Primary Care Practices For An Existing Ehr System - 933 Words

The goal of my case study was to understand the current use of EHRs in primary care practices. The objectives were to determine whether primary care practices are using advance EHR functions, what challenges they face, and how advanced functions are successfully incorporated into the care they provide. The case was a qualitative case study of 6 primary care practices with an existing EHR system in the state of Virginia only. The selection was based on a maximum variation of quality-related activities, location, and ownership. The sample included small independent practices as well as practices that are fully owned and operated by larger healthcare systems. The practices had only 1 to 9 physicians and were reimbursed $2000 for data collection efforts. A multidisciplinary research team did the data collection in order to draw different perspectives. The team included subject matter experts from family medicine, healthcare management, information technology, nursing, and social work. Data was derived from three onsite visits. The onsite visits included in-depth interviews and observations of interpersonal relations and the National Survey of Physician Organizations over a 16-month period (2010 to 2011). The interviews conducted onsite were audiotaped and transcribed. Data was also collected from telephone interviews. There was no information provided about the phone interviews other then that they were conducted. The information was gathered from 38 individualsShow MoreRelatedThe Implementation of an Electronic Health Records System: Advantages and Disadvantages1784 Words   |  7 Pagesï » ¿RUNNING HEAD: Implementation of Electronic Health Records System Implementation of Electronic Health Records System Student Name University Name Abstract The preceding paper discusses the implementation of Electronic Health Records (EHR) in detail. The advantages and disadvantages of the implementation of EHR have been highlighted in the paper. 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Current Status and Impact of Health Care Reform - 1667 Words

To: Client Name From: Joseph Willis Subject: Current Status and Impact of Health Care Reform Date: 25 January 2011 The purpose of this report is to examine the current state of health care as well as the impacts that new legislation will have on the United States healthcare system. Specifically, this report will inspect the immediate and long term effects of the healthcare reform bill HR 3590 that was signed into law on March 23, 2010 as well as investment advice on the medical care industry. There are two main topics when it come to health care reform, coverage and cost control. Both sides of the debate recognize these as the eventual goal but both sides have different opinions on the procedure to achieving this goal. The†¦show more content†¦When it comes to the constitutionality of the individual mandate many of the bills supports will look to the commerce clause and seek justification for its passage. 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Duality Throughout Shakespeares Elizabethan Plays free essay sample

Explores the theme of duality in Shakespeares early comedies, histories, and tragedies. This paper looks the theme of duality that is present in most of Shakespeares early plays. The paper explains how, whether the play is a comedy, a tragedy or even a history, the theme worms its way into the plot of the play either as a dramatic device or a source of comic relief. To help illustrate the duality theme, the paper looks at plays such as As You Like It, A Midsummers Night Dream, The Merchant of Venice, and Romeo and Juliet. There is a theme of duality that runs throughout Shakespeares repertoire. From his comedies to his tragedies to the histories, Shakespeare exposes the dual nature of human beings at every available opportunity. Whether the character is an attention-starved daughter or a prospective king, having them pretend to be something that they are not is one of Shakespeares most common plot devices. We will write a custom essay sample on Duality Throughout Shakespeares Elizabethan Plays or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page It is an easy way to manipulate other characters, create dramatic irony, or to set-up a comic situation.

