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

Assesment 2 - Essay Example In the health care setting for example, there are numerous forms of predicaments and this includes health care fraud. The sapping of financial resources in the health care system, along with several other consequences, problems associated with personnel development plans and shortage of competent staff are just few of the magnified issues. The concerns on fraud and abuse greatly affected the everyday life of health care personnel particularly the nurse practitioners; since these professionals are the â€Å"front liners† in terms of delivery of care. Nurse practitioners (NPs) can hardly go away from working in clinical environments; and this expose them further to fiscal issues of billing, reimbursement and revenue production issues. In other words, the described situation is somewhat stressful for them. Fraud is actually described as â€Å"any act, omission, expression, or concealment calculated to delude another individual,† Merriam-Webster Dictionary of Law stated. Medicare and other government funded health benefit programs are usually the targets of these schemes. Billing for needless or the double billing schemes, unperformed tests, and kickbacks are few of the most common fraudulent activity that burden most patients;this is reported by the Social Security Act, Section 1128C reiterates that (a) of the designed the Health Care Fraud as well as Program for Abuse Control Program (Department of Justice, 2000). There are several approaches to address concerns in an organization. One very important is the evaluation of the organization’s strengths, weaknesses, as well as opportunities. If limitations in the human and/or financial resources are identified, it may be a necessity to provide attention to the organizations opportunities through the use of phased approach. On the other hand, based on the Economic and Social Research Council Strategic Plan, (2009; p 5-7). Extensive consultations are very necessary to identify areas of strategic

Biochemistry Research Paper -- Health, Diseases, Viruses, Bacteria

Toll-like receptors are proteins that play a significant role in the recognition of pathogens such as viruses and bacteria, thereby initiating an innate response. The TLR family recognizes structurally conserve molecules known as pathogen-associated molecular patterns (PAMPS) derive from these viruses and bacteria. TLR7 have been shown to mediate the recognition of single stranded RNA (ssRNA) viruses, whereas TLR9 recognizes non-methylated CpG sequences in bacterial DNA molecules. However, the molecular mechanism by which non-methylated CpG DNA and ssRNA viruses activate the innate immunity is not well understood. In this paper, it is demonstrated that the cell response to vesicular stomatitis viruses (VSV) and bacteria DNA is mediated by TLR7 and TLR9. Through the generation of TLR7 and TLR9-deficient mice, it was determined that TLR7 are required for responsiveness to both vesicular stomatitis viruses and TLR9 recognizes bacteria DNA. Both TLR7 and TLR9 deficient mice did not show any response to single stranded RNA viruses and non-methylated CpG bacteria DNA including inflammatory cytokine production from macrophages and dendritic cells. However, the in vivo ability of vesicular stomatitis viruses and CpG bacteria DNA to stimulate IL-12 secretion depended on the functional activation of MyD88 and IRAK. These results present evidence for the requirement of TLR7 for single stranded RNA viruses and TLR9 for non-methylated CpG bacteria DNA to induced cellular effects. Conversely, further results provide evidence that support the role for TLR7 and TLR9 to trigger vesicular stomatitis viruses and CpG bacteria DNA mediated signaling transduction resulting in the induction of the interferon response [266]. Introduction: The inna... ... bone marrow of WT, TLR7,TLR9, or MyD88 deficient mice and infected with VSV for 18hrs. IFN and IL-12 level were determined from culture supernatant by ELISA Lund, J.M.et al Conclusion: In justification with the previous study on TLR9 recognition of CpG DNA and initiating an innate immune system, Lund, J.M. et al have demonstrated that, together, TLR7 and TLR9 likely form a functional subgroup within the TLR family that recognize pathogen-associated molecular pattern (PAMPS) in endosomal compartment. It is now clear TLR7 and TLR9 play a significant role in the recognition of vesicular stomatitis virus and CpG bacteria DNA, thereby activating the innate immune system. The experiments with TLR7 and TLR9 deficient mice have shown the essential role in the recognition of ssRNA by TLR7 and non-methylated CpG bacteria DNA by TLR9 respectively.

