Health care management and technology

Health care management and technology Introduction   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Clearly, there are many reasons why health care in general is a very important aspect of our daily lives. Many people dont tend to realize that healthcare just doesnt consist of just doctors, but it also consists of dieticians, nurses, physicians, dieticians, and therapists. They all tend to play a major role into making sure that all people whether American or from a foreign country are maintaining their health. An ounce of prevention is sometimes worth more than an ounce of cure (Brown, pg 1). Even though many people may tend to think that theses jobs are easy, I believe that these jobs are not easy and require a lot of hard work, dedication, and also time in order to make sure that everyone is well taken care of. This paper will discuss the role of health care administrators in different settings, the future of health insurance, the role of administration in health systems and the role of managed care organizations. The role of administration in the health system There can be many roles for health care administrators because of the wide variety of possible settings they can take part in. I currently work for Catholic Healthcare West (CHW), a Health Care Organization (HCO), St. Josephs Hospital and Medical Center (SJHMC) in Phoenix, AZ as a Senior Buyer in the Materials Management Department. CHW is a Catholic non-profit public healthcare enterprise consisting of over forty networks of clinics and hospitals delivering medical services in Arizona, California, and Nevada with 60,000 providers, clinicians and non-clinical support staff. Health care administrators in CHW are employed at all levels, top, middle, and entry. SJHMC currently has two medical management committees, Critical Care Committee and Risk Management Committee that play a major role in administration for their health care system. The critical care committee evaluates the standard of critical care practice for various intensive care and emergency units in the hospital. This committee supports the continuous improvement of patient care at SJHMC through the ongoing and focused monitoring of key quality indicators. And the Risk Management Committee directs the design and implementation of all risk avoidance and management policies, procedures, processes and improvements, related to the following risk reduction activities, risk surveillance, risk prevention, risk control, and unusual occurrences. Identifying and analyzing key risk indicators at least quarterly avoids trends in patient injury outcomes and improves provider practice. They reach conclusions and take action for quality improvement to achieve greater success. There are other methods that these medical management committees can persuade the health care policy outside of the walls of their HCO. At SJHMC they collaborate with other community HCO to bring strength in numbers so their voice is heard. They create an environment that benefits the entire state with initiatives. They are also known to seek out interested third parties in the private sector to help donate to their cause in health care reform. In addition, the administration that is involved in these committees that are outside of their additional duties lead and actively participate in interdisciplinary quality improvement activities as a key contributor to the image and care SJHMC provides to the community. These committees exist to manage the quality and safety of patient care delivery. SJHMC depends on these administrative leaders to serve on these committees to provide leadership for measuring, assessing, and improving processes. Managed care organizations roles and the future of health insurance Managed care organizations play a major role in health care management and technology as well as being the future for health insurance. They are the middle man between the insurance agencies and the government communicating the needs of the patient and the managed care organization. I feel that managed care organizations would be very beneficial in a way that it will be able to benefit not only myself but other people also. For example, managed care has helped to aid me whenever I am going to the hospital or getting a doctor check up. They are the ones that are talking with my doctors or physicians in order to determine the type of treatment I may need and handle all of the financial agreements that come with it I feel that this would save myself and others time and money by having a managed care plan. In the national and state levels they are involved in the legislative process to advocate for new health policies for health insurance. Inside the courthouse they litigate within advoc acy campaigns from the private sector for health care reform as well. As the number of Americans without health care insurance continues to grow the need for access to health care grows as well. Expanding health insurance and creating access to health care for every American has come in the form of MCOs building public and political alliances for reform that will expand health insurance through tax credits. They also encourage insurance agencies to move in the direction of a system that will make health insurance affordable for individuals and families. The future of health care insurance is especially important to SJHMC. Being CHW is a nonprofit organization with religious sponsorship they have provided over $900 million community benefit and free health care to the poor and low income families in 2008. The role of administration in health