General Motors with Lean Manufacturing

General Motors with Lean Manufacturing An Introduction of GM Global Manufacturing System Operations Management Team Project Contributed by We Make A+ (sort by number): – 2009 050 444 – 2010 049 712 – 2010 054 149 – 2010 059 605 – 9125 620 120 Division of Business Administration, Hanyang Univ. ERICA Ansan, December 2012 Contents Part 1. Overview of General Motors2 1. 1 Why General Motors? 2 1. 2 Introduction of General Motors3 1. 3 Basic Information3 1. 4 History of GM4 1. 5 GM's family4 Part 2. Introduction of Lean Manufacturing4 2. 1 Definition5 2. 2 Lean and TPS5 2. 3 Theme: Efficiency6Part 3. GM’s Global Manufacturing System6 3. 1 Application of Lean Manufacturing6 3. 2 In-Progress Control and Verification7 3. 3 Process Failure and Effect Analysis11 3. 4 Quality Feedback/Feedforward11 3. 5 Quality System Management13 Part 4. Comments14 4. 1 Achievements beyond Efficiency14 4. 2 A Too-Lean GM? 15 Bibliography16 Part 1. Overview of Gene ral Motors 1. 1 Why General Motors? First automotive industry has started in 1885 since Karl Benz and Daimler develop gasoline engine cars. The early automotive industry was expensive ,slow and didn't escape from the design of the wagon type.But The introduction of Henry Ford's conveyor belt is way as to be able to mass-produced, it became the beginning of popularization. U. S. automotive company seek to enter into the world in Europe ,since 1920's and by combining U. S.. ‘s car production technology and Europe's brand value, Europe emerged as the largest market in the world. At the European economy will recover in 1950, U. S. has grown enough to occupy 80% in world market and Europe built a new product differentiation and diversification strategy in order to correspond to U. S. At this point should be noted that Japan's inroad into world market.Because of Korean war, Japan laid the foundation of growth and The 1960's, global automotive market is growing, Japan participate in global automotive market. Especially, Japan made new Labor-management relations by new industrial organization and distinctive production manner, and spreading Toyota production system and JIT approach to become more competitive, They were formed 3 polarized system to dominate the world market with U. S. and Europe. After that, Before and after the 1980's, Asian countries, including countries such as Mexico and Brazil participated in global automotive market as a weapon low-income and small car. In 1990's, U.S. lead global automotive market increasing core competencies by innovation to reengineering, benchmarking, restructuring, and downsizing, etc, competing with Japan. In the late 1990s, Automotive market undergo great confusion due to oversupply and changing consumer needs, and Multinational automotive companies' M;A is greatly increasing, and a small number of large companies lead global automotive market. In the flow of the automotive industry, after establishment in 1908, GM l ay the foundation focusing on to raise the size merging Buick, Cadillac, including 25 companies and maintain first in sales between 1933 to 2008.Also, in domestic, GM is known for a lot of familiar brands such as Chevrolet. Because GM overcome several financial crisis and still exist the center of the world's automotive industry companies, we choose GM automotive industry companies, we choose GM 1. 2 Introduction of General Motors General Motors Company commonly known as GM (General Motors Corporation before 2009), is an American multinational automotive corporation headquartered in Detroit, Michigan, and the world's largest auto maker, by vehicle unit sales, in 2011, employing 202,000 people and doing business in some 157 countries.General Motors produces cars and trucks in 31 countries, and sells and services these vehicles through the following four regional segments, which are GM North America (GMNA), GM Europe (GME), GM International Operations (GMIO), and GM South America (GMS A), through which development, production, marketing and sales are organised in their respective world regions, plus as fifth segment GM Financial. 1. 3 Basic Information Industry – Automotive Founded – September 16, 1908 Founder(s) – William C. Durant Headquarters – Renaissance Center, Detroit, Michigan, the US Number of locations – 156 facilities on six continentsArea served – Worldwide Product – Automobiles, Financial Service 1. 4 History of GM 1908| Founded by William. C. Durant| 1910-1929| The rise of the automobile captured imaginations and sparked invention. | 1930-1959| GM’s commitment to innovation lent optimism during tumultuous world events. | 1960-1979| GM offered forward-thinking answers to an increasingly eco-conscious world. | 1980-1999| The close of the 20th century brought tremendous global growth for GM| 2000-2008| Trying economic times saw GM embracing an enduring passion for innovation. Today| We are passion ate about designing, building and selling the world’s best vehicles. This vision unites us as a team and is the hallmark of our customer-driven culture. | 1. 5 GM's family Part 2. Introduction of Lean Manufacturing 2. 1 Definition What is lean manufacturing(lean)? Lean manufacturing, lean enterprise, or lean production, often simply, â€Å"Lean,† is a production practice that considers the expenditure of resources for any goal other than the creation of value for the end customer to be wasteful, and thus a target for elimination.Working from the perspective of the customer who consumes a product or service, â€Å"value† is defined as any action or process that a customer would be willing to pay for. Essentially, lean is centered on preserving value with less work. Lean manufacturing is a management philosophy derived mostly from the Toyota Production System (TPS) (hence the term Toyotism is also prevalent) and identified as â€Å"Lean† only in the 1990s. TPS is renowned for its focus on reduction of the original Toyota seven wastes to improve overall customer value, but there are varying perspectives on how this is best achieved.The steady growth of Toyota, from a small company to the world's largest automaker, has focused attention on how it has achieved this success. 2. 2 Lean and TPS Lean is a management philosophy developed from the Toyota Production System (TPS) and identified as Lean in the 1990s. The Toyota Production System (TPS) is an integrated socio-technical system, developed by Toyota, that comprises its management philosophy and practices. The TPS organizes manufacturing and logistics for the automobile manufacturer, including interaction with suppliers and customers. The system is a major precursor of the more generic â€Å"lean manufacturing. Taiichi Ohno, Shigeo Shingo and Eiji Toyoda developed the system between 1948 and 1975. Originally called â€Å"just-in-time production,† it builds on the approach creat ed by the founder of Toyota, Sakichi Toyoda, his son Kiichiro Toyoda, and the engineer Taiichi Ohno. The principles underlying the TPS are embodied in The Toyota Way. TPS focuses on reduction of the original Toyota seven wastes  to improve overall customer value. But there are varying perspectives on how this is best achieved. 2. 3 Theme: Efficiency Lean manufacturing is a variation on the theme of  efficiency  based on optimizing flow.It is a present-day instance of the recurring theme in human history toward increasing efficiency, decreasing waste, and using empirical methods to decide what matters, rather than uncritically accepting pre-existing ideas. As such, it is a chapter in the larger narrative that also includes such ideas as the folk wisdom of thrift, time and motion study, Taylorism, the Efficiency Movement, and Fordism. Lean manufacturing is often seen as a more refined version of earlier efficiency efforts, building upon the work of earlier leaders such as Taylor or Ford, and learning from their mistakes.Part 3. GM’s Global Manufacturing System 3. 