Changing Landscape of Health Care Essay

Unless you have been living on another planet somewhere, the changes in health care taking place in this country have become hard to ignore. With all the debate over recent health care reform, it is sometimes difficult to know who is right, and who is wrong. How can there be such a wide gap in opinion on â€Å"Obama care†? How are these reforms changing the landscape in health care, and how are we to survive these changes? To begin, let’s look at how all these changes began. The Patient Protection and Affordable Care Act The Patient Protection and Affordable Care Act was passed in the senate on December 24, 2009. It passed in the house on March 21, 2010, and was signed into law by President Obama on March 23rd, 2010. It was then upheld in the Supreme Court on June 28, 2012, and the landscape of health care has been changing ever since. Few would argue that health care reform was needed, as the cost of health care had been out of control for some time in this country. However, many in the health industry feel that although the intent may have been honorable, the repercussions of reform-compliance is wreaking havoc in the health care industry and may lead to even further problems. The Trickledown Effect Most of the issues surrounding the changing landscape of health care are a direct result of health care reform. Changes in legislation have produced a trickledown effect, beginning with the small rural hospitals. For example, one such opinion is expressed by Dr. Scott Litten in a blog on the website Physicians Practice, where he states: While the intent of the ACA was good, the aftershocks [of the passage of The Affordable Care Act] are changing the very way we practice medicine. Small  hospitals in rural areas will be the first ones to enact changes. Reimbursements are not increasing and the new penalties that hospitals across the nation face for readmissions within 30 days, the decreasing numbers of actual admissions, and the increasing numbers of outpatient observation admissions are forcing all facilities to lay off personnel and decrease services provided. Coupling this with the fact that fewer patients are coming to doctor’s offices for services produces a very steep decline in revenue. (Litten, 2013). According to Dr. Litten, this decline in revenue is just the tip of the iceberg. Businesses are facing a similar problem. Insurance premiums are rising, forcing employers to pass this cost on to the employee, making it more expensive each time they receive health services. This in turn discourages trips to the doctor’s office, and the cycle is repeated. Contributing to this decline, Medicaid also has been slow to increases coverage, forcing many practices to no longer accept Medicaid patients. Dr. Litten believes the changes practices are facing have produced a perfect storm for our healthcare industry. And to top it all off, the sluggish economy is causing everyone to cut back on regular spending, which has a trickledown effect on medical practices and hospitals alike. He further sees no change in these effects in the near future, and believes physicians will continue to struggle with how to provide quality health care with less resources. The Wide Gap in Opinion Prior to the passage of the Affordable Care Act, most Americans would have agreed health care reform was needed in this country. However, the wide gap in opinion on whether â€Å"Obama care† is a good or bad thing seems to center on how this legislation may lead to an even greater problem: government controlled health care. One anonymous physician blogger put it this way: â€Å"The Affordable Care Act was nothing more than a huge power grab by the government, the Executive branch in particular. All of the resulting chaos is planned, which will ultimately force out private insurance and thereby establish a single payer system (government) with physicians becoming part of the public service union. When that comes to pass, I’ll retire or maybe set up a â€Å"boutique† practice working 2-3 hours/day; 2-3 days/week for the  patients who can afford it. My selfish concern is: who will be there to take care of me when I need it? Fortunately, I will be in a position to pay for a concierge doctor. Welcome to British style medicine. (Anonymous, 2013). Even advocates of â€Å"Obama care† express concern that nothing in it addressed malpractice costs and tort reform, economic price feedback loops, or increased responsibility on behalf of the consumer. Another blogger states â€Å"It, [The Affordable Care Act] means more people are eligible for subsidized coverage which will add to the long term deficit issues and healthcare costs unless other changes are made.† (Litten, 2013). These issues, along with others that may arise before full implementation of The Affordable Care Act are realized, will need to be addressed if we are indeed to be successful in attaining affordable health care for all Americans. Adapting to Change How are we as an industry and a people to survive these changes? Mark Twain once said â€Å"It’s not progress that I mind, it’s the change I don’t like,† and the same can be said of the health care industry. People in general are opposed to change, especially when they do not have a good understanding of the issues. But â€Å"Obama care† is here to stay, and understanding the intent, specific benefits, and potential for positive reform is the first step in adapting to these changes. We have the ability to research and investigate the many options available to us as both consumers and providers of health care. Knowing what health care reform means on a personal level as well as a business level will not only help us understand and adapt to health care reform, but we may also find that there are many way this reform may indeed work to our benefit in the long run. References Litten, S. J. (2013, May 24). Health Care Reform is Changing the Landscape in Medicine. Retrieved from Physician Practice Web site: http://www.physicianspractice.com/blog/healthcare-reform-changing-landscape-medicine

Us history

