King Philip II of Spain Essay Example | Topics and Well Written Essays - 1500 words

King Philip II of Spain - Essay Example Unlike his father Philip II was not interested in war and avoided wars and paid less attention to enhancing his own greatness than to deter that of others. King Philip II usually followed the opinion of others. King Philip II considered that Spaniards superior to the nation. He believed that he lived among the Spaniards and he should consult them and they should direct his policies. He considered the Spaniards above all the others that he ruled, that is, the Flemish, the Italians and the Germans. He would give them positions only in the military, in the hope that he could prevent his enemies from using them. Born in 1527 Phillip II became the king of Spain in 1556, he died in 1598. He governed Spain in her Golden Age. However during his rule Spain went through an economic crunch. Spain's bankruptcy continued for a decade from 1588 to 1598. Inclusive of the disaster of the Spanish Armada. Philip II had a good taste for music and art and considered him self a traditional Spanish man. He also loved collecting master pieces and his collection was at his palace outside Madrid which was called Escorial. Philip II was an educated man but however he was weak at languages but good at Politics and History. He also collected art works and rare books. He was a very religious man and his rooms at his palace were Spartan which contained very less furniture. Philip II was married four times to Maria Manuela of Portugal, Mary Tudor of England, Elizabeth of Valois and Anne of Austria respectively. Philip had a major problem of not trusting his own judgments and also relied on the advice of others. He al so mistrusted the advice of his advisors. Due to this any issues took a very long time to be decided upon. It is believed he had a persistent lack of self confidence. "Your majesty spends so long considering your undertakings that when the moment to perform them comes the occasion has passed and the money has been spent"(Maran, 1954, p. 17). Long term policies could be cultured to achieve long term results as a result of him taking time to make important decisions. He wanted to 'Castilise' Spain which resulted in the most important government positions going to Castilians. Philip strongly believed that the right of the kings was divine and believed that kings were appointed by god and he as a king was also appointed by god so he could never makes any mistakes as god could not make mistakes. King Philip II settled down in the Netherlands during the early years of his reign. In 1559 he returned to the peninsula and never left the peninsula again. King Philip II was a native Spanish speaker and he decided to rule from Spain rather than travel around to his different states. Though, King Philip II was sometimes described as a monarch, he faced many constitutional limitations on his power. Spain was considered a coalition of many separate territories. It wasn't a single monarchy with one legal system. Precedence was usually taken over King Philip's authority by the local assemblies. The word of the local Lords was considered more effective than the King's own word. He also struggled with the issue of the Morisco population in Spain, who were forced to convert to Christianity by his ancestors. When the Morico Revolt broke out in 1568 in response to the attempts to restrain Moorish customs, King Philip ordered the distribution of Moricos onto other states after their

Communication Paper Essay Example for Free

Communication Paper Essay I would like to take this time in welcoming you to this presentation on communication marketing in health care. We will first be identifying different and most common communication used by consumers and health care providers, such as e-mail, a web-based forum, and/or electronic medical records just to name a few. We will also be discussing the benefits to the patients, an aspect relating to the values and importance of maintaining patient confidentiality when using these types of communication, some reasons that these types of communications are an effective way of communicating between consumers and their providers, how these types of communications may differ from others, and lastly, how might media and social networking change communication in health care today and years to come. Now, join with me as we discuss the different types and most common communication used by consumers and their health care providers. Many communication channels are used in healthcare, each with different properties. These channels may be synchronous or asynchronous, mobile or fixed, secure or no secure. Because of this, participants must decide which channel best suits the issue about which they need to communicate. Synchronous channels such as telephones and face-†to-†face meetings allow both parties to communicate at the same time, enabling information to flow freely in real time. Synchronous channels are ideal when discussing time-†sensitive issues and exchanging dense information. It is not always convenient, however, for a patient and physician to schedule time to communicate using synchronous channels because they can lead to delayed care, telephone tag, and frustration—when these channels fail to connect, some healthcare issues remain unaddressed. Yet, generally only pagers and synchronous communications are available for patient-†physician  communication. Asynchronous channels such as email, fax, and blogs enable each party to communicate when it is convenient. These channels may be used safely for issues that are no urgent or time-†sensitive. Because time is not a factor when using asynchronous channels, both patient and clinician can be more reflective in their messaging. Asynchronous channels, however, should not be used for medical emergencies or time-†sensitive issues. Another characteristic of communication channels is whether they are fixed (connected to a wire) or mobile. Thanks to advances in technology, many communication channels that were once fixed are now wireless, such as telephones and text messaging. Presenting new technologies is challenging when dealing with an industry entrenched in using the same telephone, fax, and pager systems for decades. Many problems in healthcare stem from the industry clinging to these outdated methods of communication, without understanding the benefits brought