Impact of Poor Service Quality in Healthcare

Impact of Poor Service Quality in Healthcare Issue 1 The impact that poor service quality will have on Kindly Residential Care Rest Home as a geriatric service organisation and stakeholder in terms of Reputation Accountabilities in both the private and public sector Stakeholders Answer: Residential carerefers to continuing care agreed to adults or offspring who reside in a suburban setting to a certain extent than in their own home or family home. Voluntary caregivershome carehome-based careKindly Residential Rest Home offers several of services to the residents of the facility to have satisfactory services that will give the residents a meaningful life and quality care that they deserve. With poor services, there will be a reflect of feedbacks and may lead to poor reputation or may consider a facility with low standards. Accountabilities from public and private sectors will also take at risk for giving a facility with poor services offered on its residents that is not acceptable to the amount of payment the residents that they are paying to. It also a risk on its business with such a poor services being done. Because of unsatisfactory of its client, may lead to revolt and may file justifiable sanctions that restricts the funds of each services being offered to the residents, as first stated on what they have marketed. Organizations that hold fitness database or are part of network of health database have the task to guarantee the eminence and safety of health data. Such health database organizations can be created by business coalitions, built by entities supported with personal funds, mandate by state health legislation, or reputable by central accomplishment. Isolation and privacy are key fundamentals of ensure superiority in the health care system. To the extent that people worry about the confidentiality of the information that they present to physician and others, they force refuse to give in sequence, thus compromising the value of their own care, deterioration the quality of data used for other purposes, and causal to weakening in trust between patient and physician and between patient and health arrangement. If people fear that seeking particular kinds of medical services will make their health check times gone by accessible to employers, credit organizations, and others, they may even avoid on the lookout for needed health check care. In progress state protections often apply duty of discretion to the record keeper but these protections are no longer in upshot once the statistics have absent the record keeper’s been in command of. It is central to note that video-rental accounts, for example, have more centralized isolation fortification than health check records. Notwithstanding a large amount deliberate and debate, several important labours to secure national moment alone safeguard have not yet succeeded, even though current legislation may modify that. Both internal accountability and external accountability are important in ensuring the value of healthiness heed. InternalExternalThere are a range of residential care options accessible, depending on the requirements of the human being. Persons with disabilities, mental health problems, or scholarship difficulties are often cared for at home by paid or, such family and friends, with additional bear fromagencies. However, ifis not on hand or not fitting for the individual, residential care may be required. Reputation of a social entity is estimation about that article, uncharacteristically a result of common evaluation on a set of criterion. It is significant in trade, and many other fields. Reputation may be measured as a module of as distinct by others. Reputation is known to be and highly efficient in expected societies. It is a focus of learning in social, and technological. Its authority ranges from aggressive settings, like markets, to obliging ones, like firms, organisations, institution and communities. Furthermore, reputation acts on altered levels of society, character and supra-individual. At the supra-individual level, it concern groups, communities, collectives and nonfigurative social entity (such as firms, corporations, organizations, countries, cultures and even civilizations). It affects happening of like chalk and cheese scales, from on a daily basis life to associations between nations. Reputation is a primary gadget of, based upon disseminated, spur-of-the-moment social control. Quality-improvement and quality-management hard work to build up and propose care and to observe quality of care are indispensable. They engross health plans and fitness systems performing on their own scheme to measure and look up their routine and their patients outcome. Such efforts will also add force to the steps that physicians and other health care professionals can take now to improve the performance of narrow health care institutions and health plans. Monitoring of quality of care will also be needed to ensure the truthfulness of the quality-of-care in turn that plans report and to build assessments from a broader inhabitant’s outlook. It is vital that the impact of health-system changes on the quality of health care and the health standing of the entire people be track. Both public and private organizations are involved—often communally—in work to devise valid, unswerving, and realistic ways to measure and contrast the quality of care provided by health diplomacy, institutions, and clinicians. These dual accountabilities—internalexternal quality monitoring and improvements—are not well tacit by the health care community, policymakers, or regulars. They need to be persistently advanced and non-breakable. The wealth of public agencies at federal and state levels with oversight accountability and the range of private organization that endorse health care organizations and re-examine care, as well as internal quality-improvement efforts of health plans, would guide some to believe that declaration of quality is well in hand. Unfortunately, replication of endeavour and gap in dimension coexist. For example,methods for adjusting health-outcome and presentation method to reflect differences in the age, physical condition status, and other sort of health-plan members or other populations are recovering but are still derisory.Without correctly used to comparisons, we can get the wrong idea about how well strength campaign care for and serve their members. The difficulty of severity-adjusting outcome measures parallels the trouble of risk-adjusting government, employer, or other outgoings to health plans (in conduct that do not rely on folks who are ill to pay superior premium). Without properly adjusted expenses, we might make somebody pay plans that be a magnet for unhealthy and more-costly members (the plans that understanding difficult selection). Such fiscal incentives could challenge efforts to advance quality and hold health plans responsible for their behaviour. Thus, sound methods to alter payments to health strategy and comparisons of health plan presentation for differences in members characteristics are important. Stakeholders are all those people who have a wager (or share) in a meticulous issue or system. Stakeholders can be groups of people, organisations, institutions and sometimes even individuals. Other terms every so often used in a parallel way to stakeholders are â€Å"actors† and â€Å"interest groups†. The word â€Å"actors† stresses that stakeholders are vigorous and act together with each other. The use of the language â€Å"interest groups† indicate that individuals can be grouped according to a general interest. Stakeholders can be at any stage or location in society, from the worldwide to the public district, domestic or intra-household level. Stakeholders include all those who involve and are artificial by policies, decisions or actions within a meticulous system. The term stakeholder breakdown was first used in management science for identifying and address the interest of diverse stakeholders in business. Nowadays, stakeholder study is commonly used for: policy formulation, project formulation, implementation and evaluation For understanding and analysing complex situations in natural supply administration. Stakeholder analysis is a way of considerate a system from end to end its stakeholders. It looks at their concentration, objectives, supremacy and relationships. In considering stakeholders, it is sometimes helpful to believe their meaning and weight. Vital stakeholders are those whose desires are main to a project or study. High-ranking stakeholders are those who have the command to be in command of decisions in an movement or who can pressure others in the decision making procedure.

