Henry Ford Health Systems Human Resources Models Essay

During my senior year of undergraduate studies at Wayne State University, I shadowed a pediatrics physician at a Henry Ford Medical Group center in Dearborn, MI. The HFMG is part of Henry Ford Health Systems. The Henry Ford Health Systems employs over 23,000 employees while the HFMG employs over 1,300 senior staff physicians and researchers along with 3,100 non-physician providers and support staff. â€Å"The HFMG generates $750M in net revenue, which represents about 33% of total HFHS provider revenues† (Kelley 2011). The HFMG physicians specialize in over 40 different medical specialties and work in 30 different medical centers and 5 different hospitals across southeast Michigan. The specialties include cardiology, cardiovascular surgery,†¦show more content†¦However, the HR department is a staff operation within the organization chart of Henry Ford. Meaning that if the HR department was suddenly removed, there would be no short-term effect on the workflow of the he alth system (Fallon 2007). According to a human resources department job description posted by Henry Ford, the many functions of the HR department at Henry Ford include working on issues and policies of employee benefits, employee compensation, employment, e-HR, organizational performance and learning, payroll, training and education, performance evaluation, employee retention, and legal and regulatory issues, among many other functions (Linkedin). Having a wide range of duties like this requires a complex model that can cover all aspects of the job without over-stepping the boundaries between HR and other departments. â€Å"The human resources department of any healthcare entity is responsible for the people side of the business. Not only must human resources department protect and encourage the quality of the patient’s relationship with the healthcare entity, but it also must protect and encourage the quality of the employee’s relationship with the healthcare entity† (Shi 2007). This is a macro look at the basic function of the HR department within a health setting. From myShow MoreRelatedManaging An Effective Workforce Ie People Essay1512 Words   |  7 Pagesor as a manager in a coffee shop or as a director of the Human Resources department in a private company, the common aspect here is the ‘responsibility of managing an effective workforce ie people’. In any field, the four important resources are men, material, machinery and money. Out of these, I believe that ‘men’ ie humans are the most important because they are the ones that effectively and strategically employ and use the other resources/factors of production. 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Diagnosis And Treatment Of Cancer Essay - 1844 Words

Cancer is very large throughout the U.S. and Canada, it is said that one and a half million people will receive a new diagnosis of cancer each year (Ignatavicius Workman, 2013).Many years back a diagnosis of cancer had a very poor outcome and you were basically considered dead. Technology and research have been focusing on cancer, and how to prevent it. This paper will review the diagnosis of cancer as well as the staging of cancer, as well as possible treatment options and side effects related and how to deal with the psychological burden that cancer patients deal with. Diagnosis and Staging of Cancer The body consists of millions of tissues and cells that are grown from conception to adulthood. Cancer cells are cells that are not normal and have the capability of infinite replication, they are harmful to the normal cells and serve no benefit to the body (Ignatavicius Workman, 2013).Cancer cells are also defined as malignant cells; they tend to start in one spot which is called the primary location. They may break from the primary location and spread to other locations to establish more colonies. When the cancer spreads it is known as metastasis. There are several tests that are needed to be done prior to confirming a cancer diagnosis. Depending on the cancer suspected, different tests may be done. It is very common to take a biopsy of the infected area and wait for pathologists to evaluate the specimen. 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Prevention Of Orthopaedic Implant Infection Health And Social Care Essay Free Essays

