Case Analysis Of The Health care Systems

The health care systems that have been established in Australia have exerted pressure of the highest degree on the growing population of the country. It must be noted here that Australia has a mixed system of public and private health care provisions that have been regulated at different levels of governmental proceedings. Furthermore, the understanding of the function and structure of the health care system along with the factors that result in the elevation of the related costs is the primary requirement for the establishment of a proper financial management structure (Kaur 2015). The issue that has been presented in this question is that a case study where a nurse manager has been appointed for the purpose of managing a 32 bed general surgical ward that is placed in a metropolitan hospital in a major city. The particular issue in regards to the restructuring of the hospital networks in the local Area Health Service is that the general surgical ward has been asked to be combined with the 12 bed surgical ward that has been specially constructed for the purpose of short stay. The steps that are required for the development of a nursing business service plan can be described in a detailed method. The initial stage involves planning of the business case for the employment of the organizational fund. Here, it can be understood that the establishment of the 12 bed short stay surgical ward will require sufficient funds. Moreover, the planning should be carried out in such a way that the general surgical ward is placed adjacent to the short stay ward without hampering the functioning of both the wards are not hampered by each other (Song, Qiu and Liu 2016). The aims and objectives of the expansion should also be clarified in order to determine the particular service that is being offered to the patients (Song, Qiu and Liu 2016). The required support from the employees and other stakeholders of business should also be derived for the implementation of the expansion of the health care facilities (Dafny, Ho and Lee 2017). Next, the cost that is required for the setting up of the expanded part of the business should be properly calculated and figured (Dafny, Ho and Lee 2017). Lastly, enough initiative should be taken in order to facilitate the successful establishment of the short stay ward along with the general surgical ward (Singh caes et al., 2015). The staff who will be required for attending the patients in the short stay ward have to be trained accordingly (Singh caes et al., 2015). Moreover, the sections in regards to the general surgical ward and the short stay ward should be clearly segregated and the purpose should be explained of the expanded facility should be explained to the nurses and other staff of the hospital (Singh caes et al., 2015) It must be noted here that in case of a health care facility, the data does not flow into the entity in a standardized way. A great deal of challenge has to be faced by the health care systems in terms of collection of data from patients, enrollees and other members. The health care systems deal in a diverse range of documents like the data collection systems, medical records, billing records, health plans and other related documents. The data that is essentially required to develop a service profile are the data in regards to the race and ethnicity of the patients, individual persona health records and electronic data health records and other systems of data. It must be noted here that the till that point is reached when the collected data has been better integrated by the entities, there will be a certain degree of redundancy that will be in the collection of data in regards to the race, ethnicity and other related patient information. Moreover, the methods that would be adopted for the collection of information should be integrated into the data flows that are operating in the current times. The issue in regards to the efficiency and privacy of the patients should also be considered (Parikh 2017). Therefore, the documents that should are needed to be collected for the purpose of analyzing and developing a service profile are the supply market sources document. This document will help in identifying the suggested external sources that will essentially reflect the supply market data that will result in the further development of the effective business strategies. A developing strategic commissioning plans document is also required. Therefore, the documents that will be required are Guidance on Developing Strategic Commissioning Plans, Options Appraisal, External Data Sources Template, Registers, Medication journals, Clinic guidelines, Documents for recording the details of the diseased. The service demand for the new service level would be that the patients who would need treatment for a day or two, could be accommodated in the short stay ward and treated accordingly. However, it must be noted here that the ward has the capacity to accommodate 12 individuals at once. Therefore, the facilities should be arranged in that particular way. The work methodology that should be utilized for the determination of the supply of nurses required to staff the new service level are that the nurses already attending the general surgical ward should be properly trained in order to carry out the attending of the individuals who will be admitted to the short stay ward. It can be easily deduced from the names that the patients who will be attending the general surgical ward would be accommodating those patients that need intense care, as they will be