Saturday, January 25, 2020

Reputation in Beowulf Essay -- Anglo Saxon Literature

The famous poet James Russell Lowell once said, â€Å"Reputation is only a candle, of wavering and uncertain flame, and easily blown out, but it is the light by which the world looks for and finds merit† . Reality stresses the importance to be more concerned with personal character than self reputation, because character beholds who you really are, while your reputation is merely what others perceive. The epic of Beowulf, written in Old English, describes the adventures of a great Scandinavian warrior of the sixth century. Having an outstanding reputation was an important aspect of life, and in the world of Beowulf it was no different. Having a good name is the same as immortality because the name will be placed in history and will be forever remembered. When introducing himself to the Danes, Beowulf was sure to mention his achievements such as the slaying of a tribe of giants and how he had driven away countless enemies from his homeland. In his eyes, personal reputation is the most valuable possession as he took what ever means necessary in order to build a handsome repituar. After Grendel’s mother seeks him out to exact revenge for the crime that she believes that he has committed against her, he sees this as an opportunity to further his reputation. The definition of justice in terms of Grendel’s mother is to seek out the one who is responsible for the death of her son and take his life as well. This is a justified reason for her to take revenge. Her only son was taken from her and the line is very thin between her and her son because they perceive events as though they were cursed. Being that t hey are descendants of Cain, the biblical son of Adam and Eve, the brother of Able who Cain believed was blessed by God kills Abl... ...atiently waits because she knows that the same person who slew her son would be coming after her as well. Beowulf’s pursuit of the mother is nothing more than another way to build his reputation because if he had slain Grendel and it got him such recognition, slaying both ogre’s would raise his reputation tremendously thus bringing him even closer to his name being secured on the cover of the history book. Him going after Grendel’s mother has nothing or very little to do with the fact that she is a woman, it however has everything to do with the fame he would get and the respect that would be associated with his name. In conclusion, for Beowulf, the most important thing is reputation and the immortality that goes along with having a reputable name. Having a good reputation ensured that long after you die the birth name will be an official heroic figure in history.

