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Để xem full tài liệu Xin vui long liên hệ page để được hỗ trợ : https://www.facebook.com/thuvienluanvan01 HOẶC https://www.facebook.com/garmentspace/ https://www.facebook.com/thuvienluanvan01 https://www.facebook.com/thuvienluanvan01 tai lieu tong hop, thu vien luan van, luan van tong hop, do an chuyen nganh
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Case Study: The Crowded Clinic Authors: Kate Ellis, M.D., Family Physician, Charles River Medical Associates Morana Lasic, M.D., Clinical Instructor in Anesthesia, Harvard Medical School and Brigham and Women’s Hospital You are one of the health care practitioners in a community health center that provides primary care to a multi-ethnic, multi-lingual urban community. Many, but not all, of the patients live below the poverty line. Physicians and nurses see a large volume of patients with challenging medical and psychosocial issues. Lately you have realized that the scheduling of patient visits has become something of a nightmare. Because of the high volume of patients, the wait for an appointment for routine care can be anywhere from six to eight months or more. Even acutely ill patients often wait for two to three days to see a health care provider. Out of frustration, many patients are walking in without appointments, often during lunch hour or late in the afternoon when everyone is getting ready to leave. What makes the problem so challenging is that 20 to 40 percent of patients fail to show up for appointments on a given day. Because of this high no-show rate, every other appointment on physicians’ schedules is double-booked with the expectation that, out of the 30 to 35 scheduled patients, only 20 to 25 will actually show up. Occasionally, however, most of the patients do show up – and when a significant number of acutely ill patients also arrive, the work environment becomes unbearably chaotic for everyone. Providers become harried and more likely to make mistakes, patients wait for long periods of time in crowded waiting rooms, and the atmosphere becomes increasingly hostile as the stress level mounts. It is clear that the quality and experience of health care for many of these patients is suffering partly because of a simple lack of access to care. And it is becoming increasingly clear also that the better-insured and English-speaking patients may be getting better access: they are more likely to get a timely appointment because they are more demanding of the system, and they are more likely to keep and show up for their appointments because of better communication. You are interested in finding a way to promote more equitable access to health care. Case Analysis The main problem that everyone is experiencing in this clinic is the high rate of no- shows. It would be very easy to simply label the clinic’s patients “non-compliant.” But is it so? As health care providers, the burden is on us to find the most effective ways to serve our patient population. One possible approach to the problem at hand is to conduct a survey in an attempt to identify some specific reasons that may be contributing to such a high percentage of no-shows. When patients are surveyed about their reasons for not coming to appointments, a few common reasons may emerge: • A sick pa ...
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Read through the Tree Trimming Project case in chapter 13 of the textbook. This case refers to the earned value (EV) of the owner, Will Fence’s Tree Trimming business. Will briefly describes his techniques for EV. Based on the description provided in the case, is Will using EV? Answer the corresponding question provided at the end of the case (300-500 words). Use references from the reading materials to support your response. APA format is not required, but solid academic writing is expected. Tree Trimming Project Wil Fence is a large timber and Christmas tree farmer who is attending a project man-agement class in the spring, his off season. When the class topic came to earned value, he was perplexed. Isn’t he using EV? Each summer Wil hires crews to shear fields of Christmas trees for the coming Holiday season. Shearing entails having a worker use a large machete to shear the branches of the tree into a nice, cone-shaped tree. Wil describes his business as follows:A. I count the number of Douglas Fir Christmas trees in the field (24,000).B. Next, I agree on a contract lump sum for shearing with a crew boss for the whole field ($30,000).C. When partial payment for work completed arrives (5 days later), I count or estimate the actual number sheared (6,000 trees). I take the actual as a percent of the total to be sheared, multiply the percent complete by total contract amount for the partial payment [(6,000/$30,000 = 25%), (.25 × $30,000 = $7500)].1. Is Wil over, on, or below cost and schedule? Is Wil using earned value?2. How can Wil set up a scheduling variance? .
