Sunday, May 24, 2020
Dónde tomar clases gratis para el examen de ciudadanÃÂa
Los residentes permanentes legales pueden tomar clases gratis con numerosas organizaciones para estudiar los exà ¡menes de inglà ©s y de conocimientos histà ³ricos y cà vicos, los cuales forman parte de los requisitos para adquirir la ciudadanà a estadounidense por el trà ¡mite de laà naturalizacià ³n. En este artà culo se listan 40 organizaciones ââ¬ây sus respectivos nà ºmeros telefà ³nicosââ¬â ubicadas en los 12à estados con mayor poblacià ³n latina que brindan gratuitamente clases para la ciudadanà a. Ademà ¡s, muchas de ellas tambià ©n ayudan para completar el formulario N-400, con el cual se inicia la tramitacià ³n de la solicitud de la naturalizacià ³n.à Puntos clave: Clases gratis para la ciudadanà a por naturalizacià ³n. Los residentes permanentes legales pueden nacionalizarse y adquirir la ciudadanà aà estadounidense mediante el trà ¡mite de la naturalizacià ³n.Los exà ¡menes de inglà ©s leà do y escrito y de conocimientos histà ³ricos y cà vicos es parte del trà ¡mite de naturalizacià ³n.Numerosas organizaciones brindan clases gratis para ayudar a los migrantes a aprobar dichosà exà ¡menes.NALEO Educational Fund es la coordinara nacional de muchas deà esas organizaciones a travà ©s de la Campaà ±a Citizenship Works. Los migrantes que residen en otros estados encontrarà ¡n, al final de este artà culo, un telà ©fono al que pueden marcar desde cualquier parte de Estados Unidos para solicitar informacià ³n sobre organizaciones locales que prestan este servicio. Finalmente, antes de presentar este documento se recomienda a todos los residentes permanentes verificar si califican para no pagar la tarifa correspondiente que, en la actualidad, es de $725, incluidos los $85 de la toma de los datos biomà ©tricos. à ¿Donde tomar clases gratis para examen de ciudadanà a? Todas las organizaciones que se listan a continuacià ³n forman parte de la campaà ±a para Nuevos Ciudadanos Americanos, lideradaà por el Immigrant Legal Resource Center y del que forman parte asociaciones sin fines de lucro, fundaciones, organizaciones religiosas y despachos de abogados. Las organizaciones religiosas en este listado atienden a todos los migrantes;à es decir, no es necesario practicar su religià ³n para recibir este tipo de ayuda. Arizona International Rescue Committee. Tel: 602-433-2440Chicanos por la Causa. Tel: 602-257-0700. E-mail: infocplc.orgPromise ArizonaFriendly House. Tel: 602-416-7210. E-mail: evelynsfriendlyhouse.org, a la atencià ³n de Evelyn Sà ¡enzCampesinos sin Frontera. Tel: 928-627-5995. En el condado de Yuma California Immigrant Legal Resource Center en el à ¡rea de Central Valley. Tel: 415-255-9499NALEO Educational Fund en la zona de Los AngelesInstituto Internacional del Area de la Bahà a, en zona de San Francisco. Tel. 415-538-8100 ext. 206Public Law Center, en el à ¡rea del condado de Orange. Tel: 714-541-1010Ready Now San Diego, en el à ¡rea de San Diego. Tel: 619-363-3423Services Immigrant Rights Educational Services, zona de Sillicon Valley. Tel: 408-453-3017 Carolina del Norte Carolina Refugee Resettlement Program. Tel: 704-535-8803à Insteep. Tel: 919-680-8000. Email: infoinstepp.orgLa Coalicià ³n. Tel: 888-839-8682. Cobra una pequeà ±a tarifa. Colorado Puede contactar a Colorado Immigrants Rights Coalition en: Denver.à Tel: 303-922-2244Montrose. Tel:970-249-4115 Florida Brevard Hispanic Center. Tel: 321-802-9516. Zona de Palm BayCatholic Legal Services. Tel: 305-372-1073 (Downtown Miami) y 305-887-8333 (Doral)Hispanic Services Council. Tel: 813-936-7700. TampaJustice Shall Be for All. Tel: 407-556-5955. Email: infojusticeshallbeforall.org. KissimmeeRedlands Christian Migrant Association. Tel: 800-282-6540. Area de Immokalee Georgia Catholic Charities of Atlanta. Tel: 770-790-3104GALEO. Tel: 885-54GALEOLatin American Association. Tel: 404-638-1800 (Atlanta), 404-702-0271 (Athens), 678-205-1018 (Lawrenceville)New American Pathways. Tel: 404-299-6099. Afiliada con el Church World Service and Episcopal Migration Ministries.Oficina del alcalde de Atlanta para Asuntos Migratorios. Email: welcomingatlantaatlantaga.gov Illinois Esperanza Legal Assistant Center. Tel: 309-732-0047Hispanic American Community Education and Services. Tel: 847-244-0300. Email: infohaces.orgIllinois Coalition for Immigrant and Refugee