The Case for Open Heart Surgery at Cabarrus Memorial Hospital Research Paper

The Case for Open Heart Surgery at Cabarrus Memorial Hospital - Research Paper Example Discuss ways the program does or does not comply with the hospital’s mission First, the availability of the open heart surgery program should be reviewed. In fact, it is available in 11 counties in North Carolina, however, it is not offered in the primary operational area, the CMH involves. Actually, this can be regarded as a key decisive factor for extending the range of procedures. Considering the hospital’s mission, it should be emphasized that the hospital has the sufficient base for heart surgery and therapy; therefore, the open heart program will lower the risks for the patients, who need angioplastry, and other invasive therapies. Considering the planned expansion of the hospital, the open heart surgery program is required for attracting experienced heart surgeons as well, while the lack of experts may be regarded as a stop factor. Considering the necessity to review the mission, the CMH will have to consider several additional aspects for launching the program. Therefore, the program will need some amendments, such as including output measurements, integrating the emergency practices into the new program, as well as differentiate responsibilities of the entire team. (Courtney, 2008) These amendments require the in-depth restructuring of the strategic approaches applied, as well as improving the implementation control schemes. Therefore, the mission of the hospital will have to be oriented at several aspects: 1. Patients’ satisfaction 2. Qualification improvement of the personnel (including training courses and experience exchanges) 3. Resolving legislative issues (medical insurance, new program formalities, etc.) Analyze whether or not CMH has sufficient infrastructure and financial resources / leverage necessary to add the program As it is stated in the case study description, the hospital has sufficie nt financial resources for rearranging the space, purchasing equipment, and employing additional personnel. (Swayne, Duncan and Ginter, 2008) Nevertheless, there is a lack of experienced personal expected. Therefore, as it is emphasized in the discussion, the hospital has only one invasive cardiologist, while the other experts are either interns, or non-invasive cardiologists. Therefore, the hospital will have to resolve the problem of finding the experienced personnel, for launching the open heart surgery program. Nevertheless, this could be regarded as the only serious threat for implementing it. On the other hand, the CMH will have to redesign the overall control management in order to launch the open heart surgery program. In accordance with the research by Scharer (2005), such a redesign may be performed by considering the engineering approach to measure and calculate the possible workload. These measures are required for adapting the HR strategy to the new working approaches, associated with launching the new program. However, such a shift will also require applying organizational development approach concentrated on the proper team building principles, since proper recruiting, and necessity for coordinated team work is essential for health care strategic management. Describe the competitive situation among other area hospitals that could impact the decision On the one hand, the CMH has an opportunity to become the first clinic in the county, offering the open heart surgery program. On the other hand, in accordance with the case description, the lack of the experienced personnel is essential, and some experts have been already gained by other clinics of the State. (Swayne, Duncan

Business Ethics Case Study - The Nice Guy Essay

Business Ethics Case Study - The Nice Guy - Essay Example eople holding different managerial positions to possess leadership skills so that problem solving and decision making are done effectively and efficiently. This paper addresses the key aspects related to business ethics and discusses the essential leadership qualities required for ethical problem solving and strategic decision making. Let us first understand what business ethics is and how it relates to leadership issues and the overall business environment. In order to understand the relevance of ethical values in business, it is important to first realize the organizational structure as a social institute. An organization is formed by a collective group(s) of individuals with a vision to develop a network of common interest. Managers and executives are responsible for directing the resources of the organization. Shareholders are the owners of the capital, who expect profitable outcomes of their investment. Then there are employees who produce the goods in return of a decent wage and safe working conditions. In other words, all these groups are interlinked to one another, and a perfect balance between them creates the conditions essential for a successful business enterprise. Maintaining this balance is important for the management of the company in the sense that miscalculation in the balance can actually negatively affect the ethical system of the company. As Guy (1990, 4) states, â€Å"For an enterprise to continually give value to human effort and to encourage creative achievements, a balance of all interests is required.† While discussing ethics, it is important to talk about other related terms such as values and morals. Values refer to the core beliefs of what is desirable in an organization. Values considerably affect the choices made in business decisions, which further includes the aspects of ethics or morals. This paper does not aim to distinguish the definitions of ethics or morals. In short, both ‘ethics’ and ‘morals’ signify the codes of

