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State any four disadvantages of geothermal energy
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The Case of Lonnie and DorothyIndividuals or families who need case management services do so because they have a number of problems. Like Lonnie and Dorothy, they may “get by” for a period of time. At some point, their problems escalate, multiply, or both, making it difficult to cope. It is at the end of this case, when Lonnie is beginning to experience some serious medical problems, that you enter their lives as a case manager.Lonnie and Dorothy live in the southern part of town in a low-income area. At one time, the neighborhood was nice. This was long before Lonnie and Dorothy arrived. They have two grown sons, John and Leroy, who occasionally come by to visit, and a grown daughter they never talk to. Lonnie, 62, works at a nursing home as a janitor. Dorothy, 60, does not work due to health problems, though she has worked as a personal nurse at some time in the past. They have been married for thirty-nine years but do not get along very well. They bicker constantly, and Dorothy has talked of times when Lonnie would lock her in the house due to jealousy while he was at work. Now, they basically coexist together without much substantial interaction.Lonnie’s job is rough on him—he works seven-day shifts and then has three days off. He drives forty-five minutes to work in his 1985 pickup, on which he is still making payments. He spends all day on his feet and is exhausted when he gets home. For years, Lonnie was the head janitor at a truck stop and enjoyed the job. Unfortunately, he was laid off due to cutbacks and has been trying to find a job with better pay. He has found that his age has kept him from getting better work. He has been working at the nursing home since. He has talked of finding better work, but because he and Dorothy live from paycheck to paycheck, they cannot afford for him to take any kind of pay cut, even temporarily. Lonnie spends most of his spare time in front of the television.This is hard on Dorothy. Due to heart problems, she is on disability and rarely gets away from the house, often spending days alone in the house. This causes her to be lonely and to have a limited view of the world—the “other side of town” is like another world to her. If she does get away, it is only to go to the grocery store or the pharmacy. She also has a tendency to be paranoid. For instance, if her disability check does not come on the exact day it did the previous month, she spends the afternoon on the phone talking to the disability office and the post office, positive someone has “made a mistake” or has “taken her check.” In some ways this is understandable, since Lonnie and Dorothy need the check to pay their bills. Dorothy’s check pays the rent and what little spending money she gets, while Lonnie’s covers the car payment, food, utilities, and medical bills. They spend every penny each month, leaving nothing for savings. Last month, Lonnie started to have medical problems himself and has had to go the doctor more frequently than usual.List the needs that Lonnie and Dorothy have. Then prioritize them.Identify the necessary case management roles and purposes for each of the three most important needs Lonnie and Dorothy have.The three methods of delivering case management you read about in Chapter 3 provide a structure for the case manager’s roles, responsibilities, and length of involvement with a client. Review the methods.Which one would be most effective with Lonnie and Dorothy’s situation? Why?Book: for chapter 3 question (#3)https://gateway.pinata.cloud/ipfs/bafykbzaceb6qsegaccorhc6opcszwh5pmyllajnpcv7723zevms4kwz7lgtts?filename=generalist-case-management-a-method-of-human-5–annas-archive–libgenrs-nf-3370559.pdf
Define the IT organizational structure and how the IT organizational structure impacts culture and change management practices. Additionally, how does the organizational structure impact competitive advantage?How do you define operational excellence? What factors are involved in achieving operational excellence? Who (within an organization) is responsible for operational excellence and why is this important?** Please note you have minimal space and time to complete the assignment, do NOT write an introduction, rather just answer the selected question noted above. This is a test of both knowledge and your ability to be succinct in messaging**
In two diferent paragraph give your personal opinion to Tinesia Newson and Christopher MoranTinesia NewsonWhat priorities did you identify and why?If I were to do a community health assessment for my area, the priorities identified are mental health and substance abuse and access to care. As mentioned in a previous discussion board, a 2018 survey of the Kane County, IL population, mental health was identified as the #1 health issue of concern based on severity and scope followed by substance abuse as number #2 (Kane County Connects, 2019).How did you gather the data?Surveys and questionnaires: Surveys and questionnaires can be done via, phone, mail, web, or in person. It would allow for easy collection of information.Pre- and post-program knowledge/attitude test: this method can be helpful when it comes to comparing the thoughts and ideas of the community before implementation of the plan versus after implementation.Focus groups and interviews: information is collected through meetings where team members speak directly with the community. They are able to gather information or feedback via speaking directly with the community in a group setting.Technical expert panels: Experts can be involved to review policy options, provide feedback, assess pros and cons, and consider intended and unintended impacts based on contextual features of the program.Observations and progress tracking: observation can help to gather data from the community on an ongoing bases. It allows you to record data as it is happening over the course of the program (Rural Health Information Hub, n.d.)Is your plan supported