about by newer solutions. For example, electronic pagers, which have been abandoned by most industries, are still the core device for hospital communications. While physicians extensively use a mobile core phone outside the hospital, these phones are often banned from being used inside, despite evidence that in most areas of the hospital this technology is safe. Email is often discouraged for clinical communication for security reasons, and more advanced technologies such as instant messaging, videoconferencing, group teleconferencing, or web-†based collaboration are almost unheard of in clinical care—despite evidence that proves the effectiveness and safety of these technologies in healthcare. While physicians have found newer tools such as email useful, they are typically used only in limited situations and not commonly employed to communicate with patients. The reasons for physicians’ reluctance to use e-†communication with patients include concerns about malpractice litigation, fears of being barraged with emails, and the absence of a model that reimburses them for consulting with patients electronically. Communication in healthcare fails for many reasons: necessary personnel cannot be identified or located; they may not be available or may not respond in a timely manner; or the communication channel of choice may not be well suited to the task at hand— for example, e-†communication such as  email should not be used for time-†sensitive issues such as a patient having a heart attack, or in situations that require a dense exchange of information. Pagers, for instance, are more appropriate for time-†sensitive issues, while telephones, in-†person or videoconferencing meetings, or web-†based collaboration tools are more efficient options for exchanging dense information, such as detailed c ase reports. Because case reports require much discussion among physicians, using email only slows down the discussion process. With the ability to reduce costs, telemedicine has been shown to be such an effective medical practice in several instances that its growth and application in the health care industry have raised greatly. One of the reasons for patient satisfaction with telemedicine is a reduction in waiting time, travel time, and the time involved in arranging appointments. The absence of all these issues can facilitate health communication by eliminating many of the burdens involving in standard health care. There also some challenges to the patient privacy with web-based communication just as in a facility. Because multiple individuals in telemedicine communication, exposure of confidential records to all parties concerned becomes a threat to the privacy of the patient. Additionally, even through medical doctors accept the obligation of maintaining their patients’ privacy rights, the other assisting parties involved in the telemedicine communication may not be held to the same standards (Turner, 2003). As a result of this risk to patients’ privacy rights, telemedicine has struggled to gain acceptance for the legal and medical communities (Sanders Bashshur, 1995). However, again, as time progresses and this issue tackled by the medical and legal communities alike, solutions should be found to eliminate privacy risks to patients. Furthermore, these solutions should generate increased acceptance of telemedicine practices by all parties concerned and, likewise, should alleviate the fear and frequency of breached to patient privacy laws. In conclusion to the communication marketing in health care, we were able to identify the different types of communication such as e-mails, web-based and  medical records. We were able to point out some benefits and different aspects for the patients values and the importance in maintaining the patients confidentiality and the risks of safety in these types of communications. We were also able to understand the reasons as to how these types of communications are effective between the consumers and their providers and how they differ from other forms of communications as well. Thank you for your time and efforts in taking the time to better understand the communication through telemedicine present and future. References: http://www.uapd.com/wp-content/uploads/Telemedicine-Its-Effects-on-Health-Communication.pdf http://www.cisco.com/web/about/ac79/docs/wp/Communication_Healthcare_WP_0724FINAL.pdf

A risk management strategy

A risk management strategy Introduction This report details a risk management strategy for a given organization based on Australian Standards AS4360. Risk Management Strategy details: 1 2. Rationale for managing risks and risk management objectives All companies face risk. The main rationale for managing risk is to reduce the likelihood of project failure, be it financial, schedule or performance based. A formal risk management strategy provides a structured way to highlight threats to a project success. The strategy provides advice to the project team and management to benefit the organization as a whole by assisting in the decision and planning process, identifying opportunities or threats and gaining value from changing situations. The strategy takes a proactive approach to management and allocates resources more efficiently. Reduction of loss can be reduced and stakeholder trust is improved (Australian Standards, 2004). A balance between being able to take action on opportunities versus protecting the company against loss must be decided upon. Risk management should be part of company culture so that everyone in the company has a role to play and is aware of risk management. In the early days insurance was how organizations managed risk but now it is an essential part of all management teams. According to Sadgrove (2005), there are two types of business risk, non entrepreneurial risk and entrepreneurial risk. Non entrepreneurial is for example company fraud, theft or fire. Entrepreneurial risk is for example the opening of a new shop or produces a new product. It is in the best interests for the company directors to manage risk as it applies to all manage decisions. Risk is a pre-condition for innovation, a key ingredient of a successful company (Sadgrove, 2005). Risk management objectives are to reduce company cost, disruption and unhappiness (Sadgrove, 2005). It rates which activities are worth investigating for risk and which activities do not present current risk. By identifying risks earlier, managers can better plan for their possible occurrence in the future. Further objectives and benefits to the company include improved planning, greater resource efficiency, more timely scheduling, prevention reduced costs, improved company reputation, less surprises, enhanced communication between managers and staff, reassurance of stakeholders, higher quality products and more flexible and robust contingency plans (Carol and Elizabeth, 2005). As indicated in AS4360 when formulating objective for a risk management process, they must take into account the internal and external environmental factors (Australian Standards, 2004). Risk management is growing in importance these days for a number of factors. These include tougher legislation, more expensive insurance, customers less likely to accept product failure, higher standards for public image and changing management attitudes to a more global outlook. 