Ten Steps Of Billing Process Health And Social Care Essay

Measure One. Pre-register the patients. Obtain or verify the patient ‘s demographics. Gather the patient ‘s name, reference, phone figure, day of the month of birth, the nature of the medical job, the insured ‘s name, reference, phone figure, relation of the insured to the patient, type of insurance, insured ‘s ID figure. Determine if referrals are needed or is a anterior mandate needed? Verify referral or mandate phone Numberss provided on the card, co-pay sum, co-insurance, and whether the medical job is due to an car accident, or a work related accident. This information helps to find if a commercial insurance is primary or if another insurance is primary. Information obtained at pre-registration is important to the charge procedure and decreases denials ( Deutscher, 2008 ) . Measure Two. Establish the fiscal duties for the visit. Verify insurance eligibility and find how much to roll up up forepart from the patient. Insurance and all other information demands to be check at each visit because patients may reassign from one insurance program to another, move or alteration occupations. Eligibility can alter month to month on certain types of insurance therefore these types must be verified on each visit. This is besides where an account of the installation ‘s policy on fiscal affairs is given to the patient ( Deutscher, 2008 ) . Measure Three. Check-in the patient. Obtain the medical history and demographics of new patients. Confirm with returning patients that all information is right and up to day of the month. At this point, their record should be checked for any past charges still unpaid. If the patient ‘s insurance will non be covering this visit, or if the patient is without insurance, have the patient mark a release accepting duty for the entire sum due of this visit. Some installations collect co-pays at this point ( Deutscher, 2008 ) . Measure Four. Check-out patients. Enter the medical and process codifications for the visit to set up a charge with the patient or the patient ‘s insurance. Give them all prescription, lab faux pas or referral paperwork they might necessitate for ordered work. Schedule a follow-up assignment if necessary. Besides record any minutess for this visit ( Fordney, 2008 ) . Measure Five. Reappraisal coding conformity. Obtain CPT and ICD-9 codifications from the doctor ( s ) . Verify that all information is right before come ining it into the computing machine system. All codifications should be checked for mistakes. Everything in the study should logically associate together so the insurance company understands the necessity for the medical charge applied ( Fordney, 2008 ) . Measure Six. Check charge conformity. When it comes to a charge conformity program, the stairss in the charge procedure have to be done right by the regulations and ordinances set by the conformity program. The medical records must hold the right codifications for the charge to be right. A conformity program prevents fraud from happening, and helps happen and fix mistakes in medical certification and charge. Documentation must besides follow the regulations of the conformity program as good ( Fordney, 2008 ) . Measure Seven. Prepare and transmit claims. This is largely done electronically now, and the transmittals of claims have to be HIPAA compliant. This transmittal besides involves the insurance company or the clearinghouse directing a reception of recognition of the claim filed ( Fordney, 2008 ) . Measure Eight. Monitor payer adjudication. This involves maintain an aging study which shows all outstanding claims in columns, based on how many yearss old they are in 30 twenty-four hours increases. At 30 yearss, the procedure of naming on or resubmitting the claim begins ( Fordney, 2008 ) . Step Nine. Generate patient statements. Monitoring of patient balances is every bit of import. This is handled by directing monthly statements to patients with balances owing ( Fordney, 2008 ) . Measure Ten. Follow up on patient payments and handle aggregations. Identify which statements have gone out more than one time. If it has been sent three times so it ‘s of import to allow the patient know that his or her history is in danger of being sent to aggregation ( Fordney, 2008 ) . 1.a. Brush signifiers. The brush signifier is known by several different names, such as superbill, charge faux pas, and routing signifier. This signifier is printed out and attached to the patient ‘s wellness record at the clip of check-in. Besides the identifying information, it besides contains the procedural and diagnostic codifications and whether the patient should return for an assignment. This is a combination of a measure, an insurance signifier and a rout-system used in both computing machine and paper based systems. For computerized systems, this signifier can be scanned to input the charges and diagnoses into the patient ‘s history and medical record. Some have barcodes that can be read to input the charges and diagnoses into the patient ‘s history and medical record. Some medical patterns use the brush signifier as a routing sheet and as an bill to the patient. When used as a routing sheet, it becomes a beginning papers for insurance claim informations. The brush ‘s process and diagnostic codification subdivisions should be updated on reprinted twice a twelvemonth, based on alterations, add-ons, and omissions of procedural and diagnostic codifications ( Fordney, 2008 ) Explanation of Benefits. The Explanation of Benefits ( EOB ) , besides referred to as remittal advice, is a papers issued saying the position of the claim. This is sent by the remunerators to both the donees and suppliers. EOBs provide the necessary information about claim payment information and patient duty sums. Every wellness insurance company, including HMOs, is required to supply the insured or subscriber with an Explanation of Benefits in response to the filing of a claim. EOBs are non required when service is provided by a take parting supplier who receives full reimbursement straight from the insurance company, but will be provided upon petition. Each EOB must include the undermentioned: name of the supplier of the service, day of the month of service, designation of the service, supplier ‘s charge, the sum or per centum collectible after deductibles, co-payment and any other decrease of the sum claimed, telephone figure or reference where an insured may obtain elucida tion, information on how to register an entreaty of a denial of benefits, including the applicable timeframe to register ( Fordney, 2008 ) . Advance Beneficiary Notice. An Advance Beneficiary Notice ( ABN ) is besides known as a release of liability. When a patient is to have a service or an point from a take parting supplier or suppler, that might be denied for medical necessity by Medicare, the supplier or provider must inform the patient and have him or her agree to pay for the denied service in progress. Every infinite on the ABN must be filled in before giving it to the patient to subscribe. Suppliers on the other manus, are non required to give the patient an ABN for services or points excluded from Medicare coverage. ABNs merely use if the patient is in the original Medicare program, and non in a Medicare private wellness program. If the patient does non acquire an ABN to subscribe before the service or point from the supplier, it is non specifically excluded from coverage, and Medicare does non pay for it, so the patient does non hold to pay for it. If the supplier does give the patient an ABN that is signed befor e service or given the point, and Medicare does non pay for it, so the patient will hold to pay the supplier. Medicare considers the appropriate usage of ABNs a conformity issue. When directing in a claim, the HCPCS qualifier -GA must be added to the appropriate codifications to bespeak that the patient has signed the release ( Fordney, 2008 ) . Remittance Advice. Electronic remittal advice ( ERA ) is an on-line dealing about the position of a claim. It gives information on claims paid or denied, and sends a ground to the charge specializer. Managed attention programs pay by either a capitation system or based on the services given to the patient with a statement of remittal or account of benefits ( EOB ) . In the system when payment is based on services rendered, and a statement of remittal or EOB is generated, such statements will enumerate services that have been rendered to patients and normally indicate the sum billed, sum allowed, sum paid, and any co-payment to be made by the patient. By and large patients under managed attention programs do non have an EOB. With Medicaid, if a supplier wants to have an ERA, so a signifier must be completed and sent to the financial agent. If a supplier is utilizing the paper system, so Medicaid will direct a remittal advice ( RA ) with all Medicaid payment cheques. Medicare sends a p ayment cheque along with a nationally standardised papers to take parting doctors called a Medicare RA. On the front side of the RA are position codifications that are the same countrywide, stand foring the ground a claim may non hold been paid in full or was denied, etc. These codifications are defined on the rearward side of the RA. Non-participating doctors besides receive an RA with payment information about unassigned claims ( Fordney, 2008 ) . Engagement Contracts. Participating suppliers ( par ) has a contractual understanding with an insurance program to render attention to eligible donees and so measures the 3rd party straight. The 3rd party remunerator pays its part of the allowed sum, and the supplier measures the patient for the balance non paid by the insurance company, after the excluded part is adjusted off the history. There are some programs though where the take parting supplier is called a member, and they may accept the payment as payment in full, or may be free to measure the patient for any unpaid balance, depending on the contract ( Fordney, 2008 ) . 1.b. Adjudication procedure for remunerators and suppliers. Once a claim has been sent to the patient ‘s wellness program, the remunerators review the claims through the adjudication procedure. Through this procedure the remunerator puts the claim through a series of stairss to find if it should be paid or non. After these stairss are completed, the remunerator decides to either pay the claim in full, to merely pay some of it, or to deny it wholly. Upon this, a study is sent to the supplier along with payment. If the patient has more than one insurance program, the primary program will direct the balance of the claim to them. Suppliers have contracted agreements with each remunerator hence what the remunerator pays out may non fit the supplier ‘s fee. Most suppliers so adjust/write off the difference of their fee to what the remunerator pays out. It is every bit of import for the supplier to supervise the claims. The faster the supplier can have payment the better his or her bottom line becomes. To supervise the claim during adjudication, the supplier must cognize the sum of clip the remunerator is allowed to take to react to the claim, and how long the claim has been in procedure. Suppliers have to register the claim within a certain sum of clip after the service, and remunerators have to treat clean claims within the claim turn-around clip agreed upon in the engagement contract ( prompt-pay Torahs ) . Aging is the 3rd portion of claim followup. Producing an aging study lets the supplier cognize how long the remunerator has had the claim. HIPAA 276 is the enquiry that is sent to obtain information on the position of a claim and HIPAA 277 is the response returned by the remunerator. From here the supplier must cognize the timetable for subjecting a corrected claim and how to register a 2nd claim if necessary, how to feed back if a claim has been denied for losing or wrong informations, and how to manage a petition for more information or certificati on ( Valerius, Newby & A ; Seggern, 2008 ) . 