Read through the Tree Trimming Project case in chapter 13 of the.docx
Read through the Tree Trimming Project case in chapter 13 of the.docx
howard651
Read through the Tree Trimming Project case in chapter 13 of the textbook. This case refers to the earned value (EV) of the owner, Will Fence’s Tree Trimming business. Will briefly describes his techniques for EV. Based on the description provided in the case, is Will using EV? Answer the corresponding question provided at the end of the case (300-500 words). Use references from the reading materials to support your response. ⏐ PUBLIC HEALTH THEN AND NOW ⏐ Joffe | Peer Reviewed | Public Health Then and Now | 57January 2013, Vol 103, No. 1 | American Journal of Public Health | Carole Joffe, PhD WHAT SHOULD STAFF IN abortion-providing facilities say to abortion patients prior to the procedure? This seemingly sim- ple question is of course not sim- ple at all, in light of the deep social and political divide over abortion that continues to char- acterize the contemporary United States, some 40 years after legal- ization. This conflict has inevita- bly had consequences for how abortion is organized as a ser- vice. Beyond their efforts to over- turn Roe v Wade,2 opponents have sought in numerous ways to regulate the delivery of abortion, The field of abortion counseling originated in the abortion rights movement of the 1970s. During its evolution to the present day, it has faced significant challenges, primarily arising from the increasing politicization and stigmatization of abortion since legalization. Abortion counseling has been affected not only by the imposition of antiabortion statutes, but also by the changing needs of patients who have come of age in a very different era than when this occupation was first developed. One major innovation—head and heart counseling—departs in significant ways from previous conventions of the field and illustrates the complex and changing political meanings of abortion and therefore the chal- lenges to abortion providers in the years following Roe v Wade. (Am J Public Health. 2013;103:57–65. doi:10.2105/AJPH.2012.301063) including staff interactions with patients. State legislatures, for example, have passed laws that mandate that patients be forced to view their ultrasounds and hear detailed descriptions of their fetus’s development; numer- ous states have also dictated scripts—often containing untrue statements—that clinic staff must deliver to patients.3 Abortion rights supporters, and particularly those who work in abortion-providing facilities, vehe- mently reject opponents’ argu- ments that such regulations are in abortion patients’ interest; rather, they argue, these requirements exist to make access to abortion more difficult and the experience more upsetting. Although they reject what they see as politically driven restrictions, however, those involved in abortion provi- sion are not in complete agree- ment about what precisely the abortion experience should be for patients. In particular, opinions differ about what the nonmedical com.
Read through the Tree Trimming Project case in chapter 13 of the.docx
Read through the Tree Trimming Project case in chapter 13 of the.docx
howard651
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Read through the Tree Trimming Project case in chapter 13 of the textbook. This case refers to the earned value (EV) of the owner, Will Fence’s Tree Trimming business. Will briefly describes his techniques for EV. Based on the description provided in the case, is Will using EV? Answer the corresponding question provided at the end of the case (300-500 words). Use references from the reading materials to support your response. ⏐ PUBLIC HEALTH THEN AND NOW ⏐ Joffe | Peer Reviewed | Public Health Then and Now | 57January 2013, Vol 103, No. 1 | American Journal of Public Health | Carole Joffe, PhD WHAT SHOULD STAFF IN abortion-providing facilities say to abortion patients prior to the procedure? This seemingly sim- ple question is of course not sim- ple at all, in light of the deep social and political divide over abortion that continues to char- acterize the contemporary United States, some 40 years after legal- ization. This conflict has inevita- bly had consequences for how abortion is organized as a ser- vice. Beyond their efforts to over- turn Roe v Wade,2 opponents have sought in numerous ways to regulate the delivery of abortion, The field of abortion counseling originated in the abortion rights movement of the 1970s. During its evolution to the present day, it has faced significant challenges, primarily arising from the increasing politicization and stigmatization of abortion since legalization. Abortion counseling has been affected not only by the imposition of antiabortion statutes, but also by the changing needs of patients who have come of age in a very different era than when this occupation was first developed. One major innovation—head and heart counseling—departs in significant ways from previous conventions of the field and illustrates the complex and changing political meanings of abortion and therefore the chal- lenges to abortion providers in the years following Roe v Wade. (Am J Public Health. 2013;103:57–65. doi:10.2105/AJPH.2012.301063) including staff interactions with patients. State legislatures, for example, have passed laws that mandate that patients be forced to view their ultrasounds and hear detailed descriptions of their fetus’s development; numer- ous states have also dictated scripts—often containing untrue statements—that clinic staff must deliver to patients.3 Abortion rights supporters, and particularly those who work in abortion-providing facilities, vehe- mently reject opponents’ argu- ments that such regulations are in abortion patients’ interest; rather, they argue, these requirements exist to make access to abortion more difficult and the experience more upsetting. Although they reject what they see as politically driven restrictions, however, those involved in abortion provi- sion are not in complete agree- ment about what precisely the abortion experience should be for patients. In particular, opinions differ about what the nonmedical com.
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