Organization and Management free essay sample

SNOP is the Systematized Nomenclature of Pathology. Published by the American College of Pathologists, it has been â€Å"useful in classifying pathological specimens† (McWay, 2008). Although SNOP was commonly used in pathology departments, it has gradually lost favor because focus was placed on standardized nomenclatures by accrediting agencies (McWay, 2008). 2. What are the four approaches taken by HIM professionals to address the complexities brought on by the introduction of PPS and DRGs? The four approaches taken by HIM professionals to address the complexities brought on by the introduction of PPS and DRGs are the use of encoders, the use of new resources in coding guidelines, the focus on ethical aspects of coding and develop a compliance program (McWay, 2008). 3. What are some differences between DRGs and MDCs? DRGs are known as Diagnosis-Related Groups and MDCs are known as Major Diagnostic Category (McWay, 2008). DRGs is a model that classifies groups of patients with medically related diagnosis, treatment, length of stay, age, and sex (McWay, 2008). We will write a custom essay sample on Organization and Management or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page DRGs â€Å"classify hospital stays in terms of what was wrong with the patient and what is done for the patient† (McWay, 2008). MRGs â€Å"cluster patients according to medical and surgical categories† (McWay, 2008). 4. Why are consequences of healthcare professionals not using common terminology, vocabularies, and classification systems? Vocabularies, classification systems, and clinical terminologies were â€Å"created to describe the medical care process in a standard manner† (McWay, 2008). Healthcare professionals need to clearly understand and apply these vocabularies, classification systems, and clinical terminologies in order to facilitate patient care as well as comply with requirements of the accrediting agencies (McWay, 2008). References McWay D C 2008 Todays Health Information Management: An Integrated ApproachMcWay, D. C. (2008). Todays Health Information Management: An Integrated Approach. Clifton Park, NY: Delmar Cengage Learning. rofessor and class, !. SNOP gradually lost favor when focus was placed by accrediting agencies of standardized nomenclatures that could cross fields of specialization. 2. The four approaches taken by HIM professionals to address the complexities brought on by the introduction of PPS and DRGs are: Encoders- software tools that incorporate the text and logic of coding systems into an automated form. Another approach is the use of new resources in the form of coding guidelines. Examples are ICD-9CM coding handbook, the coding clinic for ICM-9-CM, and the coding clinic for HCPCS. A third approach is to focus on the ethical aspect of coding., and an approach related to coding guidelines and ethics, is to develop a coding compliance program. 3.The differences between DRGs and MCDs are DRG is a classification system that groups patients who are medically related by diagnosis, treatment, and length of stay, using the International Classification of Diseases, ninth edition, clinical modificat ion codes. MDC is the first level of a decision tree to reach a diagnosis-related group, generally based on an organ or system. Todays Health Information Management An Integrated Approach, McWay, D.C., JD, RHIA. pgs. 126-33 4. The consequences of health care professionals for not using common terminology, vocabularies, and classification systems are Clinical vocabularies, terminologies or coding systems, are a structured list of terms which together with their definitions are design to describe unambiguously the care and treatment of patients. T cover diseases, diagnoses, findings, operations, treatments, drugs, administrative items, etc., and can be used to support recording and reporting a patients care at varying levels of detail, whether on paper or, increasingly, via electronic medical record (EMC). A large number of coding and classification systems have been developed for healthcare. Many standards have been proposed but widespread spread adoption has been slow. Current standards tend to compete. Many classifications overlap. Historically, vocabulary and classification systems have been designed to meet different and specific goals. Many codes have been designed mainly to support administration (e.g. billing) so have typically included only a limited number of diagnosis code for each encounter. Widely-used, but essentially administration-oriented system, such as ICD, have been mandated by government agencies and /or payor organizations but capture clinical data at an insufficient level of detail to support clinical needs that lie outside the limited range of activities they were designed to support. Coding systems can lose clinical information. It can be difficult to compare clinical coding systems. Interoperability is a significant problem. Content, structure, completeness, d etail, cross-mapping, taxonomy, definitions, clarity vary between existing vocabularies. -Why did SNOP fall out of favor with the healthcare field? SNOP, the Systematized Nomenclature of Pathology was published by the American College of Pathologists and was useful in classifying pathological specimens. SNOP lost favor with the healthcare field when focus was placed by accrediting agencies on standardized nomenclatures that could cross-fields of specialization (McWay, 2008). 2.-What are the four approaches taken by HIM professionals to address the complexities brought on by the introduction of PPS and DRGs? The four approaches are: Use of encoders, Coding guidelines, Ethical aspect of coding up coding and coding compliance program (McWay, 2008). 3.-What are some differences between DRGs and MDCs? Diagnosis Related Group (DRG) A patient classification system, defined by the federal Department of Health and Human Services. It provides a means of relating the type of patients a hospital treats to the costs incurred by the hospital. According to this classification system, patients who have similar diagnoses and undergo similar procedures are placed together in the same diagnosis-related group.. DRGs are used by the Medicare program to reimburse hospitals at fixed amounts for all similar patients, regardless of the length of stay or actual cost incurred. The DRG system is also widely used in many types of health data analysis. Major Diagnostic Category (MDC) A grouping based on the organ or system involved. The MDCs cluster patients according to medical and surgical categories, that are subdivided by principal diagnosis (McWay, 2008). 4.-Why are consequences of healthcare professionals not using common terminology, vocabularies, and classification systems? According to AHIMA, the healthcare industry is looking to IT to reduce costs, assess quality of care, and deliver services more efficiently. The core components of these IT tools are classification and terminology systems, the common medical languages used to encode clinical data such as a patient’s physical signs, symptoms, medication sensitivities, treatment plans, and diagnoses. Terminologies and classifications promise to provide the common medical language necessary for electronic health records and population health reporting, quality reporting, personal health records, safety, clinical trials, biosurveillance, and reimbursement. According to McWay (2008), vocabulary, clinical terminology, and classification systems were created to describe the medical care process in a standard manner. McWay, D. (2008). Todays health information management an integrated approach. Clifton Park, NY: Delmar Cengage Learning