Religion and Theologyy Essay Example | Topics and Well Written Essays - 1000 words

Religion and Theologyy - Essay Example Theology helps to learn religious traditions; this is a system of theoretical principles that derives the religious practices. According to H. Dermot McDonald, religious experience does possess a sense of adequacy and completeness. Theology has facilitated Christianity towards human values to the fullest. The impact of Jesus in the lives of people since ages has never passed by with absolute positives like none before. History talks about many skeptics and critics whose lives have also been transformed completely. Different factors that facilitate the Christian values into human lives, it is quiet important to analyse and understand certain aspects about Jesus if he had claimed to be God ever, if the Bible had the authority in human life, and if a person is a Christian, does it in any way matter as to how a life is lead. These factors have always been the focal areas of interaction many times. According to John 10:30 Jesus says â€Å"I and the Father are one†, but Jesus never said the words precisely as â€Å"I am God†. This means that Jesus never said that he was God ever; in fact he referred to the Father and him as equals, with Father, Son and the Holy Spirit in the form of Trinity. Secondly the point if Bible has authority over human life; Bible is the essence of timeless truth rather than an authority. According to N.T Wright, the question posed is how the Bible could be authoritative; he brings up the views that most of the Bible does not consist of rules and regulations or a list of detailed commands that are to be obeyed, nor does it have creeds in it. There is no such Biblical doctrine of having authority of Bible and rather it is the root path to human beings towards reformation of life. The scriptural values one could follow to have an intimate relation with God. Thirdly, leading the way of life as a Christian emphasizing on the way life is lead. It lies in the works that one does in his life, where his reward comes from. Obedience and faithfulness are very essential to lead life close to God. Did Jesus claim to be God? To understand more precisely about the aspect of Bible, did Jesus ever claim to be God, when Jesus declared as per John 10:30 â€Å"I and the Father are one† his statement meant that he and his father were of similar nature and essence. John in his context reiterates the in-depth truth and concept linked to Jesus, wherein he says â€Å"the word was God† and â€Å"the word became flesh† according to John 1:1, 14 from the scripture. The verse elucidates that Jesus is God in the Human Flesh. In the book of Revelation, an angel instructs the apostle John to worship only God; on the other hand Jesus in the Bible receives worship at various instances. People have been worshipping him at different phases. Jesus never opposed the people not to worship him. Jesus never claimed himself to be God. But the point that could be emphasized is that if Jesus were not God, he would have certainl y told the people who worshipped him, not to do the same. Jesus was the word, a word which was with God, a word which was God himself. A primary aspect that could be observed is that Jesus had sacrificed his life for human kind, in a way where people could repent and come back to the righteous life. His death has paid the penalty for the sins of this world. Jesus has given an infinite penalty for human beings for the sins of people. This shows that Jesus was God and such an instance could happen only from an infinite entity as a whole. Jesus life on earth has been a journey that changed the lives of many. The scriptural verse as per 1 John 2:2 says â€Å"He is the propitiation for our sins, and not for ours only but also for the sins of the whole world† It can be stated that only God could take the sins of