with research?Evidenced-based practice is an integration of research evidence, clinical expertise and a patient’s preferences. During the implementation phase using this type of problem solving approach to design interventions can help to insure they are customized based on the communities needs. It can also ensure that the interventions selected are based on proven research which can help to increase positive community outcomes (Eastern Illinois University, 2018)Is the plan flexible or set in stone?The plan must be flexible, even with the use of SCT or social cognitive theories which can help to predict response and behaviors of the community members, there is no way to determine for sure the results once the plan is designed and put into place. In order to increase the chances of positive outcomes and accomplishment of goals set, the plan must be flexible, adjustable based on changing needs of the community.Is the timeframe in meeting the goals realistic?The implementation process is not an overnight process. It is important that the team understands that depending on the progress made and obstacles or challenges that arise, timeframes for meeting goals may need to be adjusted. Setting a realistic timeline can be an excellent way to motivate the team towards activity, to keep the team on track, to help avoid pitfalls, and ultimately, to achieve set goals with as little difficulty and sacrifice as possible (Cohen, 2016).What community members are involved and what are their roles?Internal and external stakeholders would be involved in the implementation process. Some stakeholders would include local health care agencies, community based organizations, government agencies and community members themselves. Local health care agencies may be able to provide software to use as a platform for data collection an other task that may require a software platform. Local health care agencies, community based organizations and government agencies can also provide health education resources and training to the community members as well.How would you put your plan into action?In order to address health disparities, it is important to look at factors that may be contributing to. Mental health and substance abuse has been identified as a priority. Now the task at hand is to figure out why these two issues plague our community. Sometimes poor health seeking behaviors are responsible for health problems within a population or it may be related issues surrounding access to care. Using frameworks such like Mobilizing for Action through Planning and Partnerships (MAPP) which is a community-driven strategic planning process for improving community health, can be used as a framework for implementation (National Association of County and City Health Officials.Cohen, J. (2016). Set realistic timelines to achieve your goal. Retrieved from https://www.goalsontrack.com/blog/2016/07/13/set-realistic-timelines-to-achieve-your-goal/Eastern Illinois University. (2018). Why is evidenced-based practice in nursing so important. Retrieved from https://learnonline.eiu.edu/articles/rnbsn/evidence-based-practice-important.aspxKane County Connects. (2019). Survey data: Mental health is no. 1 health issue in kane county. Retrieved from. HTTP://KANECOUNTYCONNECTS.COM/CENSUS-2020-KANE-COUNTY-IL/National Association of County and City Health Officials. (n.d.). Mobilizing for action through planning and partnerships (mapp). Retrieved from https://www.naccho.org/programs/public-health-infrastructure/performance-improvement/community-health-assessment/mappRural Health Information Hub. (n.d.). Collect and analyze quantitative and qualitative data. Retrieved from https://www.ruralhealthinfo.org/toolkits/rural-toolkit/4/quantitative-qualitativeChristopher MoranThe implementation of the community health assessment plan is an ongoing process that needs consistent attention in order to prevent the plan from not becoming concrete. According to the Association for Community Health improvement, in order to ensure that this is accomplished the following components need to be addressed; stakeholders need to be engaged, create an implementation team, develop an action plan, and develop a budget (2017).Identifying the health concerns within the community would have needed to be accomplished during step one of the community health assessment toolkit. Utilizing the Community Health Improvement Plan (CHIP) it is possible to prioritize the issues and choosing the right strategies. The CHIP model is dynamic and interactive and redefines the areas of importance in order to ensure that no one area is overlooked (Schifferdecker & Bazos, 2016). This is achieved through proper data collection.Collecting information on the local economies health and ensuring that proper initiatives are in place involves collecting supported data. Collecting the data can be done with community questionnaires, previous information gathered, and hospital data from reoccurring patient issues. If the plan is not an initial and new concept plan, it should be compared to previous ones that have been utilized. This will give specific data points on where weaknesses are and areas of improvement. After all data is collected and analyzed the steps to implementation are taken while being flexible to ensure there is no unnecessary burden on those involved. The flexibility gives room for innovation and better approaches (Barnette, 2012).The timeframe allotted to accomplish the public health assessment and implementing it needs to be realistic. Depending on the severity of the implementation to the economy, it may be best to look at years to fully implement. Those involved would be all the stakeholders, the local hospitals, and those in the community affected. Stakeholders would be backing the the implementation either financially or with manning. The hopsitals can give the needed information on whether the implementation has been benefiting or degrading the community. Last is those that are impacted. They will give the empirical data needed to know if the plan is functioning.Do you think a large change to the community can be done overnight or do you think that it takes years to fully implement?-Moran, CReferencesAssociation for Community Health Improvement. (2017). Implement strategies. Retrieved from http://www.healthycommunities.org/Resources/Toolkit/files/step8-implementstrategies.shtml#.W5ZxaehKhPYBarnette, K. (2012). Best Practices for Community Health Needs Assessment and Implementation Strategy Development:. A Review of Scientific Methods, Current Practices, and Future Potential. http://www.phi.org/wp-content/uploads/migration/uploads/application/files/dz9vh55o3bb2x56lcrzyel83fwfu3mvu24oqqvn5z6qaeiw2u4.pdfSchifferdecker, K. E., & Bazos, D. A. (2016). A Review of Tools to Assist Hospitals in Meeting Community Health Assessment and Implementation Strategy Requirements. Journal of Healthcare Management, 61(1), 44–57. https://doi.org/10.1097/00115514-201601000-00009