2. Claims Processing Hospital/Facility Claims Processing Claims Transmission: The infirmary forwards the medical claims to the medical charge squad via a messenger or as scanned paperss. The medical claim must be supported by patient inside informations such as demographics, superbills, charge sheets, insurance confirmation informations, a transcript of the insurance card and any other information refering to the patient ( Fordney, 2008 ) . Retrieval and Checking of Medical Claims: The medical charge staff accesses the medical claims and back uping paperss. All paperss are checked for illegible or losing paperss and the infirmary charge office is notified instantly so that they can re-scan and direct losing paperss ( Fordney, 2008 ) . Medical Cryptography: An of import measure in claims treating is to repair the process and diagnoses codifications for each patient based on criterions such as CPT ( Current Procedural Terminology ) and ICD-9 ( International Classification of Diseases, Ninth Edition ) . The degree of service determines the 5-digit process codification, while the diagnosing codification is based on the medical diagnosing made by the physician ( Fordney, 2008 ) . Charge Creation: Medical Billing professionals will so make appropriate medical claims based on charge regulations refering to specific bearers and locations. All medical claims must be created within agreed turnaround times – by and large 24 hours. A thorough audit and checking of the completed medical claims is done at multiple degrees. The medical claims are checked for right and complete information, right process and diagnosing codifications, and the genuineness of all other relevant information about the patient, since incomplete/incorrect information is one of the individual most common grounds for rejection of medical claims ( Fordney, 2008 ) . Medical Claims Audit: A thorough audit and checking of the completed medical claims is done at multiple degrees. The medical claims are checked for right and complete information, right process and diagnosing codifications and genuineness of all other relevant information about the patient since incomplete/incorrect information is one the individual most common ground for rejection of medical claims ( Fordney, 2008 ) . Medical Claims Transmission: Medical claims created are filed for follow up before they are sent electronically to the claims transmittal section with all relevant information on each medical claim ( Fordney, 2008 ) . Claims Submission to Insurance Agencies: The audited, listed and recorded medical claims are printed out and dispatched to allow Insurance Agencies or governmental sections, with any fond regards or back uping paperss that may be required for colony ( Fordney, 2008 ) . Follow-up and Settlement: This involves the concluding phases where the medical charge squad follows up systematically with the insurance companies and payment bureaus until the concluding colony is disbursed ( Outsource2india, 2010 ) . Reprinted from Outsource2india, 2010 Physician/Provider Claims Processing Data entry of patient demographics, mentioning doctor, CPT and ICD Codes, and Modifier ( s ) is entered into the medical charge package Scan the paperss for charge mistakes and rectify them if needed Adjudicate client claims for truth Preparation of Explanation of Benefits ( EOBs ) Submit and file the claim with the insurance company Follow up on the claims with the insurance company Apprise biller of the position of the claim Process denied claims and re-adjudicate them for claims entry ( Outscource2india, 2010 ) Comparison of Commercial, Managed Care and Federal Insurance Plans Commercial wellness insurance covers medical disbursals and disability income for the Insured and are sold for by net income bearers. Policies vary in sums harmonizing to the types of specific coverage that they provide. It is besides coverage that provides two types of benefits – disablement income and medical disbursals ( answers.com ) . Managed Care Insurance feature is the inducement for the insured to remain within a specific web of wellness attention suppliers. Managed attention plans fall into 3 basic types: HMO, PPO, and POS. HMOs provide medical intervention on a postpaid footing, which means that HMO members pay a fixed monthly fee, irrespective of how much medical attention is needed in a certain clip period. A PPO is made up of physicians and or infirmaries that provide medical service merely to a specific group and a system where the patient pays no deductible and normally merely a little co-payment when they use a wellness attention supplier within their web ( answers.com ) . Federal Insurance plans. One of the most outstanding characteristics of the Federal Employee Health Benefit Program ( FEHBP ) is the picks it allows. There are three types of programs: fee-for-service and preferable supplier organisation ( PPO ) , normally offered combined, HMOs, and high deductible wellness insurance programs and other consumer-driven programs. In the FEHBP, the federal authorities sets minimum criterions and if met by an insurance company, allows it to take part in the plan. The consequence is legion viing insurance programs that are available to federal employees. The FEHBP has frequently been proposed as a theoretical account for national wellness insurance and sometimes as a plan that could straight inscribe the uninsured ( opm.gov ) . Major Payment and Reimbursements A Prospective Payment System ( PPS ) is a method of reimbursement in which Medicare ( CMS ) payment is made based on a predetermined fixed sum. The payment sum for a peculiar service is derived based on the categorization system of that service, such as diagnosis-related groups ( DRG ) for inpatient infirmary services.A DRGs have been used in the US since 1983 to find how much Medicare pays the infirmary, since patients within each class are clinically similar, and will utilize the same degree of hospital resources ( Fordney, 2008 ) . In the prospective payment method, payment rates for health care services are established in progress for a specific clip period. Two types of prospective payment methods are per-diem and case-based payment. In per-diem, the 3rd party remunerator reimburses the supplier with a fixed rate for each twenty-four hours a covered patient is hospitalized. In instance based, 3rd party remunerators reimburse suppliers per instance instead than for each service or per diem ( Casto, Layman, 2006 ) . CMS besides uses separate PPSs for reimbursement to acute inpatient infirmaries, place wellness bureaus, hospice, hospital outpatient, inmate psychiatric installations, inmate rehabilitation installations, long-run attention infirmaries, and skilled nursing installations ( CMS.gov ) . Another state – Spain During the 1980 ‘s alterations came to the Spanish health care plan. First they started with a societal security system that assured wellness attention coverage for merely the working and retired people while a combination of common and private organisations ensured basic attention for the remainder of the population. It was n't until 1997 that DRG coding came into drama for hospital reimbursement. Previously wellness attention was reimbursed harmonizing to a per contact system based on Basic Assistance Units ( Cots, Salvador, Chiarello, Bustins, Castells, ( n.d. ) ) . DRG payment systems were foremost used in Catalonia in 1997. They adopted the CMS DRG coding version. Hospitals received an sum per instance depending on the comparative mean DRG weight of all infirmary discharges. The infirmary comparative ration is multiplied by a fixed sum that is published yearly. Catalonia Health sets the discharge monetary values for each comparative resource strength ( IRR ) and the construction comparative index ( IRE ) every bit good as two burdening per centums. IRE reflects the infirmary ‘s construction degree, while the degree of the infirmary ‘s ingestion of resources ( IRR ) is defined by DRG discharge weights coded with CMS DRGS ( Cots, Salvador, Chiarello, Bustins, Castells, ( n.d. ) ) . Outline Different PPS in the United states Physician attention groups ( PCHs ) PPS method for physician services in ambulatory scenes visit based classified services harmonizing to clinical similarity and scene includes patients from all age groups and from parts of the universe with instance mixes of diseases and differing forms of health care bringing Pediatric Modified Diagnosis Related Groups ( PM-DRGs ) for newborns and paediatric patients developed by National Association of Children ‘s Hospitals and Related Institutions All Patient DRGs ( AP-DRGs ) categorizations for neonatal, paediatric, bad obstetrical, multiple injury, organ graft, and ventilator-dependent patients allows accurate comparings of patients in footings of length of stay, resource ingestion and results International refined DRGs ( IR-DRGs ) inpatient categorization system designed for footing of payment of international health care Clinical hazard groups ( CRGs ) predicts future health care outgos capitated payment system includes all age groups fee for service reimbursement and episode of attention reimbursement based on unit of payment ( Casto, Layman, 2006 ) Acute Inpatient PPS each instance is categorized into a diagnosis-related group ( DRG ) each DRG has a payment weight assigned to it, based on the mean resources used to handle Medicare patients in that DRG basal payment rate is multiplied by the DRG comparative weight. Home Health PPS Medicare pays place wellness bureaus ( HHAs ) a preset base payment adjusted for the wellness status and attention demands of the donee payment is besides adjusted for the geographic differences in rewards for HHAs across the state. instance mix accommodation for the wellness status, or clinical features, and service demands of the donee provide HHAs with payments for each 60-day episode of attention for each benefit Inpatient Psychiatric Facilities PPS paid under the infirmary inmate prospective payment system ( PPS ) certain types of forte infirmaries and units were excluded from PPS because the PPS diagnosing related groups do non accurately history for the resource costs for the types of patients treated in those installations Facilities originally excluded from PPS included rehabilitation, psychiatric, kids ‘s, malignant neoplastic disease, and long term attention infirmaries, rehabilitation and psychiatric infirmary distinguishable portion units, and infirmaries located outside the 50 provinces and Puerto Rico ( BBRA ) ( Pub.L. 106-113 ) , directed the development of a per diem PPS for inmate psychiatric services furnished in infirmaries and exempt units. Inpatient Rehabilitation Facilities PPS authorizes the execution of a per discharge prospective payment system ( PPS ) , utilize information from a patient appraisal instrument ( IRF PAI ) to sort patients into distinguishable groups based on clinical features and expected resource demands. Separate payments are calculated for each group, including the application of instance and installation degree accommodations. Long-Term Care Hospital PPS a per discharge system with a diagnosis-related group ( DRG ) based patient categorization system reflects the differences in patient resources and costs the Secretary shall analyze, and may supply for, accommodations payments to DRG weights, country pay accommodations, geographic reclassification, outliers, updates Skilled Nursing Facilities PPS payment rates are adjusted for instance mix and geographic fluctuation in rewards screen all costs of supplying covered SNF services ( everyday, accessory, and capital-related costs ) . Inpatient PPS PC Pricer infirmary is paid a fixed sum for each patient discharged in a Diagnosis Related Group ( DRG ) fixed sum is intended to cover the cost of handling a typical patient for a peculiar DRG. The PPS Pricer package, calculates discharges from October 1 through September 30 for a given financial twelvemonth ( CMS.gov ) . 6.Local Medical Review Local medical reappraisal policies are developed to assist suppliers and providers in subjecting right claims for payment. Local policies outline when and under what conditions a service, point, or supply is considered medically sensible and necessary, every bit good as the methods contractors will utilize to reexamine claims. These policies are the foundation of the reappraisal procedure. They define the service, decides when a service is sensible and necessary, outlines any coverage standards or specific certification demands, provides specific coding or modifier information and provides mentions upon which the policy is based. CMS requires that local policies be consistent with national guidelines, hence utilizing an consultative commission of medical professionals within Medicare and the medical community, LMRPs is developed. Once they are developed and implemented, LMRPs so provides the determination devising standards for any claim reappraisal and payment determinations. With e ach province holding its ain Medicare contractor, A consequences in each province holding its ain LMRP Local Medical Review Policies ( LMPR, 2010 ) . 7.HIPAA Privacy and Security Rule HIPAA privateness regulation applies to protected wellness information ( PHI ) in any signifier or medium while the Security Rule covers merely PHI that is electronically stored or transmitted by covered entities. The Security Rule ( SR ) has a broader enterprise than the confidentiality focal point of the Privacy Rule. This Security Rules aims at guaranting the unity and handiness of electronic PHI excessively. The Security Rule has to turn to issues such as informations backup, catastrophe recovery and exigency operations. SR has to do certain that covered entities that collect, maintain, use or transmit PHI in electronic signifier must build sensible and appropriate administrative, physical and proficient precautions that guarantee unity, handiness and confidentiality. Such processs must supply protection against any moderately awaited menaces or jeopardies. The Security Rule besides includes a criterion for electronic signatures ( Fordney, 2008 ) . 