Rights. Tel: 855-435-7693 Nueva York Catholic Migration Services. Tel: 728-236-3000 (Brooklyn), 347-472-3500 (Queens)CUNY Citizenship Now. Tel: 646-664-9400Dominicanos USA. Tel: 718-665-0400. Email: contactdominicanosusa.orgMake the Road New York. Tel: 718-418-7690Northern Manhattan Coalition for Immigrant Rights. Tel: 212-781-0355Oficina del Alcalde de Nueva York para Asuntos Migratorios. Tel: 212-788-7654Oficina del Estado de Nueva York para Nuevos Americanos. Tel: 1-800-566-7636 Nueva Jersey Make the Road New Jersey. Tel: 908-768-4991 Nuevo Mà ©xico New Mexico State University. Tel: 575-234-9280 (Carlsbad)Catholic Charities brinda ayuda a bajo costo en 2010 Bridge SW (Albuquerque) y en 1234 San Felipe Ave (Santa Fe) Texas American Gateways. Tel: 512-478-046, ext. 200 (Austin), 210-521-4768, ext. 232/233 (San Antonio), y 512-387-2650 (Waco)Catholic Charities of Dallas. Tel: 214-634-7182Catholic Charities of Galveston and Houston. Tel: 713-526-4611Proyecto Inmigrante. Tel: 888-793-2182. Oficinas en Dallas, Fort Worth y Wichita Falls Washington Colectiva Legal del Pueblo. Tel: 206-931-1514. Email: infocolectivalegal.orgOficina de Seattle para Inmigrantes y Refugiados. Tel: 202-727-8515.One America. Realizan Dà as de la Ciudadanà a por todo el estado. Ademà ¡s, desde todos los estados se puede marcar a la Asociacià ³n Nacional de Oficiales Latinos Electosà (NALEO, por sus siglas en inglà ©s) al 888-839-8682. Esta là nea se atiende en inglà ©s y en espaà ±ol y se ofrece informacià ³n sobre otros centros cercanos adonde se puede acudir para solicitar ayuda en la preparacià ³n de los exà ¡menes de inglà ©s, historia y conocimientos cà vicos para sacar la ciudadanà a estadounidense por naturalizacià ³n. Recursos en là nea para preparar el examen para la ciudadanà a Los residentes permanentes que consideren que es suficiente si estudian por sà mismos, pueden practicar el examen en la pà ¡gina de la organizacià ³n Citizenship Works o en la pà ¡gina de UScitizenshipsupport.com. En ambas pà ¡ginas se informa sobre las 100 preguntas de conocimientos cà vicos e historia que pueden ser preguntadas y tambià ©n se brindan tips memorà sticas para facilitar recordar las respuestas correctas el dà a del examen. Tambià ©n se ofrece informacià ³n prà ¡ctica sobre quà © esperar el dà a de la entrevista y examen. Asimismo, en la pà ¡gina del Servicio de Inmigracià ³n y Ciudadanà a (USCIS, por sus siglas en inglà ©s) se brinda material para practicar el examen cà vico y el de inglà ©s. Es de interà ©s verificar siempre esta pà ¡gina porque actualiza posibles cambios a las preguntas. Por ejemplo, los nombres del presidente, vicepresidente,à partido en el gobierno y representantes locales ante el Congreso. Informacià ³n prà ¡ctica sobre el examen para ciudadanà a por naturalizacià ³n Como regla general, actualmente la cita para presentarse al examen de inglà ©s y conocimientos histà ³ricos y cà vicos tiene lugar entre 6 y 8 meses despuà ©s de la presentacià ³n de los papeles. El examen, salvo casos excepcionales por edad o enfermedad o discapacidad, deberà ¡ rendirse siempre y en inglà ©s. El mismo dà a tiene lugar la entrevista.à Si el migrante reprueba el examen, deberà ¡ repetirlo. USCIS enviarà ¡ una carta con una nueva cita entre 60 y 90 dà as despuà ©s.à Si de nuevo reprueba, la peticià ³n de naturalizacià ³n se negarà ¡ y se deberà ¡ iniciar desde cero un nuevo proceso de naturalizacià ³n y pagar una nueva tarifa. Por el contrario, si el migrante pasa el examen y la entrevista, como regla general jurarà ¡ como ciudadano estadounidense entre 1 y 4 semanas despuà ©s de haber aprobado dicho examen. Es recomendable no viajar fuera de Estados Unidos desde la fecha en la que se aprueba el examen y la de juramentacià ³n y, si se hace, que sea por un corto periodo de tiempo. Finalmente, a la hora de adquirir la nacionalidad americana esà importante conocer las ventajas y derechos que se adquieren con esta ciudadanà a. Uno de los beneficios no muy conocido es que en promedio los ciudadanos ganan a lo largo de su vida laboral un 11 por ciento mà ¡s que los residentes permanentes legales.à Tambià ©n se puede votar en elecciones federales. Para ejercer el derecho al voto es necesario registrarse previamente segà ºn las leyes del estado en el que se reside. Este es un artà culo informativo. No es asesorà a legal.