Meaning of life †United Kingdom Essay

1. How does Pontiac understand the meaning of freedom? In his notion freedom meant getting rid of the English who had conquered the French and had gained more control over the Indians lands than ever. He believed they had to fight the English and pushed them out of their ancestors lands. As he said â€Å"Although you have conquered the French, you have not yet conquered us! We are not your slaves. These lake, these woods and mountains, were left to us by our ancestors. They are our inheritance; and we will part with them to none. 2. What elements of Indian life does Neolin criticize most strongly? He criticized Pontiac for using European technology, doing fur trade with the Whites, using their cloths and consuming alcohol instead of fighting against the English which he called them â€Å"the dogs who dressed red† and surrendering himself to them. He argued that he (Pontiac) should clothe himself in skins and use the bows and arrows and his tradition to fight back against their enemies. 3. How does this document relate to and inform the related part of the Chapter in the main text? This document discusses on how Pontiac started his journey to meet with Delaware religious prophet Neolin and on how Neolin guided Pontiac on how he should fight back in opposed to the English by getting back to his tradition that he inherited from his ancestors. 4. What impact did the primary source had on your understanding and beliefs? It was very interesting to see how much Indians cared about spiritual beliefs and how strong their viewpoint were when it comes to their traditional faith. Even though, the English had believed they were faithless and savages, but the truth was they were full of spiritual thoughts.