8.Classifications, Taxonomies, Terminologies and Terminologies Taxonomies are defined as the scientific discipline of categorization. These are the numeral and alpha supplier forte 10 figure codifications which are assigned to sort each wellness attention supplier. Taxonomy codifications are necessary because some institutional suppliers may non take to use for a alone national supplier figure for each of its subparts. The type of forte could impact the doctor ‘s wage depending on the contract with the remunerator ( Fordney, 2008 ) . Categorizations are legion in the claims processing. There is the categorization of diseases, and categorization of patients – outpatient, inmate, and ambulatory patients, to call a few. Everything is put into a categorization which if used and understood, helps the claims processor with truth ( Fordney, 2008 ) . Terminologies are footings abbreviated to initials. In claims insurance there are EOB, ERA, HMO, DRG, CPT, APG, AVG, MDC, AMA, CMS, EDI, ED, etc. It ‘s the alone linguistic communication spoken by claim processors. A terminology can hold several significances therefore it is of import to cognize which terminologies are non acceptable to a installation. Besides, when in uncertainty, inquire a physician or other medical professional what the abbreviation means ( Fordney, 2008 ) . In claims treating nomenclatures such as EOBs ( Explanations of Benefits ) , EOMB ( Explanation of Medicare Benefits ) , ERA ( Electronic Remittance Advice ) , RA ( remittal advice ) are illustrations. These are words that are easy understood throughout the profession ( Fordney, 2008 ) . Office of Inspector General OIG undertakes countrywide audits, every bit good as probes and reviews to reexamine the claim entry procedure of suppliers and reimbursement forms of the plans. The presence of an OIG conformity plan can significantly relieve imposed punishments in the event of an OIG audit or other finds of deceitful charge activities. A comprehensive auditing and monitoring plan will assist minimise the hazard of fraud and maltreatment by placing hazard countries ( igo.state.gov ) . Quality Improvement Organization in Michigan MPRO is a non-profit-making organisation and serves as the quality betterment organisation ( QIO ) for Michigan since 1984. It is contracted with the Centers for Medicare & A ; Medicaid Services. Its charge is: Work with Michigan Medicare suppliers to better the quality of attention for its endorsers. Promote all Michigan Medicare suppliers to follow grounds based medical specialty in all scenes. Protect the unity of the Medicare Trust Fund, by doing certain that Medicare pays merely for goods and services that are medically necessary that are performed in a proper medical scene. Protect the endorsers by look intoing their ailments and entreaties. QIO besides provides advisory services, medical and utilization reappraisals, informations analysis to federal bureaus, province Medicaid and public wellness bureaus, health care installations, and private wellness programs and 3rd party remunerators. QIO consists of a mixture of physician referees, clinical quality betterment and patient safety experts and statisticians. QIO serves infirmaries, nursing places, place wellness attention, physician offices and managed attention scenes ( MPRO.org ) . MPRO ‘s wellness attention quality betterment plans include legion preparations and go oning instruction events for Michigan suppliers across all scenes. Many events are free and Continuing Education Creditss are besides available. MPRO assists Michigan Medicare suppliers ( free of charge ) to better the quality and bringing of their wellness attention by the execution of evidence-based medical specialty that improves procedures and results. Areas of coverage include: Beneficiary Protection Patient Safety Prevention To better quality, safety and efficiency, MPRO publishes booklets for Medicare donees, explicating their rights as a donee ( MPRO, org ) . Other countries of service include: Breast Cancer and Cervical Cancer Control Program ( BCCCP ) Independent Medical Review Informal Dispute Resolution ( IDR ) Long Term Care Remediation Care Compliance Solutions for Long Term Care Providers Medicaid Fee-for-Service Utilization Review Program External Quality Review ( EQR ) MPRO is carry oning a Care Transitions undertaking in the mid Michigan country ( specifically, Clinton, Eaton and Ingham counties ) to measurably better the quality of attention of Medicare donees who transition between attention scenes. MPRO focuses on bettering coordination of attention between suppliers and across the continuum of attention by advancing seamless passages from the infirmary to place, skilled nursing attention, place wellness attention or other suppliers to forestall evitable readmission to the infirmary ( MPRO.org ) . The end of the Prevention Theme is to better the quality and frequence of preventative wellness attention services in order to optimise beneficiary quality of life and wellness attention efficiencies ( MPRO.org ) The Prevention Theme focuses on the undermentioned clinical subjects: Breast Cancer Colorectal Cancer ( CRC ) showing Influenza Immunizations Pneumococcal Immunizations Professionalism in Health Care Professionalism – Hard to specify, but you know it when you see it. Medical moralss are non Torahs, but criterions of behavior by and large accepted as moral guidelines for behaviour, by which a professional may mensurate the decorousness of his or her behavior in relationship with patients, doctors, colleagues, the authorities, and insurance companies. Acting with ethical behaviour agencies to transporting out duties with unity, decency, honestness, competency, consideration, regard, equity, trust, and bravery. The American Medical Association ( AMA ) adopted a codification of moralss for the benefit of the wellness professional in 1980. The Internet Health Coalition developed an eHealth Code of Ethics to protect patient ‘s information on the Internet ( Fordney, 2008 ) . An person must hold a assortment of features or qualities to work good as an insurance charge or coding specializer. Some of these qualities are: Strong critical thought and comprehensive reading accomplishments Logical and practical mind every bit good as a originative job convergent thinker Good organizational accomplishments Detail oriented One ‘s properties, accomplishments, personal image and behavior all contribute to professionalism ( Fordney, 2008 ) . Webster ‘s Collegiate Dictionary defines professionalism as â€Å" the behavior, aims or qualities that characterize or mark a profession or a professional individual † . All professionals portion common features and a codification to stay by. But it is non what we do as a professional, but how we do it, that defines the medical professionalism. It is the unconditioned lovingness of the patient, irrespective of their ability to pay or their station in life ( Fordney, 2008 ) . Most everyone knows instinctively what is meant when they hear the words â€Å" he ‘s so professional. † This evokes an image of high competency and high moralss ; person commanding regard. All countries of professionalism has a codification of behavior, it is non alone to the medical profession. This codification is the moral compass that keeps us on the consecutive and narrow. It will be our moralss that will separate us as a true professional ( Fordney, 2008 ) .Standards of Ethical CryptographyCoding professionals should: Apply accurate, complete, and consistent cryptography patterns for the production of high-quality health care informations. Report all health care informations elements ( e.g. diagnosing and process codifications, nowadays on admittance index, discharge position ) required for external coverage intents ( e.g. reimbursement and other administrative utilizations, population wellness, quality and patient safety measuring, and research ) wholly and accurately, in conformity with regulative and certification criterions and demands and applicable functionary coding conventions, regulations, and guidelines. Assign and study merely the codifications and informations that are clearly and systematically supported by wellness record certification in conformity with applicable codification set and abstraction conventions, regulations, and guidelines. Question supplier ( physician or other qualified health care practician ) for elucidation and extra certification prior to code assignment when there is conflicting, uncomplete, or equivocal information in the wellness record sing a important reportable status or process or other reportable informations component dependant on wellness record certification ( e.g. nowadays on admittance index ) . Garbage to alter reported codifications or the narrations of codifications so that significances are misrepresented. Garbage to take part in or back up cryptography or certification patterns intended to unsuitably increase payment, measure up for insurance policy coverage, or skew informations by agencies that do non follow with federal and province legislative acts, ordinances and official regulations and guidelines. Facilitate interdisciplinary coaction in state of affairss back uping proper cryptography patterns. Advance coding cognition and pattern through go oning instruction. Garbage to take part in or hide unethical cryptography or abstraction patterns or processs. Protect the confidentiality of the wellness record at all times and garbage to entree protected wellness information non required for coding-related activities ( illustrations of coding-related activities include completion of codification assignment, other wellness record information abstraction, coding audits, and educational intents ) . Demonstrate behaviour that reflects unity, shows a committedness to ethical and legal cryptography patterns, and Fosters trust in professional activities ( AHIMA.org ) . Revised and approved by the House of Delegates 09/08. All rights reserved. Reprint and cite merely with proper mention to AHIMA ‘s writing. The Federal Register The Federal Register is the day-to-day official diary of the Federal Government of the United States that contains public notices of authorities bureaus. The Federal Register is compiled by the Office of the Federal Register ( within the National Archives and Records Administration ) and is printed by the Government Printing Office. Since it is a publication of the U.S. Government, there are no copyright limitations on the Federal Register. It is in the public sphere and contains proposed new regulations and ordinances, Final regulations, alterations to bing regulations, and notices of meetings and adjudicative proceedings. This is a good mention for alterations in the wellness industry and maintaining abreast of approaching alterations. Example of a concluding regulation: Health Insurance Reform: Alterations to Electronic Data Transaction Standards and Code Sets AGENCY: Office of the Secretary, HHS. Action: Concluding regulation. Summary: In this concluding regulation, we respond to public remarks received and finalize commissariats applicable to electronic informations dealing criterions from two related proposed regulations published in the May 31, 2002, Federal Register. We are besides following proposed alterations to implementation specifications for wellness attention entities and others. In add-on, we are following alterations to implementation specifications for several electronic dealing criterions that were omitted from the May 31, 2002, proposed regulations. Effective Dates: These ordinances are effectual on March 24, 2003.A §164.500 [ Amended ]6. A § In 164.500 ( B ) ( 1 ) ( four ) , take the words †including the appellation of wellness attention constituents of a covered entity † .A § 165.501 [ Amended ]7. In A §164.501, the definitions of the undermentioned footings are removed: Covered maps Disclosure, Individual, Organized wellness attention agreement, Plan sponsor Protected wellness information, Required by jurisprudence, and Use.A § 164.504 [ Amended ]8. In A §164.504, the undermentioned alterations are made: a. The definitions of the undermentioned footings are removed: Common control, Common ownership, Health attention constituent, and Hybrid entity. B. Paragraphs ( B ) through ( vitamin D ) are removed and reserved. Authority: Sections 1173 and 1175 of the Social Security Act ( 42 U.S.C. 1329d-2 and 1320-4 ) . Dated: January 13, 2003.Tommy G. Thompson,Secretary. [ FR Doc. 03-3877 Filed 2-13-03 ; 8:45 am