undergoing general and complex surgeries. On the other hand, the short stay surgical ward will be accommodating those patients who can be cured in a lesser degree of time and do not hold such complexities in terms of injuries or other diseases. This means that the nurses who are attending the general surgical ward patients will be readily able to treat the patients of the short surgical ward. The only providence that should be available is a proper training and guideline framework for th e purpose of distinctly making the process clear to the nurses and other staff of the hospital in regards to the nature patients in both the surgical wards and the level of service they need. There is no certain concern in regards to the skill-mix or staff education issues for the purpose of attending to the patients of the short stay surgical ward. This is because the patients of the general surgical ward need due care and attention as they are suffering from injuries or other disease that are complex in nature and need surgery. Therefore, the degree of skill that is needed to attend to the patients of this particular ward will be apparently higher than the skill that is required to attend the patients of the short stay surgical ward. Thus, it can be deduced that the nurses and other staff will not be facing any kind of issues in regards to the staff education. However, it must be noted here that the particular behavior will be different in case of the patients that are for general and complex surgeries and the patients who are to get well soon in a shorter period of time. It is the primary duty of the nurse manager to make this clear among the nurses and other staff so that they can understand the degree of difference in behavior and service between the patients of the general surgical ward and the short stay surgical ward (Parikh 2017). A cost centre budget might be beneficial for the nurse manger to control the expenditures of the wards (Dafny, Ho and Lee 2017). The advantages of the cost centre budget are that the implementation of a cost centre budget will help in the comparison of the performance of the service unit in terms of the short stay surgical ward and the general surgical ward. A cost centre budget will help the nurse manager in identifying the underperforming parts of the hospital or the parts that require excessive un-estimated costs. A cost centre budget will help in the identification of the centers that generate the largest amount of expenditure. The identification of the cost centers will also facilitate the fact that the management of the hospital will be able to target these centers as the primary areas where the cost management strategies could be applied. A cost center budget also helps in improving the reaction speed. This is because the cost center budget will help in the allocation of the m ost skilled and responsible staff that will try to reduce the cost in facilitating such a center, which will in turn improve the reaction, speed. A cost center budget will also enable the staff and the nurses to make decisions on their part, which will increase the degree of motivation and thus enhance productivity. A flexible budget refers to the particular budget that includes the calculation of the different levels of expenditure in regards to the variable costs that depends on the changes in the actual amount of revenue that is incurred. A flexible budget is prepared at the end of each accounting period and this particular budget involves preparation in accordance to the inputs. The flexible budget is next compared to the actual revenue incurred for the purpose of controlling the expenditures. Some of the benefits of the flexible budgets are that a flexible budget is useful for those businesses whose costs are closely related to the level of business activity. This particular method of budgeting also is useful in measuring the effectiveness of the services provided by the employees or the staff. Moreover, a flexible budget can be very easily updated (Barr and McClellan 2018). A particular disadvantage of the flexible budget is that the implementation of such a budget is difficult to administer and formulate. A flexible budget cannot be aligned with any kind of accounting software making the comparison of the financial statements with the budgeted statements impossible. Moreover, a flexible budget cannot facilitate the comparison between the actual revenue and the budgeted revenue due to the fact that the both the numbers are similar (Barr and McClellan 2018). Zero based budgeting refers to the particular method of budgeting in which the expenses that are estimated to be incurred by a particular business entity for a new accounting period is assumed to be zero. This means that the expenses for the new accounting period are calculated on the basis of the actual expenses that are incurred rather than on incremental basis. The advantages of zero based budgeting are that this particular method of budgeting will result in focused operations, lower degree of costs, a controlled and disciplined execution of the business strategies in regards to effective cost management. The disadvantages of zero based budgeting can be listed down to the fact that this particular method of budgeting is resource intensive in nature. Moreover, a zero based budget is exposed to a high degree of manipulation by the managers of the organizations as it involves short term planning(Barr and McClellan 2018). An output based budgeting refers to the particular method of budgeting that is dependent on the performance by the employees or the staff