Hotel Description Location The Grand View Hotel Tourism Essay Example

Hotel Description Location The Grand View Hotel Tourism Essay The Grand View Hotel is a traditional hotel built in the 1950s offering traditional installations. It is sited on the seafront at a convenient location, which is near to its competition hotels and the chief shopping centre. Accessibility of the hotel is high. It is less than 30 proceedingss from the nearest airdrome and supported by good route, rail and coach associating to major metropoliss. The Grand View Hotel is a 250 suites constitution in which 200 are dual suites and 50 are king bedded suites, all includes private bathroom. The suites are of a good size, comfy and with different cosmetic manners. At present, there is a big garden and a little swimming pool in the hotel, parking infinite with a capacity of 120 autos is besides available. On top of that, there is a eating house which serves counter for breakfast and tiffin every bit good as a La menu for dinner. The anteroom sofa country is reasonably big which is suited to a concern type of hotel. There is besides a saloon ; nevertheless it is in hapless cosmetic order. We will write a custom essay sample on Hotel Description Location The Grand View Hotel Tourism specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Hotel Description Location The Grand View Hotel Tourism specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Hotel Description Location The Grand View Hotel Tourism specifically for you FOR ONLY $16.38 $13.9/page Hire Writer There were several refurbishment plans launched which included the marks replacing, redevelopment and redecoration of forepart desk, eating house and saloon. By and large talking, the hotel is in good physical status except the forepart desk. On top of that, the hotel used to redecorate 25 guest suites each twelvemonth. Consistent Standard of Excellence: We will systematically supply our invitees with a superior quality merchandise and do a witting day-to-day attempt to be better than our competition. Personalized Guest Service: We will run into the specific meet of each invitee with a professional, friendly, prompt, gracious, and enthusiastic, attitude from all staff all times. Company Goals The intent and values of Grand Ford are to bring forth a multi-faceted success. Keeping the fiscal wellbeing of hotel by the rigorous control of all costs at all times without exclusion. Gain repute by supplying high quality of merchandises and services which beyond the invitees outlook. Increase the quality of the full work forces and cut down the staff turnover rate by supplying better staff preparation A ; benefit. Supply a antic and comfy environment to every valuable client in order to fulfill their demands. Company Aims In order to make our ends, several aims should foremost be achieved: Reduce the entire labour cost from 46 % to below 35 % within the first twelvemonth. Reduce the cost of gross revenues in F A ; B section to 35 % within the first twelvemonth. Reduce the one-year staff turnover rate from 102 % to 50 % within the first twelvemonth. Increase the mean room tenancy rate from 19 % to 55 % within 2 old ages and make the criterion of 70 % within four old ages. Human Resources Human Resources Policy The hotel is able to cut down labor costs and staff turnover by engaging the right individual for the right place at the right clip for the monetary value, or wage in another word. Training plans will be provided to staff mambers in order to heighten their public presentation therefore the guest satisfaction and eventually increasing profitableness. Organizational Structure Staffing It is known that decrease of staff can be a de-motivator, nevertheless, there will be a immense over staffing if we do non cut down any work force on such a low tenancy. It is planned to cut down serveral staff in some peculiar sections such as housework and front office. With the growing of concern and new coming building undertakings, the hotel will surely relocate and engage a certain munber of staff in order to keep a smooth day-to-day operation. Staffing degree will be monitored on a monthly footing in the first twelvemonth operation and quarterly in the remainder of the operation with high degree of flexibleness. Recruitment With the purpose of holding the most suited individual to be crew members who are able to bring forth an overall experience beyond invitees outlooks, both internal and external recruiting methods will be applied in the Grand View Hotel. Positive attitude, enthusiasm, outstanding interpersonal relationship and high criterion of making will be required for contraptions. Aiming to make the possible pool of contraptions, enrolling advertizement will be placed in industry diaries and in the hotel s official web site. For the internal readying, the hotel will reexamine the occupation analysis on a regular footing to guarantee that the paperss best describe the occupation and that they are decently prepared for effectual enlisting and choice procedure. On top of that, Torahs and ordinances will be taken under serious consideration during the procedure. Choice In order to be just and to acquire the