The Women s Rights Movement - 1788 Words

Throughout history in the City of Detroit and across the globe, women have continuously proven to all that they are the backbone of society and are what allow everyone to prosper. They looked after our country and maintained the homeland during wartime, educate and nurture the children of the future and when necessary they lead movements such as the Women’s Rights Movement that solves problems in our country. Over the years in Detroit however, women have been victimized to lower graduation rates and higher divorce rates which has consequently left them helpless in their care for their kids. In fact, for the 2012 calendar year, 3 out of 5, 59.3%, of children live with only a single mother householder. Of that percentage, 42% of said families live below the poverty line and the rate continually increases. These numbers render themselves without the mentioning of Detroit’s second to none accruement of child deaths by virtue of violence or premature birth. As easily infera ble, the well-being of marginalized women and children in the City of Detroit is not well at all. For a demographic that comprises a large portion of the population to live under such deplorable conditions is utterly mind-boggling and detrimental to Detroit’s economy. As this phenomenon continues, the City of Detroit is merely digging itself a bigger hole in terms of becoming prosperous as their youth and single mothers continue to live in a vicious cycle of poverty. To provide a scaffolding for the backboneShow MoreRelatedThe Women s Rights Movement702 Words   |  3 Pagesthat the women’s rights movement in the United States failed to accomplish its goals in the early –mid 19th century because the slavery issue was never resolved is unfounded. In the early-mid 19th century, women began to demand change in American society, as they challenged the traditional roles of women politically, socially, and economically. - political, social, and economic change {Challenged the traditional views of women - pushed the boundaries – public sphere/life of women changed dramaticallyRead MoreThe Women s Rights Movement874 Words   |  4 Pages1848 to 1920, the women’s rights movement demonstrated the first true act of feminism, founded by a group of women rights activists to combat against women’s suffrage in the United States. By the 1960’s radical feminists also known as the woman’s liberation movement once again took up the fight for equality amongst men and woman, yet by the late 1990’s early 2000’s it had begun to change, losing its primary focus of fighting for a woman’s right, and becoming a burden on women today. The blowback fromRead MoreThe Women s Rights Movement1659 Words   |  7 Pagesmen and women, the women’s rights movement in Pakistan has just begun. People are starting to protest against discriminations that women face in their daily lives that disable them from having a voice in society. Some of these discriminations involve men being able to divorce their wives without her consent, women’s voices having half the weight of a man’s in court, and female heirs inheriting less money or property than a male heir (â€Å"Sharia†, 9). Groups like the Pakistani Women’s Rights OrganizationRead MoreThe Women s Rights Movement Essay987 Words   |  4 Pagesthat occurs is that women were never given the opportunity to voice their opinion on what kind of job that they should do. In addition, voting at this point of time for women was quite impractical. The wartime was a difficult time for women who wanted to capitalize on an opportunity. They wanted a job to prove to men that they are much stronger. However, there was hope when the U.S. woman’s rights movement began. A woman by the name of Elizabeth Cady Stanton started the movement at Seneca Falls, NewRead MoreThe Women s Rights Movement1366 Words   |  6 PagesW omen’s Rights Movement The equality women have today did not just happen over night.In this passage there will be evidence of an impowering fight that women over came to say WE ARE IMPORTANT TO!! All the brave strong women that fought this battle, along with the obstacles women still face today.Also the surprising fact that women’s rights also consists of racism and sexual orientation.This movement was necessary, and is truly an accomplishment in history. The first outbreak of confidentRead MoreThe Women s Rights Movement1091 Words   |  5 PagesAmerican history, women have constantly been suppressed. It was believed overall that women were not supposed to work, but to stay home, cook, clean, make clothes, and take care of the child(ren). Basically, a woman was considered her husband’s property. It was not until 1920s that women were finally able to get the rights they deserve, such as birth control, new divorce laws, and ultimately the right to vote, which was the main focus of the Women’s Rights Movement. This movement consisted of manyRead MoreThe Women s Rights Movement1547 Words   |  7 PagesFlorida SouthWestern State College The Women’s Rights Movement What was the significance of the Seneca Falls Convention on the Women’s Rights Movement? Jennifer Flores AMH2010 Mr. Stehlin 16 November 2015 The Women’s Rights Movement began in 1848 with the first assembly of women and men gathering to discuss the civil, social, and other conditions of women. The Seneca Falls Convention was the start of the women’s movement. The two women who organized this event were Lucretia Mott andRead MoreThe Women s Rights Movement1420 Words   |  6 Pageswomen’s rights movement in the United States in the early –mid 19th century did not fail to accomplish its goals, as slavery was not an issue women wanted to resolve (address?) In the early-mid 19th century, some women began to demand change in American society (as they challenged the traditional roles of women politically, socially, and economically?) -political, social, and economic change {challenged the traditional views of women - pushed the boundaries – public sphere/life of women changedRead MoreThe Women s Rights Movement1620 Words   |  7 Pageshas improved over the last several years in the broader culture and by police, self-blame and shame has persisted among victims, leaving them just as unwilling to come forward.†(Gray. para. 10) The women’s rights movement is still going strong, and there have been major accomplishments for women within the last several decades. In 1968, the fair housing act made it no longer possible for a woman to be turned down by a landlord based solely on her being female. In 1986, the legal definition of ‘sexualRead MoreThe Women s Rights Movement881 Words   |  4 PagesThe Women’s Rights Movement, 1848–1920 1. â€Å"The first gathering devoted to women’s rights in the United States was held July 19–20, 1848, in Seneca Falls, New York.† 2. Principal organizers : Elizabeth Cady Stanton (a mother of four, the Quaker, abolitionist ) 3. Social and institutional barriers that limited women’s rights: family responsibilities, a lack of educational and economic opportunities, and the absence of a voice in political debates. 4. Stanton and Anthony created the National Woman

