Purpose of General Appeals Process Essay

The purpose of a General Appeals Process is used to challenge payer’s decision to reduce, deny or to downcode any claim. The provider however, can ask for a review of the payer’s decision. The patient also has a right to ask for a request of the appeal. The claimant or appellant is the one that is filing the appeal. That could be an individual who is the provider or the patient. The basic steps are simple of the appeal. This is where the payer has a consistent procedure to handle the appeal. This has to do with what kind of appeal it is. The practice staff does a review on the procedure before other actions are taken. The staff then takes the necessary steps to move forward. The appeals must be filed by a certain time after the determination. The payers must go through three steps. These steps are a complaint, an appeal and the grievance. There is not a bunch of time to spend on this procedure. After this is done and the payer is still denying the claim, the claimant can take another step. This can be reviewed through the state insurance commissions since most payers are licensed through them. The state insurance commissions must have all copies of the file and to see why the claim was denied. The reason that the claim was denied to could be simple reasons. The reasons are mostly human error. The most common claim denials are due to not using the patient’s health care identification number and the correct name on the card. The other reasoning could be not putting down where the services were done. The last but not least could be invalid diagnosis codes. This could all be why the claim is denied. References Nyman, Ronald E., ESQ, (June 2007), MediStar Meducation , Volume 1, Number 4, www.credentialsxpress.com/newsletters/newsletter1-4 full.htm, Retrieved September 10,2010, Google.

Personal Side of Policing Essay

Stress is a major contributor to burnout in the Law Enforcement field. There can be many contributors to this, but among them are the idea of having to use deadly force against someone or witnessing deadly force being used against a partner or coworker, lack of support from department members and leaders, having family life and traditions disrupted and so forth. Law Enforcement work is not something that can be easily dealt with and easily overcome. An officer has to deal constantly with dangers that aren’t normally faced by other lines of work or other career-paths. Police constantly deal with the dregs of society and because of this, they are forced into situations that aren’t conducive to an easy work and home life. Many resources exist to help officers deal with this stress. Some of these resources can be a strong faith and trust in one’s religion and religious leaders. A strong support system within an officer’s respective department, counseling offered and available to officers once they do undergo a stressful encounter or situation. Such counseling is helpful, but is often placed by the wayside by officers because they feel they are strong enough to handle such situations themselves, without help! It is important for an officer to realize that help, in such situations, is not a bad thing and will not cause others to look down on them. The strongest man (or woman) is the one who realizes that he cannot handle the situation alone and asks for help. An officer needn’t feel he is above asking for help. Often the first thing that will help an officer down the path of healing is that first initial instance when he/she admits to a superior, â€Å"I need help with this!†

Personality Development Essay

Teacher’s Mental Health in relation to Personality Development of Students AbstractPurnima Sood Bhushan This study is aimed at finding the effect of teacher’s mental health on the personality development of students. The study concludes that the teachers with good mental health induce more dominantly the extrovert trait of personality whereas in the case of induce teachers with ill mental health; Psychotic and neurotic traits of personality d among the students. The educationists all over the worlds are grappled with one central and all encompassing question society of tomorrow †. — â€Å" What kind or type of education is required for what kind of Dr. A.P.J Abdul Kalam, President of India from 2002 during a talk on the teacher’s day in 2003, had stated â€Å"2007, A student spends 25,000 hours in the campus. The school mus t have the best of teachers who have the ability to teach, love teaching and build moral qualities .† The development of personality is one of the most important and fascinating areas in an individual’s life. There are certain questions that strike our mind — ‘What have been the major influences on personality development?’ ‘What are the factors affecting the development of a child?’ In what direction will the personality develop if the person or individual receives certain kind of opportunities or setbacks; p articular kind of behavior; definite choices that it makes? The real issue in education: to see that when the students leave the school they are well established.

OJ Simpson Trail Case Analysis Study Example | Topics and Well Written Essays - 1250 words

OJ Simpson Trail Analysis - Case Study Example As for the blood sample, the actual killer had spilt blood near the shoe prints at Bundy. Secondly, the blood that had been spilt at Bundy matched Simpson’s blood type. The gravity of the matter here is that a paltry 0.5% of the population would match with this sample. Again, Simpson had sustained fresh cuts on his left hand, after Nicole Brown and Ronald Goldman’s murder. The same blood type was also found in Bronco; and in foyer and master bedroom to Simpson’s home. Again, the same blood type was found in Simpson’s driveway. There was also blood type found on Simpson’s socks in O.J. Simpson’s home. The blood type on Simpson’s socks matched Nicole’s. As can be seen in The Trial of O. J. Simpson: the Incriminating Evidence (2013), the glove evidence also heavily implicates Simpson. For one, a left-hand glove was found left at Bundy. The right-hand glove was found at Simpson’s residence. Again, the gloves were Aris gloves, and were size XL. Again, in 1990, Nicole Brown had purchased a pair of Aris XL gloves at Bloomingdale. Importantly, from 1990 to June 1994, O. J. Simpson had been wearing Aris Light gloves of size XL. As if the foregoing is not enough, the shoe evidence directly implicated O. J. Simpson. The shoe prints that were found at Bundy were from a size 12 Bruno Magli shoe. Again, the shoes had and left a bloody impression on Bronco carpet; and the impression was consistent with a Magli shoe. Importantly and interestingly, Simpson wore a size 12 Bruno Magli shoes. Again, it is important and interesting that the driver who was to take Simpson to the airport could neither see nor reach Bronco and when phone calls began getting through to Simpson, there were peculiar reactions from Simpson, revealing Nicole Brown’s death. Prima facie evidence on the other hand is the evidence that when uncontested, would establish a fact or bring about a presumption of a fact. In this case, the fact is that O. J. Simpson’s ex-wife Nicole Brown Simpson and a waiter Ronald Lyle Goldman. Secondly, there are indications that O.J. Simpson’s actions may have caused the deaths of the two. First, at 9:36 PM, Kato was seen by Kato Kaelin wearing a dark sweat suit. At 10:40 PM, 10:43 PM and 10:49 PM, Allan Park unsuccessfully tries to get to Simpson through his intercom. Between 10:50 and 10:51, Kato Kaelin heard three thumps on the wall outside his room. Again, at 10:54, Allan Park saw a six-feet tall man weighing about and 200 pounds and in dark clothes, walking across Simpson residence’s driveway. At 10:55, Simpson lied to Allan Park about his whereabouts. All these developments are indicative of Simpson’s identity and an unclear conscience. The applicable code that the prosecution was brought under is public good. The prosecution acknowledged that the case was for the public good and that to this effect, justice is dispensed with equal measure and even-handed ly. For this, the case was titled, People of the State of California vs. O.J. Simpson. The prosecution also ensured that s/he is not engaging an unrepresented accused and that the accused is accorded all his pretrial rights like the right to a preliminary hearing. It is for this case that O. J. Simpson had a solid defense

China241 - Chiense language analysis (homework) Case Study

China241 - Chiense language analysis (homework) - Case Study Example for males and females in rhotacization (85%,83%), lenition (63%, 57%), interdental (ts) (39%, 0%) and realization of neutral tone as full tone (0%, 1%). The state professionals use these local Beijing features frequently except full tone variant while Waiqi professionals use non-local variants and a foreign language like English and German. Sharp gender differentiation for Waiqi professionals is due to value of language in producing cosmopolitan professional identity, company image projection and decline of state feminism due to new market economy (Zhang, 405). Use of linguistic features shows this difference for males and females: rhotacization (64%, 235), lenition (47%, 27%), interdental (ts) (15%, 0%) and full tone (10%, 31%). Language and gender related characteristics are resources or symbolic capital for Waiqi as they are used to project company image. Having foreign language skills is crucial for Waiqi as means for interpretation and communication with Chinese businesspersons but women are more constrained to use it than men do due to work requirements. Language and gender have great impact on professional access to opportunities and career trajectories. Unlike state enterprises where there are no front desks or need to present company face, Waiqis value company image in the competitive market hence employ women to represent the face of the company. These women must have foreign language skills and be presentable and firm employs them as receptionists and secretaries. Regardless of their area of expertise, they begin as secretaries, move up the ladder, and sometimes continue performing administrative duties whilst men begin with doing real business such as marketing (Zhang, 411). According to Zhang, â€Å"this has to do with gendered practice in parent corporations† and political and economic circumstances (413). The Chinese language is not â€Å"gender language† like European or other languages in order to avoid sexism. It therefore has no grammatical

Case study week5 Example | Topics and Well Written Essays - 250 words

Week5 - Case Study Example This is a person who fits perfectly in the multifaceted requirements. Many of the job candidates might have the right education and experience but lack an innovative attitude or even experience. Therefore, the tech companies are looking for a person who meets all these requirements. This is to ensure that they remain competitive in the market. This aspect is also relevant to other non-tech companies. This is because it ensures that the business remains competitive in the market (Anders,  2011). As a way of spotting talent, I would suggest that the company puts up an innovation contest. The selected candidates would be given an opportunity to develop something new which is not in existence in the market. This will enable the panel to assess the creativity of the candidates selected. Based on the results, it would be easy to select the best employee who will fit in the organization. In addition, it would enable the organization to note whether those with education qualification are also creative or

External Marketing Audit of Sara Lee Corporation Statistics Project

External Marketing Audit of Sara Lee Corporation - Statistics Project Example This paper tells that in frozen food, the company is at the top in the U.S with fair market positions in Europe and Brazil, while it is one of the largest producers of tea and coffee. In the body care section, the company holds the top position in the European bath and shower market, in the households side, they are having one of the world famous shoe polishes named Kiwi. The company is trying to settle the market of branded apparel, which includes men’s and boy’s wear, also sportswear. The thing that should be kept in mind at this stage is that the Sara Lee is making most of those products in which brand switching is common, and there are relatively very few differences between the competitor’s products and the company’s products, for example the shoe polish Kiwi is having competition with Cherry Blossom, if a consumer would go to buy Kiwi and would not find it in a shop, he would buy cherry blossom rather than going to the other shop and look for Kiwi, t he company is thus having everyone as there target audience, but it also depends on the different products they are selling, such as in foods and beverages the real market segment is those individuals who are having no family and are working and living alone, it is a big segment in the U.K and fair in U.S, in the body care section the target audience is originally women but keeping in view the prevailing demands they have also started catering men in the society, in the house hold products, the main product is shoe polish, KIWI and they were initially catering men but due to increased usage of leather shoes by women they are also targeting them, especially after the introduction of sponges, another product the company is offering is the Ambi Pur air fresheners and body sprays which they are catering men and women both, also Sanex is a product used as body care product, they are again having women as their target audience, In the apparel section their target audience is again women o f the society as they require more of comfort than men, but they have also introduced sports wear which both men and women use. So the entire target audience consists of people who are young and energetic in life. Of course every company’s mission is the profitability while providing something that sounds good to the customer, the company’s mission for customer is the product innovation and also the new product development, as their slogan suggests,  Ã¢â‚¬Å"Our mission is to simply delight you†¦every day†

