Strategic options to globalisation

Strategic options to globalisation Different organizations around the world strive to expand and grow. Igor Ansoffs matrix is a tool that helps businesses decide their product and market growth strategy. Ansoffs product/growth matrix suggests that a business attempts to grow depend on whether it markets new or existing products in new or existing markets. The output from Ansoffs matrix is a series of suggested growth strategies that a set direction for the business strategy. They are as follows: Market penetration. Selling existing products existing markets. Product development. Selling new products to existing markets. Market development. Existing products being sold to new markets. Diversification. Selling new products to new markets. The report explores the strategies mentioned above in detail and provides examples of global firms that have used the strategies. INTRODUCTION Globalisation is the gradual integration and growing interdependence of natural economies. It allows firms to view the world as an integrated market place. Firms will use different methods to expand. METHODOLOGY The contents of this report were acquired by research, that is, by reading different books as well as the internet. MARKET PENETRATION This strategy applies to selling an existing product in an existing market. It is suitable in a growing market which is as yet not saturated. Market penetration seeks to achieve four main objectives: Maintain or increase the market share of current products- this can be achieved by a combination of competitive pricing strategies, advertising, sales promotion and perhaps more resources dedicated to personal selling. Secure dominance of growth markets Restructure a mature market by driving out competitors, this would require a much more aggressive promotional campaign supported by a pricing strategy designed to make the market unattractive for competitors. Increase usage by existing customers, for example by introducing loyalty schemes. . An example of market penetration is recognizing that software as a service can be a potent market penetration tool, Dell is assembling a services portfolio that now includes e-mail disaster recovery, spam/virus filtering and archiving via its messageOne acquisition.(www.soopertutorials.com). It is unlikely for this strategy to require much investment in new market research as it is likely that the firm will have good information on competitors and customer needs. The typical risk of market penetration is that it may lead to price wars with competitors with the same strategy and low pricing could be detrimental to the perceived brand value and to the company reputation. PRODUCT DEVELOPMENT This involves developing new products to sell in existing markets. It is usually employed with branded goods so that the qualities of the new product are linked to the customers confidence in the established brand. This strategy may require the development of new competences and builds on customer loyalty. New product development can be an amendment of existing products in order to produce products which are new to the market or it can totally be innovative. The Booz Allen Hamilton model outlines the stages of new product development as follows: IDEA GENERATION Ideas are collected from perhaps the sales force, distributors and customers. The company actively looks for opportunities, and new products can be produced in response to a perceived, or recognized demand. Ideas must be collected, considered feasibility and eventually passed to people who are responsible for screening. SCREENING The firm will set a certain criteria, for example the product must fit with the rest of the range; there must be a recognized level of demand; it must give a stated level of profit. Assuming some ideas meet the criteria, they are then passed on to people responsible for the next stage. CONCEPT TESTING This is not a product test but an idea test. The idea is taken to potential buyers as well as to the internal processing people to check on manufacture, packaging, distribution. OUTLINING POSSIBLE MARKETING STRATEGIES The results of the concept testing can help a company to decide just how it will market the product. Discussions made at this time depend a great deal not only on the results of the concept testing but also o the knowledge of the marketplace and the planning skills of the marketers involved. Knowledge of the marketplace is something which requires research. BUSINESS ANALYSIS It is here that potential profits are compared to the production and marketing costs to see if its worth proceeding. It is at this stage that products are often rejected as they do not demonstrate enough potential earnings in a given period of time, whereas given the appropriate support they may actually be products which could give huge profits over a longer period of time. PRODUCT DEVELOPMENT To begin manufacturing a new product is a risky venture. Because of this some manufacturers will choose to produce a prototype, or small batches, in order to test effectiveness before they give full commitment to production. The effort in producing in small quantities adds to the expense and time involved, not to mention the possibility of the competition becoming aware of what the company is doing. TEST MARKETING The product is introduced to a representative sample of the potential market. Although it may be expensive, it is better to use more than one testing area so that comparisons can be made. Different prices, advertisements, methods of distribution and perhaps even packaging may be used in different areas so that the company can see which methods are most effective. The problems that arise at his stage include: Buyers people often buy a product just to try it. They may like it and tell a researcher so, but will often revert back to their normal purchases because of brand loyalty. Distributors and suppliers they may be willing to give a new product exposure because of an introductory incentive, but once the incentive is withdrawn they may not be so willing to cooperate. Competition if they have relatively similar products, competitors may take defensive action and introduce promotional activity that will undermine the testing. COMMERCIALISATION This is the full scale manufacture and launch of the product onto the marketplace. If all of he stages have been carried out correctly, the product should have a good chance of success. An example of a firm that used the product development strategy is Hewlett and Packard who practiced allocating work time to encourage new designs. Another example is the Apple iPhone has been such a success and the company now dominates the smart phone world.