Juveniles With Mental Disorders

Among Incarcerated Juvenile Offenders In Mississippi. Child Psychiatry & Human Development. 35 (1). 55-74. Review of Article This article examined how 14-20% of Juveniles that are incarcerated at Youth Detention facilities suffers some type of diagnosis for a mental disorder and 9-13% can be classified as having a serious emotional disturbance.This rate is very high and shows that the majority of children involved in the Juvenile delinquent system uffers some type of mental illness. This article examine a study conducte dover a 6 month period in 2000 for youth from ages of 12-18. They were found in nine long term youth detention facilities and two long term training schools. The Juveniles had a range of offenses that included aggravated assault, manslaughter, truancy, robbery, trespassing, running away. DUI, and drug offenses. Goal of Study There were actually three goals for this study.The primary goal of the study was to determine the poing prevalence of mental Illness, substance a buse and co-occurring ental health and substance abuse disorders of Juveniles held in Mississippi detention centers and training schools. The secondary goal was to determine the types and severity of problems by gender. The third goal was to examine the geographic differences and similarities in mental health and substance abuse disorders among Incarcerated youth In Misslsslppl compared to other states.Methodology (subjects, number of subjects, research design, Independent and Dependent Variables) The subjects that participated in the study were youth, both male and females between the ages of 12-18 years old. The number of subjects that participated in the study was 482. The youth were incarcerated in long-term juvenile correctional facilities called training schools and nine Juvenile detention centers during a 6 month period in 2000. The youth were approached in groups and Individually. There were 64. 3% (292) males, 65. 4% (297) blacks, 31 . 7% (144) whites and 2. 9% other racial /ethnic groups.The average age for the participants was 15. 3 years. The way that data was research was different at the detention centers and training schools. At the detention centers, Master's level mental health counselors visited ach facility on a weekly basis, approached newly detained adolescnts, and collected measures from consenting youths on an individual basis. The Adolescent Psychopathology Scale (APS), a standardized diagnostic questionnaire, and the Juvenile Detention Interview were collected. The counselors answered 16 mental stattus indicators based on their observation of the adolescent.Interviewers then noted their clinical Impressions. In the training schools, groups of 20-25 Juveniles 1 OF3 the test aftering explaining the purpose of the study. Adolescents that needed ssistance with reading were helped individually. The Juvenile Detention Interview and clinical observations were not conducted at the training due to time constraints. The APS is a 346 item self rep ort measure of adolescent psychopathology that directly evaluates teh severity of symptoms associatd with specific Diagnostice and Statistical Manual of Mental Disorders, Axis I Clinical disorders and Axis II Personality disorders.The APS assesses behaviors that interfere with successful psychosocial adaptation and person competence. The APS has a third grade reading level and is esigned for administration to youth 12-19 years of age either individually or in groups. The APS is composed of 20 Clinical disorders, 5 Personality disorders, 1 1 Psychosocial Problem Content, and 4 Response Style Indicator scales. The findings from this study found that Juvenile offenders have high rates of mental and substance abuse disorders.The most common disorders were ADHD, Conduct Disorder and Oppositional Defiant Disorder. Over half of the offenders in this study met criteria for conduct disorder and 35. 2% for disruptive disorder. The Juvenile Detention Interview is a 30-45 minute face to face se mi-structured nterview that records psychosocial history and includes alcohol and other drug use, mental health problems, and a number of risk factors associated with dlinquency involvement and criminal recidivism.Master's level clinicians collected information on reason for the youth to be admitted to Juvenile detention, youth education/ employment history, home environment, social environment to include gang membership, alcohol/drug use, family history, menal and medical treatment history. The interview also included 16 mental status questions that were completed by the nterviewer b ased on observation of the Juvenile during the interview process. The Juvenile Detention Interview was developed as a mental health and substance abue screening and triage form specifically for use in Juvenile detention centers.There are many advantages of this interview process; it does not require special training to administer, could be administered in the time allotted, and provides a basis for ini tial clinical impressions and services needs. Findings It was found that 17-22% youth had mood disorders, 10-20% had depressive disorders and only about 7% had some type of anxiety disorder. Females were more likely to score higher for Major Depression than males and were more likely to meet criteria for PTSD. Males rated higher for Conduct Disorder.The implications of this study found that many Juveniles mental health needs are going unmet and that mentally ill Black youth are more likely to be placed in Youth Detention facilities and mentally ill White youth are more likely to be placed in psychiatric hospitals. This study has shown that mental health screening are needed to help identify which juveniles are in need of mental health services so that they can get the services eeded to hopefully prevent them from coming back to detention facilities and committing more crimes, routine follow-up is also necessary.The findings of the study were used to assist administration of Juvenile Justice and mental health services for Juvenile offenders. RESPONSE In my opinion in this article the mental health needs of the youth were going unmet because the state instead of focusing the time that was actually needed and using licensed professions they wanted to use shortcuts for time and did not use certain standardized instruments because of time constraints and because mental health linicians did not have to be licensed they were of adequate use for the facilities which were cheaper to use versus the expense of a licensed counselor.I am pretty sure that many Juveniles are Just thrown into detention centers because it is thought that incarceration is therapy when actually it is not; it is actually a hinderance to those who really need help, but the state does minimum for those who are incarcerated and that is a known fact. There is a lack of medical attention and treatment if not only Juvenile facilities, but Jails and prisons for adults as well.

