Clinical objectives Essay Example | Topics and Well Written Essays - 250 words - 5

Clinical objectives - Essay Example The calculation changes on the yearly basis, however, it is crucial for hospitals to stay current on the measures which are included and how their performance on the measures during the defined performance period will contribute to the overall total performance (TPS). To improve the quality of healthcare delivery, it is crucial to ensure that there is patient satisfaction. Hospital Impatient Value-Based Purchasing (HIVBP) program, and the Medicare reimbursements are closely linked to patient satisfaction. Patients have high expectations in their care and the attitude of care givers which greatly contributes to satisfaction. In a period where physicians are being measured by the quality of their treatment, it is crucial to understand the concept of value base purchasing and Medicaid reimbursement. Value-Based Purchasing (HIVBP) program and the Medicare reimbursements are closely linked to patient

How can leaders increase employee productivity through motivation Essay

How can leaders increase employee productivity through motivation techniques and approaches - Essay Example There is overwhelming amount of literature based on studies conducted by various researchers over the years which point to the fact that over and above the conventional motivation techniques and practices which mainly involve financial motivation such as higher pay packages, bonuses etc. contemporary leaders are increasingly focusing on developing innovative motivation techniques. This study aims to assess and examine the various factors which leaders can use to motivate their employees, the significance and relevance of motivation, and the role of leaders in motivating employees. This is achieved through an extensive literature review – comprising of theoretical perspectives, case studies and meta-analysis. The results revealed that there is a direct and positive relationship between motivation and employee performance and productivity. On the basis of this study it is recommended that organizations and leaders introduce innovative motivational strategies and practices and constantly challenge the employees to help them stay motivated. â€Å"In motivating people, youve got to engage their minds and their hearts. It is good business to have an employee feel part of the entire effort . . . ; I motivate people, I hope, by example—and perhaps by excitement, by having provocative ideas to make others feel involved.† Human resource is one of the most critical and integral part of an organization. It has been observed that a talented pool of highly motivated workers plays a key role in steering an organization towards successful accomplishment of its goals (Sims, 2002; Wiley, 2010; Daft and Marcic, 2010; Frey and Osterloh, 2002). Hence it is imperative for managers to ensure that the employees are managed effectively and adequately motivated to ensure better performance and productivity. Enhancing employee performance and productivity entails provision of adequate training and education to the workers, ensuring a positive work environment, and

