Electronic Health Record Essay

An Electronic Health Record (EHR) is a system of records that are electronically managed, providing longitudinal information of the patient’s health.   The information is generated during one or more encounters with the patient.   Information can be recorded and stored under several sections including demographics, encounters, interventions, treatments, immunizations, prescriptions, laboratory and imaging data, etc.   The EHR is not only a recording system, but also helps in clinical decision-making.   It has several features incorporated such as providing reminders, precautionary measures to be taken, alerts, evidence-based information, tips in improving prognosis and the quality of care provided.   An EHR system can function within one department of the enterprise, in the entire enterprise, or even between several enterprises within a nation or region.   EHR’s can be customized depending on the type of department requiring them and the purpose for its use (NIH NICRR, 2006 & Gurley, 2004). Advantages of the EHR system:- †¢ Patient information can be stored for longer periods and would occupy lesser space †¢ Patient information can be accessed from any point in the hospital and also from one hospital to another, if needed †¢ Patient information can be secured and confidentiality can be maintained (as a particular user would be accessing the system with a username/password, and would get information only about his/her patient) †¢ Information can be updated from any of the user points †¢ Several features such as alerts, reminders, etc, which are very useful to the user can be enabled in an EHR system †¢ Built-in intelligence of the EHR would provide several benefits to the physicians such as providing evidence-based information, potential drug reactions, etc †¢ The quality of care can be improved †¢ The requirements and standards set by accreditation organizations, legislations and insurance companies can be more easily met using an EHR system †¢ Potential life-threatening situations and hazardous drug reactions can be better prevented and managed using an EHR system †¢ The patient workflow can be effectively managed if an EHR system is present †¢ Communication between several structures of the healthcare organization can be improved (faster and more effective) †¢ Depending on the needs of the hospital, a customized EHR can be enabled †¢ Risk assessment, management processes and error identification can be better enabled using an EHR system (NIH NICRR, 2006 & Gurley, 2004). Disadvantages of the EHR system:- †¢ Initiating and maintaining an EHR system may be very costly for the organization (however, the improvements in quality need to be considered) †¢ Training healthcare professionals in EHR use may be difficult (as it requires some amount of technical knowledge) †¢ Getting competent with the EHR system requires a sharp learning curve †¢ The EHR systems incorporated from one hospital may be different from another, which may hamper the flow of information – Lacks standard architecture and terminologies (effective interconnecting links need to be considered) †¢ Staff members may find it difficult to adopt to the clinical changes brought about through incorporation of an EHR system †¢ Slow systems may affect the workflow †¢ Risk of the system being hacked and data misused (certain standards should be compiled with and protocols need to be followed) (NIH NICRR, 2006 & Gurley, 2004).

A Nation of Idiots Analysis

What evidence does Moore offer to support his contention that America is a nation of idiots? Is calling us all a nation of idiots an effective way to get our attention and sympathies? Moore shares a number of personal experiences in this selection to dramatize his disgust with formal education. Overall, how would you characterize his attitude toward school and schooling? What textual evidence leads you to make those conclusions?What are the potential problems with using this kind of rhetorical or argumentative strategy in his writing? Moore offers evidence of public ignorance to support that America is a nation of idiots. He does this by stating, â€Å"Only 11 percent of the American public bothers to read a daily newspaper, beyond the funny pages or the used car ads† (Idiot Nation excerpt, Colombo, Cullen, Lisle, 129).This example is a good reflection of Moore’s attitude and style of grabbing the reader’s attention. He relates to the readers in simple terms, but always with a hint of sarcasm. I believe that calling America a â€Å"nation of idiots† is an effective way of getting us to listen. The way Moore sees it, schools have used various tactics to educate its students and politicians have used different forms of engaging the public, but the public is not interested.Moore states, â€Å"A nation that not only churns out illiterate students but goes out of its way to remain ignorant and stupid is a nation that should not be running this world – at least not until a majority of its citizens can locate Kosovo (or any other country it has bombed) on the map† (Idiot Nation excerpt, Colombo, Cullen, Lisle, 129). The potential problem with using this kind of rhetorical strategy in his writing is that the readers probably do not think of themselves as â€Å"idiots† and therefore will assume that Moore’s words do not apply to them and readers will tune out.Another problem is Moore will offend some of his audience and naturally these audience members will become defensive and disregard Moore’s current and future work. Moore does not see schooling in America as an effective way of educating the nation. He also views it as a very harmful environment that teaches children not to question authority and not to think, but rather do as they are told. â€Å"They learn that to rock the boat could get them rocked right out of school† (Idiot Nation excerpt, Colombo, Cullen, Lisle, 143).

