Why I Am Attending College Essay Example | Topics and Well Written Essays - 1000 words - 1

Why I Am Attending College - Essay ExampleJealousy was my little no-count black secret as I watched my friends have the financial support to attend college. My mother is a college educated woman but she did not embrace any of her children to go to college. Sure, she would casually mention going to college, in passing, but when I was a senior in high school she did not aid me to attend. I guess she thought I would figure it out on my own someday. I remember her saying, If you go into the medical field as I did you will never be out of work. This went in one ear and out the other. I did not take what she said to heart or move on it much thought. I felt that filler business organisations just ended up on my lap due to being in the right place at the right time and because I was young and fairly attractive. Now that I am turning 40 and I am a parent that has changed. My expedition to attain a higher education is to provide a stable life for my son, be a positive role model, and to aspire to find something in life that can only be found by expanding my education. Having a stable career and not just a job is a real important step in my life. A stable career will enable me to provide a good home and be able to move over a college education for my son. The right stable career is able to point you toward financial freedom and it gives you an opportunity to be in demand in the job marketplace. There are many career choices where hardworking employees will always be in demand healthcare workers, accountants, and morticians are examples of some of these. My immediate family is in the healthcare field. My mother and father are lab technicians, my sister is a certified nursing assistant, and my brother is an x-ray technician. It seems natural that I would eventually conduct this career path.

The Electricity Reforms in Chile Essay Example | Topics and Well Written Essays - 3500 words

The Electricity Reforms in Chile - Essay ExampleDuring the late 1970s and untimely 1980s most of the earlier nationalized firms were being given ass to their earlier owners and massive government companies, for instance electricity firms were enticed to trade on a commercial basis. Government firms were breaking even and by the late 70s and early 80s there were indications that electricity firms specially showed improving rates of return on capital.The macro economy and most of the major economic indicators started to indicate substantial improvement. puffiness dropped and GDP started to grow at a considerable pace especially after 1985. This healthy economic trend grew further during the late 1980s and accelerate further to 6.2 p.a. during the early 1990s. The electricity reforms in Chile follow most of the features found in the electricity systems of developed nations. Since Chile has a small commonwealth (15.5m in 2002), thus the capability to take advantage of economies of sca le, if at all is moderate2. Even though Chiles electricity consumption per person is low when compared to developed countries, it is increase fast at (6% per annum). The electricity making system has a big installed hydro capacity base, however as demand rises fossil fuels have become more(prenominal) snappy. Most probably there is a difference between Chile and other developing countries as the strength due to the fact that it was administered by war machine rule for a long time. 2. Analysisi. Reform in electricity - History The Electricity Act enacted in 1982 is up to now the most vital legislation in the celestial sphere. In January 2004 there were some significant changes to the regulations governing the sector after the passage of Lay Corta. The electricity sector inChilebasically depends on caloric and hydro big businessman extension. Shortage of natural gas led the government to increase the supply by building a first liquefied gas endpoint with more capacity of gener ation. The new project started in the year 2007. Re-gasification plant terminal near the capital city ofSantiagois intended to increase and stabilize power supply for its existing and projected gas-fired thermal plants. There was a consideration to further expand the constructions in various new hydropower and coal-fired thermal plants. Chiles electricity sector reform was very efficiently implemented by the authorities and because of the success of the reforms many other governments followed the same to improve power generation in their several(prenominal) countries3. Figure 4 Chiles Natural Gas Total Consumption (2003) - Total Annual Demand 8.73 BCMSource www.lyd.com/english/noticias/restructuring.ppt -Chile4 Adaptation of many initiatives like straight and horizontal unbundling ofpower generation, regular transmissionanddistributionand large scale privatization brought billions of institutional investment to the electricity sector due to electricity shortage of the country5. Th e 1982 Electricity Act was amended terzetto times in 1999, 2004 and 2005 respectively in Chiles parliament. Even though during the 1980s there werent many markets from which Chileans could draw inspiration, the officials visited UK, France and Belgium. From the knowledge gained from these countries they came up with the idea of separate generation and distribution firms where payment was done in accordance with a formula based on cost. This apart they also came up with a dispatch