Analytical and Emergent ApproachesWrite a 2 page paper addressing the following elements in your paper:Evaluate the similarities and differences of both the analytical and emergent approaches to strategic management.Evaluate the benefits of combining the two models.Include a title page and 3-5 references. Only one reference may be from the internet (not Wikipedia). The other references must be from the Grantham University online library. Please adhere to the Publication Manual of the American Psychological Association (APA), (6th ed. 2nd printing) when writing and submitting assignments and papers.The Models of Strategic Management – SimilaritiesIn week 1, we reviewed the history of strategic management and learned just how critical it is within the field of healthcare. This week we will examine the two leading models of strategic managementwhile in week 3, we will discuss the different levels of strategy and the various responsibilities of employees.The two leading models of strategic management are the analytical and emergent approaches. Before we separate them and discuss their differences, let’s first start by identifying their similarities. In essence, strategy is created to achieve an end goal. Most mission statements will normally give you a basic understanding of what the organizational strategy entails. As an example let’s review the mission statement of Kaiser Permanente.Kaiser Permanente’s Mission: KP exists to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve (www.kp.org)Regardless of whether Kaiser Permanente chooses the analytical model of strategic management as opposed to the emergent model, we know that the strategy of this organization revolves around the provision of high quality care at an affordable rate. To develop this strategy, again regardless of chosen model, the organization normally develops goals or milestones and then provides measurement and feedback to determine if changes to strategy are warranted.While still speaking of the similarities of the two models, this is a good time to address goal setting within the organization. Without solid goals, or SMART goals, there cannot be effective strategy. Many of you may be well versed in SMART goals; however a quick review at this point in the lecture is certainly warranted. SMART is an acronym that stands for specific, measurable, actionable, realistic, and time oriented. Again an example might help illustrate its relevance; especially in management. You are the supervisor for the billing department of a large hospital system. While reviewing the aging report, you decide that your team of employees need to take action (first step in formulating strategy). You walk out of your office and gather the group together. At this point you say to your team “our goal this week is to improve the aging report.” Having addressed the issue, you walk back in your office and pat yourself on the back for taking charge.You are probably smiling over such poor management, but many of you have probably witnessed something to this effect first hand. Unfortunately, many managers are never taught the SMART acronym and grumble when their goals are not met. In the example above, there is no indication of what improvement would actually look like. Does collecting one account suffice for the “improvement’? Without belaboring this, it is obvious that the above goal gets us nowhere. Now, let’s pretend that you have received SMART training. You come out of the office, gather your employees and say “As a department, we will decrease the aging report by collecting $25,000 this week, and then $50,000 for the next two weeks. We will achieve this by doing the following….”.In this example, we developed a goal that is very specific. It is measurable so that at any given moment we can gauge our performance as opposed to the goal and make adjustments quickly if needed. It is certainly actionable as we will be developing steps to follow and it has time restraints built in. All team members know exactly what is expected, when it is expected, and what their individual role is in achieving this goal. These are the fundamental building blocks of a strategic plan.In the second lecture of this week, we will return to the two models of strategic management and review them in more depth. As a quick reminder, we must be careful as to how many goals we want our department or organization to follow. Numerous studies have indicated that the average individual can work on 10 SMART goals at a time. However, and this is where many organizations fail, an organization can only successfully focus on three goals at a time. When focusing on three goals, the success rate to accomplish all three is close to 80%. However, when an organization attempts four or more goals, the success rate of accomplishing any goal drops to 30% or lower.Analytical and Emergent ApproachesIn the first lecture of this week, we discussed how goals help us formulate a strategic plan which is the building block of strategic management. We will discuss strategic plans more fully in week 4. Next week, we will examine the levels of strategy and roles managers play. Let’s return to our discussion of strategic management models.While our textbook