Safety and Medicare Requirements Essay Example for Free

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

Essay on Dysfunctional Families in Song of Solomon -- Song Solomon ess

Dysfunctional Families in Song of Solomon    The African American families in Toni Morrison's Song of Solomon present abnormality and dysfunction. Normalcy, seen in common nuclear families, is absent. The protagonist, Milkman, is shaped by his dysfunctional relationships with parental figures.    The abnormality of the mother and child relationship is apparent in Song of Solomon. The mother figure seems to have misguided hopes. Toni Morrison, presents an image of an unnatural, extended time of maternal bonding. The character, Ruth, breastfeeds her son, Milkman, until he is four or five years of age. Ruth breastfeeds Milkman for this unnaturally lengthy amount of time because it makes her feel like her son is a part of her. Breastfeeding him gives her immense pleasure and satisfaction. However, she hides her indulgence from the rest of the family until Freddie the janitor catches her. She knows it is wrong, but it makes her daily life bearable.    The children display a mild amount of disrespect leading to severe denial of motherly compassion. We see this in a passage from Song of Solomon.    "He had never loved his mother, but had always known that she loved him. And that had always seemed right to him, the way it should be. Her confirmed, eternal love of him, love that he didn't even have to earn or deserve, seemed to him natural(79)."    Milkman has a peculiar view of his mother. He did not think of his mother "as a person, a separate individual, with a life apart from allowing or interfering with his own(75)." Milkman does not think of his mother as an individual who needs his love or as a woman. To him it her duty in life to love him. He sees her as a frail creature that needs protection f... ...is son has struck him. Yet, he feels pride in his son for standing up to him.    Song of Solomon, joined by the dysfunction in the families, present an insightful image of the individual and the family of African Americans. Milkman, gained strength and courage through the trials of abnormal, sometimes abusive upbringings. Each scar, whether it was mental or physical, was a lesson learned.    Works Cited: Byerman, Keith. "Songs of the Ancestors: Family in Song of Solomon." Approaches to Teaching the Novels of Toni Morrison. Ed. Nellie McKay. New York: MLA, 1997. Middleton, David. Toni Morrison's Fiction: Contemporary Criticism. New York: Garland, 1997. Morrison, Toni. Song of Solomon. New York: The Penguin Group, 1977. Storhoff, Gary. "'Anaconda Love': Parental Enmeshment in Toni Morrison's Song of Solomon." Style 31.2 (1997): 290-309.