most suited individual to make full up vacancies, a multi-hurdle scheme will be applied intending that riddance of campaigners during choice procedure will be based on the occupation specification. Interviews will be the most normally used tool to measure a campaigner. Furthermore, for external contraptions, occupation trials will be another method that the Grand View will utilize to choose an operational staff while group appraisals will be applied for the remainder. For internal choice significance publicity and resettlement of staff, possible employees public presentation and yesteryear records will be taken under consideration. Orientations Orientation plans are designed to supply new employees a clear way of their occupation and the hotel waies. The hotel can profit from a good orientation plan in footings of higher morale in the workplace therefore bettering the public presentation and the productiveness and hence a higher bottom line . Sing the above factors, orientation plans will be provided to each staff member within their probation period in the Grand View Hotel with the undermentioned elements. Aimed to better the accomplishments and public presentation of staff members, therefore heighten the clients comfort and satisfaction hence raise the repute and influence the gross of the hotel. Training for staff in all degrees is considered as the chief measure to accomplish ends. On the occupation preparation is one of the preparation methods that will be applied in the Grand View concentrating on operational and entry degree staff. It is effectual in both cost control and public presentation betterments as it is conducted during concern operation in existent work scenes. For managerial degree staff, group treatment and workshops will be utile in order to portion experience and maintain path of the hotel s operation by and large. All preparation plans will be reviewed on an one-year BASIC. Besides on-site preparation, off-site preparation is besides encouraged. The hotel will back up staff to take occupation relevant classs organized by recognized organisations. Staff Payroll We intend to keep an one-year staff paysheet with a upper limit of 35 % of entire gross. Salary of degree 1 will be offered to entry degree employees and degree 2 for section caputs for the first half twelvemonth in order to command costs. However, salary degrees will be adjusted harmonizing to the public presentation which will be reflected by the bottom line in order to actuate the staff and ecourage better public presentations. Salary decrease will remarkably be seen in the Grand View Hotel since this will de-motivate the employees and as a consequence, the staff turnover rate will increase. Environmental Scan Political The political environment includes such countries as authorities policies, political tendencies and internal political issues. The political environment is really stable and good for the hotel significance that the political state of affairs supports local concerns and constitutions. This is highly good for the hotel s hereafter because this means it can concentrate on pulling more markets intending more assortment in clients. We can besides concentrate on the client satisfaction which involves their demands and outlooks. September 11th had a immense impact in the touristry in the USA. The uncertainness of political state of affairs because of the September 11th attracts, have led possible clients to believe twice about going abroad or within the state itself. This has a immense consequence on the hotel s concern which we will besides hold to incorporate in to the analysis. Economic Since the chief industries of the country are Distribution/ Hospitality, Banking and Finance. We intend to run into the demand in these countries by offering assorted services particularly in the country of conferences since our mark market is concern costumiers during the weekdays. Unemployment degrees besides have a large consequence on the economic state of affairs. The employment degree is high particularly in the countries of management/professional and clerical/secretarial work. This in return AIDSs our hotel in the manner that the environment is safer due to the high employment rate and this attracts more travellers, giving us the chance to catch the attending of these clients, to maximise our gross. Social The employment degree is really high ; it is presently half of the national norm. A big proportion of the populations of that employment degree are in management/professional and clerical/secretarial occupations. But besides the employment degrees for skilled non-manual, skilled and semi-skilled manual work is besides high. But that is non the instance for unskilled employment. A big proportion of the population is households with the norm of 2 kids per household. Since one of the chief industries is Banking and Finance, we will be looking to pull concern travellers whose purpose is to turn up a convenient and appropriate belongings that accommodate their demands for a professional working atmosphere. Technological The uninterrupted altering universe of engineering can present a batch of menaces, but if the right actions are taken at