Sunday, December 29, 2019

Sampling With or Without Replacement

Statistical sampling can be done in a number of different ways. In addition to the type of sampling method that we use, there is another question relating to what specifically happens to an individual that we have randomly selected.   This question that arises when sampling is, After we select an individual and record the measurement of attribute were studying, what do we do with the individual? There are two options: We can replace the individual back into the pool that we are sampling from.We can choose to not replace the individual.   We can very easily see that these lead to two different situations.    In the first option, replacement leaves open the possibility that the individual is randomly chosen a second time.   For the second option, if we are working without replacement, then it is impossible to pick the same person twice.   We will see that this difference will affect the calculation of probabilities related to these samples. Effect on Probabilities To see how we handle replacement affects the calculation of probabilities, consider the following example question. What is the probability of drawing two aces from a standard deck of cards? This question is ambiguous.   What happens once we draw the first card?   Do we put it back into the deck, or do we leave it out?   We start with calculating the probability with replacement.   There are four aces and 52 cards total, so the probability of drawing one ace is 4/52. If we replace this card and draw again, then the probability is again 4/52. These events are independent, so we multiply the probabilities (4/52) x (4/52) 1/169, or approximately 0.592%. Now we will compare this to the same situation, with the exception that we do not replace the cards.   The probability of drawing an ace on the first draw is still 4/52. For the second card, we assume that an ace has been already drawn.   We must now calculate a conditional probability.   In other words, we need to know what the probability of drawing a second ace, given that the first card is also an ace. There are now three aces remaining out of a total of 51 cards. So the conditional probability of a second ace after drawing an ace is 3/51.   The probability of drawing two aces without replacement is (4/52) x (3/51) 1/221, or about 0.425%. We see directly from the problem above that what we choose to do with replacement has bearing on the values of probabilities.   It can significantly change these values. Population Sizes There are some situations where sampling with or without replacement does not substantially change any probabilities.   Suppose that we are randomly choosing two people from a city with a population of 50,000, of which 30,000 of these people are female. If we sample with replacement, then the probability of choosing a female on the first selection is given by 30000/50000 60%.   The probability of a female on the second selection is still 60%.   The probability of both people being female is 0.6 x 0.6 0.36. If we sample without replacement then the first probability is unaffected.   The second probability is now 29999/49999 0.5999919998..., which is extremely close to 60%.   The probability that both are female is 0.6 x 0.5999919998 0.359995. The probabilities are technically different, however, they are close enough to be nearly indistinguishable.   For this reason, many times even though we sample without replacement, we treat the selection of each individual as if they are independent of the other individuals in the sample. Other Applications There are other instances where we need to consider whether to sample with or without replacement. On example of this is bootstrapping. This statistical technique falls under the heading of a resampling technique. In bootstrapping we start with a statistical sample of a population. We then use computer software to compute bootstrap samples. In other words, the computer resamples with replacement from the initial sample.

Thursday, December 26, 2019

Essential Question Did the formation of the National...