Thursday, May 14, 2020
Capital Ones Organizational Structure - 2479 Words
ââ¬Å"At capital One, diversity means seeking out and embracing differences for the richness those differences add to our lives and to our business.â⬠(http://www.capitalone.com/about/corporatecitizenship/diversity.php) A company that opens it business to diversity has the ability to value human differences, and in return acquire beneficial relationships. Capital One has partnered with MWBE (Minority and Women Business Enterprises) and the relationship is yielding a positive reaction in terms of the communities that house Capital One and in the corporate world. Because Capital One is an information based company there diversity plan is also well thought and proven. The diversity plan includes targeted recruitment, development andâ⬠¦show more contentâ⬠¦The nodes on the bottom row represent sub-organizations, while the top two rows are individuals. (Organizational Hierarchy, page 1 para. 3) Old organizational models still exist in the real world where total control is a complete requirement. These old organizational models mainly used in government and military and sometimes transplanted to the non-military public companies and would work to a certain extent, but they have great limiting effect on promoting and evolving people. The transformed organizational model is quite different and the operating process is quite different. Figure below gives us insight into why interconnecting the stovepipes is a better option. We redisplay the organization in link patterns and we see a totally new perspective. By adding the horizontal ties we have transformed a simple hierarchy into an interconnected group. Recent research by psychologist Patrick Laughlin of the University of Illinois shows that groups outperform even the best individuals in decision making. Intelligence information is rarely clear or complete -- a key reason for having many perspectives and diverse experiences for cross-pollination and sense-making. (Organizational Hierarchy, page 1 para. 10) This considered being a transformed organizational model has catapulted companies into a company that isShow MoreRelatedCapital One Financial Corp: Setting and Shaping Strategy Essay695 Words à |à 3 PagesCapital One Financial Corp: Setting and Shaping Strategy Strategy Capital One Financial Corpââ¬â¢s strategy is to develop and market products and services to satisfy the demands of a competitive and ever-changing marketplace by utilizing information technology for mass customization which will deliver the right product to the right customer at the right time and at the right price. Such a strategy requires the employment of talented people and a flexible culture promoting innovation to helpRead MoreThe Success Factors Of Multinational Corporations1272 Words à |à 6 Pagesdifferent from them. It is important to mention that a Global Mindset outline includes three known capitals: The Intellectual Capital, which denotes to oneââ¬â¢s international knowledge, diverse attitude, and cognitive involvedness. Secondly, the Psychological Capital, this capital comprises the passion for diversity, search for adventure, and self-assurance; and the third capital is referred as Social Capital. It indicated the intercultural empathy of an individual, interpersonal impact, and lastly theirRead MoreCostco Wholesale Corporation s Organizational Structure1500 Words à |à 6 PagesCostco Wholesale Corporationââ¬â¢s organizational structure is based on the companyââ¬â¢s current operation and locations as well as the market. The organization structure is the shape to connect different organizational components to address the business needs. Costcoââ¬â¢s organizational structure active enables the management of operations in different markets. Even though Costco is the biggest membership warehouse club in America, and designed it structure for success in the management of it business inRead MoreThe Leadership Theory And Practice1170 Words à |à 5 Pagesthat a leader in the 21st century would want to use to meet the needs of their employees and motivate them toward success and self-actualization. Discussion Leadership is the ability to support and inspire the people who are needed to achieve organizational goals. Leading is a major part of a manager s job, but a manager also plans, organizes, and controls. Leadership is said to deal with change, motivation, inspiration, and influence. Management deals more with maintaining equilibrium and the statusRead MoreOrganizational Culture Assesment1717 Words à |à 7 PagesCase Analysis B: Organizational Culture Assessment Life is stressful and the value of the healthy organization is measured by the quality of the work-life balance of the employees. Even the best-managed organizations have stressors occurring on the regular and the irregular periods. Those regular stressors, such as quarterly reports or financial tides are expected. The unplanned and often unsuspected stressors occur within the organization. These unplanned stressors will create chaos and an unhealthyRead MoreOrganizational Development : A System Wide Application And Transfer Of Behavioral Science922 Words à |à 4 Pages Organizational development or OD has several definitions that often times, individuals have their own opinions or ideas on what it actually means. Despite the many definitions that OD has, the overall idea of what it is supposed to do within an organization remains the same. Cumming and Worley (2015) define organizational development as ââ¬Å"a system-wide application and transfer of behavioral science knowledge to the planned development, improvement and reinforcement