(Michael Malone) The risks of product development are uncertainty of new technology, teething troubles of the new products and time pressure due to competition. MARKET DEVELOPMENT This involves offering an existing product in a new market. This strategy is used when a regional business wants to expand, or when new markets are opening up. Market development might take three forms: New segments. For example in the public services, a college might offer its educational services to older students than its traditional intake, perhaps via evening courses. New users. Here an example would be aluminium, whose original users packaging and cutlery manufacture are now supplemented by users in aerospace and automobiles. New geographies. The prime example of this is internationalization. The four risks of internationalization are commercial risk, currency risk, country risk, cross-cultural risk. When selecting an entry strategy, managers should consider the following six variables: The goals and objectives of the firm, such as profitability and market share. Unique conditions in the target country such as legal, cultural, economic circumstances, as well as the nature of business infrastructure, such as distribution and transport systems. The nature and extent of competition from existing rivals and from firms that may enter the market later. The characteristics of the product or service to be offered to customers in the market. The financial, organizational, and technological resources and capabilities available to the firm. The risks inherent in each proposed foreign venture in relation to the firms and objectives in pursuing internationalization. A firm can use the following strategies when entering new markets geographically. EXPORTING Exporting is the strategy of producing products or services (often the producers home country), and selling and distributing them to customers located in other countries. There are two types of exporting Indirect exporting which is accomplished by contracting with intermediaries located in the firms home market. Direct exporting that is accomplished by contracting with intermediaries located in the foreign market. Firms venturing abroad for the first time usually use exporting as their entry strategy. Exporting is also the entry strategy most favored by small and medium sized enterprises. Advantages of exporting Increased overall sales volume, improve market share, and generate profit margins that are often more favorable than in the domestic market. Diversify customer base, reducing dependence on home markets. It minimizes risk and maximizes flexibility as compared to other entry strategies. It avoids substantial costs of establishing manufacturing operations in the host country. Increases economies of scale therefore and reduces per-unit cost of manufacturing. Lower cost of market entry since the firm does not have to invest in the target market or maintain a physical presence there. This is how Sony came to dominate the global TV market, how Japanese automakers made inroads in the U.S market and how South Korean firms such as Samsung gained market share in computer memory chips. location to the rest of the world. The more successful managers use a systematic approach to improve the firms prospects by assessing the potential markets, organizing the firm to undertake exporting, acquiring appropriate skills and competencies, and implementing export operations. FOREIGN DIRECT INVESTMENT This is an internationalization strategy in which the firm establishes a physical presence abroad through acquisition of productive assets such as capital, technology, labor, land, plant and equipment. Foreign direct investment is characterized by six key features. It represents greater resource commitment. It has far more taxing on the resources and capabilities than any other entry strategy. It implies local presence and operations. It allows the firm to achieve global scale efficiency, which helps enhance the performance of the firm. It entails substantial risk and uncertainty because establishing a permanent fixed presence in a foreign country makes the firm vulnerable to specific circumstances in that country. Investors must deal more intensively with particular social and cultural variables presenting the host market. Multi national firms increasingly strive to behave in socially responsible ways in host countries. STRATEGIC ALLIANCES Strategic alliances refer to cooperative agreements between potential or actual competitors. Strategic alliances range from formal joint ventures, in which firms have high equity stakes (Fuji-Xerox), to short term contractual agreements, in which two companies agree to cooperate on a particular task. Advantages of strategic alliances Strategic alliances facilitate entry into foreign markets. Alliances allow firms to share fixed costs of developing new products and processes. Alliances are a way of bringing together complementary skills and assets that neither company could easily develop on its own. Disadvantages of strategic alliances They give competitors a low cost route to new technology and markets. Unless a firm is careful it can give away more than it receives. JOINT VENTURES A joint venture entails establishing a firm that is jointly owned by two or more otherwise independent firms. The firm benefits from the local partners knowledge of the host countrys competitive conditions, culture, language, political, systems and business systems. When risks and costs of opening a foreign market are high a firm might gain by sharing these costs or risks with a local partner. A firm entering into a joint venture risks giving control of its technology to its partner. However, joint venture agreements can be contracted to minimize this risk. LICENSING A licensing agreement is an arrangement whereby a licensor