Effects of Poor Diet and Obesity on Heart Essay

A good diet consists of consuming a full range of all the various nutrients needed for proper function of the body and bodily systems. When someone consumes the correct nutrients in the correct proportions, they are considered to have a â€Å"Balanced Diet†. However, when someone is not consuming the correct nutrients or not consuming the correct amount of nutrients they are said to have a poor diet or â€Å"malnutrition†. Malnutrition is often misconceived to be just the lack of nutrients in the body causing illness and Anorexia; however this is in fact incorrect as malnutrition can also be defined as the excessive consuming of nutrients which contain more energy than the body uses. This is most commonly known as â€Å"Obesity†. In Britain and most first world countries, obesity is one of the most serious effects of malnutrition. It can be extremely dangerous due to the build up of a certain fat known as â€Å"Adipose Tissue† under the skin and around maj or bodily organs. Someone can usually be defined as being obese if they have a BMI of over 30 (BMI can be calculated by dividing mass in Kg by height in Meters, squared). Coronary Heart Disease (CHD) is a common disorder of the blood vessels that supply the heart muscle with oxygenated blood. It is a major cause of death in developed with Reports in the UK suggesting that 3-4% of men aged between 35 and 74 die each year due to the effects of CHD. In the reports for women, the risk appears to be about half of this figure. Each year around 156000 people in England and Wales die from CHD. The heart is used as a pump to pump blood around the body; this is done via the contracting of the hearts muscles. This process needs a continuous supply of oxygen in order to function, however if this oxygen supply is cut off or slowed down the muscle cannot contract and therefore the muscle will soon die. One of the processes that can restrict the amount of oxygen getting to the heart is called â€Å"atherosclerosis† alternatively known as â€Å"Hardening of the Arteries†). This can lead to the coronary arteries to be blocked due to the build up of mater ials inside the artery walls. This causes the amount of space available for the oxygen to pass through the artery to become heavily constricted. Atherosclerosis is a very slowly developing problem and people who contract it normally do not show any signs until they are at least 40 years of age. However in some people, the process can be caused to happen much faster. This is normally due to things such as high blood pressure, the presence of low-density lipoproteins (LDL’s) or even excessive amounts of harmful chemicals in the blood cuased by things such as the excessive consumption of tobacco. Damage from the presence of these substances will build up inside the coronary artery and exist as deposits known as an atheromatous plaque. Once this plaque has restricted the wideness of the lumen by 50% or more, flow of oxygen into the heart muscle will not meet required amounts and will cause a pain to be felt during exercising known as â€Å"angina†. This pain is felt in the left shoulder, chest and arm, but can still be felt in the neck and left side of the face for some people. Another danger from the presence of an atheromatous plaque in the coronary arteries is the danger of a blood clot being formed around the plaque. These blood clots are known as a â€Å"Coronary thrombosis† and are caused by fibrous protein Collagen coming into contact with the platelet which causes the platelet to secrete a chemical that react with the blood and cause a clot to form. These blood clots further slow down the flow of blood through the artery. This could cause the part of the heart receiving the oxygen from this artery to fail in receiving enough blood and therefore shut down or stop the heart from beating altogether. When this happens it is called a â€Å"myocardial infarction†. A myocardial infarction is a very serious condition in which the heart fails to beat. Around 90% of all cases of myocardial infarction are direct effects from the problems aroused by Coronal thrombosis. Myocardial infarctions are potentially fatal if a large amount of muscle is affected. Cardiac arrests are a result of