Safety and Medicare Requirements Essay Example for Free

Safety and Medicare Requirements Essay Introduction The first SMART goal is regarding the elevated re-hospitalization rates, and how as a team we can reduce these numbers by 10% within the next six months. I chose this goal because the Medicare requirements are changing for reimbursement rates and we are a non-for profit organization where cutting down on any costs are important for not only our organization but also for our patients. Secondly, the next SMART goal I chose was how we can increase the compliance of incident reports being filled out for patient injuries, falls and infections by 10% within the next 3 months. I chose this SMART goal because this is an area in which we have been falling behind and this is an lack in compliance. Case Managers and Triage Nurses are responsible for making sure these are completed and returned to our managers in a timely manner. Goal 1: Leadership Development The complete Hospice Team; Social worker, CNA, Pastoral Care, Bereavement Services, RN/ Case Manager and Volunteers will all work together to achieve this goal by beginning teaching at time of admission. The Hospice team will all work together in order to make sure that the patient will die comfortably in their home with their family by their side and will do this without returning to the hospital. .We will provide the family with all of the information and support they will need in order to feel comfortable in keeping their loved one at home without returning them to the hospital. They will have access to a nurse 24 hours a day/7 days a week through our Triage line and will be reminded at each visit to use this form of communication in order to prevent re-hospitalization. Peer-Reviewed Articles In the article, Hospital Readmission Rates in Medicare Advantage Plans, this article speaks about the changes that CMS (Centers for Medicare Medicaid Services) put into effect this year (2013). The changes are to establish a hospital readmissions reduction program in Medicare, when implemented, the program reduces payments to hospitals based on their readmission rates by 20% and hospital-acquired conditions or adverse events among patients with Medicare by 40%. This was a good article to explain why as a non-for profit organization, we must drop the rehospitalization rates. Credible Websites The website, Agency for Healthcare Research and Quality, has several tools and articles speaking of how to avoid rehospitalizations. They have materials, documents and tools called, State Action on Avoidable Rehospitalizations or STAAR. This aims to reduce avoidable rehospitalizations and is focused on how to improve transitions of care and how to address systemic barriers to reducing avoidable rehospitalizations. This is helpful and useful information to use for our SMART goal, as it provides a lot of tools we could use in reducing our rehospitalization rates. Informational Expert Amy Suydam RN CPS (Clinical Practice Supervisor) is over the Hospice RN/ Case Managers at our office. Amy and I discussed the SMART goal about rehospitalization rates and how we are going to decrease these rates. Amy agrees with all of the teaching with the family from admission on and making them aware of all the assistance they have available from our services. One thing she also did mention is that we could do more in-services with our staff regarding this and make sure everyone does understand the decline in reimbursement rates that we are receiving at this time compared to the costs to the organization. Summary In searching information regarding the rehospitalization rates and the drop of Medicare reimbursements for those stays, I was surprised to have found there was so much information regarding this and the tools that are out there also to use. My direct supervisor, Amy Suydam RN CPS, was also helpful in bringing up some things not thought of that would assist in the success of our organization in achieving our goal of decreasing rehospitalizations  by 10% within the next 6 months. Amy Suydam RN CPS did not feel this was an unreasonable timeframe and decline to be looking towards. This is something we have discussed many times as our organization is non-for profit and this is very important that we follow through with our teachings and get all the information put out there that we can regarding these changes. Goal 2: Organizational Planning The RN/ Case Managers and Triage Nurses will increase their compliance of filling out incident reports that are being filled out by 10% within the next 3 months. The nurses will fill these out for patient falls, infections and injuries in order to be compliant with our Quality Assurance Goals. Peer-Reviewed Articles In the article, Introducing incident reporting in primary care: a translation from safety science into medical practice, the authors speak of how most reported incidents were ones that caused little or no injury to the patient. They found those providing care were able to deal with these incidents more actively and taking less of their time away from their other work. This explains how important it is to report any and all incidents. This is what the organizational SMART goal pertains to is making sure we are compliant in reporting everything that should be reported. Credible Websites The website that related to the SMART goal is called, Quality and Safety. This website provides useful tools and different ways that may be effective in reporting incidents easier which may in turn provide increased compliance. On this website they say EHR’s are the best way and more people are compliant when using the electronic reporting. Informational Expert Amy Suydam RN, Clinical Practice Supervisor reviewed the SMART goal and while reading through the plan of action, she declines any further recommendations. She feels everything has been covered even compared it to our policy for incident reports for our organization, and found nothing further at this time. Summary In researching the SMART goal of increasing compliance of filling out  incident reports, it is amazing how many people are non-compliant. This can lead to legal actions at times and other problems. This is a very important part of Quality Assurance within our organization. .Will hold in-services, cover the company’s policy and explain why incident reports are filled out for and how to properly fill them out and who they are turned in to. We will strive to meet our goal of decreasing non-compliance by 10% within the next 3 months. References Qual Saf Health Care 2004; 13: 281-286 doi:10.1136/qshc.2003.009100 Marieke, Adriana. (2013). introducing incident reporting in primary care: a translation from safety science into medical practice. Health, Risk Society, 15(3), 265-278 doi:10.1080/13698575.2013.776014 Lemieux, Jeff. (2012). Hospital Readmission Rates in Medicare Advantage Plans. American Journal of Managed Care,18(2), 96-104 N.A. (2009). U.S. Department of Health and Human Services. Agency for Healthcare and Research and Quality. Retrieved from http://www.innovations.ahrq.gov/content.aspx?id=3287