grants the rights to intangible property to another entity (the licensee) for a specified period and in return receives a royalty fee from the licensee. Intangible property includes patents, inventions, formulas, processes, designs, copyrights and trademarks. High technological firms routinely license their patents and know-how to foreign companies. For example, Disney licenses the right to use its cartoon characters in the production of shirts and hats to clothing manufacturers in Hong Kong. Disney also licenses its trademark names and logos to manufacturers of apparel, toys and watches for sale worldwide. Coca-Cola has licensed its famous trademark to clothing manufacturers, which have incorporated the design into clothing. Many firms have made the mistake of thinking they could maintain control over their know-how within the framework of the licensing agreement. RCA corporation for example, once licensed its colour TV technology to Japanese firms including Sony. These firms quickly assimilated the technology, improved on it, and used it to enter the US market, taking substantial market share away from RCA. TURNKEY CONTRACTING This refers to an arrangement where the focal firm or a consortium of firms plans, finances, organizes, manages, and implements all phases of a project abroad and then hands it over to a foreign customer after training local personnel. Turnkey projects are most common in the chemical, pharmaceutical, petroleum refining, and metal refining industries, all of which use complex, expensive production technologies. For example, many Western firms that sold oil-refining technology to firms in Saudi Arabia, Kuwait, and other gulf states now find themselves competing with these firms in the world oil market. FRANCHISING Franchising is an advanced form of licensing in which the focal firm allows an entrepreneur the right to use an entire business system in exchange for compensation. The franchisor will often assist the franchisee to run the business on an on going basis. McDonalds is a good example of a firm that has grown by using franchising strategy. McDonalds strict rules as to how franchises should operate a restaurant extend to control over the menu, cooking methods, staffing policies and design and location. McDonalds also organizes the supply chain for its franchises and provides management training and financial assistance. Another example is the curves fitness center which was ranked the number two franchise in 2004 by the entrepreneur magazine. . DIVERSIFICATION Diversification is the name given to the growth strategy where a business markets new products to new markets. This has the advantage of preventing the company from relying too much on its existing strategic business units. Diversification might be chosen for a variety of reasons, some more value creating than others. Potential value creating reasons for diversification areas follows. Efficiency gains can be made by applying the organizations existing resources or capabilities to new markets and products or services. These are often referred to as economies of scope. Stretching corporate parenting capabilities into new markets and products or services can be another source of gain. In a sense, this extends to a point above about applying existing competences in new areas. Increasing marketing power can result from having a diverse range of businesses. There are two types of diversification these are related diversification and unrelated diversification. RELATED DIVERSIFICATION This is when a company develops beyond its present product and market whilst remaining in the same area. This form of diversification can occur by: Backward diversification, when activities related to inputs in the business are developed further backing the value chain. Forward diversification, when activities are further forward in the value chain. Horizontal diversification, when a company develops interests complementary to its current activities. An example, internet search company Google has spread horizontally into news mages and maps and other services. UNRELATED DIVERSIFICATION This is used to describe a company moving beyond its present interests, that is, it moves beyond its current capabilities and value network. Unrelated diversification is often referred to as a conglomerate strategy because there are no obvious economies of scope between the different businesses. Examples of unrelated diversification include: the easy Group which consists of easy Jet, easy internet cafà ©, easy car, easyValue.com and easy.com. Virgin media which moved from music producing to travels and mobile phones. Walt Disney which moved from producing animated movies to theme parks and vacation properties. The typical risks of diversification include It requires a company to acquire new skills , new technologies and new facilities Insufficient know how Insufficient management span of control May require risky acquisitions Loss of brand focus or credibility RECOMMENDATIONS Market penetration is generally the cheapest strategy to adopt. It is the least risky and is especially suitable for small and medium sized firms that may not afford to develop new products and/or enter new markets. Before taking up product development or diversification, a firm should ensure extreme research and development that the new product and/or venture is viable as it is costly to develop new products as new technologies have to be purchased and employees would have to be trained on the new practices. It takes time to be effective. CONCLUSION In conclusion it can be seen that global firms can apply any one of Ansoffs strategies in an attempt to expand and grow be it in their existing markets or new ones, and their current product offering or new ones.

Electronic Health Record Implementation Health And Social Care Essay

