Friday, October 4, 2019
Strategic Management Essay Example | Topics and Well Written Essays - 2000 words - 17
Strategic Management - Essay Example l segment along with other major players that include but is not limited to Mercedes Benz, General Motors, Toyota, Honda and Volkswagen (Sturgeon, Biesebroeck and Gereffi, 2008). Bayerische Motoren Werke AG (BMW) is based in Munich and started out as a aero-engine manufacturing company in 1917. Subsequently it transferred its attention to the business activity of manufacturing motorcycles and then into passenger cars. In 1936 BMW brought out its first sports care model and by the middle of the twentieth century established itself in the automobile industry as a manufacturer of elegant, prestigious and superior performance automobiles. In the new millennium, through its restructuring activities BMW has attempted to secure and strengthen its position in the premium segment of automobiles, through its prestigious BMW, Mini and Rolls-Royce brands (ICMR, 2002). In 2009 the number of BMW, MINI and Rolls-Royce cars that were sold totaled 1,286,610 units. This figure represents a slide of 10.4% in the number of cars in all its brands sold by BMW in 2008. A similar slide is also seen in the sales revenue for the two years. In 2009 the total sales volume was euro 47,737 million, which is 10.3% less than the total sales volume of BMW in 2008. The company has attributed the under performance in 2009 to the continuing poor state of the economies in its main markets in the developed world and the economic stimulus attempted in the developed world not really making the desired impact (BMW, 2010). Thierauf 2001, p.206 defines critical success factors (CSF) for any business enterprise as ââ¬Å"the limited number of areas in which results, if they are satisfactory, will ensure successful competitive performanceâ⬠. The wider picture on CSF and the key activities connected to it, besides favorable results in these areas for the achievement of strategic objectives, also means that it indicates where things need to proceed on the right path for the growth of the business enterprise and
Thursday, October 3, 2019
The problem of minority prisoners Essay Example for Free
The problem of minority prisoners Essay The problem of minority prisoners has been high on agenda for several decades already. In this paper I will focus my attention on possible measures and remedies aimed at establishing bridges of understanding between minority prisoners and corrections. I have critically examined a significant number of authoritative sources regarding the issue and Iââ¬â¢m going to evaluate the problems that exist in current situation with minority representatives in prison and advocate for the necessary policy change. I shall note with regret that escalating tension between minority prisoners and the personnel is jeopardizing the rehabilitation of the convicts. This problem is often but inadequately addressed by prison authorities. Let me bring some examples. In Pakistan, according to Shehar Bano Khanââ¬â¢s article entitled ââ¬Å"ââ¬â¢Ordealââ¬â¢ of Minority Prisonersâ⬠, Christian prisoners suffered from the ââ¬Å"bitter ordeal of discriminationâ⬠, and the ââ¬Å"prison authorities unbridled highhandedness and discriminatory behaviour has become a major personal safety concernâ⬠¦Ã¢â¬ (www.dawn.com/2004/08/29/nat16.htm) I want to start enlisting methods of building bridges of understanding between minority prisoners and corrections by quoting the message of the Scottish Prison Service: ââ¬Å"The Prison Service is absolutely committed to ensuring race equality and delivery of good race relations in all aspects of our work. We will ensure that race issues are addressed in all parts of our business ââ¬â and promote race equality as a core standard and essential ingredient for running a successful prison.â⬠(www.sps.gov.uk/home/reqs.pdf) All Party Parliamentary Group for Further Education and Lifelong Learning in the report on prison education came to the following conclusion: ââ¬Å"Black and ethnic minority prisoners may have different learning needs and some requirement for different sites and modes of learning. For example there is a need for more culturally sensitive programmes for such prisoners prisoners whose first language is not English will need different learning programmes.â⬠(http://www.natfhe.org.uk/says/pubsfued.html) This should be a very serious concern in the prisons worldwide; this principle should be applied to any interaction between the staff and minority prisoners, let alone the educational process. The staff of the prison should always keep in mind that prisoners from different racial and ethnic background may require using different interaction models. All the minority prisoners must have access to quality interpretation services; this is the first step to build the bridges of understanding in a literal sense. This may sound unrealistic for the moment but prison personnel should work towards the completion of this important goal. Keeping in mind, that minority prisoners may be vulnerable and sensitive about some issues, it would be of great use organizing a special training session for prison staff concerning cultural and religious practices of minority prisoners serving their sentence in a specific institution. The report entitled Implementing Race Equality in Prisons advices ââ¬Å"to ensure effective training incorporating race equality issuesâ⬠¦is developed and delivered to employees and contracted staff on the basis of learning need.â⬠(www.cre.gov.uk/pdfs/PrisonsFI_action.pdf) Basically, the question of religion is a separate topic. The prison personnel should be very attentive to this issue since religious disrespect may cause tension and confrontation. For centuries prisoners have been deprived of their right to religious practices because it was perceived as an effective way to demoralize them. Letââ¬â¢s remember the controversy over the religious discrimination of the prisoners in Guantanamo. Shehar Bano Khanââ¬â¢s article also informs that in Pakistan, ââ¬Å"discriminatory treatment of Christians and other minorities has become a regular featureâ⬠¦Ã¢â¬ with ââ¬Å"janitorial workâ⬠¦assigned to the Christians onlyâ⬠and with ââ¬Å"no preacher for them.â⬠(www.dawn.com/2004/08/29/nat16.htm) The prison personnel should ensure that every minority prisoners has an opportunity and facilities to practice his/her religion; spiritual literature should be supplied if necessary. The guard shouldnââ¬â¢t subject the convicts to discrimination due to their religious beliefs. The Race Equality Scheme being implemented by Scottish Prison Service states the same: ââ¬Å"Members of all religious groups have the same right to practice their faith. Arrangements should be made to give each group the same opportunities to do so.â⬠(www.sps.gov.uk/home/reqs.pdf) Thereââ¬â¢s much debate over the question of the religious practices in prisons. Itââ¬â¢s widely recognized that ââ¬Å"although prisoners retain the right to free exercise of religion, incarceration places some practical limits on this right,â⬠as Mara Schneider informs in the article entitled ââ¬Å"Splitting Hairs: Why Courts Uphold Prison Grooming Policies and Why They Should Not.â⬠(Michigan Journal of Race Law 2004) à Therefore, the prison personnel should ensure religious freedom unless itââ¬â¢s incompatible with safety concerns. The article by Jennifer Vogel entitled ââ¬Å" White Guard, Black Guard: Racism in Washington Continuesâ⬠informs that ââ¬Å"more than one third of the more than 14,000 state prison prisoners are of minority descent.â⬠In the article the issue of violence against minority workers and prisoners is scrutinize. The author proposes a highly efficient measure to establish fair treatment of minority prisoners. She especially stresses the fact that ââ¬Å"while 23 percent of prisoners are black, only 6 percent of DOC employees are black.