myocardial infarction due to the lack of beating from the heart. During a cardiac arrest, no pulse can be felt on the victim and also the victim will lose consciousness (faint). If the heart is not restarted before the muscle cells starts to die off, then the victim will also die. A reconstruction of the effect an Atheromatous Plaque can have upon the wideness of the Lumen inside a blood vessel (self made image) Cholesterol is an important substance in the structure of cell membranes and we must have a certain amount of it in our body or the liver will produce its own form of cholesterol to be transported and used by cells. However, evidence from tests completed by scientists suggests that having an excessive amount of cholesterol in the blood increases the risk of suffering from CHD. It is still unclear whether or not ones levels of cholesterol in the blood stream can be controlled by ones diet although, data does show that eating large amounts of saturated fats can increase your chance of having a high cholesterol blood content. Excessive cholesterol can be dangerous as it is not soluble in water so therefore it cannot be transported using the blood plasma transportation system. Instead it must be transported around the body in something called â€Å"lipoproteins† which are tiny balls made up of various lipids, cholesterol and proteins. There are many varieties of lipoproteins which are normally categorised into 3 main sub-sections. These sub-sections are defined by the amount of protein they contain (also known as their density) and consist of: High Density Lipoprotein (HDL): High protein content and low lipid content Low Density Lipoprotein (LDL): High Lipid content and lower Protein content Chylomicrons: a very high lipid content and very low protein content HDL’s are usually given the job of picking up cholesterol from around the body and transporting it to the liver. On the other hand, LDL’s are usually given the job of transporting cholesterol from the lover to other parts of the body. LDL’s play a part in the formation of an atheromatous plaque due to the tendency for them to deposit cholesterol into the damaged walls of arteries; in contrast HDL’s seem to actually help in preventing CHD. This is because they remove cholesterol from tissues including those of blood vessel walls. Therefore a person who has a high HDL: LDL ratio in their body would be much better protected against CHD than someone who does not. The structure of a lipoprotein (this one could be a LDL due to its High Lipid content and lower Protein content) (http://ta.wikipedia.org/wiki/%E0%AE%AA%E0%AE%9F%E0%AE%BF%E0%AE%AE%E0%AE%AE%E0%AF%8D:Structure_of_a_Lipoprotein.jpg) Blood pressure can be defined as the pressure that blood inside vessels applies onto the walls of the vessel in which it is being transported. If a person has an exceptionally high blood pressure, they are said to have â€Å"hypertension†. This increases ones risk to CHD by causing the walls of the arteries to thicken and stiff much like atherosclerosis causes the blood vessels to become hardened. The cause of high blood pressure is not always clear in every case. However scientists have suggested that a high intake of salt or the excessive consumption of lipids may be aiding in the creation of a high blood pressure, this is due to the high water affinity of salt itself which could be drawing in water via osmosis, increasing the volume of blood and therefore pressure upon the blood vessels. High blood pressure is normally combated naturally by the body via the kidneys which would excrete more liquid containing the salt solution; however this process does not always work therefore leading to people with high blood pressure being either advised to just eat a low- salt diet or be given diuretics which will make the kidneys complete the process. In conclusion, It can be seen that both poor diet and obesity can both have a certain effect upon the chances of someone contracting Coronary Heart disease, however it can also be seen that the effects from both of these problems could easily be combated by simply eating a healthier diet containing all of the nutrients needed in the body and also in the correct proportions allowing for a balanced diet and a healthy lifestyle.

