Tuesday, December 31, 2019

Essay about Israels Land, Culture, History, and Religion

The record of human habitation in Israel is at least 100,000 years, old. Evidence of the domestication of plants and animals can be dated to about 10,000 BC. The State of Israel, an independent nation in southwest Asia, is located between the eastern shores of the Mediterranean Sea and the Gulf of an arm of the Red Sea. Israel is considered the Holy Land for Christians, Jews, and Muslims {1}. Which includes religious representation of most of the worlds entire population. To reflect on all the different aspects of the cultural and historical geography of Israel would certainly be out of the scope of this tiny paper so, general information will then be discussed below. ITS LAND Israel is a small country (a small country as†¦show more content†¦Hermon which reaches an elevation in Israeli territory of 2,224 meters above sea level (almost identical to Mt. Kosciusko) and includes Israels one and only snow ski slopes {3}. Israels major drainage system is the interior basin formed as the Jordan River flows southward; it empties first into the Hula Basin and then into the freshwater Sea of Galilee. The river then proceeds to the Dead Sea, the most saline body of water in the world. The Sea of Galilee is connected, through a complex of pumping stations and reservoirs, to Israels aquifers in the west, providing water to almost half of the countrys agricultural land {4}. The climate in Israel varies from north to south. In winter, the southern half of country remains under the subtropical high, but weather in the northern half is influenced by periodic depressions that pass over the Mediterranean, bringing moderate rainfall. Winter temperatures range from about 45 degrees Fahrenheit to 60 degrees. In the summer the entire area is dominated by a subtropical high that brings cloudless skies and no precipitation. Summer temperatures are 74 degrees to +90 degree temps. The Dead Seas climate is one of the hottest regions in the world, especially during the summer. The northern highlands and northern coastal areas receive more than 16 inches of rain a year. The highest northern highlands receive more than 40 inches each year {1}. Most of the original evergreen forestsShow MoreRelatedEssay on A Two State Solution1140 Words   |  5 Pagesa movement into the promised land known as Palestine to reclaim their ancestral homeland (The Origin of..). After moving into Palestine Zionists started to create an exclusive Jewish state, however the Arab community caught on to the movement and opposed this by not allowing Jewish immigration into Palestine along with not permitting them to buy land. 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Monday, December 23, 2019

Economic, Environmental And Social Aspects Of Wellbeing

1.0 Introduction and background The aim of this report is to discover the inequalities in Africa. This will be done by analysing the 3 main topics economic, environmental and social aspects of wellbeing in Africa. Located on the southern end of the African continent, north of Zimbabwe and Mozambique and surrounded by Atlantic ocean and Indian ocean is a continent that Covers 1 221 040 square kilometres. South Africa only takes over 4%of the lands area but is 3 times the size of Texas and 5 times bigger than Great Britain. The estimated population of South Africa in 2013 was 52.982 it shows a big growing raise throughout each year. This country holds a variety of different races and religions like white, dark, Christian and some other major religions. 2.0 focus of study In this report it will cover 3 different topics economic, environmental and social to give a clean explanation of what inequalities and wellbeing is. Inequalities in wellbeing is the different amounts of wellbeing in each country, some parts will be very good and others will be poor. Inequalities is saying one part of a country could be very wealthy and have a lot of supply’s and goods but the other half of the country could be struggling and be poor it just depends where you are in the worlds, how well your links are with water, food, education and a good paying job. 3.0 study area This report is based on one country and its discussing the different ways inequalityShow MoreRelatedHow is sustainable development linked to ecological footprint?1552 Words   |  7 Pagescompromising the ability of future generations to meet their own needs.† In this definition, two challenges are worth nothing: meeting the needs of world’s poor, as well as the environmental limitations brought about by technological advancements and social organizations. 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Sunday, December 15, 2019

