The Ecology Of A Rain Forest Essays - Symbiosis, Forest Ecology

The Ecology Of A Rain Forest Essays - Symbiosis, Forest Ecology The Ecology of a Rain Forest In 1980, the estimated amount of rain forests in the world was 40,000 square miles. This number decreases each year by roughly 1,000 square miles due to construction and the resources being used for profit. It is too bad, because the rain forest is one of the most beautiful places on earth. It is the most diverse, containing the most species of living things, much more than anywhere else, and most have yet to be identified. All rain forests are located on earth's "green belt", that is, the area roughly around the equator that covers all the area from Mexico and the northern area of South America, to Africa, to India, stretching out to Indonesia, the northern tip of Australia and all the way to New Guinea. This area is heavily covered with flora and fauna, and it abounds with life. In a rain forest, it is very wet and it rains everyday or every other day very heavily. There is a high and steady level of heat and moisture. There are some general layers to the rain forest. It starts 135 feet up in the air, with the lofty crowns of the tallest trees in the jungle. They take the most light, heat, rain and the most punishment from the winds. Woodpeckers hunt insects in this layer, and also the black and white Colobus monkey can be found here, ready to launch into the air, using his specially developed tail as a rudder to guide his flight. Beneath this is the second layer of trees, whose crowns form a forest canopy. Rain filters through this canopy, and the top sides of the crowns hold a large amount of ferns and other small plants whose roots never touch soil. They live off the water and nutrients held in the small pockets of the leaves and branches. Tree frogs and chimpanzees live here, burrowing holes to live in the vast vegetation. The third layer is called the "understory". This grows beneath the canopy. The gorilla makes this his regular hangout, also pythons lie here waiting for prey. The dim forest floor teems with life. Termites and ants feed on all the decomposing matter on the ground, and elephants make their way down a path of moss. Butterflies move silently by, and the air is still and very humid. These are the layers that make up the rain forest's complex ecology. In the rest of the essay I will describe some of the life forms found in the rain forest, and ways they affect the environment. In the rain forest, plants develop poisonous alkaloids to protect against insects, and insects develop complex digestive chemistry to overcome these poisons. Some of these plant alkaloids give native Indians great poisons for darts, and to cancer researchers hope for a new medicine. The rain forest root systems are so efficient that almost all of the nutrients in decaying plants are recycled into new ones. Most roots are found within three inches of the surface in heavy clay or at the surface in sandy soils. Tiny rootlets grow up and attach themselves to leaves. When the leaf decays, minuscule fungi on the rootlets take over and send threadlike projections into the leaf which absorbs all of the leaf's nutrient material. The phosphorous that the fungi produces is taken by the root, and in turn gives the fungus sugars from the tree. Al! so, termites and ants break down the forest litter. ALAM In a small lake in the middle of the rain forest, a small lizard skims across the water away from dangerous prey and attacks its own victim by surprise, yet another marvel of the tropical rain forest. Mutualism occurs in the jungle with a specialized ant and a swollen-thorn acacia. The acacia provides budlike leaflet tips which are called Beltian bodies, which the ants give to their young for food. The insects hollow out the tree's thorns when soft and green and raise their young inside. The acacia doesn't have chemical defenses to repel dangerous and damaging insects and demands pure sunlight for proper growth. The ants patrol the tree day and night. If any insect lands on the tree,

Biography of Alexander the Great

Biography of Alexander the Great What would you do if you could rule the world? This seems like a preposterous question to most, but to one man it started to become a reality. It all started with the dreams of one King, Alexander the Great. Alexander was born in 356 BC in Macedonia, the area around present day Thessaloniki in northern Greece. Though the Macedonians might have considered themselves part of the Greek cultural world, the other Greeks viewed them as a half-barbaric mountain tribe. Alexander was the King of Macedonia in 336 BC, the Pharaoh of Egypt starting 332 BC, the King of Persia in 330 BC, and the King of Asia from 331 BC until the time of his unfortunate death in 323 BC. He was first crowned King of Macedonia at the young age of 19. Barely an adult, Alexander managed to transform his small Macedonian country into his own domain consisting of the three largest and most feared Empires in just 13 years. Right after his father’s death, Alexander had started his plans to conquer and unite all of the Ancient Greek city-states, along with the empires of Persia, Asia, and India. Although he was not successful in all of his plans, he managed to conquer and unite all of Ancient Greece, and conquer Persia and Asia, as well as some of India. Therefore, Alexander managed to transform the lesser known small mountain village of Macedonia into the largest and most powerful empire in all of Ancient Europe. The biographical novel Alexander The Great by Philip Freeman singlehandedly details all of the battles and important occurrences in Alexander’s life from his childhood until his death, as well as the legacy of the Empire he left behind which lasted several hundred years after his death. With the help of nobody but a select few of his father’s old generals, mainly his father’s right