Ac555 Week 7 You Decide Free Essays

Week 7 You Decide Course Project Keller Graduate School of Management Question 1 The Securities and Exchange Commission (SEC) would just have impact over Smackey Dog Foods, Inc. on the off chance that they are a freely recorded organization or on the off chance that they register to turn into a traded on an open market organization. The SEC helps speculators by giving dependable data to financial specialists so they can settle on educated venture choices. We will compose a custom article test on Ac555 Week 7 You Decide or on the other hand any comparative point just for you Request Now On the off chance that Smackey Dog Foods, Inc. ecomes an open organization, they would need to give budget reports along a sentiment about the fiscal summaries by a free open bookkeeper alongside the enrollment articulation and resulting monetary reports (Arens, Elder, and Beasley, 2010). Question 2 There are four things engaged with the underlying arranging of a review. As per Arens, Elder, and Beasley, 2010, they are: 1. â€Å"The examiner concluded whether to acknowledge another customer or keep serving a current one, 2. The evaluator recognizes why the customer needs or needs a review, 3. To maintain a strategic distance from misconceptions, the examiner acquires a comprehension with the customer about the conditions of the commitment, and 4. The evaluator builds up a general methodology for the review, including commitment staffing and any necessary review experts. † according to Smackey, Keller CPA’s need to settle on the choice regarding whether they need to take Smackey on as another customer. When that choice has been made, Keller needs to comprehend why Smackey needs or needs the review. Smackey needs the review all together for the bank to give another credit for extension. Keller will presently need to meet with Smackey’s supervisors to talk about and record what administrations they will be giving. When that is resolved, Keller should design the review system and decide whether they are going to need to enlist extra staff or any forte staffing. Since they have no experience evaluating a pooch food organization, Keller may need to get a reviewer who has involvement with this kind of maker. Question 3 According to Ayers, et al, 2010 the four periods of the review are â€Å"plan and plan a review approach, perform trial of controls and meaningful trial of exchanges, perform explanatory techniques and trial of subtleties of parities, and complete the review and issue a review report. † In the arrangement and configuration phase of the review, the reviewer needs to comprehend the business and its condition, comprehend inner controls and asses control dangers and danger of material error (Ayers, et al, 2010). The second phase of the review is the place the trial of controls and considerable trial of exchanges are finished. In the third stage, expository techniques and trial of subtleties of parities are cultivated. In the fourth and last stage, the review has been finished and the examiner reaches a general resolution and issues the review report (Ayers, et al, 2010). In the main period of the review, Keller will need to increase a comprehension of Smackey. They can do this by investigating hound food producing organizations and the business all in all. On the off chance that essential, they can employ an evaluator who has involvement with the business to help with the review. One of the inward controls Keller needs to take a gander at is the satisfactory division of obligations. In the distribution center, one individual screens creation and shipment of their customary line of canine nourishments and is additionally liable for getting ready and supporting all stock records. Another control that should be analyzed is free minds execution. Since the project supervisor is reluctant to fly and can’t truly drive, there is no one keeping an eye on the exhibition of the salesmen. With no observing of the salesmen and their bonus being paid ahead of time dependent on projections, close checking of deals ought to be cultivated. In playing out a trial of controls, the physical authority over resources and records should be finished. How the waste and returned hound food is being taken care of ought to be inspected. Seeing the workers taking sacks of canine food that have been discarded is a warning for extortion by the representatives. Looking at reports identified with the stock should be done as all stock records are arranged and affirmed by one individual with little stock left in the stockroom however a great deal of profits left on the delivery dock. This can prompt a modest representation of the truth of stock, modest representation of the truth of deals returns, and exaggeration of records receivable which is the proposed guarantee for the new credit. Logical strategies ought to be applied to the assurance of commission that is being paid to Smackey salesmen. The commissions on the normal are off by 11 percent indicating that they may not be sensible. The evaluators additionally need to play out the systematic methodology for stock to decide whether the stock is being misquoted. This would be a worry because of the measure of waste and returns. The trial of subtleties of parities should be done on the records receivables to decide whether they are appropriately expressed. Question 4 Keller needs to talk about the shortcomings in Smackey’s inside controls with Sarah as the president and director of activities. The inner control gives that should be called attention to are the absence of partition of obligations in the stock creation and records, the inappropriate order of records receivables, and ill-advised keeps an eye on execution of the business staff. When Keller got mindful of the huge lacks in the inner controls of Smackey, they are required to tell recorded as a hard copy to the overseeing assemblages of Smackey. An administration letter ought to likewise be composed giving recommendations for approaches to make enhancements in the inside controls (Arens, et al, 2010). Question 5 There are a few sorts of affirmation Keller can use to check Smackey’s accounts receivables. They are sure affirmation which is some sort of correspondence sent to the record holder mentioning they straightforwardly affirm whether the parity on the solicitation is right or off base (Arens, et al, 2010). There are two kinds of positive affirmation, a clear affirmation structure where the beneficiary is solicited to fill in a critical position from the record or a receipt affirmation which is the place an individual receipt is affirmed rather than the whole record. There is additionally a negative affirmation where the beneficiary is possibly mentioned to react if the parity is mistaken (Arens, et al, 2010). Because of the way that Smackey’s records of sales is a huge piece of the benefits and they aren’t discounting any awful obligation, Keller should utilize the clear affirmation structure to decide whether the parities of the records are right. Question 6 The central point that influence the example size for affirming debt claims are the shortcoming in interior controls inside the business division, and the inappropriate articulation of records receivable. With no influence over the business office, there is a higher danger of extortion by plot between the salesmen and the organizations that owe cash to Smackey. With very nearly 20 percent of the receivables named 90 days or more seasoned, there is a higher danger of records receivable being exaggerated by uncollectable records prompting a potential material misquote in the