Essential Question: Did the formation of the National Aeronautics and Space Administration and its programs positively affect the people of the United States? On October 1st, 1958, the National Aeronautics and Space Administration (NASA) formally opened its doors for advancements in space and atmospheric research. After the launch of the Soviet Unions Sputnik 1, Earths first artificial satellite, on October 4th, 1957, United States President, Dwight D. Eisenhower asked his science advisor, Dr. James Killian, to research the best process to develop a national space program. Killian presented many proposals to Eisenhower, who eventually approved Killians proposal of instituting a civilian space agency built around the militaristic†¦show more content†¦As a consequence of the tensions between the superpowers, NASAs birth was directly related to the pressures of national defense. (Garber and Launius, 2005). The launch of the Soviet spacecraft created an idea in the United States that the Soviets were far more technologically advanced. To counter this thinking, the US government created NASA and it marked the beginning of the space ra ce. The reasons for the formation of NASA listed in the National Aeronautics and Space Act differ from the primary reason listed above. In the bill, it states the space program will contribute to the following objectives: The expansion of human knowledge of phenomena in the atmosphere and space; The improvement of the usefulness, performance, speed, safety, and efficiency of aeronautical and space vehicles; The development and operation of vehicles capable of carrying instruments, equipment, supplies and living organisms through space; The establishment of long-range studies of the potential benefits to be gained from, the opportunities for, and the problems involved in the utilization of aeronautical and space activities for peaceful and scientific purposes. (National Aeronautics and Space Act, 1958). Though these reasons differed from the primary force behind the creation of the agency, all were factors to decide upon its formation. How did NASAs programs affect the people? NASA created technologies that wereShow MoreRelatedMacbeth Ess1197 Words   |  5 PagesayMacbeth Essay 3. The power of the play is its relevance to today’s society. We are surrounded in everyday life by men and women who might as well have been characters in this play. The play of Macbeth has themes in it which can be associated with people who live in our world today. In Macbeth we see a king who abuses his power and uses it for the wrong reasons. He almost always get away with it. Despite the fact that there were people that were suspicious of Macbeth, he was never broughtRead MoreThe Emergency Services Sector ( Ess ) Essay2170 Words   |  9 PagesIntroduction The Emergency Services Sector (ESS) is one of the most important sectors in America. The sector is the largest in terms of personnel. This sector trains and utilizes both physical and cyber resources in order to provide a multitude of services for daily operations and critical incident responses. The sector itself is comprised paid staff as well as volunteers from within each community that they serve. The sector is composed of five sub groups: law enforcement, fire and emergencyRead MoreUsing Evolutionarily Stable Strategies ( Ess ) And Signaling Theory3035 Words   |  13 Pagesany direct trace of human language’s emergence, many hypotheses have been proposed to connect the few dots we have now. The concepts of evolutionarily stable strategies (ESS) and signaling theory have complicated this already intricate matter, but they have also helped to shine a light on a different facet of the problem. An ESS is, by definition, a strategy that cannot be displaced by any alternative strategy (as long as the alternative strategy is initially rare) once it is fixed in a populationRead MoreEvan Higgins. Uw Ess 102. Due: 4/10/2017. Human Vs Robotic1539 Words   |  7 PagesEvan Higgins UW ESS 102 Due: 4/10/2017 Human Vs Robotic Space Exploration Space. Possibly the most unforgiving place possible for humans, and yet we desire to go there. We desire to travel to distant planets, new galaxies, and to know all that there is to know. We want all of this, and yet the mission to mars, and the first missions to the moon, we sent robots. There are many reasons for this and why we didn’t send humans, but the main reason we haven’t sent as many humans to space, is cost. ItRead MoreA Meta Analysis Of Schizophrenia Used By Heinrichs And Zakzanis1109 Words   |  5 Pagesstrategies; similarly, the nonverbal memory domain SMD was -0.91. All three of the memory domains contained a high heterogeneity of ESs. However, immediate verbal memory tests that resulted in smaller ESs found among first episode samples had a small percentage of males, and samples were only diagnosed with schizophrenia (not mixed varieties). In addition, smaller ESs found in the delayed verbal memory and learning strategies domain contained more recentl y published studies. Lastly, the nonverbalRead MoreThe European Union And Its Institutions1183 Words   |  5 Pagesproposed methods of data analysis. Data In order to investigate the hypotheses, I have chosen to use the European Social Survey (ESS). ESS aims to investigate attitudinal changes within the European countries. ESS is a cross-national survey, carried out every second year starting from 2002. In total, there are six rounds, where the most recent round is from 2012 (ESS Round 6, 2012). The survey consists of a core questionnaire varying a theme module questionnaire – one for each round. The core questionnaireRead MoreStochastic Synchronization Of Distributed Energy Resources1177 Words   |  5 Pagesgrid as a means of supplementing supply requirements [1]. Energy resource scheduling in a micro grid is different from that of a large power network due to its size, power exchange with the main grid, and charging/discharging of energy storage system (ESS) [2]. Indeed, controllable DGs in a micro grid are much smaller than power systems, reflecting an easier switching operation and hence a more flexible scheduling [2]. How ever, today’s micro grids are subject to operational challenges such as bidirectionalRead MoreProject Analysis : Hop Hlp Project1466 Words   |  6 Pagesstatus. The project will go live in the ninth December of 2016. †¢ System Implementation. The end users for this system are all SATORP employees that want to request for a home ownership or loan. The layout of the system is In the home page of ESS (Employee Self Service) the user will be entering its account information as it is in the SAP system. Then the system will display the account with the name of the employee and the Badge number and retrieve certain information needed for the rankingRead MoreBritish Airways Information System1483 Words   |  6 PagesExecutive Support System (ESS) Executive Support System (ESS) supports management in BA to make long term unstructured decisions and addresses strategic issues. Executives use this information tool, as it provides relevant data about British Airways internal and external environment which enables BA to match its organisational capability to changes, and opportunities, occurring in its external environment ESS Workstation Graphics Communications Local processing Menus ESS Workstati on Internal dataRead MoreWriting Assignment : Race And Sports1505 Words   |  7 PagesExam # 3: ESS 330 Writing assignment: Race and Sports Race is defined as a category of people regarded as socially distinct because they share genetically transmitted traits believed to be important by people in a society with power and influence (PPT slide ESS330). In sports, race has and continues to be snared with question, but as former Israeli Olympic athlete Gideon Ariel underscores: â€Å"I know that the American system is very sensitive to statements