Internal Conflicts in The Cruc essays

Internal Conflicts in The Cruc essays In Arthur Millers play, The Crucible, he tells the story of the notorious Salem witch trials. During this mayhem the people of this small village are faced with false accusations, lies, and sins commited either for the survival of their own lives or to harm others. In a crisis such as this where all the evidence is invisible and the only witness to testify is the victim, all that the people are left with are their own principles, morals, and faith. Unfortunately some are forced to depart from their strongest beliefs and others completely lose their sense of right or wrong with the strong energy that created this entire catastrophe. Three characters in Millers play who abandon their ethics are Mary Warren, whose whole personality turns upside down, John Proctor, who contemplates between the importance of his family and his good name, and Reverend Hale, who battles with himself whether to do what his job says or do what he believes is right. Mary Warren is a girl who is confused with her own uncertainties throughout the play. At the start of the play she is perceived to be a very shy girl who will never speak her mind as shown when Proctor sends her home and she responds with, I'm just going home (Miller 21). As the play continues and as Abigail influences her, Mary begins to break this self-induced mold and does what she wants. Mary Warren, along with many other girls gets caught up in the hype of all the attention and exercising power by provoking and continuing these witch trials. Finally John Proctor, the rationalist, shows that when people like Rebecca Nurse and Elizabeth Proctor who are the saintliest of people are accused of being witches, something must be wrong. Mary Warren has a difficult decision to make and a tough time realizing Proctor is right but she finally realizes that her whole way of life has become full of injustice. However, she is scared to confess to Abigail and her friends a...