the right clip it can besides be an chance. Technology can give us the competitory border in footings of conference and meeting equipment. Equipment is expensive, but with a big assortment of providers and different options like purchasing, leasing and renting, it can go a comparatively in expense manner of overhauling our installations. The hotel engineerings include fast wireless cyberspace, security cameras which guarantee the safety of the invitees, conference equipment, transit, and so on. We will besides seek to construct up and keep good dealingss with our technological and safety spouses to guarantee that when jobs do happen, that they can be solved every bit fast as possible. Legal In the United States there are 3 different sorts of legal systems. The first being Local statute law, the 2nd State statute law and the 3rd being Federal Legislations. There three have a immense sum of impact on how the hotel is run. The statute laws intending the Torahs that are imposed on the hotel include and are related to the operators of the hotel, consumers and employees. These 3 legal systems enforce assorted Torahs and ordinances which include the minimal pay, wellness and safety Torahs, anti-discrimination Torahs, employee rights and employer rights. Environmental The environmental facet is a really critical issue since it encompasses a broad scope of facets. It ranges from ecological issues to staff attitude/morale to environmental ordinances. This is where we split up the environmental issues into 2 subdivisions. They are internal and external. Internal is everything that is within the hotel that has a moderate sum of affect on the hotel. External is everything that affects the hotel coming from outside the four walls. Internal environment includes staff attitude and morale which has been low since the hapless public presentation of the hotel which can besides be seen from the high staff turnover. These will diminish enormously due to the new ordinances, preparation and vision of the hotel. External Environment includes environment ordinances which are set by local, province and federal statute laws which the hotel has to stay by. Selling Plan The selling program is a really of import usher to take a successful constitution. Our selling program will be based on the company s mark market, every bit good as the ends and aims of the belongings. Situation analysis: Internal environment The invitee suites, front desk, eating house and saloon, are all in hapless status. The eating house and the forepart desk were last refurbished 7 old ages ago. Merely 25 guestrooms were redecorated each twelvemonth, which demonstrates that the invitee suites are potentially non in the most desirable criterion and deficiency of modern comfortss. As the hotel is located in a popular country for conferences during both on and off seasons, there will be a really high demand of concern travellers. But when sing internally, there are no conference installations or any kind of concern services in the hotel. Furthermore, the guestrooms are non suited for keeping conferences or meetings. Those jobs have drawn the attending of the direction squad, and proper investings and buildings will be conducted in the really early phase of the operation in conformity with the aforementioned. By reexamining the information and statistical facts which were provided by the old proprietor, we found that the hotel tenancy was ever below the norm. On the other manus, the staff turnover rate was highly high, which means that the morale of the employees was unacceptable. The clients were all disappointed by the nutrient, the installations and the service quality of the hotel. As the repute of the hotel was bad, tenancy rate will necessarily be affected. In respects to the fiscal state of affairs, it was awful to see that the net income was turning negatively. Furthermore, there were plentifulness of long term debts and histories collectible, which even worsened the fiscal state of affairs of the hotel. Those liabilities should be of concern by the direction squad as they can potentially impact the approaching operation of the belongings. Customer environment Mentioning to the selling research and statistics, we found out that there are 2 chief types of clients, them being concern and leisure travelers. As the local country is going good known in footings of conferences, it is of import for us to recognize that many events will be held throughout the twelvemonth. Therefore, we predict that the demand for adjustment of the concern travellers will increase. Besides, we can see from the statistics that 80 % of the clients came for concern intents in the first one-fourth and more than 50 % for the full twelvemonth. In add-on, around 154,000 of those travelled during the weekdays harmonizing to the research provided by local Chamber of Commerce and Tourist Board, which contributed the most to the client base. These factors and Numberss provided us with important information about the importance of puting in concern and in conference installations. Besides, the hotel is located along the seafront, merely 30 proceedingss off from the airdrome, t herefore the leisure travellers will