Tuesday, January 28, 2020
Requirements for Healthcare Organization | Case Study
Requirements for Healthcare Organization | Case Study TASK I A SUMMARY ON THE NEEDS AND EXPECTATIONS OF CONCORDIA HEALTHCARE LTD. RELATIVE TO: I. Internal Organizational needs First and foremost, ABC Concordia Healthcare Ltd. Requires that the staff, partners, members, directors will consider and respect the Equality and Diversity Guidance and Policy. This organization is committed to delivering quality health care services to the clients without prejudice on them due to race, nationality, sex, sexual orientation, disability, religious affiliation, marital status, employment status and political opinion and characteristics. All clients should be treated equally and fairly. Professionalism on the part of the staff, partners, members and directors should be observed. No client should be discriminated; instead, promotion and accessibility of health care services should always be the ultimate mission of everyone. Quality healthcare services will result to the increasing demand by diverse clients. The ABC Concordia Healthcare Ltd. will be sought by the community and the clients they serve. A good name will be established for and in behalf of ABC Concordia Healthcare LTD. II. External Needs of ABC Concordia Healthcare LTD. To achieve the goal of this organization, that is the promotion of equal opportunity and accessibility of quality healthcare services to all clients, they are also considering their external needs. A. Meeting clients’ needs Appropriate steps must be considered to be able to meet the diverse needs of clients. 1. Identify the needs of clients who come from different communities. Clients come from different communities with different cultural background and upbringing. So, they also have different needs. These needs have to be catered well. 2. Formulate the policies and procedures that will be undertaken to meet clients’ needs. Policies should be done regularly because these are guides for decision making. Policies encourage coordination and integration of actions and plans within and across functional areas of an organization. The policy making process involves the following: a. Identifying the problem b. Formulating the policy c. Implementing the policy d. Evaluating the results 3. Specify the services that should be provided to the following group of clients: a. Clients with a disability b. Clients who are unable to communicate effectively in English c. Carers, children and the elderly d. Members of religious groups e. ethnic groups, nationalities f. Lesbian, gay or transgender people B. Communication Plan To avoid miscommunication, the ABC Concordia Healthcare Ltd. also provides the following: 1. A Communication Plan is prepared to disseminate the policies and procedures to ensure that all services are provided to the clients. 2. Steps to be followed and the requirements to be accomplished are also given to access the healthcare services 3. Orientation and training for the employees, members, partners, staff, and directors are done for effective implementation of the plan. FAIRNESS AND JUSTICE A just and fair treatment can be the strongest asset in any organization especially if there is competition. ABC Concordia Healthcare LTD. has laid some policies with emphasis on the following: a. Dealings with third parties – this organization does not unlawfully discriminate other Healthcare service providers. b. Dealings with contractors- ABC Concordia Healthcare Ltd. engages contractors on the basis of their skills, experience and ability. There is no discrimination whatsoever based on age, gender, marital status, race, religion, etc. c. Employment – Job applicants are treated equally and fairly. Recruitment and selection procedures and terms and conditions of employment, training opportunities, promotion and transfer, grievance and disciplinary process, demotions, dress code, bonus schemes, work allocations and other employment related activities are carefully relayed to employees and applicants. d. Recruitment and Selection- ABC Concordia Healthcare LTD ensures that the workforce is: Taken from the widest pool of qualified applicants . Job openings are open to all. Effort is directed towards the dissemination of the information that will reach all interested applicants. Employment opportunities are based on personal merit and fitness. Performance is considered in this regard. Priority is given to applicants from all sections of society especially the underrepresented in the workforce. This is where fairness is evident. No one is discriminated simply because he belongs to the underprivileged and the handicapped. ABC Concordia Ltd. has lawful exemption (genuine occupational requirements) to be used suitable to meet the special needs of a particular group. People with special needs are those coming from different ethnic and cultural background; gender (especially the gays, lesbians and transgender people), carers, etc. Recruitment agencies of ABC Concordia