3. Risk strategy issues According to Sadgrove (2005), issues covered by a risk strategy may be based on operation, strategic, compliance and financial issues. Operational issues include risks associated with employees, suppliers or natural events such as rain. Strategic issues include other markets, the economy and legal issues. Compliance issues may be accounting standards, tax requirements or government legislation. Financial issues include cost issues, interest rates and profitability concerns. The areas covered by the risk strategy will be influenced by the requirements of the company and its objectives. The products and / or services it supplies and the processes and practices used by the company will also affect the type of risk strategy employed. 4. Acceptable risk tolerance. According to Fischoff, Lichtenstein, Slovic, Derby and Keeney (1981), acceptable risk describes the likelihood of an event that has two factors. Firstly, the chance of occurrence is small. Secondly, the consequence is small. s are so slight, or whose benefits (perceived or real) are so great, that individuals or groups in society are willing to take or be subjected to the risk that the event might occur. The stakeholders and managers often determine acceptable risk factors. It is based on their perception on what they believe constitutes firstly a risk and secondly whether or not it is an acceptable one. An acceptable risk determination can vary and depends on factors such as differences in values, different requirements, project assumptions, concerns, concepts as they relate to the project being considered. According to AS4360, (Australian Standards, 2004), a team approach is very effective in determining and identifying risks more effectively. Risks are compared against a set of criteria from which priorities are set. The decision is then made to either treat the risks if they are deemed unacceptable or to continue to monitor and review the risks if they are currently viewed as acceptable. The risk criteria which is used to determine whether a risk a acceptable or not is based on financial, operational, humanitarian, legal, technical, social, environmental, or other criteria. The risk is evaluated and decisions are made about which risks need attention. The company or organization must make a decision on how much risk it is willing to accept as part of normal business practice. This level can then be set as the benchmark and gives the company a tolerance level to work with. This tolerance may depend on the maturity of the risk management plan, experience of management, data available f or consideration and other important factors. Some firms want to accept new ventures with higher risks while other companies want to maintain a steady course. Often young companies with less to lose will take larger risks where as older individuals may not wish to risk as much (Sadgrove, 2005). The acceptable risk tolerance depends on the reward. As the risk increases so to must the reward in order to make it worthwhile. 5. Risk infrastructure, management, identification, assessment and treatment. A company, which has a risk management strategy in place, needs an appropriate policy plan and an adequate support system in place to ensure the strategy is implemented correctly (Australian Standards, 2004). According to AS4360, in assessing the risks once they have been identified, there are three general types of analysis. These are qualitative analysis, Semi-quantitative analysis and Quantitative analysis. Qualitative analysis may be used as an initial tool to identify preliminary risks which are to be analyzed in more detail later. It should be combined with factual information when it is able to be sourced. Semi-quantitative analysis must be used with care since the data chosen to support the qualitative words may be misleading that can lead to inappropriate outcomes. Quantitative analysis depends on the accuracy of the numerical values and they may be expressed in terms of the criteria initially set by the risk identification. According to an article by the Project Management Institute (Project Management Institute, 2008), if you dont identify risk areas and have a response plan then possible tough times may be ahead. By beginning with a brainstorming session, and including a wide cross-section of stakeholders from many levels throughout the company, possible problems on the way to success may be identified. Ms. Reed, a vice president of an American project management firm notes that when running such meetings criticism should be left at the door, otherwise it may turn into an unorganized discussion. 6. Risk management responsibilities. Risk identification, assessment and treatment. System review, documentation and maintenance. Responsibilities for the risk management process should be detailed in the risk management plan and this plan should also detail how the plan shall be conducted throughout the organization. Treatment plans may either be separate from the risk management plan or included with it. An example of an organization which follows the AS4360 guidelines is the State Records Department of the New South Wales Government in Australia (NSW Government State Records. 