Advocacy Role paper Free Essays

Advanced practice nurse’s are reimbursed at a lower rate for the same services than physicians by Medicare, Medicaid and other private insurance companies. American medical association sets our scope of practice and regulations and legislation is often influenced by these recommendations. Advanced practice nurses should be consider as equal members of the healthcare provider community and receive equal reimbursement. We will write a custom essay sample on Advocacy Role paper or any similar topic only for you Order Now To make these changes one must develop a plan and advocate for the profession. Advanced practice nurses are reimbursed at a lower rate, for the same services, than physicians. Medicare reimburses nurse practitioners at 85%, certified nurse midwives at 65 %, and physician assistants at 85% or less of the physician fee. The exception to the reimbursement rate is called the â€Å"incident to†. Medicare will reimburse at 100% if billed under a physician provider number. Medicaid pays 75-100% of the physician fee with the exception of some rural areas. Private insurance companies reimbursement to advanced practice nurses policies vary state to state. In an attempt to find ways to decrease cost, private insurance companies are beginning to follow Medicare’s reimbursement policies. For advanced practice nurses the reimbursement policies vary according to state, company, and licensure, and are not equitable to physician reimbursement. This issue is being buried by the American Medical Association. The Affordable care Act addressed the reimbursement of physicians but APN were not mentioned. 1997 budget act is the last legislation passed that addressed reimbursement for advanced practice nurses. This act decided that advanced practice nurses are entitled to reimbursement. The legislators in Tennessee at that time voted for or against the act. This issue has not been addressed since then which could say that this is not a priority for the state. It could be the increae cost related to increased reombursement that keeps them from pushing the issue. The affordable Care Act addressed Medicare reimbursement but did not adress APN’s specifically. The govener of Tennessee opted out of taking the money for the state. The federal govt. as to except the cost and reimburse at 100% this could have impacted advanced practice nurses in a positive way. As it stands This issue needs to be addressed with more impact especially after the affordable care and patient protection act. Nurse practitioners will be a solution of the problem and will want to be reimbursed according to care not license. Reimbursement of care provided by advanced practice nurses should equal physicians because t hey are providing the same service with equal or better outcomes. In a study done by Laurent, Herman, Reeves, Braspenning, ; Spinbald, â€Å"The findings suggest that appropriately trained nurses can produce as high quality care as primary care doctors and achieve as good health outcomes for patients. † Naylor and Kurtzman found that Nurse Practitioners â€Å"out performed physicians in easures of consultation time, patient follow-up and patient satisfaction. â€Å"(Naylor ; Kurtzman, 2010). A 2002 report to Congress by the Medicare Payment Advisory Commission, however, was unable to tind reliable data to discern clear ditterences in the two groups’ outcomes and expenses. How to cite Advocacy Role paper, Papers