of the organization. It is that method of budgeting that ties the measurement of the individual or the departmental performance with the particular process of budgeting. The advantage of output based budgeting is that the amount that is allocated to a particular department has a direct link with the departmental performance. This inspires the department personnel to increase their all round productivity in order to obtain more monetary benefits that may be allocated via the output based budgeting method. A disadvantage of the output based budgeting is that this particular kind of budget is prepared from the baseline of the organization and construct a request for the budget from each department. However, the ultimate grant of the budgeted amount depends on the high-ranking officials of the management who may manipulate the figures or take decisions that are exposed to political influences (Miller 2018). Among the above mentioned three methods of budgeting, the particular method that would be most suitable for the nurse manager to implement in the hospital is the flexible budget. This is because the flexible budget essentially involves the preparation of the budget on the basis of the level of activities that are performed in the field of work. Therefore, this is the suitable method of budgeting. The three main areas of expenditure that may be considered while developing a cost centre budget are the expenditure related to the different surgeries that might have to be conducted for the patients in the general surgical ward; the expenditures related to the general pharmacy that will be installed within the hospital for the welfare of the patients. Moreover, the third major area that should be considered is that the expenditure in relation to the emergency ward should also be considered as the most critical medical cases are conducted here. Moreover, this is the ward where the most valuable medical equipments and applications are placed, the maintenance of which requires sufficient cost. An example of the cost center budget has been shown below that may be applied in case of the private hospital. The salaries and wage budget that has been prepared above consist of the mandatory remuneration components that should be received by a personnel in the health care sector. The assumptions have been made on the basis of the different salary components that are given by reputed health care institutions in Australia. Moreover, the overtime allowance that has been included in this particular table indicates the extra monetary benefit that will be received by the staff. This is on account of the fact that the nurses might have to do overtime duty on the account of the fact that the work space now has been expanded into an additional unit of short stay surgical ward (Dafny, Ho and Lee 2017). The conclusion that can be arrived at from the discussions in the preceding paragraphs is that setting up or expanding a health care facility in Australia is a rigorous process. Beginning from planning the facility to the preparation of the salaries and wage budget requires skilled analysis and evaluation. However, the service provided by these health care facilities and the hospitals is commendable and should be praised for the welfare carried out by these entities. Barr, M.J. and McClellan, G.S., 2018. Budgets and financial management in higher education. John Wiley & Sons. Dafny, L., Ho, K. and Lee, R.S., 2017. The price effects of cross-market mergers: Theory and evidence from the hospital industry. Kalyani, P., 2015. A study on implementation of community health insurance scheme in the cardiology department of a tertiary care government hospital. Journal Of Evolution Of Medical And Dental Sciences-Jemds, 4(18), pp.3124-3133. Kaur, A., 2015. Computerized Hospital Management Information System-Public And Private Sector. Global Journal of Computer Science Research & Technology, pp.1123-1134. Kumar, V., Patil, R., Patil, M., Mudbi, S., Kaveri, C. and Patil, S., 2014. Pattern of antibiotics usage in bidar institute of medical sciences,(BRIMS) teaching hospital, Bidar. Journal of Evolution of Medical and Dental Sciences, 3(29), pp.8122-8126. Miller, G., 2018. Performance based budgeting. Routledge. Ó hAlmhain, O., 2015. Medication safety officer in an Irish hospital: a financial cost-benefit appraisal (Doctoral dissertation, The Institute of Public Administration). Poola, D., Garg, S.K., Buyya, R., Yang, Y. and Ramamohanarao, K., 2014, May. Robust scheduling of scientific workflows with deadline and budget constraints in clouds. In Advanced Information Networking and Applications (AINA), 2014 IEEE 28th International Conference on (pp. 858-865). IEEE. Shah, J.N., 2017. Taking Specialist Surgical Services to the Rural District Hospitals at One Forth Cost: A Sustainable ‘Return on Investment’Public Health Initiative of Patan Hospital, Patan Academy of Health Sciences, Nepal. Kathmandu University Medical Journal, 13(2), pp.186-192. Singh, S., Ahalawat, I., Singh, B., Singh, S. and Chauhan, A., 2015. Study of Cost Analysis of in House Dieteary Services in a Tertiary Care Academic Hospital. Song, J., Qiu, Y. and Liu, Z., 2016. Integrating optimal simulation budget allocation and genetic algorithm to find the approximate Pareto patient flow distribution. IEEE Transactions on Automation Science and Engineering, 13(1), pp.149-159. Sudheer, G., Prabhu, G.R. and Sridhar, M.S., 2015. A study of prescription writing practices of doctors in geriatric age group patients in a teaching hospital. Jour of Evolution of Medical and Dental Sciences, 4(3), pp.322-8.