Saturday, December 21, 2019

The Factory by Mary Dilworth Essay - 852 Words

Written assignment Hannah Diwiak, 1c In the story The Factory the author Mary Dilworth writes about one of the nowadays main questions: what to choose when we have to decide between family or further a privat life for your own and career. Through out her characters she shows what can happen when the family feels left behind. And puts up the question what is really worth to achieve in life. The narrator of the story always hated the factory (p.1 l.1), though she worked once herself in a factory as the bosss secretary, where she also met her nowadays husband (p.1 l.20-22). Her hate against this institution is so strong, that she often imagined it burning down (Ive often imagined it without its†¦show more content†¦To have a guess about the importancy of the factory to him is that he even would have sold almost anything to have [his sign in those flashing neon lights that the city firms can afford] (p.1 l.5-8). The fact that he focuses absolutely on his work causes serious relationship problems in the engagement of the narrator and Eric; he is whether working or having a time for himself (He always says that after such a busy day at the factory, he needs to sit and think p.2 l.13-14). So the reader gets the impression their arent spending much time together – except for having breakfast, lunch and dinner together - or having actually something like a harmo nic parship. He treats her work as housewife with a kind of disrespect when is only appearing for the meals during which where he reads instead of having a conversation with her. While he goes to bed early to give his best at work the next day he doesnt notice at all how his wife feels when she stays up at night, hoping the factory will burn down. Summarized it can be said, that there is a lack of communication in their relationship, caused by his ambitions for his success with his factory. Red is in the story not just the colour of fire but also of love and passion, which the narrator misses currently. The gray that her husband became is the colour of routine, boredom and daily routine. In the ending of the story it becomes clear to the readerShow MoreRelatedDeveloping Management Skills404131 Words   |  1617 Pagesnotorious of all, of course, was the prediction by the United States patent office in 1896 that it would soon close its doors since â€Å"everything that can be invented has been invented.† Warren Bennis, a colleague of ours, half-jokingly predicted that the factory of the future would have only two employees, a person and a dog. The person would be there to feed the dog. The dog would be there to keep the person from touching the equipment! Tom Peters counseled managers that, due to the chaotic pace of change

Wednesday, December 18, 2019

No Heroes, No Villains By Steven Phillips - 1212 Words

In the short book of â€Å"No Heroes, No Villains† by Steven Phillips On June 28, 1972, a Transit Authority patrolman, John Skagen, was on his way home from testifying at court for an arrest he made a couple of weeks prior. Skagen was taking the train home to the Bronx when he saw and stopped James Richardson who was awaiting the subway train which would take him to work at Lincoln Hospital. Skagen ordered him to â€Å"put up your hands, and get against the wall†. Skagen’s actions seem unprovoked and unnecessary. After a short tussle the two men exchanged shots and Richardson fled the scene on foot. Two other officers that were on the main street above the subway station rushed to the scene. As they approached the entrance of the station, Richardson who was fleeing the scene ran directly into one of the officers. One of the officer noticed Richardson was shot and attempted to stop Richardson. The other officer continued down into the subway and witnesses Skagen h olding his gun and pointing it towards him, the officer emptied his gun into Skagen who was able to let off one round prior to the officer shooting him. Richardson was later apprehended and taken to the emergency room for his wounds. His gun was also retrieved. Skagen was rushed to the same hospital emergency room where he was pronounced dead. Richardson confessed to shooting Skagen and revealed that there were only four rounds exchanged between the two men. Skagen’s autopsy revealed that he had been shot five times andShow MoreRelatedNo Heros No Villians1488 Words   |  6 PagesSociology 461 Criminal Justice Systems Edward M. Stern No Heroes, No Villains; by Steven Phillips In the book No Heroes, No Villains the author Steve Phillips describes a story of a single dramatic trial of murder it offers a thoughtful and balanced presentation of the problems besetting our criminal courts, lays bare the mechanics of justice, and explains in graphic detail just what is wrong and right about our criminal justice system. Throughout this book there are many important details leadingRead MoreVillains in Hollywood Films Essay2476 Words   |  10 PagesVillains in Hollywood Films Alfred Hitchcock once said The better the villain, the better the film and this years Hollywood filmmakers have abided by this golden rule as there was no stopping this years summer blockbusters from having a whole horde of villainous characters spreading their wings onto the big screen, making the darker side more appealing for audiences. Everybody has gone villain this year, from Tom Cruise to Halle Berry, from the not- so-friendly extraRead MoreThe Marvel Of Marvel Comics2519 Words   |  11 PagesApril 14, 2015 The History of Marvel Comics When is the last time you saw a superhero? There is a fifty percent chance that this person is one of Marvel’s infinite amounts of superheroes and greatly known as the mass producers of comic book heroes and villains, Marvel Comics has become one of the most dominant pop culture icons on the face of the planet (Knutson). Marvel is one of the most influential when it comes to all ages living in the United States because of being operational for so long: theRead MoreStephen P. Robbins Timothy A. Judge (2011) Organizational Behaviour 15th Edition New Jersey: Prentice Hall393164 Words   |  1573 PagesSelf-Assessment Library How Charismatic Am I? 382 Self-Assessment Library Am I an Ethical Leader? 386 An Ethical Choice Do Leaders Have a Responsibility to Protect Followers? 388 Myth or Science? â€Å"Power Helps Leaders Perform Better† 392 Point/Counterpoint Heroes Are Made, Not Born 398 Questions for Review 399 Experiential Exercise What Is a Leader? 399 Ethical Dilemma Undercover Leaders 399 Case Incident 1 Leadership Mettle Forged in Battle 400 Case Incident 2 Leadership Factories 400 13 Power andRead MoreExploring Corporate Strategy - Case164366 Words   |  658 PagesRoss Brawn: ‘it’s not an engine, it’s not an aero-package, it’s not a chassis. It’s a Ferrari.’ As part of its recruitment of Michael Schumacher in 1996 Ferrari entered into a commercial partnership with Phillip Morris to use the Marlboro brand on the Ferrari cars. In a novel arrangement Phillip Morris, rather than Ferrari, paid Schumacher’s salary, and made a signiï ¬ cant contribution to Ferrari’s annual operating budget. In addition to Marlboro, Ferrari also entered into a long-term partnership withRead MoreProject Mgmt296381 Words   |  1186 PagesThey are creating next generation, fuel efficient vehicles, developing sustainable sources of energy, and exploring the farthest reaches of outer space. The impact of project management is most profound in the electronics industry, where the new folk heroes are young professionals whose Herculean efforts lead to the constant flow of new hardware and software products. Project management is not limited to the private sector. Project management is also a vehicle for doing good deeds and solving social