2009). With their plan, senior management are allocated the responsibility of ensuring that the risk analysis, identification and assessment procedure are implemented regularly. They are also responsible for managing the budget allocated for the risk management strategy and ensuring that it is implemented to protect the records and systems of the State Records Department. The review of their systems is continuous as is stated in the AS4360 guidelines. According to the AS4360 guidelines (Australian Standards, 2004), few risks remain static. Continual review is essential to ensure that the risk management strategy remains relevant. The Risk Assessment will be continuously monitored and updated throughout the life of a given project, with monthly assessments included in the status report and open to amendment by the Project Manager. The company senior directors and executives are responsible for managing risk in their organization. All employees are responsible for the risk management within their given areas of managerial responsibility. The risk management plan can be broken down into specific sections based on different functions and areas within the project. Each area should have a separate plan, consist with the main company risk management plan, that details risks most relevant for their particular team and sub project requirements and concerns. The project manager for each team is responsible for the management of each risk management plan and ensuring his or her team is under the watch of the localized plan. This manager must also however ensure that the risks of the organizational risk management plan are also kept in mind. The senior staff of an organization must also be committed to the risk management strategy of all these senior managers (Australian Standards, 2004). Documentation to record details of risks must be generated to record priorities and highlight changes in risk priorities. Reports should record treatments and if incidents occur the lessons learned should be recorded. The entire risk management plan system progress should also be documented as a whole. 7. Risk management documentation requirements. A common tool used in the documentation of risk management system is the risk matrix. The risk matrix is a table used in risk analysis in which rows show the risks and columns show their likelihood or probability of occurrence and their impact. For each important business function or area, a risk matrix can be created. Often numerical values from one, meaning no impact, to five, meaning maximum impact, can be assigned for each function. This simple approach to documenting risk can provide a useful set of raw data from which appropriate plans can be devised. Many larger organizations also use this simple approach (National Computing Centre, 2009). 8. Risk management system budgets and its determination. Such a risk management strategy has a cost associated with it and this cost must be balanced against the cost of the potential loss if it were to occur (Microsoft Press, 2009). Through the application of risk management methodologies, a company can manage risk levels so that it does not reach a determined unacceptable level. The budget size for a risk management system will of course depend on the size of the company, its complexity and the responsibilities of the manager in charge of the risk management program (Sadrove, 2005, p55). A good policy is to make the risk management services free to departments and only charge the departments when they make a loss. By charging them when mistakes are made the managers are more likely to seek help and pay more close attention to the risk management strategy. This is better than just waiting for an issue to occur. Too much investment in risk management will burden the company and make it uncompetitive. Underinvestment in risk management will make it more vulnerable and likely to receive expensive incident costs. The optimal position is somewhere in the middle (Sadgrove, 2005, p14). Mochal (2006), shows that a risk management system budget can be established by basing it on the Expected Monetary Value (EVM) index. For each risk there are two parameters assigned. Firstly, the probability that the risk will occur and secondly the impact to the project if the risk occurs. If this is completed for all the risks the potential impact to the project can be calculated. Hence the risk management system budget should reflect the impact of the risk and the likelihood that it will happen. According to AS4360, if the budget for the risk management system is restricted, there should be a clear priority order for the risk treatments. 9. Risk management policy approval and its source. Senior management should review and endorse the risk management policy for an organization. The source of the policy should come from all higher end managers concerned as well as all concerned stakeholders. Dialogue with key internal and external stakeholders should be undertaken as to avoid a one way flow of information. Stakeholders often have different views on what should be ranked as high-risk priorities due to factors such as differences in values, requirements concepts and concerns about the project concerned (Australian Standards, 2004). References Alexander, C., Sheedy, E. 2005. The Professional Risk Managers Handbook: A Comprehensive Guide to Current Theory and Best Practices. PRMIA Publications. Fischoff, B.; Lichtenstein, S.; Slovic, P.; Derby, S. L.; and Keeney, R. L. 1981. Acceptable Risk. Cambridge. UK, Cambridge University Press. Microsoft Press. 2009. Why Manage Risks Formally? Retrieved on 5th October, 2009 from http://msdn.microsoft.com/en-us/library/cc500373.aspx Mochal, T. (2006). Create a risk contingency budget using Expected Monetary Value (EMV). Retrieved on 5th October, 2009 from http://articles.techrepublic.com.com/5100-10878_11-6069576.html National Computing Centre. 2009. A matrix approach to risk assessment. Retrieved on 5th October 2009 from http://www.nccmembership.co.uk/pooled/articles/BF_WEBART/view.asp?Q=BF_WEBART_113283 NSW Government State Records. 2009. Risk Assessment. Retrieved on 5th October, 2009 from http://www.records.nsw.gov.au/recordkeeping/government-recordkeeping-manual/guidance/guidelines/guideline-5/guideline-5-part-3 Project Management Institute. 2009. Risk Identification Uncover project troubles before they blow up. Retrieved on 5th October 2009 from http://www.pmi.org/Pages/Risk_Identification.aspx Sadgrove, K. (2005). The complete guide to business risk management. England, Gower Publishing Limited. Standards Australia. 2004. Australian/New Zealand Standard AS 4360 2004. Australia, Standards Australia International Limited.