â⬠(www.prisonlegalnews.org/ban.htm) Employing guards from minority background will provide a positive model of non-discrimination. Still, careful workplace control should be initiated. The offences of minority guards are reported and such practices lead to violence towards minority prisoners. This caused, according to Vogelââ¬â¢s article, ââ¬Å"a frightening atmosphere where white guards refer to blacks as ââ¬Å"coonsâ⬠and worse; where minority prisoners are targeted for beatings; where black guards receive threatsâ⬠¦Ã¢â¬ (www.prisonlegalnews.org/ban.htm) We live in multiethnic societies. Until there is no equality and fair representation of minorities in staff we canââ¬â¢t speak of establishing efficient communication between the prisoners and the guards. The report entitled Implementing Race Equality advices ââ¬Å"to increase the proportion of staff from minority ethnic groups to achieve a representative workforceâ⬠¦Ã¢â¬ (www.cre.gov.uk/pdfs/PrisonsFI_action.pdf) The statistical report entitled Ethnic Minorities: Crime and Criminal Justice states the following: ââ¬Å"Ethnic minorities are under-represented in the police, prison service, lay magistracy and at senior levels in all criminal justice agencies.â⬠(http://www.rouncefield.homestead.com/files/a_soc_dev_35.htm) The guards should never deprive prisoners of the use of any prison facilities. The Scottish Prison Service recommends the following: ââ¬Å"The range of facilities provided and opportunities offered to staff and prisoners, including jobs, should be responsive to the needs of ethnic and racial groups. All staff and prisoners should have equal access to those facilities and opportunities.â⬠(www.sps.gov.uk/home/reqs.pdf) The report entitled Implementing Race Equality in Prisons also supports this view by stating that the following should be proposed to all the prisoners on the equal basis: ââ¬Å"Facility licences enable eligible prisoners the chance to participate in; training, employment, educational and community service or for official purposes such as attending civil court proceedings.â⬠(www.cre.gov.uk/pdfs/PrisonsFI_action.pdf) We must admit that the most efficient way of protecting minority prisonersââ¬â¢ right is launching a formal complaint. Numerous court cases were initiated on this issue. Therefore I would suggest informing both the prisoners and the guards about non-discrimination legal acts and policies as well as practical methods of protecting their rights. All the necessary support should be provided to the prisoners who want to defend their right. Kimmett Edgar and Carol Martin interviewed the ethic minority representatives in the local prisons. Hereââ¬â¢re their findings: ââ¬Å"32% said they had not experienced anything that warranted a complaintâ⬠¦36% of those who had experienced discrimination said that they had complained.â⬠The reasons for not complaining included that the prisoners ââ¬Å"were frightened of reprisals from staff if they did complain,â⬠or ââ¬Å"believed it would be futile to complain,â⬠or ââ¬Å"they did not know how to complain.â⬠(www.homeoffice.gov.uk/rds/pdfs2/rdsolr1104.pdf) Ensuring transparency and efficiency of the complaint system should be the primary concern of the prison personnel. An article reviewing The Black and Asian Prisoner s Guidebook and the Law attracts our attention to the fact that the basic rights of every person should be always respected: ââ¬Å"The Civil and Human Rights of ethnic minority prisoners systematically apply by colour, race, nationality, ethnic or national origin, religion and religious beliefs.â⬠(http://www.blink.org.uk/pdescription.asp?key=1095grp=16) Legal Assistance Available to Minority Prisoners in Delaware, the most comprehensive study of possible models of legal assistance, points out a series of problems preventing the prisoners from minority background from receiving qualified legal protection. This list includes poor interpretation services, shortage of paralegal help, shortage of the advocates speaking the languages of ethnic minorities as well as shortage of public defenders and judges. The prison personnel should help the prisoners to overcome all this barriers and to obtained necessary legal help. The report entitled Implementing Race Equality in Prisons stresses the importance of proper monitoring and surveying. This should include 1. Prisoner Ethnic Monitoring data outcomes, 2. Race Relations Management Audit score, 3. Substantiated/unsubstantiated racial incidents (prisoners/visitors), 4. Prisoner survey outcomes,5. Visitor survey outcomes. The report also proposes ââ¬Å"to develop effective systems at national and establishment level to monitor progress on race equality ensuring compliance withâ⬠¦[the legislation]â⬠¦and taking remedial action to address difficulties.â⬠(www.cre.gov.uk/pdfs/PrisonsFI_action.pdf) Laura May in her article entitled Action Needed over Race Relations at Jail, Report Finds states the following: à ââ¬Å"Black and ethnic minority inmates in a prison believe they have been marginalised but inspectors could find no evidence of direct discriminationâ⬠¦Ã¢â¬ (http://news.scotsman.com/latest.cfm?id=1979788) Proper monitoring should be in place to prevent such common situations. Scottish Prison Service in the annual 2004 report indicated several important initiatives aimed at building bridges between minority prisoners and guards and establishing racial equality. From my point of view, the most interesting of them were ââ¬Å"development of closer links with a number of external organisations in the promotion and development of race equality within our Service,â⬠ââ¬Å"the introduction of a foreign language book rental scheme for prisoners,â⬠ââ¬Å"the continued development of our Race Relations Complaints system and monitoring from our national Race Relations Liaison Monitoring Group,â⬠as well as ââ¬Å"the development of Dietary Guidance in relation to ethnic minority catering throughout the estate.â⬠(http://www.sps.gov.uk/keydocs/race_equality_reports/default.asp) To sum up my paper, I would like to stress once more the importance of building bridges of understanding between the minority prisoners and corrections. The rights of the prisoners and non-discrimination should be the key principles in providing proper treatment of minority representatives. There is a variety of measures aimed at ensuring equality in prisons ranging from staff training to monitoring. But I would like to stress that all these measures would work only if applied consistently and simultaneously. References à NATFHE Prison Education Submission to the All Party Parliamentary Group for Further Education and Lifelong Learning, à June 2004 Available: http://www.natfhe.org.uk/says/pubsfued.html Last Accessed: 3 November 2004 Shehar Bano Khan, ââ¬Å"Ordeal of Minority Prisonersâ⬠, DAWN, 29 August, 2004 Available: www.dawn.com/2004/08/29/nat16.htm Last Accessed: 3 November 2004 Jennifer Vogel, White Guard, Black Guard: Racism in Washington Continues, May, 1999 Available: www.prisonlegalnews.org/ban.htm Last Accessed: 3 November 2004 Mara R. Schneider, Splitting Hairs: Why Courts Uphold Prison Grooming Policies and Why They Should Not, Michigan Journal of Race Law, Volume 9, Issue 2, Spring 2004 Scottish Prison Service, Race Equality Scheme, 2000 Available: www.sps.gov.uk/home/reqs.pdf Last Accessed: 3 November 2004 Kimmett Edgar, Carol Martin, Perceptions of race and conflict: perspectives of minority ethnic prisoners and of prison officers, University of Oxford Centre for Criminological Research, Home Office Online Report 11/04, 2004 Available: www.homeoffice.gov.uk/rds/pdfs2/rdsolr1104.pdf Last Accessed: 3 November 2004 Legal Assistance Available to Minority Prisoners in Delaware, 1989 Available: http://www.law.umaryland.edu/edocs/usccr/pdf%20files/Preservation%20Resources%20PDF/cr12as7z.pdf Last Accessed: 3 November 2004 Commission for Race Equality, HM Prison Service, Implementing Race Equality in Prisons, December 2003 Available: www.cre.gov.uk/pdfs/PrisonsFI_action.pdf Last Accessed: 3 November 2004 Scottish Prison Service, Race Equality Annual Report, 2004 Available: http://www.sps.gov.uk/keydocs/race_equality_reports/default.asp Last Accessed: 3 November 2004 The Ethnic Minority Press, The Black and Asian Prisoner s Guidebook and the Law, A review, 19 August 2002 Available: http://www.blink.org.uk/pdescription.asp?key=1095grp=16 Last Accessed: 3 November 2004 Ethnic Minorities: Crime and Criminal Justice Available: http://www.rouncefield.homestead.com/files/a_soc_dev_35.htm Last Accessed: 3 November 2004 Laura May, Scottman.com, Action Needed over Race Relations at Jail, Report Finds, 25 September 2003 Available: http://news.scotsman.com/latest.cfm?id=1979788 Last Accessed: 3 November 2004