Friday, December 13, 2019

Managed care Free Essays

1. How do managed care organizations provide comprehensive and quality care while keeping costs down? American health care should essentially be a nonprofit enterprise. However, the privatization of American health care holds that health care in general and hospitals in particular are increasingly operating on a for-profit basis. We will write a custom essay sample on Managed care or any similar topic only for you Order Now In fact, the for-profit hospital sector has accounted for a relatively constant share (about 15 percent) of hospital beds over the last twenty years (Morrisson, 1999). This is why recently the U.S. Congress tries to push more â€Å"consumer-directed† health plan options to avoid cash-strapped managed care organizations (MCOs) to boost their deductibles, raise premiums and even defy federal law by authorizing policy holders to buy prescription drugs from low-cost vendors in Canada (Smith, 23 September 2004). Managed care organizations (MCOs) often apply the traditional fee-for-service models, which do not provide adequate financial controls and utilization incentives for physicians and hospitals to contain the costs of providing healthcare. Under managed care, the needs of the patients are balanced with efforts to provide cost-effective care. Typically, MCOs enroll subscribers by promising to provide all necessary medical care in exchange for a fixed monthly premium. The MCO also contracts with hospitals, physicians, and other healthcare providers to dispense the necessary medical care to its enrollees at a discounted reimbursement rate. In exchange for accepting reduced fees, the caregivers gain access to the MCO’s enrolees (Kirby, Sebastian Hornberger, 1998). A problem with managed care is that employers who offer a health maintenance organization (HMO) to their employees often pay the premium as long as the HMO premium was not higher than the fee-for-service premium. This behavior by employers creates distorted incentives for the HMO in controlling its costs. Enthoven (1993) suggested that this incentive distortion can be corrected when employers design better alternatives for their employer contributions. The employer could contribute a fixed-dollar amount for health insurance with the employee paying the full difference between plans. The greater the portion of the marginal premium paid by the employees is, the stronger the incentive is to choose lower-cost plans. For example, if the employer pays 80 percent of the premium and the employee pays the remainder, then the employee pays only 20 percent of the difference between the low (let’s presume here) HMO premium and the higher fee-for-service premium. HMOs and other managed care arrangements are organized on a prepayment basis that appear in a wide variety of forms. An HMO could hire physicians on a salary, contract with a preexisting group practice of physicians, or contract with physicians who maintain a fee-for-service practice. According to Luft (1991), â€Å"Because specific social, legal, historical, political, and economic aspects of the medical care environment have shaped delivery systems such as the HMO, it is not reasonable to expect that the typical HMO could be transplanted intact to another country† (p. 173). The key to HMO cost savings is the organization’s wide range of medical services, both inpatient and outpatient. In this way, the HMO can receive the cost savings implied by reduced hospital use. This may be difficult to manage in systems where there are separate financing mechanisms for primary care physicians and inpatient care. As Luft (1991, p. 180) remarks. â€Å"If there were no way to shift funds from the ‘hospital side’ to the ‘physician side,’ it would be difficult to reward clinical decision makers for the development of more cost-effective practice styles.† 2. How can the trio of ambulatory care, mental health care and alternative theraies assist in the process of providing quality care at low cost? Ambulatory care-sensitive conditions reflect the quality and availability of primary care services, since they are readily treatable without the need for hospitalization. There are differences in the hospitalization rate for ambulatory care sensitive conditions. Shenkman et al. (2005) had indicated that specialty ambulatory care is important for many children with chronic conditions. However, access to such care may be constrained within managed care environments. The use of primary care providers (PCPs) as gatekeepers for managed care organizations (MCOs) is one commonly used strategy to control specialty care use. Studies of the impact of gatekeeping on children’s receipt of specialty care have resulted in mixed findings. Some studies found more specialty care use in gatekeeping MCOs, compared with non-gatekeeping MCOs. Other researchers found that the replacement of a gatekeeping system with an open-access model increased specialty visits among a group of children with chronic conditions. Although the focus on gatekeeping in general yields