Healthcare Ltd. know the requirements not to discriminate. Fair and equal treatment should always be borne in mind. There is a wholesome working environment respecting the employee’s beliefs and diverse background. Terms and conditions of service for employees comply with anti-discrimination legislation. The organization identifies the diverse training needs of the workers. A plan is made which includes the details of the training to be provided, who will be trained, and when the training will be provided. Those identified are informed of this quality and diversity and training plan. Acts of unlawful discrimination on any of the forbidden grounds by employees, partners, members, directors will be subjected to disciplinary action. Appropriate action is imposed to any person employed who commits unlawful acts of discrimation. All complaints will be investigated in accordance with the grievance procedure of the organization. ABC Concordia Healthcare Ltd. will monitor and record equal opportunities and information about staff and all employees. These pieces of information will be used exclusively for equal opportunities monitoring and have no bearing on opportunities and benefits. The organization will provide equal opportunities to the Human Rights Services Commission as required in relation to personal and clients under the terms of the legislation. Operation review of the organization will be conducted twice a year. Remediation will be imposed on non-compliance under the policy to equal opportunities. THE IMPACT OF PREJUDICE AND DISCRIMINATION ON INDIVIDUAL AND GROUP 1. Prejudice and discrimination are acts of disrespect on the uniqueness of every individual. â€Å"Individual differences should be recognized although human beings are similar in many ways.†2. Prejudice and discrimination may cause stress. â€Å"Typical causes of stress are: new work procedures, work overload, differences between the organization and employees values, frustration and role ambiguity. Workers are likely to suffer mental and physical symptoms as a result of pressure.†3. Prejudice and discrimination hampers the individual’s desire to grow and to achieve his goal. If an individual is constantly discriminated, he loses his self-confidence. Thus, he can’t perform his task well. When prejudice is felt in an organization like a Healthcare Provider, the client would lose his motivations to get well and to become fit again. Nobody encourages him and nobody values his human dignity. 4. Discrimination and prejudice are non-humanitarian actions. This will deprive the act of getting people work together to accomplish desired goals and objectives at minimum cost and maximum profit.†5. Commitment is obtained through kindness. Hence, organization should be fair and impartial, free from biases in dealing with employees and clients. 6. In Maslow’s Hierarchy of Needs, belongingness, love, affection and acceptance are among the basic needs of man. When there are discriminations of whatever nature, then there is no love, affection and acceptance. 7. Discrimination and prejudice is against the Civil Rights of people. â€Å"Civil rights guarantees fair and equal treatment for all people regardless of race, religion, ethnic origin, age, sex, sexual orientation, disabilities, or personal beliefs.†On July 2, 1964, Pres. Lyndon B. Johnson signed into law the Civil Rights Act of 1964 prohibiting discrimination based on a person’s race, color, national origin, religious beliefs and sex. PROPOSED IMPROVEMENTS TO ADDRESS GAPS IN THEIR SYSTEM PROCESS 1. Plan for review and monitoring on the compliance of equality and diversity issues should be prepared Separate from that of the communication and training plan. 2. Team meetings should be done regularly to track and discuss the progress of implementation. A special meeting may be convened also at any time to consider urgent matters. 3. Roles and responsibilities of the persons manning the organization should be clearly specified like: a. Director/ manager b. Staff c. Employees d. Other support personnel 4. Time scales for planning, implementation, monitoring and evaluation should be clarified. 5. Periodic audit on the organization’s financial status is important. This is one component of the overall performance management framework. As an initiative is implemented, the outputs and outcomes are monitored, refined and then evaluated. 6. Policies should be revisited from time to time. Substantial amendments maybe necessary to ensure the stability of the organization. 7. Human resources are important in any organization. Performance assessment should be conducted as basis for planning skill enhancement training and updating. 8. Facilities and other material resources should be equally allocated. Insufficient or outmoded materials may affect the efficacy of attainment of the organization. 9. Facts should be gathered and use them as supporting evidences in order to analyze the programs and services and in turn may serve as guide for proper actions.