of the strategies, structures,Read MoreAddressing Employee Stress Creates Sense1547 Words à |à 7 Pagesaddressing employee stress makes sense. A PwC investment analysis report from 2014à found initiatives and programs that fostered a resilient and mentally healthy workplace returned $2.30 for every dollar spent. In addition to this financial capital finding, organizational research has demonstrated a positive relationship between employee resilience and performance (Luthans, Avolio, Walumbwa, Li, 2005). The results are clear: many Americans have little difficulty identifying when they are stressed, butRead MoreOrganizational Overview of Fedex923 Words à |à 4 PagesQuestion 1 The competition is high in regards to transportation and logistics industries. One of the worlds top shipping companies is FedEx. Some of its organizational goals include adding high value to all shareholders, including customers and employees, as well as providing logistics needs for companies around the globe in a fast and cost effective manner. In order to meet these goals, the company must set standards to adhere to in regards to evaluating and measuring performance. There are aRead MoreHRM 560 WRITING ASSIGNMENT 2 Environmental Pressures v2a Essay1151 Words à |à 5 PagesQuarter 2014 HRM 560 ââ¬â Managing Organizational Change Instructor: Dr. Mary Hair Collins 1. Create a table where at least three (3) organizational pressures and at least three (3) environmental pressures in the organization are illustrated and rank those pressures according to their influence. Corporate organizational pressures describe change both negatively and positively for the company and its employees. These evaluations of environmental and organizational pressures are described using CompanyRead MoreManagement and Leadership of Organizations1008 Words à |à 5 PagesDetails: The internet has created new ways to do business for organizations with much less capital planning as opposed to the high capital needs of traditional brick and mortar organizations. Based on this, how should management and leadership be addressed for each type of business? Research successful traditional and online retailers and address the following issues: Discuss the organizational structure of one traditional and one online retailer. Identify two management or leadership challenges
Wednesday, May 6, 2020
Essay The Voyage of Christopher Columbus - 1421 Words
In 1492, an event took place that would change forever the way the world is viewed, and the way people viewed themselves. When Columbus set foot on that Caribbean island on an August morning over five hundred years ago, he set in motion one of the greatest migrations the world has ever seen. Two separate and distinct worlds met that day, even though both had populated their separate continents. One world, the old world, was made up of Europeans looking for fame and fortune, not necessarily for new and uncharted lands. Divine supports this idea by stating, ââ¬Å"They (explorers) came not as colonists but as fortune hunters seeking instant wealth, preferably gold, and they were not squeamish about the means they used to obtain itâ⬠(Divine,â⬠¦show more contentâ⬠¦I will be focusing my attention on how each party conducted their first meetings with the natives, and what motives came into play on their explorations such as; religion, gold, and slavery. When these explorers met the native population, they encountered a people who had never had contact with anyone besides inhabits of their own world. The Europeans, on the other hand, had been trading with Africans, Muslims, Mongols, East Indians, and other Europeans for differing periods of time, thus being exposed to different types of culture in the past. On the other hand the isolation of the natives began some thirty to forty thousand years ago, when the last major ice age occurred. Divine supports this by saying, ââ¬Å"The first people to cross this land bridge were small bands of Siberian hunters in pursuit of giant mammalsâ⬠¦the migration of these nomadic groups took place over thousands of yearsâ⬠(Divine, p.3). Gradually, new and different societies and cultures developed among the natives, depending upon the region where they settled. Divine mentions this by saying, ââ¬Å"Over the centuries, relatively isolated tribal groups had developed their own cultures , patterns of kinship, and spoken languagesâ⬠(Divine, p.3). When Columbus initially arrived, he found only primitive inhabitants, he states this in the first document of the first chapter of Gorn, ââ¬Å"a very poor people â⬠¦ they do not carry arms,â⬠(Gorn, p.8). In reality the nativesShow MoreRelatedThe Voyage of Christopher Columbus1541 Words à |à 7 PagesAmerican History I 07/08/05 Christopher Columbus Voyage to North America Spanish exploration first began with a series of revolutions. First, the Commercial Revolution generated economic stability. Second, the Intellectual Revolution generated interest in the Earths composition and the pursuit of exploration. Europe then called for a political revolution to end the disorganized and disorderly rule of its government. This revolution returned order and stability to the government and renewed interestRead MoreEssay on The Voyage Of Christopher Columbus1497 Words à |à 6 PagesAmerican History I Christopher Columbus Voyage to North America Spanish exploration first began with a series of revolutions. First, the Commercial Revolution generated economic stability. Second, the Intellectual Revolution generated interest in the Earths composition and the pursuit of exploration. Europe then called for a political revolution to end the disorganized and