1 Application of Lean Manufacturing To be more competitive in the global automotive industry, General Motors is concentrated on some key priorities; get common; think lean and run fast; compete on a global basis; grow the business and most importantly-focus on the product. GM Manufacturing is dedicated to lean and common as demonstrated by a single, global manufacturing approach – a strategy that is changing the way it designs its products, lays out plants, selects equipment and design each assembly plant operator's job.The GM Global Manufacturing System-or GMS-is an important building block of an integrated strategy to develop products that excite customers in markets around the world. 3. 2 In-Progress Control and Verification In-Process Control & Verification includes the intent and purpose of the BIQ motto: â€Å"Satisfy your customer; do not accept, build or ship a defect! Solve problems through team work. † Quality expectations are achieved in each process to ensure defects are not passed on to downstream process. Well, it raises a question, how to achieve customer satisfaction?General Motors has three paths for solving this problem. In the first place, prevention avoids defects or non-standards occurring. Secondly, Detection—identify when defects or non-standards have occurred. At last, use containment to assure defects or non-standards are not passed on. I will introduce these three methods in the following minutes. The benefits of In-Process Control & Verification consist of three aspects: * To external customers (people buying our vehicle), it protects customers from sub-standard vehicle quality; it assures customer satisfaction. To internal customers (downstream operation), it prevents major repair and rework by detecting a non-conformity early in the process; it prevents the flow of defects from department to department and station to s tation. * To internal customers (from suppliers), it protects Team Members from non-compliant parts from suppliers through advanced quality planning and prompt containment during spills. Prevention To understand the prevention, let me show you a comparison at first. As you can see in the picture, Using the Lean approach, we control the process by prevention.It results in less rework and repair, and higher first time quality. By contrast, the traditional approach is trying to control the product, which is less efficient and more passive, with more rework and repair, and lower first time quality. Process Equipment Capability Reviews means periodic checks are conducted to identify trends or shifts in capability over periods of time. It includes four steps: 1) Identify process equipment with high risk/impact 2) Conduct initial capability confirmation 3) Conduct regular scheduled reviews to confirm capability 4) Implement corrective action as required DetectionThe second method is detect ion. Detection has two purposes. Purpose 1: To make non-standard conditions in the manufacturing process visible – identify when defects or non-standard have occurred. Purpose 2: This supports the â€Å"Do Not Accept† element of the quality motto: * Inspection process that confirms quality as soon as possible following manufacture * Measures the output of the manufacturing process * Alerts organization to out of standard conditions * Supports containment and provides input into continuous improvement Quality Check System Update: Internal/external ‘Customers’ are monitored for feedback.Where there is an indication of defect flow-out through the Verification process, a systematic analysis will be conducted; typically for: 1) Items currently not included in the quality check list/control plan For example, update check list based on prioritization and risk analysis. 2) Current check items not found during the check process For example, improve standardized wor k or re-train team members. The quality check system must be established in consideration of the ‘Supplier-Customer’ relationship. Inspection frequencies must be established by each ‘supplier’ that prevents shipping defects to downstream ‘customers’.This is a requirement for safety & compliance items, key characteristics and for issues that will significantly impact the next process or customer. During a repair, the risk for a discrepancy to occur is increased – many aspects of the repair operation are non-standard. So the Independent Repair Confirmation is very necessary. Many aspects of the repair operation are non-standard: Any documented repair must be verified by Repair Confirmation (both on- and off-line) * Repair Confirmation must be conducted independently (e. g. by Quality). Standardized work (non-cyclic) should be used for the confirmation process – quality standards must be available. * Appropriate training and knowledg e of standards must be developed to conduct or confirm repairs. * Repair confirmation should be as close to the repair process as possible. * Repair confirmation can be conducted by man or machine. Workers can use Andon(A Kind of Signboard) to Stop The Process: Work Station Team has the ability to stop the line and complete standardized work in station if there are some problems in the product line.If the Team Member has a quality issue within their standardized work they activate the Andon system to: * Initiate a call for help through station light, Andon board, and melody * Empower the Team Member to stop line & organization responds to provide support * Stop at FPS (Fixed Position Stop) to contain and complete the repair * Where Andon is not available the principles still apply Alarm and Escalation Process: When a defect is detected, feedback to the appropriate team or individual will be given by using a communication system. The alarm is raised by using audio/visual signals (e. . Andon). The alarm process directs the support functions to: * ‘Go and See’ the problem * Apply containment to prevent further flow of defects * Initiate problem solving Containment Containment: the purpose of it is the achievement of customer expectations relies on a method to contain defects within the manufacturing process, and implement corrections to protect the next/downstream customer. This also supports the â€Å"Do Not Ship† element of the quality motto: * Vehicle delivery to the customer * Powertrain and MFD plants to vehicle assembly * External supplier to the manufacturing plant Internal departments (e. g. between body, paint and GA) * Between work stations within a department Summary of In-Process Control and Verification Standardized work is performed in every process and includes the required quality checks. Process control activities are implemented on equipment to control variation on a daily basis and maintain capability over a period of time. Detection confirms the manufacturing process and ensures both internal (Production Team Members) and External Customers (people who buy our products) are receiving products that meet or exceed the quality standards.A process is in place to contain defects within the manufacturing process and implement permanent corrective actions that are verified as being effective. 3. 3 Process Failure and Effect Analysis Purpose of this procedure: Investigation, documentation and if necessary reduction of the risk potential (Risk Priority Number-RPN) for all production processes. RISK PRIORITY NUMBER S x O x D = RPN * S = Severity * O = Occurrence * D = Detection * RPN = Risk Priority Number* * 1 = Lowest1000 = Highest There are some questions to answer for the Process Failure and Effect Analysis: Potential failure mode:What things have gone wrong?What things could go wrong? Effects of failure:What does a failure mean to the next operation, the assy plant, the final customer? Potential Cause of f ailure: Root cause what has gone wrong in the past Brainstorm what could cause failures? Current controls: What do we do today to prevent the defect from occurring and getting to our customer? Recommended actions: If current controls are not 100% effective, what actions should be taken? 