Essay - 500-600 words Example | Topics and Well Written Essays - 500 words

- 500-600 words - Essay Example Solving or at least alleviating this problem would also benefit the fraction of the population who would constitute the next generation of America and these are the children. In upholding the welfare of American children, it is not only the economic side that should be improved for their future. Their moral and social welfare are far more important than their financial welfare. In addition to these is their ability to survive and adapt in various kinds of conditions. To resolve a problem that involves children, the root of the problem should be traced first. This economic slump that America is facing and affects the lives of all of its citizens down to the youngest American can be traced to its moral values. Stripping off all hypocrisy and admitting that degradation of values is one of the causes of this financial predicament would make citizens realize that excessive spending, unrestrained buying, and discontent on what one already has caused America to fall into this self-made pit. To help American children would call for changes not in their surroundings but on the children. Education is important but textbooks and curriculums are not the only factors that should be taught and improved in schools and at home. Teaching children to be frugal and to maximize things that can be found at home instead of constantly buying new items would be a great start and the best way to improve the lives of American children. Furthermore, improving lives of American children through education would also need lessons on survival through improvisation and activities that would develop their adaptability in different kinds of conditions. This way, the children would be emotionally prepared and would be capable to find and invent ways if sudden changes would occur as results of the changing status of the state. As the head of the state, there is nothing wrong in improving the financial and social environment of the nation for the present population and the next

Examine the economic issues surrounding the introduction of plain Essay

Examine the economic issues surrounding the introduction of plain packaging of cigarettes. Should this policy be introduced - Essay Example Plain Packaging of Cigarettes The plain packaging of this tobacco product is alternatively known as homogenous or generic packaging. The standardised packaging system of this form involves removal of all the lustre out of the presentation of the product. The branding for the cigarettes which is expressed mostly through the colours, the logos and the trademarks needs to be removed from the pack of cigarettes that finally reach the customer. The packaging should be done with a plain brown cover with the name of the brand printed in a uniform style in a predetermined size. Thus there is very little flexibility on part of the companies in presenting the products to the end users. Along with that the packs also contain mandated information about the ill effects of the product and the legal disclosures like the tax stamps. This concept of plain packaging had been proposed in countries like New Zealand, Canada and Australia since the end of 1980s (Voon, Mitchell, and Liberman, 2012, p. 12). These attempts were taken with the main motive of reducing the amount of consumption of tobacco in the countries. There have been various researches done during these years to determine the outcome of the introduction of plain packaging of tobacco products. ... Economics of Plain Packing of Cigarettes For any normal good, the change in the price of the product will have an effect on the quantity of the product consumed. When the prices increase people would consume less of that product. This is however not true in case of products which are addictive in nature. Even through the prices increase the quantity of the products consumed would not decrease. Thus the price elasticity of demand for the products would be zero. The economics of the plain packaging has been explained with the help of the following graphs. The demand for cigarettes would be an inelastic demand curve (Tucker, 2010, p. 140). This is because even though the prices of the cigarettes change the demand would remain more or less constant this is because people generally get addicted to tobacco and they cannot control the amount that they consume even on the increase of the price (Baumol and Blinder, 2009, p. 108). That means the smokers are insensitive to price changes. In the left panel of the graph the demand and supply curves have been drawn. (Perloff, 2011, p. 33) Now on the introduction of the plain packaging of the cigarettes the product will lose its appeal to the prospective smokers. As a result the smokers would be demanding less amount of cigarette. Therefore there would be a shift in the demand curve for cigarettes. In other words the number of smokers would reduce. However, the demand curve would remain inelastic because this reduction in demand would not be as result of the change in the prices but the reduction in the level of desire of the consumers to smoke. The demand for this product would remain restricted to those people who are addicted to smoking. Thus even if the supply curve

Gender and Equality Thesis Example | Topics and Well Written Essays - 500 words

Gender and Equality - Thesis Example Gender, equality and inequality all over the world vary immensely, and in various continents, the manner in which women are treated varies as a result of differences in culture. For instance, women residing in the Middle East are in most cases belittled by their spouses as well as the society because of traditional ideologies (Kelly & Breslin, 2010). On the other hand, the women in the western societies go through a different form of inequality whereby they can only access particular forms of employment, ways of living, wages as well as qualities that are similar to those enjoyed by men. Regardless of the fact that these inequalities are not supposed be inequalities as they are considered as gender aspects from a natural biological point of view in a practical manner, utilitarianism can be perceived as a form of discrimination regarding the biological difference that are evident. For instance, in the west, people of the female gender are not usually regarded as being good candidates for being employed at construction sites and other places that may be hazardous or might need the use of physical strength. In spite of the decades dedicated to feminist advances, countless inequalities against women have not been dealt with and are still in existence. The most notable is the number of women who are in corporate leadership as well as those in political leadership, which is comparatively low. Additionally, women are still entitled to low wages with this aspect being associated with fewer years of experience on the similar jobs to those being done by men as a result of pregnancy and raising children. There are also very limited opportunities for women in professional sports and numerous other areas that need some level of physical strength, as well as in the cases where there is an aspect of isolation or danger. Society also makes the women feel less safe than the men and they

Principles Of Auditing - Apple vs. Samsung Lawsuit Essay - 1

Principles Of Auditing - Apple vs. Samsung Lawsuit - Essay Example olen certain software and infringed patent as well as trademark while designing Galaxy line of mobile products (Chen, â€Å"Apple to Samsung: Stop Stealing Ideas†). Based on the above analysis, the essay tends to analyse the general story or the case of Apple vs. Samsung Lawsuit with respect to patent along with trademark infringement and stealing of certain software designs as well as features. The case relating to the lawsuit, which was filed by Apple, accusing Samsung to be involved in stealing its certain software and perpetrating trademark along with patent infringement, in the month of April’ 2011 and ended in the year 2013. Thus, with this concern, it can be asserted that the case has lasted for around 2 years and 8 months and at the end Apple was awarded with over $1 billion for the lawsuit filed against Samsung (Sandoval, â€Å"The ABCs of Apple v. Samsung†). One of the prime reasons or causes for Apple to file a court case not in favour of Samsung for stealing numerous chief iOS design elements and features that are utilised by the company at the time of making its Galaxy product line of tablets as well as smartphones. Apart from this, Apple claimed that Samsung has also stolen certain business ideas along with technologies of Apple while designing its iPad and iPhone product line. This is also a reason for Apple to file a lawsuit in opposition to Samsung in the year 2011, which lasted till the year 2013. However, on part of Samsung, it countersued Apple for the reason of violating a few of its patents or in precise being committed of patent infringement. Identifiably, both the two companies remained much concerned about what instructions the Judge will provide the jury relating to the lawsuit filed by both the companies against one another (Epstein, â€Å"These Are the 5 iOS Features Apple Claims Samsung Stole†; Sandoval,  "The ABCs of Apple v. Samsung†). After acquiring a brief idea about various causes or reasons of filing a lawsuit by Apple