hand man Parmenion; Alexander was able to revolutionize the way of ancient warfare and destroy any Empire that stood in his way. As an absolute genius at psychological and unconvention al warfare, along with some high risk and high reward decisions, Alexander overcame some of the greatest obstacles in his way without breaking a sweat. I have always found Alexander has always been an extremely interesting and inspiring man to learn about in History, so I decided to learn more about his life and how he was able to conquer the Persian Empire, an Empire with the army size of almost twice that Alexander had in his control. In the following speech, I will tell the story of Alexander the Great and his adventures, many victories and very few defeats, during his conquest of the entire region of Greece, Persia, and Asia. Alexanders father King Philip was an impressive ruler who had started the systematic policy of expanding the control of Macedonia. Philips main conquest was that of the Greek mainland, after his victory at Chaeronea [Karineea] in 338 BC. The call to adventure was first introduced to Alexander while he was still in his teens, his father wanted to give him to commanded the Macedonian cavalry during this battle to prove Alexander’s worth as an heir to the throne. The Battle of Chaeronea took place in 338 BCE on an early August morning outside the town of Chaeronea[Karineea] in Boeotia [Beeotia], Greece. Although for centuries the cities of Athens and Sparta dominated Greece, politically, militarily and economically, the Battle of Chaeronea, one of the most renowned of all Greek battles, only involved one of these cities: Athens. However, Athens was not alone. They combined forces with Thebes including the sacred band of thebes, an elite group consisting of 150 pairs of male soldi ers who were the most fearsome warriors of Ancient Greece. The soldiers were all male lovers which, although peculiar, was effective because they wanted to impress and defend each other with their lives because they didn’t want to see their lover perish in battle. Both armies came together with the idea that they would destroy the conceited army of Macedonians and send them back to their homelands in the mountains. However, we quickly learn that this was not the case. Philip reorganized the old, traditional strategy of phalanx (which was a tightly moving group of soldiers) and replaced the outdated hoplite spear with the sarissa, an 18 to 20 foot pike, adding a smaller double-edged sword. Finally, he redesigned the antiquated shield and helmet, making them much more sturdy and viable. The Macedonians under Philip II’s rule would soon prove their worthiness and skill in this battle by slaughtering the enemy army including the sacred band of thebes. The Macedonians lost under 100 soldiers while the enemy forces casualties included 2,000 dead and 4,000 captured. Alexander decided to burn down and completely destroy the city as an example to other Greek states to show them what would happen if they rebelled. The Macedonian victory at Chaeronea would put Greece into a deep slope, both politically and militarily. It would never again regain its supremacy in the Mediterranean. Macedonia had established troops in Corinth and all of Ancient Greece recognized him as their leader and couldn’t afford to revolt. Philip was determined to transform his weaker citizen-based army into a worthy army of highly trained professional soldiers. Having well succeeded at this, it didn’t take long for him to reveal to the rest of Greece the might of the Macedonian army, attacking and defeating the Thracians to the north, proving to the people of Athens that Philip was a viable threat. Alexander’s first trials came around the same time of his father’s death. Philip II served as king from 359 BC until he was assassinated in 336 BC. Alexander was the runner up as King since he was Philip’s own child. However, seizing the throne after an untimely death of a beloved King can be chaotic so Alexander was not unopposed. He slayed his potential threats for the throne and secured his position as king of Macedon at just the age of 19. After securing the throne, he began to put his plans of conquering Ancient Europe into action. After gathering an impressive amount of troops consisting of highly determined and war-hardened Macedonians, Greek mercenaries, thracian troops and the whole Athens fleet, Alexander began his war against the Persians in 334 BC. At the time the Macedonian leader was twenty-two years old.Darius was prepared for battle having selected this spot to meet his enemy.After his defeat at Issus two years previously, Darius made sure that th is battleground favored his army and its tactics; mainly being war chariots. The ground here was flat which was perfect for chariots. Darius made it even flatter by ordering the terrain plowed and leveled. All was ready and on October 1, 331 BC the Persian army of possibly 200,000 faced off against Alexanders 35,000. The Macedonian leader immediately sized up the Persians tactical advantage and countered by ordering his cavalry to shift to the right along with Alexander himself hoping to move his enemy away from their flat field. The Persians marched parallel along with him, far outflanking him upon their left. Then the Persian cavalry rode along the line and came into contact with the front men of Alexanders army; nevertheless he still continued to defensively march towards the right, and almost entirely got beyond the ground that had been cleared and leveled by the Persians. Then Darius, fearing that his chariots would become useless if the Macedonians advanced upon the uneven gro und, ordered the front ranks of his left wing to ride round the right wing of the Macedonians, where Alexander was commanding, to prevent him from marching his wing any further. As soon as Darius set his whole battle line in motion, Alexander ordered Aretes, his