Monday, January 20, 2020
Immorality in The Invisible Man by H.G. Wells :: H.G. Wells, The Invisible Man
      In The Invisible Man, H.G. Wells both demonstrates and criticizes man's tendency to become moral or immoral with the acquirement of power. Like many books of the same era, he uses science as the instrument of retribution for the social crimes that have been committed.       Through invisibility, the Invisible Man gains triumph over science and from this, great power; he can steal, kill, and abuse anybody without fear of being caught, as he describes, "It's useful in getting away, it's useful in approaching. It's particularly useful, therefore, in killing." He also acknowledges the shortcomings of his invisibility, such as making sound and being easily imprisoned once caught, vulnerable qualities which eventually lead to his downfall.       The Invisible Man breaks into many people's homes, stealing money, and leading eventually to physical abuse and killing. When faced with power, such as invisibility, man becomes immoral and is willing to do anything for personal gain and enjoyment. The Invisible Man's nemesis, Kemp, brings up the immorality by saying, "But-! I say! The common conventions of humanity." The Invisible Man just reinforces his arrogance by rebutting with, "Are all very well for common people." He believes there is nothing wrong with doing anything for his own survival since he is superior. He also brings the situation one step further with his reign of terror, which he describes as, "Not wanton killing, but a judicious slaying." He now wants to have complete control over everybody through terror and wants to start "the Epoch of the Invisible Man." This shows his complete thirst for power.       The use of science to give man superpower can likewise be found in Mary Shelley's Frankenstein. Man should not create the invisible man or the invincible man since they are too powerful and this gives them the role of creator which, according to the society of the day, should only be a god's role. He shows how science can accomplish great things and also how it can cause great harm.       The harm that the Invisible Man's exploitation of power causes does not go unpunished. Wells demonstrates the social need for a sense of justice, as the Invisible Man is eventually captured and beaten to death for the terror he both created and wanted to create.
Sunday, January 12, 2020
Gag Clauses Essay
For the past ten years, the Health Management Organizations (HMO), who is responsible on the health care programs, had imposed a new system that restrict and inhibit physicians in communicating to their patients. (Wynn, 1996) This is known as ‘gag clause†. The physician must not discuss the medical condition and all treatment options of their patients. These include the right health care plan, the appropriate treatment and medications that may be benefit to the patient in terms of cost. (Liang, 1998) The issue on the gag clauses creates a big noise especially on the practitioners and physicians. This issue receives many criticisms. According to some critics, it is the obligation of a physician to educate and inform his patient on what kind of treatment, and the kind of health care plan. This is because physicians are trained to treat the bad health conditions of their patients. The gag clause thus inhibits the open discussion of the two parties. Because of the gag clause issue, the House of Representative and the Legislature of United States are now making a proper move to inhibit the gag clauses in physician contracts. But almost 200 million of the citizens of the said country rely on health care programs of HMOs. The lawmakers of United States, who had made laws and enforces these to protect its citizens, medicine companies as well as the practitioners from the HMOs, still HMOs finds a way to control the actions of their hired physicians. This is the termination-without-cause clause. In this clause, the physician to be hired by HMOs can be fired for any reason. The restrictions of physicians in communicating to their patients produce major problems especially on the side of the patient. One of these problem is the lost of trust and confidence of the patient if his original physician has been deselected. Then the second physician must handle the latter treatment on the patient which is very difficult because of little time. Then the second physician also faces a constraint in communicating to his patient. This will result to low quality health care service given by HMOs. The welfare of the patients is being jeopardized because of gag clauses. A study was conducted on the performance of physicians experiencing gag clauses from their health care company. From the physicians who were interviewed, majority do their medical obligation as part of their ethical duties in providing the necessary medication and treatments for their patients. They do not even read carefully the provisions of the contracts they signed in handling their patients. But because of the alarming issues on the deselecting, physicians were limited on communicating to their patients the health conditions and proper treatment. While on the side of physician sectors, there profession is being put at risk. As a physician, their responsibility is to take care of their patient which is the core of their medical responsibility. If these physicians were unluckily deselected, their ethical responsibility to raise and support their family will be affected. Thus, physicians are faced in a two situations were they must choose which will they do. Thus the purpose of their profession is being sacrificed. In almost contract