Important People of History Essay Example for Free

Important People of History Essay Ancient Greece was known for many things, including great thinkers and philosophers. Many names come to mind from this period, including that of Socrates. Certainly, none are so colorful. He wrote nothing, but his impact was unmatched by others. His ideas were revolutionary, and caused enough controversy that he was finally put on trial in Athens, guaranteeing that his mark on history would be indelible. Socrates was born in 469 B. C. E. to Sophroniscus and Phaenarete. Little is known about him beyond what others wrote, since he resisted any urges to put words on paper. What is known about him comes from Aristophanes, Xenophon, and Plato, all of whom wrote about him. However, their narratives differ in some crucial ways, and so there are some things that will never be known about the enigmatic philosopher. Socrates was a firm believer in the power of the intellect. He insisted that â€Å"a man must order his life by the guidance of his own intellect,† believing that it was this above all that must be cultivated. He never hesitated in saying what he believed, and this tendency made him unpopular in many circles. However, he did not allow this to deter him from expressing these beliefs. Knowledge and truth were paramount to him, and he would not sacrifice these virtues for anything. When he was eighteen, Socrates was required to do the duty of every citizen, and this included training in the Athenian militia. He served the years that were expected of him, engaging in battle in 432 as a foot soldier to help put down a revolt. On the way home from the siege that followed, Socrates saved the life of Alcibiades during a subsequent battle near Spartolus, losing the battle. They returned to Athens in 429, where he was accused of helping the playwright Euripides to write his tragedies. Important People of History Page 2 of 5 Socrates next saw battle at Delium in 424. The Athenians saw defeat yet again, although Socrates distinguished himself once more. In another year, he was yet again immersed in battle, this time at Amphipolis. This ended in another defeat, and was also the last battle that Socrates fought. Peace was made between Athens and Sparta, and this is when Socrates could begin to concentrate in earnest on debates and discussions to pass on his ideas and beliefs. Education, democracy, and Mystery religion were key themes in this. During this time, Socrates married Xanthippe, and they would have two sons. Socrates perhaps became best known for the Socratic Method. This method was meant to help intellectuals come to correct conclusions, and it made definition the most essential point of this. In a desire to find the truth, Socrates believed that one must â€Å"require a standard of truth and an explanation of the causes of error. † The comparison of two ideas is necessary in making a judgment, and those ideas must be clear and not vague. This method lasted throughout the centuries, and is still practiced today. Socrates is also known as the founder of utilitarianism. Ethics and the process of applying his methods to them was a key interest of his, and this study led to utilitarian ideas. With this, he came to the conclusion that good is useful and â€Å"virtue is happiness. † This formed the core of his paradox, which is that men do not willingly commit wrongs, and that this is done only through ignorance. While Socrates wrote nothing, he spent a great deal of his life conversing with others. This was a major part of his Socratic method. He never attempted to teach, for he believed that he had no knowledge. He professed that he was only exceptional in the fact Important People of History Page 3 of 5 that he knew that he knew nothing. It was a goal of his to prove that popular ideas were inconsistent, and he wished to convince all to whom he spoke that their convictions could not stand up under examination. Socrates was well known for frequenting places such as marketplaces, where he would engage people in conversation. He enjoyed doing this with people of all ranks and stations, often putting off important people and gaining their animosity. His manner and lack of deference gained him many enemies; many resenting what they felt were his ridicule. There was nothing that Socrates felt was too sacred to question and criticize, and this included both religion and government. He was perhaps more agnostic than anything, and he had no compunctions about questioning and criticizing the gods. This added to feelings of animosity against him, as did the fact that he was also quite vocal against the ruling powers. It was this that was to lead to his arrest and subsequent trial, which is perhaps the pinnacle of his career. Socrates was arrested when he was seventy on charges that â€Å"he does not believe in the gods recognized by the city, but introduces strange supernatural beings; he is also guilty, because he corrupts the youth. † The political reasons were kept quiet, instead focusing on impiety, and the sentence proposed was that of death, although those who accused him had no real desire to put him to death, only to force him to leave and no longer be a thorn in their sides. However, Socrates refused to leave, instead remaining behind to face the charges against him. A life away from his interactions with the Athenians would not have suited him, and so he remained. Important People of History Page 4 of 5 Socrates faced a jury of 501 men. This jury, as all Athenian juries, would vote twice. Their first vote was on guilt or innocence, and their second vote was for the sentence. While Socrates expected that he would be convicted, he expressed surprise at â€Å"how closely the jury was split on the first and basic question. † It was a difference of six percent that would have turned the tide, acquitting him. Socrates had the chance to avoid a sentence of death once the verdict came in. It was a practice of the Athenian law system to allow the defendant to put forth another punishment, and the jury would choose between the two. However, the punishment that Socrates suggested was merely a small fine, which was so minuscule a punishment that the jury had little choice but to condemn him to death. It was not for thirty days after his trial that Socrates would meet his end. During that time, his friend Crito appealed to him to escape, but Socrates believed that the harm that would come from that would be a greater harm to the city than to allow himself to follow through with the sentence, and that it would have â€Å"brought shame on his family and friends. † Socrates did not seem to fear his death. In fact, on the day upon which he was scheduled to die, he seemed quite happy and pleasant. Death was perhaps another opportunity for him to learn and experience. He was also not alone when the end came, as his wife and younger son, as well as friends, were present. He spent his last day doing what he loved best, discussing philosophy and once more passing on his wisdom. Xanthippe was taken home before his actual death took place, leaving him with his Important People of History Page 5 of 5 friends and advising them to agree if they believed what he said was truth, and to oppose it if they did not, refusing to restrain themselves. To the end, he was determined to hold onto his ideals and beliefs, and insisted on others doing so as well. After bathing and then meeting with his family once more, he met with his executioners. He was given a glass of hemlock after having its effects explained to him. After this formality, he â€Å"cheerfully took the cup and drank. † Thus ended the life of one of the most profound leaders of philosophy. Socrates, through all of his life, lived up to the ideals and beliefs that he taught. He never compromised these, even up to the day that he died. To him, the importance of remaining true to himself and his teachings was paramount, and to do otherwise would be an injustice. He did not simply talk and hope that others learned from him; he lived by example and died by the same. His legacy proved to be quite enduring, and is still a cornerstone of philosophy to this day. His students, such as Plato, helped to preserve this and pass it on. Without Plato and others, little would be known today of Socrates. The impression he made was a lasting one, and a good example even today, encouraging people not to be afraid to question and discuss, because without these things, learning cannot be successful. Works Cited Bury, J. B. and Russell Meiggs. A History of Greece. London: Macmillan Education LTD, 1975. Nails, Debra. â€Å"Socrates. † Stanford Encyclopedia of Philosophy. 16 Sept. 2005. http://plato. stanford. edu/entries/socrates/. Stone, I. F. The Trial of Socrates. New York: Doubleday, 1989.

Concepts of Bio-Electricity

Concepts of Bio-Electricity Introduction What is Bio-electricity? Bio-electricity is an interdisciplinary theme which refers to the production of electric, magnetic and electromagnetic fields in biological tissue (Cameron, 1996). This essay focus on the production of electric fields for use in organisms rather than in electrical circuits. An electric field is an area around a charged particle created by an electric force; the magnitude and direction of this force is determined by the charge of the particles surrounding it (Dictionary, no date). An example of this in Biology is the electrical system of the heart and the maintaining of membrane potentials in cells in the body. Bio-electricity in Nature American Paddlefish An example of an organism which uses Bio-electricity in an enhanced form is the American Paddlefish (or Spoonbill Catfish). These are large, freshwater fish from North America which have an extensive, paddle-like flat nose. The extended nose of the fish is embedded with pores with cells called electroreceptors (Thomas, 2016). These pores spread over the fishs body, from the nose to gill covers, covering around half of its skin (Wilkens, 2001). This allows the detection of weak electric currents in the water they travel in, thus allowing them to hunt their main source of food; plankton. These sensors are extremely sensitive, and are able to respond to electrical fields of less than 1/100th of one 1-millionth volt per centimetre (Wilkens, 2001). All organisms emit weak electric signals (e.g. electrical impulses due to the beating of the heart), and thus can be detected by these cells. The electrical signal is sent to the brain via the neurons. Paddlefish being able to detect these fields aid their survival, as their environment is generally very dark (Thomas, 2016). Electric Eel Another example of Bio-electricity in nature being used in a different way is with the Electric Eel. It can do this due to the electrogenic cells in its body called electrocytes, each with a negative charge of around 100 millivolts (Scientific American, 2005). These are all modified muscle cells in the eels tail. When a signal from a command nucleus arrives to each of the cells, a neurotransmitter is released. These are chemical signals which allow information to be transmitted between nerve cells (Cherry, 2016). As a result of this, a path of low resistance is created, connecting the interior and exterior of each cell. This allows the cells to behave like batteries, with opposing sides of the cell acting as positive and negative terminals (Scientific American, 2005). This is used to both hunt and kill prey. If in sight, prey can be hunted by the eels the release of high voltage pulses of a frequency of 400/s. If these pulses reach another organism, it will interfere with its neurons, causing them to involuntarily contract. This contraction is extremely strong due to the sequence of the pulses released; each lengthy torrent is succeeded by a pair of rapid pulses, making the process as efficient as possible. As a result of this, the prey can experience complete short term paralysis, allowing the eel to attack. The effect is similar of that of a taser on a human (Yong, 2014). Similar to that of the Paddlefish, potential prey can also be detected through the use of Bio-electricity. The Electric Eel can send out pulses, again causing the prey to contract involuntarily. The resulting ripples in the water would reveal the location of any organism affected, as the eel is extremely sensitive to movement (it can strike within 20 thousandths of a second from when movement is detected). This provides a further opportunity for the eel to kill (Yong, 2014). Moreover, the eel can kill prey (or deter predators) by directly shocking them. Though each individual electrocyte can create only a small electric field, the cells are connected as parallel batteries are in a circuit, creating a larger electric field. The combined electrocytes create 3 large electric organs which can take up 80% of the eels body (Giardina, 2016). This means an average Electric Eel can produce electricity of around 600 volts at 2 milliseconds at a time. Bio-electricity in Medicine The use of Bio-electricity to treat human conditions is being increasingly explored. A link between the immune system, the series of processes which works to primarily fight off disease, and the nervous system, processes which involve electrical signals within the body, is being researched. One of the main method of using our knowledge of Bio-electricity in Medicine is through the stimulation of the Vagus nerve, also known as Cranial Nerve (X). This is one of 12 cranial nerves, which are nerves which begin from the brain stem rather than the spinal cord. These nerves are responsible for the motor and sensory functions of our body (InnovateUs Inc, 2013). Of all the cranial nerves, the Vagus nerve is the longest, extending through the thorax, heart, stomach, abdominal muscles and others. This links the brainstem to the body and major organs (particularly the heart), allowing information to be easily transferred in an electrical circuit-like system (InnovateUs Inc, 2013). One of the uses of the Vagus nerve stimulation is the controlling of seizures in epilepsy patients. This is by connecting a small device to the left Vagus nerve in the neck. The device can then send out small electrical impulses via the nerve to the brain. This reduces activity in the brain which can lead to seizures; seizures themselves are caused by abnormal electrical activity in the brain. (Epilepsy Society, 2016). A second use of Bio-electricity in Medicine is the use of cardiac pacemakers in the treatment of Parkinsons disease, a neurodegenerative disorder caused by a loss of dopamine producing nerve cells in the brain (NHS Choices, 2016). To help reduce the symptoms of Parkinsons, which include rigidity, tremors and bradykinesia, doctors are implanting a small electronic device called a neurostimulator in patients (Lazarus, 2014). The device sends out regular electrical impulses to areas of the brain responsible for movement. This allows impulse to block the irregular signals which cause the shaking in patients, giving them more control. The entire process is called Deep Brain Stimulation and is a widely used technique to help improve quality of life in people with Parkinsons. Conclusion In conclusion, Bio-electricity is a naturally occurring phenomenon occurring in humans and animals alike, and is essential to everyday living. Its natural uses explored include communication between the brain and body via neurotransmittors and nerve cells, the detection of prey and predator in animals and its use in hunting. With modern technological advances, its use is being extended to the treatment of disorders in humans including depression, Parkinsons, arthritis and epilepsy, many of which through the installation of electrical devices which send out impulses. With further research and understanding, it is hoped to that it can be used to treat many more diseases, improving quality of life for many more people. Bibliography Cameron, J. (1996) Bioelectromagnetism-Principles and applications of Bioelectric and Biomagnetic fields, by J. Malmivuo and R. Plonsey, Medical Physics, 23(8), pp. 1471-1471. doi: 10.1118/1.597895. Cherry, K. (2016) Basics of biological psychology the brain and behavior. Available at: https://www.verywell.com/lesson-three-brain-and-behavior-2795291 (Accessed: 22 December 2016). Dictionary (no date) The definition of electric field, in Available at: http://www.dictionary.com/browse/electric-field (Accessed: 27 December 2016). Epilepsy Society (2016) Vagus nerve stimulation. Available at: https://www.epilepsysociety.org.uk/vagus-nerve-stimulation#.WGHxfFxHa0w (Accessed: 27 December 2016). Giardina, T. (2016) ELECTRIC FEEL: Scientist explains how eels make electricity. Available at: http://www.pressconnects.com/story/news/local/2015/05/30/electric-eels-create-shock/28208993/ (Accessed: 26 December 2016). InnovateUs Inc (2013) What is the function of the Vagus nerve? Available at: http://www.innovateus.net/innopedia/what-function-vagus-nerve (Accessed: 27 December 2016). Lazarus, J. (2014) Surgical Treatment Options. Available at: http://www.parkinson.org/understanding-parkinsons/treatment/surgery-treatment-options/Deep-Brain-Stimulation (Accessed: 27 December 2016). NHS Choices (2016) Parkinsons disease causes. Available at: http://www.nhs.uk/conditions/parkinsons-disease/pages/causes.aspx (Accessed: 27 December 2016). Scientific American (2005) How do electric eels generate a voltage and why do they not get shocked in the process? Available at: https://www.scientificamerican.com/article/how-do-electric-eels-gene/ (Accessed: 22 December 2016). Thomas, B. (2016) Paddlefish are tuned to eat only Plankton. Available at: http://www.icr.org/article/paddlefish-are-tuned-eat-only-plankton/ (Accessed: 17 December 2016). Wilkens, L. (2001) Tuning in to Paddlefish. Available at: https://mdc.mo.gov/conmag/2001/01/tuning-paddlefish (Accessed: 17 December 2016). Yong, E. (2014) Electric Eels can remotely control their preys muscles. Available at: http://phenomena.nationalgeographic.com/2014/12/04/electric-eels-can-remotely-control-their-preys-muscles/ (Accessed: 22 December 2016).