Computerised Approach to Monitoring Production Line

Computerised Approach to Monitoring Production Line AN INTELLIGENT COMPUTER VISION BASED APPROACH TO MONITOR PHARMACEUTICAL PRODUCTION LINE Urooj Arif 1, Faizan Naseem 2      Abstract The idea of An Intelligent Computer Vision Based Approach to Monitor Pharmaceutical Production Line   is introduced by our Group after the events observed by us in different pharmaceutical companies cases studies. Like in Japan there they use laser scanners to scan the objects whether they are filled or empty if empty they are discarded and filled goes to next level of production. But in the economy of Pakistan Pharmaceutical industry is the most growing industry in Pakistan and a lot of companies are stepping in to this sector the basic elements to step in in this industry includes the idea, Research and Development , State of the art facilities for manufacturing and packaging etc. So we decided to work on the factor of manufacturing and packaging sector and to work majorly on production line to make production line intelligent by introducing the Computer Vision Based Intelligent Approach for the Production Line. And this product will be of high usability and applica tions in this industry in coming times specifically in Pakistan may be implemented to other Third world countries as well. Keywords-Image Processing, Artificial Neural Network I. INTRODUCTION The Project is about Object Detection Identification and Comparison using Computer Vision Based Embedded System. And as we know Object detection is the process of finding instances of real-world objects such as faces, Vehicles, and buildings in images or videos. Object detection algorithms typically use extracted features and learning algorithms to recognize instances of an object category. It is commonly used in applications such as image retrieval, security, surveillance, and automated quality control systems. II. LITERATURE REVIEW Pakistan is a very fast and future-oriented pharmaceutical industry. At the time of independence in 1947, was perhaps the pharmaceutical industry. Today Pakistan is about 400 pharmaceutical manufacturing units including those operated by 25 multinationals in the country. 70 per cent of the countrys pharmaceutical industry, meet the demand of finished medicine. The domestic pharmaceutical market is divided almost equally between citizens and multinational companies in exchange.Progressive development of the pharmaceutical industry, especially in the last decade, as shown in years. The industry has invested heavily in recent years to upgrade, and Good Manufacturing Practices (GMP), the majority of the industry in accordance with national and international guidelines. Currently, the industry has the ability to produce a variety of products from simple to sophisticated biotech tablet, and value-added generic oncology compounds. Although Pakistan Pharma health and without access to moder n medicine for almost half the population, fastest growth. It needs a chance, but clearly much more work to be done by governments and economic stakeholders. Sales per capita consumption of less than US $ 10 worth of drugs every year $ 1.4 billion in 2007, and 2012 should be sold in 2012 represents 2.3 B drug prices, Last year, the economy, due to poor economic conditions and suffered a lot of damage from the fight against terrorism. Moreover, the economy, inflation, slow economic growth and seen a significant reduction in the value of major currencies against the rupee. No doubt the Government will take the necessary steps to get out of this terrible situation, but that it is the economy and adaptation to board immediately rejected.Before reviewing the pharmaceutical market, we look at the situation globally. 48%, 28% and the US, the EU and 12% of the value of the global market-based controls for Japan with a share. The remaining 20% of the global pharmaceutical market.The pharmaceutical market style, it is very competitive and challenging. Some 600 pharmaceutical companies in Pakistan. The 386 operating units. Have already mentioned, has a dramatic effect on inflation and devaluation operating margin. Therefore, the challenges for the pharmaceutical industry can be a major cause.When we look ba ck in the pharmaceutical industry, the situation has clearly changed completely. Early nineties it was occupied by the multinational pharmaceutical companies in the industry but there is also a scenario for the past 18 years or so, I was completely changed. 30 386 units of multinational companies operating in drug production. Multinational and national companies in the ratio of 45% and 55%. Increasing share of national companies is an encouraging sign for domestic investors. The annual growth of 11%, US 1.64 $ billion total pharmaceutical market, pharmaceutical industry today with the global development of Pakistan. In the present scenario, more than 80 percent of demand met with national companies.Local while 20 percent are covered by imports. All raw materials are imported from China, India, Europe, North America and other countries. About 20% of the total imports from Switzerland. 