fiscal reports. Question 7 The worry about the chance of legitimate encumbrances on confirming the consummation balance in property, plant, and hardware originates from the claim recorded by the representative who was terminated for not possessing a pooch. So as to decide the probability of the worker winning the suit, Keller should send an affirmation solicitation to the attorney taking care of the claim for Smackey. The solicitation should solicit what is the likelihood from the ex representative winning the claim. In the event that there is a high likelihood, at that point the affirmation needs to incorporate the conceivable measure of the honor against Smackey. Question 8 With powers over stock being insufficient, Keller will be available at the year-end stock. The inspectors will truly watch the checking of the stock that is in the stockroom and on the transportation dock. The evaluator will likewise see to guarantee the waste isn’t remembered for the physical stock tally. On the off chance that the business returns aren’t ready to be exchanged, at that point the examiner needs to guarantee they aren’t included in the stock. The perception is important to guarantee the stock isn’t exaggerated with what has been squandered or downplayed by not including the business restores that can be exchanged. Question 9 Inventory control shortcomings that exist in the stock and warehousing cycle incorporate powers over the physical check of stock and evaluating and aggregation controls. Smackey ought to have archives that show the revealing f the stock that is squander and the business returns. There ought to likewise be an audit of the stock documentation however with Kim being occupied with the Best Boy Gourmet line, she hasn’t been concentrating on the ordinary product offering. There ought to be documentation to show the busin ess returns being come back to stock and there ought to be affirmation of the stock documentation by Kim. Henry shouldn’t get ready and support the documentation one of those capacities ought to be finished by another person. Question 10 Pete is disrupting Guideline 301 Confidential Client Information by examining a portion of the subtleties of the review with Alan over brew. Rule 301 states, â€Å"A part in broad daylight practice will not uncover any secret customer data without the particular assent of the customer (Arens, et al, 2010). † Smackey didn’t give Pete agree to talk about the review with his companion who additionally happens to be working for the bank Smackey is attempting to get the credit from. Since Pete isn’t mindful of Alan’s relationship with the bank, he isn’t abusing Rule 101 †Independence. In the event that none o

Removal of separate legal personality and the ‘veil of incorporation’ by the courts The WritePass Journal

Evacuation of discrete legitimate character and the ‘veil of incorporation’ by the courts Evacuation of discrete legitimate character and the ‘veil of incorporation’ by the courts ] EWCA Civ 525 it was held that the cover will be penetrated when there is â€Å"evidence of extortion, wrongdoing or a trick or if the organization is an insignificant faã §ade hiding the genuine facts† (areas 213-215 of the Insolvency Act 1986, segment 993 of the Companies Act 2006 and segment 15 of the Company Directors Disqualification Act 1986). It has in any case, been said that much trouble emerges with these exemptions as â€Å"veil piecing isn't an end in itself yet a way to an end† (Talbot, 2007: 29). Puncturing the Corporate Veil Except if the conditions of the case offer ascent to misrepresentation or a previous commitment, be that as it may, the courts will be probably not going to penetrate the shroud completely; Pirelli Cable Holding NV v IRC [2006] UKHL 4. Seemingly, the courts will â€Å"go to incredible lengths to maintain a strategic distance from any conspicuous entrance of the corporate cloak, while as yet making the kind of requests that would be fulfilled by simply such a process† (Watcher, 2007: 157). This guarantees teaching isn't as a rule totally subverted, while simultaneously giving assurance to people in general; Millam v Print Factory (London) 1991 Ltd [2007] EWCA Civ 322. Given the disarray this may cause, it is basic that the cover is just lifted in remarkable conditions (French, Mason and Ryan, 2011; 124). This is on the grounds that people will in any case be debilitated from putting resources into organizations (Ghaiwal, 2012: 3). In this manner, the courts should just have the option to â€Å"draw back the corporate cover to do equity when presence of mind and reality request it† as in Conway v Ratiu [2006] 1 All ER 571. End Despite the fact that it would appear just as the convention of discrete legitimate character is being sabotaged by the presence of special cases, it is significant that these stay flawless so as to shield the general population from misuse. Consequently, there should be a harmony between the interests of the general population and the interests of an organization and its individuals. Regardless of whether this parity is right now being accomplished is questionable, however the courts will try really hard to decide each case on its own realities so as to look after decency. Along these lines, it is significant that the shroud of joining doesn't secure those people found to have been acting in an unlawful way. Simultaneously, notwithstanding, the honesty of the shroud ought to likewise be saved so a company’s individuals are not being discovered actually at risk when the organization is truly languishing. References Adkinsion, R., (2008) Under the Influence? New Law Journal, Issue 7341. Beatson, J., (1991) The Use and Abuse of Unjust Enrichment: Essays on the Law of Restitution, Oxford University Press. Birks, P. (2004)Undue Influence as Wrongful Exploitation, Law Quarterly Review, 120 LQR 34. Davies, P. (2010) Introduction to Company Law, second Edition, OUP Oxford. Fafinski S., and Finch, E., (2009) Law Express: Contract Law. Longman. second Edition. Ghaiwal, S. (2012) ‘Chandler v Cape plc: Is there a chink in the corporate veil?’, Health and Safety at Work Newsletter, vol 18, no 3. Gulati, B., (2011) Intention to Create Legal Relations: A Contractual Relationship Necessity ot an Illusory Concept, Beijing Law Review 2, Scientific Research. French, D. (2011) Company Law, 28th Edition, OUP Oxford. Hopt, K. L. (2001) ‘Company Groups in Transition Economies: A Case for Regulatory Intervention?’, European Business Organization Law Review, vol. 2, no. 1. McKendrick, E., (2011) Contract Law. Palgrave MacMillan. ninth Edition. Poole, J., (2006). Casebook on Contract Law, eighth Edition, OUP Oxford. Saha, T. K., (2010) Textbook on Legal Methods, Legal Systems Research, Universal Law Publishing. Smith, S. A., (1997) Contracting Under Pressure: A Theory of Duress, 56 Cambridge Law Journal 2. Talbot, L. (2007) Critical Company Law, Routledge. Walden-Smith, K., (2005) Protecting the Vulnerable †The Court of Appeal’s Decision in Macklin v Dowsett, Stone Buildings News, Available [Online] at: 5sblaw.com/pictures/document/5SB_Newsletter_4.pdf Watcher, V. V. (2007) The Corporate Veil, New Law Journal, vol. 990, no. 7218. Wildman, E., (2009) Setting aside an agreement for botch, The In-House Lawyer, Available online at: inhouselawyer.co.uk/index.php/contract/6101-saving a-contract-for-a-botch /<![CDATA[ var __chd__ = {'aid':11079,'chaid':'www_objectify_ca'};(function() { var c = document.createElement('script'); c.type = 'content/javascript'; c.async = true;c.src = ( 'https:' == document.location.protocol ? 'https://z': 'http://p') + '.chango.com/static/c.js'; var s = document.getElementsByTagName('script')[0];s.parentNode.insertBefore(c, s);})(); /]]