Racism and the African Condition in America Research Paper

Racism and the African Condition in America - Research Paper Example The African Americans, who during the early times of the American civil war were not part of the recognized American society, were used as sources of labor. As such, they were treated as no more than animals that provided labor for the benefit of the slave owners and drivers, who reaped the benefits of free labor and controlled how much output they wanted from the slaves. This was one of the highest levels of racism, where non-blacks would not work, and if they did, they would do the least amount of work. The above case was also demonstrated by the use of African Americans being used to take part in and complete tasks that were deemed degrading to the prestigious and elite white race. Due to this, African-Americans had their role in the society reserved as per predisposition that they were inferior to the whites, which allowed African-Americans to be used for heavy manual labor in the farms and plantations. Following their predisposition in society, they were referred to as Negroes a nd were entitled to all forms of slavery-affiliated activities concerning forced labor. This was by all means, against traditional convention found in ancient civilizations, in which slavery was not based on skin color, but rather on the superiority of character and ability of the person I question. This is because ancient slaves were often the spoils of war or people that were captured from wars and raids, but the African American slaves were only picked to work based on the color of their skins. The above was a blatant portrayal of racism that existed in the period prior to the American civil war from the time of their capture from their native homes in different parts of West Africa. In addition to slavery, due to the color of the skin African-Americans bore the title of slaves from as early as the 18th century. With this in mind, they did not hold any form of human dignity as they were viewed and perceived as being less than human, but better than animals considering that they u nderstood the directions given to them. Under the treatment as slaves, they did not enjoy equal rights with the rest of the human population in America, as they were not human to the American slave drivers and owners; a direct translation of this statement indicates that as slaves they lived under very dilapidated conditions with no necessities except those that sustain life. However, they had to work for the same food they fed on in spite of working on plantations and fields for hours on end. They were forced into sugar factories and tobacco farms, with no form of protective gear, as they were as disposable as the next animal of no value despite raking in plenty of fortunes for their owners. As such, no other races were involved in work as slaves except African-Americans who were denied their rights as individuals and humans through collective treatment and misconceptions of inferiority in a white-dominated continent or land of Americans.1 In addition, for African-Americans to be d enied their rights there must have been a form of recognition of them being humans in order to decide that they were not equal to the rest. Religiously from the moment that the African-Americans were allowed to practice their own religious practices, they were faced with numerous racial challenges.

The Promise of Stem Cell Research for Solving Complex Medical Problems Paper

The Promise of Stem Cell for Solving Complex Medical Problems - Research Paper Example It is evidently clear from the discussion that stem cell research might seem to be a catch-all solution to a myriad of clinical problems. If the public listens to certain corners of the bioethics field, stem cell research might seem to be a scientific solution that comes at a great cost to human life. Of course, most approaches to stem cells contain far more nuance than â€Å"for† and â€Å"against† embryonic cell research; however, it is a polarizing subject that is divisive even among researchers in the field. The purpose of this paper is to define some of the challenges—both ethical and scientific—posed to embryonic stem cell research, which includes looking at possible future directions for clinical practices, research agendas, and ethical systems that might oppose the use of embryonic stem cell lines. Overall, the â€Å"promise† of stem cell research includes not only the potential for benefiting mankind with novel kinds of treatment for painfu l and debilitating diseases, but also the potential for creating these treatments in ways that do not harm human dignity. First, a distinction should be drawn between embryonic and adult stem cells, particularly with regard to differences in their potentials to grow and regenerate tissues. Stem cells in general are a rare subset of primitive cells that, at the single-cell level, can self-renew as well as give rise to mature, differentiating daughter cells. According to the NIH, embryonic stem cells are grown easily in culture, while adult stem cells are rare in mature tissues. Accordingly, isolating these cells from an adult tissue is difficult, and methods to develop more cells in cell culture have not yet been developed. This distinction is significant insofar as large numbers of cells are needed for stem cell replacement therapies. In other words, adult stem cells cannot provide a sufficient level of coverage for stem cell research, let alone stem cell treatments on a public leve l. Therefore, stem cell research is normally biased toward the use of embryonic stem cells. Such stem cells are taken from embryos that are fertilized in vitro. The development of cells in a laboratory setting is known to scientists as â€Å"cell culture.† Embryonic stem cells are grown by transporting cells from a pre-implantation embryo into a culture environment that holds a nutrient-rich base known as a culture medium. Over the process of development, the cells divide and coat the surface of the dish into which they were transported. Once a cell line is developed, the original stem cells can produce millions or perhaps billions of embryonic stem cells for researchers to utilize in making discoveries and potentially treating diseases. Stem cells that proliferate in a cell culture of an extended period of time but have not differentiated into a specific kind of cell are known as â€Å"pluripotent† (meaning, literally, not constrained toward a specific developmental p athway). These cells are truly useful because they can be

Charity and charitable purposes Essay Example | Topics and Well Written Essays - 3250 words