2008-09, according to GlaxoSmithKline (GSK) List Data List 11.59% market share and multinationals wi th growth of 8.9%. The national pharmaceutical companies Getz. (Pvt) Ltd has over 70%, with 3.76% market share in the last three years. And a 2.79% market share of the list of national pharmaceutical companies with Getz Pharma, Some multinational companies. Currently, the government of Pakistan to take action drugs, drug manufacturing license of 4 species shall:1. Creating2. Basic manufacturing.3. Half-based manufacturing4. Repackaging The organization of the census of Pakistan (2010), Pakistan has a population of 16.98 million with growth rate of 2.69. Everyday health consciousness also, as well, which can be helpful in increasing per capita expenditure growth in the future.The most successful pharmaceutical companies, existing business and customer trends to maximize profits with a variety of marketing strategies for different types of customers in almost constant new challenges and opportunities. Pharmaceutical companies invest (ROI), to improve their return New communication technologies (digital media) to its traditional ways. III. IMAGE PROCESSING Image processing can be set to produce either a picture or features or parameters that are related to image. Images are processed as a stereo signal, in which the third dimension or Z axis.Image processing refers to a digital image processing. However, an analog and optical image processing is also possible. The pictures are said to achieve imaging. Image closely linked to computer vision and graphics processing. Born as images manually objects, physical models of the atmosphere and light in computer graphics, instead of some imaging devices having a camera on landscapes such as the purchase of the more animated movies . Computer vision contrast is often regarded as a high-level image processing from a machine, or a computer or software will decrypt the contents of the physical layout of the photo or image.Because of the growing importance of technology and scientific concept of the modern science of images that are too wide. Examples include genetic research or real-time multi-asset portfolio microarray data into portfolio management in the financial sector.We also are different factors involved in image processing, can be from one to another can vary include, binary images, color photos (8 bit, 24 bit), Color Quantization, Convolution, Distance Matrics, Dithering, Edge Detectors, Frequency Domain, Gray scale Images, Image Editing Software, Idempotence, Isotrophic Operators, Kernels, Logical Operators, Masking, Non-linear Filtering, Pixels, Primary Colors, Spatial Domain, Structuring Elements, Wrapping and saturation. IV. ARTIFICIAL NEURAL NETWORK A neuron is a nerve cell is the basic building block of the nervous system. A large number of neurons in ways similar to other cells in the human body, but there is a significant difference between neurons and other cells. Neurons are specialized to transmit information throughout the body. This highly specialized nerve cells are responsible for the information in the chemical and electronic forms of communication. Different types of neurons, which are responsible for the different tasks within the body. Sensory neurons carry information from the sensory receptor cells in the body to the brain. Motor neurons transmit information from the brain-body muscle. Neuron body responsible for information and communication between different neurons.Neuron matching neurons and other cells in the body with other cells, both of which are surrounded by a membrane that seals protect the genetic information of other cells of neurons and body are composed of a central can. The bodies of both types of cells in cell mitochondria, Golgi contains, including the organelles and cytoplasm body. Cell LifeCreate unique to neurons, differences, unlike other body cells shortly after birth ceased to reproduce neurons. For this reason, some parts of the brain neurons will die because of the neurons at birth than life, but not the place. Neurons do not reproduce in most areas of the brain, have shown that the formation of new connections between neurons Research.Neurogenesis, or the formation of new nerve cells, about life is found in parts of the brain. Neuron is a membrane that is designed to send information to other cells. dendrites, cell bodies and axons are three main parts of a neuron. However, all neurons vary somewhat in size, shape and characteristics in terms of neuron function and role. Some neurons while others are highly branched, to obtain a large amount of information, there are few dendritic branches. Others may be