The 1954 CIA Coup in Guatemala :: CIA Guatemalan Government Economy Essays

The 1954 CIA Coup in Guatemala The 1954 coup that deposed the democratically elected government of Guatemala has long been acknowledged to have been the result of CIA covert action. Recently declassified documents have shown a new, and more sinister light, on the CIA's involvement in an action that gave birth to some of the most brutally dictatorial regimes in modern history. No one at this point will dispute the original involvement, but there are still those who maintain that this is all water over the dam of history and that the US has not had direct responsibility for the actions of a Guatemalan government since the 1954 coup. (Evans-Pritchard) I intend to outline the background of the political circumstances that lead to the coup. This will include Guatemala, the US and the world scene at the time, when anti-communism contended with communism as state ideologies. I will contend that the coup was all but inevitable in the prevailing political climate of 1954. But that still doesn't make it right. We have been finding out for nearly half a century how wrong it was. Opinions have always varied with the positions of their adherents, but I believe there is one thing that can no longer be disputed: the CIA catalyzed a turn for the worse, even to the inhuman, for many Latin American governments by its actions in managing the Guatemalan coup. They provided the essential weapon for the modern national security state, the knowledge of how to organize an efficient apparatus of state repression and terror. ‘The wink and the nod’ that was all somehow acceptable to your primary sponsor caused many a dictator to adopt these methods to take and maintain power. Only recently have internal CIA documents become available, allowing researchers to begin to look inside the CIA itself. Partial as these releases are, they supply valuable insight into the machinations of this secretive organization. These documents outline the beginning of the Terror; let's hope we are seeing the end of it. The early 1950s was a time of tension and uncertainty in the world. The Cold War replaced ‘hot’ war. Humankind had gone from the terror of actual war to the terror of the potential of nuclear war. The situation was aggravated by the ongoing conflict in Korea which pitted the forces of the ‘Free World’ against the specter of international Communism. Anticommunist hysteria gripped the US political scene, mirroring many of the excesses of the Stalinist enemy that it was in struggle with in the international arena.