How is the music industry being affected by iTunes and similar Research Paper

How is the music industry being affected by iTunes and similar services - Research Paper Example This work "How is the music industry being affected by iTunes and similar services?" outlines how the introduction of iTunes, Amazon MP3, Napster, Zune Marketplace and Rhapsody have changed the music industry business. Instead of buying the whole CD just for one song people nowadays prefer buying their favorite single. Previously people were forced to buy the whole album of a particular artist or band on CD if they liked a particular song however now people have the choice of buying only the song they prefer instead of the whole album. This means that people save on their cost and can buy many more such singles instead of wasting their money on just a single album, whose songs they will hardly listen to except for that one song. Hence services like Amazon and iTunes allow people to choose amongst various songs from a plethora of songs in their database. With services such as iTunes, music has become increasingly accessible for the consumers. It is now very easy to transfer your favor ite song to your handheld device allowing you to listen to your favorite song on the go. Instead of going to the neighborhood’s music shop to buy the album that had your favorite song now you can just sit at home and buy your favorite song online. Artists who worked hard on making their whole album a success are at a disadvantage as others can easily steal their spotlight by introducing their one single hit and then disappearing into anonymity. This has led to a decline in the artists’ creativity.... This means that people save on their cost and can buy many more such singles instead of wasting their money on just a single album, whose songs they will hardly listen to except for that one song. Hence services like Amazon and iTunes allow people to choose amongst various songs from a plethora of songs in their database. With services such as iTunes, music has become increasingly accessible for the consumers. It is now very easy to transfer your favorite song to your handheld device allowing you to listen to your favorite song on the go. Instead of going to the neighborhood’s music shop to buy the album that had your favorite song now you can just sit at home and buy your favorite song online. Artists who worked hard on making their whole album a success are at a disadvantage as others can easily steal their spotlight by introducing their one single hit and then disappearing into anonymity. This has no doubt led to a decline in the artists’ creativity as we no longer s ee albums with all the songs that were a hit. On the other hand however, there has been an increase in the sale of individual songs because they are cheaper than the whole album. In fact by 2010, iTunes had sold 10,000,000,000 songs and the online music store is still going strong with consumers buying thousands of songs from the iTunes store every day. However the increase in sales does not add that much in revenue that it can offset the decline in revenue from the fall in sales of music CDs. In a study conducted by Elberse, she found out that for every one percent rise in the consumers who shift to buying music online there is a six percent drop in the sale of albums. Sales of a ‘mixed bundle’ (the album plus its single) fell from $15000 in 2005 to just $7000 in 2007 (a staggering

Recommendations to some of the pertinent HRM problems Essay

Recommendations to some of the pertinent HRM problems - Essay Example The model was chosen because it covers the SWOT analysis, a focus on the training on teams for fostering a more participatory organizational culture, Training programs for the HR group Promotion & recruitment within the company, Performance related pay (PRP) & Annual bonus which is related to company performance, Individual Development and feedback, and finally Performance Appraisals. These points were the recommendations made to address the HRM problems identified in the case. The recommendation was adapted from the work of existing scholars such as Kotter, and Gilbreath. The field of human resource (HR) management is one of the many interesting area of research that has witnessed a paradigm shift within the last few decades (Huselid, A. M., 1995Doty &Delery 1996). Within this area of research, an increasing body of literature contains the argument that, high performance work practices, including comprehensive employee's recruitment, selection procedures, incentives compensation and performance management systems, and extensive employee's involvement and training can improve the knowledge, skills and abilities of firms (Huselid, A. M., (1995), Doty &Delery (1996). Today, with the increasing researchers desires to demonstrate the importance of an effective human resource policy on organisation performance research has shifted from a micro level that previously dominated research interest to a more general, strategic macro level (Huselid, A. M., 1995, Doty &Delery 1996). The term human resource management is not new. It has been widely used by scholars and managers to refer to the set of policies designed to maximize organizational integration, employee commitment, flexibility and quality of work (Huselid, A. M., 1995, Doty &Delery 1996) Jackson & Shuler (2002) referred to it as an umbrella term that encompasses (a).specific human resources practices such as recruitment, selection and appraisal and (b). formal human resource policies which directs and partially constrain the development of specific practices and in all, it comprise a system that attracts develops, motivates and retains those employees who ensure the effective functioning and survival of the organisation and its members (Jackson & Schuler 2002). Cobb Gnyawali & Offstein (2006:315) argued that while effective human resource management and policies have, indeed, been linked to strategic outcomes, human resource management theory has yet to link human assets and HR practices directly to the building blocks of strategy and competitive behavior. Accordingly, their model of strategic human resources links both micro and macro literature streams. 1.1 Structure of Work This paper is aimed at analyzing the case study of the absentee bus crews. The Coal Valley Company where absence seems to be a more acute problem. Absence and lateness are the regular cause of disrupted bus services and are rated as the chief concern of local management. This paper is therefore going to analyse the case thoroughly by looking at the main issues discussed in the case study in section 2 below; evaluating the management control system as described in the case study in section 3 below; analyzing the case using agency and contingency theories in section 4; comparing and contrasting agency and