general controlling the left ground units and javelineers to attack those who were riding clear around his right wing; and up to that time Alexander himself was leading his men in column. But when the Persians made a break in the front line of their army by having their cavalry charge to aid those executing the flanking movement, Alexander wheeled towards the gap, forming a wedge between the cavalry and part of the phalanx. He led them with a loud battle cry that every unit in his army followed in with that was so loud it frightened the Persians and caused the frontline to start a retreat. Darius quickly saw what was happening and commanded them to stay and fight. Alexander rode straight towards Darius, looking for the glory that would come if he killed the Great King of Persia himself. Then came a short hand-to-hand melee; but as Alexander and his troops pressed on vigorously, thrusting themselves against the Persians and striking through forces with their great sarissas, Darius, whose courage already had been shaken had turned and fled. Likewise the Persians who were trying to outflank, panic-stricken at the vigorous attack of Aretes, took to flight; a the Macedonians chased after and slaughtered those who they caught. Alexander’s victory at the battle of Gaugamela on the Persian plains was a decisive conquest that insured the defeat of the Persian King Darius III. Alexander then moved to the city of Sardis, the capital of Ancient Lydia. This was an important city due firstly to the amount of Persian troops stationed there, secondly to its control on an import ant road leading from the inside of Sardis outward to the Aegean[Ajian] coast, and thirdly to it’s access to the wide and fertile plains of the Hermus where important direct food to the city could be grown and developed year round. He then moved on to Phoenicia, an ancient civilization composed of independent city-states which lay along the coast of the Mediterranean Sea. First starting with Baalbek. Baalbek was a religiously devoted city that was not loyal to the Persians who currently ruled them with constant religious interference. Because of this, they surrendered to Alexander and his army without a fight. Next came his destruction of the Phoenician city Sidon. Alexander attempted a peace offering to allow Sidon to surrender without a fight. They distastefully refused, calling Alexander a tyrant. Alexander was so insulted by being called a Tyrant that he ordered his engineers to besiege the high city walls and invaded the city with no mercy. Killing over 2000 soldiers and 1000 civilians, Alexander captured and sold the rest off into slavery, hoping to make an example of them. This seemed to work because after the fall of Sidon, the important and very wealthy trading city of Aleppo sent delegates to Alexander offering a golden crown as a symbol of their surrender. Following the fall of Aleppo came the long besiege of the very well protected Tyre. After Tyre fell to Alexander’s control quite easily once the walls came down, Alexander conquers Syria, who more than willingly surrendered without hesitation. Alexander then finished the conquest of Levant, the name given to the widely to the eastern Mediterranean coastal lands of Asia Minor and Phoenicia. Alexander then moved on to the mysterious lands of Egypt and was welcomed as a liberator and conquered Egypt without a fight.Alexander and all of his empire now called him the Pharaoh of Egypt, King of Asia, as well as King of Persia and King of Macedonia. In conclusion, Alexander was a man destined for greatness from the time of his birth. Turning a small Macedonian state into one of the largest Empires to exist in the Ancient world, his influence on the modern world comes in many different forms. He was undefeated in battle and is widely considered one of historys most successful military commanders. The traits that contribute to him being one of the most successful military commanders of all time are not only limited to his high intelligence in battle however. As Niccolà ² Machiavelli, an italian philosopher influenced directly by Alexanders’ own tutor Aristotle himself, once famously quoted â€Å"The lion cannot protect himself from traps, and the fox cannot defend himself from wolves. One must therefore be a fox to recognize traps, and a lion to frighten wolves.† He expressed behaviors of the lion when he revoked his merciful nature, and acted as a fox in his attentive yet generous manner when attempting to win his battles in a peaceful way. He was a merciful and generous leader, believing in fairness and equality no matter what religion or race you were. However, when his authority was challenged, he revoked his mercy to secure his position as a leader of the Ancient Greek Empire. He was never unjust in his punishments, and always gave his enemies a chance at peace. Alexander’s behaviorisms as a leader were very logical, reasonable, and most importantly merciful. These qualities are what I believe every human should aspire to have and for this reason he is my personal hero. â€Å"A horse must be a bit mad to be a good cavalry mount, and its rider must be completely so.† â€Å"A cavalrymans horse should be smarter than he is. But the horse must never be allowed to know this.† â€Å"This man has conquered the world! What have you done? The philosopher replied without an instants hesitation, I have conquered the need to conquer the world.† â€Å"Always attack. Even in defense, attack. The attacking arm possesses the initiative and thus commands the action. To attack makes men brave; to defend makes them timorous.† â€Å"Fame Imperishable and glory that will never die that is what we march for!† â€Å"When deliberating, think in campaigns and not battles; in wars and not campaigns; in ultimate conquest and not wars.† â€Å"There is nothing impossible to him who will try.† â€Å"A tomb now suffices him for whom the world was not enough.