disorderly rule of its government. This revolution returned order and stability to the government and renewed interestRead More4 Voyages Of Christopher Columbus3767 Words à |à 16 PagesMondejar 1 Arnold Mondejar Professor Afzali Spanish History 127 04 December, 2014 4 Voyages of Christopher Columbus Summary Nothing in human progress is ever achieved with unanimous consent. Individuals that are enlighten before the others, are condemned to pursue that light despite the perception of others. There was a time when the new world did not exist, and the sun set in the west where no man dare to have dreamt to venture to. Beyond that, was considered to be infinity, and of possibilitiesRead MoreAnalysis Of Christopher Columbus Voyages1234 Words à |à 5 Pagespsyche, making a profound impact on our thoughts, actions, and understandings towards foreign lands and peoples during our travel experiences. At the time of Christopher Columbusââ¬â¢ voyages, Europeans were seeing themselves as superior beings as a result of the renaissance endorsing humanist ideals. In 1486, six years before the first voyage of Columbus, Italian renaissance humanist Pico della Mirandola published ââ¬Å"Oration on the Dignity of Man.â⬠The book, advocating the potential capabilities of mankindRead MoreChristopher Columbus And His Four Voyages1716 Words à |à 7 Pages Christopher Columbus and his Four Voyages The Four Voyages, is an instantaneous account each single voyage taken by Christopher Columbus, what he and his men stumbled upon in the New World, and the long-standing effects these European conquistadors did face throughout it. Throughout Columbus s life as an explorer he went on four great voyages and made many great discoveries. Christopher Columbusââ¬â¢s four voyages were both that of exploration and imperialism. The lands which he discovered, heRead MoreChristopher Columbus s First Voyage1092 Words à |à 5 PagesSince Christopher Columbusââ¬â¢s first voyage in 1492, several systems of labor have entered and exited through Latin America. Beginning with the Encomienda, established by King Ferdinand, continuing on to Repartimiento, the abolition of slavery and ensuing of a contract of forced labor, and arriving ultimately at the transatlantic slave trade, responsible from flourishing slavery throughout Latin America. Each labor system had flaws and werenââ¬â¢t extreme ly well thought out; as such, the systems all eventuallyRead MoreChristopher Columbus s Voyage Preparations And His Religious Beliefs1401 Words à |à 6 PagesChristopher Columbus lived during the early modern period, more precisely the Renaissance (Boucher). At the time, the pre- modern worldview that once dominated Europe since antiquity (existence to 476 C.E) began to vanish due to new intellectual way of thinking, which ultimately mature in the modern way of thinking (Boucher). While Columbus contributed to this momentous shift, there is evidence that one might argue that between Columbusââ¬â¢ voyage preparations and his religious beliefs, the iconic GenoeseRead MoreA Description Of New England And Christopher Columbus s The First Voyage890 Words à |à 4 Pagesthe new world in search of different things. Some came for the opportunity of riches, others came to experience a new way of living, a better, more free lifestyle. In John Smithââ¬â¢s, ââ¬Å"A Description of New Englandâ⬠and Christopher Columbusââ¬â¢s, ââ¬Å"Letter to Santangel Regarding the First Voyageâ⬠both give in great detail, the opportunities this new land offers. ãâ¬â¬Ã£â¬â¬For people wanting to make money, John writes, ââ¬Å"If a man work but three days in seven, he may get more than he can spend, unless he will be excessiveâ⬠Read MoreDisadvantages Of Christopher Columbus804 Words à |à 4 PagesChristopher Columbus was an explorer, navigator, and survivalist who was born and raised in Italy as the eldest son to Domenico Colombo and Susanna Fontanarossa. Columbus went on many explorations, but his most famous was his exploration to the new world. For this exploration Columbus managed to convince the Spanish monarchs, King Ferdinand II and Queen Isabella, to hire an Italian explorer to work for the Spanish government. There are many advantages and disadvantages to hiring an explorer fromRead MoreThe Truth about Christopher Columbus983 Words à |à 4 Pagesknows the saying Columbus sailed the ocean blue in 1492. However, there is a lot more to Christopher Columbus than what everyone was taught in elementary school through high school. Columbus is thought to be a hero, but just being classified as a hero is a fallacy. Several works including Christopher Columbus and the Enterprise of the Indies and The Lies my Teacher Told Me have been published about the real Christopher Columbus and his legacy. The story of Christopher Columbus begins in the city
Tuesday, May 5, 2020
Funding Models for Normative Pricing and Structure- myassignmenthelp