quite a long while some neurons, short axons. The longest ax ons in the human body is about three feet in length and extends from the underside of the spine to the big toe! Neuron dendrites receive information from sensory receptors or other neurons. This information is then passed on to the cell body and axon. Once this is known as an action potential which travels down an electrical signal, the length of axons in the axons information.Communication between synapses is an electrical pulse has reached the end of a Axon will be transferred once, information about the synaptic gap to the dendrites of neighboring neurons. In some cases, signals about the space between neurons and soon on its way. In other cases, are required to send information from one neuron to the next neurotransmitters. The neurotransmitters cross to reach other neurons and synaptic receptor sites vacuum chemical messengers that are released from the axon terminals. Neurons, neurotransmitters and their receptor binding site in a way known as reuptake are reabsorbed will be u sed again. V. TRAINING AND TEST ING PHASE We have break the our training and testing phase in to the steps that includes Input, Image Filtering, Image Segmentation, object detection, Visual feature, machine learning, trained network, classified output. VI. METHODOLOGY The basic Architecture is human tracking and monitoring are deployed on a visual application tool for testing, which serves as package for human classification and monitoring the trained proceeds and its validation is implemented in MATLAB to build a software system.   Ã‚  Ã‚  Ã‚   i. Image Registration Somebody entrance is the method of transforming to   incompatible sets of aggregation into one nascent system. Collection collects quadruplicate photographs,   information achieve from diverse sensors, present, depths, or viewpoints. individual enrolment old in computer modality method, medical images, biological images   military target recognition   the compiled and analyzed to images and data to collect from camera. Registration is important   to compare or integrate the data to achieve from these different measurements.   Ã‚  Ã‚  Ã‚  Ã‚   ii. ROI Selection Blobs are   supply to a extra statement of individual structures in spatiality of regions, the corners   more point-like. blobs are described to   preferred direction that capital   the more blob detectors are also be regarded in   touch part operators. Blob detectors can sensed areas of   human they to such glassy to be sensed in a carre four of device.   Ã‚  Ã‚  Ã‚  Ã‚   iii. Edges Edges is a line between two individual regions.   Line can be most of concretism, and countenance junctions. Edges are commonly is a sets of points in the mortal which soul a vehement   ratio. The   algorithms gift be constraint sharp circumstantial points together for  Ã‚   consummate description of   provide. These algorithms is   usually guess on the properties of an urgency,i.e mould, smoothness, and close continuance. VII. EXPERIMENTAL RESULTS An experimental setup was established to record the Objects with different angles we have followed the criteria of having a pic from 60 different angles and in this way we have worked out on 10 different tablets. In this way we have hypothesis of 600 images as our repository VIII. CONCLUSION After all the observations and research made on this project we reach to the conclusion that this project is an Intelligent   Computer Vision Based Approach To Monitor Pharmaceutical Production Line. This will be the most beneficial project for the pharmaceutical industry most specifically in Pakistan based economy and will get the benefits like   Smart remote Monitoring, Reliability, Increase Professionalism, Precise Detection, Approx. Zero Chances of Error, Detection   Counting and Data Backup All in one Time and most important no need of human workers in this system that makes this project different from the current standards of the systems that are still be followed in the pharmaceutical industries majorly in Pakistan. VIIII. FUTURE WORK We have achieved this project to this level as this report present but we are still looking to make this system more efficient by adding some more features or modules that we may be able to add with this hardware and can achieve more factors to be intelligent and automated. REFERENCES https://www.scribd.com/document/24495237/A-to-Z-of-Image-Processing-Concepts https://www.scribd.com/document/325872322/Digital-Image-Processing-is-the-Use-of-Computer-Algorithms-to-Perform-Image-Processing-on-Digital-Images https://www.scribd.com/document/266789152/Neural-Network https://www.scribd.com/document/273031421/HYBRID-APPROACH-FOR-SEMANTIC-OBJECT-DETECTION-IN-VIDEO https://www.scribd.com/document/161457953/SWOT-ANALYSIS https://www.scribd.com/document/39266814/Industry-Analysis https://www.scribd.com/document/63877699/Image-Processing