Understanding, Explaining, and Eliminating Sexual Harassment by James Essay

Understanding, Explaining, and Eliminating Sexual Harassment by James P. Sterba - Essay Example Sexual harassment can occur between two people of the same gender. Various people have tried explaining sexual harassment. Most people believe that sexual harassment is caused by a wide variety of factors. Cultural factors, social factors and personal psychological factors are believed to be the main causes of sexual harassment. Some cultures believe that women should always be submissive to men. As a result men hailing from such cultures tend to believe that they can have their way with women. Such men will go forcefully touching and grabbing women, which constitutes to sexual harassment. Indecent behavior is also one of the main causes of sexual harassment. Some men and women are guilty of dressing inappropriately in the workplace. This tempts the members of both the opposite sex and same sex. This can lead to the sexual advancement and sexual coercion. Lack of moral values may also cause sexual harassment. Some people are brought up in society where acts of sexual harassment are not condemned. Such people will have a problem in the future adapting to what is considered morally right by the larger society (Boland 78). There are people who also tend to believe that one gender is superior to the other. Such people discriminate against members of the other gender. They end up verbally abusing or forcefully touching the members of the other gender. Research has shown that women are more vulnerable to sexual harassment at the workplace due to the fact that they often lack power. They are afraid of losing their jobs and will not report the incidents of sexual harassment. Most men also use their powerful roles in the organizations to solicit for sexual favors from women for in exchange for work related benefits. Economic and social changes in the recent past have resulted in women taking up powerful positions in many organizations. Some men feel intimidated by this fact and resort to harassing such women in their workplaces. Many

Week 5 discusison and participation questions Essay

Week 5 discusison and participation questions - Essay Example The cycles differ in methodology, time requirements, documentation requisites, man hours needed, and complexity. The accounts payable account is very important because most acquisition and payment transactions go through that account. Due to the fact that the accounts payable account is usually material auditors often have to use extensive analytical procedures and tests of details of balances. Accounts payables can be defined as unpaid obligations for goods and services. The methodology to perform an audit of accounts payables is illustrated in the following steps: It is amazing how accurate and reliable independent audits of financial statements are. There are tens of thousands of audits performed yearly on public companies and auditors accurately determine when any material misstatement or fraudulent activity occurs. Two analytical procedures that can be used to compare data and information from the financial statements is vertical and horizontal analysis. The use of statistical models can help auditors determine the audit risk very accurately. Material misstatements can be identified accurately by the auditors when they have the full honest cooperation of the accounting and managerial staff. Your assessment of the importance of test controls is very accurate. If an auditor determines that the managerial staff established good internal controls the auditor has a better audit trail to follow. Substantive test are critical for auditors to determine whether a company is subject to audit risks. If a company has internal weaknesses within the accounting department substantive tests can detect these types of accounting anomalies. It is true that auditors often assumed that if the internal controls of the company are strong the risk of fraudulent behavior is lower. The ability of auditors to identify risks and ways to fix those risks to improve the efficiency of an operation is a value added proposition of auditing work. Substantive

Arrowsmith by Sinclair Lewis :: Sinclair Lewis Arrowsmith

"Arrowsmith", by Sinclair Lewis In the novel "Arrowsmith", by Sinclair Lewis, written in 1925, one can read of our world's lack of idealism in science, most often found in the medical profession (Encarta, 1). This book portrays the times in terms of scientific advancement not being idealistic, mostly in the medical field. Our scientists could not come up with their own ideas and our progress was going nowhere, fast. Although, today we are advancing so rapidly that we have no choice but to move and experiment, there is no time to slow down and copy old works. Sinclair Lewis also combines his life and the life of a graduating microbiologists, who he interviewed to help him write this book, into his main character, Dr. Martin Arrowsmith. All of this goes into the book "Arrowsmith". Sinclair lewis was born on the seventh of February, 1885, in the town of Sauk Centre, Minnesota, to his warmhearted parents, Emma Kermont Lewis and Dr. Edwin J. Lewis. At a very young age Sinclair read widely in grade school and continued on in his studies for many years (Grebstein, 16). Lewis studied at Yale University form 1903 till 1906. There he studied literary writings and works to