3. 4 Quality Feedback/Feedforward Definition: The communication of quality expectations and results between customers and suppliers through standardized communication pathways.Purpose: To ensure that information on quality reaches those who need it. Feed Information Forward: Internal and external suppliers communicate known/potential problems and/or problem solving status to their customers in a timely manner. This provides the customer with sufficient lead time to react to upcoming changes and take appropriate measures. Feed Information Back: Internal and external customers communicate known/potential problems and/or problem solving resolution to their suppliers in a timely manner. This provides the supplier with sufficient lead time to react to customer issues and take appropriate measures.Build and quality status of each vehicle is communicated to downstream processes. Summary of Quality Feedback/Feedforward Feedback/Feedforward promotes the communication of quality expectations and results between customers and suppliers through: * Clearly defining customer/supplier communication requirements †¢Defining timing, content, and format of information †¢Establishing metrics and the subsequent management process †¢Effective implementation of the Feedback/Feedforward communication tools †¢Problem identification, input into the plant problem solving process and countermeasure follow up . 5 Quality System Management Who is responsible for Quality? Team work is absolutely essential to deliver world-class quality. Everyone! Quality is a shared responsibility Quality Function Resource Allocation: Manufacturing and quality resources are allocated to support the qualit y system and interface with engineering. Each area requires sufficient resources to properly focus on supporting production and driving continuous improvement through P-D-C-A. Resource allocation needs to consider the quality and production components that are required to support the team member.Development of an organization for quality incorporates the â€Å"Planning†, â€Å"Doing† and â€Å"Checking† functions into their structure. Summary of Quality System Management Quality System Management provides the supporting structure and framework for the implementation of the quality system and ongoing improvement to the quality of our products through: * Establishment and implementation of a strategic quality plan for the organization * Allocation of manufacturing and quality resources to support the quality plan * Development of an rganization for quality that incorporates the â€Å"Planning†, â€Å"Doing† and â€Å"Checking† functions into t heir structure * Identification of requirements for documentation, procedures, practices and assessments * Integration of both quality and manufacturing BPD’s at all levels of the organization Part 4. Comments 4. 1 Achievements beyond Efficiency The GMS is generating positive results. By using GMS, General Motors achieved efficiency in many aspects. And GMS is a system built around people.The system stresses the value of teamwork, and is based on an underlying philosophy that everyone, in every position, adds value. In an empowered environment, everyone's experience and insights are valued. Manufacturing performance is improved through the consistent adoption of five principals-people involvement, standardization, built in quality, short lead time and continuous improvement. The principals are interrelated and implemented as a complete system. When implemented, the GMS principals maximize performance in the areas of people systems, safety, quality, customer responsiveness and cost.Products, plants and processes are designed to allow GM's people to use their skills and abilities as efficiently as possible. GM is the industry benchmark in safety, a goal achieved through a strong partnership between GM and its unions. GM's workers realize a healthy, injury-free environment. The team concept is a critical part of managing quality by making each team responsible for managing quality in their area. Team members receive extensive training in identifying and solving problems. GM's manufacturing strategy maximizes customer responsiveness, by responding fast to customer and market trends.GM's manufacturing system concentrates on cost savings by eliminating all forms of waste that detract from our ability to be competitive. 4. 2 A Too-Lean GM? It wasn't that long ago that General Motors was producing too many vehicles. Now the giant automaker can't produce enough for some area dealers, who said they are finding it difficult to keep enough inventory of some new car and truck models to satisfy demand. And they're probably losing some sales because of it â€Å"I definitely believe it's restricted† our sales, Scott Hatchett, managing partner of Scholfield Buick GMC, said Monday.GM's efforts to emerge from bankruptcy a leaner company mean the inventory Hatchett and other dealers have access to has been much thinner, especially for certain models such as GMC Terrain as well as the Buick Enclave and LaCrosse. â€Å"We literally get down to where we have one or two of those vehicles in stock,† he said. Jill Hattan said her dealership, Don Hattan Chevrolet in Park City, has had a difficult time keeping in stock the Chevy Equinox and Camaro. â€Å"It's just trickling in on top of a small inventory,† she said. â€Å"We are definitely missing some sales. Hattan said her dealership is trying to alleviate the lack of inventory from Chevrolet by tapping other dealers' inventory. â€Å"We actually try to purchase several at a time jus t for stock but when everyone's short, that's not easy to do either,† she said. GM spokesman Tom Henderson said his company is â€Å"dramatically different† now than before it entered a brief bankruptcy in June 2009. It's axed brands such as Saturn and Pontiac, closed plants and received $50 billion in aid from the federal government. Before GM's bankruptcy â€Å"we typically ran with very high inventories,† Henderson said.As a leaner company, its production has been sharply trimmed. Now the company is attempting to find the sweet spot between production and demand. â€Å"It's a really delicate balancing act,† Henderson said. Henderson said he couldn't disclose production rates going forward. But he did point to efforts by the company to ramp up production on the GMC Terrain and Chevy Equinox. It has taken an unused portion of its plant in Ontario, Canada, to create capacity for the manufacture of 60,000 to 80,000 more vehicles. Those two midsize SUVs are hot sellers for GM.GM said earlier this month that through the first six months of 2010, sales of the Equinox and Terrain were up nearly 193 percent from the same period last year. Henderson said the company is listening to its dealers such as Hatchett and Hattan. â€Å"We take their input seriously,† Henderson said, adding that dealers should see this fall the results of GM's increased production efforts at its Canadian plant. As for additional production increases, â€Å"We'll judge based on business conditions what to do going forward. † Bibliography * [http://www. gm. com] * Womack, James P. ; Daniel T. Jones, and Daniel Roos.The Machine That Changed the World,1990. * Bailey, David (24 January 2008). â€Å"Automotive News calls Toyota world No. 1 car maker†. Reuters. com. Reuters. Retrieved 19 April 2008. * [http://en. wikipedia. org/wiki/Lean_manufacturing#cite_note-Reuters-3] * [http://en. wikipedia. org/wiki/Toyota_Production_System] * Strategos-Internati onal. Toyota Production System and Lean Manufacturing. * [http://www. autointell-news. com/News-2003/January-2003/January-2003-1/January-03-03-p6. htm], GM's Global Manufacturing System – A System To Build Great Cars and Trucks. * Jerry Siebenmark, A Too-Lean GM? , 2010.