signing, there are some elements to consider and understand by both parties before they undergo in signing. Some of the key terms to consider are the payment terms, duty and obligations of parties, representations and warranties, conditions on the closure of the contract, some liability issues and termination rights. In contract signing in a managed care setting, the identification of the parties who will sign the contract must first be done. In terms of managed care setting, the health care provider, physicians and the consumers or patients are the main characters. Then the recitals will follow. In this part, it contains the background of the contract as well the objective. The obligation of the parties involved is the next element to be discussed before signing. The health care provider will provide all the necessary treatments needed by the patient for his wellness. This includes the necessary and appropriate health care plan. While the physician medical responsibility is to provide the necessary treatment needed by the patient in which he can apply his profession. These include care and medication of the patient. And lastly, the obligation of the patient is in term of financial obligation for the health care provider and to the physician. (Allbusiness, 2007) Next to be considered are the terms of the contract. It must be clearly stated what are the sanction if one of the terms was not made. Also, the contract must be known if it is an only one time or it can be renewed. And if the contract is renewable, how it can be renewed? These questions must be first answered before the signing of the medical health care contract. After this, the price must be set. How much will it cost the service of the health care provider to their costumers or patients and the salary of the physician assigned, as well as the terms of payments between the parties? When will the due of the payment and what are the consequences if the due was not met by one of the party concerned. Warranty is also part of a contract. The warranties must be clearly stated on how it can be claimed and in what way. If the health care program does not meet the terms, how will the health care provider pay the consequence? And how long the warranty will is good for. And lastly is the term of termination of the contract. When will the health care program end in concern on the patient? When will the physician medical obligation ends. The above are mentioned are the key terms in contract signing in a health care setting. (Allbusiness, 2007) In contract signing in a health care setting, a major concern that must be considered is that-if the contract contains provisions of illegal act? Because majority of the HMOs contract’s contain provision of not letting communication on the physician-patient relationship, the Federal government of United States enforce these HMOs to eliminate these gag clauses. In a contract, it is stated that the patient under a health care program is entitled to all benefits of the health care program. ( Scanlon, 1999) Because of this, the Health Care Financing Administration force HMOs to eliminate gag clauses on their contracts. If a contract contains illegal act such that of the gag clauses, it will be considered as a violation on the Medicare law. This is because almost physicians believe that inhibiting them in communicating with their patients about their medical condition might result to increase on the risk on their health condition. (Frascati, 2005) Even tough some of the health care plans of HMOs were revised in connection with the gag clauses; still there are provisions and conditions that hinder the communication of physician-patient relationship. Some of these provisions are the business confidentiality clause, nondisparagement clause and nonsolicitation clause. These provisions are discrete form of inhibition of the communication. (Lott, 1997) If one of the provisions in a contract is unenforceable like no legal action or waiver of right to trial by jury, and then the contract is considered void. (Higuchi, 1995)
Friday, January 3, 2020
A Hour By Kate Chopin - 1269 Words
The representation of marriage and gender parts portrayed in the America short stories the Necklace by Guy De Maupassan The Short story of a Hour by Kate Chopin are short stories which uncover many viewpoints seen in the human intuitive convictions. These stories demonstrate how the male characters assume the primary part in marriage as the dominant ones and their partners, the females taking up the weaker parts. The women in these stories are portrayed as unsteady person who are inclined to fantasy, feeble and precarious consequently they are general human creatures who are incapable. By analyzing the significant themes, style and contents in these two stories particularly on the female psyche, one has the capacity see what matters which exists between the genders parts particularly inside the connection of marriage. The major artistic hypothesis which can bests elucidate this idea is the one on psychoanalysis. With the point of accomplishing the right psychoanalysis of the signifi cant characters in these stories, the originals of the mental methodology will first be talked about and the personal significance it has on these two short story authors. The Story of an Hour and The Necklace how little a thing is required for us to be spared? Both short stories, Maupassant s The Necklace and Chopin s The Story of a Hour depict two diverse yet much the same women, who decline to acknowledge their destiny and preclude the life from securing women of their class. They are bothShow MoreRelatedKate Chopin s The Hour928 Words  | 4 Pagesâ€Å"The