Healthcare Q&A Milestone One: Check-In Journal

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In this Milestone One check-in journal assignment, you will submit a reflection of the status of your final project. Include any issues, positive experiences, and questions to the instructor for further clarification. You may submit a draft of the Purpose and Quality Statement and Status of Quality Tools and Standards sections of your final project for review by your instructor. If submitting a draft for feedback, ask specific and targeted questions in regard to your areas of confusion.
Guidelines for Submission: Your journal assignment should be approximately 3 to 4 paragraphs in length. Submit assignment as a Word document with double spacing, 12-point Times New Roman font, and one-inch margins.

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Assignment Expectations

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Length: 750 – 1250 words
Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment.
References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims.


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Diversity And Culture

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Assignment Expectations:
15 – 20 Slides
750 – 1000 words in the script
Title Slide shows your name, your company name, the title and date of your presentation.
Discuss where you are as a company
Propose where you’d like to be as a company
Explain the benefits and costs
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Report-After implementation of the computerized system, a random sample of 500 invoices

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After implementation of the computerized system, a random sample of 500 invoices showed 479 invoices with 0 errors, 10 invoices with 1 error, 8 invoices with 2 errors, 2 invoices with 3 errors, and 1 invoice with more than 3 errors.


Create appropriate null and alternative hypotheses.

Justify the appropriate chi-square test to determine whether the error percentages for the computerized system differ from the normal system.

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Assignment Content

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Assignment Content

  1. Resources: Strategic Plan Presentation Grading CriteriaNow that you have completed your review of the Stevens District Hospital Strategic Planning Scenario, you have been asked to provide a presentation to the governing board of the hospital. This board is comprised of the president of the hospital, four business leaders from the community, and three leaders of the medical staff.

    Create a 10- to 12-slide Microsoft® PowerPoint® presentation that summarizes your analysis and goals created. Your presentation should:

    • Provide an overview of the market.
    • State the mission and vision for Stevens District Hospital.
    • Provide the SWOT analysis.
    • Summarize the goals created for Stevens District Hospital.
    • Explain the rationale for goals created.
    • Describe itemized resources that may be needed.
    • Explain how the strategic plan provides focus and direction for Stevens District Hospital.
    • Format your assignment according to APA guidelines. Include a title page, detailed speaker notes, and a references page.
      If you use resources outside of the information provided in the assignment, be sure to cite your references using correct APA formatting.
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Electric Scooter Safety

Electric Scooter Safety

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Have you ever explored your city on an electric scooter?

If no, then you’re missing on some enjoyment. If yes, then you got a story to tell. Nonetheless, this article is not meant to discuss what you’re missing by not riding a scooter or the kind of excitement that comes with riding one. This article is meant to ensure that you’re safe on the road by following the essential tips.

You must respect the ride and avoid accidents. Here are 5 Tips on riding your Adult Electric Scooter.

5 Essential Must-Follow Tips when riding an Electric Scooter

  • Wear Helmet

The first rule is that you must wear a helmet and other safety gears to protect your knee and elbow. The helmet is a proactive way of ensuring that even if you fail, you’ll probably protect your delicate head. Most helmets are comfortable and stylish to wear and easy to carry with you. If you don’t have a special helmet for riding your electric scooter, you can use a bike helmet.

  • Follow Traffic Laws

When you’re riding your electric scooter you must be ready to obey traffic always as other pedestrian and motorist in the road. The most common traffic rules include observing traffic lights and stopping at stop signals, and abiding to speed limits.

  • Don’t Ride with your Earphones

There is no doubt that music is the medicine of the mind. There is that playlist that you feel ecstatic when you listened to it. Nonetheless, when you’re riding down the street, it is better to suspend the music and focus on the surroundings. Imagine a motorist is hooting at you and you have your music, there is a chance that you won’t hear it.

For the sake of ensuring safety to everyone, leave your headphones disconnected and ensure that your ears are tuned into more essential sounds such as pedestrians, cars, and other riders. I have seen kids riding their electric scooters with earphones; you need to advice your kids to stop that.