Progressive Era Essay

In the Progressive Movement that began in the late 1800s was about governmental reforms and correcting injustices in the American life. There were problems that were present in the American life and plans and reforms proposed during the Progressive Era to address the problems faced by many Americans in the early 1800s late 1900s. There were problems that were present in the American Life. Poor families lived in crowded 1 room houses (Doc1). Sanitation was very hard for poor families to keep up. Children even worked between the ages of ten and fifth teen years old with barely any pay (Doc3). Susan B. Anthony argued to support the demand for women’s right to vote (Doc8). Also in factories workers did not wash their hands while working. Some workers limbs, bugs, and rats were cut into the meats. All of these issues were major during the late 1800s and early 1900s for people in the U. S. Plans and reforms were proposed during the Progressive era to address the problems that were faced by many Americans in the early 1800s late 1900s. Jane Adams built an inexpensive house for poor families to live in named the â€Å"Haul House† in Chicago IL. This house was a great help to families. The child labor rate dropped between 1890 and 1920 (Doc3). Women were given their right to vote. Susan B. Anthony fought for women’s suffrage so woman can be treated equal as men (Doc8). Upton Sinclair wrote a book named â€Å"The Jungle† explaining how in factories spoiled meat could be used to be chopped up in other things (Doc2). A Progressive Party Platform was proposed to prevent industrial accidents for health and safety issues (Doc6). This helped with the workers limbs for being cut off in food products. President Teddy R. proposed the FDA act to prevent unhealthy foods from being sent out. Expiration dates and health expectations were required. These plans and reforms helped major Americans during the Progressive Movement. Therefore in the Progressive Movement that began in the late 1800s was about governmental reforms and correcting injustices in the American life. There were many problems that were present in the American life and plans and reforms that were proposed during the Progressive Era to address the problems faced by many Americans in the early 1800s late 1900s.