Charity and charitable purposes - Essay Example In Incorporated Council of Law reporting for the State of Queensland v Federal Commissioner of Taxation , the judge had the following observation with what amounts to a charity: â€Å"The benefit should be charitable in the Elizabeth sense†. Understanding from the context of the judge, we arrive at the conclusion that any activity which amounts to the benefit of the public, or a section of the public amounts to a charitable purpose. A trust which carries out the duties of helping the needy and the poor sections of the society amounts to charity.This definition of charity encompasses all the above definitions mentioned: "The relief of aided, impotent and poor people, the maintenance of sick and maimed soldiers and mariners, schools of learning, free schools and scholars in universities, the repair of bridges, ports, havens, causeways, churches, sea-banks and highways, the education and preferment of orphans, the relief, stock or maintenance for houses of correction, the marriag e of poor maids, the support, aid and help of young tradesmen, handicraftsmen and persons decayed, the relief or redemption of prisoners or captives,   the aid or ease of any poor inhabitants concerning payment of fifteens, setting out of soldiers and other taxes†Understanding the Ambit of Charitable TrustA charitable trust is a trust which provides charity services to a particular section of the society, and such services should be for charitable purposes only. Relief from poverty:The main question that was sought to ask was how poverty.... This definition of charity encompasses all the above definitions mentioned: "The relief of aided, impotent and poor people, the maintenance of sick and maimed soldiers and mariners, schools of learning, free schools and scholars in universities, the repair of bridges, ports, havens, causeways, churches, sea-banks and highways, the education and preferment of orphans, the relief, stock or maintenance for houses of correction, the marriage of poor maids, the support, aid and help of young tradesmen, handicraftsmen and persons decayed, the relief or redemption of prisoners or captives, the aid or ease of any poor inhabitants concerning payment of fifteens, setting out of soldiers and other taxes†4 Understanding the Ambit of Charitable Trust A charitable trust is a trust which provides charity services to a particular section of the society, and such services should be for charitable purposes only.5 Relief from poverty: The main question that was sought to ask was how poverty could be defined, and within the definition, which kind of people needed to be brought in to given relief to. Poverty is a very relative concept and thus includes people who are not able to provide a lifestyle for themselves that include the basic necessities like shelter, food and clothing. As found in a number of cases, only showing kindness or generosity to someone is not enough to come under a charitable trust or purpose because a factor of poverty must be defined so that it also serves the purpose of having benefit to the public in a way that it is useful to a certain community and helps to fight the problems that those people face with regard to poverty. In the case of Oppenhiem, we understand that

Composite case Memo(The Final Installment) Study

Composite Memo(The Final Installment) - Case Study Example The purpose of this memorandum is to correct errors and help Composite Manufacturing Company see the benefits of having an accountant. All figures discussed are in the thousands. Composite Manufacturing Company’s net sales were adjusted from $9,750 to $7,954. The reason for this discrepancy is mainly the mislabeling of revenue. Mr. Little used volume discounts, settlements, grants, and reverse revenue recognition as sales. These items are not sales. The costs of goods sold went from $6,121 to $5,812. The reasons were to reverse the sale to Anjinu, reverse the entry of unsalvageable inventory as COGS, and to reverse the entry that recorded a sale to affiliate. Operating expenses were not changed. Other expenses were changed due to impairment loss regarding unsalvageable RM, losses on leasehold improvements that are no longer useful, switching net sales recognition to recognition of a gain, a loss in the proper period in which it was incurred. This made the amount balance negative. Liabilities and stockholders’ equity were adjusted as well. The adjustments made for Composite Manufacturing Company’s financial statement made the company’s net income of $554 to a negative balance of $592. This was due to the improper classifying of revenue. While the $1,146 does not seem like a significant amount to mislabel, to stockholders the negative balance might cause worries. The corrections give the stockholders a better idea of the position the company is in, financially speaking. If the unadjusted financial report had been given to stockholders, the Composite Manufacturing Company could be sued later on for fraud. Since the company has had a lawsuit over their product, more time might be given to the design. The idea is ingenious and green. However, all of the problems must be dealt with in order for this company to go