Thursday, January 16, 2020

Improving Patient Safety by Utilizing Information Technology Essay

As the push towards patient safety increases with regulatory agencies such as the Florida Agency for Healthcare administration (ACHA) and The Joint Commission (TJC), formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), highlighting the need for higher qualities of standard, hospitals such as Memorial Hospital Pembroke in Hollywood Florida are interested in finding ways of achieving optimal patient care standards and propel themselves up the list of top performers on key quality measures. Of equal importance is the need to optimize the cost effectiveness of this quality of care by reducing length of hospital stay and reducing instances of readmissions for the same or related complaints. Individual department such as pharmacy, radiology and laboratory each have computerized systems specifically aimed at task completion within the department taking no thought of the dissemination of that information across the spectrum of not only medical departments but also to administrative and clerical departments. With the advent of care possesses such as computer physician order entry(CPOE) and electronic medication administration record systems(EMARs) aimed at both quality and cost effectiveness the necessity exist to provide all needed information including medical records, radiological imagery such as CT scans, MRIs, and laboratory results at the immediate disposal of the practitioner. Administrative departments such as billing, medical records, medical supplies, and social services requiring real time updates on care administered, supplies expended in administering this care and follow up required in order to complete the continuum of care. There is therefore the need to integrate all these various clinical and administrative processes into a single efficient hospital based system of delivery of care. Electronic Health Record systems (EHRs) are not only designed to provide such services but also information to patients and stores and manages data collected on patients. The American Recovery and Reinvestment Act (ARRA) of 2009 provided $34 billion via Medicare and Medicaid for the implementation and use of EHRs. Two such systems EpicCare and HCS eMR respectively define themselves as follows. â€Å"The EpicCare Inpatient Clinical System spans all hospital departments and specialties, giving providers the tools they need to deliver safe, high-quality care. EpicCare’s role-based navigators simplify relevant information access for physicians, nurses, therapists, dietitians and any other provider in the hospital setting† â€Å"HCS eMR meaningful use software is a Workflow Driven / Focused solution focused on high User Adoption. HCS eMR works for your hospital because it: Builds on existing processes such as Medication Reconciliation †¢ Integrates with existing technology to streamline processes †¢ Leverages sophisticated rules and timely alerts to drive success †¢ Can be implemented quickly and is fully adopted †¢ Is economical â€Å" Organizational and individual barriers to proposed change Several potential barriers exist to the implementation of an integrated electronic health records system (EHRs), these include structural, financial/business, technical/professional, and cultural. Structural Memorial Hospital Pembroke is not a standalone hospital rather it is one of five hospitals in the Memorial Hospital System (MHS) formerly known as the South Broward Hospital district of Florida, as such much consideration has to be given to the eventual implementation across the system not only to Pembroke itself. Diversity in buyers and payers of supplies and services across the system would impact heavily on integration. There are also different providers of information technology in various departments that would have to be modified to enable integration via a central system of informatics. Financial and business The infrastructural implementation of EHR systems requires initial high dollar investment which in the current economic environment may require budgetary restraints on other services and supplies. Although the intent is clear and the potential promising, there is limited evidence of the economic benefits of EHR systems in healthcare mainly because it is in its infancy, the hospital board of governors may require extensive due diligence studies prior agreeing to any such change. Cultural The cost-benefits across the continuum of providers e. g. octors, nurses and recipients e. g. patients of healthcare have yet to be realized and as such much caution and resistance is to be anticipated. Clinicians inclusive of nurses envision health informatics particularly EHRs as being time consuming and takes away from, autonomy, actual time spent with patients, also old habits are hard to break, and question what personal benefits are to be gain from this intrusive system. Not to be ignored is the additional scrutiny as all processes will be documented at time of process and provides a permanent record, errors cannot be deleted. Departments who previously had autonomy on how information is transferred and disseminated from the individual department to other practitioners may show reluctance to â€Å"opening up† to the scrutiny of others. Patients also will be required to accommodate intrusion, as with the availability of previously restricted information at the bedside from computers on wheels (COWs) more time may be spent at the bedside by practitioners instead of doing time consuming reviews and making notes prior to patients’ rounds. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) which provides federally regulated protection of patients health information held by healthcare professionals, is another possible barrier that impact the implementation of the proposed change, and care has to be taken to limit the unnecessary access of patient’s data. Factors influencing proposed change Important factors that may affect whether implementation of an EHR at Memorial Pembroke is employed include, how receptive management and staff are to the change, the existence of available EHR systems providers versus in-house creation of a system, Cost of purchasing, implementing and maintaining a system and if funding is available, real benefits to be attained, are they measurable, and structural, cultural and financial readiness of the organization for the change. Receptiveness of management and staff If the existing system works for staff or is perceived to work then many questions arise among the participants why does there need to be this intrusive change. Can the proposed benefits to be realized justify the overhaul and inconvenience to come and am I going to be remunerated for my efforts? Available EHR systems There are many systems already on the market including EPICare inpatient-core; HCS eMR and ChartAcess which are ready for implementation have a system of support and maintenance. Although these are expensive systems, to build an in-house system replicating these would be time consuming and require extensive developmental processes that would certainly result in delay in implementing such a system. Cost May be divided into acquisition and maintenance, acquisition cost include cost of software, training, installation, paper to electronic conversion and implementation productivity loss, which may not be measurable. Maintenance cost includes upgrades, replacement of hardware and internal and external support cost. Acquisition cost will be significant and may impact on the ability of the organization to meet other budgetary demands. Maintenance cost are spread out over time and may not be as impacting, also the possibility exist that cost savings from the use of the EHRs employed may offset maintenance cost. Factors influencing organizational readiness There are certain basic requirements of readiness which Memorial Pembroke must meet in order to be ready for health IT without which failure is almost assured. These are Organizational culture, Management and leadership, Operational and Technical readiness. Organizational culture – defined as an assessment of how the organization perceives EHR, general staff and physicians’ perceptions and patient involvement. Does Memorial Pembroke view EHR as a liability or as an asset, is the staff open to what is better for the patient or are they more concerned about turf protection, are nurses prepared to record even the most minor detail if it means a better overall picture of the state of the patient. Management and leadership – does the organization have the management that appreciates the importance of the change to the overall goals of the organization and is there a readiness to apply necessary resources to include human resources, financial resources and information and to manage these resources not only for current but also future EHR needs. Is there an executive team, a strategic plan, quality improvement and care management, and sound financial management? Operational readiness – takes into consideration, protocols, operational procedures, staffing needs for the implementation, training plans and programs, preparedness of project managers and IT staff for the implementation. Technical readiness– considers the organizations technical environment and information technology capabilities to deal with and absorb the change. Is there adequate server capacity, a rational process of procurement also potential for growth and development of the department? In short can they handle it? Theoretical model related to proposed change The model best related to this organizational change which seeks to enhance the institution as a whole in the furtherance of improved quality of care for patients as also to optimize the organizations ability to be effective in the administrative process and other peripheral processes involved in this change is organizational development. Organizational change targets the entire organization and creates a climate of open discussion with valued feedback which helps to reinforce or modify to the change. It depends on the utilization of process consultants to facilitate interventions and to manage the change. Internal and external resources to support change Within the organization several resources may be found which may facilitate or enhance the change to be implemented, these include competent senior management who portray a sense of confidence and facilitate dialogue with staff thus enabling them to be active participants, a strong human resource department that arranges and implement training programs aimed at preparing staff for the change. A vibrant IT department with competent personnel knowledgeable in IT systems that can facilitate incorporation of new technology to its network. Staff that are trainable and who understand the dynamism of the organization and of change and are willing to adapt in order to meet organizational goals. Externally advantage has to be taken of a proven provider of EHRs that has the experience and support infrastructure that will facilitate attainment of the organizational goals. Independent consultants who are experienced in the change to be implemented, and who are able to monitor and manage the change at each stage of implementation. Research data that provide information aimed at making informed decisions, provided by research specialist and not ad hoc pieces of information.