The passage from paper records to electronic wellness records has been a challenge in the province of Mississippi. This research survey will concentrate on electronic wellness record ( EHR ) preparedness of ague attention infirmaries in the province of Mississippi. The survey will turn to the factors associated with execution every bit good as the benefits, barriers and hazards. The survey will besides supply information as to the position of EHR execution in the province of Mississippi. Introduction. The Bush disposal mandated a call to action for the execution of electronic wellness records within a decennary in 2004. Healthcare suppliers were given a timeline for execution and the confidence that the authorities would be an active protagonist. In 2009, the Obama disposal outlined funding in the American Reinvestment and Recovery Act for EHR support. Suppliers must choose a system and seller that is certified by the Certification Commission for Health Information Technology ( CCHIT ) in order to measure up for federal support. With the 2014 deadline looming, some installations have non started the procedure of EHR choice and execution. In 2008, a comparable survey was performed measuring EHR preparedness in the province of Alabama. A self-completed study was mailed to 131 managers in the wellness information direction ( HIM ) section of Alabama infirmaries. Harmonizing to the research provided in the survey, of 91 reacting infirmaries ( 69 per centum response rate ) , merely 12.0 per centum have completed execution of EHRs ( Houser & A ; Johnson, 2008 ) . Background of the Problem. In 2004, President Bush called for widespread acceptance of the EHR within 10 old ages. Traveling from paper to EHRs has been a challenge for many infirmaries and doctors ‘ offices. Although attempts toward EHR execution started about two decennaries ago, the procedure has been slow ( Amatayakul, M. K. , 2007 ) . Harmonizing to a recent study on EHR advancement, the acceptance of EHRs â€Å" is non happening every bit quickly as hoped, † and the U.S. is dawdling in acceptance of EHRs ( Robert Wood Johnson Foundation, 2006 ; Powell, A. , October 12, 2006 ) . Recent studies suggested that EHR execution was between 17 to 24 per centum in doctors ‘ offices in an ambulatory attention puting ( Robert Wood Johnson Foundation, 2006 ; A Jha, A. K. , T. G. Ferris, K. Donelan, C. DesRoches, A. Shields, S. Rosenbaum, and D. Blumenthal, October 2006 ) . EHR usage in any format in hospital scenes was estimated to be 20 to 25 per centum, and the usage of computerized physician order entry ( CPOE ) was about 15 per centum ( Blumenthal, D. , March 2006 ) . Compared to urban infirmaries, EHR usage in rural infirmaries was less common ( Bahensky, J. A. , M. Jaana, and M. M. Ward. 2008 ) .Ward ‘s survey indicated that more than 80 per centum of urban infirmaries reported utilizing computing machines to roll up basic clinical information for possible usage in an EHR and CPOE system, while merely 30 to 40 per centum of rural infirmaries were making so ( Ward, M. M. , M. Jaana, J. A. Bahensky, S. Vartak, and D. S. Wakefield,2006 ) . Purpose of Study. The intent of the proposed survey will concentrate on the figure of healthcare organisations in Mississippi that have implemented electronic wellness records. The survey will place barriers and benefits to execution and buttocks preparedness province broad. Significance of Study. A survey done in April 2009 entitled â€Å" Use of Electronic Health Records in U.S. Hospitals † stated that of responses from 63.1 % of infirmaries surveyed, merely 1.5 % of U.S. infirmaries have a comprehensive electronic-records system ( i.e. , present in all clinical units ) , and an extra 7.6 % have a basic system ( i.e. , present in at least one clinical unit ) . Computerized provider-order entry for medicines has been implemented in merely 17 % of infirmaries. Larger infirmaries, those located in urban countries, and learning infirmaries were more likely to hold electronic-records systems. Respondents cited capital demands and high care costs as the primary barriers to execution, although infirmaries with electronic-records systems were less likely to mention these barriers than infirmaries without such systems ( Jha, 2009 ) . The EHR has several distinguishable advantages over paper wellness records. One definite advantage is the fact that there are increasing storage capablenesss for longer periods of clip. Besides, the EHR is â€Å" accessible from distant sites to many people at the same clip â€Å" ( Young 99 ) and retrieval of the information is about immediate. The record is continuously updated and is available at the same time for usage everyplace. Information is instantly accessible at any unit workstation whenever it is needed. Presently the paper record represents â€Å" monolithic atomization of clinical wellness information. † ( Schloeffel et al. 1 ) This non merely causes the cost of information direction to increase but besides â€Å" atomization leads to even greater costs due to its inauspicious effects on current and future patient attention † ( Schloeffel et al. 1 ) . The EHR can besides supply medical qui vives and reminders. EHR systems have some â€Å" constitutional intelligence capablenesss, such as acknowledging unnatural lab consequences, or possible dangerous drug interactions † ( Koeller 11 ) . Research findings back uping diagnostic trials and the EHR â€Å" can associate the clinician to protocols, attention programs, critical waies, literature databases, pharmaceutical information and other databases of health care cognition † ( Young 100 ) . Computer systems should non take the topographic point of doctors ‘ critical judgements nevertheless, â€Å" a well-designed EHR supports accountable liberty, roll uping and circulating information to help the medical professional in determination devising † ( Wellen, Bouchard, and Houston 2 ) . Another benefit to an EHR is that it allows for customized positions of information relevant to the demands of assorted fortes. The EHR is â€Å" far more flexible, leting its users to plan and use coverage formats tailored to their ain particular demands and to form and expose informations in assorted ways † ( Dick, Steen, and Detmer 46 ) . As a direction tool, the EHR can supply information to better hazard direction and appraisal results. Today, reimbursement is based on results hence healthcare organisations â€Å" must seek advanced ways to better quality of attention and results while pull offing costs † ( Dray 3 ) . An EHR can diminish charting clip and charting mistakes, hence increasing the productiveness of health care workers and diminishing medical mistakes due to illegible