Questions on compensation management

Questions on compensation management Managers of compensation and benefits play vital role in determining key aspects of decisions taken during strategy creation on compensation. The key premise is that the way employees are compensated can be a source of sustainable competitive advantage. Two alternative approaches namely best-fit/contingent business strategy/environmental context approach and best practices approach are common and applied by compensation and benefits managers in their decision-making on strategy creation on compensation i) Based on the above scenario, analyse the approach your company uses to pay staff. Infer its compensation strategy using five issues (objectives, alignment, competitiveness, employee considerations and management). ii) How does your company compare the compensation strategy using five issues? (Objectives, alignment, competitiveness, employee considerations and management) with the TWO (2) selected benchmark companies of your choice? iii) What business strategy does it seem to fit (i.e., cost cutter, customer centered, innovator, or something else)? Why? QUESTION 2 You own a non-union company with 100 non-exempt employees. All of these employees pack books into boxes for shipment to customers throughout the Southeast Asia and Europe. Because of the wide differences in performance, you have decided to try performance appraisal that has never been done before. Until now, you have given every worker the same size increase. Now you want to measure performance and reward the best performers with bigger increases. Based on this: i) Propose and develop performance appraisal format that you think would be most appropriate. Why do you choose this format? Justify your answer. ii) Do you anticipate any complaints, or other comments, from employees after you have implemented your new system? Build argument to support your answer. DATE OF SUBMISSION : 13 November 2010 QUESTION 1 Managers of compensation and benefits play vital role in determining key aspects of decisions taken during strategy creation on compensation. The key premise is that the way employees are compensated can be a source of sustainable competitive advantage. Two alternative approaches namely best-fit/contingent business strategy/environmental context approach and best practices approach are common and applied by compensation and benefits managers in their decision-making on strategy creation on compensation Based on the above scenario, analyse the approach your company uses to pay staff. Infer its compensation strategy using five issues (objectives, alignment, competitiveness, employee considerations and management). Compensation Compensation is defined as pay provided to an employee by an employer in return for work performed as required by a relevant task in the form of monetary and non- monetary. http://humanresources.about.com/od/glossaryc/g/compensation.htm Compensation is based on: Economic outlook in the market research about the merit of comparable jobs in the marketplace; Contributions and accomplishments of an employee; Employees skills which is available in the marketplace; the need of a employer to retain and attract employees; and the success of the company or the availability of funds and capability of an employer to pay employee the market-rate compensation. Best Practice Best Practice is defined as methods and techniques that have consistently shown results superior than those achieved with other means, and which are used as benchmarks to strive for. http://www.businessdictionary.com/definition/best-practice.html Best Fit The McGraw-Hill text book quoted that the best-fit approach presumes that one size does not fit all. The art of managing compensation strategically involves fitting the compensation system to the different business and environment condition. It is important that each organisation develop a compensation system in the perspective of its organisation mission (what it is and what it does). Scholars have agreed that it is important that leaders of an organisation embrace compensation/fair pay practices. An effective system of compensation is highly significant because several problems relating to employee remuneration such as absenteeism occurs because employee feels they are under paid. Remuneration must fulfill the expectations and aspiration of employees and exploit their energies for the benefit of organisation. Retaining competent individuals for long is more difficult than attracting new fresh ones. Loyalty of employee towards an organisation depends on his/her perceptions about compensation. The organisations pay structure must, therefore be equitable and consistent. Employees get motivated to perform better when their past performance is rewarded adequately. Employees set expectations about rewards and compensation to be received, if certain levels of performance are achieved. Compensation Strategy in ABC Managed Services Malaysia Sdn Bhd Background of Organisation ABC Managed Services Malaysia Sdn Bhd is a subsidiary of ABC Consultants India Pte. Ltd. It was established here in Malaysia on July 2004 and has about 15 members as at today. Main focus of the business is Human Resource Outsourcing (HRO) and Information Technology Outsourcing (ITO). The HRO division takes care of the payroll processes and statutory compliance of organisations within the Asia region. Where the ITO division works on the information technology which assist a HR department to manage and maintain HR records. The organisation has mixed of local and expatriates member working for them. The Malaysia office is headed by a country manager who reports to Head of Asia Pacific who is based in Singapore. Current Practice at ABC Managed Services Malaysia Sdn Bhd Compensation in ABC Managed Services ABC Managed Services compensation program is managed by their corporate office based in Chennai, India and there is a compensation policy which is used as a guideline as their compensation program for all ABC Consultant employees worldwide. These policies are designed to assist in the consistent, equitable, and effective administration of the program, in all ABC Consultant operations and its locations. Application of these policies is contingent upon specific review of local legal, regulatory, tax, and prevailing business practice considerations. The policies applies to all employees and administered without regard to an employees race, color, nationality, religion, age, sex, sexual orientation or disability as it relates to relevant local regulations. Responsibility of Compensation Administration The administration of ABC Managed Services compensation program is a shared responsibility. The manner in which responsibility is shared is as follows: The Board The Board will have responsibility for approving the ABC Managed Services pay strategy and philosophy, and for establishing annual compensation program priorities and budgets. Guidance will be provided to the Board by the Global Head of Human Resources. Global Head of Human Resources The Global Head of Human Resources, working with the Global Compensation Team and Regional HR Heads, is the final management authority on all compensation administration issues based on the Boards directives. Specific responsibilities include: Formulating and finalizing the overall compensation administration program objectives and general policies Recommending any promotions, equity adjustments and/or merit budget Approving any significant changes or exceptions to the compensation administration program Reviewing and approving career band and pay zone assignment for all new or revised jobs Reviewing and approving salary adjustments for all employees Ensuring the overall compensation administration program is administered in accordance with the policies and procedures documented in the compensation manual Reviewing, approving, and maintaining job descriptions for all jobs Producing regular monitoring report of salary increases and budget. Global Compensation Team/HR Regional Heads The Global Compensation Team and HR Regional Heads are responsible for maintaining the effectiveness of the compensation administration program for employees in their respective regions/countries. Specifically, the group will be collectively responsible for: Reviewing salary adjustments and making recommendations, declining or gaining approval from executive management Administering the compensation administration program in accordance with the policies and procedures documented in the compensation manual Developing, in conjunction with the Global Compensation Team, recruiter and hiring manager, an appropriate starting salary for new hire Department Management Each management employee is responsible for maintaining the effectiveness of the compensation administration program for employees in his/her area(s) of responsibility. Specifically, these department management employees are responsible for: Coaching and mentoring staff to deliver on corporate goals and values Conducting performance appraisals for subordinates Recommending salary adjustments and promotions when warranted Developing job descriptions for new/revised jobs within his/her area(s) of responsibility Developing, in conjunction with the Regional HR staff, an appropriate starting salary for a new hire Compensation objectives: Studies have shown that Pay systems are designed to communicate strong messages of strategy and directions are necessary to generate organisational performance. (Lawler, 1995) ABC Managed Servicess pay objectives are as follows:- to increase performance by reducing costs creating new process, enhancing quality and productivity increasing speed to market service Recognizing employee and team effort and treat everyone fairly To ensure that the organisation meets the above, it needs to focus on the capabilities of their employees. With the above objectives, ABC Managed Services and Global HR department uses it as a guide and as standard to design its pay system. Internal Alignment Since ABC Managed Services are into the HRO and ITO industry, the job and skills required by employee are compared to the companys organisation business objectives. For examples, in the HRO division, executive with knowledge/skills of preparing payroll for other part of Asia region are welcomed, it is found to be difficult to get talent with knowledge of other Asia countries payroll skills. Therefore, ABC Managed Services manages the differences with an addition of allowance if one knows and has Asia country pay rolling skills. The allowance can be in the range of RM300 to RM500 depending on experience and skills obtained. Since it is a niche market obtaining talent of such skills, the organisation also invest into additional training to be competitive within the standard and market. The organisation also encourages its team members to have multitasking skills and encourages harmonious working environment. The ABC Managed Services current pay structure is based on Pay- for performance. Pay for performance includes the management of both salary increments and bonuses, based on individual, group or company performance or a combination of these. External Competitiveness The ABC Managed Services has high risk losing its employee to its competitors. Based on the recent salary outlook survey conducted by Kelly Services recruitment agency for year 2010/2011, it is found that ABC Managed services is underpaying its employee 2% less compared to the market. Although ABC Managed Services is underpaying its members based salary, but it was providing good benefits such as traveling allowance, gym membership, and meal allowance. It also provides good annual leave structure for its employee which we cant find their competitors providing the same. Since the organisation is paying its employee based on performance, there are opportunities for its employees to perform better and get a higher pay. Employee Contributions In ABC Managed Services it emphasis pay for performance and it can be individual or team performances. At times, the organisation receives one time project which requires members to work in a team, so in this scenario, the management fix a onetime bonus payout for team achievement and paid to individual based on their contribution to the success of the project and if it is a team effort, the team will be paid double upon completion of the said project. This encourages the team members to work as a team since if it is a team effort the bonus will be higher if compared to an individual payout. If the customers give good feedback, the team will be given a holiday package as a treat. Management The decision of pay and incentives of ABC Managed Services is decided by Global Head of Human Resource who is based in India. She usually makes use of the information of labor market in local countries and base on the countrys economic status before establishing the compensation level for its employee. The text book mentioned that how open and transparent should the pay decisions be to all employees? In this case, employee here in Malaysia isnt aware how the pay is decided, or how the pay for performance is based on. All they know is that, their pay increases on yearly basis if their performance falls into exceed expectation category of their individual performance appraisal and what their immediate bosses has recommended on their performance. To answer the question, if the organisation is using Best Fit or Best Practice, I would say the organisation uses best fit which matches for the organisation to stay competitive in Malaysia and retain its employee so the scope for local judgment is built in, allowing for some adjustment by local management to local business needs, thus resulting in compensation system that are aligned to both corporate and local performance targets. ii) How does your company compare the compensation strategy using five issues (objectives, alignment, competitiveness, employee considerations and management) with the TWO (2) selected benchmark companies of your choice? I am using 2 other organisation which is in the same industry with ABC Managed Services which focuses on HR outsourcing business here in Malaysia. The only differences between ABC Managed Services and the other 2 organisation (ZX Services and MY Agency are both locally owned and not foreign owned like ABC Managed Services and been in the industry for more than 2 decades. All of this 3 organisation have a pay strategy to support their business strategy. ABC Managed Services ZX Services MY Agency Objectives To increase performance by reducing costs Creating new process, enhancing quality and productivity Increasing speed to market service Recognizing