Literary Genre

Literature (from Latin litteraetantri (plural); letter) is the art of written works, and is not bound to published sources (although, under circumstances unpublished sources can be exempt). Literally translated, the word literature means â€Å"acquaintance with letters† (as in the â€Å"arts and letters†). The two major classification of literature are poetry and prose. â€Å"Literature† is sometimes differentiated from popular and ephemeral classes of writing.Terms such as â€Å"literary fiction† and â€Å"literary merit† are used to distinguish individual works as art-literature rather than vernacular writing, and some critics exclude works from being â€Å"literary†, for example, on grounds of weak or faulty style, use of slang, poor characterization and shallow or contrived construction. Others exclude all genres such as romance, crime and mystery, science fiction, horror and fantasy. Pop lyrics, which are not technically a written medium at all, have also been drawn into this controversy.POETRY A poem is a composition written in verse (although verse has been equally used for epic and dramatic fiction). Poems rely heavily on imagery, precise word choice, and metaphor; they may take the form of measures consisting of patterns of stresses (metric feet) or of patterns of different-length syllables (as in classical prosody); and they may or may not utilize rhyme. Relaxation Through Poetry is a tool used to help someone relax in times of stress. One cannot readily characterize poetry precisely.Typically though, poetry as a form of literature makes some significant use of the formal properties of the words it uses – the properties of the written or spoken form of the words, independent of their meaning. Meter depends on syllables and on rhythms of speech; rhyme and alliteration depend on the sounds of words. Arguably, poetry pre-dates other forms of literature. Early examples include the Sumerian Epic of Gilgamesh (dated from around 2700 B. C. ), parts of the Bible, the surviving works of Homer (the Iliad and the Odyssey), and the Indian epics Ramayana and Mahabharata.In cultures based primarily on oral traditions the formal characteristics of poetry often have a mnemonic function, and important texts: legal, genealogical or moral, for example, may appear first in verse form. Some poetry uses specific forms. Examples include the haiku, the limerick, and the sonnet. A traditional haiku written in Japanese relate to nature, contain seventeen onji (syllables), distributed over three lines in groups of five, seven, and five, and should also have a kigo, a specific word indicating a season.A limerick has five lines, with a rhyme scheme of AABBA, and line lengths of 3,3,2,2,3 stressed syllables. It traditionally has a less reverent attitude towards nature. Poetry not adhering to a formal poetic structure is called â€Å"free verse† Language and tradition dictate some poetic norms: Persian p oetry always rhymes, Greek poetry rarely rhymes, Italian or French poetry often does, English and German poetry can go either way. Perhaps the most paradigmatic style of English poetry, blank verse, as exemplified in works by Shakespeare and Milton, consists of unrhymed iambic pentameters.Some languages prefer longer lines; some shorter ones. Some of these conventions result from the ease of fitting a specific language's vocabulary and grammar into certain structures, rather than into others; for example, some languages contain more rhyming words than others, or typically have longer words. Other structural conventions come about as the result of historical accidents, where many speakers of a language associate good poetry with a verse form preferred by a particular skilled or popular poet. Works for theatre (see below) traditionally took verse form.This has now become rare outside opera and musicals, although many would argue that the language of drama remains intrinsically poetic. In recent years, digital poetry has arisen that takes advantage of the artistic, publishing, and synthetic qualities of digital media. An essay consists of a discussion of a topic from an author's personal point of view, exemplified by works by Michel de Montaigne or by Charles Lamb. ‘Essay' in English derives from ‘attempt. ‘ Thus, one can find open-ended, provocative and/or inconclusive essays.The term â€Å"essays† first applied to the self-reflective musings of Michel de Montaigne–even today he has a reputation as the father of this literary form. Genres related to the essay may include: †¢the memoir, telling the story of an author's life from the author's personal point of view †¢the epistle: usually a formal, didactic, or elegant letter. †¢works by Lady Murasaki[citation needed], the Arabic Hayy ibn Yaqdhan by Ibn Tufail, the Arabic Theologus Autodidactus by Ibn al-Nafis, and the Chinese Romance of the Three Kingdoms by Luo Guanz hong[citation needed].Early novels in Europe did not count as significant litera perhaps because â€Å"mere† prose writing