Question: Discuss about theFunding Models for Normative Pricing and Quality Structure. Answer: As Eagar et al. (2013) put, there are four funding models that are important in funding the healthcare system. The models include payment for performance (P4P) best practice pricing, normative pricing, and quality structure pricing models. However, this paper would focus on payment for performance, and it is applied in Australia. P4P or sometimes it is identified as safety and quality pricing operates on incentives and disincentives that a hospital gets depending on the outcomes of their services (Eagar et al, 2013). This model pays the institutions based on their practices or services and the areas of concern in this model are safety and quality. Hospitals whose services are easily accessible and their quality is commendable, get incentives, while those who do not, do get any incentives. The Australian public hospitals use the payment for performance model, to support their operational needs. To add further to the description of this model, its principal objective is to establish an express link between quality and safety and funding. If the patient outcomes are found to be good, definitely a hospital facility would be rewarded for the wonderful job done. Unfortunately, those hospitals that would have bad patient outcomes are likely to be penalized. In a nutshell, the model seeks to reward good quality and penalize poor quality (Lagarde, et al, 2013). In the Australian experience, there is a direct link between safety and quality and pricing and funding. Today, the Queensland Health, Australia is seeking to employ the normative strategies to introduce incentives ("Australian commission on safety and quality in healthcare", 2013). At the facility, the strategy is to incentivize case surgery conducted during the day, to reduce time spent at hospitals. Ideally, providing incentives for the day case surgery is to reduce stay at the hospital aims at improving performance. Thus, when incentives are offered due to excellent performance, definitely the funding model becomes P4P. Also, Queensland introduced a practice called CPIP (Clinical Practice Improvement Payment System) which seeks to provide incentives for better performance. Furthermore, it is reported that in 2007, Australia adopted a case-mix payment whose main objective was to achieve excellent performance. This is a confirmation that Australia is applying the P4P in its public hospitals to enhance their performance. In essence, to know that a country is applying the P4P model, the main focus should be to establish if there are incentives offered to achieve some desired performance. In Australia, there are efforts that are seeking to improve performance, by directing giving incentives to hospitals to achieve to improve their performance. Furthermore, in Western Australia, there are reports that between 2010 and 2011, WAHD (Western Australian Health Department), is implementing funding that is centered on activity carried out. For instance, is reported that health facilities handling in-patients cases that are acute received more funding, to boost their FOC (full operational capability). Ideally, there has been some significant increase in initiatives seeking to enhance safety and quality at Australian hospitals to bolster their performance for the benefit of patients (Norman, et al, 2014). Thus, due to the increased efforts in Australia to enhance the performance of their hospitals, it is imperative to state that they are employing the payment for performance model in her public hospitals. Manifestation of P4P Nevertheless, the payment for performance is likely to manifest in four areas that include: Pay-for- results, pay-for-transparency, gain sharing and pay-for-competence. For pay-for-results, this kind of initiative offers the healthcare providers some bonuses if they are able to serve their patients within a certain a short period of time so that they can go back to work. But, for pay-for-competence is where health providers, receive some excellent financial bonuses for having structured that are functioning to capacity, hence guaranteeing good performance (Mannion, Davies, 2014). In most cases, health service providers working at facilities that have achieved pay-for-competence are likely to be entitled to a better pay as compared to their counterparts in other facilities lacking the kind of structures they have in place. On the other hand, pay-for-transparency, is where those hospitals with proper documentation and processes are receiving financial bonuses, while those without are punished (Standard, 2012). Finally, gain sharing manifesting P4P, where healthcare providers are working in a complex system, where they are both striving to offer patient care, and in case they do a good job they share the incentives. On the other hand, if disparate providers fail to meet some desired performance they share the penalties imposed on them. National Efficient Price It is notable that NEP is activity-based. The concept of activity-based aims to determine how hospitals are funded depending on the activities they are carrying out. Thus, I am in agreement to the large extent that National efficient price is seeking to improve the health status in Australia, by having those hospitals that deal with more complicated disorders have a better funding than other hospitals. The idea perpetuated in this concept of NEP is that for public hospitals to achieve efficiency or desired performance then it is cogent to fund them depending on the activities they carry out. Furthermore, the NEP seeks to classify hospitals based on the services they offer so as to determine their funding (Downie, 2017). Hospitals that offer same services receive the same kind of funding and this to some level seeks to promote social equity (Downie, 2017). It promotes social equity in the sense that any hospitals across Australia receive same funding based on their services, so as to seal situations of funding variations that can be construed as discriminatory or injustice. Nevertheless, NEP in all probability seeks to improve the performance of public hospitals in Australia based on the services, they offer hence this kind of funding still falls under P4P. In conclusion, the main objective of payment for performance is to ensure that safety and quality are factored in determining the incentives or disincentives the