Limited Foreign Exchange Exposure Through Hedging Research Paper

Limited Foreign Exchange Exposure Through Hedging - Research Paper Example The research paper discusses different kinds of hedging instruments employed by firms all over the world. The risk of the exchange rate is raised from the assets and liabilities or transactions dominated in foreign currencies or existing. The hedging activities of all firms are not alike and they may vary based on the core business of firms and kinds of their foreign exchange risk. The paper described the kinds of Hedging instruments including Natural Hedging and Foreign Exchange Derivatives. In order to evaluate hedging practices in Australia, data of up to March 2005 has been used apart from hedging surveys for Australia. The previous surveys show that the banking sector of Australia has always been well-protected from currency fluctuations. In the period following the floating of the Australian dollar, Australian banks had very little exposure to exchange rate risk because of the restrictions of regulations on international transactions. After the removal of these restrictions, banks have been financing their domestic assets through short term liabilities abroad. In order to limit their net exposures, the banks used to match foreign currency liabilities to their assets. For further eliminating the residual risk exposure, Australian banks have been using derivatives. The current market risk guidelines ask the Australian authorized deposit-taking banks to dete rmine their foreign currency exposure daily. The evaluation of adaptations of non-financial firms to exchange rate fluctuations show that these firms have been facing difficulties because of poor or little experience. In 1986, borrowers made 3000 foreign currency loans dominated in Swiss francs and they incurred huge losses when Swiss francs appreciated by 50% against the Australian dollar.

An investigation into the services provided by the National Insurance Coursework

An investigation into the services provided by the National Insurance Board in the Bahamas - Coursework Example ............ 6 The Urgent Need for Reforms †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦... 7 The NIB Restructure Explained †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 11 The National Insurance Fund is not in a â€Å"Crisis† †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...13 Personal Analysis of the NIB Services †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦...14 Conclusion and Recommendation: The Need for Privatization †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..15 Works Cited †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.17 Appendix †¦Ã¢â‚¬ ¦Ã ¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..19 Introduction Started in 1972, the National Insurance Board (NIB) of the Commonwealth of the Bahamas is an organization in charge of the management of the Bahamian social security system. It was established based on a Parliament Act - the National Insurance Act which was signed into law by the Minister of Labor and Welfare, Clifford Darling, on December 12, 1972. The National Insurance Act is an act to institute a national insurance system for the provision of income replacement against contingencies, such as in sickness, maternity, retirement, invalidity, death, work injury or involuntary income loss (â€Å"Chapter 350: National Insurance†). ... Moreover, the Commission aimed to evaluate the viability of unemployment benefits (â€Å"Better Social Security for Bahamians†). In 2009, following the 8th Actuarial Review of the National Insurance Fund, recommendations were made by the Social Security Reform Commission to guarantee the long-term sustainability of the NIB Funds and to ensure the protection of the aging and insured population by increasing revenues and reducing operational costs (Ward). This paper aims to investigate the services rendered by the National Insurance Board to the Bahamian people; to explain the NIB losses; and to assess the need for increased contributions, reduced benefits, improved compliance and reduced administrative costs for securing long-term sustainability of the National Insurance Fund. This author will give personal analysis of the NIB services and will give recommendations for the solution of its present dilemma. The National Insurance Board In 1972, the NIB was established in accordan ce with the 1972 National Insurance Act, aimed at providing social security coverage to the insured Bahamian members and their dependents through Benefit Payments in such cases as sickness, funeral, invalidity, maternity, retirement, unemployment, and the death of the family's bread-winner survivorship, work injury comprising disablement, death and medical care. Moreover, the NIB offers a minimum level of social security coverage for persons unqualified for such benefits as of right; and provides efficient administration of the National Insurance Programme and Fund compliant with the judiciary rules of the National Insurance Act; and supports the country’s socio-economic growth and development (â€Å"The National Insurance Board†). Benefits and Assistance The National Insurance Board provides

Godzilla Essay Example | Topics and Well Written Essays - 1000 words

Godzilla - Essay Example Its signature weapon is its atomic breath that spews a stream of radioactive fire from his jaws whose color resembles the color of his dorsal fins. Godzilla can also emit short-range pulse atomic energy from his body called the pulse. The original Godzilla also has magnetic capability, which it uses against its metallic enemies. In addition to atomic-based powers, the original Godzilla is immune to injury and can heal itself fast. Its skin is impervious to any military arsenal weaponry making the monster virtually indestructible or invincible. It is also amphibious which can go to the deep of the oceans as well as roam the lands to wreak havoc. Of course, part of the story of the film is how to destroy Godzilla. Godzilla’s vulnerability, however, is hard to confirm and the origin of its alleged weaknesses are not thoroughly explained in its earlier films. There were instances where Godzilla manifested weakness against high voltage of electricity but in the same vein, it also q uite ironic that the monster is strengthened when struck by a lightning. Inversely, Godzilla showed that it freezes in chilling conditions but it can only suspend the movement of the monster. In one early film The Return of Godzilla, the monster showed vulnerability to cadmium but still not enough to kill the monster. In some earlier versions of Godzilla, such as â€Å"Godzilla vs. Space Godzilla, the directors hint that Godzilla does have a vulnerable spot under his armpit, that makes him susceptible to attack. The metaphor is that it is similar to an â€Å"Achilles Heel. This however, did not progress beyond this hint because it was not validated in the film that Godzilla died by a strike under its armpit. The new movie has not indicated if Godzilla has a new weakness or vulnerability. Instead, news had it that there will be three monsters in the film and one of them is Godzilla. The new movie of Godzilla will have three times the level of difficulty to kill because there are no w three monsters. As usual, the monsters will be wreaking havoc in cities and attacking the government with all its armaments. The original movie also used live models that measured 50 to 100 meters. Recently, there is confirmed news of a new installment of Godzilla. The first production shot will be on March of 2013 and the film will be shown on May 16, 2014. The film is not yet show but there are already records of what new Godzilla will be. According to the producers and creators of the new Godzilla, a fan will create the image of Godzilla. Its original producer Toho Co., Ltd. will not also produce it, rather by Legendary Pictures (Picard a). The new version will be in 3D compared to the two dimensional rendition of the original film. The original Godzilla used live models and the new Godzilla will instead use CGI (Computer Generated Image) to render the physical presence the monster and its effects. The setting will be in Vancouver, Canada and not in Tokyo like the original Godz illa version (Picard b). In addition, the new writer of the film is Frank Darabont who can clean up the original script written by Max Borenstein. With regard to casting, there is word that in Godzilla 2014 will cast Bryan Cranston (Argo, Total Recall, Get a Job) and