Identification of Finger Prints, Blood and DNA
Identification of Finger Prints, Blood and DNA INTRODUCTION Forensic science is widely used in the service of the justice system (Jackson). It has helped in solving cases by providing important clues and evidences. The usage of forensics in solving crime cases is inevitable. Forensic sciences is used in various areas like fingerprinting, DNA profiling, blood stain detection and many more. From the early days of complicated body measurements to todays sophisticated biometric devices, the identification of individuals by their bodies has been a mainstay of government and law enforcement. Computerized databases like AFIS now make it possible to compare thousands, or in the case of the FBI, millions of fingerprints in minutes. With the advancements in DNA detecting mechanisms, blood stains in the scenes of crimes have also become one of the most important evidences. After a homicide or an assault has been committed, police investigators usually find blood at the scene of the crime. This gives them clues as to what happened during that incident. The bloods texture and shape and how it is distributed around the victim often help investigators determine when and how the crime was committed. A number of techniques have been developed for the identification of fingerprints and blood stains in the crime scene. EVOLUTION IN FINGERPRINTING TECHNIQUES: In the mid-1950s fingerprinting was done using the dangerous mercury-based white powder, a coarse graphite-based black powder and squirrel-hair brushes. With a burst of innovation concerning fingerprint evidence as part of the crime investigation, ninhydrin test was developed. This method is extremely efficient on paper items, especially if the stock solution is added to fluorisol, which prevents writing on the paper from smudging. Ninhydrin reacts with the amino acids in perspiration, producing red, brown, or purple imprints; this is a most successful method of investigating check fraud. During the last decade, other techniques for discovering latent imprints have been developed. These include Super Glue, physical developer, small particle reagent, lasers, metal deposition, Sudan black, amido black, thermoplastic fingerprint powders and radioactive sulfur dioxide. Exceptional powders are available with greatly improved fingerprint brushes to help lots in fingerprinting. DFO is a recent improvement on ninhydrin, providing up to 300% more finger and palm imprints. One other advancement in this area is the use of photoluminescence. Fingerprint luminescence excitation initially used lasers, but filtered lamps are employed as well. This technology helps the forensic scientist to take a picture of the fingerprints immediately at the crime scene. Computers are now used throughout the world for maintaining and searching files of imprints and fingerprints of offenders found at crime scenes. Computer searches of crime scene imprints provide excellent results. The computer blasts through complete collections at fantastic speed, possibly scanning millions of digits, but there is no promise that the offender who made the imprints is not in the collection if identification is not made. Bio-metrics especially fingerprints has become one of the main areas of research. EVOLUTION IN BLOOD STAIN DETECTION TECHNIQUES: Blood is one of the most common physical evidences which is present in murder cases, accidents and violent crime investigations. A determination must be made if it really is blood. Eventhough there have been various tests to detect the presence of blood, the widely used tests are Kastle-Meyer test and the Luminol Test. Luminol is first activated with an oxidant, usually a solution of hydrogen peroxide and a hydroxide salt in water. Then, in the presence of a protein present in blood called hemoglobin, the hydrogen peroxide decomposes to form oxygen and water. Luminol reacts with the hydroxide salt, leading to the formation of a dianion. The oxygen produced from the hydrogen peroxide then reacts with the luminol dianion. This reaction produces an organic peroxide, which is very unstable and hence it immediately decomposes with loss of nitrogen to produce 3-aminophthalic acid (3- APA) in an excited state. As 3-APA relaxes, it releases a visible blue light. Luminol is sensitive to the presence of extremely small amounts of blood. It can detect bloodstains that have been diluted up to 300,000 times. The KM Test is a presumptive test which is used to check the presence of hemoglobin using phenolphthaleins color change in the presence of oxygen. ANALYSIS AND INTERPRETATION OF DATA: FINGER PRINTING THEORY: Fingerprints often leave residues of oils in the shape of the friction ridges. However, the friction ridge skin does not secrete oils. Some fingerprints will leave a residue of amino acids and other compounds. These principles make dusting techniques to develop fingerprints. (Finger print Powder- Wikipedia the free encyclopedia) CLASSIFICATION OF FINGER PRINT PATTERNS: The following table contains the finger print patterns for the fingers and toes: Right Hand: Thumb:Ã Whorl Index Finger:Ã Whorl Middle Finger: Loop Ring Finger:Ã Whorl Small Finger:Ã Whorl Left Hand: Thumb: Arch Index Finger: Whorl Middle Finger: Loop Ring Finger: Loop Small Finger: Loop The toe prints are all arch expect for the ring toe in the right leg which is whorl. The fingerprints using ink pad for the fingers and toes can be found in Annex C. DIFFERENCE IN PATTERNS BETWEEN FINGERS: The pattern in all the fingers except the left thumb is whorl. This might be the case because the environmental factors within the fetus would have been same for the fingers and hence there is not much change in the pattern between the fingers. DIFFERENCE BETWEEN HANDS AND TOES: The finger prints in the hands are very easy to identify when compared to the toes. This is because the fingers are big enough for us to deposit the prints properly. However, the legs are small and since we dont use them like fingers it is very difficult to deposit it even while using the ink pad. Since the whole bodys pressure is on the toe, too much of pressure was applied on the paper by it. Hence the prints werent clear. DIFFERENCE BETWEEN OLD AND NEW PRINTS: The old prints are not as bright as the new prints. The old print gets exposed to the atmosphere and hence they react with the air. Hence parts of the print vanish. Hence it is not as evident as the new print. However, the old prints is good enough for matching 16 positions on the finger print and thus easy to the catch the criminal. The old big toe prints deposited wasnt seen when developed by both the magnetic powder as well as the black powder. This is because