The Settings of Dracula

With castles, hidden streets, waterways, recurring rainy weather, interesting European architecture, and mystique, London is the perfect location for Bram Stoker's Dracula. London: The capital of Great Britain, and the center of attention in the nineteenth century, due to the many incidents that were going on at the time. The novel includes many daunting scenes, such as when Dracula heaves a sack withholding a deceased child before three female vampires. It is no surprise why he choose London to be the setting of his novel. London is â€Å"exotic† and unknown. Stoker is obviously inspired by London's castles, hidden streets, and church yards. Because of all of these points, London is the perfect gothic setting for Stoker's â€Å"Dracula. † London is recognized for its grand castles. Stoker may have been motivated to use these in his novel describing Dracula's estate in London, â€Å"Carfax† and also his castle in Transylvania. This is illustrated when Mr. Harker arrives at Dracula's home â€Å"up a great winding stair, and along another great passage great passage, on whose stone floor our steps rang heavily. At the end of this he threw open a heavy door, and I rejoiced to see within a well-lit room in which a table was spread for supper and whose mighty hearth a great fire of logs, freshly replenished, flamed and flared. † (Stoker,13). High small windows, arched ceilings, and solid stone walls are also typical for the gothic architecture. These characteristics make the building cold, dark, and forbidding. For example, the text says about the castle in Transylvania that â€Å"The Count halted, putting down my bags, closed the door, and crossing the room, opened another door, which led into a small octagonal room lit by a single lamp, and seemingly without a window of any sort† (13) and . â€Å".. a vast ruined castle, from those tall black windows came no ray of light and whose broken battlements showed a jagged line against the moonlight sky† (11). Everything is difficult to see. For example, dimming lights and dark thick walls are characteristics of this type of architecture. Overall the count's castle looks like the cathedrals in the thirteenth century. It is a copy of a medieval building. London is also a perfect location for this novel not only because of its buildings, but also because of its weather and its scenery. London (or Great Britain in general) is an island, therefore, it is surrounded by water. This makes it â€Å"isolated† from the main land. It makes it problematic to reach. This is why Dracula has to go by ship when he leaves Transylvania to go to London. People often connect harbors with something frightening and you can see harbors in many horror movies. Because of the surrounding water and the rough European climate, there is a lot fog and rain. These are the ideal conditions for Dracula to follow through with his killings. He can â€Å"call† for the fog and the rain. In the nineteenth century, London streets were very small and hidden with little lighting. This helps to create the fearsome setting for the novel. Smoke is created by enormous factories making a creepy backdrop for the terrible things to come. Numerous churches and cathedrals also create a fear-provoking â€Å"flair. These churches are built in gothic â€Å"dark† style. For example, the â€Å"Salisbury Cathedral from the Meadows†, is built in this medieval manner. London also includes a considerable amount of beautiful, but creepy, churchyards. Ffor example, in the part when Lucy is constantly sleepwalking and Mina finds her in the churchyard talking about â€Å"his red eyes†, . â€Å".. from where I was I ran on to the entrance of the ch urchyard†¦ † (79). Of course these churchyards are used as a scary setting, like in many horror books or movies. The House of Commons was non-democratically elected. The Bill, caused by the temperance movement, didn't create a democracy in England, but it did enfranchise the British’s middle class. The Temperance movement was typical for the Victorian era. It surround the idea that the middle-class should have self-control and self-denial. These values were shaped both by Evangelicalism and by Utilitarianism. There were also contemporary views on the Reform Act in 1832. So the Reform Bill and the issues on the Reform Act got everybody's attention, what makes London even more interesting. In 1854 there were also several law for women passed. This could be the reason for Mina Harker and her friend, Lucy, to play such an important role in Stoker's book. In this time era, women believed that they should always be protected by the strong men. Because of this, Bram Stoker maybe wanted to draw the attention on the women. The marriage of Mina Harker and Jonathan Harker could may have been a result of the Chancellor Cranworth's Marriage and Divorce Bill passed in 1955. Another point of attention was also the Peterloo Massacre in 1899. A public meeting took place at Westminster on March 28th and in June. Another important piece of information is that London became a massive place with book-keepers, authors, and clerks. This is why many newspaper presses came to London. Stoker could have been stimulated by this and wrote the part, where Mina did research about this article, where the mysterious ship came into the harbor (how already mentioned above). Or it could have been the growth of shipping, caused by the famous clippers, which made it possible to import tea from China to the Thames. The whole story of Dracula could have been also been caused by the widespread poverty and crime in this time. Because of all these facts about London, the castles, the hidden streets, the waterways, the recurring raining weather, the interesting European architecture, and the mystique surrounding this city, Bram Stoker chose this special and fascinating city as the setting for his novel. London is just like made for settings in scary novels or even movies. Especially in the nineteenth century, with all the gothic buildings and all its frightening churchyards. Of course, everybody in this time knew London for this. London was not only well known because of these aspects, but also because London was the capital of its whole empire. So Bram Stoker could not have selected a better gothic setting for his disturbing novel â€Å"Dracula. † Works cited: -Wolffg. , John. â€Å"Gothic† 2002. Online. 5-20-03 www. clc. edu/~wolffg/gateway/gothic. html -Roumpou, Eleni. Is Dracula a gothic novel? † 9-19-00. Online. 5-20-02. www. hausarbeiten. de/faecher/hausarbeit/anl/1106. html -Jackson, Lee. â€Å"Victorian London-Architecture-Victorian Architecture† 2000. Online. 5-20-03 www. victorianlondon. org -Halsall, Paul. â€Å"19th Century Britain† 1-30-99. Online. 5-21-03. www. fordham. edu/halsaall/mod/modsbook20. html -Johnson, Jane. â€Å"19th Cent ury London† 2001. Online. 5-21-03. www. Britannia. com -Smith, Rebecca. â€Å"The Temperance Movement and class struggle in Victorian England† 1993. Online. 5-21-03. www. loyno. edu/~history/journal/1992-3/smith. html

My Dream Business and some Legal Issues may arise, and prepare a legal Essay

My Dream Business and some Legal Issues may arise, and prepare a legal risk management plan - Essay Example The rising fuel prices will greatly contribute to the future scope of this business. The business is planned to be located in Toronto, the largest city in Canada. For this business, I have planned to focus on private vehicle owners who are struggling to afford the mounting fuel prices. At the initial stages, a group of efficient marketing executives will be appointed to contact private vehicle owners and to take orders from advertisers. Once the business is established and popularized, it can be further operated online. It is a low investment project, because it can be operated with fewer building facilities and equipments. Relatively, it would be easier to collect orders from vehicle owners than marketers/advertisers because vehicle owners do not have to take any financial risk. As advertisement is a necessity for every business, I do not try to target a particular market. However, I have planned to approach local marketers during the initial phases of my business. In addition, I ha ve decided to focus a little more on low and middle income vehicle owners since high income groups are less likely to be willing to display ads on their luxury vehicles. It is expected that some legal issues will raise certain challenges to the proposed business project at its initial stages of development. ... The Legal Risk Management Plan Arguably, the increase in vehicle running kilometers can turn out to be the most serious legal risk for the business because this issue can worsen the level of greenhouse gas emissions caused by fuel burning in combustion engines. Since greenhouse gases cause a range of environmental issues like global warming and climate change, the Canadian government is less likely to encourage this new business venture. In addition, overpopulation of vehicles also leads to other problems such as air pollution, sound pollution, increased road traffic, and increase in fuel consumption levels (Schwela, Zali, & Schwela, 1997). The above identified risks can be eliminated successfully if the organization frames an effective risk management plan. Referring to the legal risk management framework suggested by Dilanchian Lawyers & Consultants (2009), the planned business venture can eliminate legal risk elements effectively if it makes use of manuals, policies and procedures , ethics policies, and specific processes. Instead of paying a fixed percent of fuel expenses, the organization can give the same amount in cash to vehicle owners. If this option is chosen, vehicle owners may spend this amount for some purposes other than fuel purchase. Another risk reduction policy is not to allow more than one member from a family to register with this facility. Reports say that many of the Canadian families or even individuals have more than one car (Natural Resources Canada, 2005). Therefore, the suggested policy can reduce emission and pollution issues to a great extent. Even though both the options are likely to lessen