Heavy Metal Poisoning :: essays research papers fc

Heavy Metal Poisoning Heavy metal poisoning is the toxic accumulation of heavy metals in the soft tissues of the body. Heavy metals are chemical elements that have a specific gravity at least five times that of water. The heavy metals most often implicated in human poisoning are lead, mercury, arsenic, and cadmium. Some heavy metals, such as zinc, copper, chromium, iron, and manganese, are required by the body in small amounts, but these same elements can be toxic in larger quantities. Heavy metals may enter the body in food, water, or air, or by absorption through the skin. Once in the body, they compete with and displace essential minerals such as zinc, copper, magnesium, and calcium, and interfere with organ system functions. People may come into contact with heavy metals in industrial work, pharmaceutical manufacturing, and agriculture. Its even possible that children can be poisoned as a result of playing in contaminated soil.   Ã‚  Ã‚  Ã‚  Ã‚  Heavy metal poisoning may be detected using blood and urine tests, hair and tissue analysis, or x rays. In childhood, blood lead levels above 80  µg/dL generally indicate lead poisoning, however, significantly lower levels (>30  µg/dL) can cause mental retardation and other cognitive and behavioral problems in affected children. The Centers for Disease Control and Prevention considers a blood lead level of 10  µg/dL or higher in children a cause for concern. In adults, symptoms of lead poisoning are usually seen when blood lead levels exceed 80  µg/dL for a number of weeks. Another important factor is that blood levels containing mercury should not exceed 3.6  µg/dL, while urine levels should not exceed 15  µg/dL. Symptoms of mercury poisoning may be seen when mercury levels exceed 20  µg/dL in blood and 60  µg/dL in urine. An interesting way to test for the amount of mercury in someones system, is to test hair a follicle, and record the levels of mercury in order to gauge the severity of chronic mercury exposure. Furthermore, arsenic is rapidly cleared from the blood. Blood arsenic levels may not be very useful in diagnosis. Arsenic in the urine (measured in a 24-hour collection following 48 hours without eating seafood) may exceed 50  µg/dL in people with arsenic poisoning. If acute arsenic poisoning is suspected, an x ray may reveal ingested arsenic in the abdomen. It is visible because the arsenic appears solid on an x-ray. Arsenic may also be detected in the hair and nails for months following exposure.

Bullying and Relevant Instructor Guidance Essay

Prior to completing this discussion, please read Chapter 5 in the textbook, review the information from Chapter One about Bronfenbrenner’s Ecological theory, read the Shetgiri et.al (2012) article, and review any relevant Instructor Guidance. Utilize Bronfenbrenner’s ecological theory to address the topic of motivations for and influences on bullying. †¢Identify and describe how a child’s environment might pre-dispose him or her to bully others. Use each of the five systems in Bronfenbrenner’s theory. Bioecolgical theory lies on the side of nature/nurture continuum that favors environmental influences over maturational development Mossler, R.A. (2011). Microsystem- Has a daily, direct impact on the child, contexts like school, peers, neighborhood, and religious affiliation make up the setting in which the child lives Mossler, R.A. (2011). Mesosystem- represents the interaction of the various components of the microsystem, like parental involvement in school and a child’s friends Mossler, R.A. (2011). Ecosystem – includes community and socioeconomic variable that have more indirect impact on the child. For example, there are circumstances when parents have to (or choose to) work more hours or where there are fewer resources for childcare and supervision. These conditions may change a child’s life Mossler, R.A. (2011). Macro system- represents the cultural contest, such as lases, traditions, and customs. For instance, some governmental and cultural institutions have programs that support health, education, and welfare of children; in others, simple being a girl will restrict access. Chrono system- shows the social and historical context within which the other systems operate, and how the four systems change over time Mossler, R.A. (2011). †¢How might parents be an influencing factor on whether or not a child is prone to bullying? Depends upon parenting style there are for different type that I read about in chapter five in chart 5.2 Parenting types. Authoritarian, Permissive, Authoritive, and Neglectful. The lack of parental control can lead to a greater risk delinquency. Without parental emotional rewards to guide a child’s behavior, the child will seek external reward which can be bullying. They tend to seek respects form peers. I only say this because I was child once was I remember kids being bullied by other  kids and it was not fun at all. I often wonder myself was something going on in that child’s home and they took out on the next kid just to make themselves feel good at the time. I can’t say I was bullied but I did fill like I was under attack and that was because certain boy like me in reality so he had make his self-look good in front of his friend but come to find out in his ou r high school years that he really like see I was what you call ugly duckling most girls were more developed and going through adolescent stage early and I was still in my natural state meaning I was not being grown before my time. †¢Find and report (with proper citation) one current statistic on the factors influencing school bullying behaviors. Bullying is the most common form of violence in our society; between 15% and 30 % of students are bullies or victims. A recent report from the American Medical Association on a study of over 15,0000 6th- 10 th graders estimates that approximately 3.7 million youth engage in, and more than 3.2 million are victims of, moderate or serious bullying each year http://www.nasponline.org. †¢Does this statistic seem to follow the same trend supported by Bronfenbrenner’s theory? If not, explain