systems Health care organizations use Information Technology in order to improve the quality, safety, effectiveness and efficiency of health care in different settings and in order to insure continuity of care. The use of IT in health care has been demonstrated to improve health care in various large health care delivery systems.IT investment must be aligned with the health care organizations mission and vision. In order to better understand any proposed technological investments by the different stakeholders in the organization it is important for the IT department to come up with a Strategic Master Plan to assess the IT infrastructure and services available including hardware, applications, manpower and processes in order to identify future needs. The role of administration in health systems In healthcare settings, IT infrastructure constitutes the physical hardware used for running medical and business applications including networked medical instruments, enterprise storage systems, servers, desktops, laptops and hand-held devices, interfaces together with wired and wireless network devices and connection media. Two years ago the IT department in the hospital I work for went through a dramatic enhancement of the service delivery and IT infrastructure, establishing compliance requirement with the Joint Commission International Accreditation and the College of American Pathologists, initiating mega projects to improve underlying infrastructure including the network, desktop computers, printers laptops, servers, enterprise data storage as well as restructuring the data center to cover the hospital expansion and increase safety and security of the IT resources. The major two projects that were approved and implemented were: My Care-Cerner interface, it facilitates ADT (admission, discharge and transfer) and Physician Orders between the two systems. ADT information is transferred via hospital network and stored in centralized database. The interface allows the caregiver to enter patient information into the computer where ADT reads messages in HL7 format and updates the appropriate tables in the database. Transactions such as: data added, updated, cancelled or deleted are done in real time and ADT Interface Server receives a massage and updates the database for use right away. Some of the benefits of my-CARE-Cerner ADT Interface: Saves Time: patient information in the patient master index of cerner and then transmitted automatically to my CARE without re-entry of the information in my CARE. Reduction of Data Entry Errors: there is less chance of data entry errors with less data being entered manually in my-CARE. Complete Patient Information: information is available without having to search in other systems. ICIS-CERNER Phase II Project: a major code upgrade to the underlying infrastructure was made in order to prepare for phase II. Phase II Cerner which included the following modules includes PharmNet which organizes data, eliminates duplication, and increases patient safety and communication among caregivers, physicians, and nurses by placing data only once ensuring efficiency, and safety, SurginNet which offers solutions to doctors, nurses, surgery team members such as: scheduling, comprehensive reporting, complete documentation for pre, intra, post operative, case tracking, anesthesia documentation and tools necessary to automate the practice of anesthesia and Profile which provides the ability to support paper, document images and computerized records within a single application, chart completion, release of information and chart tracking. Other modules include CareNet which links patient electronic medical record to nursing activities, automatically documenting activities and simpl ifying communication between all members of the care team and FirstNet which was introduced for emergency services and helps track the flow of patients at emergency departments until the patient is transferred to the ward or discharged, including triaging stage. Conclusion In closing, the healthcare environment is not as easy as it seems. With all the new technological inventions and advancement in medicines and study, many healthcare physicians must be ready at all times to adapt to any new changes when it involves the healthcare field. One of the major things about on-demand is that it helps a business become not just more innovative, but also much more efficient and much more responsive to change (Wladawsky-Berger, pg 1). With this being said, the importance of anyone working in a healthcare industry is marked by their adaptation to change and if they adapt to change quickly, more patients will be satisfied with the service and that those physicians will be able to limit problems that occur inside their place of work. This is why roles in healthcare are important in todays world because the future holds many changes in the healthcare field and that administrators must be ready for change and must be ready to try to obtain as much information about n ew medicines and cures whenever the time comes. Resources Shi, L., Singh, D. A. (2008) Delivering health care in America: A systems approach (4th ed.). Boston: Jones and Bartlett. Longest, Jr., B. B. (2003). Managing health services organizations and systems. Baltimore: Health Professionals Press. David Brown, In the Balance: Some Candidates Disagree, but Studies Show Its Often Cheaper To Let People Get Sick, The Washington Post, April 8, 2008. Saward, E., Sorensen, A. (1980). The current emphasis on preventive medicine. In S. J. Williams (Ed.), Issues in health services (pp. 17-29). New York: John Wiley Sons.