employee and team effort and treat everyone fairly Hard work towards meeting difficult goals and achieving objectives Innovation in a highly technical environment Team work motivated Perseverance against tough competition High ethical standards in a constantly changing world Support business mission and goals Internal Alignment Support Multitasking skills Performance based Encourage team culture Ensure compensation is internally equitable through annual pay analysis Ensure cost is justified allowing company to meet financial goals link pay to performance through the performance appraisal system ensure compensation is externally competitive through annual salary review; while salary increases are not guaranteed, we will review salaries annually Externally Competitive Market competition in base and benefits Leader in benefits Compares favorably with higher-performance competitors Their leaders are committed to review their programs, policies and practices on a regular, and as-needed, basis to maintain in the competitive position Career band system is based upon the 50th percentile of the competitive market in each country relative to the outsourcing industry Career bands and pay zones are broad, allowing company to reward high performing employees without undue pressure to promote people outside of their interests, Employee Contributions Bonuses and commission paid based on organisations success and on individual performance Annual salary increments rate is for respective countries based on market survey Annual increment based on individual performance Bonus based on the overall performance of the company Annual increment based on individual and team performance Management Annual Salary Increment controlled by top management of the organisation. Technology support Open communication Ensure compensation is internally equitable through annual pay analysis Ensure employees understand how they are compensated and the value of their total compensation packages Salary matters controlled by local company Salary matters controlled by local company Open and transparent Company ABC Managed seems to have aligned compensation strategy compared with the other 2 organisation. Their strategy is fitting into the organisations mission and also staying competitive within the industry. They have happy employees working for them and who have loyalty to serve the organisation. The organisation that fosters a friendly and family culture helps the organisation to meet its objective and goal to be a leader in the Outsourcing industry. Since ABC Managed Services is a new organisation compared with the other 2 organisation, there are always rooms for growth in the industry if they stay competitive. iii) What business strategy does it seem to fit (i.e., cost cutter, customer centered, innovator, or something else)? Why? In my opinion, I dont think there is one business strategy which seems to fit for any organisation. Most organisations will likely have the mixture or combination of cost cutter, customer centered or innovator as their strategy. In ABC Managed Services, their business strategy are based on being innovative, customer oriented since its in the services industry and always looking towards cost cutting measures and increase productivity. With these business strategies, it becomes the main drive for them to achieve their vision to become a leader in the HRO/ITO industry worldwide and remain excellent in customer satisfaction. Compensation decisions should be fully integrated into the organizations business and operations strategy, through company own compensation philosophy. QUESTION 2 You own a non-union company with 100 non-exempt employees. All of these employees pack books into boxes for shipment to customers throughout the Southeast Asia and Europe. Because of the wide differences in performance, you have decided to try performance appraisal that has never been done before. Until now, you have given every worker the same size increase. Now you want to measure performance and reward the best performers with bigger increases. Based on this: Propose and develop performance appraisal format that you think would be most appropriate. ( Enclosed) Why do you choose this format? Justify your answer. The reason why I choose the following format is because the performance appraisal form should be simple and easy to understand by employee and the supervisors. This method used to describe a performance rating that focused on specific behaviors or sets as indicators of effective or ineffective performance. This method is very useful and exact. This will also allow supervisor just focus on the questions based on competencies which had been stated on the form and provide rating according to employees performance. The appraisal form will also wont take much time for the employee to prepare and we used simple English as mode of communication. Performance appraisal encourages employee to discuss their performance with their supervisor and strengthen their working relationships. By doing a performance appraisal, it allows healthy competition among employees to be more productive and motivate since increment henceforth will be based on employees performance. Initial training will be provided to supervisor on how to use the performance appraisal and this will also allow us to inform all employees what is our organisations objective and what is expected from them to ensure the organisations goal are met. Having a performance appraisal will also help supervisor to ensure career path for all employees. The annual performance appraisal review becomes one of the most effective methods of insuring an efficient and effective operation. Question 2(i) Performance Appraisal Form Non Exempt employee Name of Appraisee: Appraisal Period: Department: Job Title: Name of Appraiser: Appraisal Date: Instructions Review the current position description with employee and discuss how the tasks relate to the performance standards. Use the following rating scale for each performance standard. High and low ratings must be supported by specific examples of critical incidents occurring during the appraisal period. Rating Scales Rating ( Scales of 1 5 ) Definition 5. Outstanding Exceptional performance in all areas of responsibility. Planned objectives were achieved well above the established standards and accomplishments were made in unexpected areas 4. Exceeds Expectations Performance consistently exceeds expectations of the position. Reserve this rating for a highly-motivated employee who demonstrates superior quality work and maintains a high level of effectiveness with little or no supervision. Document specific critical incidents of behavior that illustrate this rating on the back of the performance management form. 3. Meets Expectations Performance consistently meets expectations of the position. Use this rating for a fully-trained employee who performs all expectations of the position. 2. Needs Improvement Needs on-the-job or outside training to gain new skills and/or knowledge. Use this rating for an employee who is newly hired, recently promoted or has assumed new responsibilities. 1. Does Not Meet Minimum Standards Performance does not meet expectations of the position. Corrective action has been identified and discussed with the employee. Reserve this rating for an employee who has not benefited from development and training, and continues to have difficulty with job responsibilities. Document specific critical incidents of behavior that illustrate this rating on the back of the performance management form. Standards are divided into three categories: basic performance standards, optional performance standards and supervisors performance standards. Basic standards are designed to be used for all jobs. Supervisors can use optional standards in addition to the basic standards. They may also write standards that are specific to the job on additional paper and attach them to the form. The supervisors performance standards are for jobs with clearly defined supervisory responsibilities and are used in addition to the basic and optional standards for all supervisory jobs. The appraisal period is identified at the top of the form. To determine ratings, only use critical incidents that took place during this appraisal period. The section for goal setting is provided to promote discussion during the appraisal interview. Supervisors can identify goals for the next appraisal period, indicate training needs, or specify corrective action when appropriate. Once an employee and supervisor have set goals on a previous performance management form, supervisors will request the employee to conduct a self-assessment of progress towards these goals prior to the next performance appraisal interview. When an employee receives a 5 (Outstanding) rating, identify the critical incidents that support the rating. This rating cannot be used unless critical incidents are identified. When an employee receives a 2 (Need Improvement) or 1 ( Does not meet Minimum standard) rating, define corrective action required, identify an appropriate time frame for desired results, and discuss any appropriate training needs. If verbal or written counseling has occurred on the same topic during the appraisal period, indicate dates of the counseling and identify any evidence of progress. Have the employee sign the form when the appraisal interview is completed. The signature indicates all the information on the form has been discussed with the supervisor. Make copies of the completed form and give one copy to the employee, keep one copy for department files, and forward original to human resources. Complete the basic standards in Section I and select any optional standards from Section 2 that are appropriate for the job. Use ratings 5 Outstanding, 4 Exceeds expectations, 3 Meets expectations, 2 Needs performance development, or 1 Does not meet minimum standard. If you use 5, 2 or 1, you must document with specific examples of critical incidents to support the ratings on the back page. Section One: Basic Performance Standards Competency Description Ratings Job Knowledge Possesses knowledge of basic functions of the job. Does not require supervisor to explain routine tasks. Quality Completes tasks accurately, neatly and thoroughly. Checks work; limited rework required. Productivity Uses time effectively to complete work within prescribed deadlines with limited supervision. Safety Applies safe work habits for safety of self and coworkers. Uses tools and protective equipment carefully and correctly. Follows department safety rules. Service Responds to people in a helpful, polite, cooperative and friendly way. Judgment Analyzes situation before making decisions. Obtains feedback from appropriate individuals before making decisions. Follows policies and procedures. Maintains confidentiality. Relationships Works effectively with others to accomplish tasks. Shares information, accepts and incorporates suggestions from others. Keeps supervisor informed. Section Two: Optional Performance Standards Select any optional standards that are job related. You can also write standards that are specific to a job on a separate piece of paper. Competency Description Ratings Initiative Recognizes need for intervention and independently takes effective action. Attendance Arrives on time, schedules time off in advance. Sick leave accumulates regularly. Creativity Generates and applies creative ideas that improve operating procedures. Makes suggestions to simplify and improve procedures or tasks. Versatility Accepts changes in job or work area. Remains flexible and tries new approaches. Oral Communication Expresses thoughts clearly to others. Listens to questions and comments of others. Written Communication Expresses information clearly and concisely in writing. Job Enhancement Identifies job-related goals and ways to achieve them. Acquires new skills, increases education level when appropriate for job. Professional Appearance Dresses neatly and appropriately. Portrays image appropriate for job Rating Summary Count the total number of ratings in each category. 5 Outstanding 4 Exceeds Expectations 3 Meets Expectations 2 Needs performance development 1- Does Not Meet Minimum Standard Goals Use this area to set goals and identify training needs. Goals Training Needs High/Low Ratings Identify specific critical incidents of behavior that support rating 6, 2 or 1 ratings. Standard ( High/Low) Date Details of Critical Incident Supervisors Signature: Unit Heads signature: For HRD Use: Employees Comments: ________________________________________________________________________________________________________________________________________________________________________________________________ Signing this form means your supervisor has discussed all the information on the form with you. You do not have to agree with the appraisal summary when you sign the form. You may choose to make comments. Use additional paper if necessary. Employees Signature Date ii) Do you anticipate any complaints, or other comments, from employees after you have implemented your new system? Build argument to support your answer. Yes, I do anticipate complaints after implementation since most of the employees didnt experience appraisal process for a long time in this organisation. Since its something new to them and they need to understand that the appraisal tool will help them to grow and be motivated. They shouldnt see the performance appraisal tool is used to judge their capability and a tool which make them loose their income. I foreseen several resistance from employees especially those fear of getting poor rating. To avoid such scenario, I will ensure the employees understand the purpose as well the process of appraisal. Every employee should be aware of the standard and what exactly is expected from them. The employees may fear that there also may be rater error which likely to occur, to avoid such incident the supervisor should exercise objectivity and fairness in evaluating and rating the performance of their employees. Training will be provided to supervisor and advising them on how to ensure accurate evaluation. Common errors like positive leniency, where supervisor gives all employee high scores or negative leniency, where supervisor gives all employee low scores. This will create unhappiness among employee especially for those who are really making good contribution and being productive. In reality, many supervisors conduct performance appraisal poorly. The appraisal procedure is to have 2 way communications between employee and supervisor to find out how to improve the current performance standard and move to the next level, but this seldom