Banned tv ads Essay Example | Topics and Well Written Essays - 500 words - 1

Banned tv ads - Essay ExampleIn this idea we discuss the issues that have led to the banning of two condom adduces in the United States and also describe their intended meanings.The first suggest informs and persuades consumers to use Dulex condoms, this signify is aimed at encouraging people to use Dulex condoms, the advert shows a male meeting a woman across the street but he is attach to by some creatures at the back and this argon intended to be signify sperms, however this creatures are trapped in the condom.In the second advert we have a man and male child where the child wants a product but the adult refuses to secure the product, this shows that parents or adults should not restrict children to purchase products in the market including condoms, the other meaning is that adults should use condoms to avoid unwanted pregnancies that may lead to financial instability where one cannot afford products for their children.The adverts are created in such a way that they are har monic to the general public, they are supposed to pass the message to a lot of people and the more appealing an advert is then the more effective it becomes in the market, for this reason thus adverts will use humor and other appealing features to get ahead viewing and therefore achieve its intended purpose.The first reason why the adverts were banned is due to the fact that US advert regulation is very strict on adverts that are related to food and health, condoms are no exception in that they help in reducing sexually transmitted diseases and unwanted pregnancies, however these adverts may encourage individuals to engage in sexual activities, the adverts may encourage young children to have sex and this will have a negative impact in the society, this is because the advert is aimed at informing the consumers about an existing product and this advert is aimed at explaining its market size through encouraging people to have sex development

Research Continuous Quality Assurance efforts in a school clinic Essay

Research Continuous Quality Assurance efforts in a inculcate clinic - Essay ExampleFor any treatment to bear fruit, a patient is required to admit the fact that he or she is sick and that they are unbuttoned to the treatment they are being given. School going children are mostly encountered with mental challenges that got to do with growth and transition. They are surrounded by various options that a largely influenced by their peers and guardians. They, therefore, need somebody they can trust with their psychological thoughts. Due to the various growth transitions that they go through, most of them tend to shy out-of-door from adults and instead choose to trust their peers. It is, therefore, vital for a healthcare provider to reassure them of their loyalty and trust.As stated earlier, quality healthcare is not just close to physical illness but also psychological issues. It may not be easy for school going children to acknowledge the fact that emotional to-do may be a form of a health care issue that requires intervention. It is hence important for school physicians to create awareness among pupils and students about their psychological health. Healthcare providers need to organize meetings to create such(prenominal) awareness and even help the children to know how to overcome some of the issues they are encountered with. There are questions such as relationships and drugs that are synonymous with certain age groups. A healthcare provider can organize meetings with children of particular age groups and ensure that they open up on some of the challenges they face and how best to handle them.

((((2)))) Essay Example | Topics and Well Written Essays - 500 words

((((2)))) - Essay ExampleSome of the child-centered curriculum goals that have proven to be proficient include making learners reach new discretion of their surroundings, one of the vibrant goals of a teacher. Whats more, teachers in the contemporary world need to adopt child-centered curriculum for them to meet their goals of supporting background knowledge well-educated at homegrown and in the community. Teachers goals employ the child-centered curriculum as it endorses the deepening interest and exploration of connected ideas. Therefore, by comparing Child-Centered and the traditional approach concepts I realized that Child-Centered is superlative and an effective approach teachers can use in a class as this approach helps in promoting the concepts of children playing part in their curriculum development unlike the traditional approach. Child-centered curriculum enable learners to develop awareness by making them understand their surroundings thus creating learners who are non consumers of knowledge but inventors of the knowledge.Sharons child-centered curriculum, unlike Melissas tradition curriculum, helps us to understand that contemporary teachers think children learn within the situation of loving the content by looking at it if it connects learning with experiences. A modern teacher will approve that children learn through activities that are responsive to children, i.e. Considers what comes near after experiences. Teachers also understand that children learn easily when the lesson and the content taught support reflecting of already learned content and also embrace observations by learners.Effective architectural plan of study is brought about by sensory involvements, use of concept to integrate knowledge, content and skills from multiple subject area, offers learners with activity choices, and incorporates relevant learning beyond the tutorial room into real-life situations. The sensory

Politics of the Middle East Essay Example | Topics and Well Written Essays - 1000 words