Legal, Ethical and Professional Issues Essay Example | Topics and Well Written Essays - 5250 words

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Diabetes in the Young Research Paper Example | Topics and Well Written Essays - 1500 words

Diabetes in the Young - Research Paper Example Pathophysiology of Type 2 Diabetes Research of type 2 diabetes in the young adults and children continues to provide insightful information about the pathophysiology of the disease. Qualified researchers attribute susceptibility to the disease to both genetic and environmental factors (Eppens & Craig, 2006). Inherited genes might predispose an individual to a combination of failure of beta-cell secretion and insensitivity to insulin produced (Eppens & Craig, 2006). This means that individuals with a history of this disease have increased chances of contracting it compared to individuals with no record of type 2 diabetes in their family. 45-80% of these children have a parent suffering from type 2 diabetes. 74-90% of the reported children cases show that they have the 1st or 2nd degree relative suffering from the disease (Eppens & Craig, 2006). Some researchers might also argue that women have a higher chance of contracting the disease than men (Eppens & Craig, 2006). Other genetic fa ctors that increase the person’s susceptibility to the disease are intrauterine exposure to diabetes, puberty, low birth-weight, and ethnicity (Eppens & Craig, 2006). ... For example, the continuous advancement in the technology industry induces laziness among the young adults and children, who would rather engage themselves in computer games indoors instead of riding a bicycle outside. As a result, the levels of obesity among the young have skyrocketed over the years, increasing their chances of developing type 2 diabetes (Kaufman, 2002). Obesity affects the body by overworking all the organs. In addition, the high cholesterol levels also clog up the blood vessels, causing a disruption in the supply of essential enzymes and nutrients in the body (Kaufman, 2002). Brief literature review focusing on current research The American Pediatric Board described type 2 diabetes as the new epidemic affecting the pediatric population. The incidence and prevalence rates have increased by 33% between 1990 and 2000 (Kaufman, 2002). Research shows that the disease accounted for 16% of new pediatric diabetes recorded in the urban areas in 1992, and by 1999 the record s showed up to 8- 45 % increase in new cases as per the geographic location (Kaufman, 2002). Further research reveals that ethnicity plays a crucial role in the susceptibility patterns of the disease. Mainly people of African-American, Native-American, Asian-American, and Mexican-American descent suffer from type 2 diabetes. For example, African-American children represent 70-75% of new pediatric patients of type 2 diabetes in Ohio and Arkansas (Kaufman, 2002). Very limited information is available about effective evidence-based treatment. However, National Institute of Health has recently disbursed funding to a multicenter consortium charged with the responsibility of determining the outcomes of the different treatment regimens

Segment 4,5,and 6 Term Paper Example | Topics and Well Written Essays - 1500 words

Segment 4,5,and 6 - Term Paper Example lberger recounts that the migrant passengers were â€Å"packed densely, like herrings† into the ships awaited them in harbors of Rotterdam and Amsterdam. Each person received no more than 2-ft. wide bedstead, as a typical ship carried over 400 to 600 passengers. The miseries of the passengers usually began in the Dutch waters already, as the ships were compelled to pass through 8-14-day long customs examination at British ports, as they arrived there. However, the real hardship was to begin during the voyage across the Atlantic, as the vessels carrying migrants took 8 to 12 weeks until they reached Philadelphia. During such trips, gales and epidemics often struck the passengers, leading to rather high mortality levels and general discontent. In particular, infants and 1 to 7 year-old children were rarely to survive such trip. The most degrading part of the voyage, nevertheless, was to begin in the harbor of Philadelphia, as the destitute passengers were effectively sold to those who could pay for their new servants’ passage money. Usually adult persons were to serve for 3 to 6 years for the benefit of their purchasers, while the adolescents could be purchased to serve until they would be 21 year old. During such sale procedures, whole families were frequently torn apart. Segment 5. William Pitt’s Speech on the Stamp Act, 14 January 1766. This speech by William Pitt, Sr., who was at that time a leader of the Opposition, was to play one of the decisive roles in the repeal of the Stamp Act and the temporary softening of the British position with respect to the Colonies. Pitt pointed out that even â€Å"under former arbitrary reigns† it had been assumed that taxation entails the right of representation in the Parliament, and vice versa. He cited the example of Wales to show that the Colonists were right to demand the same attitude towards themselves. Pitt warned that the attempts of â€Å"the late administration† to â€Å"rob† the Colonies would be a dangerous

United Nations and USA Interventions Essay Example | Topics and Well Written Essays - 1250 words

United Nations and USA Interventions - Essay Example As a result, intervention in conflicts become an important part of it work. The United States of America is a nation that is made of states occupying the Northern part of America. The making of United States and its ascension to world superpower signifies a path full of conflict. After the Second World War, it emerged as one of the powerful states in the world and the end of cold war era brought a new world order with the United States as the only superpower in the world. Therefore as the only superpower in the world, the United States has had an upper hand in most of the world affairs. As such there are many instances where United States has intervened in conflicts but also in times when there was not intervention which was needed. (Shah 2008, p. 3) Intervention can be considered as a form of arbitration which is meant to bring the conflicting sides together or to mitigate the situation. There have been many forms of interventions in the world depending on the nature of conflict at hand. An intervention is supposed to be in interests of protecting the welfare of all the parties involved or in interest of protecting one of the parties that cannot stand the strength of the other in the conflict. There have been raging arguments concerning the provisions of the UN charter on intervention with conflicting sides arguing about the need to use military intervention in order to bring peace to warring parties and opponents arguing that this has not been provide by the UN charter on intervention and it amounts to violation of human rights. (Shema 2005, p. 1) Throughout history, there have been instance where thousands of innocent citizens have been slaughtered or displaced in the eye of the international community with same kind of argument prevailing. In 1994 thousands of Rwandans were slaughtered and millions of others displaced as the international community watched and the response was that Rwanda was a small unknown country. Since 2000, millions of people have been murdered in Darfur region of Sudan and other displaced as the world watches. These are some of the instance that has called for intervention by use of force in order to end such a crisis. Therefore the overall aim of any intervention is to protect the civilians from sufferings that they may be undergoing especially when the cause can be traced back to a political conflict. Historical interventions of the UN and US Since 1990s, there have been increased humanitarian interventions in the world. This has been due to increased incidence of conflicts and the traditional political system collapsed and countries tried to position themselves in the changing world. There has also been struggle for independence and many political conflicts. When it was formed the UN has been able to intervene in a number of conflict in the world especially in the Middle East in 1948 in Israel, 1957 in Egypt, 1958 in Lebanon and Syria, 1964 in Yemen, 1973 in Israel, 1978 in Lebanon, 1991 in Kuwait, and many others. It has also been involved in intervention in Pakistan, Afghanistan and India in 1988 and 1990. It has also intervened in African in 1992 in Somalia, 1999 in Sierra Leone, 1999, in Congo and recently in Darfur. These are just but some of the instance that the UN has intervened. The number of times that the US has intervened in the world are countless same as the number of countries where it ahs intervened. The history of

Create a dialogue between two people. Describe and critique two Essay

Create a dialogue between two people. Describe and critique two perspectives on morality - Essay Example I believe in utilitarian ethics and I would like to discuss it with you and maybe learn about your moral basis.† Steve was delighted by the topic and replied, â€Å"I have also noted our differences and attributed it to diversity. Discussing our moral values would be important to our interpersonal relationship and will improve our perspective on our environments. I believe in deontology ethics. Could you please tell me about your ethical perspective?† David: â€Å"Utilitarian ethical perspective is based on the concept maximum good to a majority of members of the society (Brooks and Dunn 183). It informs judgment on a act, whether of commission or of omission, based on effects on members of the society and therefore means that morality of an act is determined after members of the society have interacted with the act and its effects, both positive and negative have been observed. The act is then said to be unethical if realized bad effects on members of the society are m ore significant than benefits from the act. It is however considered moral if greater benefits can be derived from it and this identifies two perspectives to determining ethics in an act, the extent of effects on people and the number of people that the act affect. Utilitarianism also relates to decisions whose implementation has effects on people. Rule utilitarianism explains this by offering rules that can lead to maximum good in a society. A decision to restrict a person’s right to smoke in a public place is for example moral under utilitarian ethics because while it may infringe the smoker’s need and may be cause distress, it will be beneficial to many other people I the immediate environment through ensuring clean air and protecting the people’s lives (Kanniyakonil 65- 66).† David: â€Å"I should have been keen to note that your judgments are based on consequentialism. My ethical perspective, deontology, is however a rule based perspective to moral j udgment. The perspective associates morality with duty that is expected of people in a society and is based on social rules. It is different from your ethical perspective because it disregards consequences of an act or a decision. An act that is consistent with established rules is for example considered ethical despite its negative consequence to members of the society and an act that contradicts existing rules and obligations is considered immoral irrespective of the net benefit that in which it results. considering your example of smoking in a public place and suppose that a the society allows people to smoke in public places, then the act of smoking is considered moral regardless of the air pollution and its associated effects on people’s health (Basford and Slevin 214, Showler 21)† David: â€Å"Reliance on rules for judging decisions and actions has the benefits in fair judgment and this is contrary to the scope of your utilitarian approach that also appear to be subjective. One of my concerns with utilitarian approach to ethics is the lack of a suitable measure for benefits and harm of an act. There is no standard measure and this compromises reliability and fairness because some people may be more sensitive than others are while some may exaggerate consequences. It is also difficult to identify population segments that have been affected by an act or a decis