Case Study Of Alibaba Group Free Samples †MyAssignmenthelp.com

Question: Discuss about the Case Study Of Alibaba Group. Answer: Alibaba Alibaba Group is a Chinese e-commerce company which pioneered in the e-commerce business in the country. Allibaba was founded by Jack Ma in the year 1999 with the novel motive of connecting manufacturers of China with international buyers. The company operates on customer-to-customer, business- to -customer and business- to business model. Alibaba revolutionized the e-commerce business in People Republic of China and have achieved business excellence. The reason behind choosing the company is to study how Alibaba had a humble beginning in the year 1999 and surpassed companies like Walmart and Amazon to be the largest retailer of the world in the year 2016(Alibaba , 2017) How Alibaba Has Achieved Its Current Position In Market The company operates in more than 200 countries .In the year 2017, the market cap of was about USD$305. Alibaba followed different business strategies to achieve its current top position in e-commerce market. From the year 1998 to 2001, the motive of the company was to serve the needs of all the small and medium size enterprises of China by providing them online services and connecting them with customers. In the year 2000, Porter Erisman was hired by the company who guided the company in globalizing its operations. In the year 2002, a certification of credit which was extremely reliable called TrustPass was invented by Alibaba which made transactions safe for customers. The demand for products at reasonable price grew worldwide, thus Alibaba had the opportunity to excel in the export business by gaining more global customers. In the year 2014, Alibaba received the largest IPO in the history of the United States. The major stakeholders of the company are Softbank Corp and Yahoo Inc. Thus Alibaba applied the concept of strategies by figuring out who their customers were, how the company could serve them and how it would generate revenue (Hill, Jones Schilling, 2014). Business Model Of Alibaba Alibaba centered its core-business on e-commerce and the business model of the company is a combination of many famous technological companies of the United States, but the company has not imitated the business model of any particular company. The company does not hold any inventory, neither has warehouses. The prime feature of Alibabas business model is its innovative software platform. Alibaba has created companies like Alipay, an online payment platform, Aliyun for cloud computing and China Smart Logistics. Alibaba has made major investments in a number of start-up companies in the United States like Snapchat. The company has also invested in many other Chinese companies. Cage Framework Alibaba operates in 200 countries by analyzing their Cultural, Administrative, Geographic and Economic factors. The company connects the global customers with the small and medium size Enterprises of China by offering them products at reasonable rate. The company operated on Just-In-Time Technology with no inventory and warehouses. Orders of global customers are processed on real time and payment is safe for these customers. Alibabas innovative online platform and digital marketing tool enables the company to connect with global customers in more than 200 countries (Madsen Walker, 2015). Virgin Group The Virgin Group is a British company and was founded by Richard Branson. The group invests in five core sectors like Financial Services, Travel and Leisure, Telecoms and Media, Music and Entertainment and Health and Wellness. The group is a venture capital conglomerate and has achieved excellence in business since its inception in the year 1989. The group is headquartered in City of Westminster. The group also has family owned ventures like Virgin Car and accomplished several successful business like Virgin Airlines, Virgin Cruises, Virgin Records and Virgin media. The company is chosen to study its unique business model of diversification (VIRGIN GROUP, 2017). In the year 2014, the net worth of Virgin Group was estimated to be around 5 billion British pounds. The company has achieved this outstanding position in the market with its innovative business model .The founder Richard Branson founded Student Magazine and Virgin Records which gained huge popularity. After 10 years of success, the company ventured into airline business with the foundation of Virgin Airlines. The Virgin group has 200-300 brands. How Virgin Group Has Achieved Its Current Position In The Market The founder of the company -Richard Bransons agile business style is the main reason behind the success of the group. He has high risk tolerance, and iterates ideas rapidly and is extremely graceful in shutting down a failure. He protects his business from downsides before venturing into a new business (Dhliwayo, 2014). Business-Model Of Virgin Airlines The business model of the company is a generic conglomerate and keiretsu. At times the company simply licenses its brand, like Virgin Records. The company has diversified into different sectors and runs under one brand name The Virgin. The single brand name enables the company to retain its brand image and customer perceived value. The company is extremely customer-centric (Block et al., 2015). This enables the founder to survive in the industry since more than 50 years. The feedbacks from customers are taken and necessary changes are incorporated in the service sectors business of the company, like Virgin Atlantic airlines. The company has diversified into more than 300 brands but all these brands are centered across its five core sectors- like Financial Services, Travel and Leisure, Telecoms and Media, Music and Entertainment and Health and Wellness (Eden Ackermann, 2013). The company has strong network of investors. The company is an investor in technology-focused ventures and has invested in more than 35 technology ventures. The company gains long term capital appreciation by its innovative investment schemes (Gamble Thompson, 2014). Cage Framework Virgin group is a global company and before venturing into global market the company analyzes the Culture, Administrative, Geographic and Economic factors of a particular country. For instance, the British company has its popular airline in Australia Virgin Australia. The company has studied the Australian market well, has analyzed all macro business environment factors and applied the CAGE framework before beginning its airline operation in the country (Bereznoi, 2015). The successful implementation of CAGE framework makes the business model innovative for the company and helps the company to implement the environmental changes of a particular country in its model while operating in that country. Reference Lists Alibaba. (2017).alibabagroup.com/en/global/home. Retrieved 8 September 2017, from https://www.alibabagroup.com/en/global/home Bereznoi, A. (2015). Business model innovation in corporate competitive strategy.Problems of economic transition,57(8), 14-33. Block, J. H., Kohn, K., Miller, D., Ullrich, K. (2015). Necessity entrepreneurship and competitive strategy.Small Business Economics,44(1), 37-54. Dhliwayo, S. (2014). Entrepreneurship and competitive strategy: An integrative approach.The Journal of Entrepreneurship,23(1), 115-135. Eden, C., Ackermann, F. (2013).Making strategy: The journey of strategic management. Sage. Gamble, J. E., Thompson Jr, A. A. (2014).Essentials of strategic management. Irwin Mcgraw-Hill. Gamble, J. E., Thompson Jr, A. A. (2014).Essentials of strategic management. Irwin Mcgraw-Hill. Hill, C. W., Jones, G. R., Schilling, M. A. (2014).Strategic management: theory: an integrated approach. Cengage Learning. Madsen, T. L., Walker, G. (2015).Modern competitive strategy. McGraw Hill. VIRGIN GROUP. (2017).virgin.com/. Retrieved 8 September 2017, from https://www.virgin.com