  • Ride Slowly

Ride at moderate speed especially when you’re going downhill. Whether you’re in a new part of the city that you’ve discovered or you’re almost getting to your destination, you can lose track of the speed at which you’re travelling, maintain slow speed to avoid ramming on something.

Always keep in mind that electric scooters can pick up speed swiftly than you can imagine particularly when assisted by the pull of gravity. If you’re going downhill, you need to learn how to use your brakes effectively to avoid falling.

  • Use Bike Lanes

There are cities that bike lane are permitted. If you’re living in such a city, use the bike lane! The bike lanes are usually installed in cities and towns for riders who select to use bike, skateboards, or electric scooters to travel.

Final Thought

Safety is important while you’re on road. It keeps you safe from injuries and even death. Observing traffic rules and ensuring that you observe all the necessary safety measures such as wearing helmets to keep you protected. Hope this article has helped you to know some of the electric scooter safety tips.


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Safety precautions you should follow when using a reciprocating saw

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Safety precautions you should follow when using a reciprocating saw
Safety precautions you should follow when using a reciprocating saw

Reciprocating saws are types of saws that have a horizontal blade. They have motor deliver push and pull motion, which enables the blade to cut different material like wood, plastic, and even thin metals.

If you are a construction, who demolishes and builds different types of structures you must have come across this tool. Reciprocating saw also known as Sawzall are tools capable of cutting through any hard material that you can come across in a construction site. Using them, you can make different cuts on a material that cannot be made by any other saw.

Sawzall is very important tools and very useful in any construction. However, these tools can be dangerous if they are not properly used. According to CPSC.GOV , there are about 105,000 chainsaw related injuries every year in the USA, therefore observing safety precautions while using a reciprocating saw or any other saw is very important.

Reciprocating saw safety precautions

Below are safety precautions that you should follow to ensure you safe while using a reciprocating saw.

Find the right reciprocating saw

You need to buy the best reciprocating saw that has all the features that you need. You should consider several factors before purchasing Sawzall. Go for a saw you are comfortable to carry and operate. Make sure you read user manual so that you can comfortably operate the saw.

Buy the appropriate gear

Electric and battery-powered saws have operating gear that ensures your whole body from head to toe is safe. For example, goggles are used to protect your eyes from debris and dust that could land in your eyes. Other safety gear tools are dust mask, ear covers for protecting your ears, gloves for protecting your fingers and boots for protecting your toes.

Ensure your work area is safe

Keeping your work area safe is very important in ensuring you and the people around you are safe while working. Even though some reciprocating saws have LED light, make sure your work area is well lit because LED light cannot be enough. While working keep your pet animals and children away from the rotating tools.

Hold the reciprocating tool firmly

To ensure the reciprocating tool does not slip away from your hands, you need to firmly hold on the handle. Most are ergonomically designed to ensure you do not get tired while working. Wipe all the grease and dirt that could be on the handle. To ensure fast cutting, sharpen the blades on a regular basis because dull blades can make you get tired while operating the saw.

Do not operate electric saw on wet surfaces

You should never operate a reciprocating saw in conditions that have water because you risk getting a shock. Ensure all the sockets are turned off before plugging reciprocating saw cable.

Always turn off the saw when not operating

When not operating the saw make sure you turn off the power sockets and remove the saw from the plug.

Don’t use a reciprocating saw when unwell

Never operate the saw when you are not feeling well. Reciprocating saw can easily injure you if you get drowsy. The same case applies to when you are drunk.


You can avoid reciprocating saw accidents by taking necessary precautions. Wearing the right gear while operating a Sawzall is the first step of ensuring your safety while working.

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10 Tips for the best footcare for a Diabetic

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10 Tips for the best footcare for a DiabeticOnce you have been diagnosed with Diabetics, the biggest problem that will hit you is experiencing foot problems from time to time. Taking your medicine cannot be enough unless you also take good care of your feet. It helps prevent severe damages such as amputation.The tips in this article will help you take good care of your foot. They include:

Tips for Diabetes Footcare

Make sure that you check for any cuts, swelling, red spots and blisters every day. This will help you detect any foot problem early for you to treat it and avoid damages which could have otherwise been avoided. Doing this is important since your feet may be numb and you may not be able to feel it yourself. Use a mirror or ask a friend to help check the bottom of the foot.