how it challenges the theory. Yes because it has become a widespread problem in school in our communities kids being threatened teased harassed and it has even went to cyber bullying and also have led to suicide just last year in my daughter school and around this area there were at three suicide during the her freshmen year in high school last year because of kid making comments on Facebook or twitter social media is the worst it is anti-social behavior that is learned through influences in the environment, home , school, peer group, even the media. Brfendebrenner’s theory confirms all the above. †¢Reflect on friendships in childhood and adolescence and address the positive and negative influences they can have on bullying behaviors. I can’t say that I was bullied but I did fill like I was under attack. That was only because a certain boy like me in reality so he had make his self-look good in front of his friend but come to find out in his our high school years that he really like see I was what you call ugly duckling most girls were more developed and going through adolescent stage early and I was still in my natural state meaning I was not being grown before my time. †¢Utilize problem-solving techniques in exploring developmental issues, grounded in child development, in order to provide one unique solution to  reduce or stop bullying. I would get the parents involved I am parent and if my daughter come home and tell me some is picking on her I want go straight to the source that means parents and all I would like to sit down and have meeting all the parts that are involved some we can get things resolved because after all a child behavior and how they act starts form home. Having positive environment and early intervention would good to more teacher training as well. . http://www.cdc.gov/ViolencePrevention/youthviolence/index.html http://www.nasponline.org/resources/factsheets/bullying_fs.aspx Mossler, R.A. (2011). Child and adolescent development. San Diego, CA: Bridgepoint Education, Inc

Regulatory Agency Paper Essay

The industry in healthcare requires that its foundation in leadership is to follow procedures, rules, and regulations, which will help an organization, succeed in their leadership role in healthcare. This paper will identify important aspects of governmental or other agency such as Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) that governs the health care industry or a particular segment of the industry. In addition, this paper will also identify the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) role, the impact it has on healthcare, the examples how they carry out their duties in regards to healthcare, the regulatory authority does JCAHO have in relation to health care, and what is their process for accreditation, certification, and authorization. Moreover, The Joint Commission was known as the Joint Commission on the Accreditation of Healthcare Organization. According to Feigenbaum (2013), â€Å"the Joint Commission, issues one of the most prestigious accreditations in the health care industry. This nonprofit organization sets high standards for hospital, skilled nursing home health and health-care staffing company operations and performs regular reviews, checks and audits to ensure accredited organizations comply† (ehow, 2013, para. 1). As a result, the Center for Medicare and Medicaid Services (CMS) has come to trust the judgment of the Joint Commission because of their reputation they have on certifying many medical facilities as â€Å"Medicare compliant† (ehow, 2013, para. 3). More than 15, 000 health care programs and organization throughout the United States are evaluated by The Joint Commission, which is not-for-profit organization that works independently since 1951 to maintain top of the line standards that promote on how to improve the safety and quality of care that many health care organization provides. Agency’s Structure The structure of The Joint Commission is â€Å"governed by a 29-member Board of Commissioners that includes physicians, administrators, nurses, employers, a labor representative, health plan leaders, quality experts, ethicists, a consumer advocate and educators. The Board of Commissioners brings to The Joint Commission diverse experience in health care, business and public policy. The Joint Commission’s corporate members are the American College of Physicians, the American College of Surgeons, the American Dental Association, the American Hospital Association, and the American Medical Association† (The Joint Commission, 2013). In addition, The Joint Commission have approximately 1,000 surveyors that are employed to survey health care facilities throughout the United States. â€Å"It central office office in Oakbrook Terrace, Illinois, and at a satellite office in Washington, D.C. The Washington office is The Joint Commission’s primary interface with government agencies and with Congress, seeking and maintaining partnerships with the government that will improve the quality of health care for all Americans, and working with Congress on legislation involving the quality and safety of health care† (The Joint Commission, 2013). Organization’s Effect on Health Care The effect that The Joint Commission has on health care is that each hospital or health care facility that need to meet the The Joint Commission standards. For example, â€Å"patient rights, patient treatment, and infection control are standards that need to meet the expectation of the Joint Commission. The standards focus not simply on an organization’s ability to provide safe, high quality care, but on its actual performance as well† (The Joint Commission, 2013). Values that are set for performance expectations of activities that concerns and affect the safety of patients as well as the quality of care they receive. Otherwise if hospitals do not meet The Joint Commission standards they will not get accredited and that can have an effect in Medicaid/Medicare payments in that health care facility. However, if the organization provide high standard in patient care and they perform them well then the patient will have good experience in the