States That Allow People Convicted of Felonies to Vote

The right to vote is considered one of the most sacred and fundamental tenets of American democracy. Even people convicted of felonies, the most serious crimes in the penal system, are allowed to vote in most states. Convicted felons are even allowed to vote from behind prison bars in some states. Those who support restoring voting rights to people convicted of felonies, after they complete their sentences and pay their debts to society, say it is improper to permanently strip them of the power to take part in elections. Restoring the Right In Florida, a mid-term ballot initiative in 2018 restored voting rights to people convicted of felonies automatically after they have completed their sentences in full, including parole and probation. Voting rights were not restored for anyone convicted of murder or a felony sex act. Gov. Terry McAuliffe restored voting rights to tens of thousands of convicted felons on a case-by-case basis in 2016, after the states high court rejected his blanket order earlier in the year. McAuliffe said: I personally believe in the power of second chances and in the dignity and worth of every single human being. These individuals are gainfully employed. They send their children and their grandchildren to our schools. They shop at our grocery stores and they pay taxes. And I am not content to condemn them for eternity as inferior, second-class citizens. The Sentencing Project estimates that about 6 million people are not able to vote because of laws that temporarily or permanently ban people convicted of felonies from voting. The group notes that the laws affect people of color at far greater rates: One in 13 African Americans of voting age is disenfranchised, a rate more than four times greater than that of non-African Americans. Over 7.4 percent of the adult African American population is disenfranchised compared to 1.8 percent of the non-African American population. While felons are allowed to vote after theyve completed their sentences in most cases, the matter is left up to the states. Virginia, for example, is one of nine states in which people convicted of felonies receive the right to vote only by a specific action from the governor. Others automatically restore the right to vote after a person convicted of a felony serves time. The policies vary from state to state. Attorney Estelle H. Rogers, writing in a 2014 policy paper, said the various policies in reinstating voting rights creates too much confusion. Rogers wrote: Policies on felon re-enfranchisement are inconsistent across the 50 states and create confusion among former offenders who wish to regain the right to vote, as well as the officials charged with implementing the laws. The result is a network of misinformation that discourages some legally eligible voters from registering to vote and places undue restrictions on others during the registration process. On the other hand, former offenders who are not fully informed of their state’s restrictions may register and vote, and, in doing so, unwittingly commit a new crime. Heres a look at which states do what, according to the National Conference of State Legislatures. States With No Ban These two states allow those convicted of felonies to vote even while they serve their terms. The voters in these states never lose their rights. MaineVermont States With Ban While Incarcerated These states and the District of Columbia strip voting rights from people convicted of felonies while theyre serving out their terms but restore them automatically once they are out of prison. Washington, D.C.HawaiiIllinoisIndianaMarylandMassachusettsMichiganMontanaNevadaNew HampshireNorth DakotaOhioOregonPennsylvaniaRhode IslandUtah Rights Restored After Completion of Sentence These states restore voting rights to those convicted of felony crimes only after they have completed their entire sentences including prison term, parole, and probation, among other certain requirements. AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaIdahoKansasLouisianaMinnesotaMissouriNebraskaNevadaNew JerseyNew MexicoNew YorkNorth CarolinaOklahomaSouth CarolinaSouth DakotaTennesseeTexasWashingtonWest VirginiaWisconsinVirginiaWyoming Some of these states have instituted a waiting period of several years before felons who have completed their sentences can apply to vote again. States Where the Governor Must Reinstate Voting Rights In these states, voting rights are not automatically restored and, in most cases, the governor must do it on a case-by-case basis. Arizona (Repeat offenders)IowaKentuckyMississippi (Applies to certain felonies. Can still vote for president.) Sources â€Å"Felon Voting Rights.† National Conference of State LegislaturesFlorida Restores Voting Rights to More Than 1 Million Former Felons, CNBCâ€Å"Restoring Voting Rights for Former Felons,† Project VoteThe Sentencing Project.