Abstraction: The American Academy of Orthopaedic Surgeons ( AAOS ) and the American Dental Association ( ADA ) , along with 10 other academic associations and societies late ( December 2012 ) published their common clinical pattern guideline â€Å" Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures. † This evidence-based guideline, detailed in 325 pages, has three recommendations and substitutes the old AAOS guideline. The new published clinical guideline is a protocol to forestall patients set abouting dental processs from orthopedic implant infection. We will write a custom essay sample on Prevention Of Orthopaedic Implant Infection Health And Social Care Essay or any similar topic only for you Order Now The guideline is developed on the footing of a collaborative systematic reappraisal to supply practical advice for preparation clinicians, tooth doctors and any qualified doctors who need to see bar of orthopedic implant ( prosthetic device ) infection in their patients. This systematic reappraisal found no expressed grounds of cause-and-effect relationship between dental processs and periprosthetic articulation infection ( PJI ) . This short communicating wants to show a graphic sum-up of AAOS/ADA clinical pattern guideline as a clinical update and an academic execution to inform and help Persian competent clinicians and tooth doctors in the class of their intervention determinations, to enrich the value and quality of wellness attention based on the latest international footing. â€Å" Evidence Insufficient to Recommend Prophylactic Antibiotics for Dental Patients with Orthopaedic Implants. † was one of the nailing headlines of the dental updates in the winter 2013. [ 4-7 ] The American Academy of Orthopaedic Surgeons ( AAOS ) and the American Dental Association ( ADA ) , along with 10 other academic associations and societies late ( December 2012 ) published their common clinical pattern guideline â€Å" Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures. † This 325-page evidence-based guideline has three recommendations and substitutes the old AAOS guideline. The new clinical pattern guideline was established utilizing the published AAOS CPG ( Clinical Practice Guideline ) development procedure and besides sing the all criterions recommended for systematic reappraisals and clinical pattern guidelines. The full guideline presents a comprehensive systematic reappraisal of available grounds directing on the bar of orthopedic implant ( OI ) infection in patients having dental processs. [ 1 ] Jevsar ( Chairman of AAOS group ) and Abt ( on behalf of ADA group ) published and editorial to this guideline and described how the recommendations have been evidence-based. They believe that antibiotic prophylaxis recommendations, in the 2009 AAOS information statement, can merely be regarded as an educational assistance and non as an official guideline. [ 3 ] SYNOPSIS OF THE NEW GUIDELINE The workgroup, ab initio developed three recommendations for antibiotic prophylaxis in dental patients with joint replacings. These recommendations shaped the basic foundation for systematic reappraisals of the literature sing the alveolar consonant processs and periprosthetic articulation infection ( PJI ) . The workgroup besides determined elaborate standards for quality assessment of the published informations and accordingly avoiding any prejudice. To avoid prejudice, the AAOS uses specific words for its recommendations and gives rationals for their use. Due to the restrictions in available grounds, the three recommendations presented in the new guideline are classified as limited, inconclusive, and consensus with one recommendation for each class of grounds. Higher class recommendations are relatively rare within published CPGs. The work squad emphasized that they did non say this new guideline to be an impartial papers. All three recommendations should be integrated into the de cision-making procedure to better patient attention. The guideline accentuates on the coaction between the doctors, tooth doctors and patients to be after a intervention based on the grounds, clinical findings and patient penchants. [ 1-3 ] The undermentioned guideline is a sum-up of the AAOS-ADA recommendations for bar of OI infection in patients having procedural dental interventions. Recommendation 1. â€Å" The practician might see stoping the pattern of routinely ordering contraceptive antibiotics for patients with hip and knee prosthetic articulation implants undergoing dental processs. † [ 1 ] Bing graded as Limited, this recommendation is based on limited grounds and depicts that dental processs are non related to OI infection.Moreover, it indicates that practicians should see altering their customary pattern of ordering contraceptive antibiotics for dental patients. [ 1,5-7 ] The phrase limited is unequivocal ; which means low degrees of grounds is present to back up the recommendation.Practitioners should be watchful to up-coming publications that hold grounds and their determinations should reflect their single judgement and the patient ‘s penchants. [ 1 ] Stronger groundss support this recommendation compared to other two recommendations: Clinical practicians believe in altering their longstanding tradition in the prescription of contraceptive antibiotics for dental patients. The groundss indicate that dental processs are non linked to the OI infections. The hazard of OI infections is non reduced by the pre-procedural antibiotic prophylaxis. Strong grounds indicates that pre-procedural antibiotic prophylaxis