the print wasnt deposited properly. Too much of sweat on the print made the prints to be smudged when the powders where used to detect their presence. Hence the prints were seen very faintly. DIFFERENCE BETWEEN METHODOLOGIES: The black powder had to be done very carefully since two much of powder made the finger prints to smudge. The magnetic powder was easy in a way because excess magnetic powder could be removed easily. However, the dusting had to be done slowly and such that that the brush wasnt too close to the finger print in order to get the print properly. The ninhydrin test was very easy because we didnt have much to do for it. However, many of my friends prints were pale. This might have been because they didnt apply enough pressure on their papers when they deposited the prints. Since I had applied so much moisture, the finger prints smudged badly and the prints werent clear. Hence I had to repeat the process again. However, the next I exerted too much pressure on the paper which made the fingers to sweat too much leading to smudging. Also the amount of time given to register the finger prints was too less. Out of the three methodologies used in this lab I find the ninhydrin solution test to be the most efficient one. This is because for because the human influence in this method was very less. Since we were beginners in this lab, we didnt have a proper idea of how much powder had to be used for these methods. Thus I prefer the ninhydrin solution method for fingerprinting especially for beginners. FINGER PRINT LIFTING: The dusting for finger printing lifting was done using the magnetic powder since excess powder could be easily taken away. However, when I lifted it the first time, a lot of air bubbles where formed which made half of the finger prints to vanish. Also since I had not given enough time for my finger prints to settle the prints werent clear when dusting. Hence I tried to avoid these when I lifted the second time. I pressed gently and allowed the prints and gave some time so that the prints to settle. While using the tape I made sure there were no bubbles. Hence I was able to lift a proper print of my right thumb finger using the lifter. IDENTIFICATION OF BLOOD STAINS: THEORY: The Kastle-Meyer test is a forensic presumptive test which is used to examine if the dried stains in a violent crime scene is composed of blood. The test is based on the peroxide-mediated oxidation of reduced phenolphthalein. In this reaction the heme molecule acts as a catalyst. The chemical indicator used in this test is phenolphthalein C20H14O4, a common acid-base indicator which turns pink, in basic solutions with a pH of approximately 8 or higher.. Phenolphthalein, a clear dye, immediately turns pink if oxidized by hemoglobin and hydrogen peroxide. There are three reagents involved in this test. To increase the sensitivity of the test the reagent, Methyl or Ethyl alcohol is used. It does this by cleaning up the area in and around the bloodstain to better expose the hemoglobin. Phenolphthalein, the second reagent acts as a color indicator. This solution when oxidized (exposed to oxygen), turns pink. Hydrogen Peroxide is the 3% form typically found in drugstores. Hydrogen peroxide is essentially water with an extra oxygen atom attached to it. These chemical reactions are further stated using the following equations: This test is nondestructive to the sample. Hence the sample can be kept and used in further tests at the lab. This test has the same reaction with human blood and animal blood. So, further investigation is required to determine whether it is human or animal blood. ANALYSIS: The blood stain turned pink instantly after adding all the three reagents stating the presence of blood. When the reagents where added to copper powder, it turned pink even before the addition of the hydrogen peroxide showing giving a false result . Thus it is vitally important to add the reagent first, then wait a few seconds, then add the hydrogen peroxide. Ketchup didnt change at all showing the absence of hemoglobin. Whereas, cabbage solution turned yellow. Beetroot and ribena solutions turned colourless due to their neutral nature with very very slight pink tinge occurring due to their natural colour. Hence except for copper there werent any false positive tests in the samples which were recognized. LIMITATIONS: Eventough Kastle-Meyer test can detect blood upto dilutions of 1:107, there are many limitations for this test. In the presence of vegetable peroxidases, like in horseradish, broccoli, cauliflower, etc. the test gives a false positive result. Oxidizing species present in the sample also causes this test to fail. (Kastle-Meyer test:Limitations) For example when this test was performed for copper powder the Kastle-Meyer reagent turned pink even before hydrogen peroxide was added to it. Thus it is very much important that we wait for a few seconds after the reagent is added and then only we need to add hydrogen peroxide. The Kastle-Meyer test gives positive results to both human blood as well as animal blood. In general, it gives a positive result to all hemoglobin containing blood.. In order to ensure that the blood is really from a human species, a confirmatory test such as the Ouchterlony Test is performed. (Kastle-Meyer test:Limitations) In short, color catalytic tests are very sensitive in nature. The negative results from these tests show that these samples do not hemoglobin and so it is not blood. However, the positive results need not be correct in all cases. It is noteworthy to mention here that false positive tests occur due to the presence of a reducing agents, animal blood, peroxidases and many more. (Kastle-Meyer test:Limitations) FINGER PRINT PATTERNS IN IDENTICAL TWINS: When a fertilized egg splits into two, it leads to a development of two embryos. This leads to the development of Identical twins. Since the twins are formed from the same egg, their DNA is identical. The interactions between the environment in the fetus and the genes, plays an important role in the fingerprints and the appearance of a person. The environmental factors include blood pressure, nutrition, etc. (Twins Fingerprints: Identical Twins and fingerprints) The genes thus play an important role in depicting the fingerprint patterns in humans. The skin of the finger is in contact with various parts of the fetus and anionic fluids in the uterus. The interactions between the fingers and these parts changes due to the movement of the fetus and the mother. Thus this microenvironment plays an important role in the details of the fingerprint patterns. (Why Identical Twins have Di) Though there are only minimal changes in the environment, the differentiating cells make the differences in the fingerprint pattern to be seen evidently. All these reasons make fingerprint patterns in the twins to be different. This also makes fingerprints between the finger and the toes from being the same. (Why Identical Twins have Di) Eventhough after birth, identical twins just look the same they also have a few physical differences for e.g. moles which help in distinguishing one from the other. These physical differences amplify day by day and become greatly evident. CONCLUSION: Fingerprinting by dusting and ninhydrin solutions help in lifting them properly. It makes sure that none of the fingerprints in the crime scene is unnoticed. However, it is important to note that these techniques should be done only by people who are very experienced. Kastle-Meyer test helps in identification of blood stains but it also gives false positive tests. Hence the samples should be analyzed once again to check the presence of blood in it. The lab was very enriching and gave a true picture of what is done by forensic scientists at the crime scene.