Improving Quality of Health Care Services Free Essays

Improving Quality of Health Care Services The U. S. leads the way in many areas into the future of economy, wealth and civilization. We will write a custom essay sample on Improving Quality of Health Care Services or any similar topic only for you Order Now America spends more on heath care than any other nation with quality and safety being a key focus. Nevertheless, evidence of improvement of decreased errors is limited. We lack answers to financial stability and providing quality health care to all (Becher Chassin, 2001). Nationally, everyone is engaged in improving the quality and safety of healthcare. We need to be awakened to preventing errors and providing safer care (Laureate, 2009). The purpose of this paper is to discuss the initiative to improve quality and safety of health care with the â€Å"Six Dimensions of Goodness in Healthcare. † A quality and/or safety initiative Healthcare facilities are engaging in the prevention of medical errors and providing better care. Many institutions are implementing process improvement focused on six key dimensions to enhance the quality and safety in their healthcare setting (Laureate, 2009). The six dimensions are: Safety-to avoid injury to patients from the care that is intended to help them; Timeliness-to reduce waits and harmful delays; Effectiveness-to provide services based on scientific knowledge to all who could benefit and refrain from providing services to those not likely to benefit (avoiding overuse and underuse, respectively); Efficiency-to avoid waste; Equitability-to provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographical location, and socioeconomic status; and Patient centeredness-to provide care that is respectful of and responsive to individual patient preferences, needs, and values (Madhok, 2002). Reasons for the initiative The Institute of Medicine (IOM) has a growing concern about medical errors. The IOM report â€Å"Crossing the Quality Chasm,† asked for a basis change, recommending that the delivery of health care be based on six key dimensions. We have an interaction between the errors of individuals and system flaws that need to be prevented. We need to strengthen our defense systems (Madhok, 2002). The report, â€Å"To Err is Human† estimated that 44,000 Americans die per year as a result of medical errors. More deaths occur in a given year from medical errors than from motor vehicle accidents, breast cancer, or AIDS. National costs of preventable medical errors were estimated between $17 billion – $29 billion (Madhok, 2002). Healthcare institutions are embracing new initiatives for safer care based on the six dimensions. Healthcare systems are implementing the six dimensions as a basic initiative to improve quality. The IOM states that American healthcare must make vast changes to have clinically safe and quality care (Madhok, 2002). The six dimensions can influence and direct the overall process of improvement (Laureate, 2009). Payment systems such as Pay for Performance are causing facilities to incorporate the six dimensions. Pay for Performance initiatives advocate financial rewards to hospitals demonstrating outstanding preventative and care giving practices (Sultz Young, 2011). Poor outcomes with medication errors, skin breakdown, patient falls, isolation procedures, and drug protocols can effect payment to hospitals (Laureate Education Inc, 2009). High quality medical care at an affordable cost is a growing goal for healthcare institutions. Effective, safe, and affordable health care leads to higher patient satisfaction (Quality Initiatives, 2004). Strengths and limitations of the initiative The six dimensions encourage a strong focus on health care quality and error prevention. They encourage policymakers, purchasers, regulators, health professionals, health care trustees, management, and consumers to commit to a national system level of process improvement for quality health care. They encourage a shared agenda to pursue safer care (Madhok, 2002). This can cause facilities wanting independence limitations. Overuse of fee-for-service has been associated with higher rates of variety of health services. Americans are fascinated with technology and often want something done whether it is the best choice of care. Health care providers accommodate consumers. A more unified system could provide better care. It could decrease spending and limit the freedom to choose any type of care one desires (Becher, Chassin, 2001). A fragmented healthcare system needs to come together to provide equal access and care to all U. S. citizens (Laureate, 2009). The six dimensions promote a high level