reduces the incidence of bacteriemia induced by station dental process. No grounds proves that bacteriemia increases the hazard of OI infections [ 1,3,5 ] Recommendation 2. â€Å" The work group was unable to urge for or against the usage of topical unwritten disinfectants in patients with prosthetic articulation implants or other orthopedic implants undergoing dental processs. † [ 1 ] This recommendation is graded as Inconclusive, sing the strength of the grounds. The guidelines implies that practicians should see a small restraint in their determination that whether to follow an inconclusive recommendation or non. The guideline emphasizes that patient penchant should hold a important influencing function and practicians should carefully wait for future publications that elucidate the bing grounds to find the balance between benefits and possible hazard. [ 1,2,4 ] Apparently, this recommendation refers to the application of unwritten topical disinfectants in the bar of OI infections in dental patients. It indicates that there is no direct grounds to corroborate that application of unwritten topical antiseptics ( before alveolar consonant processs ) would cut down bactermia and hence prevent OI infections. [ 5 ] The guideline points out the followerss as illustrations of topical antiseptics administered by tooth doctors: Chlorhexidine Gluconate unwritten rinse, povidone-iodine oral cavity rinse, H peroxide oral cavity rinse and mouthrinses with sodium-p-toluene ( chloramine-T ) . [ 1-3,5 ] Recommendation 3. â€Å" In the absence of dependable grounds associating hapless unwritten wellness to prosthetic joint infection, it is the sentiment of the work group that patients with prosthetic articulation implants or other orthopedic implants maintain appropriate unwritten hygiene. † [ 1 ] This recommendation was graded as Consensus, bespeaking that adept sentiment supports the guideline recommendation albeit the fact that no available grounds can meet the inclusion standards. The guideline emphasized on the imperative function of patients ‘ penchant in determination devising and besides affirmed the flexibleness of practicians in make up one’s minding whether to follow a recommendation rated as Consensus or non. Consensus recommendations are the weakest signifier of recommendation, and can non be used to disregard recommendations developed from higher degrees of grounds. [ 1-3 ] This recommendation conveys the care of good unwritten hygiene and seemingly, it is the lone consensus recommendation in the new guideline. Oral hygiene steps are available and inexpensive, supply possible benefit, are consistent with current clinical pattern and are in harmony with good unwritten wellness. [ 3 ] Goals and Implications for Clinical Practice The rate of OI infection is recorded from 0.3 % to 8.3 % in the available published literature. Invasion of beings into the surgical lesion during the surgery, haematogenous spread, return of infection in antecedently involved and septic articulations, or extension from an morbific local beginning may bring forth such infection. [ 1 ] Established on the best bing grounds, the rational for this clinical pattern guideline is to help the related clinicians and tooth doctors to take a paramount preventing and intervention mode when it is needed. Contemporary dental pattern necessarily depends on evidence-based criterions and stipulates doctors and tooth doctors to use the best available grounds for intervention planning in their clinical pattern. That ‘s why this guideline consists a systematic reappraisal of literature, conducted between October 2010 and July 2011 by AAOS and ADA methodologists and the doctor/dentist vocational groups and declared wherever the grounds was equal or unequal.They even discussed the spreads in the literature, where future researches are peculiarly needed. [ 1 ] Jevsevar, an orthopedic sawbones and president of the AAOS squad, declared that this clinical pattern guideline was non supposed to be an impartial papers and he confirmed that clinicians should utilize it as an informative tool in their intervention planning to better the quality and efficaciousness of their wellness attention. [ 3 ] In drumhead, the guideline is deliberated to carry on clinical pattern and besides to supply a beginning of information for all qualified practicians covering with bar of OI infection in dental patients. The AAOS and ADA hope that this guideline would besides help to guarantee patients sing the logics behind their intervention planning. [ 1 ] Therefore, The new guideline replaces the old AAOS Information Statement and the full guideline with all wining certificates and workgroup declarations is available to entree on the AAOS web site: hypertext transfer protocol: //www.aaos.org/research/guidelines/PUDP/PUDP_guideline.pdf and the ADA web site: hypertext transfer protocol: //www.ada.org/sections/professionalResources/pdfs/PUDP_guideline.pdf How to cite Prevention Of Orthopaedic Implant Infection Health And Social Care Essay, Essay examples