Higher Education in Qatar Research Paper Example | Topics and Well Written Essays - 2000 words

Higher Education in Qatar - Research Paper Example The Sheik is a capable man eager to set the state in continuous motion of self-independence and sustainability in the future should the oil and gas become extinct. In this case, the generation thus created will be able to stand on its feet and enhance innovation through education (Fromherz, 2012). Not only is this the main factor and project, but also the principal transformation through policies geared to motivate research and technology in production sectors. The country being limited by the amount of rainfall cannot thus depend on agriculture, but has come up to be a rich mine of the gas and oil which are the main sources of per capita income and which has now been used to better the education sector in order to raise a generation that can fend for itself in the near future. Qatar National Development Strategy 2011-2016 was implemented towards the achievement of Qatar National Vision 2030. The Vision aims to create sustainable economic prosperity, promote human development, creati ng a sound social development and sustaining the environment for future generations (Zellman, 2007). The national strategy is one of the key issues that take into consideration the cultural and religious values of the state with an overall mission of providing a balanced and sustainable growth by the year 2030 (Davis, 2012). Among the key elements that the government factored to be used as a tool for sustainable development was education which was to be made available to all citizen and foreigners cheaply (Boys, 2011). To achieve continuous modernization requires the development of the education system and public institutions which aim at providing quality management and services to the general... Qatar National Development Strategy 2011-2016 was implemented towards the achievement of Qatar National Vision 2030. The Vision aims to create sustainable economic prosperity, promote human development, creating a sound social development and sustaining the environment for future generations (Zellman, 2007). The national strategy is one of the key issues that take into consideration the cultural and religious values of the state with an overall mission of providing a balanced and sustainable growth by the year 2030(Davis, 2012).Among the key elements that the government factored to be used as a tool for sustainable development was education which was to be made available to all citizen and foreigners cheaply(Boys, 2011). To achieve continuous modernization requires the development of the education system and public institutions which aim at providing quality management and services to the general public. The aim of the National Strategy is also to highlight the key areas to address t he position of the state in global economic trends and clearly state the roles to be played to enhance both regional and international levels of production. Chapter four of the strategy provides for the human development and highlights the critical issues with regard to education. The main focus here is to realize Qatar National Vision 2030 for education and training, addressing education issues, improving K-12 general education, enhancing higher education, as well as scientific research.

Discipleship Program Essay Example | Topics and Well Written Essays - 500 words

Discipleship Program - Essay Example 1. One on One Mentoring. A friend of mine who spent some years of College inside the seminary told us of a system, where a senior seminarian is assigned to guide a neophyte through the process of adjustment; from a life of ease to a more restricted one. The senior seminarian is referred to as the Angel; while the new comer, Tobias. This system provides room for one on one coaching and counseling. In the process, camaraderie is strengthened as the neophyte gains confidence and develops to become an 'angel' himself in about a year's time. "Personal instruction from someone who is well experienced and versed was the best way to learn and develop ministry skills, and it still is," according to Dr. Richard J. Krejcir.ii In other churches, this takes the form of house visitation by an elder to a new or prospective member. This method is particularly effective due to its personalized approach, although it may tend to exhaust resources in terms of manpower, and time. 2. Small Group Sessions. Bible studies are usually conducted in small groups to facilitate a more cohesive sharing of experiences, and generate a lot more insights; so does a Sunday school session separately conducted for children, teens, and adults.