  1. Control blood sugar level

If you can be able to strictlycheck on what you eat or exercising, then your sugar level will be well controlled. This will prevent many foot problems which could have risen due to high sugar level. Always consult your health care provider on what to do to control it.

  1. Wash the feet daily

Use warm water with a mild soap to wash your feet. Avoid using hot water as this may lead to calluses. To check for water temperature, use your elbow. Ensure to dry the feet not forgetting in between the toes thoroughly.

  1. Smoothen any calluses and corns

In case you have mild corns and calluses, then you can personally get rid of them. A pumice stone will help you smoothen it. If it is severe then see your doctor immediately.

  1. Always wear shoes and socks

Make sure that the shoes you wear fits well to prevent blisters ad to make you feel comfortable. Look for any debris before wearing them and ensure that you always put your diabetic socks on for additional protection. Avoid walking barefootsince objects may bruise your feet which may take time to heal.

  1. Always keep your feet smooth and soft

Use moisturized skin lotion on top and bottom of the feet to prevent it from drying. Dryness causes cracks which may invite germs that can cause infection which can be hard to heal. Never apply it between the toes.

  1. Always trim toenails

When trimming them do it carefully by doing it straight across then file the edges afterwards. Avoid using sharp objects when trimming to avoid cutting your foot.

  1. Avoid heat or cold

A lot of heat can cause calluses and it is important that when hot wear your shoes whether walking on the beach or a pavement. Also when it is cold, always put your socks on especially at night.

  1. Exercise

Being physically active helps in improving blood flow to the feet and prevents them from swelling.Swimming or cycling can greatly help. You can also consult your doctor on the type of physical activities to engage in.

  1. Improving blood flow to the feet.

When sitting, put your feet raised to help in blood flow. Wiggle the toes and also move the ankles up and down. Avoid smoking or crossing your legs as this may reduce blood flow to the feet. Also, you can try using a foot massager to help in blood circulation in your feet.

  1. Regular check ups

Always go see your doctor for checkups for early detection of any foot problems. This is because your feet may be numb making it hard to feel pain when injured. In case of blisters, sores or cuts, make sure to call your doctor.


These are just basic things you ought to do if you are diabetic to prevent any serious foot problems. Ensure that you take good care of your feet to prevent foot problems as well as amputation that may be caused by infections. If you notice an alarming change, make sure to see the doctor immediately for early treatment.




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Why do people play Golf?

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why people love golf?
Golf ball

There are people who feel that golf game is a boring game that is only played by the rich and lazy people. Many of those people do not understand the health and social benefits of playing the game. Just like Tiger Woods, I was introduced to the game by my dad when I was young and this made us build a solid bind during the time. I have reintroduced the game to my sons and now my grandsons. Also, I have continued the tradition to people I have taught the game and now they’re world champions.

Golf is a very interesting sport and once you learn it, there will be a growing desire for you to carry a golf bag, repeat the shot, round, hole, nine, and so forth. The best thing about the game is that you can play the game regardless of age, size, class, and athletic capacity. There are other reasons why people play the game such as:

Reasons people love Golf

  • The game doesn’t require a massive quantity of physical activities when you compare it with Rugby or American football. The less activity required makes it an easy game to play the game without getting hurt. Thus, people who are overweight can comfortably play the game well.
  • It can be played by individuals of all ages. For example, a kid as young as two years like Tiger Woods was introduced and as old as over 100 years. Once you learn the techniques of the game, you can comfortably play it for the rest of your life. It is possible that you can play golf with people who are not your age such as father and son.
  • The best thing about golf is that individuals with a diverse level of skills can comfortably play it. Thus, even if you’re worse or better than your friend, you can comfortably play the game as you will be playing your ball independently.
  • There is no point that you will be perfect on the game that you won’t require some training. There are chances to shoot a lower score or play some harder courses.
  • The game is exciting as every time you hit the ball, it can lead to a diverse situation even if you play the same hole or course repeatedly. This makes the game interesting due to the various exciting scenarios and different events.
  • Also, it is a good exercise to walk the course while carrying your best golf bag. The course offers you a lot of fresh air that fills the lungs through exercising in the outdoors. The golf game is also good for the heart. It is also fun to drive the cart especially if you’re still a young man who wants to have some good time driving.
  • It helps to meet different people and business associates. Golf courses offer the best opportunity to make business deals and plan on various business strategies. It offers you an opportunity that may be at different career levels or companies.
  • Golf provides quality time with family where you can practice the game with your wife or son and just have some good time.
  • The various rules of the game build character and assist people to follow various ethical ways that are beneficial to them.
  • The exercise and social interaction in the course will help to relieve interaction in the golf course. It is also very satisfying when you hit the ball the right way and make progress in the game.