Punishment For Committing A Crime Essay - 2085 Words

Punishment for committing a crime is a common and widespread practise across the world. The moral reasons as to why punishment is used in response to crime can vary greatly. Two theories of punishment include consequentialism, the belief that punishment should be performed because of the good consequences that come from it; and retributivism, the belief that it is morally justified to punish criminals because they deserve it, regardless of the consequences. These theories of morally justified punishment are also used in response to justifying the use of capital punishment however, these theories do not adequately justify how capital punishment can be morally justifiable. This can be shown by having a look at how consequentialism fails in regards to justifying capital punishment, how retributivism also fails to justify capital punishment, and lastly how the two theories are hypocritical and inconsistent with other morals. Consequentialism seeks to justify punishment through the good consequences that result from it. This theory looks to try and increase the amount of happiness in society and uses punishment to benefit society as a result. This type of theory is forward-looking, caring more about the consequences of what punishment will do for society rather the act of punishment itself (Dolinko, 2003, pg. 75). With capital punishment, it can be seen as both general deterrence, deterring other criminals from committing the same crime; and incapacitation of the offenderShow MoreRelatedPunishment and Sentencing Paper1278 Words   |  6 PagesPunishment and Sentencing Paper CJA/224 Garrett LeGrange September 17, 2010 There are many different philosophies that are in use in the court systems when determining what sort of punishment will be imposed on someone who is found guilty of committing a crime. These philosophies are in use in both the adult courts and juvenile courts. The juvenile court system is similar to the adult courts, but there are many differences between the two. Both court systems try and keep crime from happeningRead MoreThe Punishment Of A Criminal854 Words   |  4 Pagesdifferent philosophies behind the punishment of a criminal include just about every moral justification that crosses a human being’s mind. The ideology behind philosophies of punishment in the criminal justice system has mainly derived from the globally understood â€Å"An eye for an eye, a tooth for a tooth† from the Old Testament and the clichà © â€Å"The punishment must fit the crime† concerning retributive punishment. Both of these statements involve retributive punishment. This is because most of the criminalRead MoreDeterrence And Rational Choice Theory777 Words   |  4 Pages Throughout the world crime is happening every single day. Yes, some people may feel as if the deterrence theory does not work. Due to the fact that crime still happens in the world. This essay will look at the support for the theory. As well as the key problems for the theory. Next, it will explain some of the newest directions in deterrence/rational choice theory. Finally, it will either agree/disagree with someone’s thought on deterrence and how it does not work and is a waste of time to studyRead MoreDr. Cesare Beccaria As The Father Of Deterrence Theory1563 Words   |  7 PagesJuveniles around the United States are committing crimes every day. When they commit these crimes, they may not know of the consequences that come with committing the crimes until they get caught. These young children or teenagers need to start learning the consequences of committing a crime before they grow older because if they do not learn, they will make their life miserable. The deterrence theory would be a perfect way to keep these young people out of trouble. Deterrence would play a huge roleRead MoreDeterrence Does Not Work? Essay1673 Words   |  7 Pagescould be that the harsher the crime, the harsher the punishment for many of the crimes committed. It could mean that it does not work because the offender maybe becomes aware of the punishment. However, it could be because of the notion of impulsivity which connected and is almost everywhere within a society where there has been a connection to the idea of rational choices, which has a role when it comes to the way people have been thinking about committing the crime of any shape or form. HoweverRead MoreCapital Punishment Should Be Allowed Or Not?927 Words   |  4 PagesIn the United States of America, the issue of capital punishment is one of the major controversial topics which is being debated over and over du e to different ideologies of people. Many support the use of death penalty but other oppose the use of this form of punishment because they think it’s barbaric. There are numerous reasons why some individuals believe that capital punishment should be allowed or not. Most of these individual’s beliefs are influenced by religion, the Constitution, and deterrenceRead MorePhilosophy of Punishment: Deterrence General and Specific1084 Words   |  5 PagesPhilosophy of Punishment: Deterrence General and Specific Sentencing Model: Indeterminate Sentencing For the philosophy of punishment I chose deterrence, specifically because of the goals and benefit this philosophy. The deterrence punishment is divided in to two separate categories. First on is the general deterrence, the goal of general deterrence is to prevent non-offenders (those who’ve not committed a crime) from committing crimes by exposing non-offenders to the realityRead MoreDeterrence Theory Is The Rational Choice Theory992 Words   |  4 PagesDeterrence theory is the basis and the ultimate desired outcome to deter crime in the United States (Feldmeyer, 2015). That has not always been true. There has been a period in U.S. history, 1960’s and 1970’s that Rehabilitation Theory was considered the method of choice (Feldmeyer, 2015). Rehabilitation Theory, including treatment, was to treat the â€Å"illness† rather than place heavier sanctions such as incapacitation. Even though Rehabilitation is not the predominate approach used today , it is stillRead MoreHow Rational Choice And Deterrence Theory Around The World1547 Words   |  7 Pageshave been where they grow up and what they sense as a child with their parents or in just in the neighborhood. But that’s not just the end we then begin with when crimes do take place how can we show the criminal and society how the Criminal Justice System use it to deterred crime from happen and make people think twice of commit a crime again. Now I’m going to talk about these two topic more broad and let you in on how Rational Choice and Deterrence Theory around the world most places then otherRead MoreContemporary Classicism In Criminology710 Words   |  3 Pagesforms of punishment that dominated society in the time. This period is known as ‘the enlightenment period’ and the first traces of contemporary classicism are found in a booked by Cesare Beccaria titled ‘On crime and punishment’ (Beccaria, 1765). Classism has changed the way society views and deals with crime, bringing us into a modern criminal justice era. Prior to 1764, crime was viewed as a ‘sin’ and considered to be a sign of the devil in an individual with approaches to dealing with crimes focused