some important information, MCOs use many other strategies concomitantly with their PCP gatekeepers, such as capitated payments, financial incentives, and prior authorization procedures. The use of these concomitant strategies may meet the unique needs of children with chronic conditions, including their need for specialty physician care. On the other hand, managed care had been significant contributor on delivery systems for mental health services. Taylor et al. (2001) had indicated that direct and indirect persuasion to provide more cost-effective treatments has been one consequence. The cost-saving qualities and the effectiveness of group interventions have produced clear expectations for an increased use of therapy groups. In the research of Taylor et al. (2001), they compared perceptions and uses of group treatments on a national sample of managed care organizations and mental health providers. Implications of differences and similarities between directors of managed care organizations and treatment providers are examined and discussed across five response categories (familiarity/training perceived effectiveness, likelihood of reimbursement/referral, daily use and expectation for future use). Taylor et al (2001) favored the approach where MCOs calibrate treatment referral/reimbursement decisions. Recently published comparison outcome studies and meta-analyses can and should empirically guide the present treatment delivering systems. Lastly, many managed care organizations have already begun to integrate complementary and alternative medical therapies (CAM) with conventional medical providers. Medical practitioners are obligated to assess CAM therapy with patients. Alternative therapies require professionals to rethink staff competency, patient assessment, and patient-focused care. Medical leaders must understand CAM trends and therapies to better integrate these concepts into health care policy, standards of care, and ethical decisions (Parkman, 2001). Among ambulatory care and mental health care, alternative therapies, or CAM, offers the most favorable and cost-efficient strategy for MCOs. This is because the aging â€Å"baby boom† generation is beginning to experience chronic but non-life threatening conditions, such as joint pain, headaches and menopause-related complaints and they are willing to explore options other than prescription drugs. For health plans, the attraction of offering alternative care products lies in retaining and attracting new members, diversifying their services from competitors in a congested managed care market and in attempts to address current or proposed state mandates (West, 1997). In 1997 alone, expenses for professional services were $21.2 billion, a 45% increase over the earlier 1990 data. Expenses for professional services, herbals, vitamins, diet products, books, and classes totaled $27 billion. Five surveys conducted since 1990 have reported frequent use of CAM, ranging from 30% to 73% by patients suffering from conditions such as cardiovascular disease, cancer, arthritis, HIV and AIDS, multiple sclerosis, and chronic musculoskeletal pain. Futhermore, the demand for CAM by the general public is increasing, despite the fact that its use is largely paid by consumers without coverage by third-party payers. In 1997, Americans spent an estimated $13 billion for visits to CAM providers and an additional $2 billion for commercial diet supplements and over-the-counter megavitamins (Pelletier Astin, 2002). Managed care should not only focus on cost savings, but they should also look into diversifying their services. MCOs have generally contributed to the decline in the U.S. health cost growth rate. Their potential will continue to be limited to the extent that employers fail to offer true financial advantages to consumers who choose the low-cost health plans. Thus, more reforms in the policies should be reviewed and revised so that more people could benefit from the quality health care everyone deserves. References Enthoven, A.C. (1993). The History and Principles of Managed Competition. Health Affairs, supplement, 24-48. Kirby, E.G., Sebastian, J.G. and Hornberger, K.D. (1998, Jan/Feb). The Effect of Normative Social forces on Managed Care Organizations: Implications for Strategic management/Practitioner Response. Journal of Healthcare Management. 