Communication and conflict Essay Example for Free

Communication and conflict Essay Communication is important, as it is the medium of conveying message, forming the first interface in method of conflict resolution. Communication is almost always within the context of culture, and culture determines the significance of words as well as gestures and non-verbal expressions, affording people with choices of high context or low context communication, depending upon their cultural maturity and ability to handle multi-culturalism and accommodate a range of opinions and ideas other than those familiar to them (Grosse, 2002). During the initial phase of cultural familiarity, communication takes place at low context, meaning that people rely more on direct verbal communication, which is more or less literal in nature. As the cultural relationship progresses, communication interaction moves ahead on continuum to become high context, and it becomes more interpersonal and contextual, minimizing chances of misunderstanding and confusion. However, in cases where the entire cultural paradigms are set in low context or high context communication patterns, cultural crossover becomes a difficult barrier for all the involved parties. Effective cross cultural communication is centered upon knowledge, empathy and intercultural sensitivity (ibid). The correct approach in such cases is be flexible, adaptable and receptive to all views, no matter how contrary or incongruous they appear. A successful cross cultural communication situation demands coming over these contradictions and differences in opinion to form a harmonious vision. A positive and patient listening attitude is also valuable as it allows people to fathom emotions of others and makes them perceptible to alternate view points. Finally, the most important attribute in cross cultural communication is recognition that every culture is correct in its own context and each has to yield some ground to reach a harmonious consensus (ibid). Discussion on mediation and skills in conflict resolution Effective communication strategies are keys to resolve conflict by providing channels that provide expression of grievances and bring conflicting parties together. In the field of conflict management, communication strategies help through the channels of 1. Negotiation: Negotiation has emerged as an important form of conflict management within organizational and social setups. As such research in communication theory in conflict management has started to pay close attention to communication behaviors, types and strategies towards successful negotiation. Negotiation, as a part of managing conflict, requires interested parties to trade proposals for settlement that include, out of court settlements, business contracts, collective bargaining contract etc (Womack, 1990, 32). As Womack further elaborates, generally the process of negotiation proceeds through motives that are both competitive and cooperative. The approach of communication in the entire process of negotiation is concerned with the messages that are transferred among negotiators and the concerned parties. Communication intervenes in the process of negotiation through its both verbal and nonverbal forms and constitutes the entire base on which the goals and terms of the bargain are negotiated. Communication plays the central role in not only developing the relationship among the parties in conflict, but also in determining its direction. It is also central in every form of bargaining process, whether the bargaining is done for organizational form of conflict management, involves conflict resolution, negotiation on legal agreements or for negotiation in inter-group an intra group conflict. The entire role of communication in negotiation processes and strategies is quite vast and it ranges from defining the conflict issues, selection and implementation of strategies to presenting and defending the viable alternatives and finally helping in reaching on a solution (Womack, 1990, 35). 2. Third party intervention: Third party intervention in conflict situation is a tricky and challenging situation. It is considered as one of those areas that offers real test to the communication skills of the intervening person. Although mediation requires a neutral and third party to bring the disputants on the resolving chairs and solve the conflict, the mediator per se, has no authority and commanding power to force the parties into acquiescing to an agreement. At the best, the mediator can use persuasive and convincing dialogues through which the involved parties voluntarily agree to reach at accord through advises, admonishments, ideas, and views of the mediator and break into meaningful dialogue with each other (Burrel, 1990, 54). Its easy to see that this entire procedure requires very high level of communication skills on the part of the mediator to successfully negotiate agreement among the conflicting parties. According to Burrel, one of the important communication skills in third party intervention is the ability to collect as much information as possible on the cause, background, and nature of conflict as well as on all the parties and individuals that are involved in the conflict. Burrel informs that an effective communication strategy to gather information is question-asking within a variety of communication approaches, some for example being, employment interviews, initial interactions and parent-child discourses, although there has been insignificant research on role of particular types of questions in mediation itself. However, it is established beyond question that the questioning abilities of a third party mediator are very important in striking a collaborative approach to the entire process of conflict management.