notes. â€Å" Reduction of medical mistakes is the concern of the populace at big, province legislators, health care suppliers, and many other wellness professionals † ( Waegemann et al. 11 ) . There have been legion narratives about fatal errors happening because of illegible notes written by doctors. EHRs â€Å" address a job that has plagued medical staff really perchance since the first physician put pencil to paper [ aˆÂ ¦ ] ( Dobias 3 ) . Since â€Å" script is natural, and hence hard to alter † ( Dobias 3 ) automated systems can assist extinguish this job. Although some systems may look dearly-won, the additions in efficiency far offset the costs. Chart chasing is eliminated, as is duplicate informations entry of the same information on multiple signifiers. â€Å" Highly paid, skilled clinicians no longer are delayed by the hunt for elusive paper charts, and useable result information becomes available without several yearss of informations digest † ( Wellen, Bouchard, and Houston 3 ) . Financially, the EHR will supply more accurate charge information and will let the suppliers of attention to subject their claims electronically, hence having payment quicker. The patient is even happier, because old information is available so the patient does non hold to go on to supply the same information over and over once more ( Gurley, 2006 ) . The completion of this survey will add to the organic structure of cognition by detailing the grounds for or against partial or full electronic wellness record execution in Mississippi. Chapter 2 – Reappraisal of Literature Reappraisal of the Literature A literature reappraisal for this topic has provided many relevant articles covering the subject of electronic wellness record execution. After choosing articles that were more closely aligned with the range of this research, I examined the mark population ( infirmaries in Mississippi ) , research intent ( designation of factors, barriers, and benefits of execution ) , the differing research methods, the information analysis method, variables, demographics every bit good as sample size. The literature systematically reflects positive benefits of utilizing this engineering. The study survey design was most normally used in the literature and seems to bring forth more measureable consequences. Sample sizes varied depending on the geographic part. The first article was entitled, â€Å" Percepts Sing Electronic Health Record Implementation among Health Information Management Professionals in Alabama: A State-wide Survey and Analysis. † The intents of this survey were to measure the position of execution of EHRs among Alabama infirmaries ; the factors that are associated with EHR execution ; and the benefits of, barriers to, and hazards of EHR implementation.A A self-completed study was mailed to 131 managers in the wellness information direction ( HIM ) section of Alabama infirmaries. Of 91 reacting infirmaries ( 69 per centum response rate ) , merely 12.0 per centum have completed execution of EHRs. The cardinal factor driving electronic wellness record ( EHR ) execution was to better clinical procedures or workflow efficiency. Lack of equal support and resources was the major barrier to EHR execution. Rural infirmaries were less likely to implement EHRs when compared with urban infirmaries ( p = .07 ) . Adoption of EHRs should be evaluated in deepness for infirmaries, and peculiarly for rural infirmaries. Wayss to seek appropriate support and supply equal resources should be explored ( Houser, 2006 ) .A The 2nd article, â€Å" Use of Electronic Health Records in U.S. Hospitals † is sing the usage of electronic wellness records from a national position. The research workers surveyed all ague attention infirmaries that are members of the American Hospital Association for the presence of specific electronic-record functionalities. Using a definition of electronic wellness records based on adept consensus, the research workers determined the proportion of infirmaries that had such systems in their clinical countries. We besides examined the relationship of acceptance of electronic wellness records to specific infirmary features and factors that were reported to be barriers to or facilitators of acceptance ( Jha et.al, 2009 ) . The research workers collaborated with the American Hospital Association ( AHA ) to study all ague attention general medical and surgical member infirmaries. The study was presented as an information engineering addendum to the association ‘s one-year study of members, and like the overall AHA questionnaire, was sent to the infirmary ‘s main executive officer. Hospital main executive officers by and large assigned the most knowing individual in the establishment ( in this instance, typically the main information officer or equivalent ) to finish the study. Non-responding infirmaries received multiple telephone calls and reminder letters inquiring them to finish the study. The study was ab initio mailed in March 2008, and their in-field period ended in September 2008 ( Jha et.al, 2009 ) . The research workers found that less than 2 % of ague attention infirmaries have a comprehensive electronic-records system, and that, depending on the definition used, between 8 and 12 % of infirmaries have a basic electronic-records system. With the usage of the definition that requires the presence of functionalities for doctors ‘ notes and nursing appraisals, information systems in more than 90 % of U.S. infirmaries do non even run into the demand for a basic electronic-records system ( Jha et.al, 2009 ) . These articles focused on information which will turn out to be good as I move frontward with this research undertaking. There is a demand for extra literature hunt in order to study/research extra stuff related to this peculiar survey. Chapter 3 – Methodology Methodology Research Design. The research worker will utilize study research design and analysis. Each HIM manager was sent a validated study comprised of multiple pick and open ended inquiries. The information for the survey will be collected anonymously via study mailed to infirmaries in Mississippi. A random control figure will be assigned to each study and envelope. There will be no linkage to individuality of establishments, merely