Philosophy of Education Essay -- Philosophy of Teaching Statement

Philosophy of Education One of the most privileged professions in the world today is teaching. Teachers can influence the youth of a culture in a way no one else can. Teachers have the honorable responsibility of education. Students develop mentally, socially, and ethically within the realm of academic education. While in this critical stage of development, students are given the laboratory of the classroom to test themselves in ways that are more risky after graduation. Teachers play a crucial role in this laboratory. I believe that the most important way I can serve my students while fulfilling this role is to have positive expectations, to continually reflect on my teaching habits and performance, and to use literature as a way to empower my students to be successful personally and professionally. I believe each student should be treated as an individual, and positive expectations should guide my interaction with each individual. Students have the potential and capability to achieve the highest success, and I will treat each of them with this in mind. Students should always believe this about themselves, and they are not going to unless others believe it with them. The development of a student’s self worth is very important during the middle and high school years. I believe many students fail academically because they don’t believe they are able to succeed, or they don’t value their success academically. These students need positive reinforcement and high expectations. Some students are set up to fail before they even enter the school building; a poor home environment can have negative effects on a student’s self worth and ability to study. These students need understanding, accommodations, and positive encourage... ...o help them make their own responsible decisions. After all, in a few years, they will be completely independent and should have practiced making their own decisions. I want to encourage my students to form their opinions about the choices they want to make through sound experiences and information before they get in the specific situations, thus making more informed and thoughtful decisions "in the moment." While entertaining the issues of culture itself, I would like to equip my students with the tools needed to read, write, comprehend, and verbally articulate their well-formulated ideas. By embedding the grammar, writing, reading, and critical thinking skills within the teaching of a a relative text, I hope to stretch the minds of my students more than just academically, but even in their development as a person. Literature can reach students in ways that I cannot.

William Few :: essays research papers

William Few He was born in Baltimore in 1748, but his story begins long before his birth. It started when his father’s family immigrated to Pennsylvania in 1680’s. His father just so happened to move to Maryland, where he met his wife, married her, and settled in Baltimore where William was to be born. William had many hard times and little schooling until he was ten, when his family moved to North Carolina. In 1771 William, his father, and his brother joined the regulators, frontiers men who fought against the British royal governor. Because of that his brother was hung and his father’s farm destroyed. The Few’s were forced to move again, now to Georgia. William stayed in North Carolina living by himself until 1776. When he got to Georgia he was accepted to the Bar and began to practice the law in Augusta.   Ã‚  Ã‚  Ã‚  Ã‚  When the revolutionary war began Few sided with the Whig cause, which was the side of the war fighting for America’s freedom from British rule. Even though Few had little schooling as a child he proved leadership and won a lieutenant-colonelcy, a very high rank in the minutemen army. Few also began to take interest in politics and were elected Georgia provincial congress of 1776. He also was and the state executive, surveyor general, Indian commissioner, as well as served in the Continental Congress general. Few was also reelected to the Georgia assembly.   Ã‚  Ã‚  Ã‚  Ã‚  Four years later Few was picked to be one of the six state delegates to the constitutional convention. Two of the state delegates did not attend the convention. Two did not stay for the duration. Few did not attend much of the convention, and never made a speech. But he helped nationalists vote, and helped have congress approve the constitution. He also approved the state ratifying convention. William Few :: essays research papers William Few He was born in Baltimore in 1748, but his story begins long before his birth. It started when his father’s family immigrated to Pennsylvania in 1680’s. His father just so happened to move to Maryland, where he met his wife, married her, and settled in Baltimore where William was to be born. William had many hard times and little schooling until he was ten, when his family moved to North Carolina. In 1771 William, his father, and his brother joined the regulators, frontiers men who fought against the British royal governor. Because of that his brother was hung and his father’s farm destroyed. The Few’s were forced to move again, now to Georgia. William stayed in North Carolina living by himself until 1776. When he got to Georgia he was accepted to the Bar and began to practice the law in Augusta.   Ã‚  Ã‚  Ã‚  Ã‚  When the revolutionary war began Few sided with the Whig cause, which was the side of the war fighting for America’s freedom from British rule. Even though Few had little schooling as a child he proved leadership and won a lieutenant-colonelcy, a very high rank in the minutemen army. Few also began to take interest in politics and were elected Georgia provincial congress of 1776. He also was and the state executive, surveyor general, Indian commissioner, as well as served in the Continental Congress general. Few was also reelected to the Georgia assembly.   Ã‚  Ã‚  Ã‚  Ã‚  Four years later Few was picked to be one of the six state delegates to the constitutional convention. Two of the state delegates did not attend the convention. Two did not stay for the duration. Few did not attend much of the convention, and never made a speech. But he helped nationalists vote, and helped have congress approve the constitution. He also approved the state ratifying convention.

Human Nutrition

Review your iProfile Journal, the dietary reference intake (DRI), and the iProfile Intake Spreadsheet. Does your dietary intake for the day you recorded provide a healthful diet? Why or why not? The dietary intake that was recorded for day one provided for a healthful diet. I consumed Did you consume the recommended DRI from each of the food groups, vitamins, and minerals? Good nutrition is important for everyone. Healthful diets enable people of all ages to work productively and feel their best. A food journal of consumed food will allow an individual to understand which food groups provide a healthy fat content as well as vitamins and minerals. The following is an analysis of my food intake for September 14, 2008 using the Nutrition Policy and Promotion (CNPP) Website. The Center is a wonderful way to obtain a portion of the vitamins needed every day. When reviewing my recorded intake and analyzing the results, I realized that changes still needed to be made. While vitamins and minerals such as Thiamin, Riboflavin, and Niacin, Vitamin B6, Vitamin B12 and Zinc were met, other daily vitamin and nutrient recommendations were not met. In conclusion, one way to understand which food Which groups of foods are underrepresented or overrepresented in your diet? If you did not consume the recommended number of servings from each group, explain why. Propose how you might consume the recommended number of servings from each group in the future. Paying attention to food labels and making daily adjustments to my food intake will ensure that the appropriate amount of calories, proteins, carbohydrates, vitamins and minerals are consumed. Some areas I consumed the recommended minimum number of servings for the food group in the pyramid, in other areas I consumed about half of the recommended servings for the food group, while yet in one specific area I didn't consume any servings of the food in the food group of the pyramid. Did your diet provide an adequate variety of foods, or were your choices limited? Refer to the Food Pyramid in iProfile to see how you fulfilled your goals for the various food pyramid groups. If you did not eat a variety of foods, how might you expand your field of choices? The food groups that are outlined by the food pyramid are imperative to staying healthy. Everyone should be cognizant when eating meals and snacks so they consume the right amount of each food group. If a person is not taking in consuming the adequate amounts of a certain food they will become deficient in the recommended amounts of vitamins and nutrients. The body depends on our intake of the proper nutrients in order to function properly and stay healthy. Eating healthy is not just something that people do in order to keep their bodies healthy, but it also helps to keep their minds healthy and focused. There are many times that I will go without eating, or will eat things that are terrible for me, and afterwards I feel like doing nothing but sleeping. Not only does my body feel tired and unmotivated, but my mind feels like Compare your diet to that of the sample profile for Kelly Watson. Whose diet provides the best opportunity for health and well-being? Which profile provides the best philosophy of health? Provide a rationale for your answers. My diet compared to Kelly Watson’s provides the best opportunity for health and well-being. In addition, the profile that I have established is the best philosophy of health. Kelly’s consumed a lot of sugar, fats and empty calories. Also, some of the foods that were consumed did not provide the best nutritional value and could have either been exchange for a healthier choice or eliminated. In addition, some of the portions could have been reduced as well. The convenience of prepared food that is readily available to us in today’s society has changed the dynamics of the way many people consume food. It is much easier to grab a burger, order of French fries, or pizza than prepare a salad at home for lunch the next day. This in a sense has given many people the idea of leaving the responsibility of healthy food preparation to the different restaurants that are available to us each day. Cite two references other than the course texts. Format your paper consistent with APA guidelines.