Discussed In This Critique Is Shortcomings Observed In Accounting

Question: 1.To what magnitude does the shortfalls in the PAT research application occasioned the ineffectiveness of PAT research program than forecast? 2.How does PAT research applied presently in accounting practice? Answer: Introducation: The underlying topic discussed in this critique is shortcomings observed in accounting practice which has fell short of the dominant cosmic positivist research program. The central purpose of this critique is to appraise censoriously the Paul V Dunmores Half a Defense of Positive Accounting Research. This will demonstrate the influence of inadequacies in practice in attaining the potential of the authoritative extensive positive accounting theory research program. The main thesis is that without satisfactory practice in PAT research program, the prospective dominant comprehensive positivist research program shall be unachievable (Christie 2007). The author argues that the contemporary practice in PAT seem like very demonstrative of mounting the scientific purposes. The author additionally upheld that besides the inconsistencies accounting practice, normal science grants a groundwork and a background anchored on Kuhns calamity in addition to uprising since it stays possible to discharge PAT to appreciate its anticipated potential. The analysis assumes the following structure to profligately capture the foremost argument acknowledged overhead. It begins with an ephemeral summary of this article by concentrating principally on the leading argument as presented in the Pauls article. It will include the aim, main findings and theoretical framework and significance of the study. The next section delves deeper into study question. This section will mainly determine the research question and hypothesis presented in the article. The discussion of hypothesis and the research questions value as recognized in the article is also given in this section. Section two will primarily determine if the research question and hypothesis clearly flow from the literature review. The next section details the theoretical framework whereby the appreciation alongside discussion of the framework is presented besides the theoretical framework that informed this study. The next section provides a protracted discussion of limitation alongside implication. The deficiencies of theory alongside the methodological approach are detailed. It also look at whe ther the study has appreciated such weakness or limitations. Further, whether the researcher has drawn conclusions based on the assumed methodology is authenticated. This section further establishes whether the recognized limitations have impacted the significance and substance of the article in regards to accounting practices anchored on results established vis--vis the method of the study. In the final section, a brief conclusion and summary of the entire discussion is presented pointing out the significant facts as well as highlighting the entire critiques limitation to the accounting practice. Summary The article being critiqued was written by Paul V Dunmores Half a Defense of Positive Accounting Research. The article fundamentally discusses the PAT research program as concocted by Watts and Zimmerman. This claim was staked by the Watts and Zimmerman to the Positive Accounting Theory (PAT) for their assumed theory. The scholar pursued the scrutiny of the positive methodology to the accounting research. Paul viewed PAT research program as an important constituent of a wide-ranging well-informed project of scientific research. This program is pursued to understand the cause-effect relationship in the essential research world. Paul has successively viewed PAT in the broader viewpoint of research program which aims at developing causal intensification of the human behavior under accounting setting (Volovski et al. 2017). The researcher has furthermore undertaken a scrutiny of epistemology in addition to ontology of PAT program. Plentiful valuations surrounding statistical hypothesis logic while cursorily conforming to construction standard of Popper have moreover been recorded as mediocre. Paul has moreover recognized that besides the inclusive PAT program being hypothetically impressive, the insufficiencies in practice deter the apprehension of the programs needed potential (Dunmore 2011). The extensive happenstances hindering the PAT program have likewise been documented besides the casual creation of theoretical models that necessitates testing as well as unwarranted reliance on logic hypothesis testing (Roth, Suldo and Ferron 2017). Nonexistence of interest in statistical value of parameters together with insufficient replication to permit confidence in determining the reception have supplementary been recognized as shared incapacitations (Dunmore 2011). Using