Politics of the Middle due east - Essay ExampleThe intermediate power in the society such as the landed gentry, the city merchants, the tribal chiefs and others has effectively reduced the power of the state and negatively impacted the modernization (Lewis, p.225)As per the Muslim belief any fight against the belief of their holiness is considered as a sacred war (jihad) (The making of a modern terrorist, p.5) Osama bin Ladens dislike against the US started from the occupation of US military personnel in Saudi Arabia, the holy country of Muslims, to fight against the Iraqis. Occupation of a Muslim country by an infidel superpower, light-emitting diode Osama in declaring holy war against US (Global Studies, 228). act of terrorism in the name of Holy war started by Muslim fundamentalists prevented the Muslim community in the gulf region from concentrating in economic growth or modernization processes. The hostility of Muslim world against the US is mainly because of the US foreign policies against the Muslim countries rather than any cultural or religious differences. (Munson, p. 227) A reorientation of American policy in the Palestine-Israeli conflict can definitely bring down the violent forms of anti-American hatred. (Stanley Hoffman, 186)The advancement in communications has compel the Middle East Muslims to reassess their beliefs. The lack of communication with the external world prevented Muslims from identifying the differences between their world and the rest. (Lewis, p.227) The internet technologies provided them an opportunity for self assessment. Most of the youths who studies in occidental countries devote contributed immensely to the changing attitudes of Muslims regarding their fundamentalism. Todays challenges for most developing countries are economic in nature. (Mediterranean Quarterly p.124) Economic power is as important as military power. The economic power and natural resources of Middle East community has to be streamlined for the g rowth of their countries rather than developing fundamentalism. In short the Middle East community has immense potential for growth and modernization. But the question is how the international community can make the Muslim community aware of the dangers of terrorism in the name of holy war. Politics of the Middle East 3Influence of developmental changes in Iraq on my lifeThe changes, whether it is political, economical, cultural or social, happened at wiz country will affect peoples of other countries as well because of the global nature of the world. The implementation of globalization policies by most of the countries made it absolutely undoable for the people to stay away from developments in other countries. In Baghdad, Iraqi Ali Rahim told CNNs John Roberts If the Democrats win then the American forces will withdraw from Iraq because the Democrats believe they have had a great loss in Iraq and they see it as a second Vietnam (Simon Hooper). I know very well that the military expenses of the American troops in Iraq is been collected from the tax payers. For the reconstruction activities in Iraq, the U.S. needs to spend billions of dollars, which again should be collected from the US citizens. I think such feelings led the average American citizen vote against the republicans in the recent elections. In a Gulf War study, the