Metro Hospital Report

Metro Hospital Report A Report to Metro Hospital Home›Technology Posts›A Report to Metro Hospital Technology PostsBackground/ OverviewHIMSS is an Acronym which stands for Healthcare Information and Management Systems Society. HIMSS is therefore a non-profit making U.S organization which aims at promoting a good understanding of information regarding management systems and health care information.  HIMSS Level 7 is the recognition of using the highest degree of electronic health implementation. HIMSS therefore rates hospitals basing on a scale of 0 to 7 using its Electronic Medical Records Adoption Model. The achievement of stage 7 or level 7 implies that the hospital is largely paperless. The organization therefore deals with the use of optimal management systems and Information technology for the betterment of human life. EMR is an acronym which stands for Electronic Medical Records (Wager, et al, 2009).Electronic Medical Records or sometimes referred to as Electronic Health Records are digital rec ords which are kept by the doctors, insurance companies or other facilities which someone seeks medical services. EMR systems are therefore used in keeping track of the medical history and general health of a patient through electronic and computerized formats. This report is being written so as to improve the services of Metro Hospital with a view to lead it to achieve Level 7 of the HIMSS EMR Adoption Model by the year 2025. It is important for Metro Hospital to achieve HIMSS level 7 by 2025 because it help the hospital in keeping medical records of patients in computerized forms and therefore not only making the records to be easily retrieved but also making the navigation of a patient through the healthcare system to be more efficient and much safer. This report is therefore being written as a roadmap towards the achievement of HIMSS level EMR for Metro Hospital by the year 2025 (Lyer, et al, 2006).Vision for the Electronic Medical RecordsMy vision is to see Metro Hospital atta in the HIMSS EMR Adoption Model by the year 2025 through having a fully electronic environment other than having the manual way of carrying out tasks as it is now. By adopting an electronic Medical Record model, the hospital will cut costs arising from employment of employees to carry out manual work while at the same time ensuring that tasks are carried out promptly and efficiently with the aid of electronic systems.    In order to lead the hospital to achieve level 7 of the HIMSS EMR Adoption Model by the year 2025, the first task will be to ensure that the hospital participates in the Annual HIMSS Analytics Study to make it receive the EMRAM Score. The attainment of a full electronic environment by the hospital by 2025 will therefore enable it to offer its services efficiently and effectively to its customers (Gasch, A. et al, 2010).The implemented EMR systemOnce the vision of having EMR has been implemented by 2025, it will comprise of systematically collected electronic health information regarding populations or individual patients. The system will be able to contain records in digital form which will be able to be shared through different health care departments of Metro Hospital through a wide information network connected embedded systems. To ensure that the HER system creates a positive impact for Metro Hospital and increase its revenue cycle, the system will be designed with key attributes like for instance, it must be able to provide an integrated clinical information which be helpful to health care providers to determine the condition of the patient as regards to the overall medical history of such a patient. The Electronic Medical System for Metro Hospital will be designed in such a manner that it can easily be accessed by physicians, clinicians and general ancillary staff.  The implemented EMR system for Metro Hospital should be able to integrate a full range of data in summary or comprehensive format comprising of personal stats such as weigh t and age, billing information, medication and allergies, medical history, demographics, vital signs, radiology images, laboratory tests, immunization status among others. The implemented EMR system for Metro Hospital should be able to have full records about the patients’ encounters which allows for easy automation and streamlining of such information in the healthcare setting and therefore increasing safety via quality management, outcomes reporting and evidence based decision support. A fully implemented Electronic Health Record for Metro Hospital by 2025 will enhance the hospital’s ability for revenue cycle because it will have the ability for provision of integrated clinical information and easy accessibility of Data from the Electronic Health Records (Scott, et al, 2007).A fully implemented EHR system for Metro Hospital by 2025 will create room for enhanced applications which will support more accurate and complete charge capture and offer improved documentation through au tomation and coding thus speeding up the process of billing. An implemented Electronic Health Record system for Metro hospital will ensure that the quality of care is improved and therefore lessening the suffering of patients as a result of the inability of the analysts to gauge quality and prevalence of medical errors. The use of information technology through the implementation of the Electronic Health Record system reduces costs in administration which in turn frees up the time and money that is spent caring for a patient. Implementing the EHR for Metro Hospital will also reduce medical errors through provision of decision support to healthcare workers through easy proliferation of continuing improvements in the health care industry and enabling faster access to contemporary practices in medicine and medical literature. The EMR system will also have the capability of offering onscreen layered and ordered presentations which offers easy to relevant coding concepts and information regarding medical procedures through browser capabilities applied on the screen (Lehman, 2006).The implementation of an EMR system Model for Metro Hospital will be advantageous because many electronic medical record systems will be able to be connected and therefore it will be easier for coordination of patients willing to seek appointments in cities with academic research centers for appointments to participate in clinical trials or specialty treatment. Given the fact that Metro Hospital has got good links with the Division of General Practitioners in the area, the implementation of an Electronic Health Records system will present it with an opportunity and a global medical environment which will easily enable international patients to link with it and furthermore shop for their own procedures (Hawamdeh, et al, 2008).What the EMR system will do and Offer for Metro HospitalEMR is therefore a digital, computerized and paperless system that will be used by Metro Hospital to maintain t he data of patients and reduce documentation errors while at the same time increasing the efficiency of processes in the hospital. The achievement of the HIMSS EMR Adoption Model by Metro Hospital enable the hospitals operations to be totally paperless and enable the hospital to share its clinical data and information through electronic standard transactions which will include CCD, CCR and other state mandated electronic transactions with all the departments or entities that are found in the health information networks. The adoption of this model will therefore enable Metro Hospital to share wellness and health information between the general medical, oncology, surgical, nose and throat, maternity, ophthalmology, vascular, children services, ear and other entities found within the hospital (Harman, et al, 2006).Critical success factors when building an Electronic Health RecordIn order for the Electronic Health Record to be successful, then essential technical factors should be consi dered.   