help him become a writer. His father had disagreed with his career choice, but he went on and did what he wanted to do most, write. At one time he was so disgusted with his father that he ran away and tried to join the Spanish-American War as a drummer boy (Cobletz, 248). He did not get far; his father caught him before he left town. Back to collage he went and even through collage Lewis still read many books. One professor was quoted as saying "He was drawing more books from the Yale library than, I believe, any undergraduates before or since." Lewis was known to read such books from authors Hardy, Meredith, James, Howells, Austen, Bronte, Tolstoy, Pushkin, Turgenev, Gogol, Flaubert, Zola, Huneker, Pinero, Jones, Shaw, d'Annunzio, Sudermann, Yeats, George Moore, Nietzsche, Haeckel, Huxley, Moody, Marx, Gorky, Blake, Pater, Shelley, Keats, Coleridge, Rossetti, Swinburne, Clough, and Ibsen. All of these authors were influential to him, but none more than the famous H. G. Wells (Grebstein 24). He accomplished all this during college while keeping two or more jobs at one time and writing for several papers along with his own books that he wrote. In October of 1906 he left school for a few months and stayed with his brother in his utopian colony in New Jersey. A few months later he remembered the work ethics his father taught him and went back to school and got his degree in 1907.

Kaiser Permanente Risk Management Executive Summary Essay

Organization Description Kaiser Permanente (KP) is the nation’s largest integrated health care delivery system. KP serves nine states and over nine million members, with an annual operating revenue in 2013 of 53.1 billion. KP is a leader in quality improvement efforts in the health care industry through participation in studies performed by the National Committee on Quality Assurance (NCQA), The Joint Commission (TJC) accreditations, and the implementation of a state of the art electronic health records system, which focuses on integration and quality of care standardization. The focus of this summary is on KP hospitals in the northern California region and will include topics such as the purpose of risk and quality management, risk identification and management, current risks, quality outcomes, organizational goals, and the relationship between risk and quality management. Risk and Quality Management Purpose General The purpose of risk management in health care is simply the process of protecting the assets and minimizing financial losses to the organization (Singh & Habeeb Ghatala, 2012). A comprehensive risk management strategy within a health care organization will include focus on continuous quality improvement (CQI). The purpose of CQI in health care, according to Sollecito and Johnson (2013), is to offer a â€Å"structured organizational process for involving personnel in planning and executing a continuous flow of improvements to provide quality health care that meets or exceeds expectations† (p. 4). Through linking the processes of risk management and quality improvement the success of both processes is more likely to be realized. Kaiser Permanente The key concepts for risk and quality management at KP are commitment to quality, patient safety, privacy protection, and fraud prevention. KP risk management and quality management programs are central to their mission, values, and culture. Methods currently utilized to support these concepts  within KP are consumer surveys, the use of an integrated EHR with evidence based guidelines and clinical decision-making functionality, stringent patient privacy regulations and processes, continuous clinical and administrative staff training programs, and participation in studies focused on standardizing national quality measures (Kaiser Permanente, 2012). Risk Identification and Management Steps While KP is a leader in health care risk and quality management there are specific steps this consultant is recommending on a continual basis that will improve risk identification and management within the organization. 1. Identify and analyze loss and exposure While there are many methods utilized within the health care industry in the identification and analysis of loss and exposure, the recommended methods for KP are as follows: a) Incident-reporting analysis b) Improvement on the current performance management process for employees to bring focus on risk mitigation and quality improvement. c) Quantitative analysis of patient complaints and satisfaction surveys. d) Review of the organizations past professional liability and workers compensation reports. e) Review of surveys completed by TJC and NCQA on other hospitals in order to identify risk areas that KP should focus on. (McCaffrey & Hagg-Rickert, 2009) 2. Research and propose alternative risk techniques To mitigate risks that are unavoidable at KP, a combination of alternative risk techniques will help reduce situations that might negatively affect the organization. A financial analysis and risk analysis should be performed in order to ascertain the likelihood of utilizing the exposure avoidance technique. This is not a likely option as the financial impact of eliminating services may out weigh the risks involved with continuing them. A loss reduction approach is more likely to be the technique chosen for this organization. The core prevention activities that must be present in the loss reduction technique are as follows: a.) Ongoing staff education b.) Current policy and procedure review and revision c.) Updates to the organizations current EHR system to ensure the data present in the clinical decision-making and evidence-based clinical guidelines technology is the most current data available. According to Chen, et al (2009), â€Å"a growing body of literature confirms the value of electronic health records (EHRs) in improving patient safety, improving coordination of care, enhancing documentation, and facilitating clinical decision making and adherence to evidence-based clinical guidelines† (p. 323). 