HSA 515 Dealing with Fraud Essay Example for Free

HSA 515 Dealing with Fraud EssayAs the Chief Nursing Officer of the states largest Obstetric wellness allot shopping centre, this author is responsible for complaints regarding fraudulent behavior in the center.The purpose of this report is to (1) evaluate how the Healthcare Qui tam affects wellness care organizations, (2) fork out four examples of Qui tam eggshells that exist in a sorting of wellness care organizations, (3) devise a procedure for admission into a health care facility that upholds the truth about the required bod of Medicare and Medicaid referrals, (4) recommend a corporate integrity program that will lessen incidents of fraud and assess how the recommendation will shock absorber issues of reproduction and birth, and (5) Devise a plan to protect patient selective information that complies with all necessary laws. Qui tam (from the Latin phrase he who sues on behalf of the fagot) is a well-known mechanism wontd by cloistered individual to assist th e government in enforcing specific laws (Ruhnka, Gac, Boerstler, 2000). The phoney Claims Act of 1863 is one of the closely important examples of the Qui Tam mechanism that was enacted during the Civil War to prosecute war profiteers who were caught overcharging the Union Army (Ruhnka, Gac, Boerstler, 2000).Showalter (2012) states that the whistle-blower (aka relator) files the suit as a kind of private attorney general on behalf of the government in a qui tam case. Evaluate how the Healthcare Qui tam affects health care organizations.Healthcare qui tam affects health care organizations in many ways. The most(prenominal) popular and inconvenient way is financial losses. If an organization is accused of qui tam, a suit is filed and if the company is found conscience-smitten of fraud, they stand to incur a financial loss due to having to re give way money to the government. Ruhnka, Gac, Boerstler (2000) state that intentionally fraudulent activities such as billing for work n on provided, billing for services or equipment that is not medically appropriate, or violating clearly stated billing rules are unacceptable and should be prosecuted whenever they occur.Qui tam resolution on health care organizations has not been a positive one. Cruise (2003) state that qui tam bring throughs has forced organizations to develop a new cadre of in operation(p) guidelines and procedures collectively called compliance programs resulting in organizations having to pay $600 700 cardinal per year to a consultant industry to advise them on the intricacies of this new era.Health care organizations pay adopted Federal Sentencing Guidelines as a part of their compliance programs due to the laws governing Medicare fraud and abuse (Cruise, 2003). Examples of Qui Tam cases that exist in a variety of health care organizations.Healthcare is on the rise in the United States. Medicare and Medicaid is the largest of the government sponsored health care plans and provide health c are coverage for as many as 95 million Ameri good deals, at an estimated speak to in 2012 of more than $900 billion (Raspanti, n.d.). Raspanti (n.d.) state that the primary reason for the rise in healthcare cost has been the large degree of fraud committed against these two major government health care programs.Raspanti (n.d.) state the following are examples of qui tam cases, plainly not limited to Kickbacks The federal Anti-Kickback Statute proscribes any offer, payment, collection or receipt of money, property or remuneration to induce or reward the referral of patients or healthcare services payable by a government health care program, including Medicare or Medicaid. These improper payments can come in many different forms, including, but not limited to referral fees finders fees productivity bonuses discounted leases discounted equipment rentals research grants speakers fees excessive compensation and free or discounted travel or entertainment.Theoffer, payment, solicitation or receipt of any such monies or remuneration can be a violation of the Federal Anti-Kickback statute, 42 U.S.C. 1328-7b(b), the Federal False Claims Act, as well as various other federal and state laws and regulations. Ghost Patients The submission of a claim for health care services, treatments, diagnostic tests, medical devices or pharmaceuticals provided to a patient who either does not exist or who never received the service or item billed for in the claim. Up-Coding Services guardianship of government and private insurance programs is done using a complex series of numerical codes that identify the specific procedure or service creation performed.These code sets can include the American Medical Associations Current Procedural Terminology (CPT) codes Evaluation and Management (EM) codes Healthcare frequent Procedure Coding System (HCPCS) codes and International Classification of Disease (ICD-9) codes. Government health care programs assign a dollar amount it will pay for ea ch procedure code. Up coding occurs when a health care provider submits of a claim for health care services, treatments, diagnostic tests or items that acquaint a more serious and more expensive procedure than that which actually was performed.Up coding can be a violation of the Federal False Claims Act. Bundling and Unbundling In many cases, government health care programs have special reimbursement rates for groups of procedures that are typically performed together, such as laboratory tests. integrity common oddball of fraud has been to unbundle these procedures or tests and bill each one separately, which results in greater reimbursement than the group reimbursement rate. Attorneys in the national qui tam whistleblower form of Pietragallo Gordon Alfano Bosick Raspanti successfully represented the lead relator in one of the largest cases of unbundling in the history of ill-judged claims litigation, United States ex rel.Merena v. Smithkline Beecham Clinical Labs, which resul ted in a recovery of $328 million for federal taxpayers. False Certification When physicians, hospitals and other health care providers submit bills to government health care programs they are required to include a number of important certifications, including that the services were medically necessary, were actually performed, and were performed in accordance with all applicable rules and regulations.Additionally, health care companies such as pharmaceutical companies and pharmacy benefits managers that provide products or services to governmenthealth care programs are required to certify that they are satisfying