Final Thought

There are numerous benefits of playing golf bags and that’s why you will find people moving to the golf course every now and then. It can be played for enjoyment, relaxation, or professionally. Thus, if you want to have the health and social benefits, you should start learning the golf game.



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Pharmaceuticals industry until 1980: Most commercial drug companies were large enterprises,

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Pharmaceuticals industry until 1980: Most commercial drug companies were large enterprises, fully integrated from drug discovery through clinical development, regulatory affairs, manufacturing, and marketing. Drug discovery was conducted in house and, at least in the early part of this period, was dominated by large-scale “random screening” programs with limited requirements for deep knowledge about fundamental physiological processes. Licensing activity was driven largely by downstream concerns: Rights to sell drugs that were already approved (or in the late stages of clinical development) would be acquired to maintain efficient levels of use of manufacturing or marketing assets or, in the international context, to take advantage of local knowledge and access to regulators and distribution channels. Upstream technology was largely acquired either “for free” by reading journals and attending conferences or by purchasing tangible inputs and services, such as scientific instruments or highly skilled graduates. Pharmaceutical companies appropriated returns from R&D through a combination of extensive patenting, proprietary know-how, brands, regulatory barriers to entry, and favorable product market conditions. Most of these firms were long-lived, mature organizations, tracing their roots back many decades, often to the nineteenth century chemical industry. Their large and sustained investments in R&D, marketing assets, and human and organizational capital were largely financed from internal cash flow. Competitive advantage was driven by firms’ ability to effectively manage product market interactions with regulators and end users and to “fill the pipeline” with internally developed blockbuster drugs. In turn, the productivity of internal R&D appears to have been driven by economies of scale and scope in conducting research, efficient allocation of resources in internal capital markets, and the ability to capture internally and externally generated knowledge spillovers. In the upstream not-for-profit sector, taxpayers (and to some extent philanthropists) supported curiosity-driven research conducted at cottage industry scale inside government labs, universities, research institutes, and teaching hospitals. Legal constraints and a strong set of social norms limited commercial or contractual contacts between drug companies and the world of “open science.” Resource allocation in the not-for-profit sector was driven by peer-reviewed competition for grants on the basis of scientific merit and the reputation of individual researchers. The importance of establishing priority and reputation drove early and extensive publication of results, and social norms (and requirements of granting agencies) promoted routine sharing of research materials. Not-for-profit researchers concentrated largely on basic science and filed few patents. 1980 and beyond: After decades of stability and consolidation, in the 1980s the for-profit side of the industry experienced significant entry from biotechnology companies, many of which positioned themselves as an intermediate sector between academic research institutions and Big Pharma. By the mid-1990s several thousand biotech ventures had been launched, and several hundred had reached sufficient scale to be an important force in the industry. Existing vertical relationships were disrupted and reformed, with the new companies straddling (and blurring) the divide between for-profit and not-for-profit research. Although most were overtly profit oriented, they also had much tighter personal, geographical, cultural, and contractual links to nonprofit research institutions. Academic scientists played a particularly important role in the founding of these companies, either moving out of academic employment or participating actively in both worlds. While some of the new companies sought to be fully integrated horizontal competitors with Big Pharma, and a handful succeeded in doing so, most assumed the role of specialist suppliers of leading-edge technology to downstream firms. Several developments were responsible for such changes. First, revolutionary scientific discoveries in the 1970s, such as gene splicing and the ability to create monoclonal antibodies, opened up new areas of research, and the pace of discovery in basic biomedical science accelerated dramatically in subsequent decades, raising the importance of close contact with university science. At the same time, developments in patent law brought much of molecular biology and the life sciences within the ambit of the patent system. Without patent rights in inventions in areas such