Impact Of Assessment For Learning Education Essay

This paper considers the impact of Assessment for Learning on kids ‘s advancement in a peculiar strand of the Primary Maths Curriculum. It does so foremost through a reappraisal of the relevant literature, and so employs some empirical illustrations to exemplify how the rhythm had helped to procure larning points in a peculiar context. The specific strand under consideration is the resolution of multi-step jobs, ‘aˆÂ ¦and jobs affecting fractions, decimals and per centums ; take and utilize appropriate computation schemes at each phase, including reckoner usage. ‘ ( DCFS 2009 ) . Literature Review Changes in the professional model for the instruction and appraisal of Primary maths have been reflected in a invariably spread outing literature. This is now so expansive, that it can merely truly be reviewed here through some representative illustrations. There are two chief sub-genres which feature here: specifically, these are official publications, and scope of commercially produced texts which may be characterised as critical, professional, or vocational self-help literature. It is besides the instance that some generic texts on the topic of Primary Assessment for Learning may be pertinent here, although they do non associate specifically to mathematics. The official literature emphasises the holistic nature of appraisal by asseverating that ‘aˆÂ ¦assessment of kids ‘s accomplishments and advancement should be based on the expected acquisition results identified through the acquisition aims. In mathematics, measuring kids ‘s advancement in a nucleus strand of acquisition should be informed by the aims in the strand. ‘ ( DCFS 2009 ) . The fruition of this procedure may be visualized in the motive and authorization of the scholars themselves, supported by ‘aˆÂ ¦Constructive feedback that identifies how kids ‘s work and responses have led to successaˆÂ ¦ ‘ this, it advises, should supply a ‘aˆÂ ¦shared apprehension of the accomplishments on which to construct to do farther advancement. It helps kids to see how the following stairss take history of this success and are come-at-able. ‘ ( DCFS 2009 ) . There is a sense in which this acknowledges that Assessment for L earning has an importance, over and above what is revealed in outcome-based consequences, i.e. those from standardized trials. In other words, the latter no longer implies that it can stand as ‘aˆÂ ¦proxy for other sorts of larning. ‘ ( Campbell et al. 2004: p.119 ) The commercially published literature is invariably being updated by texts which engage with official policy and course of study alterations, construing them for practicians and parents. However, the bulk of these, although they make some mention to assessment, make non make so in the footings now prescribed by the DCFS, i.e. , daily and periodic appraisal. This is perchance because these theoretical accounts have merely been runing in the official discourse for a comparatively short period. Overall, this genre may itself be split into sub-groups, the most important of which are the brooding or critical genre, and the vocational or self-help group. One of the most fecund governments within this group is Sharon Clarke, whose Targeting Assessment in the Primary Classroom: Schemes for Planning, Assessment, Pupil Feedback and Target Setting ( 1998 ) , Unlocking Formative Appraisal: Practical Schemes for Enhancing Pupils ‘ Learning in the Primary Classroom, ( 2001 ) , and Active Lea rning Through Formative Assessment ( 2008 ) straddle consecutive developments in the instruction and appraisal of Primary mathematics. Besides helpful in these countries is Hansen ‘s Primary Mathematicss: Widening Knowledge in Practice ( Achieving QTS Extending Knowledge in Practice ) ( 2008 ) , and David Clarke ‘s Constructive Assessment in Mathematics: Practical Stairss for Classroom Teachers ( Key Resources in Professional Development ) , ( 1999 ) . As Shirley Clarke indicates, the ‘aˆÂ ¦sharing of a learning purpose isaˆÂ ¦more composite than merely reiterating what is in the instructor ‘s planaˆÂ ¦In order for the learning purpose to be shared efficaciously, it needs to be clear and unambiguous, so that the instructor can explicate it in a manner which makes sense. ‘ ( 2001: p.20 ) This may be taken as supportive of the official place: it endorses the thought that be aftering should pull non merely on the acquisition result, but besides on the anterior cognition of the pupils in inquiry. If they are expected to objectively measure their ain advancement, they must understand the frame of mention, and be able to imagine the acquisition result, even if they have n't yet attained it. This thought is besides inexplicit in the thoughts of David Clarke: as he points out, earlier attacks to assessment focussed on ‘aˆÂ ¦measuring the extent to which pupils possess a set of tools andaˆÂ ¦ the extent to which they can use them. ‘ However, he farther indicates that ‘aˆÂ ¦to be mathematically equipped, a pupil must besides understand the nature of mathematical tools and be able to choose the right tool for a given problem-solving state of affairs. ‘ ( 1999: p.11 ) This position is besides endorsed in the contemplations