Proctors Analysis Essay

What is John observe? I am no saint for me it is fraud. I am not that homo. Explore moth millers Presentation of varan in The Crucible. How far do you agree with follows Analysis of himself?In 1962, capital of Oregon was feigned salientally by the catastrophe of cr iodinery. Miller uses this searching occurrence to structure his story named The melting pot. By using a current eventidet this can really affect the listening and influence them into picking up more chthonianstanding of the hornswoggle and the happenings that argon involved, hence the f spot that witchcraft does not seem like a fully believable event. Miller uses the 1692 capital of Oregon witchcraft trials to symbolize the 1950s anti-Communist purges.The events of the 1692 Salem witch trials mostly parallel those of the McCarthy trials. If you opposed the McCarthy investigations, you were incriminate of being a communist. If you opposed to the Salem Witch trials, you were accused of being a witch. Thos e accused suffered great consequences in two the Crucible and the McCarthy trials. As the McCarthy trials were still presently expiry by during the release of this depend it made the play more effective and easier to relate to.Miller uses cl ever dramatic devices and a range of different techniques that friend oneself engage the earshot and manipulate them into side with different instances in the play and collect important data that will help with understanding of the alternate people adduceed. The voice communication and be directions he uses create latent hostility throughout the play and this all builds up to an unpredictable ending, which the consultation has been lead on to throughout the play.As soon as follow makes his entrance his type of record is immediately familiar with the audience via the stage directions. It reads on page 16 forecast John admonisher. On seeing him bloody shame warren leaps in fright this creates the audience to comprehend that P roctor must imbibe quite a overpowering character that outputs into Mary Warren having such a dramatic reaction to his presence. The beginning(a) mansion the audience receives of an altered relationship surrounded by Proctor and Abigail is when the stage directions read Abigail has stood as though on tiptoe, absorbing his presence, dim-witted this creates an atmosphere of stress between the brace and builds up to understanding of her blatant feelings for Proctor.solely the stage directions read that he yet Glances at her, an act that makes it obvious that he does not seem to return her feelings for him, as he only cargonlessly Glances as her whereas she seems to be love struck by his presence. The first line that them two transport is Abigail saying Gah Id intimately forgot how strong you are John Proctor The word Forgot instantaneously confirms the fact that in that location has been a past between the couple, which the audience can only wait to be advised certainly of.The following hired hand after this quotation confirms the audiences suspicions by Proctor and Abigail discussing the relationship that they once had, and Abigail attempting unsuccessfully to make a relationship only by Proctor turning her d receive firmly. Proctors relationship with Elizabeth is first introduced at the beginning of Act 2. When Elizabeth delivers Proctor his dinner, it reads that She tarrys him eat and when he regard her cooking she blushs with frolic.I mobilize this activity shows that Elizabeth is real keen on pleasing Proctor. The audience already know at this particular of the extramarital affair that Proctor had with Elizabeth betraying his married woman. So at the beginning of act 2 I pick up that Elizabeth is attempting greatly to hang onto their marriage even with their tinted history. As of their history in that location must be a decent amount of tension between the both and mistrust going on discretely.Proctor is portrayed as a good man save who has made very more or less impolitic mis coming backs in his past, which he tries to almost button up out. When Elizabeth mentions his past betrayal in act two Proctor declares I slang not moved from here to there without I think to please you I think this shows his immense remorse and that he truly is a good man at heart. In Act 1 when Proctor is questioned why he does not attend perform anymore he replies I have trouble rich without I come five slub to hear him preach only red region and bloody damnation.Take it to heart, Mr Parris. There are some others who stay away from church these days because you hardly ever mention God anymore this proves that he opposes the expenditures of Parris in the church and felt that the church was bonnie too materialistic and drifted away from the buffer purpose of a church under the influence of Parris. When Parris states that there is a sect and a party against him and all assurance Proctor states that he must gist it. This declar ation shocks everyone, as it is an offence to merge such an anti-authority clique. This shows the extent of Proctor and Parriss mutual hatred. His relationship with Parris tells me that he is one of a type whom stands up for his own view and does not delay to crush out his views.During the majority of Act 2 we are introduced with the dilemma of Elizabeth being accused of witchcraft. both(prenominal) Proctor and Elizabeth know factually that its Abigails vengeful plotting that has got Elizabeth into this shocking situation. The audience already knows by now that Abigail is still diabolically love-struck with Proctor so they understand that its Abigail attempting to get rid of Elizabeth in hoping that she could take her place.If Proctor had not gone through with the past affair in the first place Elizabeth would not have ever been accused so in Proctors eyes its his fault and as a normal being he knows he now has to get his married woman out of this situation on pass along of the fact that its his role as a husband to care for her and to keep her dispatch from upset. When Proctor attempts to influence Mary Warren into testifying in judgeship on his behalf she informs him of the trouble that Elizabeth will expose him of his lechery.Proctor states Good, thusly her saintliness is done with. We will slide in concert into our pit this line shows his major endurance and that he will risk his sharp stainless name for his wife, a bless of trust and opulent behaviour. At this foreland his selfless motive is to get his wife out of the darkness of the coquet even if it does risk his name, or if worst comes to worse his life. As Mary Warren has informed Proctor of the girls pretence in court he sets out to relieve the court of their manipulative acts and to output in many more lives being saved, another heroic act.In conclusion I think that Proctors analysis of himself is somewhat false as throughout the play he has shown signs of heroic occurrences and he h as realized of his past mistakes and felt regret.