Threats and Opportunities for Insurance Companies

Threats and Opportunities for Insurance Companies Climate change has become one of the most important aspects of our daily lives as it has a deep impact on our systems and the general well being of humanity. Such unprecedented change in the climate has resulted in extreme catastrophes such as hurricanes, floods, wild fires, etc. The loss caused by such accidents is not limited to the general public, but is further passed on to industry, which thrives on the concept of underwriting assets. The industries core belief is to quantify the uncertainty of an unforeseen event. But as these events are growing in frequency and size, it will continue to challenge the sustainability of insurance companies. Inevitably, it will transfer the burden to the insurance purchaser, as insurance companies will seek higher premiums for their products, which will only make it less affordable for the masses to afford essential insurance coverage. In this essay we will discuss the various challenges that the industry faces due to climate change, the possible ways to mitigate the threats, and then the scope of more opportunities arising out of the given change. Climate change can be seen as a threat to many insurance companies in the long term as well as the short term. IPCC (2007) has confirmed an increase in the frequency of the catastrophe in the recent years. Insurance claims running into billions of dollars can cause a huge dent in this industry, which makes up up-to 10% of the US economy. It is only natural for insurance companies to charge higher premium for those asserts. Which are exposed to high risks, making it less affordable to the market. The chairman of Lloyds of London quoted that climate change is the number- one issue for that massive insurance group. And also Europes largest insurer, Allianz, stated climate change stands to increase insured losses from extreme events in an average year by 37% within just a decade (Hawker, 2007,p.28). In the past, insurance companies have relied on previous data to formulate policies. But such a practice has only caused high losses as the climate is changing in a rapid way. Warren buffet pointed out insurance companies cant simply extrapolate past experience. If there is a is truly global warming, for example, the odds would shift, since tiny changes in atmospheric conditions can produce momentous changes in weather patterns'. Therefore new techniques such as risk management system (RMS) are used extensively by insurance industry for assessing and managing risks. Hurricane Andrew caused a loss of $23 billion to insurers as they based their policies after relying on past data. However, the same industry had a much smaller impact when hurricane hit the US coast in 20004 and 2005, as they used future risk models such as RMS to formulate policies (Herweiger et. al., 2009). Climate change leads to increase damage and costs as ever increasing level and long lasting wildfires are causing more claims and property damages. Such frequency and magnitude of potential losses can jeopardize the solvency of insurance and reinsurance companies. Sustainability can be insured if the given threats are dealt with adequately. Insurance industries have a history of fostering practices and technologies to reduce risks. Some of the possible and effective ways to mitigate risks are, firstly, a lesser premium can be charged from customers of motor insurance who drive hybrid cars or use pay as you drive scheme. Special benefits can be given to customers who buy vehicles jointly to use them under car pool system. Secondly, a close association with government agencies to improve land use planning, better management of forestry agriculture and wet lands can help in having a well balanced growth that does not put to much pressure on natural resources. Collaboration with private builders to promote, improved building codes, which insure minimum damage to the environment, lower energy requirements and long-term durability. Thirdly, building awareness amongst clients and formulation of public policy. Companies can provide information and edu cation to customers about the harmful effects of violating laws of nature. Consultation should be given to primary and secondary industry to reduce their impact on their immediate environment. . Many insurers have already made investments in green projects like renewable energy, energy efficiency, forestry projects and green funds to ensure that their customers receive protection and also saving them from large claims (Mills, 2007,p.7). Promotion of voluntary energy saving and energy efficient codes can help reduce our dependence on state electrical supply. Active participation from insurers such as AIG offer its Private Client Group a service in which crews are deployed to apply fire retardant in areas such as Colorado which are threatened by wildfire. Climate change can prove as a very big opportunity for insurers as the unpredictable climate can threaten their customers and lead them to insuring their assets. However they must adapt timely successfully. Responding to change is important as it brings opportunities. Insurance companies should develop new solutions and introduce insurance of new assets and risks for their customers changing needs. It is also seen that the Insurance industry is in constant search of better returns for its vast investments. In this regard it could take advantage of the opportunities available in alternative energy sources as it is a good investment as constant technological developments make this it more affordable and attractive for the public. Introducing new products such as risk based pricing under which insurance premiums are charged as per their risk exposure. For normal policies, premium is charged by keeping various factors in hand, but the premium is standard for all, no consideration is given to a policy holders risk exposure. For example- buying car insurance in UK, Any individual above the age of 21 is charged a basic insurance premium which is more or less standard. However when it comes to providing insurance cover to an individual below the age of 21, the policy premium is charged at a much higher rate, as the possibility of an accident is much higher as these new drivers are mostly inexperienced. Another opportunity comes from state help, in form of promotion, because If the majority of the population do not insure their properties then in case of a catastrophe, the financial burden will fall on the state insurers, so to save from this burden, governments promote and favour private insurance companies. Thus making it profitable for private insurers as well as the government. Some of the possible ways to tap the available opportunity are firstly by energy saving insurance, which is given to promoters of energy efficient projects to protect them from loss due to underachievement of predicted energy efficiency. Secondly by motor insurance where packages such as pay as you drive insurance are given, in which cover is given for the miles driven. This helps to reduce miles driven by 10 % to 15 % and also reduces accidents. Thirdly by green building insurance, insurance schemes for buildings that comply with green, eco friendly codes. Fourthly by micro insurance, where the majority of the population living below poverty line, cannot afford insurance of any sort. Therefore new packages for this section of the society can help to capture a very large customer base. Fifthly by investing in alternate energy sources As they can help to get a much higher returns to the surplus investable capital of insurance companies, as this sector holds great promise for better, cleaner greener energy, through technological innovations. And lastly by improved identification of flood plains will help to promote insurance purchasing in the marked areas. After exploring the implications of climate change on the insurance industry, I have shown above, the threats opportunities that the insurance companies face. By comparing both sides of the argument, I believe that the insurance industry faces more threats than opportunities due to climate change. An ever-increasing catastrophe rate, sparked by excessive climate change has lead to increased financial losses, reduced customer base in some case cases complete wipe out of companies. Therefore it is only right for these companies to mitigate these risks in order to insure sustainability. In the given scenario, there also exist enough opportunities to develop new business models and increase revenue through new policies, revised competitive rates. Many untapped market segments, which remain untouched by industry, can provide high revenues. Adequate investments in research and technology will be beneficial for the industry. Above all, a close association with the general public, government agencies private sector enterprise will help the insurance industry to protect itself from the dangers of climate change and provide sufficient opportunity to grow in size.