as isolation and purification of proteins, DNA sequences, monoclonal antibodies, knockout and transgenic organisms, gene expression systems, and so on (or at least the prospect of obtaining and enforcing them), many biotech companies would never have been founded. The passage of the Bayh-Dole Act also relaxed barriers to licensing of government-sponsored research. Before Bayh-Dole, government had invested large sums in U.S. research in academia but had also retained property rights in the innovations. Increasingly dissatisfied with the paucity of commercial successes derived from this investment, government (through Bayh-Dole) assigned property rights (patents) to universities and forced universities to establish technology transfer offices. Such offices were notified of all innovations by university researchers and were charged with finding outlets for these inventions. Finally, changes in tax and financial regulations brought about a venture capital industry (and ultimately a stock market) that was willing to support inexperienced companies entering a market with a seven-to-ten-year product development cycle. At least in the U.S. equity markets, tolerance for risk has risen, and after a few well-hyped early successes, investors became comfortable with the idea of “high science for profit,” developed a shared language and conceptual framework for valuing these new ventures, and—periodically—have been willing to support the new sector with substantial injections of capital. The revolution in life sciences also affected organizational and managerial aspects of drug research. As drug discovery became more science-intensive, with increased emphasis on “deep” understanding of physiology at the molecular level, it became not just more expensive but also more difficult to manage. As “rational drug design” took center stage, changes in the nature of research activity were accompanied by complementary changes in the internal structure of commercial R&D organizations. Drug companies began to look and behave more like universities, with increasing emphasis on collaboration, publication, and exchange of (precompetitive) information. This was accompanied by increased willingness to exploit external sources of technology, through in-licensing or strategic partnerships. In this environment, specialist research firms could expect at least to survive, if not to prosper. At the same time, the growing cost and complexity of academic research projects forced successful scientists to acquire managerial and organizational skills—leaving them better equipped to run business ventures and looking much more like entrepreneurs and managers to outside investors or business partners. As rising costs and growing societal pressure to justify their budgets pushed universities and other publicly funded institutions to become more tolerant of “just-off-campus” commercial activity, or even to actively encourage it, this cadre of scientist-entrepreneurs was well positioned to take advantage of the commercial opportunities their research created. By 1990 it was clear that biotechnology was here to stay. Although investors’ interest waxes and wanes, fresh waves of entrants have been able to take advantage of periodic opening of the financing window, and the pharmaceutical industry has developed a new vertical structure, with biotech “tool” companies as a specialized layer between Big Pharma and the nonprofit sector. Big Pharma now increasingly relies on the research tools and product leads provided by biotechs, and 25–40 percent of its sales are reported to come from drugs that originated in the biotech sector. The orderly world of the “waterfall model” has been replaced by one in which information and materials circulate rapidly between not-for-profits, Big Pharma, and the biotechs, supported by a complex set of contractual agreements and collaborative arrangements.

Adapted from Cockburn I.M. The changing structure of the pharmaceutical industry.

Q1: Utilizing Figure 3.1 and Table 3.1 in your book, identify and categorize the changes in the macro-environment which enabled the entry of biotechnology companies into the industry.

3 15:33 components of the macro-environment CORE CONCEPT The macro-environment encompasses the broad environmental context in which a company is situated and is comprised of six principal components: political factors economic conditions, sociocultural forces, technological factors, environmental factors, and legal/regulatory conditions. PESTEL analysis can be used to assess the strategic relevance of the six principal components of the macro-environment: political, economic, sociocultural, technological, environmental, and legal forces FIGURE 3.1 The Components of a Company’s External Environment Macro-Environment Economic Conditions and Competitive Political Factors Sociocultural Forces Substitute Product:s Suppliers Company Rival Firms Buyers Lega/Regulatory Factors New Entrants Technological Factors Environmental Forces page 39 TABLE 3.1 、 The Six Components of the Macro-Environment Included in a PESTEL

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