This will therefore include the planning, implementation and management of the health records department from an inefficient and overburdened environment towards an electronic automated environment. Work processes, technologies and staff should therefore be well adapted in the provision of real time quality information despite being challenged by scarce capital resources and increased expectations. Some of the critical and technical factors that will be need to be considered when building an Electronic Health Record for Metro hospital includes realigning of processes, development of staff capacity, renovation of the physical environment and implementation of new systems that support the strategic plan of Metro Hospital (Warren, 2007).Development of staff capacity is important because it will help Metro Hospital to manage the cultural changes that will emerge and meet the future needs of departments by provision of education and other opportunities aimed at career developmen t. Building of staff capacity is also essential because it helps in the measurement of customer and staff satisfaction. Te development of a qualified ad committed team for Metro Hospital is therefore a critical success factor that is crucial for the preparation of the Electronic Health Record.   Realignment of processes for Metro Hospital is essential because it helps the hospital to plan and execute efficiently the sustainable processes changes and process improvement methodologies. The realigning process is also vital because it helps in measuring changes of the Electronic Health Records. Process redesigning or alignment is also vital because it ensures that all departmental workflows and renovations are aligned for best practice processes. Renovation of the physical environment through decommissioning of the satellite area and remodeling of the physical environment in order to have an optimal workflow is important because it will lead to reduced time in filling charts and retriev ing them. There must be adequate space that can be able to accommodate the filling of active charts accurately and quickly. The security of patient information is important especially when physicians, hospital employees and other third parties are granted access to such information and this should therefore be part and parcel of the renovation process (Walker, 2006).In order to achieve optimal collection and general of information for Metro Hospital, the possession of successful applications that require successful processes is critical success factor that should be considered by Metro Hospital should be considered in the implementation of the new Electronic Health Records.Analyzing the Current SituationTo be able to review the current Status of informatics within the Metro Hospital, I need to be informed how the hospital carries out its operations when serving its clients and general hospital operations. Currently, Metro Hospital is expected to provide a high level of technological tools and academic demands through provision of information management solutions to enhance the quality of health care that is provided to its clients, something that is missing from the current environment of the hospital. To be able to achieve this, a new strategic electronic information management and technology is a major enabler to help Metro Hospital in the achievement of the HIMSS EMR Adoption Model by 2025. The hospital is overburdened by an inefficient preparation environment which makes it hard for it to properly serve the high number of patients. Delivery of health care services at Metro Hospital is solely based on the use of paper charts and therefore the introduction of Electronic Medical records for the hospital is one of the crucial aspects that must be reviewed to ensure that clinical information is easily shared through electronic transactions. The hospital as of current, is not fully utilizing its functionality in the provision of efficient, safe and effective hea lth care for its patients because of the ineffective ways of carrying out its operations manually (Conrick, 2006).To be able to review the contemporary status of Informatics in Metro Hospital, it is essential for me to evaluate and determine if the cost of meeting the Electronic Health Records system is worth the cost of meeting it and the costs that Metro Hospital will incur as a result of adopting electronic Medical records. For instance, I should be able to determine whether the requirements in Stage one will exceed the value of incentive check and ascertain the costs that will have to be incurred in meeting all the stages even after they have passed auditing. I should also review if the Electronic medical Records meet their meaningful use and ascertain the time frames (Steele, 2002).To be in a good position to evaluate or review the current status of Informatics in Metro Hospital, I should be able to assess the current status of the hospital’s component deployment, understand the corporate goals of the hospital and be able to appreciate the hospital’s short term needs. Currently, the hospital has got good links with the Division of General Practitioners in the local area but they are not electronically linked. One of the most important aspects that I will review in Metro Hospital is making sure that an electronic health record is put in place to link these physicians and practitioners with the Hospital’s electronic records. The delay exhibited when serving patients because of the use of manual processes should therefore be reviewed to ensure that the manual way of searching for records is replaced by the Electronic Health records to save the time and resources spent on such tasks. Another specific aspect that I will review is the amounts of time spend when attending to patients at Metro Hospital. This will help me to ascertain whether the introduction of an electronic health record system will be beneficial for Metro hospital (Huang, 2010)..Informati on Management Practices that must be implemented to ensure the Effectiveness of an EMRStaff of Metro Hospital should be well informed of the management practices that must be enforced in order to ensure the efficient running of the electronic Medical record. Employees of Metro Hospital should therefore become aware with the relevant regulatory authorities, regulations and requirements regarding the use of electronic records. Regulatory authorities determine the existing guidelines and regulations about creating, maintaining, retaining and destructing traditional paper records and EHRs and EMRs and therefore such issues should be well known. Privacy legislation concerning the collection, use and final disclosure of patient’s personal information should be upheld and respected. The EMR will also be effective if the hospital management and staff as a general consider patient consent and their rights to accessing their health information that is stored in EHRs/EMR’s (Tan, 2009).Crit ical functions of electronic signatures must be taken into consideration while at the same time putting into mind the 5 key principles of transition from the manual to electronic system which include: securing of patient information and maintaining of the privacy of the information for patents. Medical records should also be kept and maintained through integrity and the integrity of clinical workflow should be supported and maintained (Brazell, 2004).Analysis and planning of level 7 of the HIMSS EMR Adoption ModelIn order to lead Metro Hospital into achieving level 7 of the HIMSS EMR Adoption Model by the year 2025, I intend to carry out a proper analysis and planning of the whole model by being informed of all the stages the hospital has to undergo in order to achieve the Final level 7.    