hospitals receive. However, to some extent, the model does not give a model for growth, since it does not give room for improvement beyond a certain level (Merilind, 2016). Also, penalizing some hospitals due to their failure to meet some desired performance to some extent stifles them from performing well because of the demoralization that comes with disincentives. References Eagar, K., Sansoni, J., Loggie, C., Elsworthy, A., McNamee, J., Cook, R., Grootemaat, P. (2013). A literature review on integrating quality and safety into hospital pricing systems. Australian commission on safety and quality in healthcare. (2013). Retrieved 12 October 2017, from https://file:///C:/Users/ben/Downloads/Supplementary-Briefing-and-lit.pdf Standard, Q. I. G. (2012). Australian Commission on Safety and Quality in Health Care. Mannion, R., Davies, H. T. (2014). Payment for performance in health care. BMJ: British Medical Journal, 336(7639), 306. Norman, A. H., Russell, A. J., Macnaughton, J. (2014). The payment for performance model and its influence on British general practitioners' principles and practice. Cadernos de saude publica, 30(1), 55-67. Merilind, E. (2016). The impact of payment for performance on number of family doctors visits, specialist consultations and hospital bed occupancy. A longitudinal study. Quality in Primary Care. Lagarde, M., Wright, M., Nossiter, J., Mays, N. (2013). Challenges of payment-for- performance in health care and other public servicesdesign, implementation and evaluation. Downie, J. (2017). More than just activity: pricing and funding for quality and safety.
Saturday, April 4, 2020
The Horse Whisperer by Nicolas Evans Essay Example For Students
The Horse Whisperer by Nicolas Evans Essay The Horse Whisperer by Nicolas Evans comments on many cultural issues. He analyzes life and presents characters with depth and emotion. Protagonist Grace Maclean experiences every emotion imaginable throughout the course of the novel. Grace deals with emotions of confusion, depression, and happiness in a very short period of time. More importantly Evans shows the transition of Grace from a child to an adult. And carefully details the evolving relationship with her mother. In the beginning Grace expresses little and/or no emotion towards her mother Annie Maclean. The novel does not provide details related to there relationship, yet it conveys emptiness. Annie provides insight into the relationship when she recalls a conversation between her and her daughter: Why dont we ever do this? Grace said, not looking up. Annie answered, rather too tartly, that she thought it was immoral, like product placement. And Grace had nodded thoughtfully, still not looking at her, Uh-huh, she said, matter-of-fact, flipping on to something else. I guess people think youre younger if you make out you havent got kids. We will write a custom essay on The Horse Whisperer by Nicolas Evans specifically for you for only $16.38 $13.9/page Order now This comment gives serious insight into Graces non-caring attitude towards her mother. Grace also does not look her mother in the face when speaking to her. This behavior whether intentional or not presents the lack of communication between daughter and mother. On one hand Grace is disrespecting the mother by not giving her mother the attention she deserves. And on the other hand Annie does not go out of her way to confront the problem. So in the area of communication, the blame is equally divided between them both. Graces accident on her horse Pilgrim changed her life forever. Following the accident Grace falls into a coma which faces her with a difficult choice. This choice is symbolic of her willingness to continue with life and confront her problems. In the coma she encounters two lights, one that is bright and strong and one that is weak and dim. She chooses to go towards the dim light, which represents her life. It represents her life because even though dim she realizes that she has reason to strive to make it better. This action represents a maturity that was not there before. The time that comes after the accident is challenging for Grace. Her struggles at school leave her feeling inept. Though she wants to continue as though everything is fine she sometimes questions her life. Graces relationship with Annie is at a standstill. Annies concerns about her daughter are reinforced when she says, I saw you when she fell. Youve got to stop feeling pity for her. Pity wont help her at all (88). She directs this comment towards Graces father Robert Maclean who seems to want to help Grace every time shes in distress. Annies comment establishes the fact that Grace has to help herself. And that deep down she wants to pick Grace up with her own hands, but knows that it would be for the worse. At this point Grace is realizing that improvement can only be reached on her own behalf. Everyone has to do things for themselves instead of waiting around for others. Grace matures on the spot when she visits pilgrim. She is in shock when she finds him injured and says, No! Daddy, no! (93). She utters those words to her father when she realizes how hurt her horse is. Its symbolic of the fact that you dont always receive what you expect. Grace expected to see horse well and better, and she was faced with a grotesque situation. Yet this situation really makes her reflect and grow. Shortly after this situation Annie investigates horses and Grace and she drive there way to see the Horse Whisperer. This marks the beginning of a long healing process between mother and daughter. And for Grace this journey will be more than just about her horse, but rather about her soul.