Leadership as Defined by Subcomandante Marcos and Martin Luther King Essay

Leadership as Defined by Subcomandante Marcos and Martin Luther King Jr - Essay Example For others, it may have a much more negative meaning: treating others as though they are you underlings while you bully, boss and take advantage of them; gaining at the expense and through the work and efforts of those who are your "inferiors." The latest definition of "leadership" is fast becoming a clich: the ability to motivate and direct people around you, within a business relationship. Subcomandante Marcos has a very real aura of mystery around him. Although many suspect (with good reason) that his real identity is that of Rafael Sebastin Guilln Vicente, this has not been established as completely true. Marcos purposely obscures his face, at least partially, from public view. During his entire existence as a civil rights leader, he has championed the cause of indigenous people of Mexico. Unbeknownst to many North Americans, the native people of Mexico are treated questionably by their government, with regard to their human rights. Marcos works closely with the Zapatistas, a group that disagrees with and rebels against the official Mexican government. Together, they openly find fault with the way the people of Chiapas, Mexico (an area that borders Guatemala) are treated by the Mexican government. Marcos and the Zapatistas believe that the natives of Chiapas are very repressed in terms of expressing and identifying with the culture and customs of their ancestors. In general, the basic philosophy of Marcos, as well as the Zapatista army, is that equal rights should be extended to all, irrespective of race, nationality, gender, sexual preference, political affiliation or religious beliefs, and that these equal rights entail no special treatment towards anyone concerning economic or educational opportunity, or the freedom to express oneself, provided it does not interfere with the personal liberty of another. This philosophy is what has spurred Marcos to dedicate his time and energy towards both drawing attention to the struggle of the inhabitants of Chiapas, as well as to insist that these people be respected and recognized by the Mexican government. Marcos, who is rumored to possess a university degree centered on philosophy, employs traditional democratic processes (petitioning, garnering public support and attention, political discussion and humor) as well as less orthodox methods (inclusion within the Zapatista military.) Marcos has clearly succeeded as a leader, in one respect; he has obviously persuaded people to trust and follow him, but is his cause worthy of that trust His expressed motives convince us that he is, in fact sincere. He simply wishes to give equality to those who are suffering without it. Martin Luther King, Jr. had many similarities to Marcos; he also believed in equality towards all, while combating racial injustice towards the black people within his country. Likewise, his target group for whom he was fighting were oppressed economically by society and treated like second-class

Global Marketing Assignment Example | Topics and Well Written Essays - 1000 words - 1

Global Marketing - Assignment Example y than others and this means that for a nation to acquire certain commodities from such nations then they have to pay relatively higher prices (Weithers, 2011:44). The report above shows for a period of four years where the value for U.S Dollar has been steadily increasing. The figures show that more than 80% of the currencies studied have lowered in value as compared to the U.S Dollar. There are several reasons why the U.S Dollar has had an increase in value for the past four years. One of the reasons is the high demand of the dollar in the international market. With increased production and active participation in the international market, the U.S supplied the world with products and services and this increased the ‘attachment’ it has had through trade. To make their commodities valuable, an increase in currency value would occur. Market forces in the international trade are critical in determining the currency value of a country. Looking at those countries that U.S majorly supply, it is obvious that their currency is less valuable compared to the U.S Dollars. However, Britain and Switzerland have currencies that are much higher in value than the U.S dollar because of their control of the market in terms of supply (Towbin and Weber, 2011: 177). Among the things that the U.S government probably did was to regulate the interest rates so as to increase value for its currency. This might have been done through restricting and controlling the money that runs in the international framework. When the currency is not easily found yet it is on great demand, its value normally go up automatically. The U.S government might have also deliberately set certain elastic rates that change with time. For instance, within a period of 48 hours, the currency’s value goes up by some figure. Since the international traders need this currency to help them trade with other partners, they would still buy it at those ‘expensive’ prices making the value to progressively