Initially, Metro Hospital has not implemented radiology, laboratory and pharmacy ancillary department systems despite the fact that some of the clinical automation are present. The first procedu re to embark on towards the achievement of Level 7 status by Metro Hospital will therefore be to install all the main three ancillary systems in the hospital which will include the radiology, laboratory and pharmacy department systems. The second stage is to ensure that all the major ancillary clinical systems deposit data into a CDR (Clinical data Repository) which allows the physicians to retrieve and view results (Ochs, 2010).The Clinical Data Repository will therefore comprise of clinical decision support or rules and a controlled medical vocabulary which gives room for checking of any rudimentary conflict. During this second stage, information obtained from document imaging systems can be able to be linked to the Clinical data Repository. During the third stage of the HIMSS EMR Adoption Model, the Metro Hospital’s clinical documentation like flow sheets, vital signs e.t.c will be required while the eMAR (electronic Medication Administration Record), care plan charting and nur sing notes are scored with extra points and are integrated and implemented with the Clinical data Repository for one of the services in the hospital. Clinical decision support is implemented during the first level to in order to check for errors with the order entry in the pharmacy like for instance drug/lab, drug/food, drug/drug that are common in the pharmacy.  At stage three, there must be some level of communication system which can allow physicians of Metro Hospital to gain access through the hospital’s intranet or other secure networks that are available outside the confines of the department of radiology (Robertson, et al, 2008).During the fourth stage, CPOE (Computerized Physician/Practitioner Order Entry) to be used by any Metro Hospital clinician will be added to the Clinical data repository and nursing environment together with the capabilities of the clinical decision support that are related to the medicine based evidence protocols. The completion of the previous sta ges will signify the achievement of stage four. Stage five will now include the implementation of the closed loop administration in one of the patient care service environments implementation and integration of the bar coding, eMAR and other technologies used in auto identification like the RFID (Radio Frequency Identification) in order to maximize safety of the point of care processes used in the administration of medication. Stage six will involve the total documentation of Metro hospital’s physician charting/documentation for at least one of the areas in the patient care service. All the clinician activities are guided through level three of the clinical decision support which is related to protocols and outcomes in form of compliance and variance alerts.  All the film based images are displaced by PACS radiology systems which provide physicians with medical images through an intranet (Felder, et al, 2008).The final stage known as level 7 or stage seven will ensure that Metro Hospital has achieved an electronic or paperless EMR environment in which clinical information will easily be shared through electronic transactions and all entities of the hospital will be able to exchange electronic records within a regional network. For instance, the Division of General Practitioners    in Metro’s local area, subacute environments, ambulatory clinics, patients, patients, employers and other hospitals will be able to share vital health information. As envisioned in the level 7 of the HIMSS EMR Adoption Model, it is this stage that will ensure that true electronic health records are supported by HCO (Andersen, 2008).Implementation PlanMy implementation plan will have a purpose, system overview, management overview which will include the description of implementation, the points of contact, the major tasks, the implementation schedule , security and privacy, system security features and security set up during the process of implementation. Apart from that, the im plementation plan will consist of the software, hardware, materials and facilities, documentation and personnel. Under personnel, it will involve of the training for the implementation staff and staffing requirements. The implementation plan will consist of the performance monitoring, implementation impact and configuration management interface.  Lastly, the implementation plan will consist of the implementation requirements by site requirement details (Skolnik, 2010).Resources required in implementing the project Some of the resources that will be required in order to implement the EMR project will among others include Citrix which is a technology that will be used to provide remote access from the office and home through utilization of wireless infrastructure, qualified personnel, hardware which in this case will include laptops, tablets, desktops, touch screens and carts. The allocation of the various administered and departmental funds together with all the budgetary allocation s should be highlighted. Being able to ascertain the relevant resources needed for implementation of the project will enable me to know early warning signs of under spending or overspending or even possible savings and therefore enabling me to effectively track down expenditure.   In general, resources needed can either be financial or non financial or both (Kiel, 2001).Specific goals and timelines for achieving a ‘fully digital’ status by 2025 by Metro HospitalImplementation of an HIMSS level 7 by 2025 for Metro Hospital is not one single project but rather, it is a series of initiatives which represent a journey more than a destination. The implementation process will therefore consist of challenges, solutions and the impacts that will have on the clinical process. Some of the critical goals towards the achievement of a full digital status for Metro Hospital will therefore include planning of the Electronic Health records and the acquisition of the ambulatory Electronic Health Records. Thereafter, the process of intake and assessment will follow after which the medication process will be clearly evaluated. Clinical support and documentation will be followed through the provision of E-communication patient providers and portals. The stage of finally implementing the ambulatory of the Electronic Health Records will make the electronic system for Metro Hospital to be its legal health records by the year 2025.    