theories as standards for investigating alongside assessing qualitative data rather than as intensifications for tests is an additionally shared challenge fronting PAT program. The researcher has additionally considered evidence from pertinent alongside trustworthy articles for the authentication of the views presented in this article (Christie 2007). The researcher also appraised the broader well-informed project alongside the ontological as well as epistemological assumptions to comprehend both the implication as well as irregularities of positive accounting research. The appraisal uncovered serious shortcomings in the manner that PAT study is undertaken that hinders it from realizing evocative contribution to the inclusive project (Kim et al. 2017). Paul foreshadowed that the present practice in accounting leaves PAT with considerable clumsiness to reach the envisioned scientific purposes. Though, Paul displayed self-confident that Kuhns illumination of the normal science competently fits the PAT research (Kim et al. 201). The predictions of Kuhns story are clarified in brief based on Kuhnian crisis together with insurgence. It is believed that such a crux as well as insurgence is repressed to unlock the PAT accordingly achieving its jammed potential (Pandey et al. 2017). Question/Hypothesis The author has engaged many hypotheses besides research questions and clarified that he is never declared their truth, but somewhat just fact-finding for a passionate deferment of amazement to authorize their consistent conversation. Four hypotheses are highlighted by Paul and developed independently hesitantly, mindful that for plentiful of human being, they might have imagined outrageous and wicked and that seemingly an unwarranted fraction of humanity might bear to discern. Hypotheses: There is a world of self-governing of fancy of people that was never created by persons and its activities are not subjected to the ambitions of folks control It was feasible for normal folks to get impartially dependable information around the events of the world via considerate reflection. This, nevertheless, not ever imply that folks will never once be mistaken the point they are witnessing, rather such comments are never exclusively unrelated to such a world The logical scrutiny bestows to use observations to attain a comprehension of such a world, and precisely of interconnection. This suggests that people pursue mental models that indeed map the procedure of causal that transpire in such a realm The proceedings of this world have practicalities that are unconventionally component of the world therefore suggesting that neither totally haphazard nor the results of the interruptions from alfresco world Theoretical Framework A theoretical framework assumed by Paul evolved from a positivist position of a displeased hypothetical physicist whose accounting research stayed positivist emphasizing either model testing/ building. The disapprovals of the author, consequently, dedicated the position of an individual discriminating that the study arrangement is amazing, however distressed by the unskilled and unfertile diversities that are currently practiced in accounting. Paul used this understanding to instinct both editors besides referees to prefer such arrangements to shove the modern arrangements towards the deliverance of PAT research to realize the wanted prospective. The articles theoretical substance, consequently, builds on the acknowledgment from the literature review on auditing that thoughtful shortages occur in the modern practice in accounting research thereby obstructing PAT research program from making a material effect to the broader project. This is predestined to founding positive accounting research as a deep-rooted social system to contribute to the scheme of scientific investigation (Fleischman et al. 2017). The framework is devoted on the awareness that favorable findings of Kuhn (1970) research would be desperate to stimulate elites to hold a more than ever operative model. The author additionally differentiates an amnesty offered by the info that ascended from the study by Fogarty and Markarian in 2007 that implied elites proportional deportment being diminishing. Thus, the author predictable imminent upcoming tragedy and the opportunity for the assumption of an additionally ever respected model. Paul consecutively based his premise on suggesting proposals for actions by editor in chief as well as arbitrators to nudge the contemporary schemes in the direction of redeeming PAT investigation to hit its jam-packed potential. The author is informed by the acknowledgement that it is significant to appreciate the global Modus Operandi and later viewed it as undesirability that the connected to investigation watercourse is unfertile and ineffective, and, henceforth he has delivered definite proposals for advancement. Limitation and Significance The systematic review of available literature on