besides be our chief clients as our belongings can easy be accessed by the clients due to the geographical ground. Tourists presents are anticipating more they are willing to pass more in order to acquire better experiences for their stay. By this, we reckon that services and installations rank the first when it comes to taking hotels. Therefore our upcoming investings, buildings, and schemes would be tailored for our clients in order to fulfill or even to transcend their outlooks. SWOT analysis Strengths Convenient location for clients because of the nearby airdrome and first-class conveyance links. Prefect locale for conferences. Having the biggest capacity while comparing with the rivals within the same country. Failing Lack of development in footings of installations and services. No clear guidelines and competent direction squad to run the hotel. High turnover rate. Poor image and repute. Poor and inconsistent service. Limited fiscal support. Of hapless status including the forepart desk, eating houses, guest suites. Low liquidness and high liabilities. Opportunities Plenty of conventions and events will be held within the country. New engineerings to cut down the operation cost. Fast market growing Menaces The ever-changing market tendencies and demands. Government ordinances and Torahs which may curtail enlargements and developments Economic instability New entrants Target Market: The chief mark markets of the Grand View Hotel are Business and Leisure travellers. Particular bundles and installations will besides be promoted to pull the clients. Marketing Mix: 4Ps Merchandise As Grand View Hotel will be a 3 diamonds hotel, we provide different installations to suit with the demands of the market. We guarantee that the services will be delivered with high quality and all the employees will be trained for heightening the accomplishments and cognition. . The Grand View hotel has 200 Double suites and 50 King suites, a eating house, a sofa and a saloon. We besides provide room services, conference installations, fittingness installations including a fittingness nine and a swimming pool. Furthermore, parking infinites are besides available. Some of the installations will be constructed within one twelvemonth and we plan to invariably renovating the invitee suites and to supply more comfortss and amusement. There will be besides some alterations for the eating house so as to supply better services. Different bundles will be provided to pull more invitees, such as Honeymoon bundles, conference bundles every bit good as leisure traveller bundles in order to diversify our client base. Monetary value As there is high snap of demand in the cordial reception industry, it s a large challenge to set up the most appropriate monetary value. Therefore, the monetary value should be flexible to manage and suit in different mark markets. The room rate will be modified seasonally harmonizing to the demand and from the environing rivals every bit good. Particular monetary value and price reduction will be offered for big group and concern travellers. But, the groups have to discourse with the gross revenues section for more inside informations. The monetary value for the regular invitees will be consistent to maintain their trueness. The leisure travellers will be upgraded for free during the low seasons and besides free usage of the installations depends on the demand and season. The price reduction will be offered for weekends. The monetary value will be differentiates at different times. But, the chief thought for the monetary value is to maximise the gross but besides to fulfill our invitees. Topographic point The location of the hotel is fixed. The hotel is sited along the seafront, near to other hotels and a short distance from the chief shopping centre, and besides it is near the airdrome and with good conveyance links to major metropoliss and other resorts. Furthermore, the country of the resort has become a popular location for conferences, both in and out season. It s besides the best topographic point for keeping conferences which includes conference installations, fittingness nine, good substructure and superstructure in the metropolis, and a antic sea position. We will supply shuttle coach to take clients from the airdrome and to the airdrome every 30 proceedingss from 6a.m to 1a.m. Promotion We will advance through direct and indirect distribution channels. We will near our possible clients who are already targeted through the direct gross revenues call and mail, to pass on with them and happen out what s best suited for them. And so, we will besides publicize in local newspapers and concern imperativeness to allow people cognize about the hotel. Furthermore, we will besides set the hotel on the Local Visitor Guide to pull more transeunt invitees and topographic point postings throughout Stationss and airdromes. Furthermore, we will pay the Public Relation Agency to happen more possible clients and transeunt clients from all over the universe. We will utilize different advertisement media depending on different conditions for different markets. Furthermore, we will put up our ain hotel web site so that the possible invitees