Instant Essay -- Creative Writing Essays

Instant I'll always remember Instant. That was the nickname the men had tacked onto the muscled giant that wielded the M60 in my unit. "Instant" was short for "Instant Death." And I'll always remember the first time I saw Instant in action. I was a new Lieutenant assigned to Vietnam. Back then, the Army didn't try to develop any "team spirit" within the corps; men were rotated frequently before any friendships developed. Consequently, my men were a group of strangers united only by the need to survive. They were eighteen- and nineteen-year-olds with the eyes of old men. My first real assignment was to check a tiny hamlet, Dien Hoa. Army Intelligence believed the Viet Cong were operating from Dien Hoa. Our job was to determine if that was correct. We rode in an olive-drab chopper. The whooping blades of the helicopter give us a little relief from the relentless heat of 'Nam; the blades cut the thick, humid air and pushed a breeze downward over the passenger compartment. Soon, we circled the landing zone. The LZ looked cold. There's only one way to find out if it is really cold, I thought as I double checked my M16. If no one zapped us when we entered, it was cold. If they did, it wasn't. "Lock and load," I yelled. The helicopter circled low and slowed down until it almost hovered four feet from the ground. The door gunner mashed the spade grips on his .30 caliber M60 machine gun. The gun spewed bullets over the field below us. It was time to jump off the skids while we skimmed above the surface of the lush, green valley. My stomach felt like it was turning wrong-side-out. We dropped into the grass, stumbling under heavy packs and the weight of ammo and weapons. I wondered about snakes and hoped the groan I mad when I hit the ground was drowned by the noise of the helicopters. Though the helicopter gunner continued firing into the heavy growth to the north of them, there was no return fire. We were safe for the moment. "OK," I yelled signaling with my hands the way you're not supposed to. Hand signals are a good way to mark yourself as the leader. It's just the thing enemy snipers watch for. But few of my twenty-seven men could hear me over the roar and firing of the helicopters. I had no choice. "Move out. On the double," I ordered. The choppers lifted. We were on our own. The soldiers started with the usual complaining b... ...prized buck. We made careful, deliberate shots. One after another, the black, running forms crumpled. With a final flurry of shooting, only a lone Charlie managed to escape into the grove of trees below. The bodies of the VC dotted the open hillside. Sporadic last shots ended the lives of the few wounded who continued to stir below us. Complete silence reigned for a few moments, then Blake yelled an obscenity at the last Cong who had eluded us. Silence. "We did it," I simply said, my words falling flat. A weak cheer went down the line; one man dropped to his knees and cried. Even though we'd all felt as good as dead, we realized we had won. Afterward, waiting with the wounded and dead for dustoff, I thought about the firefight. Instants selfless deed had saved our skins. It was little wonder the men had so much respect for the soldier. I studied him for a moment. He sat by himself beneath a tree, carefully cleaning his M60 like a mother washing a baby. He wore a bandage over his right eye and a second on his arm; except for those minor wounds, he had managed to come through the fight uninjured. And he'd shown a green lieutenant and his men what true bravery was.