Financial Position of a Business Essay Example | Topics and Well Written Essays - 1000 words

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Fiat 500 Diesel Essay Example | Topics and Well Written Essays - 3000 words

Fiat 500 Diesel - Essay Example According to their press release 2010, the car is special and has been designed using blue-sky technology added on to its features as illustrated in the Table1.In this model, consumers derive performance, status and approval due to its stylish trend, special features in the interior design, spacious boot at the rear which can accommodate bulky loads and a new sophisticated engine that is powerful and can race more kilometers without a stop-over. The car is small, economical in fuel consumption which implies that it is cost saving which places the consumer at a better purchasing power. It is also fun to drive, the car having being made mainly for youth city dwellers that are affluent and who need better fashionable designs. The product has a wide variety of attributes, like for instance, new midnight indigo blue colour; a set of aggressive 16 inch alloys wheels; imitation air intake integrated into the rear hatch opposite one of the most famous logos of Italian fashion; the yellow bra ke clippers for the 1.4 liter version making 100 HP and quite a few satin chrome painted features, including the moldings which evoke the atmosphere of diesel fashion world. The new special model offers a wide variety of additional products, mainly consumers, known as Fiat 500 Accessories that consists of graphics and badges for consumers to choose from. They include a wide variety of badges that are offered in affordable prices, a psychological make-up that could show that this class of consumers is loyal to their country as well as to fiat products. It also offers mats and mudflaps for consumers to ensure the car remains clean, as it is driven by a higher richer city dwellers youth. It also accompanies multiple services amongst which include car care services, safety instructions and other merchandise services to satisfy the consumers. The New Fiat 500 by Diesel has a depth of product lines, currently featuring five models in European markets: punto Evo model, panda model, bravo m odel, Doblo model and Qubo model.2 The consumers are willing to willing to spend some time looking for the car due to its excellent features that has made it popular, environmentally- friendly and fuel- saving. Its power unit, the 0.9-litre Twin Air is a unique engine that has won international standards and is currently the engine of the year in the latest awards (The 2011 GreenFleet awards City car manufacturer of the year)3. 1.2. Current Pricing The current pricing strategy is competitive and affordable (ranging from ?11600 to ?15500). The consumers are willing to spend some time looking for the car due to its brilliant features highlighted above: environmentally- pleasant and fuel-saving. This is mainly attributable to its class of consumers, mainly the rich city dwellers youth who do not care much about price. The product is in a competitive market position as other car manufactures also exhibit high sophisticated technologies and produce at low costs. However, Fiat group, the car manufacture division has excellent models for the rich and higher social class who will not care much about the price due to their higher incomes and quest for recognition in society. The fiat 500 by Diesel model is a luxurious good, and as such, the rises in prices or even if prices are higher than the competitor’s, it does not reduce demand but instead it increases it as consumers care more about recognition and admiration than prices from their fellow low-class consumers who utilizes

Importance of Chemistry in Chosen Profession Essay Example for Free

Importance of Chemistry in Chosen Profession Essay The international year of Chemistry (2011) should be the key point in a significant growth of the diffusion of chemistry to show society its importance, how it is necessary, which can provide, in order to put it in the appropriate place to be considered by the public. Different activities have been carried out in almost all the science faculties of the Spanish Universities during 2011 to develop the interest in chemistry. Those activities also include the collaboration with teachers in levels before to the University. The Faculty of Science of the University of Extremadura, as well as, in our case, a group of professors, PhD and PhD students are carrying out actions of divulgation of science including chemistry. The aim is to carry out chemical laboratory experiences for high-school students. Experiences in the laboratory were structured in response to different levels of difficulty and looking those more attractive or those that could hit the students. Addressed aspects were related to spectroscopy, surface tension, oxidation, reduction, precipitation, acidity, chromatography, liquid – liquid distillation, etc. The students worked in each activity in groups no larger than 4-5 students and they carried out the experience with the help of the instructor. It is noticeable the great number of activities described in the literature, in the network, etc., for the diffusion of chemistry. However, a crucial aspect is the form in which those experiences are carried out, as well as the participation of the students is active and the goals such as awaken the interest in science in general and chemistry in particular are achieved. Another point is to involve the university community especially the youngest in the necessity to spread the knowledge and the interest in science. We present a catalog of chemical experiences and a plan to be developed extensively to all the levels previous to the university, including primary school level. . Answer: Chemistry has a reputation for being a complicated and boring science, but for the most part, that reputation is undeserved. Fireworks and explosions are based on chemistry, so its definitely not a boring science. If you take classes in chemistry, youll apply math and logic, which can make studying chemistry a challenge if you are weak in those areas. However, anyone can understand the basics of how things work and thats the study of chemistry. In a nutshell, the importance of chemistry is that it explains the world around you. Chemistry Explains * Cooking Chemistry explains how food changes as you cook it, how it rots, how to preserve food, how your body uses the food you eat, and how ingredients interact to make food. * Cleaning Part of the importance of chemistry is it explains how cleaning works. You use chemistry to help decide what cleaner is best for dishes, laundry, yourself, and your home. You use chemistry when you use bleaches and disinfectants and even ordinary soap and water. How do they work? Thats chemistry! * Medicine You need to understand basic chemistry so you can understand how vitamins, supplements, and drugs can help or harm you. Part of the importance of chemistry lies in developing and testing new medical treatments and medicines. * Environmental Issues Chemistry is at the heart of environmental issues. What makes one chemical a nutrient and another chemical a pollutant? Importance of Taking Chemistry Everyone can and should understand basic chemistry, but it may be important to take a course in chemistry or even make a career out of it. Its important to understand chemistry if you are studying any of the sciences because all of the sciences involve matter and the interactions between types of matter. Students wanting to become doctors, nurses, physicists, nutritionists, geologists, pharmacists, and (of course) chemists all study chemistry. You might want to make a career of chemistry because chemistry-related jobs are plentiful and high-paying. The importance of chemistry wont be diminished over time, so it will remain a promising career path.