43(1):81-106. Luft, H. (1991). Translating the U.S. HMO Experience to Other Health System. Health Affairs 10:172-186. Morrison, I. (1999). Health Care in the New Millennium. NY: John Wiley Sons, Inc. Parkman, C. (2001, February). Alternative Therapies Are Here to Stay. Nursing Management, 32(2): 36-40. Pelletier, K.R. and Astin, J.A. (2002, Jan/Feb). Integration and Reimbursement of Complementary and Alternative Medicine by Managed Care and Insurance Providers: 2000 Update and Cohort Analysis. Alternative Therapies in Health and Medicine, 8(1): 38-44. Shenkman, E., Tian, L. and Schatz, D. (2005, June). Managed Care Organization Characteristics and Outpatient Specialty Care Use Among Children With Chronic Illness. Pediatrics, 115(6): 1547-1555. Smith, C. (2004, Spetember 23). Senate Panel Examines Health Care Choices, Insurance Costs. Knight Ridder Tribune. Taylor, N.T., Burlingame, G.M., Kristensen, K.B., Fuhriman, A. et al. (2001, April). A Survey of Mental Health Care Provider’s and Managed Care Organization Attitudes Toward, Familiarity With, and Use of Group Interventions. International Journal of Group Psychotherapy, 51(2): 243-264. West, D. (1997, November 10). MCOs Integrating Alternative Care. National Underwriter, How to cite Managed care, Essay examples Managed Care Free Essays The article seeks to identify the problems that face managed care organization (MCOs) in contemporary competitive environment which include broad public opinion, competitive realities, need for cost reduction. The article also notes that there has been an increase in health care cost despite the establishment of the managed health care systems implemented through the managed care organizations. Increase in cost remains to be a major concern for patients/consumers. We will write a custom essay sample on Managed Care or any similar topic only for you Order Now Due to this, patients are ready to switch from one plan to another in which cost difference in premium is as little as $15. 0 per month. The article also claims that there has been concern from the society as far as quality of managed healthcare service is concerned. Such concerns encompass: accessibility, and the verification of what is ‘medically necessary’ including the diagnosis tests and referrals. Other concern is freedom of choice. Additionally, perceived quality which is increasingly valued by contemporary patients/consumers has been lacking in the managed care organizations. (Entrepreneur 1998). Strategies or techniques are used to solve the problem or address the issue. This article proposes application of institutional theory to MCOs performance as well as strategic planning. Over emphasizing of institutional theory at the expense of strategic planning will not help the managed care organization to survive in the contemporary competitive environment. The article proposes a strategy that will respond and conform to the needs of the patients and the society at large. Being cost efficient and conforming with socially accepted norms will lead to superior performing of MCOs. Thus, a strategy that encompasses technical requirements as well as conforming to needs of the patients/consumers is very critical for success of any MCO. Only emphasizing or dealing with cost issue is not a strategy for long-term MCO superior performance and success. The article also proposes that all MCOs must demonstrate what contemporary consumers/patients and society expects. These expectations include accessibility, freedom of choice, and perceived quality i. e. always provide value for all patients. ( Entrepreneur1998). My conclusions and recommendations It is clear that the establishment of managed care and the managed care organizations have not been a panacea to all problems facing patients/consumers. Instead, what the patients would like to have is more accessibility to health care services, freedom of choice, better services emphasizing on perfect diagnosis tests, reduction in cost of this services as well as flexibility of managed care systems. This is yet to become a reality. To ensure this, responding to consumers/patients needs will be of great importance. This should include training the health care workers on the best way to serve the patients better, and carrying out perfect diagnosis tests before treating the patients. Increase in number of medical practitioners in MCOs so as to ensure accessibility of these services should also be considered. The managed care plans should also employ modern technology that will improve the quality of health care services. This should encompass better disease diagnosing equipments, and establishing better information systems. Reduction of cost is also very imperative. All inefficiencies and wastage should be checked through a well planned compliance system that should work closely with the human resource department. (Harris, J. S. 1994; Morton-Cooper Bamford 1997; Alexander Amburgey. 1987) Contribution of the article to helping practicing healthcare managers This article is of great help to many practicing healthcare managers. First, it point out the importance of being market oriented i. e. responding to the needs of the patients/consumers and society at large. Factors that determine patients choice of particular health care provider i. e. accessibility of the service, cost of the service, perceived quality such perfect diagnosis test for appropriate medication and so on are also enlisted. The article also emphasis on need of employing a strategy that ensures adherence to technical requirements, cost reduction, high quality, and also freedom of choice to the patients/consumers. Such insight is of great importance to any practicing health care manager who wants to succeed in this career. How to cite Managed Care, Papers