aggregated informations will be published. Population and Sample Design. The choice of sample size was based on the figure of infirmaries in the province of Mississippi. This survey will measure perceptual experiences sing electronic wellness record execution in assorted types of infirmaries in Mississippi. The sample will be a convenience sample of all HIM managers in the province of MS, consisting all major geographic locations and/or hospital size. Data Collection Procedures. In September, 2010, the research worker mailed self completed studies to infirmaries in Mississippi. Participating installations had 4 hebdomads from the day of the month they received the study to return it in the ego addressed stamped envelope provided. Addresss and contact information for the installations was gathered from the American Hospital Directory, the Mississippi Department of Health, and the Official State of Mississippi web sites. By December 2010, the thesis will be complete and ready for presentation. Research Questions. Each participant was asked inquiries sing demographics alone to their installation. The study inquiries we focused on sensed hazards and benefits of implementing an EHR wholly and in portion. The participants were besides asked inquiries sing their degree of instruction, certificates, and age scope. Profile of Sample Population A missive and ego completed study was mailed to 90 managers of wellness information direction in Mississippi infirmaries. Data Analysis. A quantitative research method will be used as the method of analysis. The information will enable a graded comparing of infirmaries in Mississippi that have non-implemented, partly and to the full implemented electronic wellness records. We will utilize descriptive statistics to supply a sum-up of the informations collected. Chapter 4- Consequences Features of Respondents Of a sum of 46 study respondents, a big bulk ( 96 per centum ) were HIM managers, and the staying respondents ( 4 per centum ) were hospital administrative forces ( Figure 4 ) . 35 of the 46 respondents ( 76 per centum ) were between the ages of 40 and 59, 6 respondents ( 13 per centum ) were 22 to 39, 4 respondents ( 9 per centum ) were over 60, and one participant chose non to react ( Figure 13 ) . 55 per centum ( 25 respondents ) held Registered Health Information Administrator ( RHIA ) certificates, 12 respondents ( 26 per centum ) held Registered Health Information Technician certificates ( RHIT ) , 1 respondent ( 2 per centum ) held Certified Professional Coder ( CPC ) enfranchisements, 4 respondents ( 9 per centum ) were dually certified keeping RHIA certificates and a Certified Coding Specialist ( CCS ) enfranchisement, 1 respondent ( 2 per centum ) held an RHIT certificate and Certified Coding Specialist ( CCS ) enfranchisement, and the staying 3 respondents ( 6 per centum ) chose non to react ( Figure 14 ) . The highest degree of instruction attained by the HIM professionals was besides included in the information aggregation. 61 per centum ( 28 respondents ) had obtained a unmarried man ‘s grade, 26 per centum ( 12 respondents ) had obtained an associate ‘s grade, 5 respondents ( 2 per centum ) had obtained certifications, 1 respondent ( 2 per centum ) had obtained a maestro ‘s grade, 2 respondents ( 4 per centum ) had obtained other grades in topics non related to HIM, and 1 respondent did non take part in this inquiry ( Figure 15 ) . While 28 per centum of the reacting HIM professionals have strong input, another 56 per centum have small or merely some input on determinations sing EHR execution in the infirmary. Eleven per centum of the respondents had no input sing EHR execution. Of the full pool of respondents, there were no HIM Directors or administrative forces who held the concluding decision-making power related to EHR execution in their infirmaries ( Figure 5 ) .A Among these study respondents, 54 per centum of their infirmaries have less than 100 beds, 31 per centum had 100-400 beds, and 13 per centum had more than 100 beds at their installation ( Figure 1 ) . Of the 46 study respondents, 61 per centum were from non profit/not for net income infirmaries while 24 per centum were for net income infirmaries ( Figure 2 ) . Of the respondents, 76 per centum were from rural infirmaries and 20 per centum were in urban countries ( Figure 3 ) . From a sum of 90 possible infirmary respondents, 46 ( 51 per centum ) responded and 44 ( 49 per centum ) did non react. Status of EHR Implementation When asked about the position of EHR execution in their infirmaries, merely 8 ( 17 per centum ) of the 46 study respondents reported that their infirmaries had implemented an EHR system. Twelve infirmaries ( 26 per centum ) of the infirmaries had non implemented an EHR system when the study was conducted, with the staying 26 infirmaries ( 57percent ) being in the execution procedure ( Figure 10 ) .A Of the 8 infirmaries with to the full implemented EHRs, 3 ( 38 per centum ) are in rural countries, 4 ( 50 per centum ) are in urban countries, and 1 did non react to location. All 12 ( 100 per centum ) of the installations without an EHR or any timeline regarding execution are in rural countries. Of the 26 staying installations with EHRs in advancement, 20 ( 77 per centum ) are in rural countries, 5 ( 19 per centum ) are in urban countries, and 1 is in a suburban country. Harmonizing to the informations collected, rural infirmaries are more likely non to hold a timeline for execution. Of those infirmaries who had implemented an EHR system, merely one had completed the procedure before the twelvemonth 2000, and another seven had implemented it between 2000 and 2006. The figure of EHRs implemented between 2000 and 2006 mirrors the statistics reported in a comparative survey completed among HIM professionals in the province of Alabama. Of the 46 respondents, 32 per centum of the infirmaries with enforced EHRs and in execution advancement, want both inmate and outpatient capablenesss for EHR support.A Of the infirmaries that had non implemented or were in the procedure of implementing an EHR system, 30 per centum indicated that they would implement EHRs within a twelvemonth. Another 14 per centum stated that they would implement EHRs in the following two