Wednesday, October 2, 2019
Helper Client Confidentiality Essay -- Psychology
Informed consent and confidentiality play a very important role in the helping profession. The helper needs to clearly communicate to the client that the information shared with them is confidential, meaning that it is not reused for any other purpose other than to assist the client with what they are there to work on (Hill, p.65). The professional must also communicate the three exceptions in which the information shared is not kept confidential. Those exceptions are: 1) When information regarding child, adult, or elder abuse is revealed. 2) When the client reports information that he or she is in danger of harming oneself or others. 3) When the client has authorized in writing that information from ones file can be released. It is also important to share with the client that a supervisor within the organization may also be made aware of the clientââ¬â¢s information as sometimes cases need to be discussed for guidance and to ensure quality of services delivered. Discussing confidentiality with a client provides great benefits for the client/helper relationship. The client should feel informed about the therapeutic process, and providing them with such information at the beginning can help to ease the clientââ¬â¢s concerns about what can and cannot be done with their information. The client should feel at ease when the helper informs him or her that their information is strictly confidential except given the circumstance noted above. It is also an opportunity for the client to ask question for clarification and feel empowered from the beginning. It is possible that a client could have some discomfort with the confidentiality and informed consent process and as a result choose not to proceed with therapy. The loss of a clientââ¬â¢s p... ...sitive information with his family members and close friends, he cannot approach the counseling process like that. Each client has the right to choose who they wish to confide in, even if he believes that by sharing the information would result in a better quality of life for the client. Without a clear intent of harm to oneself, the therapist should honor the clientââ¬â¢s wishes while still trying to provide a therapeutic setting. As time passes, it is possible for the client to change her view of the situation, and perhaps even her course of action after more time is spent gaining insight. Works Cited Hill, C.E. (2009). Helping skills: Facilitating Exploration, Insight, and Action, 3rd ed. Washington, DC: American Psychological Association. Sharf, R.S. (2012). Theories of Psychotherapy and Counseling: Concepts and Cases, 5th ed. Belmont, CA: Brooks/Cole.
Dont Concentrate on Camps Essay -- essays research papers
Donââ¬â¢t Concentrate on Camps à à à à à A concentration camp can be defined as a camp were particular people are confined or detained for a period of time, although ironically the term death camp is commonly used as a synonym. Between the years of 1942 and 1945 the German Nazi Party initiated concentration camps for all Jews and other peoples that were considered by Adolf Hitler to be inferior. This is a commonly known fact, although extensive knowledge is limited to most people. The majority of concentration camps established have been used for the containing and eventual extermination of its prisoners. Camps have been located all over the world for many different reasons. Survivors (though rare) do exist and always have gruesome, life altering stories kept away in there souls. Undoubtedly Auschwitz in Poland is the most well known camp, but the future existence of concentration camps in the United States has even been discussed. à à à à à Although one of the first uses of concentration camps was by Britain in 1899 against the Boerevolk people, Adold Hitler took them to extreme during World War II (Berwick 85). The first concentration camps of the 1930ââ¬â¢s were simply meant to hold political enemyââ¬â¢s of the Nazi state such as Communists and Socialists, but eventually, bigger camps were created for the extermination of inferior groups and races (Swiebocka 1). The original intention of concentration camps was not specifically to murder mass numbers of people although that was though of as a plus side. In his raging insanity Adolf Hitler molded the concept of concentration camps from containment to extermination. Hitler located his primary concentration extermination camps in Poland focusing on six main camps, Auschwitz-Birkenau, Belzec, Chelmno, Majdanek-Lublin, Sobibor, and Treblinka (Sheehan 6). In these camps alone over 2,700,000 Jews were murdered, along with tens of thousands of Gypsies, Soviet prisoners of war, Poles, and others (Sheehan7). The prisoners in these camps died from many different causes. Some simply died from starvation and illness, others were told to ââ¬Å"dig a holeâ⬠and then when they finished were shot only to fall inside there own grave. Most were sent to gas chambers to be chemically destroyed. Nazi guards would give the prisoners a small piece of soap and tell them to go into a designated room and ââ¬Å"s... ...exico border, they would immediately be under containment. Supposedly there intention is strictly precautionary, but could the United States actually be considering using them in the future? After all, the government has showed in the past its ability to imprison a group of peoples. During World War II the United States Government demanded that all Japanese Americans be put into concentration camps for holding until the end of the war. They did not intend to kill anyone, although some did die, the U.S. was simply attempting to protect itself against any further Japanese attacks. Concentration camps were used then, and if necessary they could be used again. The origin of concentration camps was simply to hold a group of dangerous peoples. Adolf Hitler obliterated this idea and created his own version of concentration camps to exterminate the Jews and all other inferior people. Auschwitz will remain in infamy as the most horrifying place on earth, and its survivors will forever be scarred. Unfortunately the future might hold concentration camps for American again if it becomes necessary, but honestly, the world will be a better place when concentration upon camps desists forever.