Applied Theory of Economics Essay Example | Topics and Well Written Essays - 1000 words

Applied Theory of Economics - Essay Example China and India have progressed exponentially, with current estimates clearly showing how they would be the worlds biggest economies in sheer volume by 2050.Countries like South Korea, Taiwan & Singapore, once minor shipping ports are now among the economic elites of the world, on par with any developed nation today. These spectacular developments have been due to the great flexibility the capitalist system has demonstrated in granting everyone a stake in this brave new world. But with all that being said it also has a dark side attached to it as well. Poor nations with poor legislation on labor rights, wages, health & safety, poor government monitoring and manipulation by many rogue corporations over the ages have put into question the humanitarian aspect of trade. Arguing that corporations shifting production capacities elsewhere are susceptible to exploit the labor and other available resources of their host countries. In my humble opinion ,with the exception of a few highly publi cized cases, the net result of free trade for the developing world has been beneficial .It has alleviated poverty on national levels, led to transfer of modes of technology & made the world more cosmopolitan and integrated . Below are some of the arguments that in my opinion reflect very favorably on the effect of free trade on the developing world. Free trade is not just an economic practice it's a way of life, a political philosophy. "A major source of objection to a free economy is precisely that it [...] gives people what they want instead of what a particular group thinks they ought to want." (Friedman, n.p.) Below are in my opinion some points that argue favorably in the case of free trade for the developing world. Free Trades Alleviates Poverty More cannot be said of free trades vitality in increasing the fortunes of developing world. With the every specific shift of a production capacity in that particular or municipality a steady stream of labor is required. By gaining employments workers get means for their livelihoods and purchasing power. The cumulative effect is on a national scale. One can look no further than the birth of middle class in China & India. They alone have been a major factor in stimulating their local economies with their spending patterns. Free Trade Removes Likeliness of War it's no secret that all commerce flourishes in peaceful times. Especially in this integrated world when there are vested interests in another countries well being. Although the incidence of war hasn't been totally eliminated, by and large majority of the world the developing world has enjoyed prosperity over the decades. In fact, so many nations have entered into regional pacts to gain access to each others markets, to remove import quotas & for freer flow of resources in between their borders. All of these points which are the cornerstone of the Free Trade phenomenon. And in turn Organizations geared towards the free market ideal such as NAFTA (North American Free Trade Organization), EU (European Union) & WTO (World Trade Organization) have shown resounding success since the time of their

The immigrants by Margaret Atwood and Borders by Thomas King Essay

The immigrants by Margaret Atwood and Borders by Thomas King - Essay Example When asked of her citizenship, she always declares that she is a â€Å"Barefoot.† It takes her and her son days to pass through the borders going to Salt Lake City because of her unwillingness to identify herself as a Canadian. She also brings a lot of food to avoid buying from convenience stores and dresses up in their old ways because she did not want â€Å"crossing the border looking like Americans† (King 133). The narrator observes his mother’s resistance of acculturation and allows her to do what she likes. He can guess what she is about to tell the immigration personnel but never contradicts her even though her manners would cause a big delay. The mother’s attitude is opposed to her daughter’s. Laetitia, shows clear signs of acculturation. The latter is more lenient and ready for assimilation because she claims that her â€Å"Dad’s American† (King 131). She likes living in Salt Lake City on her own, and boasts about the city’s improvements with her mother. Despite her defiance of acculturation, the mother is not totally against other cultures. The fact that she marries an American illustrates her openness to assimilation. Likewise, she pays a visit to her daughter to see Salt Lake City and buys Mel from duty free a souvenir hat as a sign of friendship. Nevertheless, while the persona expresses resistance to assimilating the immigrants’ culture or behavior, she admits the fact that she herself is an immigrant, saying, â€Å"I wish I could forget them/and so forget myself† (Atwood 31). This means that while she loathes the immigrants, she recognizes her complete assimilation and acculturation to an identity that other American immigrants have established. By forgetting the immigrants she observes, she could then forget herself. This implies that the narrator despises the thought of being an immigrant as it reminds her of her own lack of identity. The persona attempts to show contrast between her and the immigrants as she