Monday, December 9, 2019

Miss Misery by Elliott Smith free essay sample

The Misery of Elliott Smith When it comes to the music, the lyrics can really make it or break it for me. In some respects they are more important than the tune. And, I had never heard lyrics with so much raw emotion until I heard Elliott Smith’s â€Å"Miss Misery.† Like so many of Smith’s songs â€Å"Miss Misery† is a haunting tale of failed love and disappointment. One line that is very powerful in the song is straight from the chorus, where he says â€Å"Do you miss me, Miss Misery, like you say you do?† The soft guitar accents his voice in a way I can’t describe. His cold raspy voice is one you would recognize anywhere. Even though most of his songs sound similar, each one has it’s own story that seems to dig deeper into his heart. There is no doubt that everything he writes is extremely well thought out and comes from only the richest part of his soul. We will write a custom essay sample on Miss Misery by Elliott Smith or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The music really makes you think about your life and what your priorities are in your future. For example, I wonder how I would handle the same feelings and emotions he is going through in this song. I think I would steer clear of the path he chose to deal with it, his route is alcohol. Getting trapped in alcohol is no way to go through life. What I would hope for are good friends to help me deal with my own Miss Misery.

Thursday, December 5, 2019

The Influence of a Fictional Character free essay sample

A fictional character that directly influenced me was Oscar Wildes Dorian Gray. Dorian taught me to never let the influence of others deflate who I am as a person. Dorians trusting disposition was his true downfall. His looks only mattered to him once he had been fooled into valuing them. He taught me to never lose sight of who I am, or who I intend to be. The character Dorian Gray also taught me wisdom. I learned to determine who my real allies are before I allow the synthetic ones to betray me. Dorians naive attitude sealed his fate. From him I learned that trust should be the fore runner in all of my relationships. Dorians countless transgressions and iniquities taught me to always concern myself with the preservation of my own integrity. Dorians tragic tale forced me to create a code of ethics for myself out of fear that I could one day become the mishap that he became. We will write a custom essay sample on The Influence of a Fictional Character or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page In life, we must all slay our â€Å"dragons†. The most important part of slaying our â€Å"dragons† is the way that we do it. We must do this in a way that does not compromise who we are as human beings. Dorian allowed his self to be transformed into his own dragon, which eventually led to him slaying his self. In summation, Oscar Wildes fictional character Dorian Gray from the book The Picture of Dorian Gray had a largely direct influence on me. Dorian Gray taught me to treat myself like a sentimental keepsake. He taught me to never allow the influence of others to taint my integrity and to trust my own moral compass. Dorian Gray made me who I am today, and without him, I shutter at the thought of who I would have been.