utilizes the word analytical to describe strategy that is planned and purposeful, others in the field use the terms “rational” and “deliberate.” For purposes of this lecture, we will also use the word analytical. The best way to understand this model and how it works is to consider what a pure analytical model looks like. To be perfectly analytical, it would require that there are three conditions that must be met. To help us identify these conditions, we turn to the work conducted by Henry Mintzberg and James A. Waters.These authors state that the three conditions are:a) precise intentions,b) common collective action, andc) avoidance of external factors.Let’s examine each one in depth to understand their functions.Precise intentions: this would mean that every employee, regardless of position, would have a clear understanding of what the end result will look like. Variables of all sorts would have to be identified before they occur and a distinct plan of action pre-developed in case the situation comes to fruition. As you can imagine, the time involved in this step alone is astronomical.Common collective action: it would be critical that all employees work together as indicated and that no one stray from the given plan. Failing to act as a cohesive unit would provide opportunities for scrutiny as to whether the action was individual or collective and to what degree the effect would be on achieving the end result. To make this step work, one would need to establish very tight controls.Avoidance of external factors: as built upon by the other two requirements, it would be necessary to completely negate any and all outside influences. To do this, the entire environment would need to be 100% controlled.By now, you are probably realizing just how unlikely it is to follow a purely analytical model. It would be next to impossible to identify all variables, especially in a healthcare environment where change and flux are daily norms. Lastly, it would be virtually impossible to limit external events. In essence, the ability to fully operate within the confines of this model in a healthcare environment is highly unlikely.The next model to review is that of the emergent approach. Again, the best way to examine this model is to view it through the lens of “purely” emergent. The textbook provides us with a great analogy likening the emergent plan with that of a compass. We know that we want to move in this direction, yet we do not have an actionable plan to get us either started or to our destination. Without movement, nothing occurs. Again, in its purest form, the emergent approach will never work.In essence, it is perhaps necessary to view the overarching strategy held by the organization as a moving entity on a continuum with analytical on one end and emergent on the other. Depending on the situation, the approach used would certainly change. If for example, we had a group of employees who have spent years working together, we might not need as detailed of a plan as opposed to if we had a relatively newer team. In closing, the situation warrants the model used, not vice-versa.https://content.grantham.edu/at/AH543/AH543_w2.mp4
2. How could BitGold continue to stay on the right side of the law?3. How could BitGold market its services to users and merchants, both in Canada and abroad?
The literature review assignment should be 7 to 10 content pages in length and must include: Title page; Introduction; Statement of the Problem; Research Questions and Hypotheses; Overview of the Relevant Research related to your topic; and References – both in text and in a Reference page – should be the final page (20% of course grade).Rubric Criteria for Literature Review Paper· Article Requiremento Utilized sufficient research articles to thoroughly explore current studies related to research question.o Articles were related to hypotheses and relevant to current research in the area identified.· Introductiono Objective of paper is clearly definedo Statistical information about the problem provided (such as incidence, prevalence, etc.)o Clearly articulated statement of the problem, research question and hypothesis· Literature Reviewo Inclusion/exclusion criteria provided for articles included in the Literature Reviewo Objective of studies provided§ Including intended primary outcomes & important secondary outcomeso Hypothesis of studies given – when available – what did they think they would find?o Clinical research design (aka theoretical framework) of the studies described – examples: phenomenological; enabling theory;o Sample size and details provided§ Inclusion/exclusion criteria provided for study samples included in the literature review§ Demographics of study participantso Methods described§ Can it be replicated?o Results describedo Statistical tests utilized in the studieso Important statistical results discussedo Possible author biases were considered.o Conclusions of authors summarized· Discussion and Conclusiono Research articles critiquedo Strengths and weaknesses giveno Importance of the topic to counselingo Apply results to original hypotheseso Future recommendations· Quality of Writingo Spelling, punctuation, and grammar at the graduate school levelo Organized, clear, and concise writing/verbiageo Paper is at least 7 content pages in length – likely longero Adheres to the 7th edition of APA guidelines, including in-text citations & ReferencesRubric Criteria for Literature Review PresentationIn addition to the literature review paper, all students will submit a presentation reviewing the ‘findings of your literature review’ via a PowerPoint or Prezi presentation. Presentations should be 10-15 minutes long when presented and will be graded using the literature review expectations (10% of course grade).PresentationStudent concisely and accurately stated research questions and hypothesis and succinctly explained studies related to the problemPowerPoints were clear with appropriate amount of text on each slide, utilizing graphics to emphasize pointsReferences and citations were includedNo grammar or editing issues