Tuesday, October 1, 2019
Working Adolescents
Whether an adolescent should be working during their high school years or not, one cannot be absolute with hiss answer.à These question can be best answered when one looks at its advantages and disadvantages, their workplace, nature of the job and number of hours should alsoà be considered.I do believe there is a place for it provided that the workplace is owned by the family.à Exposing an adolescent to the nature of their own business, which in the later he has no choice but to be part of it, is of great advantage.à This is considering that in the early age he will be learning the mechanics, and system of the business which will prepare him for the future.Though the problem would be, being a family member the tendency to over familiarity is unavoidable, and the person can be a subject to exploitation in terms of time, and may also be to mental harassment, through insults and words of impatience, just like in the outside workplace whenà in the midst, crisis will arise employers tend to hurl insults.à Tendency to abuses is really existing elsewhere!Inevitably the high school years are crucial to the social and emotional development of both boys and girls.à Although there are benefits one can earn when working while adolescent, such that it provides lessons about responsibility, punctuality, to some degree independence, interacting with the public, and the list goes on, and for sure finances. (Moskowitz, 2000).However, Fineran (2002) reported that a study was conducted and results described adolescents experiencing with sexual harassment while working part time and attending high school.à In a sample of 712 high school students, 25% of the 372 students while working part-time report experiencing sexual harassment.And effects of sexual harassment during a first job showed may also negatively affect a child's self-esteem, and self confidence, anger, irritability, social isolation helplessness and anxiety, depression, tension, and nervousness (Fitgerald,1933), Gutek and Koss(1993) proposed a posttraumatic stress disorder model for understanding the mental health consequences of sexual harassment.(Moskowitz, 2000) also added that it would also affect the adolescent's identity formation in addition to placing him or her in physical danger of assault and trauma.à Results revealed that there are difference in the experience of sexual harassment by gender, work relation, and emotional reaction.Fineran (2002) furthermore reported that girls are significantly more upset and threatened by the sexual harassment they experienced at work than boys.The same report mentioned that mental harassment also occurs when they are insulted by their supervisors, coworkers and customers.à Looking to these, both are detrimental to the development of adolescence to adulthood.à A negative impact has somehow embedded in them.In an article entitled Adolescent in the Workplace, stated that indeed working has been shown to be associated wit h both positive and negative consequences for adolescents. Working may increase responsibility, self-esteem, and independence and may help children and adolescents learn valuable work skills.Employment that is limited in intensity (usually defined as 20 hours or less per week) during high school years has been found to promote postsecondary educational attainment. Many studies show positive links between working during high school and subsequent vocational outcomes, including less unemployment, a longer duration of employment after completing schooling, and higher earnings.However, high-intensity work (usually defined as more than 20 hours per week) is associated with unhealthy and problem behaviors, including substance abuse and minor deviance, insufficient sleep and exercise, and limited time spent with families.Furthermore, children and adolescents may be exposed to many work-related hazards that can result in injury, illness, or death. Their inexperience, as well as physical, co gnitive, and emotional developmental characteristics, may also play a part in the risk of injury faced by young workers.Injury may also result from a physical mismatch between the size of the child or adolescent and the task: for example, machinery that was designed for adult males may be too large or heavy for children or adolescents to handle safely.According to NIOSH the most common types of injuries and illness are sprains and strains, cuts and lacerations, contusions and abrasions, heat burns, and fractures and dislocations.à R. Belville, S. H. Pollack, J. H. Godbold and P. J.Landrigan concluded that occupational injuries are substantial and under recognized contributor to the continuing epidemic of injury among adolescent.Besides Rosalie Bakken in her article entitles Ups and Downs mentioned that although it is widely believed that having a job builds character in young people, it can also provide opportunities for youth to learn specific job skills, save money for college, develop trusting and healthy relationships with non-family adults, and experience feelings of reward and intellectual stimulation.But the same studies showed that employment does not necessarily lead to healthy social or moral development. This is especially true when a young person's very first experience in the work force involves stress, long hours, and menial tasks.Most jobs held by youth do not provide many opportunities for youth to think creatively or to solve challenging problems or make independent decisions. In addition, research has shown that earning an independent income does not mean that youth are learning to use their money wisely. In fact, their personal income may provide working adolescents with greater opportunities to purchase alcohol, drugs or cigarettes.Rosalie Bakken also cited that a notable characteristic of working adolescents is that they move in and out of the labor market, changing jobs and work schedules frequently, in response to changes in employers ' needs, labor market conditions, and circumstances in their own lives.This to some degree makes them very unstable and unstructured, leading to very unorganized life, without routines in schedule and activities.à Looking for another job, to cope with loses financially, has added to the tensions and pressures in schools and even in this area of his life -working as adolescent.Considering that an adolescent needs to do good in his studies and at the same time be working for several hours, in addition to his load in school means a lot of pressure to an adolescent.And may therefore distract him from his studies and his focus will be divided, which is to the advantage both to him, and the teacher who will be relating with him in all his academic requirements. In fact it was also shown that a high level of work during adolescence has been found to be associated with decreased eventual educational attainment.Although on sessions where the teachers discuss on social awareness, the teach er may enjoy interacting with him, considering his exposure in the workplace.For the parents, the fact that they are relieve in some sense in supporting to their adolescence, their sense of dignity as a provider also diminishes, and since the child spends time outside in school added with the time in work lessen their time together.à This is of very great disadvantage, the fact that the child should be learning and be influenced a lot from their parents at this age, instead they got it from the workplace.However, in the midst of working institutions so much abuses and harassment are going on, which I would say not an advantage for an adolescent to work.If working is the only solution that an adolescent can enter and sustain his way to high school, then I believe he should.