Saturday, May 16, 2020

Quality Measures Are An Instrument For Evaluating Perceptions

Quality Measures otherwise called CQM s are an instrument for evaluating perceptions, medications, procedures, encounters, as well as results of patient consideration. At the end of the day, CQM s survey the extent to which a supplier capability securely conveys clinical administrations that are proper for the patient in an ideal time period which is a prerequisite as a component of significant use necessities for the Medicare and Medicaid Electronic Health Record motivating force programs. According to Medicare.gov, (n.d.), quality measures demonstrate how frequently patients who are hospitalized for specific conditions experience difficult issues not long after they are released. Thus, Hospital Compare was made through the†¦show more content†¦In an effort to see quality measures at work, data from hospital compare is analyzed to compare three local hospitals to see how they measure up against one another. New Hanover Regional Medical Center New Hanover Regional Medical Center (NHRMC) is a 3-star Acute Care hospital that offers emergency services, Cardiac surgery, Nursing Care, and General surgery registries. NHRMC is able to receive lab results electronically, as well as track patient’s lab results, tests and referrals electronically between visits. Lastly, NHRMC uses both the Inpatient/Outpatient Safe Surgery Checklists (Hospital Compare, n.d.). NHRMC scores are on average according to Hospital Compare, since 3-stars is an average rating for hospitals. However, when looking closer NHRMC scores below the National average on Mortality, Safety of Care, and Timeliness of Care. While scoring above National Average on Readmission, Patient Experience, Effectiveness of Care, and Efficient Use of Medical Imaging. The volume of patients served at NHRMC is very high. The time patients spend in the Emergency room before being admitted as an inpatient is 329 minutes, 344 minutes’ national average and 318 minutes for North Carolina average. After the doctor decides to admit, the patient can wait on average an additional 154 minutes, 134

Wednesday, May 6, 2020

Attention Deficit Hyperactive Disorder ( Adhd ) - 754 Words

Goodman and Scott (1997) suggest that ‘childhood hyperactivity is a high level of behaviour that is often characterised by lack of control rather than the volume of behaviour.’ However, Booton, Cooper, Easton Harper (2012) argue that children with hyperactivity are unable to sit still, have poor concentration and impulsive behaviour. I agree with Booton, Cooper, Easton Harper (2012) because these are the challenging characteristics that appear in children who are hyperactive. In contrast to Goodman and Scott (1997), I believe hyperactivity does not necessarily occur due to lack of control. There may be high volumes of hyperactivity that can be controlled through behaviour management strategies (BMS) such as positive reinforcement,†¦show more content†¦Their definition includes the symptoms of hyperactivity and ADHD but the distinction between the two has not been identified. The distinction between ADHD and hyperactivity is that, ADHD is a neurological develop mental disorder which is required to be diagnosed Lauth et al (2006). Whereas hyperactivity is the regular pattern of inattention, impulsiveness and over activity McLaughlin (2004) by which diagnosis is not obligatory. Roger (2003) argues that teachers should develop a personal plan for hyperactive behaviour (HB) which focuses on academic survival skills and is centred in a supportive one-to-one programme emphasising positive role play. I believe this (BMS) may not work on all students, for example, children in Early Years Foundation Stage (EYFS) (2008). In EYFS (2008) teaching is often done through play, where the child learns through games and physical activity. At this stage of their education, they are learning through positive role play. In contrast to Roger (2003), children in EYFS do not require academic survival skills as they have not been academically prepared for the future. Moreover, Leaman (2009) suggests that teachers should encourage children to take responsibility of their actions by setting up a reward system to motivate children. Bowen, Jensen Clark (2004) argue that contingent verbal praise should be associated with the delivery of any tangible or token reinforcer, then as