Risk and Quality Management Free Essays

Risk and Quality Management Assessment Summary Kelly Hennessey HCS/451 02/18/2012 Lauri Rose Risk and Quality Management Assessment Summary Evergreen Woods health and rehabilitation center is located in Spring Hill Florida. The center has been serving Hernando County for over 25 years. Services that the center offers are: Post-acute services, Rehabilitative services, skilled nursing, Short and long term care through physical, occupational and speech therapists. We will write a custom essay sample on Risk and Quality Management or any similar topic only for you Order Now The mission of Evergreen Woods health and rehabilitation center is to provide comprehensive services to meet the care of the residents and patients. They strive to meet customer satisfaction daily and follow core values to obtain excellence in care. Risk management serves to protect patients and staff members by reducing medical errors, remaining up to date with state and federal regulations. As well risk management protects staff and patients by eliminating hazards within the organization. Quality management serves the purpose to ensure that patients are receiving the best care available. In the organization Evergreen Woods risk and quality management plays the same role as it does in any other health care organization. Being that this center is an in-patient facility serving many different patients with many different health issues there are many different risks involved in the daily operation of the organization. Key concepts of risk and quality management within Evergreen Woods rehab while are undefined to the public it is noticeable to any person that is involved in the organization whether it be a patient, family member or a staff member. The organization takes steps daily to ensure the safety and wellbeing of every person that walks in their doors. The doctors and nurses take extra steps to make sure that the residents and their family is comfortable with the choice they made in selecting them. The keep patients and families up to date on all issues that are transpiring with the patient whether it is health related or financial. The staff stays up to date on all regulations both state and federal to ensure the best quality of care is being received. The organization maintains a clean and hazard free environment. Steps that the organization can take to identify and manage their risks are Proper documentation, risk assessments and proper training of staff members. In order to manage the risk of medical errors the organization should make sure that all staff members are documenting the patient’s charts in the proper legal manner. As well the management should be making sure that there are properly documenting all information pertaining to the employees such attendance and job performance. Using risk assessments can keep the organization from ruling into issues concerning safety and financial risks. Performing assessments will allow management to see where forms of risk fall and what kind of risks is a possibility for the organization. After performing risk assessments the organization can then develop plans to minimize risk and maintain a safe efficiently running organization. Typical risks in a long term care facility such as Evergreen woods would be patient fall risk, injury to staff and patients due to improper transferring and financial risk due to insurance issues for both the organization and the patient. Since many patients in long term care facilities are ones that have mobility issues there is always a risk of falling which can further injure the patient. It is important for staff to make sure that the patient is labeled a fall risk and that necessary precautions are made to ensure the patients safety. Using items such as safety belts in wheelchairs and during therapy sessions can eliminate this risk. Another risk would be injury to staff and patients due to improper lifting, while this does not seem like something that is too difficult to do it is. Lifting a person with limited or no mobility can be very difficult for both the staff and the patient. There is a proper way to lift a patient and any and all staff members should be properly trained before being allowed to perform this task. The last risk would be financial issues due to insurance issues. â€Å"Of 10 million Americans nearly 7 million of them being over 65 rely on some level of assisted care† (Weston 2012). This number does not include the number of people that are under the age of 65. Many people that rely on long term care live on disability or social security. These people are living on extremely limited income put them and their families in mental distress trying to figure out how to pay for the needed care. â€Å"Medicare provides only 100 days of care following hospitalization† (Weston 2012). After the 100 days it then becomes the responsibility of the patient to either pay out of their pocket or use a supplemental insurance. For many