Saturday, August 22, 2020

An Analysis of Extraordinary Little Cough :: Extraordinary Little Cough

An Analysis of Extraordinary Little Cough  The content composed by Dylan Thomas is an intriguing semi-personal one, that may appear to be a straightforward bit of exposition at a first glance,â yet goes a great deal deeper,â by playing with the language,â and social quirks.  â â â â One of the things that recognizes this content from a great deal of his others,â is the way that it is mostly written in an account form.â The writer takes two jobs in this bit of prose.â Some of the time he assumes the job of a narrator,â and is telling the story,â as though he were enlightening the peruser concerning something that transpired as a youngster. As I twisted down,â three pieces of sugar tumbled from my coat pocket. However,â in different pieces of the story,â he likewise assumes the piece of a character in the book.â Then he sneaks out of his job as narrator,â and assumes control over the character ofâ the kid who can't deal with young ladies in a way,â that would make him exceptionally famous with them. You have an excellent name. Something else that makes this entry so fascinating is the way that the writer utilizes a semi-colon rather than a full-stop in his sentences.â This gives the content a specific measure of continuity,â and consequently makes it increasingly charming to peruse. Their arms and legs and throats were earthy colored as berries;â I could see that when they chuckled their teeth were white;â they ventured onto the sea shore (...) The special case to this,â are the monologs between the different characters (particularly between a kid and a girl).â Here the sentences on the whole,â appear to be very short,â sharp,â and nearly comical.â Dylan Thomas does this to underscore the weakness between the distinctive sexes,â and to draw out the possibility that we are finding out about youngsters in puberty,â where they are gone up against with numerous problems,â , for example, finding the other gender. oh!â it's simply conventional. Will I see you once more? On the off chance that you need to.  These short sentences are likewise to be found in line twenty,â where the creator leaves a sentence without anyone else on that line.â Short sentences,â like in the discoursed help to stress the ponderousness among kid and young lady at this age,â and underline the style utilized in the exchanges between the two genders.  The top dropped at her feet

Friday, August 21, 2020

Music Essay Example | Topics and Well Written Essays - 500 words - 21

Music - Essay Example It renders new comprehension of excellence related with Impressionism. The Rite of Spring by Igor Stravinsky was made impaired out of cutting edge workmanship development in the start of twentieth century in France which was a focal point of social analyses. Simultaneously, this piece centers around Slavic culture and its particular melodic components. This piece is an understanding of Russian people music in a cutting edge key; confused cadenced structure, cacophony, disordered song and flighty way to deal with ornamentation make this piece uncommon. It isn't ambient sounds; it requires consideration and comprehension to be valued by individuals. It is by all accounts too hard to even consider understanding at certain focuses, however it is drawing in and delightful music. The principal half of the twentieth century was when music changed essentially in the USA affected by African American culture. Swing turned out to be well known with American populace because of its energetic cadence, chipper disposition and capacity to move. Cotton Tail by Duke Ellington is an extraordinary case of swing music. It is performed by the swing ensemble; its sprightly mood and moving vibes can't cause individuals to listen quietly. Swing music offers starting to jazz in the USA; it is less difficult in its cadenced structure however it as of now has syncope and harmonies average for jazz. It is music for individuals who have a place with the lost age conceived between two wars; it is joyful, upbeat and engaging. Indeterminancy by John Cage shows another comprehension of music conceived in the second 50% of twentieth century. It turns into a case of how music can be acted in different manners. Indeterminancy presents a pattern of short stories joined by explicit hints of different items that are not music instruments in their essential capacity. This piece difficulties the customary meaning of music since it isn't seen as music. Be that as it may, audio cues improve view of the content and

Assigned a new project Ask your boss these questions ASAP

Allocated another task Ask your manager these inquiries ASAP On the off chance that you’re focused on doing your absolute best grinding away every day and accepting each open door to show your managers and partners that you’re devoted and genuine about your activity, at that point when you get doled out to another venture you realize that it’s an extraordinary chance to show your stuff. You likely get energized by the chance of getting down to business and will remain determined to guarantee that each feature of the venture is totally effective. On the off chance that this sounds natural, at that point you realize that it as a rule takes a solid beginning for a venture to end on a good note. This implies you have to have a decent handle on the center, major parts of the task. You’ll need to launch your work investigating every possibility and no inquiry unanswered-in light of the fact that any waiting uncertainty or disarray toward the start can rot, develop, and spread, and make an effective finish progressively le ss likely.Although the idea of work activities can differ significantly, in light of a wide scope of elements (counting industry, size, and extension, to give some examples), there are some essential inquiries that you should pose and have replied before getting things moving. We propose posing the accompanying inquiries at whatever point you’re appointed to another venture to help guarantee a fruitful result.â€Å"What are the objectives of the project?†Of course, knowing a project’s objectives is critical to being effective. All things considered, we can’t salute ourselves for building a helicopter (however amazing) if the objective was to assemble a vessel, can we? We have to know the reason for the task and what it is required to accomplish before we can start figuring out what a positive outcome even resembles. At whatever point you begin on an undertaking, ensure that whoever is in control plainly imparts to you the objectives of the venture it†™s the consistent beginning stage for the following stage, which is deciding how to make those objectives an attainable reality.â€Å"What are the key objective dates?†Another vital bit of any task puzzle is knowing the task course of events this incorporates the last date for finish just as all undertaking achievements and expectations en route, particularly the ones you’re liable for. When you realize what is anticipated from you and when you’re expected to convey results, you can design accordingly.â€Å"What is my job in the project?†Getting clearness in advance with respect to your particular job for the venture is vital. At the point when it comes time to convey, you need to be certain that there are no curve balls as far as what’s expected of you. This turns out to be particularly significant for huge undertakings with different partners and deliverable windows.â€Å"Who are different partners engaged with the project?†A pivotal seg ment for progress on numerous activities particularly huge ones with various segments is to ensure that everybody included knows the entirety of the other key venture partners, and to build up a standard and productive progression of correspondence. When you’re beginning on another task, consistently ensure you realize all the players in question and how best to stay in touch with them.There you have it, a couple of critical inquiries that you ought to find solutions to when you’re starting any new work venture. Obviously, you’ll likely have extra inquiries that are explicit to the task you’re at present taking a shot at, yet finding solutions to these principal ones will help guarantee that your venture gets off on the correct foot, remains on target, and is at last fruitful.

Monday, July 13, 2020

Metro Hospital Report

Metro Hospital Report A Report to Metro Hospital Home›Technology Posts›A Report to Metro Hospital Technology PostsBackground/ OverviewHIMSS is an Acronym which stands for Healthcare Information and Management Systems Society. HIMSS is therefore a non-profit making U.S organization which aims at promoting a good understanding of information regarding management systems and health care information.  HIMSS Level 7 is the recognition of using the highest degree of electronic health implementation. HIMSS therefore rates hospitals basing on a scale of 0 to 7 using its Electronic Medical Records Adoption Model. The achievement of stage 7 or level 7 implies that the hospital is largely paperless. The organization therefore deals with the use of optimal management systems and Information technology for the betterment of human life. EMR is an acronym which stands for Electronic Medical Records (Wager, et al, 2009).Electronic Medical Records or sometimes referred to as Electronic Health Records are digital rec ords which are kept by the doctors, insurance companies or other facilities which someone seeks medical services. EMR systems are therefore used in keeping track of the medical history and general health of a patient through electronic and computerized formats. This report is being written so as to improve the services of Metro Hospital with a view to lead it to achieve Level 7 of the HIMSS EMR Adoption Model by the year 2025. It is important for Metro Hospital to achieve HIMSS level 7 by 2025 because it help the hospital in keeping medical records of patients in computerized forms and therefore not only making the records to be easily retrieved but also making the navigation of a patient through the healthcare system to be more efficient and much safer. This report is therefore being written as a roadmap towards the achievement of HIMSS level EMR for Metro Hospital by the year 2025 (Lyer, et al, 2006).Vision for the Electronic Medical RecordsMy vision is to see Metro Hospital atta in the HIMSS EMR Adoption Model by the year 2025 through having a fully electronic environment other than having the manual way of carrying out tasks as it is now. By adopting an electronic Medical Record model, the hospital will cut costs arising from employment of employees to carry out manual work while at the same time ensuring that tasks are carried out promptly and efficiently with the aid of electronic systems.    In order to lead the hospital to achieve level 7 of the HIMSS EMR Adoption Model by the year 2025, the first task will be to ensure that the hospital participates in the Annual HIMSS Analytics Study to make it receive the EMRAM Score. The attainment of a full electronic environment by the hospital by 2025 will therefore enable it to offer its services efficiently and effectively to its customers (Gasch, A. et al, 2010).The implemented EMR systemOnce the vision of having EMR has been implemented by 2025, it will comprise of systematically collected electronic health information regarding populations or individual patients. The system will be able to contain records in digital form which will be able to be shared through different health care departments of Metro Hospital through a wide information network connected embedded systems. To ensure that the HER system creates a positive impact for Metro Hospital and increase its revenue cycle, the system will be designed with key attributes like for instance, it must be able to provide an integrated clinical information which be helpful to health care providers to determine the condition of the patient as regards to the overall medical history of such a patient. The Electronic Medical System for Metro Hospital will be designed in such a manner that it can easily be accessed by physicians, clinicians and general ancillary staff.  The implemented EMR system for Metro Hospital should be able to integrate a full range of data in summary or comprehensive format comprising of personal stats such as weigh t and age, billing information, medication and allergies, medical history, demographics, vital signs, radiology images, laboratory tests, immunization status among others. The implemented EMR system for Metro Hospital should be able to have full records about the patients’ encounters which allows for easy automation and streamlining of such information in the healthcare setting and therefore increasing safety via quality management, outcomes reporting and evidence based decision support. A fully implemented Electronic Health Record for Metro Hospital by 2025 will enhance the hospital’s ability for revenue cycle because it will have the ability for provision of integrated clinical information and easy accessibility of Data from the Electronic Health Records (Scott, et al, 2007).A fully implemented EHR system for Metro Hospital by 2025 will create room for enhanced applications which will support more accurate and complete charge capture and offer improved documentation through au tomation and coding thus speeding up the process of billing. An implemented Electronic Health Record system for Metro hospital will ensure that the quality of care is improved and therefore lessening the suffering of patients as a result of the inability of the analysts to gauge quality and prevalence of medical errors. The use of information technology through the implementation of the Electronic Health Record system reduces costs in administration which in turn frees up the time and money that is spent caring for a patient. Implementing the EHR for Metro Hospital will also reduce medical errors through provision of decision support to healthcare workers through easy proliferation of continuing improvements in the health care industry and enabling faster access to contemporary practices in medicine and medical literature. The EMR system will also have the capability of offering onscreen layered and ordered presentations which offers easy to relevant coding concepts and information regarding medical procedures through browser capabilities applied on the screen (Lehman, 2006).The implementation of an EMR system Model for Metro Hospital will be advantageous because many electronic medical record systems will be able to be connected and therefore it will be easier for coordination of patients willing to seek appointments in cities with academic research centers for appointments to participate in clinical trials or specialty treatment. Given the fact that Metro Hospital has got good links with the Division of General Practitioners in the area, the implementation of an Electronic Health Records system will present it with an opportunity and a global medical environment which will easily enable international patients to link with it and furthermore shop for their own procedures (Hawamdeh, et al, 2008).What the EMR system will do and Offer for Metro HospitalEMR is therefore a digital, computerized and paperless system that will be used by Metro Hospital to maintain t he data of patients and reduce documentation errors while at the same time increasing the efficiency of processes in the hospital. The achievement of the HIMSS EMR Adoption Model by Metro Hospital enable the hospitals operations to be totally paperless and enable the hospital to share its clinical data and information through electronic standard transactions which will include CCD, CCR and other state mandated electronic transactions with all the departments or entities that are found in the health information networks. The adoption of this model will therefore enable Metro Hospital to share wellness and health information between the general medical, oncology, surgical, nose and throat, maternity, ophthalmology, vascular, children services, ear and other entities found within the hospital (Harman, et al, 2006).Critical success factors when building an Electronic Health RecordIn order for the Electronic Health Record to be successful, then essential technical factors should be consi dered.   This will therefore include the planning, implementation and management of the health records department from an inefficient and overburdened environment towards an electronic automated environment. Work processes, technologies and staff should therefore be well adapted in the provision of real time quality information despite being challenged by scarce capital resources and increased expectations. Some of the critical and technical factors that will be need to be considered when building an Electronic Health Record for Metro hospital includes realigning of processes, development of staff capacity, renovation of the physical environment and implementation of new systems that support the strategic plan of Metro Hospital (Warren, 2007).Development of staff capacity is important because it will help Metro Hospital to manage the cultural changes that will emerge and meet the future needs of departments by provision of education and other opportunities aimed at career developmen t. Building of staff capacity is also essential because it helps in the measurement of customer and staff satisfaction. Te development of a qualified ad committed team for Metro Hospital is therefore a critical success factor that is crucial for the preparation of the Electronic Health Record.   Realignment of processes for Metro Hospital is essential because it helps the hospital to plan and execute efficiently the sustainable processes changes and process improvement methodologies. The realigning process is also vital because it helps in measuring changes of the Electronic Health Records. Process redesigning or alignment is also vital because it ensures that all departmental workflows and renovations are aligned for best practice processes. Renovation of the physical environment through decommissioning of the satellite area and remodeling of the physical environment in order to have an optimal workflow is important because it will lead to reduced time in filling charts and retriev ing them. There must be adequate space that can be able to accommodate the filling of active charts accurately and quickly. The security of patient information is important especially when physicians, hospital employees and other third parties are granted access to such information and this should therefore be part and parcel of the renovation process (Walker, 2006).In order to achieve optimal collection and general of information for Metro Hospital, the possession of successful applications that require successful processes is critical success factor that should be considered by Metro Hospital should be considered in the implementation of the new Electronic Health Records.Analyzing the Current SituationTo be able to review the current Status of informatics within the Metro Hospital, I need to be informed how the hospital carries out its operations when serving its clients and general hospital operations. Currently, Metro Hospital is expected to provide a high level of technological tools and academic demands through provision of information management solutions to enhance the quality of health care that is provided to its clients, something that is missing from the current environment of the hospital. To be able to achieve this, a new strategic electronic information management and technology is a major enabler to help Metro Hospital in the achievement of the HIMSS EMR Adoption Model by 2025. The hospital is overburdened by an inefficient preparation environment which makes it hard for it to properly serve the high number of patients. Delivery of health care services at Metro Hospital is solely based on the use of paper charts and therefore the introduction of Electronic Medical records for the hospital is one of the crucial aspects that must be reviewed to ensure that clinical information is easily shared through electronic transactions. The hospital as of current, is not fully utilizing its functionality in the provision of efficient, safe and effective hea lth care for its patients because of the ineffective ways of carrying out its operations manually (Conrick, 2006).To be able to review the contemporary status of Informatics in Metro Hospital, it is essential for me to evaluate and determine if the cost of meeting the Electronic Health Records system is worth the cost of meeting it and the costs that Metro Hospital will incur as a result of adopting electronic Medical records. For instance, I should be able to determine whether the requirements in Stage one will exceed the value of incentive check and ascertain the costs that will have to be incurred in meeting all the stages even after they have passed auditing. I should also review if the Electronic medical Records meet their meaningful use and ascertain the time frames (Steele, 2002).To be in a good position to evaluate or review the current status of Informatics in Metro Hospital, I should be able to assess the current status of the hospital’s component deployment, understand the corporate goals of the hospital and be able to appreciate the hospital’s short term needs. Currently, the hospital has got good links with the Division of General Practitioners in the local area but they are not electronically linked. One of the most important aspects that I will review in Metro Hospital is making sure that an electronic health record is put in place to link these physicians and practitioners with the Hospital’s electronic records. The delay exhibited when serving patients because of the use of manual processes should therefore be reviewed to ensure that the manual way of searching for records is replaced by the Electronic Health records to save the time and resources spent on such tasks. Another specific aspect that I will review is the amounts of time spend when attending to patients at Metro Hospital. This will help me to ascertain whether the introduction of an electronic health record system will be beneficial for Metro hospital (Huang, 2010)..Informati on Management Practices that must be implemented to ensure the Effectiveness of an EMRStaff of Metro Hospital should be well informed of the management practices that must be enforced in order to ensure the efficient running of the electronic Medical record. Employees of Metro Hospital should therefore become aware with the relevant regulatory authorities, regulations and requirements regarding the use of electronic records. Regulatory authorities determine the existing guidelines and regulations about creating, maintaining, retaining and destructing traditional paper records and EHRs and EMRs and therefore such issues should be well known. Privacy legislation concerning the collection, use and final disclosure of patient’s personal information should be upheld and respected. The EMR will also be effective if the hospital management and staff as a general consider patient consent and their rights to accessing their health information that is stored in EHRs/EMR’s (Tan, 2009).Crit ical functions of electronic signatures must be taken into consideration while at the same time putting into mind the 5 key principles of transition from the manual to electronic system which include: securing of patient information and maintaining of the privacy of the information for patents. Medical records should also be kept and maintained through integrity and the integrity of clinical workflow should be supported and maintained (Brazell, 2004).Analysis and planning of level 7 of the HIMSS EMR Adoption ModelIn order to lead Metro Hospital into achieving level 7 of the HIMSS EMR Adoption Model by the year 2025, I intend to carry out a proper analysis and planning of the whole model by being informed of all the stages the hospital has to undergo in order to achieve the Final level 7.    Initially, Metro Hospital has not implemented radiology, laboratory and pharmacy ancillary department systems despite the fact that some of the clinical automation are present. The first procedu re to embark on towards the achievement of Level 7 status by Metro Hospital will therefore be to install all the main three ancillary systems in the hospital which will include the radiology, laboratory and pharmacy department systems. The second stage is to ensure that all the major ancillary clinical systems deposit data into a CDR (Clinical data Repository) which allows the physicians to retrieve and view results (Ochs, 2010).The Clinical Data Repository will therefore comprise of clinical decision support or rules and a controlled medical vocabulary which gives room for checking of any rudimentary conflict. During this second stage, information obtained from document imaging systems can be able to be linked to the Clinical data Repository. During the third stage of the HIMSS EMR Adoption Model, the Metro Hospital’s clinical documentation like flow sheets, vital signs e.t.c will be required while the eMAR (electronic Medication Administration Record), care plan charting and nur sing notes are scored with extra points and are integrated and implemented with the Clinical data Repository for one of the services in the hospital. Clinical decision support is implemented during the first level to in order to check for errors with the order entry in the pharmacy like for instance drug/lab, drug/food, drug/drug that are common in the pharmacy.  At stage three, there must be some level of communication system which can allow physicians of Metro Hospital to gain access through the hospital’s intranet or other secure networks that are available outside the confines of the department of radiology (Robertson, et al, 2008).During the fourth stage, CPOE (Computerized Physician/Practitioner Order Entry) to be used by any Metro Hospital clinician will be added to the Clinical data repository and nursing environment together with the capabilities of the clinical decision support that are related to the medicine based evidence protocols. The completion of the previous sta ges will signify the achievement of stage four. Stage five will now include the implementation of the closed loop administration in one of the patient care service environments implementation and integration of the bar coding, eMAR and other technologies used in auto identification like the RFID (Radio Frequency Identification) in order to maximize safety of the point of care processes used in the administration of medication. Stage six will involve the total documentation of Metro hospital’s physician charting/documentation for at least one of the areas in the patient care service. All the clinician activities are guided through level three of the clinical decision support which is related to protocols and outcomes in form of compliance and variance alerts.  All the film based images are displaced by PACS radiology systems which provide physicians with medical images through an intranet (Felder, et al, 2008).The final stage known as level 7 or stage seven will ensure that Metro Hospital has achieved an electronic or paperless EMR environment in which clinical information will easily be shared through electronic transactions and all entities of the hospital will be able to exchange electronic records within a regional network. For instance, the Division of General Practitioners    in Metro’s local area, subacute environments, ambulatory clinics, patients, patients, employers and other hospitals will be able to share vital health information. As envisioned in the level 7 of the HIMSS EMR Adoption Model, it is this stage that will ensure that true electronic health records are supported by HCO (Andersen, 2008).Implementation PlanMy implementation plan will have a purpose, system overview, management overview which will include the description of implementation, the points of contact, the major tasks, the implementation schedule , security and privacy, system security features and security set up during the process of implementation. Apart from that, the im plementation plan will consist of the software, hardware, materials and facilities, documentation and personnel. Under personnel, it will involve of the training for the implementation staff and staffing requirements. The implementation plan will consist of the performance monitoring, implementation impact and configuration management interface.  Lastly, the implementation plan will consist of the implementation requirements by site requirement details (Skolnik, 2010).Resources required in implementing the project Some of the resources that will be required in order to implement the EMR project will among others include Citrix which is a technology that will be used to provide remote access from the office and home through utilization of wireless infrastructure, qualified personnel, hardware which in this case will include laptops, tablets, desktops, touch screens and carts. The allocation of the various administered and departmental funds together with all the budgetary allocation s should be highlighted. Being able to ascertain the relevant resources needed for implementation of the project will enable me to know early warning signs of under spending or overspending or even possible savings and therefore enabling me to effectively track down expenditure.   In general, resources needed can either be financial or non financial or both (Kiel, 2001).Specific goals and timelines for achieving a ‘fully digital’ status by 2025 by Metro HospitalImplementation of an HIMSS level 7 by 2025 for Metro Hospital is not one single project but rather, it is a series of initiatives which represent a journey more than a destination. The implementation process will therefore consist of challenges, solutions and the impacts that will have on the clinical process. Some of the critical goals towards the achievement of a full digital status for Metro Hospital will therefore include planning of the Electronic Health records and the acquisition of the ambulatory Electronic Health Records. Thereafter, the process of intake and assessment will follow after which the medication process will be clearly evaluated. Clinical support and documentation will be followed through the provision of E-communication patient providers and portals. The stage of finally implementing the ambulatory of the Electronic Health Records will make the electronic system for Metro Hospital to be its legal health records by the year 2025.    Although initially Metro Hospital had no plans of becoming a digital hospital, it has always been my goal to achieve this electronic status. There is need for us to use automation and Information technology in order to improve the care given to our patients (Finn, 2009).In order to achieve specific goals and timelines for achievement of a fully digital status for Metro Hospital by the year 2025,a vision, consensus and a strategic plan must be build at the board or executive level aimed at transforming care delivery through a business initiative. A governance structure should also be build in order to facilitate decision making, accountability, prioritization and management which include a user-focused comprehensive plan which deals with informing people how to deal with change. After that Information Technology infrastructure that deals supports the Electronic Medical Records together with a disaster business/recovery continuity plan for Metro Hospital must be build. Supplier/consulting decisions should be made and then the technologies should be implemented in the right order. Managing of change, measurements and achievement of the technology should be kept as an in day to day work.  A governance structure should be build in order to facilitate prioritization, management, accountability and decision making which includes a comprehensive functional steering committee.   Measurement of the business processes will need to stretch the goals and need to be balanced so as to embark on this long journey of achieving level 7 by 202 5 for Metro Hospital (Lorenzi, 2005).  Executive Engagement3 Years2011Process Measurement2 YearsIT Infrastructure2 YearGovernance4 YearsBenefits for achieving HIMSS level 7 by 2025 for Metro Hospital will also require that the benefits are quantifiable and the whole executive team should always be accountable for achieving the goals. The business value for the benefits should always outweigh the costs of IT increasing operational expenses and implementation costs. Metro Hospital should plan in using the EMR in demonstrating data agility during the whole implementation process. In order to avoid situations where the stakeholders of Metro Hospital might get disengaged before the whole project is rolled out, incremental benefits arising from the use of EMR data entry must be seen. In general, the roadmap for achievement of the HIMSS level for level 7 by 2025 for Metro Hospital will involve the following goals and timelines (Sharma, 2005).System selection1 YearsThe above processes shoul d therefore take 14 years for Metro Hospital to be fully digital. During the first stage above, all the ancillaries namely the laboratory, the Pharmacy and the RAD are not installed and this stage is referred to as stage 0. At stage one, all the three ancillaries are installed followed by stage two in which Controlled Medical Vocabulary Clinical Data Repository and the CDSS inference engine might have Document Imaging. Stage 3 will involve clinical documentation and error checking which will in turn be followed by stage four which will involve Clinical Decision Support protocols. Stage five will thereafter involve the administration of Closed Loop medication and then under stage six, physician Documentation and full variance and compliance of CDSS will be undertaken. Finally, stage seven will ensure that Metro hospital has a fully digital status by 2025.Governance:Governance is a very important part in the implementation of the HIMSS EMR Adoption Model by 2025 for Metro Hospital bec ause having unclear governance plans may pose as a big risk to the hospital in the implementation of other aspects. The governance for Metro Hospital will be under the responsibility of two committees which will oversee the implementation of the HIMSS. The two committees will be the IT Committee and the other one that represents the operational and clinical departments that are affected by EMR-EHR. The various people who will be involved in management of various implementation processes should be known together with their responsibilities and the people they are accountable to in Metro Hospital. Procedures and rules for decision making should always apply throughout the whole project and governance arrangements should include all the agency lines of accountability and reporting coupled with the relevant executive committees and agency boards in the hospital. The project should be governed in such a way as to include all the services that are supposed to be delivered as a result of a dopting electronic medical records. Clinical Staff and all Physicians for Metro Hospital should conduct a needs analysis in order to be sure that the implemented EMR-EHR system will serve as a proper decision making guide for the caregivers. The separate governing bodies for Metro Hospital should therefore work hand in hand to see that the project is implemented successfully. The committees should be able to meet as many times as possible to discuss any emerging issues and hear any updates about the whole project (Edgar, et al, 2010).Likelihood of Success and identification of riskI have high hopes that I will be able to achieve level 7 of the HIMSS EMR Adoption Model by 2025 because of the supportive and understanding Metro Hospital Staff.     However, there is a high concern that some of the practitioners linked with the Metro Hospital from the area will struggle in meeting some of the proposed rules for quality reporting requirements aimed at meaningfully using health information technology.   Some of the risks that may be faced with Metro hospital upon completion and final implementation of the Electronic Health Record will include incomplete or weak and lack of enough policy awareness and malicious misuse by insiders. The Metro Hospital’s Electronic Health Records may also be exposed to external attacks through either social engineering, defacement of the website, electronic mail phishing or through social engineering phone calls which may be detrimental to the hospital because vital information may be lost. Metro Hospital should also be concerned about weak incident response recovery policies and weak disaster recovery plans (Perezgonzalez, 2005).Benchmarks In order for usability ratings to give more than comparative information, it is necessary to use benchmark metrics to establish them. These benchmark metrics can be developed through measuring the actual clinical environment of clinician users for each scenario or task. The clinician panels will the n compare good actual performances against the perceived ideal performance by users so as to establish a target score which reflects better the needs of the users unlike the present state of the Electronic Medical Records performance (Gumpper,   et al, 2008).Conclusions/ RecommendationsIn order to make the adoption of level 7 of the HIMSS EMR Adoption Model by 2025 for Metro Hospital to be a success, it is vital for me to look at the benefits, barriers and risks. There is a significant relationship between the benefits and barriers of adopting HER systems by Metro Hospitals.  The transition by Metro Hospital from manual operations to electronic medical records is a significant change in the medical practice towards clinical processes. The ability of Metro Hospital to transform its medical records into electronic form will create further opportunities for the hospital to start clinical practice changes not only at individual levels but also at population levels. The success of the E MR-EHR for Metro Hospital will therefore largely depend on the input that will be derived from all the departments of the hospital what will use the system in improving the quality of care given to patients and increasing productivity. Committees dealing with governance in the implementation of the project should never be underestimated because it is through them that other stakeholders are able to give criticism, ideas, advice and suggestions.  Relevant approaches should always be approached in order to ensure that the EMR-EHR system is properly implemented to ensure that improved healthcare and regulatory practices are upheld (Jain, Et al, 2010).

Saturday, June 27, 2020

French Romanticism Analysis - Free Essay Example

Romanticism is a form of art that contains many types. It started in the late 18th century inside Europe. Romanticism had a certain influence on politics. In order to pursue people’s ideal life, they took their weapon and had an uprising. And also, except for the influence on politics, it also had impacts on history and educational ideas. These things had big changes. Romanticism stresses beauty and freedom. So in the period of romanticism, the mind of people changed, people’s appreciation of beauty changed too. The main forms in romanticism are music, art, and literature. French romanticism appears first in art and then in music. French romanticism developed late in literature. After few years of the French Revolution and Napoleon suffered a defeat the last time in his life, the wave of romanticism began to spread in France. People started to quote drawing, write music, write articles etc. to express what they hope and what they want in their mind. At that time, these artworks had been called: works of art in the peered of romanticism. And also, at that time, different artists have their own style, but this didn’t show a mess, this can only explain that in France, romanticism has no single forms. So my definition of French romanticism is: diversify and colorful. The first work Im going to introduce is called â€Å"Liberty leading the people†. The work was inspired by the French Revolution in July 1830. So it has another name called â€Å"27th July 1830†. First, lets take a look at the background of the painting. In the year of 1815, an uprising happened in France. People overthrew Napoleon. In 1830, the new successor, Charles X, had tried to consolidate the dynasty. But at that time, people are not satisfied with life, they wanted to revolt. At that point, all Paris people knew this message, they all took their weapon and fought for the overthrow of the Bourbons. Luckily, they succeeded. There was the main person in this revolt, it’s a woman, she held the France flag upon his head. What an exciting moment it was at that time! However, when she tried to put the flag on the bridge near the Notre Dame de Paris. She had been shot down by gun. When the artist saw this picture, he was really angry. In order to commemorate thi s revolt, he drew this famous painting. And this is the background of the painting. This painting is the most connotation artwork in artist’s life. Inside this famous artwork, there are many people that symbolize different levels in the human world. The girl in the middle is the most important part in the whole work. Around the girl, there are a large amount of people, some with guns, some kneeling on the floor, some with machete. The Notre Dame de Paris not far away is like a floating illusion. In the sky, there is thick black smoke. This girl held the flag of France high above her head. Beside her, there are lots of insurrectionists. We could see a man who is kneeling on the floor, he is wearing a red scarves on his head, blue shirt, we can also see a little white under his shirt. Fist, what I want to say is we can discovered his clothes’ colour is the same as the France flag. And through my observation, I found out this picture use red, white and blue for the main colour for this work of art, to show us a vivd picture. Next, what we need to observe about is the girl that is holding the national flag high. She had a dominate position in this work of art. Because this painting is a real event in the history, and this is very real, so we will be able, as it were, to see , to hear and to feel their action in the history. And make us easy to understand the great events of the 18th century in France. Why I can judge this painting is romantic because by understanding the background of this painting, and the content inside history, and also by analyzing the painting, we can discover the truth of romanticism, and what the people’s hopes are. So we can know that this is a romanticism painting. This painting is the same author as the one on the page before. We still have to get to the background of the painting. In 1822, Turkey captured the Greek island of Theo. Robbed the island completely. It is obvious that these people in Turkey had angered all the people of Europe. There was a feeling of discontent. Of course, the author of the painting also knew about it. And we all know that painters like to record bits and pieces of life. Then Delacroix likes to record history. He expressed his anger at the Turkish invaders and drew the picture. So this is the historical background. Delacroix is one of the greatest artists in the world. And most of his paintings are recording some of Europes famous historical events. While we understand the background of the painting, lets take a look at the painting. We can see that some peoples eyes are full of despair, some people lie to the ground, and we can even see people sitting on the ground not far behind. But they are all Greek people. They were in great pain and despair. They could not struggle, but could only be stepped on by the invaders. There was no hope in their faces, no light in their eyes, and it was miserable. Even the sky was gloomy by the big matter. This is a tragedy in history. We can also see on the right the Turkish invader riding a horse trying to kick off the woman that was holding him. The smoke of war made everything grey. This is a human tragedy. Since we know that this is a real event, that is to say, the painting can reflect the true events of the time, and this style confirms that the painting is a Romantic work. Then came the romantic music. The first is Hector Berlioz’s’ Symphony of Fantasy. This is a symphony written by Berlioz in 1830. This piece of music is inspired by the authors real life. The authors inspiration for all the movements comes mainly from the actress in one of the play. Of course, the play was famous during the Romantic period and was a favourite of the time. Later, the Symphony of Fantasy written by Berlioz became a symbol of romanticism. The symphony is so popular in France that it is highly regarded. Someone said thatâ€Å"I accept that this symphony is of an almost inconceivable strangeness and that the schoolmasters will no doubt pronounce an anathema on these profanations of the ‘truly beautiful’. But for anyone who isn’t too concerned about the rules I believe that M. Berlioz if he carries on in the way he has begun, will one day be worthy to take his place beside Beethoven.†(Symphony guide: Hector Berliozs Symphonie,August 19, 2014) We all know that the symphony created by Berlioz was inspired by an actress, so how did Berlioz get to know the actress, mainly because he likes to appreciate and watch plays, As he watched a Shakespeare’s comedy, it was the actress Harriet Smithsonian who won his attention. It can be said that the content of the symphony is similar to that drama. The music is divided into five movements, the story of each piece is linked together. The whole story is about a man who finds someone he thinks he loves at a dance, but he suspects that his lover betrayed him, so he kills his lover and puts himself on the guillotine. Finally, he found himself at his own funeral. He saw crazy ghosts and horrible women dancing out of control. In this way, the story is over. The creation of Berlioz changed the history of music. The history of music adds a romantic style, which is completely different from the past. If we observe the details of this symphony, to understand the source of inspiration, to understand the story of music, we can use it as a reference to history. The symphony begins with nervous and becomes lyrical in the second movement. In the third movement, the atmosphere becomes repressed, the fourth movement becomes hasty, and the fifth becomes horrific. The change in emotion is evident, which helps us analyze music. So lyric individual characteristics become an important feature of romantic music. Charles Camille Saint-Sant French composer and keyboard player. His works have an influence on the French music world. The important works include Animal Carnival, Skeleton Dance, Samson and Delilah, and so on. The famous symphony is by Charles, another Romantic musician after Berlioz. But by comparison, Charless work was freer. Its hard to understand, but its interesting to go into detail in his works. The symphony begins in a short, slow form, but followed by lyricism and grace. But slowly become terrible, it seems to be unsatisfied with the world. Everywhere is full of death. Everything was struggling and becoming crazy. No one can control it. The symphony ends in this crazy form. Although this form is difficult to understand, but it is one of the representative works of romanticism. For it is free, and has its own thoughts. It doesnt care about others, it just wants its own freedom. So thats why this symphony is coming to us in this form. We know that romanticism is a period that pursuit beauty and freedom. But as we mentioned earlier, in romantic periods, everyone has their own unique aesthetic. So there is no single form of romanticism, it is rich and colorful. Because Charles in the Romantic period showed unique, so he won in the Romantic period based on the status. His works are well at expression in every important place. Nowadays, people may understand romanticism as lyrical, full of music, beautiful and quiet. But when you investigate at romanticism, you will find that romanticism is not just a small part of the characteristics, it also has a few of its biggest characteristics: true, rich, human. These features are reflected in Charles works one after another. Charles showed not only the essence of romanticism, but also the liberation of human nature. This is my highest evaluation for Charles.