of Hansen, who argues that, ‘aˆÂ ¦it is possible to assist kids to larn mathematical content through efficaciously incorporating problem-solving, concluding and communicating into mathematics lessons. ‘ ( Hansen 2008: p.5 ) Texts such as Gardner ‘s emended aggregation, , Assessment and Learning, ( 2006 ) , Gipps and Murphy ‘s A Fair Test? Assessment, Achievement and Equity, ( 1994 ) , and Taber ‘s Classroom-based research and evidence-based pattern, ( 2007 ) , travel some manner to bridging the spread between the functionary and the educational literature, specifically by looking at how policy and course of study affairs are linked by research and political orientation. These are, nevertheless, non specifically devoted to Primary mathematics, and neither are they entirely accepting of the orthodoxies which pervade the official literature. Gipps and Murphy make the point that measuring appraisal is ‘aˆÂ ¦not merely a inquiry of looking at the equity in the context of appraisal but besides within the course of study, as the two are closely related. ‘ ( 1994: p.3 ) As Taber points out, practicians are at the terminal of a really long and frequently distant supply concaten ation when it comes to weighing the grounds on what is ‘best pattern ‘ . As they put it, ‘aˆÂ ¦teachers are told what research has found out during their initial â€Å" preparation † , and are updatedaˆÂ ¦through classs and staff development yearss, but mostly through centralised official â€Å" counsel † . ‘ ( 2007: p.4 ) This is reinforced by observers such as Rist, who argues that, ‘We are good past the clip when it is possible to reason that good research will, because it is good, act upon the policy procedure. ‘ ( 2002: p.1002 ) . These are academic but non unimportant points in footings of the overall treatment, even if they are non peculiarly outstanding in the twenty-four hours to twenty-four hours duties of the category instructor. The point is that, as brooding practicians, we might all profit from some consciousness of what shapes the models which inform our attack to learning and larning. With respect to the current Assessment for Learning conventions, the thoughts in Assessment for Learning, Beyond the black box ( Assessment Reform Group, 1999 ) , are acknowledged by the QCA to hold been constructive of the whole attack. ( QCA 2003: p.1 ) . As the latter province, ‘The survey posed three inquiries: is there grounds that bettering formative appraisal raises criterions? ; is there grounds that there is room for betterment in the pattern of appraisal? ; and is at that place grounds about how to better formative appraisal? This research grounds pointed to an unqualified ‘yes ‘ as the reply to each of these inquiries. ‘ ( QCA 2003: p.1 ) . These are of import points, as the instruction, larning and appraisal models which define modern-day pattern are deeply adaptative of them. Discussion/Example from Experience. A strand of the Primary course of study where twenty-four hours to twenty-four hours and periodic appraisal was found to be peculiarly of import in the overall Assessment for Learning attack, was procuring figure facts, relationships and ciphering. The illustrations used here are from Year 6 block E, particularly Ma2, Written and reckoner methods, and Ma2, work outing numerical jobs from Unit One, and focused on covering with mistakes and misconceptions. One context where appraisal was found to be peculiarly relevant was in covering with upper school ( i.e. Old ages 4, 5 and 6 ) acquisition of generation and division. The assessment procedure had to be multi-faceted, taking in all of the associated cognition and accomplishments, the mistakes and misconceptions which arose, and the modeling of inquiries to place the beginning of such jobs. This may be illustrated by concentrating on one illustration, taken from Year 6 Key Objective 2, Multiplying and dividing by powers of 10 and the a ssociatory jurisprudence, where normally, the unprepared or baffled scholar ‘aˆÂ ¦Misuses half understood regulations about multiplying and dividing by powers of 10 and the associatory lawaˆÂ ¦ ‘ ( 2009 ) . The of import thing about generation and division through consecutive add-on or minus severally, is that, one time mastered, they can show to scholars that the application of basic accomplishments will enable them to interrupt down apparently complex jobs into a manageable format. Multiplying or spliting a three figure figure by a two digit figure depends on the usage of a figure of accomplishments: cognition of figure facts, i.e. times tabular arraies, topographic point value, to rapidly measure the viability of an reply, and organizational accomplishments, i.e. being able to use the right stairss in the appropriate order. It may besides be utile to augment these with reckoner usage, in order to verify replies. The of import point here is that twenty-four hours to twenty-four hours and periodic appraisal – and brooding feedback from the scholars themselves – was indispensable in the planning, fliping and bringing of this input. The mutuality of each measure in these computations meant that the failure to put to death one measure, frequently resulted in the failure to finish the overall aim. For