Discuss the Impact of Data Quality Problems

(Databases behind MySpace, CH-6) Discuss the impact of data quality problems on MySpace as described in this case study. How did they solve their data problems? What management, organization, and technology issues had to be addressed? 1) – Discuss the impact of data quality problems on MySpace as described in this case study. Since the Site was launched in 2003, the social network site â€Å"MySpace† has become the world’s leading social portal for connecting people who relate in connection with its content, and culture. MySpace projects an idea to its global community to experience the Internet through a social lens by integrating individual’s personal profiles, photo sharing, professional and entertainment videos, blogs, instant messaging, as well as one of the largest music community. MySpace. com has been one of the fastest growing sites on the Internet with 65 million subscribers and 260,000 new users registering each day. Yet with their unexpected growth along came the growth of other popular social networking sites such â€Å"Face book† and few other competitors which seemed to have gained ground, do to â€Å"MySpace† criticized performance. In its initial phases, MySpace operated with two Web servers communicating with one database server and a Microsoft SQL Server database. The site continued adding Web servers to handle increased user requests and demands, once the number of accounts exceeded 500,000 the site added more SQL Server databases; one served as a master database, and the others focused on retrieving data for user’s page requests. After two million accounts were activated, MySpace switched to a vertical partitioning model in which separate databases supported distinct functions of the Web site, such as the log-in screen, user profiles, and blogs. Yet at some point the separated functions will still share data which will create another problem to their list! After three million accounts were reached, rather than investing in more sophisticated types of servers that could eventually solve their problems, the site scaled out by adding many cheaper servers to share the database workload which became just another shortcut option and not a long term solution for the company. 2) How did they solve their data problems? The Company eventually switched to a virtualized storage architecture in which databases write data into any available disk, therefore eliminating he possibility of an application’s dedicated disk becoming overloaded. MySpace later installed a layer of servers between the database servers and the Web servers to store and serve copies of frequently accessed data objects so that the site’s Web servers wouldn’t have to query the database servers with lookups as frequently. Unfortunately, MySpace still overloads more frequently than other major Web sites. With a log-in error rate of (20 to 40%) on some days, the site is not effectively organizing or storing data at all, reason for which the site may have been losing subscribers. After the review of this case study, we can see the Importance of Database Technology and the Impact Data Quality provides to Websites and Social network sites and it can be determined that their existence depend on it.. (Information based on, MySpace Case study and www. forbes. com) 3) What management, organization, and technology issues had to be addressed? Some of the problems MySpace has encountered are the inadequate storage space on their database servers, slow access or no access through its log-in application, and the users’ inabilities to access data when requested. Over the years, MySpace has attempted to fix these problems by adding more Web/Database servers. Yet the main problem seems to be, adding the servers without restructuring the entire system in order to use their hardware and software more effectively. Another major problem â€Å"The MySpace Organization† has faced it’s been their management and personnel, It’s well known that they’ve had too many changes in personnel they were constantly hiring NET developers and losing them just as fast, which can create a definite unbalance for the company. In Jan, 2011 they announced a staff reduction by 47%. On the other hand they have dealt with numerous changes in management as well; many of the important people who helped create â€Å"The MySpace empire† are now gone. Few to mention are, former President â€Å"Tom Anderson who stepped down† while CEO â€Å"Chris DeWolfe was replaced† by former Facebook COO â€Å"Owen Van Natta†. The company’s most recent plan is to reinvigorate itself in the (social networking space) by going back to what made them popular in the first place â€Å"entertainment†. ith hopes that a new focus on the entertainment media including television, movies, & music will help in making the social networking site reclaim its place on the web. Despite efforts of redesigning the site their users have decreased, as well as their popularity. In November 2010, the company fully integrated with Facebook Connect calling it â€Å"Mash Up with Facebook† in an announcement widely seen, which in reality I believe is just the way of acknowledging Facebook is their # 1 competitor and is currently dominating the social networking industry. In my Opinion their main weakness was with strategy implementation, they concentrated in what came up day to day, like the additions of servers to support their users demand but they never really focused on priorities such as a solution to their Technical problems and the whole structural change it required. As time progresses business competitors will copy your product or service and a lot of times they won’t just copy, they’ll Innovate and overpass the quality of what’s already available therefore taking the place of # 1 and not a competitor.

A Woman Under The Influence - 1348 Words

A Woman Under the Influence is an American dramatic film that was written in an entangled way to illustrate a story. The auteur John Cassavetes wrote and directed this film that was released in November of 1974. Cassavetes spent most of his career creating films that were more ‘off the grid’; A Woman Under the Influence is a prime example considering there was no other American film quite comparable to it. This was a rare film because the internal fluctuations effectively allowed formulating of the primary configurations. â€Å"John Cassavetes rejected the elements and techniques of the American movie and created his own method† (LoBrutto). Cassavetes is known to be the pioneer of American independent film. Independent filmmaking is difficult to establish an exact definition mostly because it does not follow a set of specific guidelines. Conversely independent films are commonly designated to be character driven, and these were the films that frequently had an e xtremely low budget. A Woman Under the Influence and some of Cassavetes other films demonstrate in a similar form of bstylistic characterizations of post World War II European film. Independent filmmakers typically viewed their films as a film as an art form or as a business film. Nonetheless Cassavetes undoubtedly viewed his films as a form of art. The film opens with typical events any average family would endure. Gena Rowland starring as, Mabel Longhetti is introduced to the audience as a typical housewife. 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