life cycle we assert four things; Products have a limited life, Product sales pass through district stages, each posing different challenges, opportunities and problems to the seller, Profits rise and fall at different stages of the product lifecycle, and Products require different marketing, financial, manufacturing, purchasing, and human resource strategies in each life cycle stages (Product Life Cycle | Stages and Limitations of Product Life Cycle (PLC), 2014, p. 1). Product life cycle (PLC) deals with the life of the product in the market with respect to business or commercial cost and sales measures (Product Life Cycle | Stages and Limitations of Product Life Cycle (PLC), 2014, p. 1). There are five stages of each product lifecycle: product development, introduction, growth, maturity, and declin e (Product Life Cycle | Stages and Limitations of Product Life Cycle (PLC), 2014, p. 1). During the introduction stage, Allstate will be launched into the market. Sales grow slowly in this time, and informative advertising is done (Dinesh Bakshi, n.d.). Many firms do not earn profits in this stage. There wouldnt be much price skimming because our product is not a new invention and does have competitors. Due to the amount of competitors in the insurance market, competitive pricing is used. Sales rapidly grow during the growth stage, so we use persuasive advertising to gain customers. Competition is stiff at times prices may be reduced to stay a top competitor. Even though competition may be stiff, firms start to earn more profits in this stage. Our sales increase slowly and the highest figures are reached during the maturity stage of the product cycle. Since competition is at its max level, it would be in Allstates best interest to implement promotional pricing. Our profits are also at their highest level. We use competitive advertising to attract and retain our customers (Market Force, 2005-2014). Next we enter the decline stage where sales and profits decrease. During this stage, we must determine if the decline is temporary or permanent by conducting marketing research. Production may be stopped if the decline is considered to be permanent. If the decline is temporary, extension strategies are  implemented. The extension stage comes into play to come back from the decline. Original products may be reintroduced in other variations by changing the design, starting a new advertising campaign, and more (Dinesh Bakshi, n.d.). Pricing The price strategy of the web based system. The primary goal is to assure that this meets the needs of our loyal customers and anticipated customers. Moreover the pricing of our new web based system is an essential part of the marketing piece. Indeed this product of service can be very successful through proper indications of the pros and cons. Other price strategies could relate to what new services are provided by our competitor’s. However, researching the value, quality and conveniences of the product of service is essential. Pricing strategies with our new service can work to help gain satisfaction from the customers. Consequently, if the market research is not implemented correctly; this can work against the organizations overall plan. Contingency plans will also help the guide the new product in the process of service. Most of all pricing factors outline important steps of the web based system. In which will differentiate us from other insurance organizations such as Sta te farm. Furthermore one of all states insurance pricing strategies would involve a small fee. This fee will be deducted from the insurance holders policy every month or every six monthly. The web based system will be done as a package deal. Therefore customers will have the option to participate or not. The new product of service will also be explained to every customer .As well as step by step instructions to give a better understanding of how to use the system. Ultimately the use of the system operates to have claims estimates completed in a timely manner. Customers immediately have an opportunity of seeing the breakdown of damages and cost online. Overall the web based systems pricing is a concern that customer will have a choice to speed the process of with their claim .Although there are some people who may prefer to wait to speak with a claims adjuster. Most of all the new product of service will eliminate many problems with the process of claims. Customers will have an opportunity to view their own claims, and get a compete estimate without waiting for a call back from a claims adjuster. Although  this is a preliminary estimate of the claim, this is a positioning factor that gives Allstate’s customers satisfaction. Pricing figures are major factors towards marketing as well as the competitors. Promotional Strategy Allstate has several online competitors (Progressive, eSurance and Geico) that equate themselves as easy and fast. One of Progressives main thing is price match, which allows consumers to compare rates without providing too much personal information. Many people are reluctant to participate in many online services such as this because they think they will bombarded with spam and other marketing tactics. Generally, customer just a roundabout amount of what they would have to pay for car insurance based on their specific coverage needs. Allstate has identified this problem and created an innovative solution. First and foremost, Allstate designed a new way for customers to shop for quotes and have them delivered. According to Marketing Edge (2014), quotes would be delivered anonymously (no personal information required), fast and easy, helpful (accurate), contemporary, and intuitive (para. 4). Allstate needed to spread the word on this innovation, and the best way was to implement a campaign. This campaign included banner ads online and other tools designed to focus on online shoppers. Allstate needed to market themselves differently than their competition in order to stand out, excite consumers, and provoke attention. According to Marketing Edge (2014), The new anonymous quote tool was the centerpiece of the program. Once it went live on the www.allstate.com site, DRTV, paid search, and online advertising campaigns were implemented in order to drive traffic to it. The DRTV campaign used a unique URL, getallstate.com for tracking purposes. Online banner ads linked directly to the site so visitors could be tracked through initiation and completion of a quote. The Program Objective: Develop and market a category-unique online shopping/quoting tool and introduce it to consumers in a way that cost-effectively invites greater shopping/quoting in the direct channel (para. 7). This creative strategy had continued to allow online shoppers the freedom  and convenience to stay anonymous. Customers do not even have to provide their name to receive a quote (estimate). There is no application to feel out and no surveys to take. All of the other necessary information is gather by simply inputting your zip code. There are helpful tools strategically placed to assist customers, and the web site design is contemporary but not too flashy. According to Marketing Edge (2014), Based on their information, shoppers are presented with an array of estimates in a matrix that allows them to compare different features and levels of coverage that meet their unique needs. And it provides a price for each option. The tool demonstrates throughout the ease with which consumers can obtain the customized price and coverage information they want (para. 10). Professional Selling Effort In order to market the new automated system for making claims, Allstate needs to express to the customers exactly how beneficial it will be to them. The best approach would be to build the value to the customer. They would have to show the customer exactly how it would benefit them to manage their claims online rather than deal with a claims adjuster right from the get go. Several people will find it convenient to be able to fill out the accident forms right from their mobile device, like their smart phone or tablet, while others will not be so prone to using technology as they are not technologically advanced. We will show the customers not to be afraid of the new systems, and that they are a benefit, not a burden. Initial Budget The budget is a financial plan for Allstate that quantifies the resource allocation plan for the years to come. To start, Allstate would have to create a specific amount, generated from how many people are going to be monitoring the online claims, and how many hours those individuals are going to be putting in. A sum of $208,000 will needed for ten individuals needed for the new system, all set at 40 hours per week and being paid $10 per hour. Allstate will have to create a budget for the person or company putting together the mainframe for putting together the portal for online claims, and setting up the website. Allstate will have to keep in mind that it is going to be a process to put this together and a lot of storage is going to be needed for their clientele. Generally, websites and web design  are going to cost Allstate anywhere from $1,000 t $2,500. Allstate will create jobs for this new system, and they will have to advertise or promote within in order to fill those jobs, b ut this will be very minimal cost to Allstate. The company expects to have a gross profit in the first year of $250,000-$500,000 due to the amount of claims that are not going to need claims adjuster to visit sites to assess the damage personally. The targeted output rate is 1,000,000, and with the average of 86% of all applicants that start the claim online actually finish it, that leaves 860,000 people that use the online claims and pricing. Allstate does not expect any losses with the new market plan. Success Plan Measurement There are several ways to measure the success of Allstates marketing plan. For Allstate to accurately measure their success plan they must start with the end in mind (Dyke, 2014). One of the first things to do is ask why the project began and what the goals are. Companies cannot lose sight of why they started something. Once that drive is lost the campaign goes under and the company is next. Numbers do not lie, so if the marketing plan is working it will show in revenue. Dyke (2014), Measure success on your marketing program’s ability to meet the needs or desired outcomes of an objective. Remember your business planning here – start with setting your goals, list objectives that meet these goals and then identify tactics that will achieve your objectives. The best objectives are SMART (specific, measurable, achievable, realistic and tangible) (para. 13). To start tracking progress and success, Allstate must determine who their audience is. having a newsletter can be the turning point for a business. You can see which articles have the most readers and track statistics. Dyke 2014, Begin to gather intelligence around the reader’s interest in the topic, taking the newsletter from a passive strategy to an interactive strategy, and one that can be measured. At the bottom of each online article, give readers several options. They can comment or ask questions, request that a lawyer call them, request a white paper or a helpful form or  checklist you’ve developed, or they can register for topical events. Remember, your responsiveness to requests is critical in developing relationships (para. 20). Next, reducing that amount spent on proposals and pitches will help to increase rates in other areas. get to know clients rather than just what they think they want. Allstate must stay one step ahead of the competition to succeed. Many say the perception is reality, so it is imperative to know exactly what Allstates clients think about them. This can be done by implementing satisfaction surveys for the clients to ensure all their needs are met. All threats or problems acknowledged or revealed by the client must be handled swiftly. Allstate must market for the sake of revenue, not for the sake of marketing – and take the momentum of your success and apply throughout all your marketing initiatives (Media coverage: grabbing the bull horn). Ethical Issues Reference Dinesh Bakshi. (n.d.). Retrieved from http://www.dineshbakshi.com/igcse-business-studies/marketing/revision-notes/814-product-life-cycle Dyke, S.V. (2014). CBA Practice Link. Retrieved from http://www.cba.org/cba/practicelink/mt/measureefforts.aspx http://www allstate.com/claims/report- Insure Me. (1993-2014). Retrieved from http://www.insureme.com/insurance-agent/marketing-tips Market Force. (2005-2014). Retrieved from http://uk.marketforce.com/price-checking/ Marketing Edge. (2014). Retrieved from http://www.marketingedge.org/marketing-programs/collegiate-echo/challenge-history/dma-international-echo-showcase/winner-allstate Perreault, W. D., Cannon, J. P., McCarthy, E. J. (2009). Basic Marketing. A marketing Product Life Cycle | Stages and Limitations of Product Life Cycle (PLC) . (2014, Summer). Textile Learner, (1), 1. Retrieved from http://textilelearner.blogspot.com/2013/12/product-life-cycle-stages-and.html Strategy Planning Approach. (17th ed.). New York, NY: McGraw-Hill Company

