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The Department of Veterans Affairs (VA) aims to expand the scope of practiceof advanced practice registered nurses (APRNs) who work for the agency in order to provide veterans with greater and timely access to care. Under a proposed rulepublished on May 25 2016 in theFederal Registerthe VA said it intended to expand the pool of qualified healthcare professionals who are authorized to provide primary healthcare and other servicesto the full extent of their education and abilities without the clinical supervision of physicians.
In December 2016 the Office of Management and Budget (OMB) approved a final version of the VAs proposed rule to grant full practice authority to APRNs thatexcludesCRNAs.
1. Please readhttp://www.aana.com/advocacy/federalgovernmentaffairs/Pages/VA-Final-Rule-Published1.aspx(Links to an external site.)Links to an external site.
2. Please review the following articles:http://www.aana.com/newsandjournal/News/Pages/052516-VA-Proposed-Rule-News.aspx(Links to an external site.)Links to an external site.).
3. Lastly please review a selection of the negative articles that I posted below: Do you agree or disagree with the authors? How would you support or refute these claims?
VA takes heat over plan to let nurses treat vets without doc supervisionFoxNews June 1 2016www.foxnews.com/politics/2016/06/01/…(Links to an external site.)Links to an external site.
Docs Steamed Over VA Nurse ProposalMedPage Today June 1 2016www.medpagetoday.com/publichealthpolicy/militarymedicine/…(Links to an external site.)Links to an external site.
Proposal: Cut VA Wait Times by Giving New Authority to Nurses?Independent Womens Forum May 30 2016www.iwf.org/blog/2800351/…(Links to an external site.)Links to an external site.
VA Wait Times: Criticism Lines Up Behind Veteran Affairs Plan To Let Nurses Take Over Physician TasksInternational Business Times May 28 2016www.ibtimes.com/…(Links to an external site.)Links to an external site.
VA proposes to give nurses expanded rolePittsburgh Tribune May 27 2016triblive.com/usworld/nation/10542577-74/…(Links to an external site.)Links to an external site.
VA proposes expanding nurses medicalauthority Stat News: Morning Rounds enewsletter May 26 2016us11.campaign-archive1.com/…(Links to an external site.)Links to an external site.
Press Briefing Denouncing Dangerous VA Policy Change to Replace Physician Anesthesiologists with Nurses in Surgery Mil-Tech May 26 2016www.military-technologies.net/2016/05/26/…(Links to an external site.)Links to an external site.
AMA disappointed with VAs proposal to allow advanced practice nurses within VA practice independentlyDotMed Health Care Business Daily News May 26 2016www.dotmed.com/news/story/31130(Links to an external site.)Links to an external site.
Physician anesthesiologists oppose VA rule replacing physicians with nurses in anesthesiaMedical XPress May 25 2016medicalxpress.com/news/…(Links to an external site.)Links to an external site.
Doctors oppose replacing VA physician anesthesiologists with nursesUPI May 25 2016www.upi.com/Health_News/2016/05/25/…(Links to an external site.)Links to an external site.
Physician Anesthesiologists Veterans and VA Anesthesia Chiefs Oppose VA Policy Replacing Physicians with Nurses for Anesthesia Care in SurgeryPR Newswire May 24 2016www.prnewswire.com/news-releases/…(Links to an external site.)Links to an external site.
Question 1 Week 3: Tutorial 2 (10 marks)
The firm’s success depends not only on how well each department performs its work, but also
on how well the various departmental activities are coordinated to conduct core business
processes. List and briefly describe in 300 words the four core business processes. Use an
example for each process to illustrate your discussion
Question 2 Week 4: Tutorial 3 (10 marks)
Explain what is qualitative research and why it might be useful to marketers. What are its
major drawbacks? Answer this question in 300 words
Question 3 Week 5: Tutorial 4 (10 marks)
https://www.youtube.com/watch?v=7oUqt-WbFkY
“Consumers have become part-time marketers”. Use the information from the video and
discuss to this statement in 300 words.