illustration, if times tabular arraies and generation by 10 and 100 were non firmly in topographic point, the scholar would acquire bogged down in the arithmetic. Conversely, the securing of one of the incremental accomplishments involved in these computations was a positive factor in the scholars ‘ overall attack: i.e. , if they knew their times tabular arraies facts, topographic point value, or generation by 10 and 100 were in topographic point, it gave them a get downing point from which to analyze mistakes or jobs. For some scholars, this had the generic consequence of doing t hem gain that their long-run work in accomplishing these places of strength had a positive result, instead than being an abstract, stand-alone procedure. This in bend made them more interested in geting other general mathematics accomplishments. Looking beyond specific mathematics accomplishments, this may besides hold the leaning to develop the pupils ‘ ain capacities for self-fulfillment and self-motivation. As the QCA points out, ‘aˆÂ ¦In many schoolrooms, students do non comprehend the construction of the acquisition aims that give significance to their work. Therefore they are unable to measure their ain advancement. ‘ ( QCA 2003: p.3 ) Accomplishment in a multi-step procedure such as long generation or division might therefore enable them to map out where they are within the overall criterions. However, it was merely through a combination of twenty-four hours to twenty-four hours and periodic appraisal that the practician could be confident of be aftering efficaciously with respect to these undertakings. There was no point in piecing Sessionss which relied on a scope of accomplishments when they were non unafraid, either in single scholars, or sufficiently across the cohort as a whole. In assorted ability groups, this attack was evidently the key the necessary distinction. The logical corollary to this is that dianoetic feedback from the scholars themselves was besides of import in specifying the following phase of planning, i.e. what worked, what did n't, who tried which method, were there any penchants etc. The entreaty of this activity besides lays in its all right balance of mental and pencil and paper methods, and the manner in which appraisal is the necessary concomitant to concrete computation. Overall, these experiences may be deemed supportive of the proposals of o bservers such as Clarke and Hansen, ( see above ) in that they emphasize the demand for the uninterrupted support of be aftering with appraisal. Summary, Analysis and Reflection: Deductions for Future Teaching. In drumhead, the decision of this paper is that both the literature and practical experience discussed here are reciprocally supportive of the demand for complimentary appraisal and planning. Outcome orientated consequences can exemplify single and whole school public presentation in certain contexts, but practicians need to be cognizant of appraisal in a holistic manner, as a day-to-day portion of their attack to learning and larning. As the QCA expresses it, ‘aˆÂ ¦Teachers are sing an increased sense that students are working with them instead than for them. For illustration, students are inquiring for more inquiries or illustrations to pattern using their apprehension of a subject or to reiterate prep or trials if they have non met the criterion and the aims that they and the instructor have set. ‘ ( QCA 2009: p.48 ) . Whilst this dynamic sounds really positive, practicians have new and different duties within it. In footings of appraisal, these can be itemised in the undermentioned waysaˆÂ ¦ Day to twenty-four hours: within this degree of appraisal, specific larning aims should explicitly communicated, and augmented with both equal and self appraisal as appropriate. Periodic: ideally, this should piece a broader overview of advancement across the topic for both scholar and instructor. It is besides an chance to interweave the national criterions in a sensitive manner with schoolroom pattern. The practician can utilize the penetrations gained from this procedure to inform both long and average term planning. Overall, it should be recognised that the ideal state of affairs, i.e. of self-motivated, self-actuating scholars, involved in their ain self-assessment, is improbable merely to ‘happen ‘ . Considered superficially, it might look that the practician ‘s function in appraisal has lessened, whilst the balance has been taken up by the scholars themselves. The world is instead different: students will merely go equal and effectual assessors of their ain advancement if they are provided with the appropriate support and counsel. In a sense, this facilitating function is a much more ambitious and elusive one than that implied in a more top-down, didactic theoretical account. Besides, there are obvious jobs in sing the ‘learner ‘ as a passive or generalized facet of this attack: it is much more likely that there is a staggered and varicolored consumption of the theoretical account, as different scholars are engaged at their ain gait and degree. This in bend indic ates that, as with all facets of the course of study, the societal and emotional facets of acquisition should be taken into consideration.