of performance leading to better quality performance and a process of care measures. Healthcare is â€Å"raising the bar† for better care with enhanced collaboration, benchmarking, and facility board goals to support the dimensions (Jiang, 2010). Quality goals such as Zero central line infections zero sepsis is encouraging a higher level of care instead of being satisfied with average outcomes of care (Jiang, 2010). Role of nursing Health care is a team sport. Nursing needs to be part of the team and be actively involved in preventing harm to patients (Laureate, 2009). Effective leadership with health care change needs to come from those engaged in providing health care to patients (Becher Chassi, 2001). Nursing should be a part of identifying the error cause, gathering data, and making goals to prevent subsequent errors (NCC MERP, 2002). Nursing can be more aware and involved in prevention. Nursing can adopt higher standards and have an attitude of prevention concerning errors. Patients should not ever leave a health care facility in a condition worse than they arrived. U. S. health care must improve their standards of care (Laureate, 2009). Nursing can be a part of better communication and handoff’s. The patient has often been the communication link to give report to the next caregiver (Becher, E. Chassin, M. , 2001). Bedside nurses need empowerment to provide care and be involved in creating policies for better care. Nurses need more education, to get more involved in National groups that can affect policy, and to participate in research. Nurses have a great responsibility for safe healthcare. They have an opportunity to make a difference (Laureate, 2009). Nursing should be a part of identifying the error cause, gathering data, and making goals to prevent subsequent errors (NCC MERP, 2002). Summary – 10 point The second IOM report â€Å"Crossing the Quality Chasm,† asked for a fundamental change, recommending that the delivery of health care in the 21st century be based on six key dimensions (Madhok, 2002). The key dimensions are safety, effectiveness, patient centeredness, timeliness, efficiency, and equitability (Laureate, 2009). Healthcare systems are implementing the six dimensions as a basic initiative to improve quality and safety and direct the overall process of improvement of care (Laureate, 2009). We have an interaction between the errors of individuals and system flaws that need to be prevented. We need to strengthen our defense systems (Madhok, 2002). A fragmented healthcare system needs to come together to provide equal access and care to all U. S. citizens (Laureate, 2009). Nurses can be a large part of implementing the six dimensions. Nurses have a great responsibility for safe healthcare. They have an opportunity to make a difference (Laureate, 2009). The six dimensions of goodness can assist the U. S. to improve quality and safety in the healthcare system. References Becher, E. Chassin, M. (2001) Improving quality, minimizing error: Making it happen. Health Affair(20)3 68-81. Retrieved on February 5, 2011 from http://content. healthaffairs. org/content/20/3/68. full. pdf Becher, E. Chassin, M. (2001). Improving the quality of health care: Who will lead? Health Affairs, 20(5), 1-6. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Jiang, H. (2010). Enhancing quality oversight. Healthcare Executive (3) 80-83. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Laureate Education, Inc. (Executive Producer). (2009). The context of healthcare delivery. Baltimore: Author. Madhok, R. ( 2002). Crossing the quality chasm: lessons from health care quality improvement efforts in England. PubmedCentral – Baylor University Medical Center Proceedings. Retrieved on February 6, 2011 from http://www. ncbi. nlm. nih. gov/pmc/articles/PMC1276338/ NCC MERP. National Coordinating Council for Medication Error Reporting and Prevention. (2002). Retrieved on February 2, 2011 from http://www. nccmerp. rg/council/council2002-06-11. htm Quality initiatives in healthcare management, (2004, March). Healthcare Management. Retrieved on February 4, 2011 from http://www. expresshealthcaremgmt. com/20040331/qualitymanagement01. shtml Redman, R. (2008). Experience and expertise: how do they relate to quality and safety? Research and Theory for Nursing practice: An International Journal, 22 (4), 222-224. Retrieved from Walden University Library website: http://web. ebscohost. com. ezp. waldenlibrary. org. Sultz, H. A. , Young, K. M. (2011). Health care USA: Understanding its organization and delivery (7th ed. ). Sudbury, MA: Jones and Bartlett Publishers. 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Saturday, December 7, 2019