We take nothing by conquest, Thank god. Zinn uses this statement to present how atrocious the conquest really was since there was a conquest. America wanted to hide it's evil ways behind the facade of saying that America acquire land always through peaceful purchases. The war was very unpopular to many.Polk said that the war was to gain California and also said that Mexicans invaded first. On this chapter Zinn focuses on the Mexican American war and how it really was a conquest caused by Polk. In 1821, Mexico won it's independence in a revolutionary war against Spain. Mexico was a large country which included Texas, New Mexico, Utah, Nevada, Arizona and part of Colorado. In 183 Texas broke of from Mexico and declared itself † The lone star republic† and in 1845 the U. S Congress brought it into the union as a state.Later in spring of 1846, all that was needed was a military incident to begin the war Polk wanted. It happened after General Taylor's quartermaster, Colonel Cr oss isappeared. His body was found eleven days later. It was assumed that the Mexicans had killed him. A lot of the Anti-Slavery congressmen voted against all war measures. Seeing the mexican campaign as a means of extending the southern. Slave territory Joshua Giddings explains his vote against supplying men and arms for the war.To Howard Zinn looks like Polk was the only one that wanted California to be part of his nation. The war barely begun in the summer of 1846, when a writer who lived in Washington refused to pay his Massachusetts poll tax. Denouncing the mexican war. He was put into Jail and spent the night there. Zinn argues that the president Polk pushed for the war because he wanted to expand. He wanted to go as southwest as possible. He thought the United States needed to be larger. Polk wanted California for America before anyone else could get it.It was not right for him to move his troops into an area that was already claimed by Mexicans. The war was not popular and t he soldiers wanted to go home. Like Zinn said † I don't think it was right to Just take land from Mexico Just because the president wants it. I think thats ot fair. Polk's leadership as president ofa nation that was quickly expanding not care for the mexican people already living there. Zinn gives a quote from the diary of Colonel Ethan Allen Hitchcock, who opposed measures taken by General Taylor to annex Texas.Hitchcock explains, â€Å"He seems to have lost all respect for Mexican rights and is willing to be an instrument of Mr. Polk for pushing our boundary as far west as possible,† (A people's history of the United States page 150). The feelings for this burst of expansion were varied; some believed it unnecessary to ifferent degrees and opposed or refuse to go into war with Mexico Just to take their land , while others strongly favored the extra land.In fact, a new attitude was developed during this time, the one of â€Å"manifest destiny'Americans technically wen t into conquest because Cross was found dead eleven days after he disappeared and Mexicans were responsible for it. They didn't know who killed it so they actually went into conquest because Polk was already planning on taking California from Mexico. Americans assumed the war begin by the mexicans after killing Cross. No one wanted to go to war with anyone. The American people were not excited or impatient for this.In conclusion a part of me was shocked while another part of me knew that these actions were not uncommon. While it is hard for me to determine what the United States' goal is right now (perhaps stability) it's easy to see what kind of mindset these powerful leaders back then had. It was all about the idea that Americans were entitled to the land they set their eyes on. knowing that the united states of America used to be so grossly land-obsessed. Then again, who knows what our country is obsessed with today; it could be land once again. Us history We take nothing by conquest, Thank god. Zinn uses this statement to present how atrocious the conquest really was since there was a conquest. America wanted to hide it's evil ways behind the facade of saying that America acquire land always through peaceful purchases. The war was very unpopular to many.Polk said that the war was to gain California and also said that Mexicans invaded first. On this chapter Zinn focuses on the Mexican American war and how it really was a conquest caused by Polk. In 1821, Mexico won it's independence in a revolutionary war against Spain. Mexico was a large country which included Texas, New Mexico, Utah, Nevada, Arizona and part of Colorado. In 183 Texas broke of from Mexico and declared itself † The lone star republic† and in 1845 the U. S Congress brought it into the union as a state.Later in spring of 1846, all that was needed was a military incident to begin the war Polk wanted. It happened after General Taylor's quartermaster, Colonel Cr oss isappeared. His body was found eleven days later. It was assumed that the Mexicans had killed him. A lot of the Anti-Slavery congressmen voted against all war measures. Seeing the mexican campaign as a means of extending the southern. Slave territory Joshua Giddings explains his vote against supplying men and arms for the war.To Howard Zinn looks like Polk was the only one that wanted California to be part of his nation. The war barely begun in the summer of 1846, when a writer who lived in Washington refused to pay his Massachusetts poll tax. Denouncing the mexican war. He was put into Jail and spent the night there. Zinn argues that the president Polk pushed for the war because he wanted to expand. He wanted to go as southwest as possible. He thought the United States needed to be larger. Polk wanted California for America before anyone else could get it.It was not right for him to move his troops into an area that was already claimed by Mexicans. The war was not popular and t he soldiers wanted to go home. Like Zinn said † I don't think it was right to Just take land from Mexico Just because the president wants it. I think thats ot fair. Polk's leadership as president ofa nation that was quickly expanding not care for the mexican people already living there. Zinn gives a quote from the diary of Colonel Ethan Allen Hitchcock, who opposed measures taken by General Taylor to annex Texas.Hitchcock explains, â€Å"He seems to have lost all respect for Mexican rights and is willing to be an instrument of Mr. Polk for pushing our boundary as far west as possible,† (A people's history of the United States page 150). The feelings for this burst of expansion were varied; some believed it unnecessary to ifferent degrees and opposed or refuse to go into war with Mexico Just to take their land , while others strongly favored the extra land.In fact, a new attitude was developed during this time, the one of â€Å"manifest destiny'Americans technically wen t into conquest because Cross was found dead eleven days after he disappeared and Mexicans were responsible for it. They didn't know who killed it so they actually went into conquest because Polk was already planning on taking California from Mexico. Americans assumed the war begin by the mexicans after killing Cross. No one wanted to go to war with anyone. The American people were not excited or impatient for this.In conclusion a part of me was shocked while another part of me knew that these actions were not uncommon. While it is hard for me to determine what the United States' goal is right now (perhaps stability) it's easy to see what kind of mindset these powerful leaders back then had. It was all about the idea that Americans were entitled to the land they set their eyes on. knowing that the united states of America used to be so grossly land-obsessed. Then again, who knows what our country is obsessed with today; it could be land once again.