seemed easy and unimportant. It has become clear, however, that prose writing can provide aesthetic pleasure without adhering to poetic forms. Additionally, the freedom authors gain in not having to concern themselves with verse structure translates often into a more complex plot or into one richer in precise detail than one typically finds even in narrative poetry. This freedom also allows an author to experiment with many different literary and presentation styles—including poetry—in the scope of a single novel.Other prose literature Philosophical, historical, journalistic, legal and scientific writings are traditionally ranked as literature. They offer some of the oldest prose writings in existence; novels and prose stories earned the names â€Å"fiction† to distinguish them from factual writing or nonfiction, which writers histori cally have crafted in prose. Natural science As advances and specialization have made new scientific research inaccessible to most audiences, the â€Å"literary† nature of science writing has become less pronounced over the last two centuries. Now, science appears mostly in journals.Scientific works of Aristotle, Copernicus, and Newton still possess great value, but since the science in them has largely become outdated, they no longer serve for scientific instruction. Yet, they remain too technical to sit well in most programmes of literary study. Outside of â€Å"history of science† programmes, students rarely read such works. Philosophy Philosophy, too, has become an increasingly academic discipline. More of its practitioners lament this situation than occurs with the sciences; nonetheless most new philosophical work appears in academic journals.Major philosophers through history—Plato, Aristotle, Augustine, Descartes, Kierkegaard, Nietzsche—have become as canonical as any writers. Some recent philosophy works are argued to merit the title â€Å"literature†, such as some of the works by Simon Blackburn; but much of it does not, and some areas, such as logic, have become extremely technical to a degree similar to that of mathematics. History A great deal of historical writing ranks as literature, particularly the genre known as creative nonfiction. So can a great deal of journalism, such as literary journalism.However these areas have become extremely large, and often have a primarily utilitarian purpose: to record data or convey immediate information. As a result the writing in these fields often lacks a literary quality, although it often and in its better moments has that quality. Major â€Å"literary† historians include Herodotus, Thucydides and Procopius, all of whom count as canonical literary figures. Law Law offers a less clear case. Some writings of Plato and Aristotle, or even the early parts of the Bible, m ight count as legal literature.The law tables of Hammurabi of Babylon might count. Roman civil law as codified in the Corpus Juris Civilis during the reign of Justinian I of the Byzantine Empire has a reputation as significant literature. The founding documents of many countries, including Constitutions and Law Codes, can count as literature; however, most legal writings rarely exhibit much literary merit, as they tend to be rather garrulous. Drama A play or drama offers another classical literary form that has continued to evolve over the years.It generally comprises chiefly dialogue between characters, and usually aims at dramatic / theatrical performance (see theatre) rather than at reading. During the 18th and 19th centuries, opera developed as a combination of poetry, drama, and music. Nearly all drama took verse form until comparatively recently. Shakespeare could be considered drama. Romeo and Juliet, for example, is a classic romantic drama generally accepted as literature. Greek drama exemplifies the earliest form of drama of which we have substantial knowledge.Tragedy, as a dramatic genre, developed as a performance associated with religious and civic festivals, typically enacting or developing upon well-known historical or mythological themes. Tragedies generally presented very serious themes. With the advent of newer technologies, scripts written for non-stage media have been added to this form. War of the Worlds (radio) in 1938 saw the advent of literature written for radio broadcast, and many works of Drama have been adapted for film or television. Conversely, television, film, and radio literature have been adapted to printed or electronic media.Oral literature The term oral literature refers not to written, but to oral traditions, which includes different types of epic, poetry and drama, folktales, ballads. However the use of this oxymoron is controversial and not generally accepted by the scientific community. Some prefer to avoid the etymolog ical question using â€Å"oral narrative tradition†, â€Å"oral sacred tradition†, â€Å"oral poetry† or directly using epics or poetry (terms that no necessarily imply writing), others prefer to create neologisms as orature.