Ethical Issues in Software Patent Law: A Comparison Between the US and UK :: Argumentative Persuasive Papers

Ethical Issues in Software Patent Law: As Seen in Comparison Between the US and UK 1. Introduction Though it is often overlooked today in favor of its counterpart digital music protection, software content protection is an extremely serious issue, and many contend that it has the potential to stunt the growth of technology if it is mishandled. The debate concerns software piracy (often simply using a program you didn’t actually pay for), and the proper legal protection that should apply to such software programs. Due to space constraints, I intend to confine our discussion here to an overview of the software patent and copyright issues in the United States and the UK – two of the world’s most advanced countries with widespread software development and use, and therefore great potential for misuse. And as no treatment of this issue can be complete without a look at its ethical ramifications, I will finally propose a solution to the software protection problem, and justify it with ethical as well as pragmatic motivations. 2. Systems Today There are two primary legal means of protecting one’s software today: copyrights and patents (trade secrets are really a separate category, simply involving keeping your code secret, and provide no real legal protection). The difference between copyrights and patents is that copyrights (traditionally applicable to printed matter and documents) apply automatically but contain limited protection, while patents (applied to unique business processes, etc.) give extensive legal protection but must be granted. Copyrights have long been the only accepted method of protection of software, which was viewed as more like a printed document than a business process; the thinking of many was (and still is!) that, Patents cover unique processes and functions, but since virtually all software is derivative, patent protection seems inappropriate for software programs. Copyright protection may be more suitable since it does distinguish between ideas and their expression. However, the extent and scope of that protection is unclear†¦1 What this means is that copyrights can be got around (at least theoretically, rewriting a program in a different way to do exactly the same thing would not violate a copyright on the original program); and while patents are much more restrictive, it is unclear when exactly a patent on a piece of software is justified, resulting in an opportunity for abuse by patent applicants. To get a more substantive picture of the state of software protection today, we will take a closer look at relevant law in the United States, and compare it to the protection currently offered in the UK.