old ages, and 17 per centum of respondents reported that they were non certain when EHR execution would take topographic point ( Figure 10 ) . Factors Driving the Need for EHR Systems When asked â€Å" What factors drive the demand for the EHR systems within your infirmaries? † 36 ( 86 per centum ) of the 46 respondents felt that the two major demands or concerns were to better the quality of health care and the demand to portion patient record information among healthcare professionals ( Figure 6 ) . Other factors were the demand to better clinical procedure or workflow efficiency ( 34 respondents or 74 per centum ) and regulative demands of JCAHO or HCQA ( 22 respondents or 48 per centum ) . When asked â€Å" what is the greatest factor that drives the demand for EHR systems? † the most of import drive factor was to better health care quality ( 33 per centum ) . Benefits of Implementing EHRs The respondents were asked, â€Å" What would be the benefit of implementing the EHR system? † 42 of the respondents ( 91 per centum ) indicated that bettering work flow would be the major benefit of implementing the system ( Figure 7 ) . Some other benefits were stated as cut downing medical mistakes ( 70 per centum ) , and cut downing cost ( 43 per centum ) , cut downing intervention clip ( 17 per centum ) , increasing gross ( 17 per centum ) , and minimising malpractice claims ( 13 per centum ) . The major benefit, as indicated by the respondents, is the betterment of work flow and efficiency. Barriers to Implementing EHRs The figure one perceived barrier for implementing an EHR system was deficiency of equal support and resources ( 39 per centum ) ( Figure 8 ) . 14 respondents in rural countries and 4 in urban countries cited fundss as a major barrier. Some other barriers were deficiency of support from medical staff ( 37percent ) , deficiency of cognition of EHRs ( 33 per centum ) , deficiency of employee preparation ( 28 per centum ) , and deficiency of structured engineering ( 20 per centum ) . Vendor issues and deficiency of corporate organisation and action were besides stated as barriers to EHR execution. The respondents identified the deficiency of equal support as the major barrier to EHR execution. Chapter 5- Conclusions and Recommendations As the deadline for electronic wellness record transition nears, there are still several Mississippi installations that have non begun or completed the execution procedure. Harmonizing to the informations gathered in this study, EHR execution is mostly uncomplete. Merely 17 per centum of the reacting sites have to the full implemented records. Another 57 per centum are in the procedure of implementing and 26 per centum have no clear timeline as to when execution will get down. There are restrictions sing this study. Without the staying 49 per centum of the studies completed and returned, there is no manner to measure the stage of execution at those installations. However, the figure of respondents that did take part indicates the demand for an immediate call to action in order to run into the 2014 end. Educating clinical and administrative staff and parties with vested involvement will help in undertaking the obstructions impeding EHR execution. Nationally, EHR acceptance rates among infirmaries vary widely. Jha ‘s survey reviewed 36 different studies conducted between 1995 and 2005 and recorded a scope between 4 per centum and 21 per centum for execution of computerized patient order entry among infirmaries ( Jha, 2006 ) . The slow advancement of execution can be mostly attributed to fiscal restraints. Lack of support in fiscal resources is the major factor that contributes to fewer Mississippi infirmaries, rural and urban, holding completed EHR execution. In add-on, deficiency of cognition sing EHRs and a deficiency of bargain in from clinical and administrative staff besides play a major portion in the slow execution procedure. While fundss are a hinderance, there are funding chances through federal statute law to back up EHR execution. The American Reinvestment and Recove ry Act ( ARRA ) of 2009 included the Health Information Technology for Economic and Clinical Health Act ( HITECH ) which seeks to better American wellness attention bringing and patient attention through an unprecedented investing in wellness information engineering. The ARRA developed an Electronic Health Record Incentive plan that authorizes the Centers for Medicare and Medicaid Services ( CMS ) to do incentive payments to eligible infirmaries to advance the acceptance and meaningful usage of interoperable certified EHR engineering ( ( IHS Office of Information Technology, 2010 ) . These incentive programs offer funding to healthcare suppliers who implement an EHR that is certified through the Certification Commission for Healthcare Information Technology ( CCHIT ) . These inducements will countervail the fiscal load of the installations as the passage into an electronic wellness record. HIM professionals play a major function in EHR execution. There is a great demand for persons with cognition and instruction in IT and EHR application and engineering. The 10,000 Trained by 2010 act was introduced in the House of Representatives in 2009 would authorise the National Science Foundation to present grants to establishments of higher instruction to develop and offer instruction and preparation plans. This would include instruction in the field of wellness information sciences. The debut of this measure indicates the turning demand for trained HIM professionals and the built-in portion they will play in EHR transition and execution. In order to accomplish the end of countrywide execution by 2014, there must be a greater push and increased support for health care suppliers. Government statute law and execution inducements are major paces in a positive way but there are still barriers that hinder EHR execution. It is necessary for suppliers to place the hazards, benefits, and factors driving EHR execution in order to cognize where and how to get down the procedure. Increased community consciousness, a good trained work force, support, and support from the clinical and administrative staff are all imperative in the successful execution of electronic wellness record engineering.