The Fight for Equal Education The Book Persepolis by...

The Fight for Equal Education Although there are some rights that are undeniable to humans, it is not always the case that they are made available. This is especially prominent for the rights of women, who since the domestication of plants and animals have been sent to the bottom of society, and used to carry out the purpose of men. One way in which men have taken the power away from women is by taking away their education, and in turn their ability to develop independently and to be. functional parts of society. In her book Persepolis, Marjane Satrapi described the struggle of growing up as a young girl in Iran, as well as the support given to her by her parents. They encouraged her to pursue education so that she was able to develop her†¦show more content†¦Encouragement can only get one so far, and without the ability to attend the same colleges men do, Fuller was still left at a disadvantage. It is for these reasons that Fuller pursued the equal rights of women. She experienced firsthand the benefits of education, as well as her inability to further her education in the same way as men. Marjane Satrapi sacrificed many things for education, and her parents made sure she had access to it, no matter what the cost. As a girl in Iran Satrapi faced many disadvantages even beyond a lack of education which was prevalent because of the many restrictions on their clothing, the hijab they were forced to wear, and that they were unable to wear makeup (Satrapi 3-341). These restrictions attempted to control women in every aspect by denying them certain rights and regulating their actions, and because the restrictions are not imposed on men as well, they lead to an inequality that is unfavorable for women. In order to overcome these restrictions, Satrapis’ parents sent her to school in Vienna where she could pursue an education without the restrictions imposed upon her in Iran (Satrapi 145-153). There Satrapi could learn without the distraction of the restrictions she faced in Iran. It also allowed her to freely study and receive the most beneficial education possible for her. Upon her return to Iran, andShow MoreRelatedPersepolis Social Class Essay1428 Words   |  6 Pagesthere were various intolerances in society based on gender, education, political opinion, and economical status and this has been practiced in several ways; however, there is Marjane Satrapi, a girl from a wealthy family who had become the living witness of these inequalities during the Iranian Revolution, who later wrote a book entitled Persepolis. In her book, she comments that these types of inequities should be improved. Marjane Satrapi let us know that In Iran, women and men were treated differentlyRead MoreThe Islamic Revolution And The Iranian Revolution Essay1379 Words   |  6 PagesDuring the Islamic Revolution in the Iranian country, education was essential to the people. Shah wanted the Western education because he believed that it was best for the Iranian people. Most of the women’s were involved in the demonstration of wearing the veil has some western education. The Islamic revolution wanted things to go back to the original Islamic culture. Based on the Complete Persepolis, in 1979, a revolution took place and later called â€Å"The Islamic Revolution†. This is the periodRead MoreIranian Education During The Islamic Revolution Essay1379 Words   |  6 PagesIranian Education during the Islamic Revolution During the Islamic Revolution in the Iranian country, education was essential to the people. Shah wanted the Western education because he believed that it was best for the Iranian people. Most of the women were involved in the demonstration of wearing the veil has some western education. The Islamic revolution wanted things to go back to the original Islamic culture. Based on the Complete Persepolis, in 1979Read MoreThe Iranian Revolution And The Islamic Revolution Essay1330 Words   |  6 PagesDuring the Islamic Revolution in the Iran, education was essential to the people. Sha wanted the Western education because he believed that it was best for Iranian people. Most of the women were involved in the demonstration of wearing the veil has some western education. The Islamic revolution wanted things to go back on the Islamic culture. Based on the complete Persepolis, in 1979, a revolution took place, and later called â€Å"The Islamic Revolution†. This is the period they were forcing people toRead MoreThe Feminist Movement By Marjane Satrapi2711 Words   |  11 PagesSince ancient times, women have not been considered equals to men in society. The farther back in time, the more suppressed women are depicted. The 1900’s, conversely, has sparked a worldwide effort by women to fight for more freedoms equality, known as the feminist movement. The feminist movement follows the feminist theory, which provides an outline of the inequalities and oppressions women face. Women’s roles in the workplace, home and in society have vastly changed since this feminist push.Read MorePersepolis Was Set In Iran, During The Islamic Revolution1928 Words   |  8 PagesPersepolis was set in Iran, during the Islamic Revolution in the 1979. A reason why this graphic novel was created was so the narrator could talk about her experience on how it was to live in a community that constantly tried oppressing people. Islamic Revolution not only brought pain and sadne ss in a community but it ruined the personality of the citizens. The purpose of the Islamic Revolution was an attempt to alter the beliefs of other forcefully with the threat of getting killed or getting torturedRead MoreThe Islamic Revolution and its Impac on Marji’s Family Essay2330 Words   |  10 PagesMohammad Reza Pahlavi (The Shah), the son of Reza Shah took the throne after his father on September 16, 1941. The Shah continued his father’s politics and modernization of Iran. He proceeded to Westernize Iran by having the education structure â€Å"(primary, secondary, higher education)† (Wikipedia) standardized to the French’s structure. The Shah also had cinemas constructed in Iran. During the Shah’s regime oil was discovered becoming the new source of wealth for Iran. However the discovery of oilRead MoreLiterary Criticism : The Free Encyclopedia 7351 Words   |  30 Pages Bildungsroman From Wikipedia, the free encyclopedia Jump to: navigation, search In literary criticism, a Bildungsroman (German pronunciation: [ˈbÉ ªldÊŠÅ‹s.Ê oËÅ'maË n]; German: novel of formation, education, culture),[a] novel of formation, novel of education,[2] or coming-of-age story (though it may also be known as a subset of the coming-of-age story) is a literary genre that focuses on the psychological and moral growth of the protagonist from youth to adulthood (coming of age),[3]