all obligations under their contracts with the government. One common type of fraud has been to falsify these certifications in order to get a health care claim paid or to obtain additional business (Raspanti, n.d.). Stanton (2001) acknowledges that in a healthcare facility, with Medicare, each false claim is considered an individual billing whether for a specific medical item or service.Penalties can rise chop-chop with suspension or delay payment of future claims for a facility if it has been accused of submitting false claims (Stanton, 2001). Devise a procedure for admission into a health care facility that upholds the law about the required number of Medicare and Medicaid referrals.In order to avoid health care qui tam, healthcare organizations must stay au courant and compliant with Medicare and Medicaid laws. When a patient enters a facility for illness or an appointment, there are steps to follow. At check-in, the patient gives insurance card and relevant information to nurse. The nurse enters the information into the system.The patient waits for the doctor to assess the illness to determine the needs of the patient. Physician inputs information into the system and system codes the treatment ground on Medicare or Medicaid protocols system confirms and red flags any treatment or medication that is not allowed patient is discharged and Medic are or Medicaid is billed for services rendered by the hospital, physician, and for medication (Burnaby, Hass, OReilly, 2011).If for some reason, items billed are questioned or denied, the items are reviewed and resubmitted to Medicare or Medicaid for payment. Recommend a corporate integrity program that will mitigate incidents of fraud and assess how the recommendation will impact issues of reproduction and birth.Corporate Integrity Agreements (CIAs) are considered second chances for healthcare organizations. By using CIAs, the organization avoids exception from Medicare, Medicaid, or other Federal healthcare programs by establishing and implementing a compliance program per CIA regulations and guidelines (MetricStream, n.d.). Implementing CIAs is challenging and can cause financial strain however it can protect stakeholders and customers from risk, and build brand value (MetricStream, n.d.) CIAs are implementedfor healthcare organizations to uphold certain standards and to fulfi ll the organizations missions and goals.CIAs are usually proposed due to allegations of fraud or abuse which are found to be true through audits or self-disclosures and are drawn up for a period of three to five days and can extend up to eight years (MetricStream, n.d.).Ramsey (2002) suggests that a recommended integrity program should include stipulations such as designation of a compliance officeholder and a compliance committee to ensure that the needed changes will be made a required code of conduct, mandated compliance policies and procedures stating that the organization is committed to complying with the laws training requirements to ensure that staff and physicians are knowledgeable and up-to-date on all requirements and processes required by the organization, the government and vendors review and auditing procedures to help reduce errors when reporting claims and a confidential disclosure program where employees internally may report possible violations of the law .O nce a CIA is implemented, to deter employees from committing fraud, a stern disciplinary action process should be enforced and followed. Devise a plan to protect patient information that complies with all necessary laws.Protecting patient information is a responsibility of all healthcare organizations and a plan or process must be in place to do so. In any situation, whether in an office, clinic, or in the field, there are important procedures that can be followed to protect a patients information and confidentiality (Centers for Disease Control and Prevention, 2012).As a health care worker, you must confirm the patients identity at first encounter, never discuss the patients case with anyone without the patients permission, never leave hard copies of forms or records where unauthorized persons may access them, and use only secure routes to send patient information and always mark confidential (Center for Disease Control and Prevention, 2012).When in healthcare settings conduct pati ent interviews in private rooms, never discuss cases or use patients names in public area, and always obtain patients permission before distributing his/her information to a staff penis or healthcare worker (Center for Disease Control and Prevention, 2012). Always keep medical records andcomputers used in a locked or secure box to prohibit unauthorized persons access. Creation and implementation of a protection and privacy plan can reduce legal actions under the Health Insurance Portability and Accountability Act.Qui Tam cases impact healthcare organizations in various ways to include high penalties if found guilty, payback of monies received, and a negative image for the organization. Medicare and Medicaid fraud cases are the most common qui tam cases. In order to reduce fraud and abuse cases, healthcare organizations must improve their current admission procedure, their corporate integrity program, and their patient information protection system.ReferenceBurnaby, P., Hass, S., O Reilly, A. (2011). Generic health care hospital The road to an integrated risk management system. Issues in Accounting Education, 26(2), 305-319. Center for Disease Control and Prevention. (2012). Measures to protect patient confidentiality. Retrieved from http//www.cdc.gov/tb/education/ssmodules/module7/ss7reading4.htm Cruise, P. L. (2003). Deregulating health care ethics education A curriculum proposal. Global justice Ethics Review, 4(3-4). MetricStream. (n.d.). Corporate integrity agreements. Retrieved from http//www.metricstream.com/solution_briefs/corporate-integrity-agreements.htm Ramsey, R. B. (2002). Corporate integrity agreements Making the best of a tough situation. Healthcare Financial Management, 56(3), 58-62. Raspanti, M. S. (n.d.). Health care fraud and false claims. Retrieved from http//www.falseclaimsact.com Ruhnka, J. C., Gac, E. J., Boerstler, H. (2000). Qui tam claims Threat to voluntary compliance programs in health care organizations. Journal of Health Politic s, Policy and Law, 25(2), 283-308. Showalter, J. S. (2012). The law of healthcare administration (6th ed.). Chicago Health Administration Press. Stanton, T. H. (2001). Fraud-and-abuse enforcement in Medicare Finding middle ground. Health Affairs, 20(4), 28-42.