3. Risk management technique selection This two-part process of risk management technique selection is accomplished through forecasting and application of an ongoing measurement process, which will allow KP to analyze the risk management technique with regard to outcome and cost effectiveness. Included in the measurement process both risk treatment and risk-financing techniques should be measured (McCaffrey & Hagg-Rickert 2009). 4. Implement the selected techniques Implementation of the chosen risk management techniques may include decisions on insurance coverage and policy changes, overall department workflow changes to ensure compliance with state and federally mandated regulations and guidelines, and elimination of processes that impede or hinder patient safety. 5. Monitor and improve upon the implemented risk management program In order to continue improving upon the newly implemented risk management program a comprehensive monitoring strategy should be employed. In fact, McCaffrey and Hagg-Rickert, (2009) stated, â€Å"a multidisciplinary approach to evaluating the risk management program ensures that the impact of additional opportunities to improve the risk management function are fully explored† (p. 21). a.) Prepare an annual risk management report b.) Compare the new annual report against prior years risk management data (McCaffrey & Hagg-Rickert 2009) Current Risks Three risks that KP should take special care to avoid are rejection of newly implemented risk management and CQI procedures by employees, statute and regulatory changes, and health care associated infections (HAIs). 1. Rejection Change implementation is never an easy task and without special care taken the rate of rejection to change by clinical and administrative employees is high. In order to achieve successful CQI changes the following guidelines and recommendations are presented. a.) Minimize employee rejection through easily implemented and followed CQI procedures. b.) Engage employees in planning to increase acceptance. c.) Ensure lateral linkages within the organization across specialty departments to improve communication (Sollecito and Johnson, 2013). 2. Statute and regulatory changes With the ever-changing landscape in state and federal statutes and regulations surrounding the health care industry, special attention to this risk area must be taken. In fact, Cohen (2009) stated that â€Å"health care is one of the most heavily regulated of all sectors of commerce† (p. 328). Failure to comply with state and federal statutes and regulations can bring about negative financial affects at KP, including but not limited to; fines, loss of accreditation and credentialing, and an increase in malpractice lawsuits, not to mention a decrease in quality of care. a.) Risk management and quality improvement officers stay current and involved in statute and regulation changes. b.) Mandate educational goals for risk management and quality management officers with regard to state and federal regulations. c.) Implement a monthly employee newsletter within which the risk management officer and quality improvement officer outline regulation changes. Include processes that emplo yees should expect to see implemented to maintain compliance. Include a signature page with those editions that include changes to policy and ensure all employees sign and return to the human resources department. d.) Ongoing training for clinical and administrative employees with regards to statute and regulation. The risk management and quality improvement officers will be responsible to work with the organizations education department to implement new workshops as needed. e.) Include these responsibilities in the performance monitoring strategy for the risk management and quality improvement officers. 3. HAIs Health care associated infections are a serious risk in hospitals, as noted by Sydnor and Perl (2011), in their statement â€Å"HAIs are the most common complication seen in hospitalized patients† (para. 20). Improper prevention can lead to increased costs, lengthier hospital stays, and even patient death. Additionally, a Condition of Participation (CoP) (42 CFR 482.42) by CMS mandates hospital infection control programs to adhere to specific requirements. Recommendations are as follows. a.) Implement a house-keeping checklist to ensure proper sanitization of patient rooms. b.) Implement a sanitization checklist for clinical staff that will enforce hand washing before and after patient contact. c.) Develop a committee to review and revise the KP infection prevention and control program. Revisions should focus on compliance with TJC and the Center for Disease Control (CDC) regulations. Quality Outcomes Internal and external Three internal and external factors that influence quality outcomes are organization management of interpersonal relationships