– The discussion must contain the information from video
– You must support your discussion by referring to 3 additional academic sources from
ProQuest (ensure that you reference them correctly)
Question 4 Week 5: Tutorial 4 (10 marks)
The family is the most important consumer buying organization in society, and family
members constitute the most influential primary reference group. Name two family
categorizations and discuss the impact of each of the categories on buying behavior. Answer
this question in 300 words
Attachments:
Question #1
The best strategies often fail not because they weren’t good strategies, but because they weren’t implemented properly. One of the most important aspects of implementing a good strategy is ensuring that the organization is designed in a way that will properly support the plan.
In Week 5 you narrowed down the strategic alternatives for either Southwest or Subway and identified ONE strategy to move forward with. Based on that strategy what type of organizational design would best support that strategy. Provide a high level overview of the organizational design – be sure to fully explain the design.
Question #2
Vince Lombardi was quoted as saying “The best game plan in the world never blocked or tackled anybody”; strategist often believe their work is done once they’ve identified the right strategy to be implemented, but in reality the strategy implementation phase is often far more difficult than the strategy formulation phase.
In addition to organization design, there are several other factors that can cause a good strategy to fail: management, operations, marketing, finance, R&D and MIS issues. Review the strategy that you identified for either Southwest or Subway in Week 5 and determine which ONE of these additional factors could cause that specific strategy to fail. Clearly identify the factor, explain why it could cause the strategy to fail – fully support your response.
Cystic fibrosis is a homozygous recessive condition. A geneticcounselor should advise concerned parents that , if each of themhas a parent who has cystic fibrosis yet neither of the concernedparents is affected, the probability of their potential childhaving cystic fibrosis is? the answer is 25%, but
I do not know why the answer wouldn’tbe 0%. Because if its
homozygous recessive then thatmeans the allele on both parents wouldn’t produce a child withcystic fibrosis . . .
Please read the Audit Report (attached). Please answer three questions in MEMO FORM to go with the audit report to make it complete. The answers to the three questions can be in ONE MEMO.
1. Professionally communicate to upper management the GAPS in the audit procedures that were performed. In other words, were there procedures absent from the audit process that should have been conducted?
2. Professionally communicate to upper management the outcome of the audit. In other words, what do the audit results say about the organization?
3. Communicate to upper management a scope limitation in the event that some information not be made available to the auditor. Be sure that your response includes an appropriate disclaimer or qualified opinion.
Attachments:
For this task you must research each of the following topics and complete a report on your findings. Your report should be structured so each topic is presented in a separate section of the report. You should include images and other illustrations of the concepts where possible. Please ensure that all images and other sources of information that you have included and referred to are referenced appropriately using APA Version 6.
There is no word limit for this report.
What you will need to complete this task
• Research materials such as books, internet, magazines, workplace documentation etc. • Access to legislative and regulatory documentation relevant to own state or territory. • Organisational policies and procedures You should use a variety of sources to gather information including training resources, workplace policies and procedures (if you are able to access these) and government and industry bodies.
‘7 D ctranrit
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Acinetobacter baumannii is a gram-negative bacterium commonly found in soil and water This bacterium is also frequently associated with nosocomial infections, diseases patients acquire while they are in a hospital A baumannii tends to thrive in hospital settings because the bacterium is resistant to environmental influences and can survive for months on such objects as faucets, toilets, bedclothes, doorknobs, sinks, and medical equipment The spread of this bacterium is a concern for all medical facilities, but especially military ones, which have seen increasing numbers of bloodstream infections caused by A baumannii, probably because combat conditions make controlling and treating them more difficult
Additionally, A baumannii infections have become problematic because increasing numbers of isolates show multiple drug resistance—that is, the bacteria are unfazed by the antibiotics commonly used to treat them Many of the resistance genes found in A baumannii are similar or identical to those seen in other genera of bacteria, such as Pseudomonas, Salmonella, and Escherichia, which also commonly occur in healthcare facilities
– How might genes, such as those responsible for drug resistance, be transferred between bacterial species?
– Where could A baumannii likely have acquired the genes for drug resistance?