Pure and Impure Matter

Skills: Planning and Design Topic: Pure and Impure Matter Date: January 13, 2012 Problem: Troy was told that the presence of an impurity raises the boiling point of water. Troy wanted to carry out an experiment with salt water and distilled water to determine which would have a higher boiling point. Suggest a plan and design for this lab. Hypothesis: The salt water will have a higher boiling point than the distilled water. Variables: Controlled: the amount of distilled water and salt. Manipulated: The temperature of the distilled water.Responding: temperature of the salt water and temperature of the distilled water. Apparatus: beakers, bunsen burners, tripod stands, measuring cylinders, glass rod, electrical balance. Materials: distilled water, salt. Method: 1) get two beakers 2) Label them each, one salt solution and the other distilled water. 3) Measure 50cm3 of water into a measuring cylinder and pour into the beaker labeled salt solution. 4) Add 0. 8g of NaCl into the beaker labe led salt solution. 5) Stir until the NaCl is completely dissolved. 6) Place a thermometer into the beaker and apply heat. ) Record the temperature of the solution as soon as it starts to boil. 8) Repeat steps 3, 6 and 7 using distilled water. 9) Make observations. Expected results: the boiling point of the salt solution will be higher than the boiling point of the distilled water because sodium chloride is a non- volatile substance and an impurity when added to water. Therefore the substance does not change to vapour under normal heat conditions, because the bonds in the substances are stronger so a lot of heat must be applies and this will cause an increase in the boiling point.

Smartphone Sector Between Attack and Defense Strategies

Smartphone sector between attack and defense strategies The macro-environment of smartphone sector is very complex and dynamic, especially in the technological aspect like the recent tablet invention. The aggressive competition between companies pushed them to adopt many kinds of actions and strategies to protect their position in the market and to anticipate any unexpected changes in the future. In fact, like military, companies take the position of attacker or defender. One attack strategy which is called bypass technic is materialized by new ideas, concepts and a high hardware and software innovation.For example, with the sleek and beautiful design of Samsung and iPhone the longtime leader Nokia had been easily overtook. However, this basic strategy requires a huge investment in research and development and particularly in Android operating system including downloads, videos, photos, blogs, internet surfing, etc. Moreover, companies can also attack directly their competitors with reducing prices and improving quality to satisfied customers and to enhance the brand image. This strategy was used by iPhone in 2007, by reducing the price from $599 to $399 – a 33% rebate – after only 3 months from the initial product launch.Nonetheless, this decision has been judged as a mistake for the reason that Apple most faithful costumers have rightfully felt being betrayed and exploited. They could have waited 6 more months before reducing the price of the iPhone, or they could have delayed the iPhone launch for 3 months, or they could have decided to price the iPhone at $399 since the initial launch. and since July 2008, the iPhone 3G is sold at $199, 50% less than the September 2007 price, 66% less than the launch price of just one year earlier. Like those mistakes prove that direct attack strategies require a perfect policy prices.Flank strategies are quite used in this sector . we can mention for instance the decision of iPhone to prosecute Samsung for th e pretext that the company has imitated its design and concepts. That’s show that iPhone focus on Samsung weaknesses to influence the customer behavior. However, companies aren’t always in the position of attacker and often counterattack their competitors. For example, when apple introduced 5-megapixel camera, LED flash and Photo and video geotagging in its iPhone 4S, Samsung launched its Galaxy range to preserve its market share.In other side, the increasing rhythm of innovation pushed smartphone producers to avoid direct confrontation especially if there is a big gap between competitors. For instance, Nokia is now unable to recuperate its leadership in Mobil phone sector and try now to target specific customers, particularly lower middle classes. After those global analyses of the smartphone sector, we will identify below the leader’s strategies and what segmentation is using. Samsung outshines Apple in smartphone shipments, market shareTop Five Smartphone Ven dors, Shipments, and Market Share Q3 2011 (Units in Millions) Vendor| 3Q11 Unit Shipments| 3Q11 Market Share| 3Q10 Unit Shipments| 3Q10 Market Share| Year-over-year Change| Samsung| 23. 6| 20. 0%| 7. 3| 8. 8%| 223. 3%| Apple| 17. 1| 14. 5%| 14. 1| 17. 0%| 21. 3%| Nokia| 16. 8| 14. 2%| 26. 5| 32. 0%| -36. 6%| HTC| 12. 7| 10. 8%| 5. 9| 7. 1%| 115. 3%| Research In Motion| 11. 8| 10. 0%| 12. 4| 15. 0%| -4. 8%| Others| 36. 1| 30. 6%| 16. 6| 20. 0%| 117. 5%| Total| 118. 1| 100. 0%| 82. 8| 100. 0%| 42. 6%| http://news. cnet. com