Who Else Wants to Learn About Boren Fellowship Essay Samples?

Who Else Wants to Learn About Boren Fellowship Essay Samples? Getting the Best Boren Fellowship Essay Samples Boren tends to pick students who opt to spend 6-12 months in 1 country instead of a single semester. They are going to be happy to aid with the Boren Fellowship application approach! There aren't many opportunities like the Boren Fellowship, so discuss how this distinctive fellowship can help you reach that objective. Boren Scholarships need rigorous language study and a lot of awardees spend a whole academic year overseas. Our part in the Center for Scholar Development will vary based on the sort of award. Awards might be employed to cover project-related expenses, including living expenses and travel, together with tuition and fees. Applicants utilize this self-assessment grid to spell out their present language level. Being invited for a scholarship application is a remarkable experience that's why you have to make the absolute most out of it. Applying for college takes lots of work. Have a look at this Graduate Scholarship Example to come up with your case. PaperCoach can assist you with all your papers, so take a look at this time! Aside from scholarship essays, we additionally have Argumentative Essay templates out there for download. They are interested in finding some reasons to kick some essays from the huge pile. Both essays are strong and respond to each one of the vital elements of the essay prompt. If you'd like a CDO counselor to reassess your essay, don't hesitate to reach out. Considering all the knowledge areas and tips that you're already conscious of in writing a scholarship letter, you are able to easily put together all of the information that you should make sure you and your scholarship letter will stick out. Scholarship essay prompts are extremely tricky, so you ought to read and re-read it multiple times to recognize key themes. A scholarship essay is a significant document which is used in the processes of scholarship application. The main reason why it's necessary for you to make sure you will make an extensive and thorough scholarship essay is because of the benefits it can provide to your scholarship application. Be ready to start from scratch if their response to several of these questions is no. Consult your readers to inform you exactly what questions your proposal raises that you may not have considered. At various actions in the procedure for writing an application essay it isn't hard to drop focus, and you may discover a trip to the Writing Center helpful. The government would guarantee a purposeful scenario for the growth of all acceptable circumstances acceptable for good governance and well-being. Prevent the trap of aiming for what you feel the selection committee would like to hear. We will be able to help you begin. Whispered Boren Fellowship Essay Samples Secrets There are a number of ways to conclude your essay in a highly effective way. Don't forget that audiences vary. The previous paragraph will act as your conclusion. Your assortment of words and the way you construct your sentences are a number of points that could impact your application. Be sure to follow along with the suitable format, consisting of the general elements of an essay. It's possible to add another paragraph if you feel that the second paragraph isn't enough to present the topic. The ending of your scholarship application essay has become the most significant part the piece. If in any instance, you cannot do this because of the topic being given, what you could do is to be certain your essay will be interesting. In scholarship essays, you are, basically, convincing someone to sponsor you and offer you money. The Boren Fellowship Essay Samples Pitfall Make certain that your font size is able to make your discussion simple to read. Don't make the size of your font too large nor too tiny. Type it at the very top of your page, and refer to it frequently when you are writing. The general format of your essay, for example, font size and margins, will solely count on the instructions provided to you. You can talk about the points in any purchase. Moreover, if you're applying for the academic calendar year, consider what you will do during break s. Especially if you're starting in summer! Being part of a very good educational institution can be very costly.

Essay on High Risk Nutrition - 2942 Words

High Risk Nutritional Practice Rosemary Gutierrez Grand Canyon University: HLT 324 V November 15, 2014 Abstract The importance of knowing your culture and where you come from can help you understand other people’s culture. This can also aid in improving how you work and what you can do. Being aware of what you are will also help prevent chaos between the patient and healthcare staffs. Being aware and mind sufficient will help one to open one’s eyes to see things in a different perspective such area where nutrition is at a high-risk. Researching the different cultural problems and identifying solutions will assist the writer to comprehend their way of life and lifestyles. High Risk Nutritional†¦show more content†¦Medicine within the Chinese culture is often being used to cure sickness and infection and to raise the forte of the frail and elder people (Purnell, 2013). Common food that Chinese heritage usually consume are peanuts, soybeans and grains. The Chinese culture believes in steaming most of their foods and only fried what is needed. They believe drinking something cold can damage and out balance their body system. When it is suppertime, everyone joins in at the middle of a table and food is served among the most important guest there, then someone signals everyone to eat. It is important for the Chinese heritage to uphold their health. The Chinese people try to keep their body well-balanced with a healthy diet. A healthy diet will aid and prevent imbalances and indigestion (Purnell, 2013). The Chinese people believed in Confucianism. It represents their character and behavior. Their purpose to receive harmony, which is the most impor tant social value they look at. As well defining your role within the heritage by acting in a proper manner. Nurses can provide the Chinese people with a translator and respect their culture beliefs (Tom, 1998). 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