Family Nursing Diagnosis Essay

A patient is considered to be individual and unique in his or her own way, a family is one and distinctive within a community (Christianson, Powell, Huhn, & Blanton, 2012). According to Stanhope and Lancaster (2012), a family nursing assessment identifies family problem areas and family strengths that help build for interventions to maintain health. In providing a family with nursing diagnoses, utilization of appropriate family assessment tool would be of benefit (Christianson, Powell, Huhn, & Blanton, 2012). A.T. is a 36 year old Caucasian female who is 5 feet 3 inches and weighs 180 pounds. A. T. has two chronic illnesses: Hypertension and Diabetes, with prescribed medication that she is supposed to takes twice a day. A.T. is a full time cashier at Marshalls and lives in the Old Salem, the minority area of Winston-Salem, North Carolina. A.T. lives with her three children and husband of five years. A.T. was married previous and had two sons N.W. and H. W. She is currently in the process of getting full custody of her two oldest sons. Her husband T.T. is a 39 year old Caucasian male who is 5 feet 5 inches and weighs 230 pounds. He is self-employed as an electrician. T.T. was in a four wheeler accident two years ago which lacerated his spleen. T.T. had surgery to remove his spleen. He takes daily medications to prevent serious infection. T.T. smokes one pack of cigarettes a day sometime in the home and outside. N.W. is 12 year old male who does not like school, but enjoys baseball and hunting. He has a comprehension learning disability and has an IEP with the school system to assist with learning needs. N.W. is in middle school. His school starts at 6:45 am which mean N.W. has to be on the bus at 5:50 am because the middle school is a 20 minutes from the family’s home. H.W. is a 9 year old male. He enjoys school and spending time with his family and friends. E. T. is the family’s five year old daughter who is in kindergarten at a title one school. E.T. has asthma which is controlled by Singular and Albuterol inhaler. E.T. also has a speech delay and receives speech therapist twice a week at school. The T family currently lives in a 1950 one story 1000 square foot house with a basement. The family remodeled the basement to make two bedrooms, therefore, the home has four small bedroom and two bathrooms. A.T. dislikes the way the home was placed on the property. She feels she has no privacy because both homes to her right and left are extremely close. A. T. also  would like a larger driveway due to having to park on the street and a larger backyard. The family feels safe in their community due to community watch by neighbors and the police patrol the area often. A. T. and T. T. has no family that lives near but has numerous friends. A.T. enjoys reading, shopping, and spending time with family. A.T. and T.T. drink socially. A.T. and T.T. does not exercise often. A.T. said that she has not been to a primary care provider in over three years and admitted that the whole family does not go to their primary care provider unless they are sick or needs medication refills. A.T. said that she uses meditation and relaxation techniques to handle stressful situations. The family eats fast food three times a week. Watson’s theory of caring is the foundation for professional nursing (Simourd, 2013). Watson’s theory of human caring focus on the human aspects of nursing as it relates to scientific knowledge and nursing practice (Simourd, 2013). Her theory focused on promoting health, preventing illnesses, caring for the sick and restoring health (Simourd, 2013). Watson’s theory promotes nurse and patient interaction but focuses on developing a caring relationship. Caring for patients promotes growth and caring environment which promotes healing. Watson believed that holistic health care is central to the practice of caring in nursing (Nursing Theory, 2013). Many of the Watson’s carative factors are helpful for community health nurses. Several carative factors focus on the nurse’s part of the caring relationship in clarifying values to the clients (Nursing Theory, 2013). Understanding one’s self and being sensitive to others is as important in caring for the community as individuals. Community caring occurs within a helping-trusting relationship and is directed toward protecting and enhancing the self-esteem of other (Nursing Theory, 2013). Watson’s theory is connected to community health through it focus of promoting health, preventing illnesses, and restoring health. One nursing diagnoses for the T family is Nutrition, Altered: Imbalance more than body requirement related to increasing BMI for both parents and the children. Healthy People 2020 Leading Health Indicator related to this nursing diagnosis is Nutrition, Physical Activity, and Obesity (Healthy  People 2020, 2013). One nursing intervention related to the nursing diagnosis includes providing education to the family about appropriate calorie intake, the need to increase the intake of fruits and vegetables, the importance to reduce sugar intake among the children, and to reduce fast food. Another nursing intervention is connecting the family with the Forsyth County Department of Public Health for nutrition classes and cooking class that is offered through Cooperative Extension Service. A third nursing intervention is to discuss and implement an exercise plan with the family that includes at least one hour of vigorous exercise each day as tolerated. Good nutrition, physical activity, and healthy weight are essential parts of a person’s overall health and well-being (Healthy People 2020, 2013). The second nursing diagnoses for the T family is Ineffective Health Maintenance related to insufficient knowledge about the detrimental effects of active and passive smoking. Healthy People 2020 Leading Health Indicator related to this nursing diagnosis is tobacco (Healthy People 2020, 2013). One nursing intervention is to provide education to T.T. about the effects of secondhand smoke and provide education to T.T. about smoking outside and not around the family (Wang, Hu, & Lam, 2011). Second nursing intervention is to provide education