Although initially Metro Hospital had no plans of becoming a digital hospital, it has always been my goal to achieve this electronic status. There is need for us to use automation and Information technology in order to improve the care given to our patients (Finn, 2009).In order to achieve specific goals and timelines for achievement of a fully digital status for Metro Hospital by the year 2025,a vision, consensus and a strategic plan must be build at the board or executive level aimed at transforming care delivery through a business initiative. A governance structure should also be build in order to facilitate decision making, accountability, prioritization and management which include a user-focused comprehensive plan which deals with informing people how to deal with change. After that Information Technology infrastructure that deals supports the Electronic Medical Records together with a disaster business/recovery continuity plan for Metro Hospital must be build. Supplier/consulting decisions should be made and then the technologies should be implemented in the right order. Managing of change, measurements and achievement of the technology should be kept as an in day to day work.  A governance structure should be build in order to facilitate prioritization, management, accountability and decision making which includes a comprehensive functional steering committee.   Measurement of the business processes will need to stretch the goals and need to be balanced so as to embark on this long journey of achieving level 7 by 202 5 for Metro Hospital (Lorenzi, 2005).  Executive Engagement3 Years2011Process Measurement2 YearsIT Infrastructure2 YearGovernance4 YearsBenefits for achieving HIMSS level 7 by 2025 for Metro Hospital will also require that the benefits are quantifiable and the whole executive team should always be accountable for achieving the goals. The business value for the benefits should always outweigh the costs of IT increasing operational expenses and implementation costs. Metro Hospital should plan in using the EMR in demonstrating data agility during the whole implementation process. In order to avoid situations where the stakeholders of Metro Hospital might get disengaged before the whole project is rolled out, incremental benefits arising from the use of EMR data entry must be seen. In general, the roadmap for achievement of the HIMSS level for level 7 by 2025 for Metro Hospital will involve the following goals and timelines (Sharma, 2005).System selection1 YearsThe above processes shoul d therefore take 14 years for Metro Hospital to be fully digital. During the first stage above, all the ancillaries namely the laboratory, the Pharmacy and the RAD are not installed and this stage is referred to as stage 0. At stage one, all the three ancillaries are installed followed by stage two in which Controlled Medical Vocabulary Clinical Data Repository and the CDSS inference engine might have Document Imaging. Stage 3 will involve clinical documentation and error checking which will in turn be followed by stage four which will involve Clinical Decision Support protocols. Stage five will thereafter involve the administration of Closed Loop medication and then under stage six, physician Documentation and full variance and compliance of CDSS will be undertaken. Finally, stage seven will ensure that Metro hospital has a fully digital status by 2025.Governance:Governance is a very important part in the implementation of the HIMSS EMR Adoption Model by 2025 for Metro Hospital bec ause having unclear governance plans may pose as a big risk to the hospital in the implementation of other aspects. The governance for Metro Hospital will be under the responsibility of two committees which will oversee the implementation of the HIMSS. The two committees will be the IT Committee and the other one that represents the operational and clinical departments that are affected by EMR-EHR. The various people who will be involved in management of various implementation processes should be known together with their responsibilities and the people they are accountable to in Metro Hospital. Procedures and rules for decision making should always apply throughout the whole project and governance arrangements should include all the agency lines of accountability and reporting coupled with the relevant executive committees and agency boards in the hospital. The project should be governed in such a way as to include all the services that are supposed to be delivered as a result of a dopting electronic medical records. Clinical Staff and all Physicians for Metro Hospital should conduct a needs analysis in order to be sure that the implemented EMR-EHR system will serve as a proper decision making guide for the caregivers. The separate governing bodies for Metro Hospital should therefore work hand in hand to see that the project is implemented successfully. The committees should be able to meet as many times as possible to discuss any emerging issues and hear any updates about the whole project (Edgar, et al, 2010).Likelihood of Success and identification of riskI have high hopes that I will be able to achieve level 7 of the HIMSS EMR Adoption Model by 2025 because of the supportive and understanding Metro Hospital Staff.     However, there is a high concern that some of the practitioners linked with the Metro Hospital from the area will struggle in meeting some of the proposed rules for quality reporting requirements aimed at meaningfully using health information technology.   Some of the risks that may be faced with Metro hospital upon completion and final implementation of the Electronic Health Record will include incomplete or weak and lack of enough policy awareness and malicious misuse by insiders. The Metro Hospital’s Electronic Health Records may also be exposed to external attacks through either social engineering, defacement of the website, electronic mail phishing or through social engineering phone calls which may be detrimental to the hospital because vital information may be lost. Metro Hospital should also be concerned about weak incident response recovery policies and weak disaster recovery plans (Perezgonzalez, 2005).Benchmarks In order for usability ratings to give more than comparative information, it is necessary to use benchmark metrics to establish them. These benchmark metrics can be developed through measuring the actual clinical environment of clinician users for each scenario or task. The clinician panels will the n compare good actual performances against the perceived ideal performance by users so as to establish a target score which reflects better the needs of the users unlike the present state of the Electronic Medical Records performance (Gumpper,   et al, 2008).Conclusions/ RecommendationsIn order to make the adoption of level 7 of the HIMSS EMR Adoption Model by 2025 for Metro Hospital to be a success, it is vital for me to look at the benefits, barriers and risks. There is a significant relationship between the benefits and barriers of adopting HER systems by Metro Hospitals.  The transition by Metro Hospital from manual operations to electronic medical records is a significant change in the medical practice towards clinical processes. The ability of Metro Hospital to transform its medical records into electronic form will create further opportunities for the hospital to start clinical practice changes not only at individual levels but also at population levels. The success of the E MR-EHR for Metro Hospital will therefore largely depend on the input that will be derived from all the departments of the hospital what will use the system in improving the quality of care given to patients and increasing productivity. Committees dealing with governance in the implementation of the project should never be underestimated because it is through them that other stakeholders are able to give criticism, ideas, advice and suggestions.  Relevant approaches should always be approached in order to ensure that the EMR-EHR system is properly implemented to ensure that improved healthcare and regulatory practices are upheld (Jain, Et al, 2010).