The common law and equity Case Study Example | Topics and Well Written Essays - 3500 words

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Evidence Based Practice Essay Example | Topics and Well Written Essays - 1500 words

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No topic Essay Example | Topics and Well Written Essays - 250 words - 22

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How does sacramental theology describe the symbolic link between God Essay

How does sacramental theology describe the symbolic link between God and Christian disciples through Jesus Christ, the Church and sacraments - Essay Example Sacraments are presented as a passage for the Christians in whom their spirits are promised a better resolve with Christ4. The church has practised the ritual presented by Christ during the final days before crucifixion to remember the promise that was bestowed on humanity. Sacraments have presented variable meanings upon Christians with the majority of the Protestants referring to it as ordinance as compared to the catholic definition and meaning. Catholics and Orthodox Church have held a higher significance on the term having several phases, each testifying on the faith bestowed on the believer5. They believe that through achieving these phases of the sacraments, there is a higher grace form achieved. Protestants, in turn, have upheld the Luther provision, practising Baptism and Eucharist. These presentations were witnessed in Christ through the bible and a connection is achieved on their implementation. Sacramental theology teaches that these measures have boosted the relationship with God emphasizing on the need to deliver faith and grace to humanity6. The practise on the sacraments hold a symbolic meaning as the teachings of Jesus and his practised are rekindled in the present society through

What does the Warrior Ethos mean to me Essay Example | Topics and Well Written Essays - 250 words

What does the Warrior Ethos mean to me - Essay Example Rather, everyone must fight at work, in society, and in our relationships to stay safe and successful. Without the impulse to engage in fight, a person is listless and demotivated. However, fighting without a code is disastrous and unhealthy. This book is unique to me in respect that it very effectively offers a code which can help all people defend their individual purposes. This code can be used by us to stay true to ourselves. This book is a great treat not for members of military merely, but for everyone who has had to fight for anything at any point in life. It offers an interesting insight into the life of a warrior with which everyone can relate and gather huge life-changing lessons. The book tells that what separates warriors from vulnerable individuals is their ability to endure adversity. Concluding, The Warrior Ethos was originally written with army officers in the author’s mind, but even a common person like myself can effortlessly relate with it. This is because of the great lessons enclosed in it which have implications for everyone from every

Discussion a solution to the problem of the abortion Essay

Discussion a solution to the problem of the abortion - Essay Example However, some among them approve of abortions in cases of incest and rape, taking into account the psychological trauma and future inconveniences that the victims have to face. But many of them think that abortion cannot a real solution to such situations, and can only increase the difficulties for those who feel guilty and paranoid after abortion. According to them, life is the most valuable element that we have to take into account in such situations, and not the ever-changing psychological states of people. The group that argues that abortions should be legalized believes that it must ultimately be the choice of the woman to have abortion or not. The idea that abortion becomes a necessity to only those who are sex assault victims is contested by them, with data that proves that in most cases, failed contraceptives and other personal choices related to the maturity of the woman and family structure are the strongest reasons for abortion. If a woman is determines that she could not manage to raise a child, she should be given the basic human freedom to get rid of the fetus before it grows to a child. There may be risks involved in repeated abortions, which could be discouraged with proper counseling from health professionals. Legalization of abortion with strict guidelines which would determine the genuineness of the person who requests it could be the only solution to the problem. Hasty and uninformed abortions could be discouraged. There could be a team of people who explain for the psychological aspected involved o the concerned person. Moreover, health professionals could be given an opportunity to research the valid reasons for an abortion before it is done. They may ask the person who needs it to give valid reasons, and prove that she would be able to handle it psychologically. Denying a woman the right to choose when she could or could not have a child will violate human

A Characters Role Essay Example for Free

A Characters Role Essay In a world focused on elevators one wonders, what would it mean if one were to take the stairs? The Intuitionist, by Colson Whitehead, deals with the exploration of Lila Mae Watson, a black female intuitionist, who undergoes a quest to reveal what Intuitionism is all about. As a result of her quest, the connection between James Fulton, the creator of Intuitionism and Lila Mae Watsons role as character is revealed. Lila M. Watson, the protagonist of this novel, endures a number of experiences as the first black elevator intuitionist. An accident occurs with an elevator which she was in charge of. From then on the story introduces Lila Maes quest for answers. Lila Maes life goes into detail about how fragments of her life have been shattered with grief, and racism above all. During her exam about elevators in college, she was answering flawlessly with details and precisions at the professors questions. The last question had nothing to do with elevators, just a reckoning to her; so that she knows that there are only twelve colored inspectors and they most of them are not even working, by making her know that even though she answered swiftly she didnt know everything: So you dont know everything; that will be all Miss Watson. (p 53) Within the story she goes into a subtle exploration of her own identity, race, and duty as a person in her position. This leads into the elusive quest for the black box and ultimately Jamess Watsons Perfect elevator But this quest of hers intertwines with the experiences of James Fulton. This intricate character deals with the many hardships that Lila Mae dealt with during her youth, only with the slight fact that he dealt with these issues with his inner self. Fultons secretive and deceiving nature is the actual cause of all the events that take place. James is actually a black man with light skin, who does not feel comfortable letting the world know that he is black because of his status. Fultons hatred of himself and his lie of whiteness(p 239). Although hes not to blame because in the world they live in it is not as easy being a person of color. There was no hope for him as a colored man because the white world will not let a colored man rise. (p 240) For this very reason he decides to play the role of a white man. At early age he knew he would be confused for a white person, so he used this trait to achieve his greatness in life. Overtime Fulton became godly to people, because of his knowledge about elevators and what he had to write about them. Every Tuesday James Fulton. stood in the downstairs drawing room and lectured on the intricacies of his science (p 54). One does not realize that this intuitionism is created as a joke. A joke that is taken seriously and soon evolves into the world itself. Both Fulton and Watson are two figures who struggle for one cause only. To achieve their goal in life, for Watson it is to find and reveal the perfect elevator into the world, and for Fulton it is to create and implement this perfect elevator into the world. As two black figures in a white-ruled society it is their socialistic duty to fulfill their goals and be aware that this achievement is critical for their community. Lila M. Watson is forced to go on a journey that is composed of events that will prove her innocence about the incident, discover the perfect elevator, and like Fulton, take an important position in society. She sees herself as a person who has a duty to fill Fultons shoes. In the other hand Fultons lies and secrets are what form the entire story. After having developed intuitionism for that long, he realized he needs a successor, who will deal with society. But it is Intuitionism that must be kept important until the world is ready for the perfect elevator. Fulton does not publish his work for this very reason. Like Lila Maes duty of finding his perfect elevator, it is his to create it. But little do we know that this perfect elevator is nothing more then what he has created as a mockery of the world he lives in. It consist of a perfect world where there exists no racial constrains. Fulton is a man who creates a perfect society in his mind and puts it in paper, but never reveals it. Lila Mae discovers this but she knows that even though shes been living in a world of lies, it is her duty to preserve this knowledge until the world becomes a place like Fulton metaphorically described in his books. This the story that deals with ones accomplishment to fool the world and in the meantime while everyone is fascinated by his accomplishments and fake works, he devotes his life to creating a blueprint to a better world for existence.