can hold entree to the hotel easier. Competitive advantages: As we are traveling to be a 3 diamond hotel, we are traveling to supply quality services and comfy atmosphere for our clients, and re-create clients satisfaction and professional image. The employees are the 1s to present the quality service so they will be trained to be professional and efficient by effectual preparation plans. As the employees can larn by working and preparation, they will be motivated and the morale will increase in order to supply and give the best services to the invitees. Furthermore, the invitees can besides maintain their memorable and happy experiences with us. These factors will lend to our singularity among our rivals and derive the repute. The Grand View hotel will supply many different concern services and installations such as photocopying, stationary preparing, direct dial phone, facsimile, etcaˆÂ ¦ Furthermore, we have a fittingness nine, including a swimming pool, step mounting machines, treadmills, fittingness walking, etcaˆÂ ¦ Since our hotel focuses to a great extent on our invitee suites, we will supply a broad scope of invitee comfortss and amusements. We try our best to keep a really competitory border and we strive to be the best amongst our rivals with our comfy guestrooms and quality services. Action Plan In order to turn around the worst state of affairs that we are confronting presently, we are traveling to make several revolutions, investings and buildings harmonizing to the selling program and seek to better and derive back the repute within the first operating twelvemonth. The first action that we are traveling to make is to set the staff Numberss of different sections since effectual staffing agenda can salvage the hotel twelve of money. In order to schedule the staff efficaciously due to the low tenancy, the figure of staff in nutrient and drink, hotel service and front desk will be cut down. The chief end for the F A ; B section is to maximise gross. For that to go on, the first action that will be taken is that employees are required to take part in legion preparation Sessionss ( developing plan 3 ) , which include general preparation for illustration up merchandising, but besides on the occupation preparation and coaching which will be carried out by the supervisors and/or the F A ; B director. Targets will be set for each and every employee, which they will hold to accomplish. If these marks or demands are non met so some disciplinary actions will hold to be taken, and this will be done in the signifier of farther preparation and coaching Sessionss but besides terrible employee ratings. The bill of fare types will be shortened ( Menu type 1 ) , to guarantee that we can minimise our costs but besides we will happen a right provider with the right quality for the right monetary value ( Supplier type 2 ) to guarantee that we find the perfect equilibrium between the qua lity of our nutrient and the production cost and the merchandising monetary value. All these determination will be in affect every bit shortly as we reopen the hotel. Revision of Standard runing processs will be set in topographic point to guarantee velocity, quality and to fulfill invitees to the fullest. Furthermore, we will make the renovation ( flat 2 ) of the suites and front desk upon we start the operation in order to make better working environment to our staff and more gratifying lodging locale to our clients. The renovations will include the new cosmetic strategy. Replace rugs, drapes, linen, light adjustments, deep clean other trappingss. Paint woodwork and ceilings, wallpaper walls. We are be aftering to renovate 50 suites every twelvemonth. In order to supply a better lodging experience to our clients, the in room amusements and comfortss will be added into service. Since our first mission is to pull the invitees to come to our hotel and addition repute by our first-class services and installations. As advertisement helps to advance our hotel, therefore we are traveling to make our advertisement in conformity with the most profitable market seasonably. First of wholly, we will make our advertisement through the local newspaper, concern imperativeness and direct mail in the first three months. We will concentrate on advertise the weekday and weekend suites, and besides the repast. Since the above media are the most effectiveness in advertise the suites and repast, therefore we will utilize those media for our first advertisement. Hazard Appraisals and Control Hazards are inevitable. We have to place different hazards to avoid and cut down the possibility of hazards happening. Investing in insurance is indispensable because if these hazards occur, it will be more and at the same clip impact the repute of our hotel. Here are some hazard appraisals identified: Asset A ; Property hazards There are some hazards, such as fire, detonation, offense or natural catastrophes such as hurricanes, inundations and tsunamis which could perchance happen and destruct our assets and belongings. Legal hazards Large sum of money are being won in consumer, single cases and in category action suits. Our hotel is apt to its employees, its invitees and, in