Peace and Justice

While conflict, used interchangeably with a clash or violence, refers to a state of opposition between people, views, or objectives, violence â€Å"†¦is any condition that prevents a human being from achieving her or his full potential† (Cortright 7). The issue of conflicts has become a daily subject as cases of killings, bombings, and assassinations continue to occur at an alarming level. Racial, color, religious, tribal and economic differences are the major fuels behind conflicts.Advertising We will write a custom essay sample on Peace and Justice specifically for you for only $16.05 $11/page Learn More Peace, on the other hand, refers to the prevailing conditions in the absence of conflicts and violence. As clashes continue to persist around the globe, playwrights, among other people, have resolved into addressing the issue, the causes, effects, and the possible solutions. According to Terry George, the director of the famous Hotel Rwanda film, the world is yearning for people who can courageously campaign for peace and justice. Hotel Rwanda, the fascinating composition of Terry George, brings to light the most horrifying upshots, as contemporary history unfolds. It features both tribal and religious conflicts as they occurred during the 1994 Rwandan genocide. It is a sensitive account of the Hutus of Rwanda, whose genocide campaigns saw the death of thousands of the marginalized Tutsis, upon whom the departed Belgian colonizers had bestowed power. Revolving around a prominent hotel in Kigali, George features Don Cheadle as the manager of the hotel and a representative of the majority Hutus, the wealthy tribe that enjoys majority of the country’s resources. His wife stands in for the minority Tutsis. She is the least happy as she watches her people suffer harassments and severe beatings. She pleads to her husband to help them despite being a Hutu. As the violence intensifies, killings of the Tutsi begin based on race, religion, and social status. As the European clients and staff force their way out of the country, Paul becomes in charge of the visitor’s hotel. He cannot tolerate the mass killings anymore and therefore opts to transform the hotel into a refugee camp for the Tutsis, a step that his Hutu people perceive as betrayal. However, from this courageous step, he ends up preserving the lives of at least 1238 Tutsi people. However, the director qualifies in his good way of demonstrating peace and justice, as this is his objective. The aforementioned subject of conflicts and violence dominates the movie. Nevertheless, efforts of nurturing peace and justice still stand out. The director features both tribal and religious conflicts as observed, not only in Rwanda, but also in the world allover. The majority Hutus clash with the minority Tutsis claiming, â€Å"We are the majority. Tutsis are the minority. Hutus must kill all the Tutsis†¦Ã¢â‚¬  (George). From these words, the director brings to light death as one of the many the consequences of conflicts.Advertising Looking for essay on international relations? Let's see if we can help you! Get your first paper with 15% OFF Learn More The singling out of a Paul from his people, Hutus, to bring salvation to the minority Tutsis is subject to discussion. As Paul struggles to foster peace among the Tutsis, he is welcomes conflicts from the other side, who view him as a traitor, validating Cortright’s words that â€Å"Peace does not mean the absence of conflicts† (7). Patriotism is more than love for ones country. It entails the willingness and sacrifice of ones own people. According to this theory, Paul is a traitor, rather than a patriot and is subject to a stern punishment. However, the director strategically presents Paul’s bold step of going against the majority, who are never right, to picture him as an epitome of the few who are able to stand for peace and justice , not based on gender, tribe, and religion, to quote a few. Hotel Rwanda qualifies in driving home the point that, if one person could single him/herself out of the action of the majority, the peace, justice, love, and harmony could carry the day. This film will prove relevant in the coming weeks because the students will find it easy to understand the subject about conflicts and violence. This must-watch film presents a good way of demonstrating peace and justice. Works Cited Cortright, David. Peace: A History of Movements and Ideas. Cambridge University Press, 2008. George, Terry, dir. Hotel Rwanda. Lions Gate Films, 2004. Film This essay on Peace and Justice was written and submitted by user Nova Weber to help you with your own studies. You are free to use it for research and reference purposes in order to write your own paper; however, you must cite it accordingly. You can donate your paper here.