Sunday, March 8, 2020
Microsoft Word How to Indent Text in a Document
Microsoft Word How to Indent Text in a Document Microsoft Word: How to Indent Text in a Document Formatting text in MS Word is both pleasingly simple and annoyingly complicated. Take text indentation, for example. The basics are very easy to grasp. But there are many extra options that you may miss if youââ¬â¢re not already a confident Microsoft Word user. To help out, then, weââ¬â¢ve prepared this complete guide on how to indent text in a document. The Tab Key One simple way to indent text is to place the cursor at the start of a paragraph and hit the tab key on your keyboard. In Microsoft Word, this adds a 0.5â⬠(1.27cm) indent at the left margin. It also automatically formats the text so that subsequent paragraphs have a first-line indent. If all you want to do is begin each paragraph with a half-inch indent, this is fine. But for more control over text indentation in your document, read on. How to Indent Text You can find the basic indentation options in Microsoft Word on the main ribbon. This includes the Paragraph section of the Home tab, where you will find Increase Indent and Decrease Indent buttons. Indentation options. The Increase Indent button adds a 0.5â⬠(1.27cm) indent at the left margin for the entire paragraph (not just the first line). The Decrease Indent button, meanwhile, does the exact opposite. Alternatively, go to Layout Paragraph on the ribbon and adjust the values in the left and right indent boxes as required. This has the added bonus of letting you indent text by a custom amount. Custom indentation. Special Indentations For even more control over the indentation in your document, you can open the main Paragraph menu. This can be accessed by going to Home Paragraph, clicking the Line and Paragraph Spacing button, and then selecting Line Spacing Optionsâ⬠¦ from the dropdown menu. Accessing the Paragraph menu. In the new window, you will find an Indentation section. The left and right indent options here work the same as in the Layout tab on the ribbon. Special indents. The other settings here can be used to add special indentations to your document. These include: First line ââ¬â This option indents the first line of each paragraph to a custom value. Typically, this type of indent would be used as an alternative to paragraph spacing. Hanging ââ¬â This will indent each line after the first in a paragraph. The most common use for this is to add a hanging indent in a reference list (e.g., as required in APA referencing). Mirror indents ââ¬â Clicking this will change the left and right indent options to say Inside and Outside This will mean that indents are ââ¬Å"mirroredâ⬠on odd and even pages, which helps ensure consistent formatting when printing something in a book format. To use any of these options, simply select the text you want to format with the cursor, open the paragraph menu, choose the type and size of indent you want to apply, and click OK to change the indentation for the selected text.
Friday, February 21, 2020
High cost of running the American healthcare system (this does not Research Paper
High cost of running the American healthcare system (this does not have to be the topic, use whatever that's suitable) - Research Paper Example There have been several reasons for such growth of cost in the health care system in the last few years. One of the most important reasons is the heavy spending in the technology sector. With time even the diseases are getting complex. Thus to fight such diseases technological innovation is a must. The use of prescription drugs also adds to the cost as with better technology the composition of the drugs are also changing which is making it more costlier than ever. The other very important factor that has added to the cost is the nature of the chronic diseases that has been a recent trend in the last few years. Chronic diseases constitute 75% diseases of the nation. These diseases are basically of long term duration and thereby requires more spending than other kind of diseases. Even the cure of such diseases is very costly compared to other kind of diseases. One economic factor which adds to the growth of the cost structure is the increase in population as well as the aging of the po pulation in US. With time, large portion of the populace is turning out to be aged as it is widely known that most diseases are often witnessed in old age. Therefore, with growing number of aged patients in the nursing homes, the cost of the health care division is also increasing. Higher administrative costs also contribute the higher health care cost structure (Kaiser Edu, 2010). Infrastructure, organization and quality should be major determinants in the health care delivery system. Health care largely depends on the infrastructure of the unit. It is very essential for the nursing home to have high level of infrastructure in order to combat with any kind of disease. Again the non physical infrastructure should be competent and up to date. It generally means that the information system and the human resources should be competent enough
Subscribe to:
Posts (Atom)