Tuesday, May 5, 2020

Influence of Online Social Networks †Free Samples to Students

Question: Discuss about the Influence of Online Social Networks. Answer: Introduction UNICEF Child Care is an organization that provides caring and supervision services to children of ages between six and thirteen. For enrolling in their services, the parents of the children need to register their names in the company office and make payments for bearing the expenses of food, toys and residence of their children (Zaglia et al. 2015). However, UNICEF has noticed that this process has a number of issues and problems that is affecting the entire business structure of the company. While some issues are due to manual processing, others are mainly due to lack of proper operation structure that need to be addressed. UNICEF has proposed the development of a new information system including a company business portal that will be able to solve the identified problems at once. The development of the proposed system will require a particular development method that should include a well defined development life cycle. Some of the possible systems development methods include agile, waterfall or prototyping. Analysing the requirement of this system, the best method for the development will be Prototyping. The systems development life cycle will be as follows. Initiation In this phase of the life cycle, the development of the prototype will be initiated. This phase includes preparation of requirement document, collection of resources, planning and others. Prototyping This is the main phase of the development life cycle that can be repeated more than once unless the desired outcome is reached (Bimonte et al. 2017). This phase contains a number of sub-phases including requirement gathering, developing and testing. Production Finally, in this phase, the complete version is developed from the prototype and delivered to the project client. Among all the different development methodologies, prototyping method has been chosen because in this project, the prototype of the system will be first developed and tested. Based on the test results and completion of the entire prototype, the full version will be developed and handed over to UNICEF. Systems Requirements Business Portal A business portal is required where the clients of the organization i.e. the parents of the children will be able to create personal profiles through which they will be able to perform business interactions with UNICEF (Fan and Yang 2015). For instance, while making payments for their children, they will have an online payment option in the portal. Through this gateway, they will be able to pay UNICEF for bearing the costs of their children. Automated Supply Order The business portal of the company will have to option to place orders for supplies once in a while. As per the proposed plan, at the end of a period of 7 days, the number of new requests will be counted and order will be placed automatically by the system. Payment Gateway Client Generally, payment gateways are provided by different organizations for safe transfer of money from the sender to the recipient (Sugianto and Tojib 2015). For the business portal of UNICEF, a suitable client will be needed who will provide a secure payment gateway. Accessibility Requirement The portal should be developed such that it will be accessible through different web browsers and devices. Project Cost Benefit Analysis Project cost benefit analysis is done in order to estimate a possible range of profit to be gained from the project as well as the percentage of benefit gained from these profits in terms of the expenses faced in the course of the project. Gantt chart is an important tool in determining the schedule of a project based on the requirements. On the other hand, a work breakdown structure is generally utilized to break down the work packages for simplifying the overall phases of the project. A work breakdown structure of a project is generally developed from the list of deliverables and it also links various work packages that lie under the same project phase. A work breakdown structure can also be used to develop the Gantt chart for determining an estimated timeline for the project. Task Name Duration Start Finish Development of Online Business Portal for UNICEF 72 days Mon 6/4/18 Tue 9/11/18 Project Starting 5 days Mon 6/4/18 Fri 6/8/18 Issues Identification and Analysis 1 day Mon 6/4/18 Mon 6/4/18 Discussion and Group Meeting 1 day Tue 6/5/18 Tue 6/5/18 Agreement on a Solution 1 day Wed 6/6/18 Wed 6/6/18 Decide on the Development of New System 1 day Thu 6/7/18 Thu 6/7/18 Approval of Project 1 day Fri 6/8/18 Fri 6/8/18 Project Planning 9 days Mon 6/11/18 Thu 6/21/18 Scope Determination