Effective Approaches to Leadership Essay

There is talk that the nursing shortage is over, but the facts show that there is a substantial nursing shortage which is projected to intensify over the next several years. This fact alone will increase the demand on the remaining nurses leading to nurse burn out and increased turnover rates. Nurses are the largest group of health care professionals in America, but the majority of the nurses are close to retirement age (Institute of Medicine [IOM], 2010). This paper will address the issue of nursing shortage, nurse turnover and how nurse leaders and managers are approaching these issues, along with the personal and professional philosophy of nursing of the author of this paper. There are many reasons why a nursing shortage exists, and why it is only going to get worse over the next several years. The median age of the nursing workforce is 46 years of age and almost 50 percent of all nurses are close to retirement, which will substantially impact the nursing shortage (American Nurses Association, 2013). The Affordable Care Act of 2010 ensures that every American have access to affordable health care (U. S. Department of Health & Human Services, 2013). This places an additional demand for nurses, and further increases the shortage. The results of the advances in medicine has increased the average life span, increasing the number of people living with chronic illness, and also increasing patient acuity levels which in turn increases the demand for advanced educated practioners. Nursing colleges and universities across the county are struggling to expand their enrollment levels in order to meet the rising demand for nursing care (American Association of Colleges of Nursing, 2012). Reductions in nursing budgets together with the growing nursing shortage has resulted in nurses working more, taking care of sicker patients and at risk for making mistakes. This further complicates the nursing shortage as this type of environment only drives the current nursing force away from the bedside. The current Registered Nurse turnover rate is 14% (American Association of Colleges of Nursing, 2012). One incentive that management and leadership nurses should be aspiring to is Magnet Status. The American Nurses Association in 1990 developed the Magnet status in an effort to reward hospitals that attract and retain nurses who demonstrate excellence in nursing practice (American Nurses Credentialing Center, 2013).

Analysing strategic position for SMEs Essay Example | Topics and Well Written Essays - 2000 words

Analysing strategic position for SMEs - Essay Example From the Deputy Managing Director of the company Vic Handley, the ground-engineering specialist Van Elle is concentrating on infrastructure and rail as 2015 kicks. Having invested 14.5 million pounds in the past two years in the company’s rail division and 8.5 million pounds is an indication of company-improved performance (Green, Larsen, and Kao, 2008). The financial director of the business, Paul Pearson the rail sector is a recession-proof due to the budgets of the Network Rail. In addition, he adds that there is much to do in those markets that the company is trying to map their investment to their opportunities and growth. From that, it can clearly be that the company is focusing on planning their investment to their growth and opportunities that are good (March 2009). The company is also moving in a positive direction since regional expansion is on the minds of many SMEs, and Van Elle is the company is looking to expand into new areas. The company is also increasing their operations in the burgeoning area of Scotland due to the established services in Wales and England which is a right direction (Kao, Green, and Larsen, 2009). The PESTLE analysis is a detailed view of the environment a business is in. It can also be to a bird’s eye view where the company or a person tries to ascertain certain trends of the market from a macroeconomic perspective. The factors are a primary determinant of strategic development and define how conducive an environment is within which a business struggles to thrive. Therefore, it is important to construct an environmental analysis for Van Elle. The analysis may help to assess several factors in the macro environment and to identify how future issues might affect the company (Haberberg and Rieple, 2007).The primary questions to be for consideration in the Environmental Analysis include; Entails