Monday, December 2, 2019

The List of Top Interesting Essay Topics

Your professor can give you a writing assignment, or ask you to choose one. Picking the right essay topic is time-consuming and requires in-depth research. However, it is an excellent opportunity to discover a theme that appeals to you. Writing such a paper is interesting. Besides, you will craft a fascinating thesis. Here Is How to Select the Best Interesting Essay Topic for Your Thesis It is a cause of celebrations when your tutor tells you to pick an essay topic. In such circumstances, choose a question that you understand. Nonetheless, here are some ways of selecting a theme for your writing assignment: Choose a subject that motivates you. Decide on a question you understand and is easy to answer. Limit your research topic by coming up with a thesis statement. Ensure that your subject matter has enough sources you can use. Check This List of Interesting Essay Topics Suggested for You Well, it is time to look at some fascinating topics sampled from top writers all over the globe. Don’t forget to select an appealing one for you! The role of the United Kingdom during the Cold War. Identifying factors that helped Napoleon Bonaparte to achieve military success. The impact of global warming on environmental policies. Utilitarian theory and its use in solving an ethical dilemma. The development of motivational policies using the Maslow hierarchy of needs theory. Using Herzberg theory of motivation to encourage the employee. The extent of environmental pollution in the United States. Analysis of President Barrack Obama`s achievements. The justification of 2002 Iraq War. The importance of the 1964 Civil Rights Act in promoting equality. Fighting discrimination in the workplace. The best strategies for promoting innovation in 2019. The characteristics of a highly innovative organization. Methods of promoting good relationships. Analyzing the effects of social media on teenagers. The marketing mix of Apple Inc: analysis. Strategies WalMart can use to reduce labor turnover rates. The impact of Steve Jobs on increasing the performance of Apple Inc. The various styles of leadership and their impact on organizational performance. Methods Amazon Inc used to achieve success. Strategies for winning a presidential election. The methods used to fight HIV Aids in developing countries. Debates on the importance of GMOs and whether they are ethical. Legalization of same-sex marriages in the United States. Consequences of lack of sleep to school going children. The Aristotelian concept of friendship and its impact on the current society. The primary principles of Nicomachean ethics. The symbolic elements found in the story of, â€Å"Young Goodman Brown?† The elements of tragedy found in Othello. The impact of global warming on the world. The best strategies for promoting religious tolerance in America. The use of the dramatic element in building the character of Hamlet. Proving the existence of God. Role of Apostles in spreading the Gospel. Texting and its impact in promoting relationships. The thematic connotation of Machiavelli book â€Å"The Prince.† Best strategies of winning the War on Terror. Building a healthy relationship. Impact of experiential learning on children with disability. Strategies for fighting diabetes mellitus. Arguments of Karl Marx against the capitalistic system of governance. The negative effects of a social welfare state. Consequences of negative parenting. The ethical implications of conducting an abortion. Religious rituals amongst the native American Indians. A crime, a misdemeanor, and a felony: similarities and differences. Examination of the legal concept â€Å"fruit of the poisonous† The primary elements of a contractual relationship. The evolution and application of the common law doctrine. Different ways of reading and interpreting the constitution. Types of law enforcement agencies and their roles. The primary tenets of the game theory. The ethics of using animals for testing new medications. The role of America in the formation of the League of Nations. The legislative process in America: stages. The collapse of Enron and its effects on regulatory laws in the United States. The role of UK parliament in Brexit negotiations. Effective remedies for treating cancer. The importance of Shakespeare`s pieces in literature. Importance of proper nutrition for sports personalities. Importance of restricting alcohol usage to underage children. Advantages of attending a diverse learning institution. Benefits of exempting the poor from paying taxes. Immigration and crime rates in America. The consequences of the American-Chinese trade war. Minimum wages and reduction of poverty in America. The consequences of the 2007 global recession in the banking industry. The best age of starting school. The business strategies of Microsoft. The most effective ways of punishing children. Incarceration and its effects in reducing crime. AI development: expectations in 2019. The positive effects of feminism on 21th-century society. Explaining the methods of producing perfect artistic images. Possible consequences of global warming. The most effective ways of improving the economies of third world countries. The United States as a global policeman. The importance of separating religion from the state. Regulation of the media by the government. Importance of banning junk food in schools. The role of music in promoting freedom of expression. The social media and its impact in compromising the privacy of users. The best strategies for developing a positive relationship with a student. The top strategies to use in identifying the consumer trends of a particular product. The importance of eliminating nuclear weapons. Economic integration schemes and protection of financial interests. Best strategies of protecting the rights of the gays and the transgender people. Humanitarian intervention and the breach of states sovereignty. Graffiti as enhancement of creative art. The importance of teaching life skills in college institutions. Best strategies for preventing bullying in public schools. Policies that can help prevent divorce. The security of the state and religious intolerance. The benefits of video games in the learning process. The use of realism in analyzing world politics. The consumerist culture; 21th-century changes. The sinful nature of humanity and the teachings of Christ. The best ways of planting a tree. Methods of improving the production of food substances. The Myth of Odysseus and promotion of ancient Greek religion. How the church helps in promoting a positive living. A Suggestion of Some Interesting Essay Questions You Can Pick Well, after the identification of your topic, you should choose a question. The thesis statement will form its answer. Always ensure you formulate a problem you can tackle. Below are some of their examples: How did Desdemona contribute to the fall of Othello? What are your views regarding the Jeffersonian position on the separation of religion from the state? Should President Trump go ahead and build a wall along its Mexican border? What are the best strategies for winning a war according to Sun Tzu? How does the emergence of the â€Å"Ghost† in Hamlet develop the plot of the play? Should the government regulate the media? Should the government play an active role in an economic system? What are the effects of minimum wages on poverty reduction? What are the factors that contribute to increased poverty within the state? When is it justifiable for researchers to use animals for their studies? Simple Interesting Essay Ideas for Your Paper College tutors have an interest on the type of subject you want to tackle. Thus, you can ask them to help you select a topic. Nonetheless, the following are some ideas you can consider while choosing and working an essay: Consider adopting a theme that reflects the current issues in society. Be realistic, and provide examples. Use a hook statement while developing your research question. Don’t use more than two. To have a firm understanding of your theme, read the relevant Such a process may help you develop an excellent thesis. Use credible sources, and determine their opposing viewpoints. You can rely on existing topics to develop an original idea for your essay. Avoid bias while writing. Ensure that you provide supporting Don’t forget to cite! Avoid generalizing your essay. Narrow it down to a specific sub-theme. You can use it as your thesis statement. Professional Help You may find it a challenge to choose an appropriate topic. In this case, seek professional help. We are an online essay writing company that can help you select an appropriate study theme. We have experienced writers who can do the job for you. Besides, you can judge the quality of their work by asking for an essay sample. So, to know more about our writing service, you can contact us.