Politics in the Middle East Essay Example | Topics and Well Written Essays - 500 words

Politics in the Middle East - Essay Example That led to counter reaction and eventually and the current deplorable situation. In Iran on the other hand, the domestic politics remain complex with issues like the contentious nuclear program leads to instability. Furthermore, the president supports the Syrian president against ISS that exposes Iraq to risks of attack from the terrorist group. Black (2014) presents Syria political condition as the worst of all in the nations found in the Middle East region. The declaration of ISS of Syria as an Islamic State led to outbreak of war between the government and forces that backs it from Iran and the militiamen of Shia from Iraq. It is evident that efforts to eliminate the group remain far from bearing fruits. The impact however, proves more devastating with lost lives accounting to over one hundred and fifty civilians while immigrating civilians have led to creation of refugees’ crisis across Europe. Lebanon equally suffers mostly as a result of war in Syria and the existence o f a deeply fractured polity that the nation enjoys. As a result of Lebanon’s president defense to the Syrian president, tension remains high as the Sunni community reacts violently. War in Syria affects Jordan as more than six hundred refugees joined the country. Furthermore, tensions remain high with the political leaders of Jordan wary of Isis appealing to disaffected Sunnis. Turkey on the other hand provides support to anti-Assad rebels, but still worried about Isis as well as the independence of Kurdish (Black, 2014).

Leadership as Defined by Subcomandante Marcos and Martin Luther King Essay

Leadership as Defined by Subcomandante Marcos and Martin Luther King Jr - Essay Example For others, it may have a much more negative meaning: treating others as though they are you underlings while you bully, boss and take advantage of them; gaining at the expense and through the work and efforts of those who are your "inferiors." The latest definition of "leadership" is fast becoming a clich: the ability to motivate and direct people around you, within a business relationship. Subcomandante Marcos has a very real aura of mystery around him. Although many suspect (with good reason) that his real identity is that of Rafael Sebastin Guilln Vicente, this has not been established as completely true. Marcos purposely obscures his face, at least partially, from public view. During his entire existence as a civil rights leader, he has championed the cause of indigenous people of Mexico. Unbeknownst to many North Americans, the native people of Mexico are treated questionably by their government, with regard to their human rights. Marcos works closely with the Zapatistas, a group that disagrees with and rebels against the official Mexican government. Together, they openly find fault with the way the people of Chiapas, Mexico (an area that borders Guatemala) are treated by the Mexican government. Marcos and the Zapatistas believe that the natives of Chiapas are very repressed in terms of expressing and identifying with the culture and customs of their ancestors. In general, the basic philosophy of Marcos, as well as the Zapatista army, is that equal rights should be extended to all, irrespective of race, nationality, gender, sexual preference, political affiliation or religious beliefs, and that these equal rights entail no special treatment towards anyone concerning economic or educational opportunity, or the freedom to express oneself, provided it does not interfere with the personal liberty of another. This philosophy is what has spurred Marcos to dedicate his time and energy towards both drawing attention to the struggle of the inhabitants of Chiapas, as well as to insist that these people be respected and recognized by the Mexican government. Marcos, who is rumored to possess a university degree centered on philosophy, employs traditional democratic processes (petitioning, garnering public support and attention, political discussion and humor) as well as less orthodox methods (inclusion within the Zapatista military.) Marcos has clearly succeeded as a leader, in one respect; he has obviously persuaded people to trust and follow him, but is his cause worthy of that trust His expressed motives convince us that he is, in fact sincere. He simply wishes to give equality to those who are suffering without it. Martin Luther King, Jr. had many similarities to Marcos; he also believed in equality towards all, while combating racial injustice towards the black people within his country. Likewise, his target group for whom he was fighting were oppressed economically by society and treated like second-class