Ten ways to practice self care at work

Ten ways to practice self care at work When you hear the phrase â€Å"self-care,† you might think of personal things like meditation, indulging in something decadent, yoga, a spa day, or taking time for a good book. But when you think about how much of your time you spend at work, it makes sense to broaden that definition of self-care to include your professional, hardworking self as well. Here are 10 ways you can help expand your self care regimen into your workday. 1. Set boundaries This can be one of the hardest things to do (gotta answer that 10 p.m. email!), but when work bleeds over into other aspects of your life, it can be a major source of stress. Start by setting no-work zones in your life, whether that’s not checking email on a Saturday, or turning off your phone by a certain time every evening. 2. Make your desk a zen space.A clean, organized desk can reduce stress as well, and help put you in a good working headspace. Whether that means completely Kondo-ing your desk or simply deciding whether y ou need a ton of paper files instead of a digital archive, getting stuff out of your line of vision can help you feel more organized and on top of things. 3. Take walk breaksBeing deskbound can lead to all sorts of health issues, like back pain, weight gain, and plain old stress. If you can, schedule little breaks where you get up and walk around. If you can’t go outside, a loop around your office will do. Plus, you’ll have the extra incentive to be more social if you’re circulating. 4. Rethink your lunch hourYour lunch hour doesn’t have to be just about lunch. Think of it as a â€Å"free period,† like back in school. Eating is key (hey, it’s in the name), but think about how to maximize your time. If your gym is nearby, consider a quick workout. Go out and grab a coffee. Find a quiet spot and meditate. Whatever helps you recharge for the afternoon, consider it part of your lunch routine. 5. Be a social butterflyHow many people do you work w ith that you’d consider a friend, not just an acquaintance who happens to be in the same place for 40 hours a week? Being more proactive about saying â€Å"hi† as you pass someone in the hall or waiting for coffee can help you make inroads with coworkers. It may seem like awkward chitchat at first, but making time to talk with people can help make your work relationships more fulfilling. 6. Be proactive about what you needFeeling overwhelmed? Bored because you need more challenging work? Have a simmering conflict with a boss or coworker? If you want to make sure you’re taking care of yourself, it’s important to be proactive and attack issues as they come up. This is not to say you should be hyper-aggressive about everything that doesn’t feel like it’s going your way, but if you take an active approach to evaluating and fixing issues, it can boost your confidence, productivity, and general satisfaction levels at work. 7. Stay hydratedThis is a self-care strategy that works in every walk of life. And at work, it can be especially hard to remember to stay hydrated, since you may not be especially active while you’re working during the day. Investing in a water bottle and keeping it topped off throughout the day, can help you build good hydration practices instead of turning to coffee, soda, or other drinks that should be kept in moderation. 8. Go analog at least once a dayHow much of your day is spent staring at a screen? Every day, set aside some time to do tasks that require you to look away from your computer and phone. Maybe it’s writing down a task list for the day. Maybe it’s jotting down notes ahead of a meeting to gather your thoughts. Our digital tools are very handy, but they also cause eye strain. It does your eyes and your brain good to get a break from screentime every once in a while. Your email will be waiting when you come back a few minutes later, don’t worry. 9. Dress the part You know the old saying, â€Å"dress for the job you want†? I’d expand that to be dress for the work life you want. Wear things that make you feel confident and ready to go. Taking a little extra care with your outfit in the morning can help boost your mood throughout the day. 10. Set challenges for yourselfOne of the most lethal threats to productivity is boredom. Regularly set realistic challenges for yourself. Try building a new professional skill that can help you later on with a promotion. Learn how a particular process at your company works that you’ve always been curious about. Set a goal of reading a certain number of industry-related articles per week. Whatever will keep you focused and engaged, add it to the list!We spend so much of our time working. With the stresses and monotony of the work day, it’s easy to lose sight of the things that will make us happier. You have the power to make your work day smoother and more fulfilling, so it is defin itely worth the effort.