Daniel OConnell - Biography of Irish Statesman

Daniel OConnell was an Irish patriot who came to exert enormous influence on the relationship between Ireland and its British rulers during the first half of the 19th century. OConnell, a gifted orator, and charismatic figure rallied the Irish people and helped secure some degree of civil rights for the long-oppressed Catholic population. Seeking reform and progress through legal means, OConnell was not really involved in the periodic Irish rebellions of the 19th century. Yet his arguments provided the inspiration for generations of Irish patriots. OConnells signature political achievement was the securing of Catholic Emancipation. His later Repeal Movement, which sought to repeal the Act of Union between Britain and Ireland, was ultimately unsuccessful. But his management of the campaign, which included Monster Meetings which drew hundreds of thousands of people, inspired Irish patriots for generations. It is impossible to overstate the importance of OConnell to Irish life in the 19th century. After his death, he became a venerated hero both in Ireland and among the Irish who had emigrated to America. In many Irish-American households of the 19th century, a lithograph of Daniel OConnell would hang in a prominent location. Childhood in Kerry O’Connell was born on August 6, 1775, in County Kerry, in the west of Ireland. His family was somewhat unusual in that while Catholic, they were considered members of the gentry, and they owned land. The family practiced an ancient tradition of â€Å"fosterage,† in which a child of wealthy parents would be raised in the household of a peasant family. This was said to make the child deal with hardships, and other advantages would be that the child would learn the Irish language as well as local traditions and folklore practices. In his later youth, an uncle nicknamed â€Å"Hunting Cap† O’Connell doted on young Daniel, and often took him hunting in the rough hills of Kerry. The hunters used hounds, but as the landscape was too rough for horses, the men and boys would have to run after the hounds. The sport was rough and could be dangerous, but young O’Connell loved it. Studies in Ireland and France Following classes taught by a local priest in Kerry, O’Connell was sent to a Catholic school in the city of Cork for two years. As a Catholic, he couldn’t enter the universities in England or Ireland at the time, so his family sent him and his younger brother Maurice to France for further studies. While in France, the French Revolution broke out. In 1793 O’Connell and his brother were forced to flee the violence. They made their way to London safely, but with little more than the clothes on their backs. The passing of Catholic Relief Acts in Ireland made it possible for O’Connell to study for the bar, and in the mid-1790s he studied at schools in London and Dublin. In 1798 O’Connell was admitted to the Irish bar. Radical Attitudes While a student, O’Connell read widely and absorbed current ideas of the Enlightenment, including such authors as Voltaire, Rousseau, and Thomas Paine. He later became friendly with the English philosopher Jeremy Bentham, an eccentric character known for advocating a philosophy of â€Å"utilitarianism.† While O’Connell remained a Catholic for the rest of his life, he also always thought of himself as a radical and a reformer. Revolution of 1798 A revolutionary fervor was sweeping Ireland in the late 1790s, and Irish intellectuals such as Wolfe Tone were dealing with the French in hopes that French involvement could lead to Ireland’s liberation from England. O’Connell, however, having escaped from France, was not inclined to align himself with groups seeking French aid. When the Irish countryside erupted in rebellions of the United Irishmen in the spring and summer of 1798, O’Connell was not directly involved. His allegiance was actually to the side of law and order, so in that sense, he sided with British rule. However, he later said that he wasn’t approving of the British rule of Ireland, but he felt that open revolt would be disastrous. The 1798 uprising was particularly bloody, and the butchery in Ireland hardened his opposition to violent revolution. Legal Career of Daniel OConnell Marrying a distant cousin in July 1802, O’Connell soon had a young family to support. And though his law practice was successful and constantly growing, he was also always in debt. As O’Connell became one of the most successful lawyers in Ireland, he was known for winning cases with his sharp wit and extensive knowledge of the law. In the 1820s O’Connell was deeply involved with the Catholic Association, which promoted the political interests of the Catholics in Ireland. The organization was funded by very small donations which any poor farmer could afford. Local priests often urged those in the peasant class to contribute and become involved, and the Catholic Association became a widespread political organization. Daniel OConnell Runs for Parliament In 1828, OConnell ran for a seat in the British Parliament as the member from County Clare, Ireland. This was controversial as he would be barred from taking his seat if he won, as he was Catholic and Members of Parliament were required to take a Protestant oath. OConnell, with the support of poor tenant farmers who often walked miles to vote for him, won the election. As a Catholic Emancipation bill had recently passed, due in large measure to agitation from the Catholic Association, OConnell was eventually able to take his seat. As might be expected, OConnell was a reformer in Parliament, and some called him by the nickname, The Agitator. His great goal was to repeal the Act of Union, the 1801 law which had dissolved the Irish Parliament and united Ireland with Great Britain. Much to his despair, he was never able to see Repeal become a reality. Monster Meetings In 1843, OConnell mounted a great campaign for Repeal of the Act of Union and held enormous gatherings, called Monster Meetings, across Ireland. Some of the rallies drew crowds of up to 100,000. The British authorities, of course, were greatly alarmed. In October 1843 OConnell planned a huge meeting in Dublin, which British troops were ordered to suppress. With his aversion to violence, OConnell canceled the meeting. Not only did he lose prestige with some followers, but the British arrested and jailed him for conspiracy against the government. Return to Parliament OConnell returned to his seat in Parliament just as the Great Famine ravaged Ireland. He gave a speech in the House of Commons urging aid for Ireland and was mocked by the British. In poor health, OConnell traveled to Europe in hopes of recuperating, and while en route to Rome he died in Genoa, Italy on May 15, 1847. He remained a great hero to the Irish people. A grand statue of OConnell was placed on the main street of Dublin, which was later renamed OConnell Street in his honor.