some cases, to the general populace. Bomb menace After the 911 incident, the United States has the indispensable hazard of more terrorist onslaughts. Economic Crisis menace A loss sum of money may be happened due to the economic sciences crisis of state. For illustration: the great depression. Escape of private and confidential information of the hotel There are a batch of private and confidential information of the hotel and there is a hazard of employees leaking out the other information which can greatly impact the concern of our hotel. Budget 1st twelvemonth Premises: Room Division Wholly 50 suites under redevelopment Contribution to gross: 65 % Food and Beverage Department Cost per centum: 35 % Contribution to gross: 35 % Gross saless Room 4,823,174 Food A ; Bev 2,597,094 7,420,268 Cost of Gross saless Room 353,246 Food A ; Bev 908,983 908,983 Payroll A ; Related Room 558,495 Food A ; Bev 506,584 1,065,079 Gross Profit less Wagess Room 3,911,433 Food A ; Bev 1,181,527 5,092,960 Cardinal Admin Payroll 154,140 Other Direct Costss 256,250 Income before Fixed Charges 4,682,570 Entire Fixed Costss 674,325 Income before Taxes 4,008,245 Business Tax Paid 1,202,473 Income after Business Taxes 2,805,771 2nd twelvemonth Premises: Average room rate states the same Average tenancy increased to 55 % New installations: in room mini saloon, 2nd saloon, informations point, speedy cheque in/out, store concern service and extra parking country Gross saless Room 5,863,284 Food A ; Bev 3,420,249 Other 1,465,821 9,772,140 Cost of Gross saless Room 353,246 Food A ; Bev 1,197,087 Other 879,493 2,076,580 Payroll A ; Related Room 609,450 Food A ; Bev 506,584 Other 34,000 1,150,034 Gross Profit less Wagess Room 4,900,588 Food A ; Bev 1,716,578 Other 552,328 7,169,494 Cardinal Admin Payroll 154,140 Other Direct Costss 678,250 Income before Fixed Charges 6,337,104 Entire Fixed Costss 674,325 Income before Taxes 5,662,779 Business Tax Paid 1698834 Income after Business Taxes 3,963,945 3rd twelvemonth Premises Average room rate states the same Average tenancy increased to 62 % New installations: wellness nine, conference and map suites Gross saless Room 6,570,348 Food A ; Bev 3,832,703 Other 1,642,587 10,950,580 Cost of Gross saless Room 353,246 Food A ; Bev 1,341,446 Other 985,552 2,326,998 Payroll A ; Related Room 738,899 Food A ; Bev 680,428 Other 85,000 1,504,327 Gross Profit less Wagess Room 5,478,203 Food A ; Bev 1,810,829 Other 572,035 7,861,067 Cardinal Admin Payroll 154,140 Other Direct Costss 1,613,625 Income before Fixed Charges 6,093,302 Entire Fixed Costss 674,325 Income before Taxes 5,418,977 Business Tax Paid 1625693 Income after Business Taxes 3,793,284 4th twelvemonth Premises Average room rate states the same Average tenancy increased to 70 % Gross saless Room 7,394,419 Food A ; Bev 4,313,411 Other 1,848,605 12,324,032 Cost of Gross saless Room 353,246 Food A ; Bev 1,509,694 Other 1,109,163 2,618,857 Payroll A ; Related Room 834,449 Food A ; Bev 680,428 Other 85,000 1,599,877 Gross Profit less Wagess Room 6,206,724 Food A ; Bev 2,123,289 Other 654,442 8,984,455 Cardinal Admin Payroll 154,140 Other Direct Costss 1,634,000 Income before Fixed Charges 7,196,315 Entire Fixed Costss 674,325 Income before Taxes 6,521,990 Business Tax Paid 1,956,597 Income after Business Taxes 4,565,393

Gun Control5 essays

Gun Control5 essays MOTHERS DAY IN FEDERAL PRISON. What would you include in capsule portraits or thumbnail sketches of the women inmates Coyne describes in her article? What kind of people are they? Included in a capsule filled with the portraits or thumbnail sketches of the women inmates, Coyne describes in her article, at Federal Prison Camp for women in Pekin, Illinois would be many personal items. One thing would be certain is that the Mothers Day flower given to the mothers would be included in the capsule. Next the dress made by the inmates would be included for two reasons. The first reason is to show that the inmates did not have to be in prison uniforms for Mothers Day and second to show how important Mothers Day is to the inmates. The clothing they wear symbolizes their excitement about Mothers Day and the hard work the inmates put into the preparation of the important day. A good portion of the inmates in the minimum-security prison are normal women that were either in the wrong place at the wrong time or made a mistake in life. Yet when they are with their families on Mothers Day it looks seems to be as if the prison doesnt truly exist, do to the amount of joy filling the visiting room. Is there a common element or common denominator in the histories of the inmates? Is there anything to be learned from their stories? The common element that happens to be in the histories of the inmates is that they are not hard core criminals. If anything most of them are innocent, and only guilty of helping a love one with no idea of what was happening. In fact the main thing said by the families of the inmates is why should my love one be in here when there are worse criminals in the world. From all of this one can learn that no matter how well you know someone always ask why. If half of the women in this article just asked ...