on cessations and identify triggers that increase tobacco usage (Wang, Hu, & Lam, 2011). A third nursing intervention is to provide T.T. information to QuitlineNC which provides free cessation service to any North Carolina resident who needs assistance quitting tobacco use (OuitlineNC.com, 2014). The QuitlineNC information is provided through the Forsyth County Department of Public Health. Tobacco use is one of the most single preventable cause of disease, disability, and death in the United States (Healthy People 2020, 2013). Tobacco usage is one of the United States deadliest and most costly public health challenges (Healthy People 2020, 2013). The third nursing diagnosis for the T family is Ineffective Health Maintenance related to limited use of primary care provider. One nursing intervention is to provide education about the value and need for regular preventive visits with a primary care provider for the family. Second nursing intervention is to assist the entire family in obtaining a primary care provider appointment for each member of the family and remind the family of the appointments that are scheduled. A third nursing intervention is assessing the barriers related to reason the family is  inconsistent with primary care visits. Healthy People 2020 Leading Health Indicator related to this nursing diagnosis is Access to Health Services (Healthy People 2020, 2013). Increasing access and providing information about routine medical care is one essential step in improving the health of all Americans (Healthy People 2020, 2013). There are a few legal and ethical considerations in the community of Winston-Salem. The homes within the city are built close to each other. Homes close together may have been completed so that contractors could maximum the number of homes within the city. In doing so, this has violated the resident’s privacy and sense of space. A solution for this concern is that the city of Winston-Salem provides each resident with a privacy fence around the property. Another legal and ethical consideration in the community is that the City of Winston-Salem fire department is limiting the number of emergency medical calls due to an increase in fuel amounts and usage. The residents’ concerns continue to rise due to the limited number of ambulances and personal. Solutions to this concern is to have the Winston-Salem Fire Department start back running medical calls with Emergency Services or to increase the number of paramedics and ambulance within the community. A third legal and ethical consideration for the community of Winston-Salem is banning cigarette smoke on and around County property, the local hospitals, and the property of the school system. Secondhand smoke is as dangerous as first hand smoke. Secondhand smoke can cause cancer and heart-disease for non-smokers. A solution for this concern is for the Forsyth County Department of Public Health to advocate to the county commissioners to ban cigarette smoke on and around county property, local hospitals, and school systems. I will advocate and provide case management services for the T family. I will explain options for access to care and explain the importance of playing an active role in their healthcare. T.T. has no spleen, therefore, it is vital for him to use services within the community to prevent disease and maintain compliance with medications. E.T. has asthma; it is a chronic condition that requires frequent monitoring and education. Medications can be expensive and it is important that E.T. stays compliant with her  healthcare. A.T. works full time receiving minimum wage and T.T. attempts to work as much as possible but is not guaranteed hours or money which can be stressful for the family. I am committed to assisting the family with community resources. A.T. and T.T. can use services at the Forsyth County Department of Public Health, Southside United Health Center, or Community Care Clinic for primary care related to medical and dental due to having no insurance. The T family health will be affected by secondhand smoke at home and in the community. E.T. suffers from asthma; therefore, the secondhand smoke can trigger asthma exacerbation. E.T. must carry her Albuterol inhaler at all times. T.T. has no spleen; therefore, he has an increased risk for infection. A.T. has hypertension that can lead to heart problems such as CHF and MI. Stress can elevate the blood pressure and cause serious health issues. Stressors for A.T. are the well-being of her children, an attempt to get full custody of her two sons, her children learning concerns, and financial concerns. It is important that A.T. monitor her blood pressure at least daily and to check her blood sugar three times a day before each meal. A.T. needs to keep a log of the values. Due to A.T.’s chronic condition her role as mother and primary caregiver could change at any time. A.T. and T.T. are reluctant in allowing the whole family to receive flu vaccination. A.T. is against the vaccination because of the negative feedback she has heard about the Flu vaccination. She explained that the reason she was reluctant to the vaccination, stating that she heard the vaccination was a live virus, therefore, she feels the family would get the flu. My belief was different from A.T. because I am aware that the flu vaccination is an inactive form of the virus that is injected into individuals, to allow the body to build up immunity. I explained the reason the flu vaccination is needed each year and A.T. stated that she would get the family their flu vaccination this fall (Oppel, 2012). I explained to A.T. that the Forsyth County Department of Public Health can provide more education on the need of the vaccination and can administer the vaccination free to the family. Education for this family will include healthy eating habits, daily exercise regimen, smoking cessation, the effects of second hand smoke, health management, and health access. Resources available to  this family are Forsyth County Department of Public, Community Care Clinic, Southside United Health Care center, and QuitlineNC. These resources were chosen because the family displayed and verbalized needs for education.