Business Plan For Early Intervention Education Essay

Business Plan For Early Intervention Education Essay The purpose of this paper is to show the need for early intervention for infants and toddler with Autism and Intellectual Disabilities. Kitkat the Educators program will prepare disabled students to excel at a young age, by teaching, training stimulating the mind to create an atmosphere to function outside of ones self. Kitkat is not like the competitors, this school will focus and offer advance communication skills (technology) to encourage speech, physical strength, academics, top of the line technology, after school tutorial, recreational, craft and dance. This disability has created a need for quality child care development and training to help children with Autism and Intellectual Disabilities to be successful in life. Also, the owner focuses on parent trainings, parents turn to for support, reassurance, and hope when faced with the uncertainty of their childs future. It is important for parent participation as long as their child receives services from the school. This program will focus on parents learning all techniques use in the classroom in the home, and community. History of Organization Kitkat is a privately held corporation run by its owner, Cathy Austin, who has 20 years of experience teaching students with Intellectual Disabilities (ID) and Autism (A). The owner is certified as special education teacher and highly qualified by the State of Georgia. The owner currently has a bachelor degree with a concentration in mentally retardation. Which is now known as intellectual disabilities? The owner will be supported in daily operations of the school by a consultant, a campus director and certified educators with experiences in the child care field. Intellectual disability (ID) is now more common amongst autistics than in the general population. Overview: According Ackerman, (2011) The increasing prevalence of Autism has been recognized as the fastest growing developmental disability in the nation, affecting one in 88 children. It is now the third most common childhood disorder, more common than Down syndrome and childhood diabetes combined. In turn, parents need to be informed of the assessment, treatment, and intervention resources available to help their children if diagnosed with autism. At the center of KitKat the Educator, we want to reassure parents that there is hope, and through our services, individuals will be able to maximize their potential. KitKat has established itself as the institution that parents turn to for support, reassurance, and hope when faced with the uncertainty of their childs future. We want to reassure parents that there is hope, and through our services, individuals will be able to maximize their potential. To most effectively meet the needs of children with autism and their families, KitKat the Educator has developed a training and education center scheduled to open in 2013. Ackerman states (2011) this new initiative will create a more timely early diagnosis screening for infants and toddlers who may be afflicted with Autism. A Licensed Clinical Psychologist (LCP) will be hired to meet the ever-growing demand for extensive evaluation, assessment, and treatment services. KitKat will work collaboratively with local service providers, and school systems, to create a progressive and comprehensive treatment facility to best serve childrens needs (Ackerman TACA, 2012). According to Berkell, Z. D. (1999), a Swiss psychiatrist Eugen Blueuler was the first to use the name Autism back in the early 1912s. The reason for early intervention today is to help Autistic children function much better in society (Berkell, 1999). In the 1940s, researchers in the United States began to use the term autism to describe children with emotional or social problems (Berkell, 1999). Kanner, Leo a doctor from Johns Hopkins University, used the word autism to describe the withdrawn behavior of several children he studied (Berkell, 1999). Also Han Asperger a scientist in Germany, identified a similar condition thats now called Aspergers syndrome Aylott, J (2011). According to Aylott, J (2011) Han Asperger found several types of autism: Pervasive developmental disorder not otherwise specified (PDDNOS)- Aspergers syndrome Rett syndrome Childhood disintegrative disorder How Is Autism Treated? Leo Kanner treatments for autism vary (Aylott, 2011) depending on the needs of the individual. Kanner, (2011) treatments fall into three categories: Behavioral and communication therapy Medical and dietary therapy Complementary therapy (music or art therapy, for example) The Owners Journey The journey as teacher did not begin immediately after college. Cathy Austins degree in special education B. S., as an Intellectual Disabilities (ID) and Autism (A) teacher for DeKalb County School District. The owner has 21 years of experience working with children with ID and Autism. The owner worked with Children diagnosed or identified with autism, cerebral palsy, Mental Retardation, intellectual impairment, physical impairments, learning disabilities and Down syndrome. The owner believes that providing structure and visual supports can help to alleviate problems that may arise. Thus, allowing individuals with disabilities to demonstrate to others their capabilities. Teaching is actually a second career for the owner; the owner worked in the health care in the as a nurses aide for 4 years. The owner was trying to run from the calling of God. On the job doing the daily routine the voice of God spoke and said this not what I told you to do! Then God said I told you to teach children with special needs. Limited with only being a nurses aide, the owner decided to apply for college to get a degree to teach. The owner was unemployed for five months and then got an opportunity to go to college and get a Bachelor Degree in Special Education (Mentally Retardation). The first teaching job was as a special education teacher for homebound. The owner wanted to do something to help and to make a difference in the lives of these young children. The Owner moved from homebound to teaching in the classroom started in 1991. The owners favorite project