Reflection on Intramuscular Injections

Reflection on Intramuscular Injections Introduction This paper particularly focuses on my experience of learning from reflection on giving intramuscular (IM) injections, using Gibbss (1988) reflective model. I demonstrate how practice anxiety, as a student nurse, can be dealt with through effective mentoring. I chose the seminal theory of Gibbs reflection on practice, as it illustrates six significant stages; description, feelings, evaluation, analysis of the incident, conclusion and an action plan Ghaye and Lillyman (1997). Gibbs cycle is used throughout the process of reflecting on the incident to help me make sense of my practice and understand what l could do differently to enhance good practice. I use my experience from a placement simulation as I could not be on actual placement due to unforeseen circumstances. Reflection is a process through which healthcare practitioners and students can learn from experience and use the knowledge to inform and improve practice Schon, (1983). The ability to reflect on ones actions is particularly imperative in clinical practice and discourse. As Jarvis (1992) asserted, there is no consensus on the definition of reflection as it is a broad concept. Reid (1993, p305.) define reflection as; a course of action reviewing an occurrence of practice to describe, analyse, evaluate and so inform learning about practice Schon (1983) identified two types of reflection which are; reflection in action, which takes place during the event where the practitioner may not be aware that it is happening and reflection on action, which takes place after the event. Jasper (2003) concluded upon the vitality of reflecting on action, as it transforms experience into knowledge which enhances good clinical practice. Description During my first placement simulation, I practised giving intramuscular injection, is the best tolerated form or injection, and the safest way of injecting medication into a patient Shepherd, (2002). Within the first week of my placement simulation, I was offered the opportunity to practise administering an injection on a dummy. However, as a student, I was cautious and anxious, feeling that I was not competent enough. I discussed my concerns with the lecturer who was empathetic and helped formulate a plan to conquer my doubts. The plan involved a step-by-step conversation of the procedure of administering intramuscular medication, preparing the medication on numerous occasions and practising the injection technique on a dummy. Throughout these stages I was given the opportunity to discuss any questions, feelings or concerns that arose. Once confident enough to do so, under the supervision of the lecturer, I administered an IM injection to a dummy. I recorded my intervention in a refl ective journal. After giving the injection, I was given feedback and the opportunity to discuss my feelings which was valuable and of significance. Feelings As a novice, I never really enjoy giving injections, but after my second practise, good compliments from colleagues and lecturer my confidence increased. Most importantly, l kept thinking, if l gave the injection to an unwilling patient, how awful would I feel? I reminded myself, ethically, what is it like to carry out a therapeutic procedure that inflicts pain on another human being? All these challenges came to my mind before giving the injection. I began to feel quite anxious and nervous, wanting to delay the procedure for as long as possible hoping my anxiety would decrease. I believe the build up of nervousness beforehand is common, particularly for beginners like me. I prepared the injection using the necessary mathematical calculations, picked the right syringe and the right injection for the procedure. I then administered with my lecturer observing my technique, confidence and competence. Evaluation My preliminary anxiety about administering the injection was normal but as a student nurse, I ought to learn the technique and procedure of IM injections. This anxious behaviour could be explained in relation to the Joharis Window (Luft 1969). As in Joharis window, before being confronted with having to administer injection, I experienced an unknown area, whereby my fears and anxieties were anonymous to me and to others [my lecture]. Because I lacked self-awareness regarding these anxieties, I was unable to begin addressing my anxieties around administering the injection. This made me continue to avoid this area of practice, and as a result I did not develop this clinical skill before this incident. By the end of the incident, my feelings were known to me and others [my lecturer]. By disclosing my anxieties and fears to my lecturer and receiving feedback, my awareness of these issues increased. My lecturer commented on what l did right, wrong and what l could have done differently. R esultantly, I was able to address my feelings, areas of strengths, weaknesses and begin to develop the skill of administering injections. Analysis Department of Health (2008) identified lecturers as qualified nurses, who facilitate learning and supervise students. Mentoring also involves the assessment of the student in the practice setting NMC (2008). The interaction between mentor/lecturers and students is answer to minimise practice anxiety and professional intervention is often required to reduce any anxieties. This was resonant in my experience with my mentor while carrying out this procedure. Critically reflecting and understanding my feelings around giving the IM and after the procedure makes me think and evaluate what l ought to do differently in the future. This will enhance my technique and practice while also benefiting patient care. I am now aware of my competence as my mentor highly commended on my confidence, technique quality and the communication that l maintained with her throughout the procedure. Conclusion The description given in this paper is a general and subjective one that attempts to address my feeling and experience of giving the IM. It also aims at indentifying patterns and schemes in the experience of individuals in a similar context of giving IM for the first time. I believe, my experience will help educators to better understand the meaning of the anxiety that is observed as students undertake the act of giving their first injections. It will also help other students reflect and come to understand the meaning of that experience and not feel overwhelmed by this crucial initial experience. Action Plan I created an action plan to improve my practice and set out a course of action should a similar incident occur? Recording an entry in a reflective journal enabled me to record areas of practice that I want to develop and will allow me to track my progress regarding the administration of IM injections (Jack and Smith 2007).I also developed listening skills. Stickley and Freshwater (2006) argue that effective communication, which involves active listening, is an essential nursing skill, because of its beneficial effects on the patients experience.

Virginia Woolf’s Between the Acts Essay examples -- Between the Acts E

Virginia Woolf’s Between the acts Virginia Woolf uses many images in the Between the Acts. Like the other novels I read in the class, the images in the Between the Acts cannot be separated with the story development, and the images themselves construct the story in the book by dismantling the conventional expectation for the novel. However, Woolf uses common and conventional words and images with an experimental way in this novel. This novel constructs the images and the representation with their conventional words and actions of the characters. I think Woof explores how the communal use of the words like songs and clichà © makes another meaning or another reversion in their daily life here. The characters in the novel are in the between representative words and their intentions which are overlapped into the words or erased and hidden by the words. The acts in the title of the novel are not only the acts in the play, but also the motion which the characters make and expect, and the motion of the natural sounds and t he silence which the people cannot control the interruption from them. I want to look at how Virginia Woolf uses the words from the people, sounds from the things, and the images of clothes and history for her story in her last novel, Between the Acts. Virginia Woolf's words are not just the tools for her writing but the words themselves are constructing and de-constructing a main plot of the novel. And I think to look the gap between the words and the character's representations who is using the words is the one of the ways to read this novel. Especially, in this novel, she uses words and actions for showing and erasing the gap between the absence and the presence which is prevalent in this novel. Between th... ... Newman, Fashioning Femininity & English Renaissance Drama , from the footnote of chapter 6,(Chicago, Chicago University Press) I think the concept of heteroglossia is the good word for this book. The characters voice is not only dispersed, but the dispersed voice is making the novel. Works Cited Virginia Woolf, Between the acts, (Oxford: Oxford University Press, 1992) Jacques Derrida, "Structure, sign, and play in the discourse of the human science," Modern criticism and theory, ed. David Lodge (New York: Longman Inc.,1988) Michel Serres, "Platonic Dialogue," Hermes, Literature, Science, Philosophy, ed. Josuà © V. Harari and David F., Bell (Baltimore: The Johns Hopkins University Press, 1982), 67. Karen Newman, "Chapter 6, Englishing the other: Le tiers exclu & Shakespeare's Henry V," Fashioning Femininity, (Chicago, University of Chicago Press, 1991)