High School and Enrollment Essay

1. 0 Introduction 1. 1 Background of the Study Now days the enrollment processing is always the toughest time the school faces every year. The subject of our study is the Silway-8 National High School, a public school located at Silway-8 Polomolok, South Cotabato. This school employs 34 teachers, 1 principal and has a student population of 1,325 this year. The enrollment procedure of the school is manually done, though they have computer units, they use the computer only for printing ordinary reports and for the student’s computer laboratory session. During enrollment the principal assigns one chairman for each year level to handle the enrollment processing. In using the manual process of enrollment they find it hard to handle such a collection of records. It is a long procedure and time consuming task particularly in recording, filing and retrieving of student’s information. The proponent’s proposed a Computerized Enrollment System that will reduce the processing time of enrollment process. A system that provides a faster and organize way of storing and retrieving student’s record. 1. 2 Overview of the Current State of Technology. The goal of this study aims to develop a Computerized Enrollment System for Silway-8 National High School. This System stores information in a faster, systematic and more convenient way of storing files of the enrollees in a computer . The work load of the enrollment in-charge are lessen in storing files of each student every now and then. The enrollment procedure of Silway-8 National High School is done manually. This manual process of enrollment creates difficulties in handling records, like storing, securing and retrieving of files. The processing aspect is time consuming. They have hard time classifying students for sectioning and they don’t have back up for their records. Once a record is lost they cannot retrieve it. When the school was once hit by flash floods all of their records were destroyed. These are the reasons that brought the proponents to develop a Computerized Enrollment System that will ease the hassle and burdens of the enrollment in-charge with the manual process. In this study, the use of Visual Basic . Net and Navicat for mySQL database will help to improve the efficiency of the enrollment process of Silway-8. National High School. 1. 3 Project Rational As such, having a computerized Enrollment System would increase the efficiency by reducing human error of recording and filing such records. It would also lessen storage area and would provide easy access for reference by the administrator or any personnel if needed. Computerized Enrollment System is design for the benefits of Silway-8 National High School. It will help the faculty in monitoring the records of the students. Computerized Enrollment System is use to make the transaction fast, and accurate. It can display the records of each student through student LRN and all other information. Systems operations proceed faster, more efficiently and with greater accuracy than manual enrollment systems. This can lessen the workload and provides accurate information needed of the school. As a result, it will benefit not only the student but the administration as a whole. 1. 2 Statement of the Problem 1. 2. 1 General Problem The Silway-8 National High School is currently using a manual Enrollment System that is cumbersome and inefficient monitoring of Enrollment process. 1. 2. 2 Specific Problem. Manual procedure of enrollment is time consuming, long procedure and records are not secured. It can be easily damaged and can be updated by unauthorized personnel without permission of the administrator. 1. 2 Objective of the Study 1. 3. 1 General Objectives * To help ease the problem in managing records on enrollment of Silway-8 National High School 1. 3. 2 Specific Objectives * To develop a Computerized Enrollment System to handle and manage student’s records that provides easy searching and retrieval of records. * To help the school have a secured data storage for enrollment record. 1. 3 Significance of the Study The significance of this study is to develop a Computerized Enrollment System that will help Silway-8 National High School for a much organized and easy Enrollment System. It will also help secure the data of the school; it will reduce processing time for enrollment since they can easily view the information of the enrollees and print the class list to know the students who are currently enrolled in the specific year. If just in case student fails a subject, through the said system they were able to extract accurate student records. For the proponents, it will help us to cultivate our knowledge and skills in programming and system development as a source of experience. We can then be able to train ourselves and practice in the real world of work of our chosen course. This study aims to develop a computerize enrollment system. With the computerized enrollment systems helps save time for the school and provide faster way on recording transactions. Through this study the researchers will learn the importance of enrollment system in a business organization. The computerize enrollment system is a big help to solve the problems that have encountered by the school. 1. 4 Scope and Limitation 1. 5. 1Scope Computerized Enrollment System is intended for Silway-8 National High School and designed to perform the following: * Can add, edit, update and search information related in enrollment transactions. * It has security access level through log-in forms with different users. * Can provide class list for teachers * Can generate reports and prints. * The System is Network base. 1. 5. 3 Limitations The system cannot be used for other school activities like: * Clinic transactions, science laboratory and supply room transactions of the school. The system does not include transaction like: * accounting * billing * Cashiering * grading system * for class and subject scheduling * Methodology After a detailed consideration among the members of the group, the proponents agreed to use SDLC or the System Development Life Cycle as our methodology for the system that is to be built. One advantage of using SDLC is it can return to its preceding phase in case of errors at any of its stages. The SDLC is the process of creating or changing systems, models and methodologies that is used to develop the system. The idea generally refers to computer information system. The phases of SDLC are shown below. PLANNING ANALYSIS DESIGN IMPLEMENTATION MAINTENANCE Figure: 2. 