Haier in India free essay sample

Case Report 1. Haier in India: building presence in mass market beyond China 1. Why did Haier enter India? What did it plan to achieve in this new market? Haier entered the global markets and started an internationalization strategy in the 1990s. Starting from European countries including Italy, the United Kingdom, and France, it stretched over even to the Asian market and opened its first manufacturing facility in Indonesia. Although the first entrance into the Asian market was in 1996, it did not enter the Indian market until early 2004.There were many reasons why Haier didn’t, and one of them is the high tariffs and barriers that stopped it from doing so. But in 1991, after a balance of payment crisis that situated India in debt with large loans from international agencies, India went through some policy changes of internationalization. These changes finally allowed wholly owned foreign entities and treated them like local companies. Even after the barrier reduction, Haier hesitated in entering India, but in 2004 Haier entered the Indian market at last. There are many reasons why Haier made the step to actually go into the Indian market. First of all, a series of policy changes in the 1990s definitely opened the doors and set the environment that made it possible for Haier, a foreign company, to enter the Indian market. In addition to that, the Indian market itself was in a favorable state for Haier. Around 2003-2004, India had rising disposable income, an expanding middle class, and a relatively low entry barrier in the white goods market. These conditions were very attractive for Haier to launch its new facility in India.This kind of approach stemmed from the inverted duty structure, whereby the imported parts of a product were taxed, but a finished product imported whole would be duty-free. A heavy tax burden played a role in making Haier use this kind of strategy too. And eventually in 2007, when sales volume grew large enough to justify local production costs, Haier acquired a manufacturing facility at Ranjangoan in the Pune district of Maharashtra. The step Haier took in acquiring a factory in India turned out to be profitable and beneficial.It served not only as a source of supply for the Indian market, but also as a sourcing hub to markets in Africa, the Middle East, and Southern and Western Asia. It allowed Haier to reduce the delivery time and better serve its broader global network of clients. Having a new factory in one of the Indian government’s technology parks also allowed Haier to import capital goods, raw materials, and components duty-free, and to receive tax exemptions on export profits or refunds on central sales tax.The next step Haier took in its strategy was to create a name brand in the host market. Under the brand message â€Å"Inspired Living†, Zhang and Banerjee tried to use the Chinese identity as strength in stead of a weakness. Haier recognized the liability that came with the â€Å"Made in China† label, undertook a strategy of acquiring household brands in overseas markets to leave its â€Å"Chinese-ness† behind, and tried to appear more as a local brand.Through this strategy, Haier became the 19th most trusted brand in India and fourth in the electronics sector in 2011. With the success of establishing its brand name in the Indian market, Haier then opted for a premium price strategy in India. Haier introduced India-centric product line-up for Indian consumers, and some other unique and innovative products. Examples of these products include detergent-free washing machines, wine cellars and mini bars sold at high prices. Haier also tried to break into the mass market segment in 2007 at the same time.But as Haier tried to target too many different markets and produce so many different products, it brought a pause resulting in sluggish revenue growth. 3. Discuss Haier’s localization model in India and other markets. Were they different? If so, why? Haier started off with a â€Å"Three-in-One† localization strategy of which Haier position itself as a local brand, produce locally, and carry out a local sales strategy and create products tailored to locals’ needs. The localization model Haier used in India is similar to the one it used when entering the United States market.The strategy into the two countries’ markets are similar in that it began exporting to the scattered channel in the country and then expanded when the timing and situation was appropriate. This means that it did not start its â€Å"Three-in-One† localization strategy properly until it was the right time to do so. And then as the company grew in the country, Haier tried to produce some products especially designed for the local customers of the country. But Haier had a different localization strategy when entering Indonesia, the Philippines, Malaysia, and Yugoslavia.Haier did seek â€Å"Three-in-One† localization strategy by making all its products with energy-saving and flexible-voltage qualities to accommodate households that frequently experienced power shortages and unstable voltage supplies. This kind of production helped Haier gain 28% of the Indonesian freezer market in four years. However, when entering Indonesia, Malaysia, Yugoslavia, and the Philippines, Haier built the manufacturing facility in the country as it entered the new market of these countries. This is how the localization model in India was different from models in some other countries.