Crystallization Definition

Crystallization Definition Crystallization is the solidification of atoms or molecules into a highly structured form called a crystal. Usually, this refers to the slow precipitation of crystals from a solution of a substance. However, crystals can form from a pure melt or directly from deposition from the gas phase. Crystallization can also refer to the solid-liquid separation and purification technique in which mass transfer occurs from the liquid solution to a pure solid crystalline phase. Although crystallization may occur during precipitation, the two terms are not interchangeable. Precipitation simply refers to the formation of an insoluble (solid) from a chemical reaction. A precipitate may be amorphous or crystalline. The Process of Crystallization Two events must occur for crystallization to occur. First, atoms or molecules cluster together on the microscopic scale in a process called nucleation. If the clusters become stable and sufficiently large, crystal growth may occur. Atoms and compounds can generally form more than one crystal structure (polymorphism). The arrangement of particles is determined during the nucleation stage of crystallization. This may be influenced by multiple factors, including temperature, the concentration of the particles, pressure, and the purity of the material. In a solution in the crystal growth phase, an equilibrium is established in which solute particles dissolve back into the solution and precipitate as a solid. If the solution is supersaturated, this drives crystallization because the solvent cannot support continued dissolving. Sometimes having a supersaturated solution is insufficient to induce crystallization. It may be necessary to provide a seed crystal or a rough surface to start nucleation and growth. Examples of Crystallization A material may crystallize either naturally or artificially and either quickly or over geological timescales. Examples of natural crystallization include: Snowflake formationCrystallization of honey in a jarStalactite and stalagmite formationGemstone crystal deposition Examples of artificial crystallization include: Growing sugar crystals in a jarProduction of synthetic gemstones Crystallization Methods There are many methods used to crystallize a substance. To a large degree, these depend on whether the starting material is an ionic compound (e.g., salt), covalent compound (e.g., sugar or menthol), or a metal (e.g., silver or steel). Ways of growing crystals include: Cooling a solution or meltEvaporating solventAdding a second solvent to reduce the solubility of the soluteSublimationSolvent layeringAdding another cation or anion The most common process is to dissolve the solute in a solvent in which it is at least partially soluble. Often the temperature of the solution is increased to increase solubility so the maximum amount of solute goes into solution. Next, the warm or hot mixture is filtered to remove undissolved material or impurities. The remaining solution (the filtrate) is allowed to slowly cool to induce crystallization. The crystals may be removed from the solution and allowed to dry or else washed using a solvent in which they are insoluble. If the process is repeated to increase the purity of the sample, it is called recrystallization. The rate of cooling of the solution and the amount of evaporation of the solvent can greatly impact the size and shape of the resulting crystals. Generally, slower is better: slowly cool the solution and minimize evaporation.