0 System Development Life Cycles Planning Phase In this phase, the proponents starts to search where the manual evaluation of the process takes place like gathering data through conducting interviews and gather some necessary sample reports to the school and then the group planned to divide the work load to each member. In this phase the project duration and measure was identified to come with a project that is achievable. Analysis Phase  The proponents start to gather information to come up with a solution for the problem of the company. Analyzing the process of evaluation by considering the actual evaluation and finding out what the evaluation takes, and build a further flexible, efficient and appropriate system for the improvement of the manual system. The proponents will also identify the requirements that are required in structuring the new system, and how it will improve the transaction being done by the company. Design Phase During this phase, the proponents started to build the system’s interface of the whole system using the information being gathered. The features and functions of the system are individual built to answer the problems and to comply the necessary requirements. The proponents used Visual Basic. Net programming language and MySQL as backed for the said system. Implementation Phase In preparation for implementation, the necessary data for the execution of the system will be collected from respective sources, i. e. the registrar. These data will then be uploaded to the server here it will be imported into the system. Prior to formal launch or deployment, the system will be tested to confirm the availability of the imported data. Maintenance Phase  Software Maintenance is a process of changing a system after it has been delivered and in use. After the software is being delivered, changes may occur because of errors have been encountered. 3. 0 Data Gathering Procedures & Output The proponents conducted a group discussion to identify which company we should choose as the subject of our study. After the proponent had chosen a prospect company, the proponents prepared a letter of request for the respondents asking permission in making Silway-8 National high School as the subject of our study. The letter was presented to the school principal Mrs. Eva Cosep with the focus and objectives of the study. Upon the approval of the request, the proponents prepared an outline as a guide questionnaire to lead them in gathering important information needed for the success of the study. With the data being gathered, the proponents were able to draw the structure of the project. Interview – the proponents have an open communication with the user who is involved in doing the manual process of the school transactions. The team was provided with materials and sample documents of the existing reports as well as interview with the individuals involved of the process. Library Research – as additional information for the proposed Computerized Enrollment System the proponents referred to the unpublished and published books found in the library. Internet Research – the proponents used the internet for information gathering regarding Enrollment System. 4. 0 The Existing System 4. 1Company Background The Silway-8 National High School is located at Silway-8 Polomolok South Cotabato. It was establish on June 1986 at present it has 37 faculty staff, 34 teaching staff, 1detailed principal, 3 personnel and maximum of 1,325 students. The total numbers of students are composed of five sections for First Year and Second year, four sections for third year and fourth year, and 65 students per section. The School has 1 computer laboratory but still using manual enrollment system. At present the school principal is Ms. Eva Cosep. 4. 2 Description of the System The enrollment procedure of Silway-8 National High School is done manually. Though the school has computer units but it is used only for the student’s studies and for generating common reports. Every year the school held their enrollment at the gymnasium. The principal assigned one chairman every year level to process the enrollment. The procedure of their manual enrollment system is first the student asks for enrollment form from the chairman and filled it out with the necessary information. The curriculum head (chairman) then checked is the students have complied all of the requirements for enrollment. The chairman takes down the general weighted average of student because that is the basis for sectioning. They don’t have master list of enrollees and when the principal want know the number of enrollees she ask the class advisers the number of students that  comprises in her class. 5. 0 Software/Project Estimation 5. 1 Schedule of Activities GANTT CHART MONTHS| JULY| AUGUST| SEPTEMBER| ACTIVITIES| WEEKS| WEEKS| WEEKS| | 1| 2| 3| 4| 1| 2| 3| 4| 1| 2| 3| 4|. Find a Company| | | | | | | | | | | | | Interview| | | | | | | | | | | | |Project Proposal| | | | | | | | | | | | Planning| | | | | | | | | | | | | Analysis| | | | | | | | | | | | | Design| | | | | | | | | | | | | System Coding| | | | | | | | | | | | | Documentation| | | | | | | | | | | | | Implementation| | | | | | | | | | | | | LEGEND UNFINISHED START DATE COMPLETED IN PROCESS 5. 2 Cost Estimation AMOUNT  Laptop (2 Units)†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ P 60,000. 00 Printing Preliminary printing†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ P200. 00 Final Documentation†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. P 185. 00 Book Binding†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ P 130. 00 Fare†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦ P 200. 00 Miscellaneous†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. P150. 00 TOTAL P 60,865. 00 | Planning includes budgeting to determine how much it will cost to develop the system. In coping up with the estimated cost the proponents made list of all expenses possibly use in the project. In order to minimize the expenses the proponents don’t need to buy the materials needed because some members of our group can provide it voluntarily 6. 0 Proposed System 6. 