Existentialism in the Stranger and the Metamorphosis Essay

â€Å"We are thrown into existence first without a predetermined nature and only later do we construct our nature or essence through our actions. †(Existentialism)This quote is present through the main characters of The Stranger, Blade Runner, and The Metamorphosis in each of these works the characters create their own nature. These works are similar several ways; in all three the men create their own nature by the free choices they make. Through these choices they also create their own values. The characters values and meanings of life are where these works differ. Initially, in The Metamorphosis, Gregor’s life seems to have meaning, through providing for his family, until he changes into a bug and determines for himself that his life really has no meaning. This is very unlike The Stranger because Meursault, throughout the entire work, lives his life as if there is no meaning to life and he dies knowing this. Finally Deckard, at the beginning of his life, seems to have lived his life with no meaning or values, until he encounters Roy and Rachael who change his perspective. Throughout these works these men make makes choices that determine who they are and what their about, but ultimately every one of them knows their subsequent mortality. It is clearly understood through Meursault’s narration that life to him is meaningless. The choices he makes and things he says are without thought or meaning. They are usually in the spur of the moment of what will please him. For example the novel starts by Meursault telling the audience â€Å"Maman died today. Or yesterday maybe, I don’t know. I got a telegram from the home: â€Å"Mother deceased. Funeral tomorrow. Faithfully yours. † That doesn’t mean anything. Maybe it was yesterday†(The Stranger). Meursault treats his mother’s death with the same demeanor with which he will later treat the death of the Arab. Both of these events are usually different in the types of emotions they reveal, but Meursault shows no emotion at all. He just goes through the day to day motions of life. Through his narration and the tone of the novel the reader is clearly able to determine Meursault lives with no emotion or essence. He accepts who he is and his mortality. In the end he accepts a punishment that is not worthy of the crime. He knows even if he doesn’t get executed he will die anyway whether its ten years from now or fifty. Clearly The Stranger questions the reader whether humans really have a meaning for life since in the end everyone will die and be forgotten. It seems that Camus meant to get the point across that in life there is no predetermined nature people create it through their choices. Meursault chooses to live his life with little or no meaning. Unlike Marie who falls in love with Meursault and chooses to support him even though he didn’t care if they got married. Like Marie in The Stranger Gregor, who is the main character, in The Metamorphosis has a mean and value to his life. Gregor supports his family because his father failed and never went back to work. Gregor had it all good job, money, and ability. He chose to support his family and allow them to live a nice life while he worked and traveled with little time for himself. Gregor doesn’t like his job, but he chooses to stay because it offers good money and he will pay of debt. All of these choices are Gregor’s they are what he based his life off of. When he changes into a bug his mentality is altered. He begins to realize that all that he did for his family eventually is forgotten and soon he is forgotten about too. Kafka relates this to the human race and its inevitable end. When humans die in the beginning they are remembered, but slowly people forget, or lose interest, until eventually that person is totally forgotten about and life goes on. This previous statement is clearly seen in the novel when the family moves and decides that is time to marry off their daughter. They never mention anything about the loss of their son. In Blade Runner the main character Deckard destroys replicants. He does his job and usually never questions the reasons why he destroys the human-like robots. The director seems to try to get across the point early that Deckard lives a meaningless life. He does whatever he wants whenever he wants. At first it seems like he lives a life much like Meursault, but later it becomes clear that he is trying to find a meaning for life. When talking to Roy, Deckard realizes that in life everyone is going to die and that everything that person did would be forgotten and lost. At the same time Roy explains the value of life, the choices, love, and things humans can experience. Blade Runner tries to get across to the viewer that they are who they want to be and that in the end the choices and things they’ve seen will be forgotten and meaningless. In all three works the slogan â€Å"Existence precedes Essence† (Existentialism) is present. Each one of the main characters makes their choices which determine their nature. Every one of the characters at some point realizes that they all share a common trait with the rest of the human race and that is death. They also know that in the end they will be forgotten about and eventually everyone will move on with their lives as if they never existed. These works differ in the way each character goes about their lives. Meursault believes there is no meaning to life so he lives his life on the fly. He does whatever pleases him. Gregor begins with a life he has chosen for himself only to realize that eventually all that he has done will be forgotten and lost. Finally Deckard begins with no meaning and tries to determine a meaning through replicants. He realizes that the choices in his life are what makes his life meaningful. Throughout these works Existentialism was present. The characters offered a glimpse of the reason for existence. Whether it was for providing for a family or killing replicants each one of the character in the end determined that life was only the choices that they make. Ultimately they all learned that everything they did and chose to do was meaningless when they were dead and there is no way to avoid it.