Factors Affect Supply and Demand of Acuvue Essay

This report’s focus is on analyzing the factors that affect the supply and demand of the products. There are several variables that can affect the supply and demand of a product, including consumers’ income, prices of substitute products, costs of inputs and so on. The product discussed for this report is Acuvue, I will analysis how the factors affect the supply and demand of Acuvue. Acuvue is Johnson & Johnson’s Vision Care Product. It is one of the most popular eye contact lenses products for nearsighted correction and eye color alteration. Acuvue has a serial of products that depend on different replacement schedule, such as daily disposable, two weeks disposable, colors and so on. All ranges of the lenses of Johnson & Johnson’s are regarded as comfortable, convenient and good eye health product. (Johnson & Johnson, 2008 )1 In 2007, as a leader and pioneer of eye contact lens producer, there was a sales increase by 17. 6% prior to 2006. The annual expense for normal glasses is $200 dollars but the Acuvue daily disposable is about $480. Take China for example, the GDP of 2007 increased 11. 4% (Wiki, 2008)1, people earned more than before. When people’s income increased, those who could not afford to buy the Acuvue in the past can had enough money to afford it. Moreover, as income increased, people tend to replace their contact lenses much more frequently than before, and the demand of Acuvue increased accordingly. Also, nearsighted people may have much higher requirement for their life quality; so, for those who are tired of wearing glasses or who seek convenience by wearing eye contacts may try to change to use eye contact lenses, therefore, demand for the eye contact lenses will increase. Consumer Preferences Consumer preference is a significant factor which affects the demand of the Acuvue. People have different preference for lenses for nearsightedness correction, such as replacement schedule, material (hard/ soft), and safety. Some people prefer Acuvue Daily for its convenience, and it has no daily maintenance like other types of contact; the user can just throw it away after one day. (Bausch & Lomb, 2008) For some people, they prefer soft contact lenses to hard lenses. In addition, many people care about the safety of eye contact lenses, and daily contact lenses are regarded as the safest and healthiest way, so those people may choose the Acuvue Daily, and thus, the demand of the Acuvue increases. On the contrary, people who are afraid of getting keratitis (wiki, 2008)2 by wearing contacts will buy the glass, and then the demand of the Acuvue will decrease. Moreover, if the nearsightedness’ preference is more favorable to Acuvue, which probably means they have more loyalty to the products, so the existing consumers will seldom change to alternatives and more and more people will buy Acuvue. Price of Substitutes The Substitutes of Acuvue eye contact lenses are glasses and surgery. As compared before, wearing glasses is a more economical way to correct nearsightedness, and there will be lower risk of being involved in keratitis(wiki,2008)2 or other eye problems. Moreover, in the recent years, correcting nearsightedness by taking an eye operation became more popular in many countries. The costs for the surgery are high, and the average for getting the LASIK nearsightedness correction surgery is $2105 in 2008. (All about Vision, 2008) If the price of the surgery decreases, there will be more people choosing eye surgery instead of wearing inconvenient glasses or eye contact lenses; so, there will be less demand of Acuvue. Price of Complementary Goods If the complementary goods of Acuvue increase, the price of the Acuvue will increase accordingly. Complementary goods for Acuvue are the solution of the eye contact lenses or drops for eyes. For the past two years, with the rapid economic growth in China, people have more money to purchase eye contact lens, but if the average prices of the solutions increased dramatically, people who could afford to buy the lenses felt burdened to buy the solution. Advertising Promotion Advertising is a way of communication, Johnson & Johnson get more advertising is to try to persuade potential customers and consumer to purchase more Acuvue(wiki, 2008)3. Johnson & Johnson has released a series of advisements and promotions for Acuvue. They provide free trial pairs of eye contact lens for the potential consumers who can just fill a Free Trial Pair Certificate (Vision Care Inc. , 2008) from the Acuvue official website. In addition, when the â€Å"Acuvue 2 colours† entered the mainland China market, they chose an unknown model to perform the advertisement first, and the sales for the Acuvue 2 was unfavourable. However, then the Johnson & Johnson invite Chinese pop singer Angela Zhang for promotion on TV, then, this product became familiar with lots of youth in China, and more and more people known about the Acuvue and bought it. Consumer Expectations Johnson & Johnson is a well known and trusted company by millions of consumers all around the world. It pays much attention to the safety of their products. So consumers are confident with the Acuvue and more and more people buy it. When the AMO Complete Moisture Plus Muti-Purpose Solution (Anapol Schwartz, 2008) was recalled in May, 2007, people were concerned about the eye safety. From that time, people tented to buy less and use less eye contact lens in order to avoid infection. Number of Buyers If there are more and more potential consumers of Acuvue, demand for Acuvue will increase. For recent years, more and more people in the world have access the computer, and they use computers much more frequently and longer than the past. People are more prone to get nearsightedness. From Johnson & Johnson’s research, there are about 3 million new eye contact wearers in the US every year (Vision Care Inc. )2, so the number of potential buyers is increasing for consuming eye contact lenses year by year. In addition, with the development of technology, the material of contact lenses is getting better and safer, so more people will be confident with the eye-contact lenses so more potential buyers will buy the Acuvue, then the demand for buyers will increase. But if there is new technology that can take place of eye contacts lenses, the nearsighted may give up wearing contacts, so the number of potential buyers decrease which indicates the demand of Acuvue will decrease. Variables of Supply Costs of Inputs The world economy was very unstable since last year, and the price of raw materials kept on rising. Fortunately, there is no news about the raw material price fluctuation for eye contact lenses. If the price of storing contact lenses increases, the Acuvue’s producer Johnson & Johnson must find ways to control the production costs. The company may choose to reduce the production volume of the product and wait for producing that good when the price goes down, therefore the supply of Acuvue will decrease. However when the materials for making the eye contact lenses decreases, Johnson & Johnson will have more capacity to produce more eye contact lenses to increase its supply. Number of competitors The more competitors there are, the less the supply. Due to the property of the vision care industry, the requirement for entering this business field is fairly high. For the current market, there are four main producers and other several smaller producers which produce eye contact lenses. Johnson & Johnson is the largest eye contact lens producer in the world, making sales of $2. billion around the world (Johnson & Johnson, 2008) 3. In China, eye contact lens manufactures are increasing in the market, competition became fierce, raw material for making the contact lenses increased, and the market share became dilute, so although sales of Acuvue increase in China very year, the growth is not as large as expected. New Technology As we know Johnson & Johnson Vision Care first introduced the soft disposable eye contact lens for the world (Wiki, 2008), and this revolutionary product helped the Johnson & Johnson opened a new product field and access to expand their market to over 50 countries in the world. If there is new cheaper material for producing Acuvue, Johnson and Johnson will be capable of producing more Acuvue by the same investment as in the past, which means the supply of the Acuvue will increase. However, in the future, with the development in technology, some existing materials for making eye contact lensse may have potential risks for our eyes. When the Johnson & Johnson found that potential risks really do exist, in order to guarantee the product safety, they had to pay more for preventing the risks harmful to contacts wearer, or even reduce the supply of those products. Suppliers Expect that Future Sales Prices In recently years, there is a trend that more and more reports show that wearing daily disposable eye contact lens is much more comfortable, healthier and safer, because daily replacement lenses are healthier than other replacement schedule. With the expectation, the market for the Acuvue Daily disposable has much more potential than other Acuvue disposable lenses, and Johnson & Johnson will decide to produce more Acuvue Daily in according with the potential increase of the demand for Acuvue. Conclusion To sum up, those variables discussed above with the supply and demand of Acuvue finally affect the price of the Acuvue. As we know, the market price is the equivalent of the supply and demand. It is determined by an â€Å"invisible hand’ of both supply and demand. Therefore, it is impossible for those factors discussed before to singly handedly affect the supply and demand, because the market is complex, all those variables together contributed to our market price.