1 Proposed System Overview The proposed Computerized Enrolment System of Silway-8 National High School is network base. Our goal is to produce a system that will satisfy the needs of the school and students. To meet this goal, we have created the application in our system that enables user to add, edit, search and insert student’s record. This application is intuitive and easy to use, so that the process of enrolment is more convenient. The proponents developed the system which can minimize the time in order to access on the records of the students, as this enrollment process will much faster than the manual system. The system is comprehensive which provide features such as adding students into list, updating student’s information, sectioning of the students, search and view list of enrollees per section and year level. The system also creates class list for the teachers, by entering their name automatically she/he can view the list of students belong in her class. The proponents created a security access of the system which is only the administrator have the full control over the system to prevent discrepancies from happening. Users have limited privileges. They system also have transaction log which the administrator can view who have access into the system on that certain date and time. The action made of the users can be viewed also. These features are created to protect records from being deleted or damaged. The Navicat for my sql is the database the proponents have used to manage and handles the data being stored. 7. 0 SOFTWARE DESIGN SPECIFICATION 7. 1 Process Specification PROCESS 1: User Log-in Enter username of the user THEN enter the password IF the inputs are correct THEN Log-in successful. ELSE IF inputs are incorrect THEN Log-in not successful Repeat END IF PROCESS 2: Add Student Fill all the fields and set values If fields are valid THEN Successfully added ELSE IF adding is not successful END IF PROCESS 3: Search Student Update all fields If all are valid THEN Successfully updated ELSE IF not successfully updated END IF PROCESS 4: Enroll Student Fill all fields If all inputs are correct THEN Enroll Student is successful ELSE IF enroll student not successful END IF 8. 0 System Implementation 8. 1 Programming Consideration. Basically, the proposed system for Silway-8 National High School has four front-end namely the Bookkeeper, Clerk, Adviser and Principal. The Clerk is able to maximize the work load and activity regarding enrollment system. The proponents basically designed the proposed enrollment system using MS Visual Basic. Net as development tool and Navicat for Mysql as the back-end or storage of the database. 8. 2 System Requirements Specification 8. 2. 1 Hardware Requirements The following are the minimum hardware requirements for complete and proper functionality. For best possible result, the proponents recommend to use hardware higher than the requirements stated below: For Standard Set of Computer with the following specifications: * System Unit * At least 256mb RAM * At least 30GB Hard Disk * At least 16Hz processor * Monitor-CTR or LCD * UPS- Un interrupted Power Supply * Keyboard and Mouse 8. 2. 2 Software Requirements Computer Software or just software is a collection of computer programs and related data that provides the instructions for telling computer what to do and how to do it. Below are the software requirements for the system. * Visual Basic. Net * Mysql Navicat * The proponents recommend using at least windows XP operating system installed in the personal computer. However, for better computer performance it is suggested to install higher windows operating system. 8. 2. 3 Human Resources Requirements It is necessarily that a user is a computer literate to be able to operate the computerized Enrollments System for Silway-8 National High School. The designed system is user-friendly that will be easily learned and mastered. The proponents suggest proper training and orientation on how to operate the system. 9. 0 Software Maintenance Plan. We will give the company three months maintenance for the system. After the given time, further maintenance sessions will be charged P500. The maintenance session covers the following: * Debugging of the system in case of any errors. * Updating the system. * Maintaining Hardware components that we required. * Installing new programs and applications that the system needs. * Training of the personnel * Aside from the things mentioned above, we are not responsible to cater other problems except if with payment. Corrective Maintenance The developer will focus on the diagnosis and correction of one or more errors. Corrective maintenance would change the system to correct existing defects. Once the developer finds an error the system must be repair immediately. Preventive Maintenance In this phase, changing some of the system’s component will occur to improve maintainability and reliability to provide a better basis for future enhancement. This performs preventive measures to avoid system errors. Adaptive Maintenance In this phase there would be an occurrence of modifying system’s component in order for the system to accommodate changes to its external environment

Global Financial Crisis Essay Example | Topics and Well Written Essays - 1250 words

Global Financial Crisis - Essay Example Many professionals and experts around the world believe that a true economic recession can only be confirmed if GDP (Gross Domestic Product) growth is negative for a period of two or more consecutive quarters. The roots of a recession and its true starting point actually rest in the several quarters of positive but slowing growth before the recession cycle really begins. While the "two quarter" definition is accepted globally, many economists have trouble supporting it completely as it does not consider other important economic change variables. For instance, current national unemployment rates or consumer confidence and spending levels are all a part of the economic system and must be taken into account when defining a recession and its attributes. An economic recession is primarily attributed to the actions taken to control the money supply in an economy. The Central Bank is the agency responsible for maintaining the delicate balance between money supply, interest rates, and inflation. When this delicate balance is tipped, the economy is forced to correct itself. In an environment where inflation is prevalent, people tend to cut out things like leisure spending. They also budget more, spend less on things they usually indulge in, and start saving more money than they did. As people and businesses start finding ways to cut costs and derail unneeded expenditures, the GDP begins to decline. Then, unemployment rates will rise because companies start laying off workers to cut more costs, because consumers are not spending like they were. It is these combined factors that managed to drive the economy into a state of recession.