Boeing, the $55 billion Chicago-based aerospace company, has been a major player in the global economy for almost a century. But now the company is undertaking a far-reaching transformation as it uses cutting-edge materials and electronics and high-level technology for the design and assembly process of its new passenger plane –the Boeing 787. The new plane, nicknamed the “Dreamliner,” is Boeing’s bid for market leadership in competition with Airbus. The new midsize passenger jet will have an outer shell and about half of its parts made of carbon-fiber-reinforced plastic, which will make it lighter and give it better fuel economy. In January 2006, the company had 291 firm orders and 88 commitments from 27 airlines for the new 787, which will seat from 250 to 330 passengers in varying configurations. The list price is about $150 million per plane.
The previous state of the art in aviation manufacturing was to have global partners work from a common blueprint to produce parts-actually, whole sections of the airplane-that were then physically shipped to a Boeing assembly plant near Seattle to see if they fit together. Prior to the 787, wood mock-ups of planes would be constructed to see if parts built by partners around the world would really fit together. When the process failed, the cost in time and production was extreme.
Boeing’s shift goes beyond making planes faster and cheaper. The new business model takes Boeing from manufacturing to a high-end technology systems integrator. In 2004, Boeing’s IT systems people were consolidated into the Boeing Technology Group. Now parts are designed from concept to production concurrently by partners (including companies in Japan, Russia, and Italy) and “assembled” in a computer model maintained by Boeing outside its corporate firewall.
Boeing’s role is integrator and interface to the airlines, while the partners take responsibility for the major pieces, including their design. Boeing still takes the hit if the plane fail and deliveries are late, but the actual cost of development and manufacturing is spread across its network of collaborators. At the same time, building such global relationships may help the company sell its planes overseas. The biggest savings are the time saved through the online collaboration process (from 33 to 50 percent), creating a huge competitive advantages.
Collaboration is a necessity for Boeing for several reason. Airplanes are huge and enormously complex. Politically, sales of a “global product” are enhanced when people in other countries are building parts of the airplane. Companies in these countries may then buy from Boeing. Basic collaboration is done through information-flow tools such as Microsoft Office and SharePoint. Boeing and partners are using Dassault Systemes 3D and Product Lifecycle Management solutions.
Other IT tools used are a product suite from Exostar LLC, with which Boeing can share two-dimensional drawings, conduct forward and reverse auctions, and respond to RFPs, and an application called Catia. The plane is designed at Global Collaboration Environment, a special online site maintained by Boeing.
There levels of collaboration are facilitated between teams and companies. In the first level-design collaboration- all parties involved log in and make their changes electronically in the blueprints, and the team works together. Quality is improves because the computer finds the mistakes. The next level involves suppliers working with their supply chains. The third level is real-time collaboration involves a considerable amount of product lifecycle management across multiple countries enabled by technology that differentiates Boeing’s new model from the previous kinds of global relationships. Boeing also uses the new partnership to solicit ideas of how to improve designs, integration, and so on. This results in cost-cutting.
Boeing maintains 10 multimedia rooms at its Everett, Washington, complex for the use of collaboration teams. These are open 365 days a year, 24 hours a day. A visualization application developed by Boeing allows the teams to do real-time design reviews of complex geometry without any Lag time as the models load. Meetings are conducted in English, with sidebar conversations, as needed, in a team member’s native language. Collaborative design also speeds the design process, helping Boeing to avoid expensive penalties from its customers if the plane is not delivered on time, and it gives the company more flexibility in simultaneously designing multiple versions of the 787 that are part of its wide-ranging appeal in the marketplace.
Finished designs are stored in another Dassult product, Enovia, which is also maintained by Boeing. This has become an enormous data-management task. The issue of security has also been a concern; however, security technology has developed to the point that the security of the information is assured. Collaboration across cultures and time zones can raise a host of issues about the way people work together. The adjustment of management practice to the networked, team-oriented approach is important to consider when redesigning human resources practices to meet virtual resource needs and when developing a custom-tailored collaboration platform.
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Marketing-Tut….pdf
Audit-Report…..docx
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