this is an issue as they do not have any other insurance nor do they have the finances to afford this care on their own. With patients under Medicaid insurance there is still an issue â€Å"Medicaid provides long term care, but only after a patient has deplete his/her finances† (Weston 2012). So how does this affect the organization itself, now with lack of insurance you run the risk of not being paid for services already rendered. The other risk involved is that if a patient is unable to pay for the care themselves then they have to resort to other means of care, now the organization has empty beds. Empty beds mean that there is not a high need for staff members resulting in layoffs. All of these risks can in fact the quality negatively. The lack of funds causes the staff to not always give the best care to each patient. Injury to staff can cause the staff to become nervous when it comes to lifting patients as well it can make the patients not want to be lift in fear of being hurt cause them to lay for longer periods of time then they should. Any and all accidently injuries to a patient can in fact be seen as neglect by family members and could cause serious legal issues for all staff of the organization. While there are many internal and external risk in this organization the biggest risks internally would be lack of staff involvement, lack of funding and poor risk management. The care received by patients relies strongly on the doctors and nurses employed by the organization. If the staff is afraid or care not to voice their opinions and concerns this can cause a lack of quality care. When the staff does not feel that their needs matter they tend to not try their best this often leads to medical errors. Lack of funding to the organization cause the organization to cut corners, this in return hinders the care that the organization can give to patients. Funding is a big part of how an organization runs daily. If funding is low then the organization cannot hire top nurses and doctors nor can they provide state of the art equipment. Poor risk management is probably one of the most important. Without excellent risk management the organization puts not only the organizations name but the staff and patients in danger of physical and medical harm. As well poor risk management can bring legal problems to the organization. External risks that influence quality would be impact of regulations, Changes in insurance, Society changes. As the regulations change through the years it will begin to make the way that long term care facilities run. They will need to stay on top of the regulations as well as stay on top of the staff to make sure that they understand the impact that errors can cause. Nursing homes incur costs when they are required to make changes to comply with the regulations† (Walshe n. a). Interference from the insurance company on what will and will not be covered will also cause problems with the care that is received by patients. As society changes the need for long term care will change, the needs now will not necessarily be the needs in 10 years. As changes occur within research we will see a big change in treatment this will in return call for more training as well as equipment changes. The organization Evergreen woods works daily to achieve goals within the organization. Their short term goals are excellent daily care of patients. This goal not only touches the health aspect of the patient but also the emotional health of a patient. While staying on top of each and every patient’s health issues they make time to check on each patient on a personal level. The organization strives to make sure that the families of the patients are happy with the care that the patient is receiving. For patients that are there rehab from an injury their short term goal is to get the patient well enough to go home and continue without patient treatment. Long term goals for the organization is to continue to be a leader in rehab services, to continue to serve the community with quality trusted care. In order to ensure quality care the three policies that the organization should put into effect would be monthly risk assessments, monthly staff training and patient surveys. All of these policies would help ensure that the organization is doing everything that they possible can do to provide excellent quality care. Risk management and quality management have a strong relationship with each other. Without risk management there would be no quality care, and without excellent quality there would be risks everywhere in an organization. In order for an organization to run properly and provide all the patients with the care they deserve they have to have strong risk and quality management. References: http://content. healthaffairs. org/content/20/6/128. full A guideline for quality accreditation in hospitals. Quality Digest. Agarwal, R. (2010, May 19). www. http://evergreenwoodshealthandrehab. com/ How to cite Risk and Quality Management, Papers