is walking for March of Dimes Autism, and Cerebral Palsy. What can you do to strengthen and improve the childs life? The Owner enjoys being involved in educating the community about our children and being an advocate to support the parent. The Owner always wanted to have a school for children with disabilities. Now I can see the dream happening more now than ever before. Kitkat is a childhood nickname. So the Owner decided to use kitkat as the name of the school. The teaching profession can be strengthened by additional parent-involvement. The students whose parents are involved and vigilant about seeking opportunities to further expand their childs learning and abilities are the most successful students. The art of learning does not occur solely within the confines of the classroom, but it includes life-lessons and cultural experiences. The parents who ensure they are providing these additional resources for their children help not only the child, but the teacher who can draw from these experiences to illustrate key points in the child and parent life. Philosophy The Owners philosophy of teaching is very simple. It is simply to go beyond the standards, improving inappropriate behavior and communication skills. One needs heart and compassion to teach and reach children with special needs. Having the desire to get to know the students and actually listen to them is a major part of learning. The students respond better when they know others care, and care enough to watch their patterns and identify the times when they are not themselves and need help beyond the lesson for the day. The Owners thoughts are what can one do to strengthen and improve one is to evolve as a teacher. Children are changing. Curriculum and techniques is changing. The world is changing, so for one to remain the same and not evolve with the changes of society and the people in it does not help children. The overall goal in education is to help children and in order to do that, one need to constantly reevaluate ones lessons, approach and delivery as a whole. As a teacher you learn so much from your peers, but one will continue to watch and learn from the students as well. It is honestly believed that one can make a difference in the life of a child, every day. My Career and Educational Experience B.S. Degree in Special Education MBA Degree in February 2013 2 + years Adult Workshop 2 years Georgia Regional (skilled area) children Intellectual Disabilities 3+ years supervisory experience of staff 20+ years teaching Intellectual Disabilities/Autism experience Past strategic choices- Through the DeKalb County School District, Clayton County Adult workshop, and Douglas county workshop my work experience are as follow: Homebound- providing service to disabled students not able to attend public school system due to medical and fragile situations. Clayton County Respite care to children with Intellectual disabilities. Parent Conference meeting with parent for concerns and information Atlanta Group Home for Jewish Down Syndrome adults. Current Position in the Market Location of Business The future home for the business will be 748 Flat Shoal Road, Decatur, Georgia. This business will start in the old Y building on Candler road and my pursuit for a loan of $300,000.00 for the building. This building is in the heart of the business district of Candler Road. It is one mile from Flat Shoal Elementary School. The Owner will offer after school program to disabled and non-disabled school aged children. Some of the best years in life are the time spent as a child and later our adult yearsà ¢Ã¢â€š ¬Ã‚ ¦. As working adults in a fast paced society, we sometimes forget just how precious and fleeting those years are. With that in mind, imagine an alternative to traditional infant, day and after school care that not only met your child care needs, but also provided an activity based learning environment that mirrors those used at public schools. Professional care givers with the credentials to not only enhance your childs early social and motor skills, but to also teach them advanced studies in the arts and academics found at institutions of higher learning. A curriculum based curriculum tailored specifically for children, taught in a fun, nurturing care giving environment. Now imagine this at a cost less than that of the combination of conventional training services and specific interest based children programs. Kitkat the Educator is an early intervention comprehensive developmental and educational program, exclusively for children with Intellectual Disabilities and Autism, ages new born to 7 years old. The school dedicates its efforts and resources toward ensuring top rated care giving services coupled with a high quality activity based learning environment tailored for children in these age groups. The school will respond to the needs of its parents and students with excellent care giving and instruction an advanced curriculum, flexible programs, local community involvement and business partnerships. The Kitkat School has a strong commitment to accessibility and diversity. Its open door policy embraces all who desire to provide a better quality of care, preparedness and education for their children. The school works to provide affordable, first clas s care giving and education by providing a broad range of integrated programs and services and innovative learning approaches. The school is committed to taking a leadership role in child care services, higher learning, community services and promoting cultural diversity. Kit Kat directs its activities towards student success. Campus Direction Sign Campus Office Classroom Recreational building Keys to Success The keys to success for chitchat are: Marketing: differentiating care giving and education and interest activity programs. Service quality: care giving and educational programs provided by degreed and certified educators, child care workers, tutors and technology. Reputation: maintaining a highly regarded reputation for excellence in care giving, education and community involvement and being the employer of choice in our market for child and educational talent. Profitability: controlling costs and managing budgets in