à Though it really means a lot of difficulties.à When he dares to, as much as possible things should be defined and determine carefully.The determining factors are the type of job an adolescent takes, and the number of hours worked. The job should be meaningful to the teen in some genuine way, and it should not interfere with time needed for schoolwork or family interaction. Teenagers' needs for adequate nutrition, exercise and rest should not be compromised by a job. (Bakken, 2001)Teens should look for a job that will be challenging, interesting, and that will provide them with opportunities to use the skills they have and learn new ones. The job atmosphere should be supervised by an adult and should allow the adolescent to come into frequent contact with healthy adult role models. (Mortimer et al, 1996)Finally, working adolescents should not also relate with their parents their work experiences, allow the to monitor any changes in their grades, attitudes, or behaviors.BIBLIOGRAPHYBakken, Rebecca, Ph.D. 2001. Adolescents at Work. From theà Ups and Downs of Adolescents: A Newsletter about and for Young People, Parents and Concerned Adults.http://www.ianr.unl.edu/ianr/fcs/upsdowns/ upsaug01.htm
Monday, September 30, 2019
Pediatric Recommended Core Measures Health And Social Care Essay
After run intoing Stage 1 for the two old ages, Fletcher Allen Partners will necessitate to run into meaningful usage Phase 2 standards get downing in 2014 ( Figure 1 ) . With this following phase, EHRs will farther salvage Fletcher Allen Partners money, save clip for physicians and infirmaries, and salvage lives.The Stage 2 standards includes new aims to better patient attention through better clinical determination support, attention coordination and patient battle ( cms.com ) . The phase 2 ends would spread out the Phase 1 standards and concentrate on the meaningful usage of electronic wellness records ( EHRs ) to back up the purposes and precedences of the National Quality Strategy ( NQS ) . The Phase 2 standards encourages the usage of wellness IT for uninterrupted attention and information quality betterment. The proposed Phase 2 meaningful usage demands include strict outlooks for wellness information exchange and include: more demanding demands for eprescribing ; integrating structured laboratory consequences ; and the outlook that suppliers will electronically convey patient attention sum-ups with each other and with the patient to back up passages in attention. Phase 2 focal points on existent usage instances of electronic information exchange and requires that a supplier direct a sum-up of attention record for more than 50 % of passages of attention and referrals. The regulation besides requires that a supplier electronically transmit a sum-up of attention for more than 10 % of passages of attention and referrals. Increasingly robust outlooks for wellness information exchange in Stage 2 and Stage 3 would back up the end that information follows the patient ( Federal Register, 2012 ) . To let suppliers clip to follow 2014 certified EHR engineering and fix for Stage 2, all participants will hold a three-month coverage period in 2014. Figure 1: Phases of Meaningful Use Beginning: NeHC University ( 2012 )REQUIREMENTS FOR STAGE 2 IMPLEMENTATIONCore Aims and Menu Aims Fletcher Allen Partners must run into certain demands for a successful Phase 2 execution. The figure of Stage 1 and Stage 2 entire aims remains the same, EPs are must run into the the step of 20 entire aims and CAHs must run into the step of 19 entire aims. However, the combination of aims has changed. Under Phase 2, eligible professionals ( EPs ) must run into the step or measure up for an exclusion to 17 nucleus aims and 3 of 6 bill of fare aims and eligible infirmaries ( EHs ) and CAHs must run into the step or measure up for an exclusion to 16 nucleus aims and 3 of 6 bill of fare aims ( Figure 2 ) . This is a alteration from EP ââ¬Ës holding to run into 15 nucleus aims and EHs holding 14 nucleus aims and 5 bill of fare aims severally. About all of the Stage 1 nucleus and bill of fare aims are retained for Stage 2. Figure 2: Changes from Phase 1 to Stage 2 Phase 1 Phase 2 Eligible Professionals 15 nucleus aims 17 nucleus aims 5 of 10 bill of fare aims 3 of 6 bill of fare aims 20 entire aims 20 entire aims Eligible Hospitals & A ; CAHs 14 nucleus aims 16 nucleus aims 5 of 10 bill of fare aims 3 of 6 bill of fare aims 19 entire aims 19 entire aims Clinical Quality Measures needed to be captured by FAP In add-on to run intoing the nucleus and bill of fare aims, eligible professionals, eligible infirmaries and CAHs are besides required to describe clinical quality measures.The clinical quality steps ( CQMs ) are tools used to mensurate and track the quality of health care services by eligible professionals ( EPs ) , eligible infirmaries ( EHs ) and critical entree infirmaries ( CAHs ) within the health care system. The CQMs step many facets of patient attention to include wellness results, clinical procedures, patient safety, efficient usage of healthcare resources, attention coordination, patient battles, population and public wellness, and clinical guidelines.The measuring and coverage of the CQMs guarantee that Fletcher Allen Partners deliver efficient, patient-centered, and safe quality care.A Eligible professionals must describe on 6 entire clinical quality steps: 3 required nucleus steps ( or 3 surrogate nucleus steps ) and 3 extra steps ( selected from a set of 38 clinical qu ality steps ) . Eligible infirmaries and CAHs must describe on all 15 of their clinical quality steps ( CQMS, cms.gov ) . Centers for Medicare & A ; Medicaid Services ( CMS ) selected the recommended nucleus set of CQMs for EPs based on analysis of several factors: Conditionss that contribute to the morbidity and mortality of the most Medicare and Medicaid donees Conditionss that represent national public wellness precedences Conditionss that are common to wellness disparities Conditionss that disproportionately drive health care costs and could better with better quality measuring Measures that would enable CMS, States, and the supplier community to mensurate quality of attention in new dimensions, with a stronger focal point on penurious measuring Measures that include patient and/or health professional battle Get downing in 2014, all Medicare-eligible suppliers in their 2nd twelvemonth and beyond of showing meaningful usage must electronically describe their CQM information to CMS. Medicaid suppliers will electronically describe their CQM information to their province. As Figure 3 shows, EPs must describe on 9 of the 64 approved CQMs. Selected CQMs must cover at least 3 of the National Quality Strategy domains Eligible Hospitals and CAHs must describe on 16 of 29 approved CQMs Selected CQMs must cover at least 3 of the National Quality Strategy domains. Get downing in 2014, all Medicare-eligible suppliers beyond their first twelvemonth of showing meaningful usage must electronically describe their CQM information to CMS informations to CMS. Figure 3: Clinical Quality Measures ( CQMs )SupplierPrior to 20142014 and Beyond*EPs Complete 6 out of 44 Complete 9 out of 64 aÃâ ?3 nucleus or 3 elevation. nucleus Choose at least 1 step in 3 NQS spheres aÃâ ?3 bill of fare Recommended nucleus CQMs include:AaÃâ ?9 CQMs for the grownup population aÃâ ?9 CQMs for the paediatric population aÃâ ?Prioritize NQS spheresAEligible Hospitals and CAHs Complete 15 out of 15 Complete 16 out of 29 aÃâ ?Choose at least 1 step in 3 NQS spheresAFor 2014, CMS is non necessitating the entry of a nucleus set of