Falsifiabiliyt Paper

Falsifiabiliyt Paper FALSIFIABILITY PAPER PAGE \* MERGEFORMAT 1Falsifiability PaperSociological researchers take the data that is accumulated during testing to analyze it in order to study their hypothesis. There are four common techniques used during sociological testing such as the observational study, the case study, the survey, and the experiment. One scientific method, also known as an experiment, is used to compare the facts, data, and information provided after testing, by using either dependent variables in an opened atmosphere or independent variables in a closed atmosphere.The two different styles of experimenting are known as field experimenting and laboratory experimenting. Field experimentation is conducted in an atmosphere that has natural surroundings, while laboratory experimenting is conducted in just that, a laboratory. Experimenting is supported by the people of positivism due to the many advantages it provides. The supporters of positivism support the use of experiment due to its man y advantages.English: aOne supporter of positivism was Karl Popper, Popper understood the method of experimenting to be beneficial because it permitted the type of accuracy in creating and recurring testing of prediction that he supports. Because of its accuracy in creating scientific results, examiners can be more secure because their theories are now able to be scientifically tested.The independent variables, during laboratory experimenting, can be controlled and manipulated however they wish. In research, variables can be added or taken away, this helps to determine how effective the dependent variable is during that study. This permits one to make a guess and create correspondence, fundamental associations and hypothetical laws linking the variables. For example, if researchers are looking for a cure for cancer, he or she may detach the dependent variables and insert outside elements to examine what effect if any, would take place even if in the end the cancer...

Biography of Leonardo Da Vinci, Genius Painter, Scientist, Naturalist

Biography of Leonardo Da Vinci, Genius Painter, Scientist, Naturalist Leonardo Da Vinci (April 15, 1452–  May 2, 1519) was artist, humanist, scientist, philosopher, inventor, and naturalist during the Italian Renaissance. His genius, says his biographer Walter Isaacson, was the ability to marry observation with imagination, to apply that imagination to intellect and its universal nature. Fast Facts: Leonardo da Vinci Known For: Renaissance-era painter, inventor, naturalist, philosopher, writer.  Born: April 15, 1452, Vinci in Tuscany, Italy.Parents: Piero da Vinci and Caterina Lippi.Died:  May 2, 1519, in Cloux, France.Education: Formal training limited to abacus school in commercial math, apprenticeship at the workshop of Andrea del Verrocchio; otherwise self taught.Spouse(s): None.Children: None.   Early Life Leonardo Da Vinci was born in the village of Vinci in Tuscany, Italy, on April 15, 1452, the only child of Piero da Vinci, a notary and eventually Chancellor of Florence, and Caterina Lippi, an unmarried peasant girl. He is properly known as Leonardo rather than da Vinci, although that is common form of his name today. Da Vinci means from Vinci and most people of the day who required a last name were given it based on their place of residence. Leonardo was illegitimate, which, according to biographer Isaacson, may well have assisted his skill and education. He was not required to go to formal school, and he passed his youth in experimentation and exploration, keeping careful notes in a series of journals which have survived. Piero was a well-to-do man, descended from at least two generations of important notaries, and he settled in the town of Florence, marrying Albierra, the daughter of another notary, within eight months of Leonardos birth. Leonardo was raised in the da Vinci family home by his grandfather, Antonio, and his wife, as well as Francesco, Pieros youngest brother only 15 years older than Leonardo himself. Florence (1467–1482) In 1464, Albierra died in childbirth- she had no other children, and Piero brought Leonardo to live with him in Florence. There Leonardo was exposed to the architecture and writings of the artists Filippo Brunelleschi (1377–1446) and Leon Battista Alberti (1404–1472); and it was there that his father got him an apprenticeship to the artist and engineer Andrea del Verrocchio. Verrocchios workshop was part art studio and part art shop, and Leonardo was exposed to a rigorous training program, that included painting, sculpture, pottery, and metal working. He learned the beauty of geometry and the mathematical harmony that art can leverage; and it was here that he learned chiarroscuro, and developed the sfumato technique he would become famous for. When his apprenticeship ended in 1472, Leonardo registered in the Florentine painters confraternity, the Compagnia di San Luca. Many of the works he did in Verocchios workshop were often completed by several of the students and/or the teacher, and it is clear that by the end of his tenure, Leonardo had surpassed his master. Verocchios workshop was sponsored by the Duke of Florence, Lorenzo de Medici (1469–1492) also known as Lorenzo the Magnificent. Some of the works painted by Leonardo in his twenties include the Annunciation and the Adoration of the Magi, and the portrait of Ginevra di Benci. Milan (1482–1499) When Leonardo turned 30, he was sent by Lorenzo on a diplomatic mission to bring a lute in the shape of a horses head that he himself had crafted to be given to Ludovico Sforza, the powerful Duke of Milan. With him was Atalante Migliorotti (1466–1532), the first of his long-term companions, who acted as a friend, assistant, secretary, and romantic partner. When Leonardo arrived in Milan, he sent a letter to Ludovico, a letter that was more or less a job application, laying out in detail the type of job he envisioned being useful to the Duke: military and civil engineering. Instead, Leonardo ended up an impresario, producing elaborate pageants for the royal court such as the Masque of the Planets. He designed scenery and costumes and developed fantastic mechanical elements for the plays that would fly, descend or animate for the audience. In this role, he was part court jester: he sang and played the lute, told stories and fables, played pranks. His friends described him as gentle and entertaining, handsome, precise and generous, a valued and beloved companion. The Genius in the Notebook It was also during this period that Leonardo began keeping regular notebooks. Over 7,200 single pages exist today, estimated to be one-quarter of his total output. They are filled with expressions of sheer genius: flights of fancy, precognitive sketches of impossible technologies (scuba gear, flying machines, helicopters) careful, analytical anatomical studies of dissections he performed on humans and animals; and visual puns. In his notebooks and his canvases, he played with shadow and light, perspective, motion, color. His drawings of humans at the time are fascinating: an old warrior with a nutcracker nose and an enormous chin; grotesquely old men and women; and a thin, muscular, curly-haired androgynous figure, the opposite avatar of the old warrior who would provide centuries of delight and speculation for art historians. Of course, he painted while he was in Milan: portraits included several of Ludovicos mistresses, The Lady with the Ermine and La Belle Ferronnià ¨re; and religious works such as Virgin of the Rocks and the astonishing Last Supper. He also made the famous drawing Vitruvian Man, the best of numerous attempts of the day to illustrate what the Roman architect Vitrivius (ca 80–15 BCE) meant when he said the layout of a temple should reflect the proportions of a human body. Leonardo ditched most of Vitriviuss measurements and calculated his own ideal of perfection. In 1489, Leonardo finally earned the job he had wanted in 1482: he received an official court appointment, complete with rooms (albeit not at Ludovicos castle). His first commission was to make an immense sculpture of the Duke of Milans father Francesco sitting on a horse. He made the model of clay and worked for years planning the casting, but never completed the bronze sculpture. In July of 1490, he met the second companion of his life, Gian Giacomo Caprotti  da Oreno, known as Salai (1480–1524). By 1499, the Duke of Milan was running out of money and no longer consistently paying Leonardo, and when Louis XII of France (1462–1515) invaded Milan, Ludovico fled the city. Leonardo stayed in Milan briefly- the French knew him and protected his studio from the mobs- but when he heard rumors that Ludovico was planning to return, he fled home to Florence. Italy and France (1500–1519) When Leonardo returned to Florence, he found the city still shaken from the after-effects of the brief and bloody rule of Savonarola (1452–1498), who in 1497 had led the Bonfire of the Vanities- the priest and his followers collected and burned thousands of objects such as artworks, books, cosmetics, dresses, mirrors, and musical instruments as forms of evil temptations. In 1498, Savonarola was hanged and burned in the public square. Leonardo was a different man when he returned: he dressed like a dandy, spending almost as much on clothing as he did on books. His first patron was the notorious military ruler Cesare Borgia (1475–1507), who conquered Florence in 1502: Borgia gave Leonardo a passport to travel wherever he needed, as his personal engineer and innovator. The job only lasted about eight months, but during that time Leonardo built a bridge supporting a garrison of troops out of a pile of lumber and nothing more. He also perfected the art of maps, drawing villages as they would be seen from the air, accurate, detailed birds-eye views of cities measured with a compass. He also established a friendship with Niccolo Machiavelli (1469–1527), who would base his classic The Prince on Borgia. By 1503, though, Borgia was running amok, requiring mass executions in the towns he occupied. At first, Leonardo seemed oblivious, but when Machiavelli left, so did Leonardo: back to Florence. In Florence, Leonardo and Machiavelli worked on an astonishing project: they planted to divert the Arno river from Pisa to Florence. The project got started, but the engineer changed the specs and it was a spectacular failure. Leonardo and Machiavelli also worked on a way to drain the Piombino Marshes: water, the movement of it, the force of it, was a fascination for Leonardo throughout his life, but the marsh project was also not completed. Michelangelo Artistically, Florence had a huge drawback: Leonardo had acquired a nemesis, Michelangelo. Twenty years younger, but although as gay as Leonardo was, unlike Leonardo, Michelangelo was a pious Christian convulsed by agony over his nature. The two artists communication devolved into a bitter feud. The two men were each commissioned to do battle scenes: hung in separate galleries, the paintings were depictions of frenzied faces, monstrous armor, and mad horses. Isaacson suggests that the upshot of the war of the battle scene was useful to both artists because they were now both luminaries, rather than interchangeable parts. From 1506–1516, Leonardo wandered back and forth between Rome and Milan; another one of his patrons was the Medici Pope Leo X (1475–1521). In 1506, Leonardo adopted Francesco Melzi, the 14-year-old son of a friend and civil engineer, as his heir. Between 1510 and 1511, Leonardo worked with anatomy professor Marcantonio della Torre, whose students dissected humans while Leonardo made 240 meticulous drawings and wrote 13,000 words of description- probably more, those are what have survived. But the professor died of the plague, ending the project before it could be published. And of course he painted: his masterpieces during this period in his life include the Mona Lisa (La Gioconda); The Virgin and Child with St. Anne, and a series of images of Salai as St. John the Baptist and Bacchus. Death In 1516, Francis I of France commissioned Leonardo for another astounding, impossible task: design a town and palace complex for the royal court at Romorantin. Francis, arguably one of the best patrons Leonardo ever had, gave him the Chateau de Cloux (now the Clos Luce). Leonardo was by now an old man, still productive- he made 16 drawings over the next three years, even if the city project was not completed- but he was visibly ill and had likely suffered a stroke. He died on May 2, 1519, at the Chateau. Sources and Recommended Reading Clark, Kenneth and Martin Kemp. Leonardo da Vinci: Revised Edition. London, Penguin Books, 1989.Isaacson, Walter. Leonardo Da Vinci. New York: Simon Schuster, 2017.  Farago, Claire. Biography and Early Art Criticism of Leonardo da Vinci. New York: Garland Publishing, 1999.Nicholl, Charles. Leonardo da Vinci: Flights of the Mind. London, Penguin Books, 2005.