Toni Morrisons Sula - Female Struggle for Identity Essay -- Sula Ess

The Female Struggle for Identity in Sula   Ã‚  Ã‚   The novel Sula by Toni Morrison exemplifies the new feminist literature described by Helene Cixous in "The Laugh of the Medusa" because of the final portrayal of the two main characters Nel and Sula.   However, it is clear throughout the novel that both Cixous's and Gilbert and Gubar's descriptions of women characters are evident within this novel.   The traditional submissive woman figure paradoxically is set against the new woman throughout the novel.   It is unclear whether the reader should love or despise Sula for her independence until the very last scene.   Although both the perspectives of Cixous and Gilbert/Gubar are evident within the text, ultimately it is the friendship of the two women that prevails and is deemed most important.   This prevailing celebration of womanhood in all of its dualistic and mysterious aspects is exactly what Cixous pushes women writers to attempt.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   First there is the presence of the old stereotypical woman character, a woman split between the conventional and nontraditional roles of women.   No differences are apparent initially between Morrison's Sula and any other women's literature in the past.   Women are depicted either as docile servants to men, like Nel, or ball-busting feminist monsters like Sula.   The hidden aspect of the novel lies underneath these stereotypical surface roles, in the incomprehensible and almost inappropriate bond of the two women.   In the final scene of Sula, Nel comes to the realization that the emptiness inside her is due to the loss of Sula, not Jude (Morrison 174).   Her friendship with Sula is all that matters.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The development of a feminist reading from the perspective of Gilbert and Gubar... ... but instead reunites the two women's spirits.   "We was girls together," Nel says, and it becomes clear the importance of this revelation to her.   She cries "circles and circles of sorrow" for the lost itme between herself and Sula (Morrison 174).   Perhaps she also cries for a whole history of lost women seperated by societal functioning and a world built my men.    Works Cited   Cixous, Helene. "The Laugh of the Medusa."   The Critical Condition: Classic Texts and Contemporary Trends.   Ed. David H. Richter.   Boston:   Bedford Books, 1998. 1453- 66.   Gilbert, Sarah M. and Gubar, Susan.   "From the Infection in the Sentence: The Woman Writer and the Anxiety of Authorship."   The Critical Condition: Classic Texts andContemporary Trends.  Ã‚   Ed. David H. Richter.   Boston: Bedford Books, 1998.   1361-74.   Morrison, Toni.   Sula.   New York:   Plume Printing, 1982.

Racism: White American and Hispanics Essay

Stereotypes of African Americans 1. African Americans love fried chicken, hot sauce, and grape soda. 2. Large populations of African Americans are lazy and uneducated. 3. They are obsessed with their television shows. 4. African Americans sag their pants and wear clothes that are too big. 5. African Americans drop more money on their hair (Weave, perm, braids, etc. ) than their own house bill. 6. African Americans only listen to hard core rap music. 7. African Americans still to this day pull the racism card because of slavery. 8. A lot of African Americans are in the welfare system. 9. African Americans travel in â€Å"heards†. 10. African Americans live in the â€Å"ghetto† or the more trashy part of town. 11. African Americans are great athletes. 12. African Americans can run fast and jump out of the gym. 13. African Americans always get themselves into fights but both men and women can back themselves up. 14. African Americans are involved in gang violence. Stereotypes of Native Americans: 1. Native Americans are all drunks. 2. Native Americans get checks from the government for being a Native American. 3. Native Americans own casinos. 4. Native Americans are not educated. 5. Native Americans can talk to the animals. 6. Native Americans have herbs that can heal anything. 7. Native Americans live on reservations. 8. Native Americans have really long hair. 9. Native Americans smoke the peace pipe. 10. Native Americans speak a broken language. Stereotypes of Hispanic Americans: 1. Hispanics can cook well. 2. Hispanics are all landscapers, construction workers, maids or bus boys. 3. Hispanics have a lot of kids. 4. Hispanics speak terrible English, if any. 5. Most Hispanics are illegal citizens. 6. Hispanics are involved in gang and drug violence. 7. Hispanics take away American jobs. 8. Hispanics are ill mannered. 9. Hispanics are hard working. 10. Hispanics are great dancers. 11. Hispanics are very religious. 12. Hispanics love bright, vibrant colors. 13. Hispanics wear sombreros. 14. Hispanics drive â€Å"tricked out† cars. Stereotypes of Asian Americans: 1. Asians eat anything that moves. 2. Everything is made in Asia. 3. All Asians look alike. 4. Asians eat with chopsticks. 5. Asians know Kung fu or some other form of martial arts. 6. Asian languages are the most difficult to understand. 7. Asians are good at math. 8. Asians can’t drive well. 9. Asians are all skinny. 10. Asians love rice, soy sauce, and sushi. Stereotypes of White Americans: 1. Whites are materialistic. 2. Whites are the most racist of all races. 3. White people can’t dance. 4. All whites are rich. 5. Whites think they are better than everyone else. 6. Whites are stuck up. 7. Whites think that all other races owe us something for living in our country. 8. Whites are terrible athletes. 9. White people are oblivious to other people’s pain and struggle in America. 10. Whites are all obese.