outcome of patient care. Moreover, The Joint Commission creates standards in collaboration with experts in healthcare, measurement experts, providers, consumers and purchasers. Example of the Agency Carrying Out Its Duties Examples that The Joint Commission has when carry out their duties is that they provide assessment of the health care facility or organization that are in compliance with the standards and how they perform. As a result, The Joint Commission will assess the organization compliance with values and their fundamental of performance. â€Å"The Joint Commission assess the organization’s compliance with standards based on: Patient and staff interviews about actual practice, Performance improvement data/trends, verbal information provided to the Joint Commission by key organizational leaders, and , On-site observations by Joint Commission surveyors† (The Joint Commission, 2013). Regulatory Authority Relation to Health Care The regulatory authority that The Joint Commission has in relation to health care is that they maintain a list of agencies throughout the state that will identify accreditation/certification throughout the United States health care facilities. For example, The Joint Commission will monitor legislative and regulatory activities in the state. â€Å"The Joint Commission’s various accreditation/certification programs are recognized and relied on by many states in the states’ quality oversight activities. Recognition and reliance refers to the acceptance of, requirement for, or other reference to the use of Joint Commission accreditation, in whole or in part, by one or more governmental agencies in exercising regulatory authority† (The Joint Commission, 2013). For example, in Texas the Routine inspections of the â€Å"The Department of State Health Services (department) may conduct an inspection of each hospital prior to the issuance or renewal of a hospital license. (1) A hospital is not subject to routine inspections subsequent to the issuance of the initial license while the hospital maintains: (A) certification under Title XVIII of the Social Security Act, 42 United States Code (USC),  §Ã‚ § 1395 et seq; or (B) accreditation by a Centers for Medicare and Medicaid Services-approved organization† (The Joint Commission, 2013). Process for Accreditation, Certification, and Authorization The Joint Commission process for accreditation, certification and authorization is â€Å"to earn and maintain accreditation, a hospital must undergo an on-site survey by a Joint Commission survey team. Joint Commission surveys are unannounced and occur 18 to 39 months after the previous unannounced survey. The objective of the survey is not only to evaluate the hospital, but to provide education and guidance that will help staff continue to improve the hospital’s performance. The survey process evaluates actual care processes by tracing patients through the care, treatment and services they received. It also analyzes key operational systems that directly impact the quality and safety of patient care† (The Joint Commission, 2013). In addition, the surveying team can include a health care professionals such as a nurse, physician, hospital administrator who has senior management level experience, and life safety code specialist. â€Å"The Joint Commission has a group of more than 400 surveyors, reviewers and life safety code specialists who are trained and certified, and receive continuing education on advances in quality-related performance evaluation† (The Joint Commission, The Surveyor Process, 2008, para. 5). The Accreditation process is a continuous; data-motivated that focuses on the overall systems operation which is crucial to the quality and safety of patient care. The following are important aspect of the process which includes: Periodic Performance Review (PPR) an annual review where the health care facility will evaluate their compliance with relevant standards and widen an action plan that can help them identify areas where they are not compliance. The tracer methodology is another process used â€Å"On-site evaluation of standards compliance in relation to the care experience of patients using a â€Å"tracer† methodology. Tracer activities permit assessment of operational systems and processes in relation to the actual experiences of selected patients who are under the care of the organization. This activity actively engages all direct caregivers in the accreditation process† (The Joint Commission, 2008). The Priority Focus Process (PFP) is a survey that looks at quality of care of patients and their safety. The Joint Commission will do unannounced survey to apply the credibility of how they do the accreditation process so the surveyors can look at the performance of the organization under a normal day for the health care facility. If the health care facility being surveyed passes the audits then the hospital can get accredited for another three years and this authority comes from The Joint Commission who has high standards on patient safety and quality of care. Conclusion The leadership foundation of a health care industry identifies a governmental or other agency, such as JCAHO, that governs the health care industry or a particular segment of the industry in order to provide patient safety and quality of care through their structure, their effect on health care, their duties, their regulatory authority in relation to health care, and their process for accreditation, certification and authorization. References Feigenbaum, E (2013). Ehow. Jcaho Reciprocal Credentialing Regulations. Retrieved on October 13, 2013 from http://www.ehow.com/info_8761966_jcaho-reciprocal-credentialing-regulations.html The Joint Commision (2008). Facts about The Joint Commission. Retrieved on October 13, 2013 from http://www.jointcommission.org/facts_about_the_joint_commission/ The Joint Commission (2013). Inspiring health care excellence. Retrieved on October 13, 2013 from http://www.jointcommission.org/facts_about_the_joint_commission/ The Joint Commission. Code of Conduct. Retrieved on October 13, 2013 from http://www.jointcommission.org/assets/1/18/TJC_Code_of_Conduct_09.pdf