between physicians and patients, patient compliance, and continuity of care. Without proper management of interpersonal relationships between physicians and patients, the organization will face degradation in trust and openness. Patients should be involved in all treatment decisions, through proper education on their diagnosis and treatment options. This will bring about patient engagement in this decision making process. While KP cannot force their patients to comply with treatment guidelines, the external influence of patient compliance is crucial to quality outcomes. Programs focused on thorough training and education of patients and family members will improve the rate of compliance, thus improving the probability of positive quality outcomes for patients. Lack of patient compliance will hinder the treatment process and lower the level of quality outcomes standards at KP. Continuity of care is another internal influence that can affect quality outcomes. Regular follow up with patients will also increase patient compliance. Without improving continuity of care, the KP organization will see a reduction in positive quality outcomes and an increased in undesired outcomes (DeHarnais, 2013, chp 5). Goals Short-Term 1. Design new regulatory and statute training programs for all clinical and administrative employees. 2. Review and revise the KP infection prevention and control program 3. Revise the performance management system to include CQI measurements and risk management procedures as performance metrics. Long-Term 1. Increase adherence to state and federal regulations and statutes throughout the KP organization. 2. Reduce HAIs by 10% throughout KP hospitals in the northern California region. 3. Improve CQI measurement and risk management policy adherence throughout the northern California region by 20% among clinical employees. Risk and Quality Management Recommendations Risk management policies 1. Quarterly peer review The Health Care Quality Improvement Act (HCQIA) of 1986 â€Å"encourages hospitals, state licensing boards, and professional societies to identify and discipline physicians, dentists, and other health care providers who, after adequate, nondiscriminatory peer review, were found to have engaged in negligent or unprofessional conduct† (Cohen, 2013 p. 333). Through ongoing screening of new and current clinicians, KP will take responsibility for offering their patients that highest quality of care and reducing the risk of employing negligent clinical employees. 2. Zero tolerance adherence policy for all employees with regard to infection control procedures Part of the CMS CoP (42 CFR 482.42) regulation is the â€Å"designation of an infection control officer and development of relevant policies that address the identification and control of infections and communicable diseases. Without full compliance with all CoPs, KP could face the loss of their Medicare provider agreement. 3. Vulnerability analysis chart and emergency plan policy. According to Rawson and Hammond (2009) â€Å"by evaluating vulnerabilities and taking appropriate preventive action, loss can be minimized in an emergency†Ã‚  (p. 506). Health care facilities should include prevention measures in their emergency plans that include the risk of terrorist attacks. While terrorist attack risk cannot be completely mitigated, it is the responsibility of the health care facility to be prepared for such an emergency. Obtain additional information on including risk of terrorist attacks from the National Institute for Occupational Safety and Health (NIOSH). Quality management policies 1. Adherence to evidence-based clinical guidelines While it has been shown that â€Å"clinicians have customarily enjoyed a great deal of autonomy in their practices† (Argawal, 2010, para 3), it is imperative that clinicians follow evidence-based clinical guidelines. If exceptions should be made the details of, the patient diagnosis and variations should be presented for peer review prior to altering treatment plans. 2. Minimum score of 88% on customer satisfaction surveys Clinicians must maintain an average score of no less than 88% on customer satisfaction surveys quarterly. In today’s health care market, measurements of quality include consumer satisfaction. In fact, Bernard and Savitz (2009) state that in todays â€Å"competitive health care environment, consumers want and expect better health care services and hospital systems are concerned about maintaining their overall image† (p. 185). Relationship between risk and quality management In the past, risk management officers and quality improvement managers worked autonomously from one another, in fact they most often reported to different superiors. However, today healthcare organizations are realizing that in order to reach quality of care goals and maintain effective risk management programs these disciplines must work together closely. An example of how risk management efforts and quality improvement efforts complement one another is seen in the reduction of medical errors. The risk management plan must consider ways to reduce medical errors, while the quality improvement plan will offer solid steps toward minimizing medical errors (Sollecito and Johnson, 2013). Conclusion This summary focused on topics such as the purpose of risk and quality management, risk identification and management, current risks, quality outcomes, organizational goals, and the