Why I want to be an Army Officer Essays

Why I want to be an Army Officer Essays Why I want to be an Army Officer Essay Why I want to be an Army Officer Essay Being an army officer is not an ordinary profession. It requires commitment, dedication, loyalty, selflessness and a whole lot more qualities that makes a person go the extra mile for his country. I have thought long and hard, and without any shadow of doubt, I know that I am ready and prepared to join the army. I want to be an army officer because I strongly believe in the fundamental ideas that this country is founded on, and I am willing to give my life to preserve and protect them. Embarking on this mission is an extreme challenge, and I can say with confidence that I have been looking forward to this moment for as long as I remember.I graduated with a degree in Psychology from Wesley college in Dover and as early as college, I mustered the strength to overcome adversities. I was part of the defensive side of the football team and as the season went on, it became clear that this strategy will not help us win the competition so I had to switch roles from an adversary to a benefact or. I was not particularly fond of the idea, but at that time, I knew that I had to do it for the team.I also had a chance to work for New Behavioral Network for two years. The company was contracted out by the state to work with children suffering from mental disorders. The company gave me the responsibility of creating and implementing a treatment plan with the therapist.I also experienced working in the security department of Bubbas Rock Shack for three years. I covered a large portion of the club with three other security personnel. The owner wanted to resolve conflicts as peaceful as possible, so I was instructed to use verbal persuasion to resolve potential conflicts and to use force as the last option. As a result, my communication skills were honed, and I learned how to be direct and show sympathy at the same time.The biggest test of perseverance in my life happened during my last two years in college. My best friend from high school, both my grandmothers, my two aunts and u ncle died within a span of less than 18 months. Just when I thought that my life hit rock bottom, my mother was diagnosed with cancer and my girlfriend for 7 years broke up with me.Overcoming death and adversity at an early age gives a man a whole new perspective and attitude in life. Making sacrifice for the football team shows that I have loyalty, selfless service and commitment. Moving on through life despite the simultaneous loss of loved ones shows my personal courage and focus, and performing the task entrusted by the employer shows that I have integrity and work ethics.I am aware of the qualifications that the army is looking for in a man, and I can say with utmost confidence that I have what it takes to serve this country not because of everything I went through but mainly because I am willing to devote my whole life and sacrifice my self for it.

Kitkat-nestle Research Paper Example | Topics and Well Written Essays - 2000 words

Kitkat-nestle - Research Paper Example Each of the fingers can be separately snapped from the bar. Bars have 2 or 4 fingers typically. Introduction Of Nestle in UAE Nestle’s first official presence in Middle East was in 1934 in Lebanon. It has grown then in the entire region and operating companies has been opened in every country of Middle East except Iraq and Yemen. In these two countries, selling and distribution of products is done through agents. The regional head office of Nestle was established in Middle East in Dubai in the year 1997. Currently, the activities are focussed on 13 countries of Middle East. Business Nestle is into food industry. They products in every food sector from infant food for children to chocolates, beverages, frozen food, seasoning, water, tea, coffee, ice creams etc for adults to pet care food for pets. Their product Kit Kat has its separate marketing and it is into the chocolate business with a range of different Kit Kat flavours. Organizations that market the brand Business activit ies of market In terms of retail and distribution, the market of Middle East can be characterised compared to others. There are three trade clusters in Middle East. The first includes countries like UAE, Qatar, Oman, Bahrain where top retailers account for more than 50% of sales. In this environment, the business is much more skewed towards hypermarkets, supermarkets and key accounts. In the second cluster, the top retailers make up less than 30% of business which includes countries like Saudi Arabia, Jordan and Lebanon. In the third cluster, the top retailers account for less than 5% of business. It includes countries like Yemen, Iraq, Iran, Palestine and Syria. The United Arab Emirates forms a large part of developed trade environment where the key accounts, supermarkets, hypermarkets, typically Lulu, the Coop, Carrefour and Spinneys represent the majority of sales. SWOT analysis of Kit Kat Strength The chosen company is such that it is very difficult to consider its weakness in p romoting their chocolate. The way in which Kit Kat Company is promoting its product is very strong. They make a discount when consumer buys large pieces. It also has many factories which increases and improves the sales of company. Maximizing the distribution of the product is very strong to achieve the goals for any company to have many consumers and gaining profits like the Kit Kat Company does. The way that retailers promote the Kit Kat chocolate is different. Good retailers should help the customers to observe the chocolate in the supermarket in a good way to sell more. For example, when we went to the see how supermarkets promote our product that we chose, we saw big differences in the amount of the Kit Kat chocolate in each store like in Al-Hadaf Supermarket, there are many sections provide different types of Kit Kat. Kit Kat chocolate is a familiar over the world because it has been produce for a long time. The company shows many advertisements and puts many billboards on gro ceries and big markets. Their slogan of Kit Kat â€Å"

Apple Company Business Environment Essay Example | Topics and Well Written Essays - 2750 words