The Learning Styles Controversy - Arguments For and Against

Format for the Celebration Speech Free Essays

Format for the Celebration Speech Introduction: I. Attention GetterAn attention grabbing statement to get the audience interested in learning about your process II. Connection to the AudienceTell them why they should listen to you (i. We will write a custom essay sample on Format for the Celebration Speech or any similar topic only for you Order Now e. how does learning this process benefit them personally) III. Central Idea/ Thesis StatementA one sentence summary and preview of the entire speech, i. e. What are you teaching them? Body: * Transition Statement * I. Body Area Main IdeaA one sentence summary of the first body area A. Supporting MaterialInformation that confirms, illustrates, explains, etc. the main idea for the body area B. Supporting MaterialInformation that confirms, illustrates, explains, etc. the main idea for the body area * Transition Statement* II. Body Area Main IdeaA one sentence summary of the second body area A. Supporting MaterialInformation that confirms, illustrates, explains, etc. the main idea for the body area B. Supporting MaterialInformation that confirms, illustrates, explains, etc. he main idea for the body area * Transition Statement* III. Body Area Main IdeaA one sentence summary of the third body area A. Supporting MaterialInformation that confirms, illustrates, explains, etc. the main idea for the body area B. Supporting MaterialInformation that confirms, illustrates, explains, etc. the main idea for the body area * Transition Statement* Conclusion: I. Central IdeaRestate the central idea to review the main point of the speech II. Reconnect the Attention GetterReiterat e your attention getter. This makes your speech feel â€Å"complete†) Note: You have some leeway with how to format the body areas for this speech. A Celebration speech or an Informative speech is organized depending upon the information you are sharing about your topic. You should focus on interesting facts, uses, etc. about your topic and should NOT do a recounting of the chronological information about the topic. Audiences quickly become bored with this approach. How to cite Format for the Celebration Speech, Essay examples

Geology fo mars Essay Example For Students

Geology fo mars Essay Geology of Mars by Luke Justis Mars is the planet that is the closest geologically to our own. Still we know little about the planet. All the information that we have is from what we see. We can speculate about the geology of the planet but we will never know for sure what the planet is really made of until we physicallygo there. The information is all from NASA sites or NASA related sites. Mars red color leads us to believe that the planet has large amounts of iron. This red color is the only color that is on the surface besides the poles. There is also a darker area that runs along the equator. It goes around roughly one third of the planet. This is a giant canyon that makes our Grand Canyon look like a scratch. There are also what appear to be old stream channels. This implies that there could have been liquid water on the surface. The surface of Mars is varied greatly between north and south. This has been largely attributed to volcanism and erosion. Mars is similar to our moon in the southern hemisphere. This region is referred to as the Highlands of Mars. The area is pitted with numerous craters that reach between one to four km above the datum. Ejecta from the impact scatter around the crater making a rim like structure. The northern hemisphere is very low compared to the southern hemisphere. In the north the ground level rarely reaches above one km below the datum. This stark contrast between north and south is thought to have happened 3 Gyr ago. The south was continuously bombarded with meteors. The north would get hit but it would erode or volcanic flows would cover it. The north also has evidence of ancient stream channels and at the extreme north and south glaciers are still present in the form of an ice cap. Tharsis: The region known as Tharsis is at the center of a bulge in the planets surface. This giant volcano is 4000 km across and 10 km high. Another bulge is called Elysium and it is about 2000 km across and 5 km high. At the summit of Tharsis are three volcanoes the tallest of these is Olympus Mons. The peak of this volcano is 27 km above the place where Tharsis ends and Olympus Mons begins. The volcano itself was made by periodic eruption over a period of time. The lava is most likely very fluid and would have little pyroclastic activity. The large size of the volcano can be attributed the lack of tectonic activity. Few impact craters on the flank of the volcano suggest that the volcano is relatively young. It is possible though, that volcanism could have been occurring during much of Mars history. Mars volcanoes are very similar to those found on Earth specially those found on Hawaii. Their low shape and large flows are very similar to those in Hawaii. Ash deposits are also very common on Martian volcanoes. Evidence for hydrothermal activity is also another commonly found geologic feature on Mars suggesting even more that there is water on Mars. Water Erosion: The role of water erosion is the most mysterious this geologically about Mars. Large dry valleys and evidence Of ancient flood plains all add to the mystery. Old shore lines in the North suggest that there could have been huge lakes caused by massive floods. The floods could have been caused by the heating of the surface or a change of climate. All these bits and pieces add to the debate of whether or not Mars had large amounts of water like Earth at one time or another. The rate at which the water did carve the stream channels and large valleys is still uncertain. There is supple evidence to suggest that the water ran at a slow pace. The features of these valleys appear to be the product of slow erosion. Branch valley networks are commonly found in the southern hemisphere and some in younger areas. .ufb869a299a5f3ba93db0885e5f8361cf , .ufb869a299a5f3ba93db0885e5f8361cf .postImageUrl , .ufb869a299a5f3ba93db0885e5f8361cf .centered-text-area { min-height: 80px; position: relative; } .ufb869a299a5f3ba93db0885e5f8361cf , .ufb869a299a5f3ba93db0885e5f8361cf:hover , .ufb869a299a5f3ba93db0885e5f8361cf:visited , .ufb869a299a5f3ba93db0885e5f8361cf:active { border:0!important; } .ufb869a299a5f3ba93db0885e5f8361cf .clearfix:after { content: ""; display: table; clear: both; } .ufb869a299a5f3ba93db0885e5f8361cf { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .ufb869a299a5f3ba93db0885e5f8361cf:active , .ufb869a299a5f3ba93db0885e5f8361cf:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .ufb869a299a5f3ba93db0885e5f8361cf .centered-text-area { width: 100%; position: relative ; } .ufb869a299a5f3ba93db0885e5f8361cf .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .ufb869a299a5f3ba93db0885e5f8361cf .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .ufb869a299a5f3ba93db0885e5f8361cf .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .ufb869a299a5f3ba93db0885e5f8361cf:hover .ctaButton { background-color: #34495E!important; } .ufb869a299a5f3ba93db0885e5f8361cf .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .ufb869a299a5f3ba93db0885e5f8361cf .ufb869a299a5f3ba93db0885e5f8361cf-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .ufb869a299a5f3ba93db0885e5f8361cf:after { content: ""; display: block; clear: both; } READ: Gamelan - Music of Indonesia Essay The channels appear to have tributaries that increase the size of the main stream channel. This is still heavily debated because the inside of .