(Sources: Recessiom.org) The paradigm shift in the US economy was a big contributing factor. The economy shifted to a service based economy from a predominant manufacturing sector. By the year 2009, manufacturing and agriculture constituted less than 10% of the whole economic base. Decline in manufacturing took place mainly due to off shoring or outsourcing but vastly increased productivity was the bigger factor. Lack of security became an issue as the employments trend changed from a long term employment relationship to a short term attachments. The result of the shift from manufacturing to service, in short, has been a disaggregation of employment in which the attachments of workers to particular firms is more tenuous, expected tenures are shorter, and workplaces themselves are often on a smaller scale. The new portable employment included portable pensions; that is a pension plan that moves with an employee when he or she changes the employer. Pension investment became a big business dominated by institut ional investors. With a portable defined contribution systems pension is based on investment returns which created pressure for high returns and also removed employee incentives to stay with a single firm. This resulted in a vicious circle of profit pressure and employment instability. (G.F. Davies, 2009) Following a period of economic boom, a financial bubble-global in scope-has now burst. A collapse of the US sub-prime mortgage market and the reversal of the housing boom in other industrialized economies have had a ripple

The Delivery of Patient Care by Meditech Article

The Delivery of Patient Care by Meditech - Article Example The delivery of patient care is very much dependent on the information gathered on patients. For nurses and doctors administering care for the patient, the importance of accessing such notes and orders with the assistance of Meditech cannot be overstated (Wedel, et.al., 2007). The ease of accessing laboratory values, radiology results as well as doctors’ notes is ensured by Meditech. By allowing easy access to these data, the nurses and doctors would have more time allocated to other more important tasks (Wedel, et.al., 2007). Moreover, they can access the data anytime and anywhere in the hospital facility, negating the need for accessing computers in nurses’ stations. The coordination of information is also less tedious because the nurses or doctors do not have to personally consult with the radiologist in order to get results of tests; moreover, they do not also have to take up too much time with the radiology department or with the medical technicians by securing the results of diagnostic tests personally (Starfield and Shi, 2002). Time is an important commodity in the health care setting because of the issues with limited staff and significant patient admissions, often more than hospitals can handle efficiently (Starfield and Shi, 2002). Sparing any time for health professionals is therefore an important addition to the efficient delivery of health services. In effect, the use of Meditech is a welcome addition to the health care practice. The importance of Meditech in prevention of allergic reactions and potential reactions is also highlighted (Wedel, et.al., 2007).

Haitian Culture and Society Essay Example | Topics and Well Written Essays - 1500 words

Haitian Culture and Society - Essay Example This paper outlines the origins of Haiti’s poverty in its geography, history and political evolution. There is then an outline of the main features of Haitian culture and a discussion of what culture is and how it is understood within Haiti and by outsiders looking on. Finally there is an explanation of the paradoxical â€Å"rich in culture but deep in poverty† paradox which both sustains Haiti’s sense of identity and inhibits its development in the future. Haiti’s geography is typical of the Caribbean region in so far as it is part of a larger tropical island. The Dominican Republic occupies the Eastern portion and Haiti has the smaller western portion. The terrain is mountainous in parts, and conducive to fruit and timber production, and the surrounding seas provide ample fishing possibilities. The climate is drier than in most surrounding islands which presents some problems for agriculture. Mineral resources are present, which made the island an attrac tive target for colonial activities from the 15th century onwards. The early history of Haiti is lost in the time before literacy and so it is impossible to tell exactly when and how the area was colonized and who set up the first settlements there. What is clear, however, is that the land was inhabited by an Amerindian people called the Tainos long before Columbus and the Spaniards arrived. The whole island was known as â€Å"Hispaniola† in deference to the European conquerors and it was quickly taken over and subjected to the exploitation of plantation and mine owners, using the local population as a convenient workforce. From this time onwards a pattern of emigration developed which still haunts the country to this day. The incoming Europeans brought with them many aspects of Western culture including the Roman Catholic faith, colonial architecture and incidentally also many diseases and vices which were unknown to the indigenous population. There are some records of local culture, including sporting and cooking practices, house designs and the â€Å"elaborate social structure organized around local chiefs or caciques.† (Girard: 2005, p. 19) Having taken what they wished from the part of the island which is present day Haiti, the Spaniards retreated to the far eastern tip of the island and left the west to return to its natural tropical jungle state. The next wave of conquerors were the French who added slavery to the list of exploitative practices that were used in Haiti. This brought huge changes to the island, such as the arrival of many thousands of captives from Africa and the building of western style cities and roads. It was at this point that one of Haiti’s most famous cultural practices was introduced: the tradition of voodoo. This was a loosely defined set of religious and cultural beliefs based on the polytheistic societies in West Africa. It existed alongside Catholicism, and the population often integrated elements of both religious traditions into their lives and practices. A combination of poorly educated priests and strong ties to ancestor and spirit worship from Africa ensured that this unusual combination was maintained into the present time. This syncretism is perhaps one of the most significant features of Haitian culture and it is carried through into its art, architecture, language, music and sports. Discrete