Internal and external influences on business opportunities

Internal and external influences on business opportunities Business is like the blood that flows through our bodies, with out business our lives would be almost impossible. Business plays many different roles in our everyday lives. Most people either own or work for a particular business. Businesses make it possible for the community and even further places such as overseas countries to receive and sell goods and services. A business can be anything that provides goods and services to the community such as corner shops providing customers with goods and sweets and they can also be larger companies such as Nike selling shoes and clothing all over the world. Businesses allow for our economy to grow and become stronger, with out a strong economy a country can not run as smoothly as preferred. One of the main reasons why businesses are so important in our everyday life is due to the fact that businesses provide millions and millions of people with job opportunities. If businesses did not exist people will not be able to work and earn money for e veryday living. There are certain factors that can influence a business. These factors include internal and external influences. Internal influences are influences that a business has some control over, such influences include product, location, management, resource management and business culture. Product influences: These influences affect a large majority of the internal structures and operations of a business. Depending on the types of goods and services the business produces will depend on the internal structure. If the goods being produced require certain equipment, these needs must be catered to so that the business may go on with its production. Each type of business has a different set of product influence, for example a service provider will require less preparation, whilst on the other hand a manufacturer will need more services to produce the goods sold. The size of a business can be determined by the different types of goods and services produced and also the availability of technology. So from this we understand that the amount of goods and services produced by a business depends on the size of the business. Poor productivity can be seen in the article Anger at Vodafone Sydney morning herald, this impacts on the business because Vodafone is providing very poor services to their customers, therefore tempting the customers to switch to another network, taking business away from Vodafone. Location influences: One of the most important factors of a business is the location in which that business is positioned in. The location can either make or break the business. Location is especially important for retail and service oriented businesses, as they need to be seen and recognized by customers. The business owner must take into consideration of where he/she chooses to locate their business The business must be in area with a good image, for eg not a poor suburb, they business must be located in a place were customers are consistently walking past and spotting the shop, for eg in the city. Another important thing is that the business must be convenient towards the customers, so that they may take the time and effort to check the place out, if the business is located in a area which is not convenient the customers may loose interest and go somewhere else. Resource influences: -Basically there are 4 main types of resources available to a business, these include: Human resources Information Resources Physical resources Financial resources Human resources may be considered as the most important resource, for they are the employees that allow for the business to run. Information resources are all the actions in which the business takes to research and learn more about their situation for eg sales reports. Physical resources include all the equipment and tools necessary for running the business. Financial resources are basically what the business depends on to buy and help support their business, for example to buy new machines. Management influences: There is no doubt that over time businesses and the way in which businesses are run have dramatically changed. Management has been a part of business that has been changed in an effective way. In the past there were many levels of management and hierarchy in a business that new ideas and issues had to go through, but now due to many factors such as the pressure of competitiveness from globalisation the way in which businesses are run have been altered. These days there are much fewer levels that new ideas and issues have to go through, this will result in quicker and more efficient decisions that in the long run will allow the business to focus on the way it runs. This allows businesses to adapt quicker and more efficiently to the ever changing needs and wants of consumers because there are fewer managers in which the process of decision making must go through. Business culture: In reality every business has its own type of business culture, these are all the values, beliefs and ideas that are agreed upon by all employees and managers of the business. The culture of a business is shown in the way in which the business acts and performs. Business culture is usually shown in the rules and regulations of a business such as the way staff are expected to dress and behave. Culture has been proven to be a necessary tool that must be used by businesses to achieve the best out of its staff members and customers. Business culture is proven to be important in the video Australias food fight: west farmers vs. Woolworths. Coles have changed their business culture by undergoing management change, which has allowed for a different culture to be applied, and this has proven to be successful as they are now basically ahead of Woolworths. Internal influences have an extraordinary impact on business in Australia. They include every thing from were the business is located to how the business is run. The location of a business basically is essential for the success of the business, depending on were it is located, it must be convenient and visible to customers. If it is not located in a convenient area customers may not be able to get to the business and purchase from it. The management of a business is the way in which the business is run, in order to have a successful business it must be under good management and the necessary actions must be taken when they are called for, for eg if employees are needed to be cut off, due to lack of financial sustainability. So basically it is essential for businesses to be affected by internal influences in a positive way. External influences External influences are factors that a business may have little or no control over, such factors include: Economic, financial, geographical, social, legal, political, institutional, technological, competitive situation and markets influences. Economical influences In Australia and the rest of the world, the economy experiences economic cycles. These cycles include booms and busts (recession). Basically during an economic boom the economy experiences higher levels of employment, they may be so confident in their sales that they may increase the price of items to gain higher profits. Also during booms wages of employees tend to increase as more profit is being made by the business. However the economic cycle does have its down side, such as when the economy is experiencing a recession period. An unfortunate reality of recessions is that employment rates decrease due to the fact that the business is not making enough sale profits to keep their employees. Another effect of recession is that business may not be able to raise the price of their products because people are not purchasing so they may have to even lower prices to continue to compete in the market. The influences of economical factors are shown in the article Petrol prices soar and no r elief in site. Due to the poor economical status prices are raised and customers may not be able to purchase petrol at this price. Another ecomical influence can be seen in the radio article impact of floods on grocery prices 2GB, Sydney, this impacts on the business because all the crops are being destroyed making it impossible to make a profit, with farmers not making profits the economy will suffer and be under pressure. Financial influences Financial influences impact a business in several ways. due to deregulation which is basically the extermination of government regulation in an business, Businesses are now able to improve competitiveness with each other. Even better, now due to globalisation, Australia is now able to trade goods overseas, further more improving the financial sustainability of the country. Geographical influences Geographical influences impact businesses in many ways. Australia is located in the Asia-pacific region, the economical statuss in these surrounding countries are very important in the interest of Australia. Basically if china is doing well, it may be able to trade goods and services with Australia creating an advantage for both countries. Another thing is that a lot of Australian companies are located in the Asia-Pacific region, so the countries must be economically doing well for the Australian companies to survive. Also the demography of the country has a significant influence on businesses, for eg Australia must be run to suit people of all different cultures, ages and sexes. One major demographic impact on Australia is the ageing population, with an ageing population there must be centres and facilities created for elders. Also with people retiring, their jobs will need to be completed by younger people, who may not be as experienced as the retired worker. Globalisation is also an important fact of geographical issues, due to globalisation Australia is not tied down just to trade goods and services throughout Australia, but how ever to do so around the entire world. The impact of globalisation can be seen in the video picking up an Aussie apple, we see that Australia is beginning to import overseas apples to Australia. Social influences Social influences have an sever impact on the success of a business. For eg as time goes on peoples taste in fashion and trends will change. If businesses do not adapt to these changes they may be affected in a very negative way. In order for a business to make a profit they must take into consideration all the new fashions and trends going around. One other major social influence is the influence of of our environment which is basically wearing away day by day, businesses must always consider what is in the best interest of the environment, for eg not giving out plastic bags after a sale. One final issue is the issue of family-work practices, as women give birth they must leave work, and this may result in the business losing an employee, affecting in the production of the business. An example of social influences can be seen in the article Petrol price soars and no relief in site, With the rise of petrol, the people in society may decide that instead of using cars, they can probabl y save money by using public transport or riding a bike to work. Legal influences Businesses can not just do as they please. There are many legal actions that influence businesses and basically tell them what they can or cant do. With more and more laws being passed onto businesses, the business must adapt their company to what the law is telling them to do. Generally the people of a society expect that businesses may run under the rules and guidelines provided by the law. Businesses must be aware of all the laws so that they may not breach them and pay the penalties. Political influences Even though political influences may not be the most affective factors onto a business, they still have a pretty heavy impact. For eg whenever a new election Is held, the new government may introduce new policies. A policy that was introduced in 2000 was the goods and services tax, this was a 10 percent tax on the supply of most goods and services used in Australia, this affected businesses in a way that they had to collect taxes basically on behalf of the government. However deregulation has also been introduced in the picture in the past few decades, this is the removal of government regulation in industry, and this takes pressure off businesses and allows for a greater range of competitiveness. Institutional influences Three institutional influences on business are government, regulatory bodies and trade unions and employer associations. Government: Three levels which are federal, state and local. Federal government deals mainly with issues such as tax, making sure that the taxes are being paid and also things such as how the businesses are running in according to the customs regulations. State governments deal with lower case issues such as workers rights and responsibilities such as OHS requirements and making sure businesses are abiding by the state laws and trade practices Local government deals with issues such the condition of building and making sure of improvements, parking rules and fire regulations Regulatory bodies; These bodies observe and understand the way that businesses deal with certain issues and how the business treats its community and consumers. Examples of regulatory bodies include: the Office of fair trading and the Australian competition and consumer commission. (ACCC) Other institutional influences are Trade unions and Australian stock exchanges, these groups have aims such as improving working conditions and pay rates. Technological influences Technology without a doubt has had probably one of the most affects on businesses. With new technologies being invented and discovered every day this can only help improve productivity and efficiency for businesses. Technology has allowed for robotic machinery to be used in productivity which in the long run cheapens the cost of productivity as no employee or has to be paid. Robots also help to reduce the amount of boring and repetitive jobs that some humans may have to do. Also communication technology has been improving rapidly over the past few years making it even easier to communicate with suppliers and consumers, with out them actually being there. Businesses must strive to use the available technology to the best of their ability so that they may keep up or even be ahead of competitors. Competitive situation influences These influences may be very helpful and useful to both consumers and producers, for eg when two businesses are competing to be the market leader, they will lower costs of their stock to attract customers. As a result they will be making more sales and more importantly a profit. These competitive situations also benefit consumers because with competition in a market there will be a greater range of goods available for consumption, this allows the consumer to get a wider variety of choice when considering the good or service they want. Competitive situations are shown in the video Australias food fight: west farmers VS Woolworths as these companies are competing with each other to get the most customer satisfaction, It also discuss how the affects of globalisation such as Aldi here in Australia also competing amongst the big guns. Another example of competitive situation is shown in the article Anger at Vodafone, with Vodafone giving such poor services, customers will want to change to another network providing greater coverage. External influences have a major impact on our every day lives in Australia, with all the different types of factors such as social and technological influences our lives are affected on a day to day basis. If external influences did not exist we would not be living in a society were goods and services from all around the world are accessible to us for our own usage. External influences can be both positive and /or negative for example, competitiveness in the market allows for a variety of options for consumers to choose from but contrasting the effects of external factors such as geographical issues involving the weather can have a negative affect, for eg flooding in farms or drought seasons. Conclusion As mentioned in the executive summary above, business can be compared to the blood in a living organism, it is essential for our everyday survival and living. Business allows us to live the pleasures and entertaining lives that we live each day. Internal influences summed up can be recognized as influences that a business can control whilst external influences are those factors that the business can not control. Internal influences for eg can be explained as factors that a business can use and apply to help determine the success of their business, such as the location in which they choose to place their business. External can be explained by using the example of a economic recession, this can affect the business in many negative ways such as letting employers go. So summed up we can say that business is essential for everyday living and it can be broken down into two different types, Internal and external, and it can be concluded that they basically determine how the business is run and how successful it will be. The end L