Wednesday, January 8, 2020

Tiffany Co - 1527 Words

Specific Product: Tiffany Description: Tiffany amp; Co is the world s most celebrated jeweler, with an unrivalled reputation for sophisticated luxury. Organization/Company: Tiffany amp; Co Company 1. What ethical concerns could arise in marketing this product? The factory associated with Tiffany opened in 2007 and Indian and Mauritian artisans came to train the Botswana employees. But the article tells us that the workers went on strike, in protest against the working conditions: they say the plant is prisonlike, they are threatened by the managers and have no right to variable salaries like other employees. Tiffany is faced with a real ethical dilemma: to avoid blood diamond sourcing, the brand has to transfer know-how†¦show more content†¦Also included are establishments retailing these new products in combination with lapidary work and/or repair services. 5. How could external factors (such as social, demographic, economic or technological) impact this product? Social: Tiffany recognized the growing number of consumers demanding luxury at mid-level prices and decided to use this trend to its advantage by appealing to these middle-income Americans. Tiffany did this by adding less expensive items to its collection, including more sterling silver, which appeals to younger women as some items retail for as low as $100. Demographic: Tiffany’s is always on the lookout for new customers. With 71 million Americans born between 1977 and 1994, there is a new generation entering adulthood. This segment spends over $36.3 billion on clothes and jewelry annually, according to Standard amp; Poor’s. This segment is the largest spending segment, with women from the ages of 34 to 54 coming in second. As reported from the U.S Department of Commerce, U.S personal consumption expenditures have risen from 250 billion to 1 trillion over the last 29 years. Economic: The luxury goods industry quickly rebounded following the United States economic downturn in 2001, partly due to the increasing trend of middle-income American consumers demanding luxury at every level. There will always be a luxury consumer, and they’ll continue to spend whether there are warsShow MoreRelatedTiffany Co. Essay2508 Words   |  11 PagesTIFFANY CO.  ® Introduction Tiffany Co. is a leading US luxury jewelry company. For more than 150 years, Tiffany Co. have been designing exquisite jewelry that highlights the incomparable beauty of diamonds. The designations TIFFANY  ® and TIFFANY CO.  ® are the principal trademarks of Tiffany, as well as serving as trade names. 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History of Tiffany Co†¦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‚¬ ¦....3 II. Current marketing situation †¦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‚¬ ¦7 A. Market overview†¦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‚¬ ¦..7 i. Market demographics and needs†¦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‚¬ ¦.6 ii. Market trends and target market growth†¦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‚¬ ¦.10 B. SWOT analysis†¦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‚¬ ¦11 i. Strengths †¦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‚¬ ¦Read MoreMy Interview By Thomas Travers, A, New Jersey And Worked At Tiffany And Co1238 Words   |  5 PagesMy interview was with Thomas Travers, a â€Å"Technical Specialist† that lives in Wharton, New Jersey and worked at Tiffany and Co. for 18 years. When Mr. Travers started to work for Tiffany and Co. back in 1998, he had to be familiarized with the IBM AS/400, which is a midrange computer that is now in the IBM Iseries. On the IBM AS/400 he worked with tools and languages such as RPG, CL, and qm query, which are used to bundle a bunch of queries that are in SQL. He also used operating system commandsRead MoreTiffany Co.1974 Words   |  8 PagesTiffany amp; Co. Brian Fenske December 1, 2010 Retail Management Table of Contents I. Table of Contents †¦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‚¬ ¦. Pg. 2 II. History†¦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‚¬ ¦... Pg. 3 III. Retail Mix †¦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‚¬ ¦.†¦..... Pg. 3-5 a. Location b. Pricing c. Promotional Mix d. Merchandise Assortment e. Store Design IV. Store Visit †¦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‚¬ ¦. Pg. 5 V. Competitive Advantage†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦..†¦... Pg. 6 VI. Financial Performance †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦....