Thursday, November 28, 2019

The Definition of Avant Garde with reference to Drama, Dance Essay Example For Students

The Definition of Avant Garde with reference to Drama, Dance Essay The Definition of Avian Garden with reference to Drama, Dance, Music and Performance. With the influence Richard Schooner had on our piece. By beneath In Twentieth Century Theatre from the time of the Renaissance on, theatre seemed to be striving for total realism, or at least for the illusion of reality. As it reached that goal in the late 19th century, a multifaceted, materialistic reaction erupted. Many movements, generally lumped together as the avian-garden, attempted to suggest alternatives to the realistic drama and production. Paralleling modern art movements, various theoreticians turned to symbol, abstraction, and ritual in an attempt to revivalist the theatre. Although realism continues to be dominant in contemporary theatre, its earlier functions are now better served by television and film. The originator of many neutralist ideas was the German opera composer Richard Wagner. He believed that the Job of the playwright/composer was to create myths. In so doing, Wagner felt, the creator of drama was portraying an ideal world in which the audience shared a communal experience, perhaps as the ancients had done. We will write a custom essay on The Definition of Avant Garde with reference to Drama, Dance specifically for you for only $16.38 $13.9/page Order now He sought to depict the soul state, or inner being, of characters rather than their practical, realistic aspects. Furthermore, Wagner was unhappy with the lack of unity among the individual arts that constituted the drama. He proposed the Counterarguments, the total art work, in which all dramatic elements are unified, preferably under the control of a single artistic creator. The avian-garden choreographers can be characterized by, in general having a less formal attitude towards dance than the previous generation. While their predecessors were obsessed with conveying angst and emotion, these dancers seemed to have more fun. Their frivolity could be attributed to the fact that as angers, they were no longer on a crusade to legitimate their art. The avian-garden choreographers felt free to experiment. They questioned the frontal aspect of creating a dance that was inherent in ballet and early Modern dance; why couldnt dance be in a round, why must the audience be directly in front? Their explorations of ways in which theatrical space affected the dance led to some avian- garden choreographers presenting their works in small community theatres and in other unconventional locations. The avian-garden choreographers began to ponder the traditions of music, makeup ND costumes. Costumes began to take on a unisex look, as choreographers felt it music in dance and makeup in theatre. Technology was once again affecting dance, and many avian-garden choreographers embraced it. It came in the form of computer synthesized music, film and modern materials. For example, in Mercer Cunningham piece, Rainforests, helium filled balloons made by Jasper Johns share the stage with the dancers. Mercer Cunningham was one of the first choreographers to challenge the conventions of the founding generation of modern dance. He had studied with the Graham Company for a number of years and eventually formed his own dance group in the asss. American Composer John Cage had a profound influence on avian-garden music and dance. He studied with the American composers Henry Cello and Adolph Weiss and the Austrian-born composer Arnold Schoenberg. In 1942 he settled in New York City. Influenced by Zen Buddhism, Cage often used silence as a musical element, with sounds as entities hanging in time, and he sought to achieve randomness in his music. In Music of Changes (1951), for piano, tone combinations occur in a sequence determined by casting lots. In 433 (1952), the performers sit silently at instruments; the unconnected sounds of the environment are the music. Like Theatre Piece (1960), in which musicians, dancers, and mimes perform randomly selected tasks, 433 dissolves the borders separating music, sound, and non-musical phenomena. .udd8549c953a9b94593cda34667fddbbc , .udd8549c953a9b94593cda34667fddbbc .postImageUrl , .udd8549c953a9b94593cda34667fddbbc .centered-text-area { min-height: 80px; position: relative; } .udd8549c953a9b94593cda34667fddbbc , .udd8549c953a9b94593cda34667fddbbc:hover , .udd8549c953a9b94593cda34667fddbbc:visited , .udd8549c953a9b94593cda34667fddbbc:active { border:0!important; } .udd8549c953a9b94593cda34667fddbbc .clearfix:after { content: ""; display: table; clear: both; } .udd8549c953a9b94593cda34667fddbbc { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .udd8549c953a9b94593cda34667fddbbc:active , .udd8549c953a9b94593cda34667fddbbc:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .udd8549c953a9b94593cda34667fddbbc .centered-text-area { width: 100%; position: relative ; } .udd8549c953a9b94593cda34667fddbbc .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .udd8549c953a9b94593cda34667fddbbc .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .udd8549c953a9b94593cda34667fddbbc .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .udd8549c953a9b94593cda34667fddbbc:hover .ctaButton { background-color: #34495E!important; } .udd8549c953a9b94593cda34667fddbbc .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .udd8549c953a9b94593cda34667fddbbc .udd8549c953a9b94593cda34667fddbbc-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .udd8549c953a9b94593cda34667fddbbc:after { content: ""; display: block; clear: both; } READ: Music during elizabethan age EssayIn Cages pieces for prepared piano, such as Mores (1943), foreign objects modify the sounds of the piano strings. Interestingly Cage wrote dance works for Mercer Cunningham. Following Cages lead, in the late sass and ass composer Gunter Schuler, together with the pianist John Lewis and his Modern Jazz Quartet, to fuse Jazz and classical USIA into a third stream by bringing together musicians from both worlds in a repertoire that drew heavily on the techniques of both kinds of music. Also active during these years was the composer, bassist, and bandleader Charlie Minus, who imbued his chord-progression-based improvisations with a wild, raw excitement. Most controversial was the work of the alto saxophonist Ornate Coleman, whose improvisations, at times almost atonal, did away with chord progressions altogether, while retaining the steady rhythmic swing so characteristic of Jazz. Although Colleens wailing sound and rough technique shocked many critics, there recognized the wit, sincerity, and rare sense of form that characterized his solos. He inspired a whole school of avian-garden Jazz that flourished in the sass and ass and included the Art Ensemble of Chicago, the clarinetist Jimmy Suffer, the pianist Cecil Taylor, and even Chlorate, who ventured into avian-garden improvisation before his death in 1967. From my research and these findings I had a good idea of the avian garden movement, minute performance with a group of my fellow students. We watched a video and to assist us we looked at the theory by Richard Schooner Five Avian Grades or none, Schooner talks about the process of life going from being out of balance to balanced, to achieve this a change must be made I. E. not Just from A to B but the actual Journey between A and B. Schooner states that the form of Avian Garden is made up of the five following types, that in Avian Garden performance today there is elements from all five Historical, Current, Forward looking, Tradition seeking and Intercultural. From this I learned that actually Schooners theory was that in actual fact this was the make up of Avian Garden, that performance in the genre of avian Arden could not happen without thinking back to the early examples and adopting trends. As there currently is not a particular style so performers need to use elements from the past, create new ideas using modern technology mixed with traditional aspects, along with ideas from other cultures. Schooners Five Avian Gardens Historical avian-garden Naturalism Realism Symbolism Futurism Cubism Expressionism Dada Surrealism Constructivism Current avian-garden Always changing Excellent quality, refined by 2nd and 3rd generations of artists Forward-looking avian-garden Heir to Historical avian-garden wows, cybernetics, hyper or virtual time/space Tradition-seeking avian-garden Grassroots theatre Intercultural avian-garden From the video, and using Schooners theory, we brain stormed together as a group, we liked the ideas of Historical avian garden using symbolism, expressionism and realism mixed together, as well as including multimedia and mega sound from Forward looking avian garden. We decided quite early in our devising process that we wanted to include all of the elements of performance Drama, Dance, and Music. The fundamental key to our performance was the theory Schooner had of life going room out of balance to balanced, we talked about the process of this happening and we basically came up with a phrase that in order for something to become balanced then a sacrifice must occur, one must give something up we came up with the word purification, and devised simply that to go from being out of balance to balanced purification must happen. From this we thought of birth from the womb to life, because we decided that for a fetus to never live out side of the womb this would warrant the danger of becoming out of balance, the fact that a fetus gives up the feet of the womb for the dangers and the unknown of the world warrants a sacrifice and that birth itself is the purification leading to the balance of life. .u9a0c9bd1af36711fa380738ac8dfa5f4 , .u9a0c9bd1af36711fa380738ac8dfa5f4 .postImageUrl , .u9a0c9bd1af36711fa380738ac8dfa5f4 .centered-text-area { min-height: 80px; position: relative; } .u9a0c9bd1af36711fa380738ac8dfa5f4 , .u9a0c9bd1af36711fa380738ac8dfa5f4:hover , .u9a0c9bd1af36711fa380738ac8dfa5f4:visited , .u9a0c9bd1af36711fa380738ac8dfa5f4:active { border:0!important; } .u9a0c9bd1af36711fa380738ac8dfa5f4 .clearfix:after { content: ""; display: table; clear: both; } .u9a0c9bd1af36711fa380738ac8dfa5f4 { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u9a0c9bd1af36711fa380738ac8dfa5f4:active , .u9a0c9bd1af36711fa380738ac8dfa5f4:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u9a0c9bd1af36711fa380738ac8dfa5f4 .centered-text-area { width: 100%; position: relative ; } .u9a0c9bd1af36711fa380738ac8dfa5f4 .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u9a0c9bd1af36711fa380738ac8dfa5f4 .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u9a0c9bd1af36711fa380738ac8dfa5f4 .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u9a0c9bd1af36711fa380738ac8dfa5f4:hover .ctaButton { background-color: #34495E!important; } .u9a0c9bd1af36711fa380738ac8dfa5f4 .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u9a0c9bd1af36711fa380738ac8dfa5f4 .u9a0c9bd1af36711fa380738ac8dfa5f4-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u9a0c9bd1af36711fa380738ac8dfa5f4:after { content: ""; display: block; clear: both; } READ: Emotion and Music essaySo our theory behind our performance was that as a fetus we start life of as balanced, however if we do not make the transition from womb to world then there is obviously a danger of becoming out of balance I. E. the fetus may die, so before that danger becomes apparent we are born, a sacrifice is made, a risk is taken a purification takes place birth, and we remain balanced. In our performance we used the music of Massive Attack, Teardrop which is about a totes in the womb, we chose a poem about sacrifice, change and love, and we took the form of a fetus making the Journey from womb to world. Visually our performance was simple; we combined moveme nt and drama, with the poem being read over the music.

Monday, November 25, 2019

Edgewood Lake Hospital Essays

Edgewood Lake Hospital Essays Edgewood Lake Hospital Paper Edgewood Lake Hospital Paper Edgewood Lake Hospital (ELH) which opened in 1945, is a 30-bed, independent, not-for-profit hospital located in rural northern California. It provides inpatient and outpatient services to the close-knit community that resides within the forested and lakeside town the facility is nestled in. Although it is known for its great track record for quality and is held in high regard by the surrounding community, it has steadily experienced financial losses from 2006 through 2009. These losses can be attributed to factors both internal and external to the facility itself. Poor executive leadership by the recently replaced CEO, Richard Fuchs, has resulted in great financial losses for ELH. Further paramount financial losses have resulted from extreme budgeting discrepancies, mismanaged funds and failure to identify loss-contributors in time to rectify them. These losses have resulted in a decreased morale of the existing staff and have made recruiting for open positions difficult. The staff’s faith in the facility and its longevity has wavered and diminished as a direct result of mismanagement and the resulting financial instability. Nearby competition from a newer and better-equipped for-profit hospital that offers specialty care is a direct and impending threat. Increasing billing regulations from Medicare that call for replacing/purchasing new computer systems are sure to add to the surmounting financial pressures. The Board of Directors has hired a new CEO, Shannon Johnson, who comes from serving 5 years as CFO to Rocky Hills Valley Hospital, a critical access facility in rural northern California. She will be faced with the challenge of employing effective leadership in order to make ELH profitable within a 2-year time span. By examining the current state of the hospital, identifying its key stakeholders and scanning its internal and external environments for contributing factors and possible areas for improvement, strategies aimed at better positioning ELH both competitively as well as financially will be recommended. Key Stakeholders ELH has various stakeholders, each of which has a different relationship with and varying interests in the community hospital. One group of stakeholders would be the close-knit, small community that is offered inpatient/outpatient services by this facility. This stakeholder group boasts a county-wide population of 5,135 citizens. A more distinctive stakeholder group would be the elderly sector of the population, as they make up 54% of the payer mix that is responsible for all revenue received by ELH. The healthcare costs of these senior citizens are funded by the government through the Medicare program. Another group of stakeholders is the primary care providers within ELH. Although the hospital does afford them a facility to practice medicine in, growing discontent has resulted as of late within this stakeholder group. Due to the lack of specialty physicians in this facility, these providers have been forced to provide care that is out of their scope of practice and out of their comfort level. Another principal stakeholder is the newly hired CEO of ELH, Shannon Johnson. She is a graduate of a major university and is also a certified public accountant. Her role will be a vital one in whether ELH recovers from its recent history of financial losses as her executive leadership spearheads this effort. She was chosen by the board of directors as she brings with her experience in managing a hospital in a rural setting. Another stakeholder, as well as direct competitor, for ELH is Creekside Trails Hospital. Although each hospital serves distinct patient populations, a competition for patients in recent years has developed. External Environment In order to arrive at a well-rounded and all-encompassing solution to ELH’s critical state, the external environment must be examined. Looking closely at the environment external to ELH will allow for possible threats to the hospital’s success to be revealed and curtailed if possible. Upon scanning the external environment, opportunities for improvement should be identified and made an integral part of the final strategy to restore and revitalize ELH to its former glory. Threats The most direct threat to ELH is the strong community competitor, Creekside Trails Hospital. It is a 45-bed, for-profit facility located 35 miles away on the other end of the lake and is 50 years newer than ELH having been opened in 1995. It is a for-profit organization and offers more specialty services, namely cardiology care. This threatens ELH’s livelihood not only by creating a more appealing alternative for citizen seeking medical attention but also by becoming a viable option for current ELH staff looking for a more stable and promising place of employment. Another threat is the current state of rural hospitals nationwide. According to the case study, about 25% of Americans live in rural areas and only about 10% of physicians actually practice in rural areas. There is a 15% gap in the ratio of rural citizens to available practicing physicians. This is a threat to ELH’s need to attract and hire more physicians. In relation to rural hospitals, citizens have longer drive times to their medical facilities. This causes them to delay routine visits which subsequently exacerbates illness. National health policy and government reimbursement standards are also threats external to ELH. There are increasing regulations on quality, privacy, efficiency, costs and services while government reimbursement rates are declining. Increasing demands for quality and compliance while funding is steadily declining will lead to a growing gap in healthcare costs and affordability. The Medicare program is increasing its quality and compliance demands putting rural hospitals at a disadvantage to their inner-city counterparts. Reason being that rural hospitals have fewer coders and internal auditors to stay abreast of changing regulations which results in increases in fines and denied claims. Some demographics of Edgewood County are also a threat to the overall welfare of ELH. The following table was created from figures provided within the case study: Table 1 Income and Median Age: Edgewood County versus National Average | Median Household| Median Age| | Income| (Years)| Edgewood County | $ 44,238.00| 40. 8| National Average| $ 59,948. 00| 33. 3| Table 1 shows that Edgewood County’s median household income is 26. 2% less than the national average median income. This not only provides the population of Edgewood with less disposable income but also results in ELH having a smaller revenue pool than the national average. Another notable difference is that Edgewood County’s median age is 22. 5% higher than the national average median age. This will at some point mean a higher number of elderly patients, who if subsidized by Medicare, will create a need for more billing/coding staff to be hired creating yet another expense. Opportunities| | ELH and its surrounding community have historically shared a good relationship. When the former CEO proposed and built a wellness center dedicated to enriching the healthcare experience of its patients, the idea garnered much support from the town. The former CEO’s ability to raise $120,000 in community donations alone to fund the construction of the Edgewood Lake Wellness Center demonstrates that there once existed, and can again exist, a viable source of plentiful community support. The customer base was proven to be strong and loyal in favor of and support for the medical facility. ELH is the sole, or one of very few, healthcare facilities within a commutable distance for citizens of the town. This could provide a competitive advantage above larger hospitals in metropolitan cities which require extensive travel and great expense for citizens to reach. The new CEO, Shannon Johnson, has seen hospitals with bleak outlooks benefit greatly from joining healthcare networks. There are also other designations, such as that of being a Critical Access Hospital (CAH), which could prove helpful in turning ELH into a profitable and successful facility. Shannon Johnson’s previous place of employment was a CAH and so converting to this designation might be in her prospects for corrective strategies. The reimbursement for CAH’s is cost-based as opposed to the current diagnosis-related reimbursement. To be eligible for designation as a CAH, the facility must be at least 35 miles from next nearest hospital, operate fewer than 25 beds, have an average length of stay less than 96 days and must offer emergency services 24 hours a day 7 days a week. Porter’s Five Forces of Competitive Position: Structure Analysis Issues After careful review of the external environment, several structural issues were identified related to Porter’s Five Forces of Competitive Position. One is the limited geographical coverage of ELH’s reach. It services a county of just above five thousand residents and also shares that small population size with another competitor. The geographical factors also work against ELH in that it is located in a rural area making it challenging and difficult to attract/hire physicians to fill vacancies on medical staff. Legislative effects threaten the solvency of ELH’s finances because while regulations are increasing and becoming stricter, funding is being decreased making it difficult for smaller hospitals to remain compliant. Internal Environment An examination of the internal environment of ELH is an equally important aspect of arriving at a solution methodology for this hospital’s current difficulties. The internal scan will be comprised of identifying the strengths and weaknesses of the internal environment as well as revealing any resources, competencies and capabilities of the same. Strengths  Its most notable strength is that ELH is held in high regard by members of the surrounding community. It is one of only 2 healthcare facilities easily accessible to residents of Edgewood County. Of the 2 facilities, it is the only one to have its own dedicated wellness center. Furthermore, ELH has been an integral part of the town for 50 years, a fact that provides an unattainable status by its nearby competitor. In addition, its medical staff has a very low turnover, measuring at 6% in 2008. Despite the misdirection under the previous CEO, ELH has a strong middle management with a significant tenure. It is this group that is responsible for maintaining morale positive and consistent. Now that Shannon Johnson has been brought on board, she is also a great strength ELH can draw from as the facility can only stand to gain from her bountiful experience with rural hospitals and steering them towards success. The hospital itself has a great track record of quality: it scored 100% for delivering discharge instructions versus national average of 69% and also scored 100% for providing smoking cessation counseling for congestive heart failure cases versus national average of 89%. Weaknesses  Prior to the hiring of the new CEO, lack of executive leadership was possibly the greatest weakness of the internal environment. In order for all the individual parts of any organization to function cohesively and properly, there must be solid and strong support from the top. Executive management holds the power to make or break its organization and when this position is filled by an unqualified weak-minded individual, only failure can result, as it did in the case of ELH and former CEO Richard Fuchs. The facility itself also has structural limitations that create yet another weakness. With 30 beds and a surrounding population of 5,135, ELH only has resources to service 0. 6% of the population at one time. Its capability to serve in the grand scheme of things is diminutive and very possibly one of the reasons new talent will not join the existing staff. Although the hospital has a history of outstanding quality in service, it also has a standing track record of poor financial performance. This is in large part due to the poor financial decisions made by the former CEO but is also a product of uncontrollable forces. For example, declining reimbursement by Medicare has resulted in extensive losses on Medicare patients. As seen in the case study’s Exhibit 1, which charts the various parties contributing to ELH’s payer mix, more than half of the patients are Medicare beneficiaries. Further financial weakness is identified in the steadily increasing operating costs. A collective bargaining agreement with a local union resulted in higher salaries for RN’s. Also, the inability to permanently fill physician vacancies has resulted in having to pay higher costs to temporary physicians. Low physician recruitment is a weakness that not only affects the bottom line but also the quality and continuity of healthcare offered to ELH patients. The areas that are most affected by this are that of general surgery and primary care. Resources, Competencies and Capabilities ELH has a variety of resources at its disposal. Careful identification and scrutiny of them will allow them to be called upon during the initiative to restore financial stability. The previously mentioned positive relationship that exists between the facility and its surrounding community leads to one  very valuable resource. Garnering support from the surrounding community it serves, both in terms of financial contributions and in terms of building loyalty, is an existing and proximal resource. The reputation enjoyed by ELH of having superior quality of care is a resource that should be placed at the forefront of the efforts to attract new physicians and new patients. The newly hired CEO, Shannon Johnson, will be an invaluable resource based on her previous experience and her CPA license signifying her great understanding of finance. Another resource, that currently seems to be the reason for the financial turmoil being faced by ELH, is the Edgewood Lake Wellness Center. This facility has already been constructed and paid for. It could prove to be a great resource if its use were maximized to provide a competitive advantage over Creekside Trails. A final resource and competency housed within the walls of ELH is the existing staff that has a proven record for performing quality service and whose ability to excel in healthcare as well as contribute in community service certainly provides a differentiation between ELH and its competitors. Not only is the staff capable of meeting and surpassing the expectations of quality held by the surrounding community, but ELH goes above and beyond to offer value-added services. The hospital created the Mobile Health Service Unit (MHSU), a large utility vehicle servicing residents at the perimeter of the county. It is equipped to perform physical assessments and other primary care services. Strategies and Recommendations. In order to make recommendations on how to make ELH profitable, secure fiscal solvency, address the physician recruitment problems, increase staff productivity/performance and stabilize the executive leadership team, environmental scanning was performed. The importance of environmental scanning is that it will reveal the strengths, weaknesses, opportunities and threats of the entity. Identifying these characteristics will assist in creating a strategic plan meant to help the facility reach the aforementioned short-term and long-term goals. ELH should implement a new marketing strategy while maintaining its core competencies that have awarded the facility recognition and customer loyalty. The first strategy to be recommended is one of concentric diversification. ELH will not only serve as a medical facility like its competitor, but will also open up its wellness center to host community fitness events/initiatives, intramural sports activities of local youth and informative seminars open to the public. Another strategy is one of branding. The Mobile Health Service Unit seems to be one of its kind in the area – taking health to homes. The great service it offers to residents at the perimeter of the county should be marketed as a backdrop of care, concern and initiative by ELH for its patients, all patients, not only the ones who are able to commute to the facility. This existing resource could possibly be turned into a mode of offering transportation services to and from ELH for needy patients with scarce resources. A strategy that could be used as a last resort would be one of divestiture whereby ELH could be purchased by or integrate on some level with its competitor, Creekside Trails. A less drastic and very feasible strategy would be to change the designation of ELH to one of a critical access hospital. The new CEO has full working knowledge of how to obtain this designation, and the current size and location of the hospital make it a possible alternative as it would be easy to reduce number of beds from 30 (current) to 24 or less (required) and meets the requirement of being at least 35 miles away from nearest hospital, which it is. An aggressive proactive strategy for filling physician openings has been developed. A team must be created that is dedicated to attracting and recruiting specialty physicians. This team should at minimum include the Human Resources Director, middle management (who is tenured and can offer valuable insight into why ELH is a great place to practice), current over-worked caregivers as well as a representative from the town’s visitor center who can in collaboration create an attractive portfolio of the town itself and the quality of life it offers to its inhabitants, a listing of the quality recognitions and resulting loyalty ELH has acquired, a commentary of the excellent environment ELH provides for its staff as well as its plans for the future and growth prospects. Critical success factors have been identified to be the dire need for top management support, funding whether it be from local community or government, employee buy-in which middle management could easily obtain with their tenure and strong impact on internal culture and time efficiency which has been mandated by the board of directors to be 2 years to reach profitability and  meet physician staffing needs. With strong leadership from Shannon Johnson and buy-in via employee involvement from existing staff, it is not only possibly but highly likely ELH will differentiate itself enough to regain its competitive advantage and dominant position in the healthcare of Edgewood County.

Thursday, November 21, 2019

Midterm 7 questions Essay Example | Topics and Well Written Essays - 1250 words - 1

Midterm 7 questions - Essay Example The growth of tourism results occurrence of various issues which must be addressed, as the environmental consequences of the tourism activities. These three reading have some common features which can be identified form the content. There are always issues which arise from tourism activities, whether positive or negative. It is essential to understand the effects of various tourism activities from different perspectives in seeking to make evaluations of the potential benefits of the development. Understanding the impact of these activities remains the fundamental point through which informed decisions can be made regarding various tourism activities. The politics of travel infers that the tourist must be understood based on the perception of the cultural beliefs of the native country from which the tourist comes. Individuals tour the world, they carry with them the cultural beliefs form their native countries. Despite the expectation of tourist to adopt to the cultural elements of the destination, it is common for them to bring their native beliefs into the destination. Individuals travel to different destinations for various purposes including getting an experience of a different culture. This integration of different social aspects becomes fundamental in understanding the political elements of tourism. Like many political situations, tourism travels have a long history and are undertaken to achieve personal satisfaction in seeking to fulfil a desire. Tourism is commonly considered a trade for the rich and individuals who are well-off economically, seeking to achieve the highest level of needs within the Maslow’s hierarc hy. The same can also be said about engagement in politics. The connotation of this article remains the comparison of tourism to political systems. 3. To what degree are the issues surrounding professional sports stadia and city convention centers cut from the same cloth? What

Wednesday, November 20, 2019

Policy Making Essay Example | Topics and Well Written Essays - 750 words

Policy Making - Essay Example This essay examines Miller major arguments, and then implements Miller’s perspective on policymaking in the implementation of educational reform throughout the United States. Miller’s perspective on the current state of the country is that it is largely divided by partisan politics. Miller begins by considering that only 2 cents on the dollar, if implemented in the right way, could solve many of the nation’s pressing issues (Miller). The essay goes on the consider that with the Baby Boomer generation gradually inching towards retirement, the nation must proactively confront many of its most pressing challenges or face political stagnation (Miller). As Miller’s argument advances he considers the various levels of federal spending that Republican and Democratic administrations since Ronald Reagan have implemented (Miller). The consideration is an important one as the central crux of Miller’s approach to policy implementation is one that draws from bot h conservative and liberal viewpoints (Miller). While the nation faces a number of pressing challenges, policymakers have failed to make any serious progress in solving this issues because they are operating in a dysfunctional paradigm (Miller). The current paradigm currently is restrictive as policymakers are beholden to special interests groups and entrenched partisan ideologies. While Miller argues that the current political policy paradigm is ineffective, he proposes a number of solutions (Miller). As noted, the most central element of Miller’s argument is the achieving significant political change requires policymakers to transcend the liberal and conservative divide (Miller). The essay indicates that society must advance by first focusing on a number of issues that the vast majority of Americans agree must be solved. The next step is for policymakers to approach the solution of these issues by seeking the most pragmatic method possible. This is contrasted with the curre nt practice of simply aligning oneself with entrenched ideological solutions, which have currently caused the country to be gridlocked. Miller believes that the process of seeking the most pragmatic solution necessitates that policymakers draw from both conservative and liberal perspectives (Miller). Ultimately, this will allow for significant policy change to occur. There are a number of ways that Miller’s approach could be applied to contemporary social change. One of the most pressing issues facing America is educational reform. This issue is particularly apt for Miller’s approach as both conservative and liberal groups recognize that a strong educational system is essential to a functional democracy and economic progress. Still, it appears that progress hasn’t been stagnated because of entrenched ideological beliefs. In these regards, conservative groups favor less federal involvement and more local control, while liberal perspectives embrace a strong federa l government led program. Following Miller’s approach involves a number of inputs. The current system seems to find liberals embracing higher taxation, as a means of achieving a more equitable society. Conversely, conservatives would like to see more individual control over educational options. In either instance, most people can agree that the nation needs stronger public education in order to remain globally competitive. Solving this issue using Miller’s approach would involve borrowing the conservative emphasis on financial efficiency. It seems to a great extent liberal perspectives neglect cost efficiency for an emphasis on equality and innovation. One of the pervasive understandings of improvements in education is that in the long run the country will benefit economically through improved

Monday, November 18, 2019

Client legal advice letter Essay Example | Topics and Well Written Essays - 1250 words

Client legal advice letter - Essay Example However, such discussions must always take place to pave way for proceeding course of action. I is notable that carrying out a detailed research into the occurrences that led to the situation is important in aiding the research and legal choice taken thereafter. This is because the information which is provided by you directly influences the legal process. Consequently, you are supposed to take a look into the case and submit a written report highlighting all the errors which might have been committed while serving you. Every detail is important since even overlooking a single piece of information might compromise the case. STATEMENTS OF FACTS You contacted your private and primary physician, Dr. Livingston, on October 15th, 2011 since you became ill and had difficulty in breathing. He recommended that you have a pulmonary test and made a referral for you to go to St Thames Hospital located in Boston, MA. On October 15th 2011, you had a pulmonary test done at the hospital. Prior to t he procedure, the hospital nurse, Ms. Tachett, did not give you any information about the procedure or discuss side effects that could have resulted from such a test. The nurse who performed the test, Ms. Tachett, did not explain the procedure to you as well. No one in the medical team at the hospital collected medical history from you about your past and present. You never signed any consent forms to have the procedure done at the hospital from anyone; the nurse or additional staff. Soon after having the procedure done at the hospital, you went into anaphylactic shock. You went into a coma from October 15th, 2011 to December 8th, 2011. After you woke up from your coma, the hospital discharged you quickly on December 12th, 2011. The hospital’s only explanation is that you had a bad reaction to the dye used in the procedure that happens to a few people from time to time. You are now presently attending physical therapy on a weekly basis. The therapy has not helped you restore yourself back to your original state. You have been unable to work as a doctor. Prior to your injury, you worked from Monday to Saturday. The only day you took a break was on Sundays. You do have insurance but have a deductible. You have been paying a lot of out of pocket expenses. You also have emotional distress from the situation as well. Because of the coma, you are unable to work due to your frail condition. The PT does not appear to be working which you have been attending since your hospital discharge and you have no exact date on when you will be better. You would like us to give you legal advice on what type of case you can have against the hospital. You would like to bring a lawsuit against them for damages. STATUES OF LIMITATIONS IN THE STATE OF MASSACHUSETTS You may be able to file a complaint against the hospital if you are able to prove when the cause of action arose. In reference to the state laws, specifically Massachusetts, filing of any incident related to medical malpractice should be in a period of 3 years since its occurrence. The period stipulated should not be over seven years unless the case involves what is legally referred to as foreign objection. The case would be admissible if the plaintiff is exposed to an injury or damages resulting from the acts of malpractice from the defendant (Aaron 2). MEDICAL MALPRACTICE In essence, a medical malpractice results when any personnel in the medical field overlooks

Saturday, November 16, 2019

Library Management System

Library Management System Development and connection to multiple online /www database using jsp Introduction: There are many web based application running with only single database. It has some problems such as performance issues etc but we are going to implement the Our primarily purpose is to connect the multiple databases with the application to decrease the database terrific and make it efficient. On the other hand we will To Online Library Management systems that connect to multiple databases. When any user will come to access the application and do registration then its information will be saved only one database on the base of implemented business logic of the databases. Library Management System will give you facility to search the online books on the base of different options, reserve the books in advance, user management and interactive report module. All the search information will come from different databases. Problem Statement The problem with the existing system is that most of the online application is based single or centralized database. When multiple users comes and access the same application at the same time than the response time of the application goes slow due to huge amount of requests as long as database processing also go slow to process the all requests and application go stuck. Although all data stored in only single database and if the central database fails then whole application will not work. Aim and objective: The main aim of this project is to build online application that integrate the more than one connection with the multiple databases as in result query processing time will also go faster because information will be saved in different or more than one database. There are many objectives which well use after implement  · Remove the Database Centric Concept.  · Increase the Database performance and its speed.  · Minimize the database load.  · Improve the Processing power of each system Proposed methodologies Methodology is processes that focus on what information is collected and how to analyze it. In our Development and Connect multiple databases we will implement the RAD methodology.RAD stands for Rapid Application Development as long as product can be implemented rapidly with high quality.RAD produce the quick and dirty prototype application or software which satisfied the customer needs and requirements. In RAD the software developed in series of cycles which probably know time boxes. The main advantage of RAD is that customer gives the feedback on each completion of phase of software. Without completion of previous phase the next phase cannot be started. Expected artefact / outcomes: The expected outcomes of development and connect multiple databases is that it provides the online Library Management System in which user can get registration and search the different kind of books on base of different parameter such as BookID, Author Name etc as long as confirm the booking of book in advance. By connecting the more than two databases with each other, system will execute the efficient, reliable and reduce the database terrific as well as database performance will be increased. Technologies for implementation Java:- Java is one of the most popular language that currently using for Software Development because its an open source features. There are many features provide by Java such as JVM(Java virtual Machine) is use to translate the Java program into machine language, JIT(Just in time complier) to compile all the methods of the coded program[1], exceptional handling and gives the rich support of JDBC API for communication with the Database. We will implement this project in Java. So, all the methods, Classes, Interfaces, Data Types will be implemented in Java. In order to Java version well implement it using Java 6 or latest version. Servlet:- Servlet is a Java class which use of Web based Application. This class is same like the Simple Java class but it has some extra features and interfaces that make it powerful. In server there are many features available like Session Handling, Request, Response, and Dispatcher etc [2]. All the requests of the clients handle on the servlet. JSP:- JSP stands for Java Server Pages and its server side programming language that provide the dynamic web pages feature. Its known as a scripting language. it has built in JSTL( JSP Standard Tag Library) to do some actions and components such as scriptlet, expression. In our project well use JSP as a view and follow the MVC architecture. We will controller to control the terrific of the application, implement the Business logic in Business Layer and JSP as a view. Java Script JavaScript is an Object-oriented programming language and client side scripting. JavaScript code embedded in the HTML and run on the users web browser [4].Like Java, it also has Classes, method and data types but different is Java is run on Server side and JavaScript run on Client Side. You can also generate Dynamic html. In our project well use Java Script only for validation purpose. Itll validate the data such as BookID, Date and address of the book. MySQL:- MYSQL is a relational database managements system that provides the multi databases access to all the users. Its going popular day by day as well as it has no license fee. It has many powerful features such as stored procedures, locking and unlocking, views and triggers. In our project well use MYSQLl as a backend database to store all the data of Library Management System. There will be more than two databases used in our project to store, view, update and delete the existing data. Whenever user will send a search request then itll search the data to all the databases. Apache Tomcat Server:- Apache Tomcat Server is a web server that Java Servlet container. A Web server the listen the HTTP request which is sent by the user and return the response. All the websites, application will be deployed under the Tomcat Server cond Structure. Tomcat is good because it supports both the Java Servlet and JSP pages. In our application well use the latest release of Apache Tomcat 6.x. Design/Structural Formation High Level Design In Development and connecting multiple database application, when user send the searching request then application will search the data from those databases in which search data is saved and return the result from all databases. Project Plan: Interim Project Report 1 week Requirement Analysis 1 week Design 4 days Implementation 3 week Poster Design 3 days Testing 1 week References: 1. Effectiveness of Cross-Platform Optimizations for a Java Just-In-Time Compiler by Kazuaki Ishizaki, Mikio Takeuchi, Kiyokuni Kawachiya, Toshio Suganuma, Osamu Gohda, Tatsushi Inagaki, Akira Koseki, Kazunori Ogata, Motohiro Kawahito, Toshiaki Yasue, Takeshi Ogasawara, Tamiya Onodera, Hideaki Komatsu, and Toshio Nakatani Page[1] http://0-portal.acm.org.brum.beds.ac.uk/citation.cfm?id=949305.949322coll=ACMdl=ACMCFID=82535495CFTOKEN=35642467 2. An Introduction to Java Servlet Programming by Vandana Pursnani http://0-www.acm.org.brum.beds.ac.uk/crossroads/xrds82/servletsProgramming.html?CFID=82535495CFTOKEN=35642467 3. An Online Bookstore Using JSP Technology by Jose Hughes http://0-delivery.acm.org.brum.beds.ac.uk/10.1145/1170000/1167328/p339-hughes.pdf?key1=1167328key2=3359398621coll=ACMdl=ACMCFID=82535495CFTOKEN=35642467 4. Characterizing Insecure JavaScript Practices on the Web by Chuan Yue, Haining Wang[1] http://0-delivery.acm.org.brum.beds.ac.uk/10.1145/1530000/1526838/p961-yue.pdf?key1=1526838key2=0773498621coll=ACMdl=ACMCFID=82535495CFTOKEN=35642467

Wednesday, November 13, 2019

The Unwavering Character of James Fenimore Coppers Deerslayer :: Character Analysis, Deerslayer

The Unwavering Character of James Fenimore Copper's Deerslayer James Fenimore Copper presents Deerslayer as a man of integrity, virtue, and honor. He is a warrior who lives by his word. Even if the situation places his life in jeopardy, he refuses to abandon what he believes in and what he says he will do. Deerslayer’s greatest display of character and honor is seen when he refuses to compromise his standards even though it threatens his life. After saving Hist from the Hurons, Deerslayer was taken captive by them. The Hurons respected Deerslayer for his honesty and integrity and therefore treated him accordingly. When the time came for Deerslayer to pay for his crimes the Hurons devised a situation that would spare his life. To pay for the life Deerslayer took the Indians requested that Deerslayer stay among their people and provide for the fallen Indians family and take the widow for his wife. â€Å"Take the gun; go forth and shoot a deer; bring the venison and lay it before the widow†¦feed her children; call yourself her husband† (Cooper 458). To take an Indian wife went against Deerslayer’s beliefs and convictions. Marrying a woman outside his religion and traditions would cause him to compromise his morals and standards. Even though marrying the Indian woman would spare his life he politely objects and refuses their conditions. â€Å"I feared this,† answered Deerslayer,†¦I did dread that it would come to this. He then proceeds to explain to Mingo, â€Å"I ‘m white, and Christian – born; ‘twould ill become me to take a wife, under redskin forms, from among the heathen. That which I wouldn’t do in peaceable time†¦still less would I do behind clouds, in order to save my life† (Cooper 458)