Apple Company Business Environment - Essay Example It is expected that the continuance of this trend will encourage more consumer spending and pave the way for more investment by Apple in developing new products. However, weak economic conditions have continued to exist especially within the education sector in the United States. Many states are experiencing huge deficits in budget, which may hamper Apple’s sales initiatives within the educational sector. Most of Apple’s products and components are manufactured in factories across China through partnerships with suppliers and electronic parts manufacturers like Foxconn and Inventec (Housden, 2008). The fixed exchange rate regime adopted by the Chinese government is adversely affecting any effort by Apple to cut production costs, adding to the problems faced from tariffs and anti-dumping penalties (International trade regulations). Social The use of computers, laptops, Smartphones and music players is growing worldwide, especially in the emerging economies. This presents a good opportunity for Apple to widen its market reach especially within these new and relatively unexplored markets. Customers are more adept at using these electronic devices and the use of social networking sites like Facebook and Twitter has only enhanced the importance of computers and Smartphones for daily use (Aasend, 2001). Further, today’s generation places high value on education wherein strategies like offering discounts on products to students are helping Apple capture consumers from an early age and ensure their long-term commitment and preference for its products. Traditionally, Apple has always competed with Microsoft especially within the Operating Systems (OS) segment.... This paper approves that the preceding sections discuss the far, near and internal business environment of Apple Inc. Apple currently faces several issues that it must focus upon in order to ensure sustainable growth in the future. The firm must engage in its current strategy of licensing and strive to improve the economies of scope between personal computers and electronic media. Thus, the need for Apple over the coming years is to evolve into a learning organization. Besides licensing and partnerships, Apple can also consider the possibilities of joint ventures with other companies, which will allow it to develop various additional competencies. This report makes a conclusion that Apple’s primary strategy should be directed towards developing media-centric technologies and products. Nevertheless, the company should also work towards improving its computing products. In fact, Computer sales accounted for over 40% of Apple’s revenues in 2008. Apple continues to rely on the leadership and vision of its CEO, Steve Jobs. Mr. Jobs holds a considerable equity stake in the company and is one of the main reasons behind Apple’s resurgence from virtual oblivion. The reaction from the markets and consumers if he were to ever step down is rather uncertain. Therefore, the dependence on Mr. Jobs should not be a limiting factor for Apple and the firm must devise ways to operate as an organization. Such an initiative will allow Apple to strengthen its position and act through collective decision-making.

Is enterprise risk management (ERM) an effective form of risk Dissertation

Is enterprise risk management (ERM) an effective form of risk management and value creation in the oil and gas industry and to w - Dissertation Example In effect, the major strengths and weaknesses that have been associated with BP Oil’s risk management policies shall be outlined and compared to risk management practices at Tullow Oil Ghana. This comparison will be done so that in later chapters, particularly the discussion chapter, the researcher will draw inferences on how Tullow Oil Ghana can learn from the strengths and weaknesses of risk management policies from BP Oil perspective. In relation to the general aim of the study, particular attention shall be paid to how BP Oil have both benefited and failed to benefit from the use of Enterprise Risk Management practices at different times of risk situations that the company faced. In order to follow the qualitative philosophies of the research, the researcher is going to dwell on the analysis of secondary data instead of the use of primary data. This will be done because of the impact that secondary data has on qualitative data, making it more subjective, but backed by empi rical evidence from related literature (PSA, 2007). 4.1 Analysis of Secondary Data on Risk Management Practices at BP 4.11 Risk Management Options at BP As far as risk management practices are concerned, there are a number of options that can be found throughout of existing data for oil and gas companies, of which BP Oil is one. Generally, BP Oil has been identified to have used three major risk management practices at different times of its operations. These options have been avoidance, knowledge and research, and controlling. Avoidance has been used in very high risk situations to ensure that there exist alternative approaches that do not bear any risks at all (Vinnem et al, 2007). The effectiveness of avoidance has however been found to be vested in a risk management environment where risk managers can be proactive enough to identify alternative options (Bly, 2011). Knowledge and research has been pointed out in some existing research data as not being an independent risk managem ent option but an effective tool for equipping the functionality of other risk management options. At BP Oil therefore, knowledge and research is not used in dealing with initial risks but is used as mop up risk management option to consolidate the efficacy of other options on practice. Commonly, research and knowledge is used in relation to the final risk management option at BP, which is controlling. Controlling has been found to be the commonest risk management option at BP for day to day risk situations (PSA, 2007). It has been found to involve the creations of a risk reduction plan made up of parallel development programmes (Vinnem et al, 2007). From the graph above, it can be observed that BP Oil chooses different risk management options depending on the level of risk that the company is presented with at any point in time. Where there is high risk, the company employs the use of avoidance; where there is medium risk, the company employs the use of controlling; and where there is low risk, the company employs the use of knowledge and research (K & R). 4.12 Risk management failures in the Gulf of Mexico Oil Spill In several sectors of risk management application, BP Oil was sharply criticised in the academic and professional cycles for some levels of inefficiencies that accompanied the handling of the Gulf of Mexic

Integrating Faith and Learning Essay Example | Topics and Well Written Essays - 500 words

Integrating Faith and Learning - Essay Example Faith in God automatically gives faith in the self and only then, one learns the right things at the right time in the right way. Hence, learning and faith have to be integrated to reduce the gap between faith and learning. We can pour into a vessel only when it is empty. When the mind and soul are focused on God, it is free from negative thoughts and distractions. It is then easy to conceive what one learns; fear and anxiety do not haunt the mind. The mind becomes strong and a strong mind can concentrate and learn anything with ease. Therefore, I would start my day with intense prayers to the lord in the first place. We have or make a life-long commitment to Jesus; a lifetime commitment keeps the mind focused. Statistics too would require a life long commitment. This has to be borne in the mind. As during prayers, we open the heart to the lord, while learning statistics we should open our heart so that research is perfect and learning is intense. Relational Evangelism teaches us to share knowledge. When we share knowledge, when we teach others what we have learned the knowledge becomes firm. Statistics is a subject where the foundation has to be firm and the application of theory has to be done at the right place. If I share, if I teach others what I have understood, I would never forget what I have learnt. Statistics requires a lot of research and planning. A constant reflection on and search on God’s ideas leads us closer to God; a constant search, an in-depth research to get to the truth, will help me to integrate statistics in my life. To understand the taste and feel of water we have to take a dip in the water. Standing on the banks we can only talk theory. Similarly, to understand God we have to become one with him; to understand statistics we have to get to the roots, do intense research and learning; become one with it. Christianity is not a viewpoint imposed on world knowledge; it provides a clarifying platform for engaging all

Geology Volcanoes&Earthquake Assignment21 Assignment

Geology Volcanoes&Earthquake Assignment21 - Assignment Example Because of this, the P-wave shadow zone occurs and seismometers do not record the initial waves. 9. Magnitude refers to the measurement of the energy that an earthquake releases and it may be given through Ritcher scale. The lowest scale is 2.5 or less, which is normally not felt, but is recorded by a seismograph. Scale of 2.5 to 5.4 means minor damage and can be felt most of the time. Scale of 5.5 to 6.0 will cause damage to structures while scale of 6.1 to 6.9 will cause damage in an area with heavy population. Major earthquakes record scales of 7.0 to 7.9 while a magnitude of 8.0 or higher can destroy an entire community located near the epicenter. 10. The intensity of an earthquake means a measure of the earthquake’s power of shaking. The intensity is measured by the Mercalli scale that represents the damage or effect that the earthquake causes. Intensity can range from I to XII given in Roman numerals. 11. Intensity of an earthquake varies for various reasons. It decreases with distance of the earthquake. Intensity also depends on the shape of the building, foundation, or mode of construction. Intensity also varies depending on the near surface or regional geologic conditions. 20. Vertical evacuation refers to a method of evacuation preferred for helping people out of the area affected by an earthquake or Tsunami. It involves structures that resemble artificial hills such as a ramp or a lighthouse. A vertical evacuation used in the case of a Tsunami allows the waves to pass through the lighthouse or ramp while victims seek refuge in top floors. 21. Things that ought to be in an emergency supply kit subsume a flashlight, food, water, weather radio, spare batteries, first aid kit, medical items and seven-day supply of medications, personal hygiene items, multi-purpose tool, hygiene and sanitation items, cell phone with charging system, contact information, emergency

Should disabled veterans get preferential treatment over better Assignment

Should disabled veterans get preferential treatment over better qualified candidates who are not disabled veterans - Assignment Example According to the utilitarian consideration of employment and discrimination, every individual should be given equivalent chances at employment; therefore, discrimination in the hiring process should be discouraged. With the prevalence of discrimination against the minorities in the society, affirmative action is seen as the redeeming factor, with the introduction of the Disabled Veterans Affirmative Action Program (DVAAP) to serve the rights of disabled people (FHWA, 2004). Affirmative action in this case refers to the series that seek to redress the injustices faced by minorities in society, and can involve laws or social programs that promote the justice of minorities (ACLU, 2011). Other affirmative action programs are those that involve women or minorities in the society, and in comparison with the DVAAP, these action programs can be concluded to be just as effective. Affirmative action programs consider all the rights of minorities in the society, and the main consideration is given to the disabled, women, and minorities in the society. The Utilitarian View of an affirmative action program is that all people in the society are entitled to equal rights, despite their disabilities or qualifications. According to the view, affirmative action programs guarantee that all individuals in the society are given the chance to progress and give the chance to all members of the society to progress equally. This is done by considering that the community functions as a whole, therefore, the parts of the community that pull back the development process should be helped. From the definition of the utilitarian affirmative process, it can be concluded that the DVAAP is a program that should be kept up in the society. Conversely, the deontological considerations of affirmative action programs dictate that the most qualified person for the job should be hired, regardless of their disabilities or minority effect. This means that the discrimination