CQMs. A Alternatively we identify two recommended nucleus sets of CQMs, one for grownups and one for kids. A We encourage eligible professionals to describe from the recommended nucleus set to the extent those CQMs are applicable to your range of pattern and patient population. Figure 4 shows the recommended nucleus steps: Figure 4: Recommended Core MeasuresAdult Recommended Core MeasuresPediatric Recommended Core MeasuresControling High Blood Pressure Appropriate Testing for Children with Pharyngitis Use of High-Risk Medications in the Aged Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Preventive Care and Screening: A Tobacco Use: A Screening and Cessation Intervention Chlamydia Screening for Women Use of Imaging Studies for Low Back Pain Use of Appropriate Medications for Asthma Preventive Care and Screening: A Screening for Clinical Depression and Follow-Up Plan Childhood Immunization Status Documentation of Current Medications in the Medical Record Appropriate Treatment for Children with Upper Respiratory Infection ( URI ) Preventive Care and Screening: A Body Mass Index ( BMI ) Screening and Follow-Up Attention deficit disorder: A Follow-Up Care for Children Prescribed Attention-Deficit/Hyperactivity Disorder ( ADHD ) Medicine Closing the referral cringle: reception of specialist study Preventive Care and Screening: A Screening for Clinical Depression and Follow-Up PlanAAChilds who have dental decay or pits Patient Care Improvements Patient entree to their wellness information is an of import facet of patient attention and battle, and the capablenesss of CEHRT in 2014 and beyond will enable suppliers to do this information available online in a manner that does non enforce a important load on suppliers. Patient engagement ââ¬â battle is an of import focal point of Stage 2. There are 26 Requirements for Patient Action: More than 5 % of patients must direct secure messages to their EP. More than 5 % of patients must entree their wellness information online. Loss of future gross through authorities inducements Changes to Medicare EHR Incentive Programs The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, eligible infirmaries and critical entree infirmaries ( CAHs ) as they adopt, implement, upgrade or show meaningful usage of certified EHR engineering. Eligible professionals can have up to $ 44,000 through the Medicare EHR Incentive Program and up to $ 63,750 through the Medicaid EHR Incentive Program. The Medicare and Medicaid EHR Incentive Programs provide fiscal inducements for the ââ¬Å" meaningful usage â⬠of certified EHR engineering to better patient attention. To have an EHR incentive payment, suppliers have to demo that they are ââ¬Å" meaningfully utilizing â⬠their EHRs by run intoing thresholds for a figure of aims. CMS has established the aims for ââ¬Å" meaningful usage â⬠that eligible professionals, eligible infirmaries, and critical entree infirmaries ( CAHs ) must run into in order to have an incentive payment. A The Medicare and Medicaid EHR Ince ntive Programs are staged in three stairss with increasing demands for engagement. All suppliers begin take parting by run intoing the Phase 1 demands for a 90-day period in their first twelvemonth of meaningful usage and a full twelvemonth in their 2nd twelvemonth of meaningful usage. After run intoing the Phase 1 demands, suppliers will so hold to run into Stage 2 demands for two full old ages. Eligible professionals participate in the plan on the calendar old ages, while eligible infirmaries and CAHs take part harmonizing to the federal financial twelvemonth beginnning on October 1st. ( EHR Incentive Program, cms.gov ) In order to successfully take part in the plan, EPs, EHs, and CAHs are required to subject CQMs to in order to have an incentive payment in the EHR Incentive Program.Beginning in 2014, the coverage of clinical quality steps ( CQMs ) will alter for all suppliers. EHR engineering that has been certified to the 2014 Edition criterions and enfranchisement standards will hold been tested for enhanced CQM-related capabilities.ELECTRONIC Coverage: In order to let participants to successfully describe CQMs electronically for 2014, CMS is supplying a set of electronic specifications for clinical quality steps ( eCQMs ) for eligible professionals and eligible infirmaries for usage in the EHR Incentive plan for electronic coverage. A These electronic specifications contain multiple parts which allow certified EHR engineering systems to be plan to accurately capture, calculate, and describe clinical quality steps electronically for the 2014 CQMs. A Each eCQM can be described in 3 different ways depending on the intended usage: HTML A ââ¬â A This is a human clear format so that the user can understand both how the elements are defined and the implicit in logic used to cipher the step. XML ââ¬â This is a computing machine clear format which enables the machine-controlled creative activity of questions against an EHR or other operational informations shop for quality coverage. Value Sets ââ¬â Value sets are the specific codifications used by developers to plan the system to accurately capture patient informations in the EHR system. A ATo have the maximal EHR inducement payment, Medicare eligible professionals must get down engagement by 2012.Eligible professionals who demonstrate meaningful usage of certified EHR engineering can have up to $ 44,000 over 5 uninterrupted old ages under the Medicare EHR Incentive Program Incentive payments for eligible professionals are higher under the Medicaid EHR Incentive Payments- up to $ 63,750 over 6 old ages under the Medicaid EHR inducement plan Get downing in 2015, Medicare eligible professionals who do non successfully show meaningful usage will be capable to a payment accommodation. The payment decrease starts at 1 % and increases each twelvemonth that a Medicare eligible professional does non show meaningful usage, to a upper limit of 5 % . The eligibility for the EHR inducement plan is determined by the HITECH Act. The lone eligibility alterations under Phase 2 are under the Medicaid EHR incentive plan. The Phase 2 eligibility. Meaningful usage way for Medicare eligible doctors ( EPs ) : Meaningful usage way for Medicare infirmaries: *Payments will diminish for infirmaries that start having payments in 2014 and subsequently. The alterations from Phase 1 to Stage 2 are as follow: Reporting Period Reduced to Three Months ââ¬â to let suppliers clip to follow 2014 certified EHR engineering and fix for Stage 2, all participants will hold a three-month coverage period in 2014. ââ¬Å" Phase 2 ends, consistent with other commissariats of Medicare and Medicaid jurisprudence, would spread out upon the Phase 1 standards with a focal point on guaranting that the meaningful usage of EHRs supports the purposes and precedences of the National Quality Strategy. Specifically, Stage 2 meaningful usage standards would promote the usage of wellness IT for uninterrupted quality betterment at the point of attention and the exchange of information in the most structured format possible. Our proposed Phase 2 meaningful usage demands included strict outlooks for wellness information exchange including: more demanding demands for eprescribing ; integrating structured laboratory consequences ; and the outlook that suppliers will electronically convey patient attention sum-ups with each other and with the patient to back up passages in attention. Increasingly robust outlooks for wellness information exchange in Stage 2 and Stage 3 would back up the end that information follows the patient. â⬠Hospitals- FY14 ) Providers-Jan 2014
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