Decreasing Child Abuse with Nurse Partnership Essay

tyke plague in America is non a refreshful epidemic our countrys history has been tainted with it since its inception. nestlingren ar horrord at all durations, indiscriminate of gender, race, or culture. While the debauch of any nipper is appalling, the convolute of an infant is e circumscribedly heinous. Dr. thr ane Leventhal, a professor of pediatrics at Yale School of Medicine subd a recent study which highlighted the fact that wicked cry- think hospitalizations be to a greater extent than than common in infants beneath the period of unrivaled stratum old and tend to disproportionately instill families on Medicaid, (Mann, 2012).These incidents occur because p bents atomic number 18 ill- prompt for put forwardhood and insufficiency the resources necessary to fittingly make the direction of a new infant. A comfort confederation curriculum (NPP) is the act to our e produces call to importantly descend the hail of pincer curse cases for infants under the term of 1 year. If appropriately executed and man daysd, this architectural plan could excessively amelio prescribe the quality of life for participating families as wellspring as potentially belittle the consequence of families who receive aid from exoteric welf atomic number 18 and avail computer weapons platformmes.Needs judgment Child poke fun Statistics accord the unite acress subdivision of Health & humane shape (USDHSS) (2011), Nevada is tied with Tennessee as the state with the one-third highest aim of fry demoralise per capita for minorren under the age of one year 16. 9% of Nevadas infants were abhorrenced in 2010, 47. 7% of those cases resulted in fatalities, and 81. 3% of the perpetrators were parents of the victim.The USDHSS (2011) as well as reports that the federal administrations Fourth matter Incident Study of Child Abuse run aground that deprave is three condemnations more than common in ugly families and neglect is s even times more common in poor families as well (poor as defined by national p all overty line). Poverty Statistics The U. S. nose count Bureau reports that 16. 4% of Nevada residents live in poverty, which redacts Nevada as 38th in the nation (2010). In terms of pure numbers, 306K mountain receive Medicaid in the state of Nevada (Haynes, Vogel, and Tetreault, 2012).Nevada has a large invest population for this chopineme and as the third worst state in the union for minor maltreatment of infants, Nevada has demonstpaced a dire pauperism for action. Specific Target Population The aim population for the Nurse partnership Program would be expectant mothers who are Medicaid recipients. The Nevada realm Department of Human and Health service and the prohibit Child Abuse Nevada institution would serve as musical accompaniment agencies since both(prenominal) organizations already work to prevent and run into s wearr abuse in Nevada.The NPP would also benefit from the par ticipation of dedicated affable thespians. Community Level breastfeed diagnosing nursing Diagnosis One The target population is at gamble for impair parenting related to situational characteristics that precipitate tike abuse. antecedently mentioned statistics prove that a disproportional amount of child abuse cases for children under one year of age occur in families who receive Medicaid. Child abuse, neglect, and maltreatment are classified as impaired parenting.According to the USDHHS (2012), inquiry has uncovered a number of venture factors or situational characteristics that occasion a higher probability of child abuse within families. These situational characteristics of parents or caretakers admit previous trauma history, altered mental wellness, and an windburned or negative response to stress. inquiry also indicates a link amidst substance abuse and child maltreatment. in that respect is also an gaind risk when children are raised by a unity parent, when one parent is already to victim of domestic violence, and when parents are accessiblely isolated.Nursing Diagnosis Two Many new-fangled or teenage parents receive cosmos aid and Medicaid, which places them in the target population. These novel and teenage parents are at risk for ineffective coping related to lack of sociable and emotional hold back, lower frugalalal status, high stress levels, and inadequate fostering. Brownridge and Douglas found that lack of or inadequate involution, education, brotherly and emotional support, and self-esteem are associated with child abuse among children of adolescent mothers (2008, pp. 9-42). Without a commensurate support system or education to prepare preteen parents for the monumental job of caring for infants, they are rendered inadequately prepared to cope with the stresses of early parenthood. Cancain, Slack, and Yang (2012) state that researchers and policy makers shake a bun in the oven tenacious recognized that childr en reenforcement in families with limited economic resources are at a higher risk for maltreatment than children from higher socioeconomic strata. Nursing Diagnosis ThreeThe children of the target population are risk for trauma related to their dependent role in the parent child relationship. Infants are especially open to maltreatment due to their early victimizational status and indispensability for constant care. As Dr. Leventhal (2012) verbalise, when abuse occurs in children under the age of one year abused, they are more likely to incur serious injuries that hold hospitalization than abused children over the age of one year. regard Goals, Objectives, and InterventionsA Nurse Partnership Program would match a registered nurse with an expectant mother, who would in piece forget education and mentorship passim the motherliness and prototypal year of the childs life. The nurse would perform home visits and garter the mother prepare the home as well as herself for the s afe arrival of the infant. The nurse would advocate for a well-grounded pregnancy and assist the mother in finding the resources she would need to facilitate that rosy pregnancy.While military rating of the intentions would entangle examine the rate of child abuse cases among those enrolled in the NPP with those in the ontrol group, the boilersuit evaluation of the chopine would embroil the rate of families who set and gibe educational and professional tendencys as well as achieve and corroborate economic in dependance of authorities aid rowing of instructions. run across Goal One The starting signal intention of this program is to improve pregnancy outcomes of the targeted population. This would clams with matching an expectant mother with a registered nurse early in the pregnancy. This sign relationship builds the foundation for a prospered therapeutic relationship and the boilersuit succeeder of this program.The nurse would educate the adult female on preven tative practices during pregnancy to include prenatal care, appropriate diets, and any behavior modifications that whitethorn need to occur much(prenominal) as the use of cigarettes, alcohol, or drugs. The victory of discourses and design of decenting this aim would be evaluated by comparing the rate of sound saves by mothers enrolled in the program with the rate of anicteric births by mothers in a incorporate group not participating in the NPP. jutting Goal TwoThe wink address of this program would be to create a safe home milieu for children to reduce the likelihood of accidental injuries. This offset would also create confidence in young parents as they take support and responsibility for the safety of their child. Duva & Metzger (2010) found that a lack of confidence and self-esteem increase the risk of children suffering from abuse. Ongoing evaluation of this destination would occur during the home visits and overall evaluation of this goal would include the s imilarity of accidental injuries to children whose family is enrolled in the NPP to the chasteness group.Project Goal Three Project goal three would include t apieceing the young parents how to build an appropriate support system. infantile parents need to be able to pass on to others what their needs are. Something as simple as asking someone to watch their child so they can have a break could benefit the parents and child, providing a stress steering tool which can decrease the likelihood of child abuse. Support systems include families, friends, and lodge ne bothrks ( such as other parents, churches, etc. ). military rank consists of comparing the rate of child abuse cases among those enrolled in the NPP with those in the control group. Child abuse cases among the participants would be screened to construe if they were successful at building that special support system. Nurses can evaluate the get on with of this goal during their home visits by dint ofout the commencem ent ceremony year of the childs life. Project Goal Four Project goal four includes improving child health and directment. Nurses would work bargain in hand with a commissioned affable thespian to jock parents translate responsible and commensurate care.This goal revolves around the main intervention of education. Their education would include stress management techniques, effective parenting skills, early childhood partment, and the development of realistic expectations for themselves as parents and their children. This goal would include home visits by both the mixer proletarian and nurse throughout the first year of the infants life. Participants in this program are both students and parents. This crotchety compilation creates a situation specimen for the involvement of brotherly histrions.According to the Illinois connexion of School Social Workers (2012), societal workers help nation understand themselves and others, cope with stress, develop decision making sk ills, help parents to hit and understand the needs of their childrens social and emotional needs, how to identify and utilize resources effectively, provide counseling services, and advocate for patients. They are a valued partner in the proposed program as the collaboration between the social worker, nurse, and parents are fundamental to the success of the NPP.Evaluation of this goal outcome includes comparing the rate of child abuse cases among those enrolled in the NPP with those in the control group. Project Goal volt Project goal five is the rachis for the overall success of the program. The final goal is to improve the economic self-sufficiency of parents. This would include the nurse and the social worker collaborating with the participants to develop goals for their own proxs by completing their education, growing employable skills, finding employment, and planning future pregnancies.The success of this goal would be unconquerable by the umber of cases who achieve econ omic independence, no longer utilize government aid programs, and have no chance(prenominal) pregnancies within 2 years of the childs birth. That number would then be compared to the control group. Estimated Cost Discussing the monetary value of the program would by an in erectice without discussing the possible nest egg the program could also produce. Child abuse and neglect be the U. S. $124 billion from just one year of confirmed cases of child maltreatment and the spirit cost for each victim of child maltreatment who lived was $210,012 (Fang, X. , Brown, D. , Florence, C. , & Mercy, J. 2012).The Nurse-Family Partnership organization reports that a recent cost-benefit update by Washington relegate imbed for Public Policy (2012) mulish that long term benefits could equal as a good deal as $23,000 per participant of a NPP. As families gain economic independence of government aid programs, the government saves money. This program would also decrease the amount of Medicaid d ollars spent as children are expected to be innate(p) within a well birth weight and generally healthy overall when compared to the control group. In comparison, the cost of the program would be significantly less per family.The supporting agencies are already in place in the targeted biotic community. The Nevada State Department of Human and Health Services and the Prevent Child Abuse Nevada organization both work to prevent and control child abuse in Nevada the infrastructure is already established. The cost would be allocated to initiate a new program within the Prevent Child Abuse Nevada organization with the inadvertence of the Nevada State Department of Human and Health Services. The Nurse-Family Partnership organization has estimated the cost of such a program to be approximately $5,000 per family per year.Ideally, in baffle to establish and maintain tenacity and oversight throughout the program, it would be managed by a single entity such as the Prevent Child Abuse Neva da organization. This is dissimilar than other programs which are managed individually by hospitals and smaller organizations. Some may disablement at utilizing government funds, moreover championship this program is more economical than salaried the price of child abuse. Fang et al. (2012) decided the lifetime cost for each victim of child maltreatment who lived was $210,012, which includes medical and legal costs, as well as other costs associated with child abuse (social services, etc. . It is definitely cheaper to teach them than it is to treat them. Collaboration With a Licensed Social Worker This program proposal was discussed with a licensed social worker, Mandy S. , in the state of Nevada. This licensed social worker stated individual programs come through through hospitals and smaller organizations, but concur that a larger program with a single point of managerial oversight in the county would be the most honorable.I proposed the ideal situation would include Sta te Legislature mandating Medicaid recipients to participate in such a program in order to receive benefits of Medicaid and other public assistance programs such as welfare, food stamps, and Women, Infants, and Children (WIC). WIC provides national grants to states for supplemental foods, health care referrals, and livelihood education for low-income pregnant, breastfeeding, and non-breastfeeding postpartum women, and to infants and children up to age five who are found to be at nutritional risk (Food & food Service, 2012).Mandy S. stated that this legislative push would be a goal to pursue by and by the success rate of the NPP could be established. murder The program would be administered and managed by the Prevent Child Abuse Nevada organization. The Nevada State Department of Human and Health Services would maintain oversight and monitor outcomes of the program. It also requires the cooperation of hospitals and atomic number 101 offices as they will be the sign referral sou rce for patients to the program.Ideally, if successful, patients would refer their friends and family to the program as well. There are only two qualification standards for participation in the program. First, the woman mustiness be less than 24 weeks pregnant to batten down adequate time for prenatal care to maximize the success rate of project goal one. Second, the family must be at or on a lower floor the government established poverty line. A registered nurse and licensed social worker would be assigned to the woman to complete the project goals and planning with the patient in her home.The same registered nurse and licensed social worker would complete home visits of all time one or two weeks throughout the pregnancy and first year of the infants life. The frequency of visits would be determined during the initial assessment and re-evaluated as need to ensure participants are receiving the interventions they need to ensure success in the program. Each goal is monitored by t he nurse and social worker throughout the familys participation in the program and changes or new interventions are developed as required. The participation would refer during the pregnancy thru the childs first birthday.During that year participants are armed with the intimacy and resources to ensure safe and healthy environments for their children, healthy support networks, reduce or divert negative behaviors, provide responsible and workmanlike care to their children, and to be economically self-sufficing of government aid programs. If patients are determined to not be safely carry out from the program, they may be determined pensionable for additional assistance. Evaluation of Project general evaluation of the program is difficult to watch as this program would take over a year to achieve results.However, nurse partnership programs have begun to gain popularity throughout our country and have achieved wonderful results. So much so, that the Centers for Disease Control h ave named these programs as effective with a coarse potential to reduce economic send of child maltreatment. Further collaboration with the licensed social worker, Mandy S. , determined a flunk in this program. While the original goal was to decrease the number of child abuse cases in children under the age of one year, it was determined by the social worker that many of her clients had children under the age of two and required much assistance from her.My initial plan to provide services image the first year of the childs life was inadequate. Together, we determined participation through the second year of the childs life would be most beneficial to participants. Mandy S. was a abundant resource as she stated that the majority of child abuse cases she personally supervises are due to a lack of support, resources, and most importantly, education. This program provides those things to participants, hence decreasing the risk of child abuse and trauma, increasing validating pare nting skills, and developing positive coping skills.Interviews with young mothers proved positive. When asked if they would be interested in participating in a NPP program or would have liked to have a program available when they were expecting, 22 of the 25 polled stated yes, they would have been excited to participate. Those 22 mothers nem con stated they felt they would benefit from such a program. Although the original program did not include support groups of participants, the polled mothers stated they would venerate the social benefits of participating in support group comprised of participants.This would be a great resource for those participants who do not have a family or other social circle to rely on for support. The community overall benefits from a program that decreases the rate of child abuse. It breaks a cps that research has prove exists. Many times people who have been abused continue the cycle of abuse Clark County has the opportunity to stop that cycle. Chi ldren who are subject to abuse are at a higher risk of developing mental health issues, substance abuse problems, and overall negative health behaviors (Herrenkohl, R. Harrenkohl, T. , Moylan, C. , & Sousa, C. , Tajima, E. 2008).The community not only saves money with this program, but it builds a strong community where healthy families thrive and prosper. Summary Parenting can be a challenging and lonely experience. The course of this project has taught me that preparation is the key to success. The more we can prepare young mothers for the challenges of parenthood, the more we are likely to decrease the rate of child abuse among children under the age of one year.Young parents are frequently faced with the stress of financial dependence on others and government programs the NPP provides resources to set and meet goals to complete education and achieve employment to maximize financial independence. This is not a lifelong program. The intention of the program is to provide parents the mental tool box and resources they need in order to provide a healthy life and economical freelancer life for their children. The concept is relatively new, and I am excited to see the proven long term effects in the years to come.