Integrating Faith and Learning Essay Example | Topics and Well Written Essays - 500 words

Integrating Faith and Learning - Essay Example Faith in God automatically gives faith in the self and only then, one learns the right things at the right time in the right way. Hence, learning and faith have to be integrated to reduce the gap between faith and learning. We can pour into a vessel only when it is empty. When the mind and soul are focused on God, it is free from negative thoughts and distractions. It is then easy to conceive what one learns; fear and anxiety do not haunt the mind. The mind becomes strong and a strong mind can concentrate and learn anything with ease. Therefore, I would start my day with intense prayers to the lord in the first place. We have or make a life-long commitment to Jesus; a lifetime commitment keeps the mind focused. Statistics too would require a life long commitment. This has to be borne in the mind. As during prayers, we open the heart to the lord, while learning statistics we should open our heart so that research is perfect and learning is intense. Relational Evangelism teaches us to share knowledge. When we share knowledge, when we teach others what we have learned the knowledge becomes firm. Statistics is a subject where the foundation has to be firm and the application of theory has to be done at the right place. If I share, if I teach others what I have understood, I would never forget what I have learnt. Statistics requires a lot of research and planning. A constant reflection on and search on God’s ideas leads us closer to God; a constant search, an in-depth research to get to the truth, will help me to integrate statistics in my life. To understand the taste and feel of water we have to take a dip in the water. Standing on the banks we can only talk theory. Similarly, to understand God we have to become one with him; to understand statistics we have to get to the roots, do intense research and learning; become one with it. Christianity is not a viewpoint imposed on world knowledge; it provides a clarifying platform for engaging all

Should disabled veterans get preferential treatment over better Assignment

Should disabled veterans get preferential treatment over better qualified candidates who are not disabled veterans - Assignment Example According to the utilitarian consideration of employment and discrimination, every individual should be given equivalent chances at employment; therefore, discrimination in the hiring process should be discouraged. With the prevalence of discrimination against the minorities in the society, affirmative action is seen as the redeeming factor, with the introduction of the Disabled Veterans Affirmative Action Program (DVAAP) to serve the rights of disabled people (FHWA, 2004). Affirmative action in this case refers to the series that seek to redress the injustices faced by minorities in society, and can involve laws or social programs that promote the justice of minorities (ACLU, 2011). Other affirmative action programs are those that involve women or minorities in the society, and in comparison with the DVAAP, these action programs can be concluded to be just as effective. Affirmative action programs consider all the rights of minorities in the society, and the main consideration is given to the disabled, women, and minorities in the society. The Utilitarian View of an affirmative action program is that all people in the society are entitled to equal rights, despite their disabilities or qualifications. According to the view, affirmative action programs guarantee that all individuals in the society are given the chance to progress and give the chance to all members of the society to progress equally. This is done by considering that the community functions as a whole, therefore, the parts of the community that pull back the development process should be helped. From the definition of the utilitarian affirmative process, it can be concluded that the DVAAP is a program that should be kept up in the society. Conversely, the deontological considerations of affirmative action programs dictate that the most qualified person for the job should be hired, regardless of their disabilities or minority effect. This means that the discrimination