Story of The Hour†fully answers its title. It is a story about a woman living her last hour. Not so many things happen during that hour, but in contrast, many thoughts fly through main character’s head and a reader can form an accurate portrait of a woman’s life from these thoughts. Somebody tells her that her husband is dead. After that she dives into the whirl of thoughts regarding the impact of husband’s death on her future. Some facts or beliefs make this woman think that her husband’sRead MoreThe Story Of An Hour By Kate Chopin1241 Words  | 5 Pag esâ€Å"The Story of an Hour†by Kate Chopin is a wonderful short story bursting with many peculiar twists and turns. Written in 1894, the author tells a tale of a woman who learns of her husband’s death, but comes to find pleasure in it. Many of the elements Kate Chopin writes about in this story symbolize something more than just the surface meaning. Through this short story, told in less than one thousand one hundred words, Kate Chopin illustrates a deeper meaning of Mrs. Mallard’s marriage with herRead MoreThe Story Of An Hour By Kate Chopin855 Words  | 4 PagesThe Story of an Hour In the â€Å"Story of an Hour†by Kate Chopin, is about pleasure of freedom and the oppression of marriage. Just like in Kate Chopin’s story, inside most marriages, even the ones that seem to be the happiest, one can be oppressed. Even though, one might seem to be happy deep inside they miss the pleasure of freedom and living life to the fullest. Just like, in this story Mrs. Mallard feels trapped and when she hears about her husband’s death she first feels distraught, but ultimatelyRead MoreThe Story Of An Hour By Kate Chopin1457 Words  | 6 Pagesevery story, book, song, and movie. These interpretations create conflict and allow people to discuss different ideas and opinions. Without this conflict of thought there is no one devoting time to debate the true meaning of a text. Kate Chopin’s â€Å"The Story of an Hour†tells about a woman who is informed of her husbands death, processes the emotions, and becomes content with this new status as an individual person – losing all the expectations that society expected her to live by within a marriageRead MoreThe Story Of An Hour By Kate Chopin987 Words  | 4 PagesIn Kate Chopin’s short story, â€Å"The Story of an Hour†reader’s see a potentially long story put into a few pages filled with rising action, climax and even death. In the beginning of the story, character Louise Mallard, who has a heart condition, is told of the death of her husband by her sister and one of her husband’s friends. Afterwards Mrs. Mallard is filled with emptiness and then joy of freedom. This joy of freedom is actually what consequently leads to her death in the end when she discoversRead MoreThe Story Of An Hour By Kate Chopin972 Words  | 4 Pagesâ€Å"The Story of an Hour†by Kate Chopin expresses Ms. Mallard’s feelings towards her husband’s death in an appalling train accident. Due to her bad heart, her sister Josephine had to be the bearer of bad news and approach his death gently to her. According to the quote, â€Å" But now there was a dull stare in her eyes, whose gaze was fixed away off yonder on one of those patches of blue sky. It was not a glance of reflection, but rather indicated a suspension of intelligent thought†, it lets us know thatRead MoreThe Story Of An Hour By Kate Chopin1061 Words  | 5 Pages Throughout the short story, â€Å"The Story of an Hour†, readers are introduced to characters whose lives change drastically in the course of this writing. Through Kate Chopin’s story we can identify many different themes and examples of symbolism in her writing. Chopin’s choice of themes in this writing are no surprise due to the time frame of which this story was written. Chopin often wrote stories with of women’s rights, and is noted as one of America’s first open feminists. As this story of an illRead MoreThe Stoyr of an Hour by Kate Chopin798 Words  | 3 Pagesâ€Å"The Story of an Hour†by Kate Chopin, is a short story of overwhelming events that all lead up to Louise Mallard’s death. Louise Mallard, who has heart problems, is told by her sister Josephine and her husband’s friend Richard that her husband has died in a railroad accident only to soon find out that her husband is alive and did not have any involvement in the accident. Josephine and Richard both know of Louise’s heart trouble so, â€Å"great care was taken to break to her as gently as possible†theRead MoreThe Story Of An Hour By Kate Chopin998 Words  | 4 Pagesâ€Å"The story of an hour†by Kate Chopin was a story that was ironical yet profoundly deep. As a student I have been asked to read â€Å"a story of an hour†many times, and every time I’m surprised by how I enjoy it. People can read thousands of stories in their life times and only a handful will every stand out to them, stories that can d raw out an emotion or spark a thought are the ones that will standout more. For me and â€Å"a story of an hour†the thought of freedom is what draws me the most as a teenageRead MoreThe Story Of An Hour By Kate Chopin1542 Words  | 7 Pagesof an Hour†, Kate Chopin writes about a woman with heart trouble, Mrs. Mallard, who, in finding out about the death of her husband, Mr. Mallard, experiences some initial feelings of sadness which quickly transition into the exhilarating discovery of the idea of a newfound freedom lying in front of her. When it is later revealed that her husband is not actually dead, she realizes she will not get to taste that freedom. The devastation kills her. What Mrs. Mallard goes through in just an hour displays
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