during Project 2 days Mon 6/11/18 Tue 6/12/18 Development of Project Plan Document 1 day Wed 6/13/18 Wed 6/13/18 Create Project Schedule Using Gantt Chart 1 day Thu 6/14/18 Thu 6/14/18 Estimate Budget 1 day Fri 6/15/18 Fri 6/15/18 Finalize Budget 1 day Mon 6/18/18 Mon 6/18/18 Procure Budget and Resources 1 day Tue 6/19/18 Tue 6/19/18 Duty Allocation to Stakeholders 1 day Wed 6/20/18 Wed 6/20/18 Go Ahead for Project 1 day Thu 6/21/18 Thu 6/21/18 Project Execution Phase 49 days Fri 6/22/18 Wed 8/29/18 Recruit Team 2 days Fri 6/22/18 Mon 6/25/18 Create System Prototype 8 days Tue 6/26/18 Thu 7/5/18 Add System Features 7 days Fri 7/6/18 Mon 7/16/18 Test the Prototype 2 days Tue 7/17/18 Wed 7/18/18 Develop Full Version 10 days Thu 7/19/18 Wed 8/1/18 Add Coding and Programming 4 days Thu 8/2/18 Tue 8/7/18 Test the System 5 days Wed 8/8/18 Tue 8/14/18 Risk Assessment 5 days Wed 8/15/18 Tue 8/21/18 Risk Management 5 days Wed 8/22/18 Tue 8/28/18 Project Handover 1 day Wed 8/29/18 Wed 8/29/18 Project Closing Phase 9 days Thu 8/30/18 Tue 9/11/18 Post Project Appraisal 5 days Thu 8/30/18 Wed 9/5/18 Completion of System Development Document 2 days Thu 9/6/18 Fri 9/7/18 Sign Off from Stakeholders 1 day Mon 9/10/18 Mon 9/10/18 Closing 1 day Tue 9/11/18 Tue 9/11/18 Table 2: Project Schedule System Information Requirement Investigation Techniques In order to determine the stakeholders of the project, the following table has been developed. Stakeholder Role / Responsibility Project Manager Control and management of the project Finance Manager Control and management of the funds IT Manager Management of IT setup of the organization Systems Developer Development of the Business Portal Tester Testing of the Prototype and Full Version Resource Manager Procurement of necessary resources System investigation techniques will be deployed in order to identify faults and errors in the existing system and address them in due course. Some of the investigation techniques to be deployed in this project are as follows. Survey (Online or Paper Questionnaires) This method can be utilized to gain user feedbacks regarding the use of the system. In these questionnaires, there will be a series of questions with a fixed set of answers that will be chosen by the participants. Personal Interview This is another efficient investigation method and it provides a better dataset as there are no limited sets of answers (Joslin and Mller 2015). The participants can provide any feedback to the interviewer regarding the working of the system. Document Analysis This process is done by studying the system details document developed throughout the course of the project. This document can provide some necessary data sets regarding faults and errors in the system. In this project, I have gathered significant amount of knowledge regarding system design and development. I also learnt to plan a project as well as develop suitable parameters of the project like project schedule and cost benefit analysis. Finally, I learnt the use of work breakdown structure as a tool for determining and linking various work packages in the project. This report is finally concluded by stating that a suitable project plan has been developed for the project based on the feasibility limits of time and budget. A systems development methodology has also been chosen for the development of the system proposed by UNICEF. 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Mancuso, V., Vitale, C., Gupta, R., Rathi, K. and Morelli, A., 2014. A prototyping methodology for SDN-controlled LTE using SDR. Prashar, S., Vijay, T.S. and Parsad, C., 2015. Antecedents to online shopping: Factors influencing the selection of web portal.International Journal of E-Business Research (IJEBR),11(1), pp.35-55. Sautot, L., Bimonte, S., Journaux, L. and Faivre, B., 2014, September. A methodology and tool for rapid prototyping of data warehouses using data mining: Application to birds biodiversity. InInternational Conference on Model and Data Engineering(pp. 250-257). Springer, Cham. Sugianto, L.F. and Tojib, D.R., 2015. Modelling user satisfaction with an employee portal.International Journal of Business and Information,1(2). Svejvig, P. and Andersen, P., 2015. Rethinking project management: A structured literature review with a critical look at the brave new world.International Journal of Project Management,33(2), pp.278-290. Turner, R., 2016.Gower handbook of project management. Routledge. Zaglia, M.E., Waiguny, M.K., Abfalter, D. and Mller, J., 2015. The influence of online social networks on performance of small and medium enterprises: An empirical investigation of the online business to business network XING.International Journal of Entrepreneurial Venturing,7(1), pp.1-23.