Immigration Essay Example | Topics and Well Written Essays - 1500 words - 2

Immigration - Essay Example However, resources are limited in their quantity which means that the government must introduce policies that reconsider the allocation of resources in each of the public and social sectors. This paper will specifically focus on the impact of immigration on the providence of high quality health care services to the population. As of 2012, there were 1,031,631 people who acquired a legal permanent residence status in the United States (Department of Homeland Security, 5). Of these the largest percentage of people came from India, China, Philippines, and Korea (Department of Homeland Security, 10). However, the total figure only reflects the number of legal residents who were permitted for a residential status. There are a significant number of individuals who also represent the portion of population who have arrived illegally. These include people who were admitted as temporary workers but chose to stay, aliens, refugees, and others. It is estimated that the number of unauthorized immigrants in United States was about 11.5 million as of 2011 (Nwosu, Batalova, and Auclair, n.pag.). These unauthorized immigrants mostly reside in the states of California, Texas, Florida, and New York. Of the total unauthorized figure for immigrants, a large proportion of them were born in America while the rest came from Asia, South America, Europe, and other parts of the world (Nwosu, Batalova, and Auclair, n.pag.). Considering the distribution of the figures by country, Mexico is the top most country with an estimated 59 percent of illegal immigrants in the United States who belong to the country. With a large number of immigrants entering the United States illegally and million others who are already depending upon reliable, high quality health care services, the country is facing serious problems relating to the provision of health care services to all of its

HOW MIGHT THE HOLISTIC MODEL HELP MEET THE MENTAL HEALTH NEEDS OF Essay

HOW MIGHT THE HOLISTIC MODEL HELP MEET THE MENTAL HEALTH NEEDS OF OLDER PEOPLE - Essay Example The holistic model encourages nurses to constantly look for factors and relations that affect the complexity of health and illness (Keady & Watts 2010). Application of this model in mental health care nursing requires involvement of the whole persons’ wellbeing and the overall quality of life style with the focus of the nursing interventions directed towards restoring overall harmony with a sense of purpose and meaning in an individual’s life. The patient under nursing care is considered a co-participant in health promotion, working closely with the nurse to determine necessary and appropriate interventions over their health condition. Multidisciplinary team assessments and treatment of older people with mental health problems facilitates implementation of the holistic approach to care for and meet the complex health and social needs presented by this group of patients (Gask 2009). According to Corry (2005), the need for holistic approach in the care of people with ment al illnesses has been illustrated by a report associating poor physical care with the high rate of deaths among such people in UK. Studies have shown that people with severe mental illness are at greater risk of physical illness attributed to their lifestyle factors and mental condition. Further studies have shown that despite the UK government’s recommendations for physical health assessment among people with severe mental health problems majority of the patients lack any health history or lifestyle management plan (Corry 2005). The physical health of people with severe mental illness especially among the older people remains a major concern with evidence indicating that psychiatric patients have high rates of physical illness that go undetected contributing to increased premature deaths (Neno, Aveyard & Heath 2008). In addition, most people with mild mental illnesses are neglected, with little or no focus in helping them overcome such illness. Older people experience mental illness that is complex, enduring and debilitating and sometimes age with long-standing mental health needs. Older people with enduring mental health problems have several needs requiring professional care including the long-term effects of high doses of psychotropic medication, the erosion of a person’s social skills and ability to adhere to positive healthy life approaches, high use of alcohol and other substance abuse (Keady & Watts 2010). Other issues arising from the application of the non-holistic approach include confusion of some symptoms for aspects of mental illness, including symptoms common in old age such as anoxia, pain, constipation and weight loss. Application of the Holistic Approach or Model All the discussed needs must be addressed amicably if improved mental health and quality of life were to be realized in this group of people hence the need for the holistic approach in managing such needs. A holistic approach is able to integrate physical needs, social, environmental, economic and psychological needs in managing mental illnesses among the older people (Keady & Watts 2010). Through the holistic approach mental health nurses should focus on connecting with the older people and families in their distress, provide security, create trust and good relationship where the people can confident in finding meaning and truth about their situation. In this case, skilled,