auditing via the qualitative technique assumed in this investigation is devoted to certain limitations or inadequacies. A probability of carrying onward certain errors and liabilities made by preceding investigators into the modern study is high labels one of such limitations. Furthermore, the technique limits the building of fresh results since there is no chance to collect the primary data where secondary data is used which did not capture the differences professionally. The author has moreover documented the absence of improved dimensions to document demanding theoretical models testing due to failed notions operationalization. The nonexistence of standardized trustworthy unshakable relationship-focused way to be adopted in each study measuring is additional limitation confessed. The recurrent dimensions re-invention besides re-estimation of parameters with individual sample a study has additionally been recognized as the shortcoming to PAT research from achieving its teeming prospective. Additional limitation in the theory assumed in this study is the lack of theoretical models that are tremendously specified and, therefore, it is vulnerable to permit thorough testing. Paul has documented these limitations by suggesting the need for better theoretical models. This proposal arises from the background of the developing luxurious models from analytical research that are not ever admissible to be test due to their inacceptable development together with concentration on controllability hinged on concepts that are never meritoriously distinct hypothetically to permit operationalization (Watts and Zimmerman 2012). Paul has positively drawn hypothetical implications from the study which are defensible systematically. This is because the limits have been acknowledged from the systematic review of the previous auditing literature that have in turn molded the basis for proposing enhancements to allow positive research to meet its chockfull potential. The recommended need for ever-changing focus away from the testing hypotheses towards estimating parameters afterwards being informed by the attentiveness of testing hypothesis from the previous reviewed studies (Pandey et al. 2017). The precincts have meaningfully censoriously biased the insinuation of the study even though they have concomitantly unreservedly disadvantaged the contribution of the article to the accounting practice. This is caused by the awkwardness in methodology together with theories in the article that did not avail chance that present dependable results, nevertheless, the accounting is better going forward by suggesting recommendation that are indispensable to describe subsequent study to sanction PAT study to recognize its jam-packed package. Conclusion The author has exhumed that models that are tremendously stated and, hence, remarkably defenseless, besides being undertaken extremely as thorough testing subjects are required. Paul has further accredited that deplorable progress is ongoing in positive accounting research as a conventional upshot of using ad hoc quantitative models which are debilitated to meagre statements of the predictable sign of a connection between two factors (Volovski et al. 2017). References Baiman, S., 2010. Agency research in managerial accounting: A second look. Accounting, Organizations and Society, 15(4), pp.341-371. Bertomeu, J., Darrough, M. and Xue, W., 2017. Optimal conservatism with earnings manipulation. Contemporary Accounting Research, 34(1), pp.252-284. Christie, A.A., 2007. On cross-sectional analysis in accounting research. Journal of Accounting and Economics, 9(3), pp.231-258. Dillard, J. and Vinnari, E., 2017. A case study of critique: Critical perspectives on critical accounting. Critical Perspectives on Accounting, 43, pp.88-109. Dunmore, P.V., 2011. Half a Defence of Positive Accounting Research. Available at SSRN 1955419. Dunmore, P.V., 2011. Half a Defence of Positive Accounting Research. Faff, R.W., Carrick, R., Chen, A., Escobar, M., Khong, B.X.M., Nguyen, B.H. and Tunny, W., 2017. Fantasy Pitching III: UQ Summer Research Scholarsthe Role of'Money'in the 21st Century. Fleischman, G.M., Stephenson, T., Walker, K.B. and Cook, K.A., 2017. Factors that Influence Accounting Faculty Career Satisfaction: Comparisons by Program Prestige and Tenure Status. Accounting Horizons. Franco, A. and Roach, S.S., 2017. Factors That Determine Accounting Anxiety Among Users of English as a Second Language Within an International MBA Program. International Journal of Learning, Teaching and Educational Research, 16(1). Kim, H.J., Min, A., Im, S.A., Jang, H., Lee, K.H., Lau, A., Lee, M., Kim, S., Yang, Y., Kim, J. and Kim, T.Y., 2017. Anti?tumor activity of the ATR inhibitor AZD6738 in HER2 positive breast cancer cells. International Journal of Cancer, 140(1), pp.109-119. Pandey, S.K., Pandey, S., Breslin, R.A. and Broadus, E.D., 2017. 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