relationship between risk and quality management. While KP is the nation’s largest integrated health care delivery systems and leader in CQI standardization, there is always room for improvements. This consultant understands the importance of improvement at KP, thus humbly presents this summary and recommendations to the board of directors. References Agarwal, R. (2010, May). A Guideline for Quality Accreditation in Hospitals. Quality Digest, (), 1-4. Retrieved from http://www.qualitydigest.com/inside/twitter-ed/guideline-quality-accreditation-hospitals.html Chen, C., Garrido, T., Chock, D., Okawa, G., & Liang, L. (2009). The Kaiser Permanente electronic health record: Transforming and streamlining modalities of care. Health Affairs, 28(2), 323-33. Retrieved from http://search.proquest.com/docview/204522974?accountid=458 Cohen, M. (2009). Statutes, Standards, and Regulations (chp 10) in McCaffrey, J. J., & Hagg-Rickert, S. (2009) Risk Management Handbook (5th ed.). San Francisco, CA: Jossey-Bass. DesHarnais, S. I. (2013). The outcome model of quality (chp 5) in Sollecito, W. A. and Johnson, J. K. (2013). McLaughlin and Kaluzny’s Continuous Quality Improvement In Health Care (4th ed.). Jones and Bartlett Publishers. Emily R. M. Sydnor, Trish M. Perl (2011, January). Clin Microbiol, 24(1): 141–173. Retrieved from http: //www.ncbi.nlm.nih.gov/pmc/articles/PMC3021207/ Kaiser Permanente. (2014). Kaiser Permanente, Retrieved from http://share.kaiserpermanente.org/article/history-of-kaiser-permanente/ McCaffrey, J. J., & Hagg-Rickert, S. (2009, Chp 1) Developing of a Risk Management Program in Risk Management Handbook (5th ed.). San Francisco, CA: Jossey-Bass. Rawson, M. L. and Hammond, H. Y,. (2009) Emergency Management in McCaffrey, J. J., & Hagg-Rickert, S. (2009, Chp 7) Developing of a Risk Management Program in Risk Management Handbook (5th ed.). San Francisco, CA: Jossey-Bass. Singh, B., & Habeeb Ghatala, M. (2012, August). Risk Management in Hospitals. International Journal of Innovation, Management and Technology, 3(4). Sollecito, W. A. and Johnson, J. K. (2013). McLaughlin and Kaluzny’s Continuous Quality Improvement In Health Care (4th ed.). Jones and Bartlett Publishers.

Unit 8 Written Assignment A Summary Of The Paper “The

Unit 8 Written Assignment: A Summary of the Paper â€Å"The transmission mechanism of monetary policy† Introduction to Finance University of the People In England, the party responsible for setting the short-term interest rate is called the Monetary Policy Committee, or MPC. The channels through which the interest rate that the MPC sets affect the economy and affect inflation, are often referred to as the transmission mechanisms of monetary policy. In this essay, which summarizes the paper called â€Å"The transmission mechanism of monetary policy†, the Bank of England illustrates the transmission mechanisms that the MPC believes to be true. The paper â€Å"The transmission mechanism of monetary policy† is divided into two†¦show more content†¦Official interest rate changes will also influence asset prices. For example, bond prices are inversely influenced by long-term interest rates. Finally, the official interest rate will also affect the exchange rate which the paper defines as â€Å"the relative price of domestic and foreign money† (George et. al, n.d.). When the official interest rate rises, domest ic currency (the GBP) will see appreciation making investors want to invest in pounds. Another key point is that with changes in the exchange rate, there will also be a change in the value of domestic and foreign exports and imports. Finally, a change in the official interest rate can also affect people’s expectations and confidence in the economy. For example, some may believe that an increase in interest rates is a signal that the MPC thinks that the economy is expanding thus making further growth likely or, a contradictory interpretation may be that the MPC thinks that the MPC may need to slow growth in order to control inflation (George, n.d). Change in interest rates, asset prices, and exchange rates also affects the spending and saving habits of individuals and firms. Changes in these three factors change the interest rates on their debts and savings and the change felt the most is a change in the interest rate on personal debt which is usually held in the form of a mor tgage where 80% of mortgages in the UK are on a floating-rate. The higher prices of goods and services dueShow MoreRelatedTuition Free Online University Essay1691 Words   |  7 PagesAbout Us Policies University Catalog Student Handbook Study Process Support Student Portal My Courses Page path Home /My courses /Current Term (Term 2, 2016-2017) /UNIV 1001B - AY2017-T2 /17 November - 23 November /Written Assignment Unit 2 /Assessing submission Written Assignment Unit 2 Assessed submission Companions in Artificial Intelligence submitted on Saturday, 19 November 2016, 6:37 PMmodified on Monday, 21 November 2016, 6:39 PM Companions in Artificial Intelligence Ruben DamianRead Moreapplication of theory2229 Words   |  9 PagesApplication of Theory Paper Guidelines Scoring Rubric Purpose: The purpose of this assignment is to synthesize one strategy for the application of a specific nursing theory to resolving a problem or issue of nursing practice in nursing leadership, nursing education, nursing informatics, or health policy. 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