Not sure it is about media study Essay Example | Topics and Well Written Essays - 3000 words

Not sure it is about media study - Essay Example 76). Althusser’s then considered that class is never inherent but instead culturally created, and individual desires, attitude, behaviours and choices are creation of ideology. Furthermore, he argued that ideology controls people via despotic state machineries built in ideological state devices, and as such, it is impossible to conceive a structure of images plus objects whose connotations can exist separately of language. Althusser’s observes that ideology interpellates existing individuals as material subjects through pre-existing classes comprising the subject (Montag, 2003, p. 45). Foucault, on the other hand observes ideology as an intolerable concept of universal judiciousness, which are based on subjectivity (Mills, 2012, p. 64). Foucault scepticism on ideology is based on his belief that dissimilar rationalities are composed in historical structures. Thus, he mystifies power due to its emphasis on universal truth. Foucault asserts that, subjectivity is the validation of a progression, and it is rather provisional leading to subject(s) (Ransom, 2008, p. 4). To Foucault subjectivities are rather multiple instead of being unified even as it fluctuates instead of being fixed, per se, subjects are socially constituted. Hence, subjectivity possesses a permanent provocation to the discourse or conversation which defines it (Strozier, 2002, p. 21). On the other hand, Althusser’s defines subjectivity as the roles, characteristics or subject possessed by individuals, and willingly undertake in response to an ideology. Thus, according to Althusser’s, su bjectivity is the hub of initiatives, an author of, along with being responsible for its actions. Therefore, an individual is for all time a subject, even before he or she is born (Ferretter, 2012, p. 88). The aim of this paper is to discuss the statement that language is always already ideological,

Research and analyze an organization's 3BL and Stakeholders Paper

And analyze an organization's 3BL and Stakeholders - Research Paper Example Triple Bottom Line Analysis Profit In late 2012, 3M announced that, consistent with its marketplace presence and relevance building strategy, they would start aligning management and resources towards 5 groups of business including energy and electronics, safety and graphics, healthcare, industrial, and consumer. The conglomerate’s operation results have been managed based on the segment structure in existence throughout the year 2012. 3M results will be managed under this alignment on its coming into full effect by mid-2013. The conglomerate’s net income for 2012’s fourth quarter was $991 million compared to 2011’s fourth quarter net income of $954 million (Gibson 83). 4th quarter sales for 2012 increased by 4.2% to 47.4 billion from 2011, while there was a 4.3% growth in organic sales in local currency (Gibson 83). In this growth of organic local currency sales, the office and consumer segment led with an 8.7% growth; with increase in growth for office a nd stationery supplies, home improvement construction markets, and consumer healthcare. Graphics and display grew by 8.3% in organic local currency sales; with an increase in sales for commercial graphics, traffic safety systems, architectural markets, and optical systems (Gibson 84). In healthcare, the same grew by 5.9%, particularly in oral care, wound care, health information systems, and food safety. While transportation grew by 3.9% and communication and electronics grew by 1.8%, protection, security, and safety declined by 1.7%. For the entire 2012, 3M’s income stood at $4.444 billion in comparison to $4.283 in 2011, which was an increase of 6%. Sales also increased by 1% to 29.9% in 2012 as organic currency sales also increased by 2.6% aided by a 0.8% increase to sales, although currency effects saw a 2.4% reduction year-on-year (Gibson 85). From these results, it is clear that 3M is a highly profitable company that has seen growth in a period directly following the gl obal recession. Planet The first set of environmental goals released by 3M was in 1990 and since this period, they have managed to cut emission of Greenhouse gases worldwide by over 72%, a reduction by 96% of volatile organic compound emissions, and an 82% decrease in the use of energy (Bogdan 76). In line with this, the company has set new goals that they expect to reach by 2014. These goals include a reduction of 15% in volatile air emissions indexed to net sales from base year 2010, a 10% reduction in waste production indexed to net sales from base year 2010, and an increase in energy efficiency of 25% indexed to net sales from base year 2005 (Bogdan 76). In addition, 3M expects to reduce emissions of greenhouse gases by 5% indexed to net sales from base year 2006 by 2013 and the development of plans to conserve water where the company is located in water stressed areas with water scarcity. Since the inception of their new goals in 2005/2006, 3M has seen an 8.6% decrease in volat ile organic compounds, a well as a 9.2% waste reduction. They have also seen a 32% increase in energy efficiency, a 55% reduction in greenhouse gases, and a 100% development of their plans to conserve