The Effects Of Herceptin On Cancer Models And Patients...

Herceptin (trastuzumab) is a therapeutic monoclonal antibody, which is specifically designed to target HER2 (human epidermal growth factor 2) receptors found on breast cells( Tan, 2010) . HER2 is a receptor protein that is a member of the epidermal growth factor receptor family and is over expressed in approximately 10-20% of breast cancers that have amplification of the HER2 gene (Jatoi, et al., 2010). Herceptin has been found to selectively apply anti-tumor effects in cancer models and patients with HER2+ breast cancer (Gajria Chandarlapaty, n.d.). Although all normal breast cells present HER2 receptors on their surface, some cells may express more receptors, as high as two million receptors per cell (Vu Claret, 2012), due to a mutation causing over expression of the HER2 gene. As a result of the increased number of HER2 receptors on the surface of breast cells, more hormones will bind and increased signals are given off, causing the cells to divide quicker and more frequently, resulting in HER2 positive breast cancer. Herceptin works by binding to the extra HER2 receptors on the cell, so that hormones cannot bind and produce signals to divide. In the absence of Herceptin, HER2 receptors undergo dimerisation (the pairing of receptors), however, in the presence of Herceptin, trastuzumab interferes with dimerisation and inhibits HER2 activation by blocking downstream signalling to inhibit division of cells, see figure 1 (Vu Claret, 2012). As an antibody, one of theShow MoreRelatedTrastuzumab ( Herceptin ) -research And Development1431 Words   |  6 PagesTrastuzumab (Herceptin)-Research and Development Introduction Cancer is the uncontrollable division and growth of abnormal cells resulting in formation of an aggressive tumour. 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Internal Environment and External Environment - 3981 Words

Section 1 Internal environment and external environment Internal environment †¢ Manager: On one hand, in order to understand a management situation of a company, the organization structure is the key issues which should be involved. Xin hua bookstore is being a traditional organization has the traditional structure that functional organization structure. This type of organization always has many layers including senior management, middle management and base management level in the pyramid. Similarly as the IBM, the management layers up to 18. Xin hua bookstore used this type of organization structure have found much more problems. The information transition is appeared too slowly and the manager’s decision always being distortion.†¦show more content†¦Students being a specific group is have a great number of needs from all kinds of books. The company should focus on requirement of this group of people. Moreover, other group such as doctor and lawyer is a market selling component element, so their’s requirement is not be ignored. Meanwhile the Xinhua bookstore paid much attention on teaching materials which reverse the expectation of the customer. [pic] Most part of teaching material is help student to cope exams after the examination, the books were lost value. Although the books may be paid much more money, the students would throw it to the corner of the bookcase. Many students claim that they need more interest book rater than teaching material. However, Xin hua bookstore is lack of this type of books which contains encouraging success involved books, youth novel and so on. There are other disparities that the expected types and present types, in particular extracurricular books. The need of extracurricular book is up to 61 units, but the supply of this type of book only in 4 units. The histogram to demonstrate the students need a large number of extracurricular books. The bookstore should recognized this problems and improve the supply numbers of extracurricular books. On other hand, students are being main customers that have more right to give suggestions. We should grab their psychological mind. Specific speaking, we should stock the books rounding their actuallyShow MoreRelatedExternal and Internal Environments1994 Words   |  8 Pages External and Internal Environments The survival of a corporation requires two elements: the strategic management of both its external and internal environments. The absence of either environment results in limited profitability. Whether a corporation is dealing with the growing concerns of technological changes or Internet privacy, external and internal factors will have a significant impact on day-to-day operations. 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