Kaiser Permanente Risk Management Executive Summary Essay Example for Free

Kaiser Permanente Risk Management Executive Summary Essay Organization Description Kaiser Permanente (KP) is the nation’s largest integrated health care delivery system. KP serves nine states and over nine million members, with an annual operating revenue in 2013 of 53.1 billion. KP is a leader in quality improvement efforts in the health care industry through participation in studies performed by the National Committee on Quality Assurance (NCQA), The Joint Commission (TJC) accreditations, and the implementation of a state of the art electronic health records system, which focuses on integration and quality of care standardization. The focus of this summary is on KP hospitals in the northern California region and will include topics such as the purpose of risk and quality management, risk identification and management, current risks, quality outcomes, organizational goals, and the relationship between risk and quality management. Risk and Quality Management Purpose General The purpose of risk management in health care is simply the process of protecting the assets and minimizing financial losses to the organization (Singh Habeeb Ghatala, 2012). A comprehensive risk management strategy within a health care organization will include focus on continuous quality improvement (CQI). The purpose of CQI in health care, according to Sollecito and Johnson (2013), is to offer a â€Å"structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality health care that meets or exceeds expectations† (p. 4). Through linking the processes of risk management and quality improvement the success of both processes is more likely to be realized. Kaiser Permanente The key concepts for risk and quality management at KP are commitment to quality, patient safety, privacy protection, and fraud prevention. KP risk management and quality management programs are central to their mission, values, and culture. Methods currently utilized to support these concepts  within KP are consumer surveys, the use of an integrated EHR with evidence based guidelines and clinical decision-making functionality, stringent patient privacy regulations and processes, continuous clinical and administrative staff training programs, and participation in studies focused on standardizing national quality measures (Kaiser Permanente, 2012). Risk Identification and Management Steps While KP is a leader in health care risk and quality management there are specific steps this consultant is recommending on a continual basis that will improve risk identification and management within the organization. 1. Identify and analyze loss and exposure While there are many methods utilized within the health care industry in the identification and analysis of loss and exposure, the recommended methods for KP are as follows: a) Incident-reporting analysis b) Improvement on the current performance management process for employees to bring focus on risk mitigation and quality improvement. c) Quantitative analysis of patient complaints and satisfaction surveys. d) Review of the organizations past professional liability and workers compensation reports. e) Review of surveys completed by TJC and NCQA on other hospitals in order to identify risk areas that KP should focus on. (McCaffrey Hagg-Rickert, 2009) 2. Research and propose alternative risk techniques To mitigate risks that are unavoidable at KP, a combination of alternative risk techniques will help reduce situations that might negatively affect the organization. A financial analysis and risk analysis should be performed in order to ascertain the likelihood of utilizing the exposure avoidance technique. This is not a likely option as the financial impact of eliminating services may out weigh the risks involved with continuing them. A loss reduction approach is more likely to be the technique chosen for this organization. The core prevention activities that must be present in the loss reduction technique are as follows: a.) Ongoing staff education b.) Current policy and procedure review and revision c.) Updates to the organizations current EHR system to ensure the data present in the clinical decision-making and evidence-based clinical guidelines technology is the most current data available. According to Chen, et al (2009), â€Å"a growing body of literature confirms the value of electronic health records (EHRs) in improving patient safety, improving coordination of care, enhancing documentation, and facilitating clinical decision making and adherence to evidence-based clinical guidelines† (p. 323). 3. Risk management technique selection This two-part process of risk management technique selection is accomplished through forecasting and application of an ongoing measurement process, which will allow KP to analyze the risk management technique with regard to outcome and cost effectiveness. Included in the measurement process both risk treatment and risk-financing techniques should be measured (McCaffrey Hagg-Rickert 2009). 4. Implement the selected techniques Implementation of the chosen risk management techniques may include decisions on insurance coverage and policy changes, overall department workflow changes to ensure compliance with state and federally mandated regulations and guidelines, and elimination of processes that impede or hinder patient safety. 5. Monitor and improve upon the implemented risk management program In order to continue improving upon the newly implemented risk management program a comprehensive monitoring strategy should be employed. In fact, McCaffrey and Hagg-Rickert, (2009) stated, â€Å"a multidisciplinary approach to evaluating the risk management program ensures that the impact of additional opportunities to improve the risk management function are fully explored† (p. 21). a.) Prepare an annual risk management report b.) Compare the new annual report against prior years risk management data (McCaffrey Hagg-Rickert 2009) Current Risks Three risks that KP should take special care to avoid are rejection of newly implemented risk management and CQI procedures by employees, statute and regulatory changes, and health care associated infections (HAIs). 1. Rejection Change implementation is never an easy task and without special care taken the rate of rejection to change by clinical and administrative employees is high. In order to achieve successful CQI changes the following guidelines and recommendations are presented. a.) Minimize employee rejection through easily implemented and followed CQI procedures. b.) Engage employees in planning to increase acceptance. c.) Ensure lateral linkages within the organization across specialty departments to improve communication (Sollecito and Johnson, 2013). 2. Statute and regulatory changes With the ever-changing landscape in state and federal statutes and regulations surrounding the health care industry, special attention to this risk area must be taken. In fact, Cohen (2009) stated that â€Å"health care is one of the most heavily regulated of all sectors of commerce† (p. 328). Failure to comply with state and federal statutes and regulations can bring about negative financial affects at KP, including but not limited to; fines, loss of accreditation and credentialing, and an increase in malpractice lawsuits, not to mention a decrease in quality of care. a.) Risk management and quality improvement officers stay current and involved in statute and regulation changes. b.) Mandate educational goals for risk management and quality management officers with regard to state and federal regulations. c.) Implement a monthly employee newsletter within which the risk management officer and quality improvement officer outline regulation changes. Include processes that emplo yees should expect to see implemented to maintain compliance. Include a signature page with those editions that include changes to policy and ensure all employees sign and return to the human resources department. d.) Ongoing training for clinical and administrative employees with regards to statute and regulation. The risk management and quality improvement officers will be responsible to work with the organizations education department to implement new workshops as needed. e.) Include these responsibilities in the performance monitoring strategy for the risk management and quality improvement officers. 3. HAIs Health care associated infections are a serious risk in hospitals, as noted by Sydnor and Perl (2011), in their statement â€Å"HAIs are the most common complication seen in hospitalized patients† (para. 20). Improper prevention can lead to increased costs, lengthier hospital stays, and even patient death. Additionally, a Condition of Participation (CoP) (42 CFR 482.42) by CMS mandates hospital infection control programs to adhere to specific requirements. Recommendations are as follows. a.) Implement a house-keeping checklist to ensure proper sanitization of patient rooms. b.) Implement a sanitization checklist for clinical staff that will enforce hand washing before and after patient contact. c.) Develop a committee to review and revise the KP infection prevention and control program. Revisions should focus on compliance with TJC and the Center for Disease Control (CDC) regulations. Quality Outcomes Internal and external Three internal and external factors that influence quality outcomes are organization management of interpersonal relationships between physicians and patients, patient compliance, and continuity of care. Without proper management of interpersonal relationships between physicians and patients, the organization will face degradation in trust and openness. Patients should be involved in all treatment decisions, through proper education on their diagnosis and treatment options. This will bring about patient engagement in this decision making process. While KP cannot force their patients to comply with treatment guidelines, the external influence of patient compliance is crucial to quality outcomes. Programs focused on thorough training and education of patients and family members will improve the rate of compliance, thus improving the probability of positive quality outcomes for patients. Lack of patient compliance will hinder the treatment process and lower the level of quality outcomes standards at KP. Continuity of care is another internal influence that can affect quality outcomes. Regular follow up with patients will also increase patient compliance. Without improving continuity of care, the KP organization will see a reduction in positive quality outcomes and an increased in undesired outcomes (DeHarnais, 2013, chp 5). Goals Short-Term 1. Design new regulatory and statute training programs for all clinical and administrative employees. 2. Review and revise the KP infection prevention and control program 3. Revise the performance management system to include CQI measurements and risk management procedures as performance metrics. Long-Term 1. Increase adherence to state and federal regulations and statutes throughout the KP organization. 2. Reduce HAIs by 10% throughout KP hospitals in the northern California region. 3. Improve CQI measurement and risk management policy adherence throughout the northern California region by 20% among clinical employees. Risk and Quality Management Recommendations Risk management policies 1. Quarterly peer review The Health Care Quality Improvement Act (HCQIA) of 1986 â€Å"encourages hospitals, state licensing boards, and professional societies to identify and discipline physicians, dentists, and other health care providers who, after adequate, nondiscriminatory peer review, were found to have engaged in negligent or unprofessional conduct† (Cohen, 2013 p. 333). Through ongoing screening of new and current clinicians, KP will take responsibility for offering their patients that highest quality of care and reducing the risk of employing negligent clinical employees. 2. Zero tolerance adherence policy for all employees with regard to infection control procedures Part of the CMS CoP (42 CFR 482.42) regulation is the â€Å"designation of an infection control officer and development of relevant policies that address the identification and control of infections and communicable diseases. Without full compliance with all CoPs, KP could face the loss of their Medicare provider agreement. 3. Vulnerability analysis chart and emergency plan policy. According to Rawson and Hammond (2009) â€Å"by evaluating vulnerabilities and taking appropriate preventive action, loss can be minimized in an emergency†Ã‚  (p. 506). Health care facilities should include prevention measures in their emergency plans that include the risk of terrorist attacks. While terrorist attack risk cannot be completely mitigated, it is the responsibility of the health care facility to be prepared for such an emergency. Obtain additional information on including risk of terrorist attacks from the National Institute for Occupational Safety and Health (NIOSH). Quality management policies 1. Adherence to evidence-based clinical guidelines While it has been shown that â€Å"clinicians have customarily enjoyed a great deal of autonomy in their practices† (Argawal, 2010, para 3), it is imperative that clinicians follow evidence-based clinical guidelines. If exceptions should be made the details of, the patient diagnosis and variations should be presented for peer review prior to altering treatment plans. 2. Minimum score of 88% on customer satisfaction surveys Clinicians must maintain an average score of no less than 88% on customer satisfaction surveys quarterly. In today’s health care market, measurements of quality include consumer satisfaction. In fact, Bernard and Savitz (2009) state that in todays â€Å"competitive health care environment, consumers want and expect better health care services and hospital systems are concerned about maintaining their overall image† (p. 185). Relationship between risk and quality management In the past, risk management officers and quality improvement managers worked autonomously from one another, in fact they most often reported to different superiors. However, today healthcare organizations are realizing that in order to reach quality of care goals and maintain effective risk management programs these disciplines must work together closely. An example of how risk management efforts and quality improvement efforts complement one another is seen in the reduction of medical errors. The risk management plan must consider ways to reduce medical errors, while the quality improvement plan will offer solid steps toward minimizing medical errors (Sollecito and Johnson, 2013). Conclusion This summary focused on topics such as the purpose of risk and quality management, risk identification and management, current risks, quality outcomes, organizational goals, and the relationship between risk and quality management. While KP is the nation’s largest integrated health care delivery systems and leader in CQI standardization, there is always room for improvements. This consultant understands the importance of improvement at KP, thus humbly presents this summary and recommendations to the board of directors. References Agarwal, R. (2010, May). A Guideline for Quality Accreditation in Hospitals. Quality Digest, (), 1-4. Retrieved from http://www.qualitydigest.com/inside/twitter-ed/guideline-quality-accreditation-hospitals.html Chen, C., Garrido, T., Chock, D., Okawa, G., Liang, L. (2009). The Kaiser Permanente electronic health record: Transforming and streamlining modalities of care. Health Affairs, 28(2), 323-33. Retrieved from http://search.proquest.com/docview/204522974?accountid=458 Cohen, M. (2009). Statutes, Standards, and Regulations (chp 10) in McCaffrey, J. J., Hagg-Rickert, S. (2009) Risk Management Handbook (5th ed.). San Francisco, CA: Jossey-Bass. DesHarnais, S. I. (2013). The outcome model of quality (chp 5) in Sollecito, W. A. and Johnson, J. K. (2013). McLaughlin and Kaluznys Continuous Quality Improvement In Health Care (4th ed.). Jones and Bartlett Publishers. Emily R. M. Sydnor, Trish M. Perl (2011, January). Clin Microbiol, 24(1): 141–173. Retrieved from http://www.ncbi .nlm.nih.gov/pmc/articles/PMC3021207/ Kaiser Permanente. (2014). Kaiser Permanente, Retrieved from http://share.kaiserpermanente.org/article/history-of-kaiser-permanente/ McCaffrey, J. J., Hagg-Rickert, S. (2009, Chp 1) Developing of a Risk Management Program in Risk Management Handbook (5th ed.). San Francisco, CA: Jossey-Bass. Rawson, M. L. and Hammond, H. Y,. (2009) Emergency Management in McCaffrey, J. J., Hagg-Rickert, S. (2009, Chp 7) Developing of a Risk Management Program in Risk Management Handbook (5th ed.). San Francisco, CA: Jossey-Bass. Singh, B., Habeeb Ghatala, M. (2012, August). Risk Management in Hospitals. International Journal of Innovation, Management and Technology, 3(4). Sollecito, W. A. and Johnson, J. K. (2013). McLaughlin and Kaluznys Continuous Quality Improvement In Health Care (4th ed.). Jones and Bartlett Publishers.