Etched in Our Minds (Rspc Memories) Essay

Hundreds of memories refreshed my mind as I remember the flashbacks and echoes from my time of yore. My past RSPC years were not quite in high spirits. I did not win any contest in Journalism; a sad smile was always drawn on my face every now and then. It was not easy to recover after all the downs, disappointments, dissatisfaction, and setbacks. But this year’s Regional Schools Press Conference brought me into the new world where all dreams came true and fairytales did exist. New friends came into my life and new-fangled memories were made to bring smiles in everyone’s face. Bayugan City is what they call it. This is where the 2012 RSPC was held. Strong competitors battle in for the honour of their division and school. Vigorous cheers and yells rocked in the gymnasium to let everyone know that they have what it takes to be a regional winner and national qualifier. Spanking faces welcomed me into the new chapter of my life as a journalist. Another task to complete and another competition to win. But after all those academic mind activities, still a bunch of crazy friends surround and make me happy as each precious day passes. Typically, journalists from schools are nervous for what topic will be given, who will be their proctors and the question that cannot be beat is â€Å"Will I Win?† Well, everything happens for a reason. Sometimes you have to exert immeasurable efforts to win up a battle but besides the contest. I expect the reminiscences of fun with my co-contestants of my school and the division. I admit that I don’t really know everyone of my division but I do know that everyone of us wanted to meet each other. Wait! I know you are waiting for the love story chapter of this story, right? Well, that part is always present. This I call â€Å"Mr.JE† was with me. A lot of never seen before scenes happened those nights. And remember Mr. _ _ _ _? My greatest enemy? I caught him staring at me, not just once and but 4 times, don’t wonder why I know. I counted it! And surely he also saw me staring at me. Actually, there were three princes with me in RSPC but definitely I know â€Å"Mr.JE† would be my prince in reality. Just kidding! The night before the day that the winners will be aanounced was made memorable. Music videos of Call Me Maybe, Glad You Came and Live While Were Young. I can say that my co-journalists are really crazy and they made everyone including our Tatay Jay and Mama Ghen enjoyed that night. Tumultuous voices and creams of fun filled our headquarter. We did not waste any millisecond, because in life there are no rewinds. At the day of announcing of the first past the post. We did not win in any individual contest but guess what? â€Å"Champion in Collaborative Desktop Publishing Secondary Level English Category, BAGANI†Ã¢â‚¬ , announced by the speaker. Everyone was shocked and traumatized emotions mixed up. We did not expect this to happen and we directly rushed to the stage like we own it. Thanks to our coaches who exerted immense support. As the day slowly come to an end, home sweet home at last. I grabbed my diary and wrote up those recollections. Surely, the exuberance that we had in Bayugan will always be treasured though it will never happen again but it will always be etched in our minds forever.

The Canterbury Tales essays

The Canterbury Tales essays In Chaucer's The Canterbury Tales, a group of pilgrims travels together to Canterbury and along the way tell one another stories to pass the time. Chaucer makes use of these stories and the people who tell them to comment on the society of his time, suggesting certain things by his choice of which pilgrim tells what kind of story. Some of the pilgrims are clerics, and others are government workers or members of the public. They represent a cross-section of the society of the day, as do many of the characters in the stories they tell. One of the persistent images in these stories is an image of women, which varies from the submissive to the more aggressive and which is found in both the pilgrims and their stories. In "The Franklin's Tale," ideas about women are expressed in the usual terms but in a different way, combining different traditions to produce an image of women and marriage as both an instance of male dominance combined with the courtly love tradition which so infused much of the poetry of the time. The image created of women is that they are decorative and virtuous, and this is also an element in the courtly love tradition. The traditions included by Chaucer in The Canterbury Tales are different and more expansive, for the tales include a number of women from different classes. These woman are lustier and more accessible, as a rule, with one of the primary representatives being the Wife of Bath. Love in these stories is an ongoing battle between the sexes, sometimes in the courtly love tradition (as in "The Franklin's Tale" in which Dorigen and Arviragus are obsessed with meeting the requirements of courtly love, or in the description of the Squire in the Prologue, who also deliberately pursues the traditions of courtly love). The Wife of Bath is a lusty woman who also uses the courtly love tradition in her story, though she deliberately toys with it as she te...