accordance with company goals, adhering to strategic business plans for growth and experience and reinvesting in the business and its employees. Start up Summary: As I pursue investor to invest into kitkat business, the first location may start in my home. As the number of children increase and the fund are available then the Shoal road facility will be a dream comes true. Reaching into some of my retirement money, it is possible to use funds from my 401to start the business in my home. The school founder and president, Cathy Austin, will oversee fiscal responsibility, employing an CPA for financial oversight. A campus Director will be hired to handle day to day operations and will work collaboratively with the silent partners and other campus personnel to ensure a successful business venture. As reflected in the table below, the estimated startup cost for kitkat will be $39,450. These costs will be financed solely by the owners personal cash funds and optional credit lines. An anticipated $60,000 SBA guaranteed 5 year loan will be used as working capital. Future expansion, growth and franchising strategy will be self financed. Start Summary Utilities 300.00 Legal 2000.00 Furniture 6000.00 Toys 2000.00 Playground Fence 500.00 Rent 0 Brochures 350.00 Business printing paper 300.00 Insurance 3000.00 1 Teacher Assistance 2000.00 Built one room on house 5,490.00 Student supply 2000.00 Lab tops (4 to 5) 1250.00 Food 5000.00 Recreation equipment 5000.00 Total $35,190.00 Enrollment will be at least six children per quarter: First quarter expecting 6 children Second quarter 6 more children Third quarter 6 more children Fourth quarter 6 more children Total of 24 children As the children increase then staff will increase to help teach in a small group to focus more 1 to 4 children in a classroom. Objectives By the end of Year 2 expect sales increasing almost double. By the end of Year 1 maintain a high raw gross margin. By the end of Year1 expected to open second campus. By the end of Year 3 will attempt to franchise. Pricing Strategies Kitkat must charge appropriately for the high-end, high-quality educational and care giving services we offer. Our revenue structure has to support our cost structure, so the salaries we pay to assure quality services must be balanced by the revenue we charge. We will be price competitive in the market we serve; however, we will not subscribe to the low price leader concept. The quality of our service will support the prices we charge. Affordable Price The price for service for each child is $350.00 weekly, paying in advance by check, cash or money order. The payment policy is expected to be followed and payment is due on every Friday. Promotion Community Involvement Educational Curriculum Support Service Behavior Specialist, Occupational/Speech/Physical Therapist, Autism Specialist, Employment policy and Procedures, Job description, Safety fire, Recruitment and training Open House Tornado drills The type of services that will be offered: Full time child care Part-time/After school activities After school Tutoring Parent training and support Homebound Service Vision Statement: To enhance the life of the disabled child in socially, emotionally, academically, recreational and physically. Mission Statement: The act of learning should not occur solely within the confines of the classroom, but includes life lesson and cultural experiences. The overall goal in educating is to help disable children improve and progress socially, emotionally and communicating. One must learn to make a difference in the life of a child every day. to teach the parents increase data driven teach and reach a child to teach the child the curriculum based activity External Threats: the economy condition can be threat to profit (state funds to children with disabilities) competitors can be a threat global move External Opportunities in the community for exposure and direct mail campaigns Community Involvement Advertisement Direct mail Sales Brochures Open House Internal Strengths and Weaknesses SWOT Strengths Weaknesses Top of the line Curriculum and Training Trained/Certified Staff Small class session Required Parent training and support groups Quality care and service Not enough funds Right location Get the right people on the bus Someone stealing your idea Advertisement Community involvement Open house Direct mail Sale Brochure Parents State License and approval Economic conditions competitor Opportunities Threats Expense Table Expenses Expected Monthly Cost Expected Yearly Cost Rent Salaries and wages Supplies: Technological, Equipment, furniture, computers, software, copy machine, desks, chair, etc.) and other Advertisement and other promotions Utilities, Heat, Electricity, etc. Telephone and Internet Insurance Other (specify) Other (specify) Expected Revenue June July August Sept. Oct. Dec. Yearly Revenue (Sale) Category 1 Category 2 Total Revenue (Sales) Cost of Goods Sold Internal Factor Evaluation (IFE) Factor Weight Rating Extended Strengths Well known for quality reliable service 0.16 4 0.64 Low turnovers provides continuity customer knowledge 0.07 3 0.21 Represent a full line of top quality component manufacturers 0.15 4 0.60 Strong balance sheet with very little debt 0.11 3 0.33 Almost 60% of customers come from referrals 0.13 4 0.52 Weaknesses Strictly a local company 0.05 2 0.10 Unknown to the general public 0.02 2 0.04 Use distributors for parts purchases, incurring higher cost 0.08 2 0.16 Provide many benefits to employees that raise coat 0.13 1 0.13 Less than 5% if customers buy service contrasts 0.10 1 0.10 Total 1.00 2.83 Company Summary Kitkat first school will be located North Druid Hill, Atlanta. The school will employ six fundamentals that will serve as the driving force for the services offered. Premier care giving services An activity based, children structured curriculum Advanced technology and developmental programs Continuing education mentoring and tutoring Learning services Community advancement and involvement Company Ownership Company Ownership Kitkat developmental and training school is a privately held proprietorship owned in majority by its founder. There are also two silent partners, neither of whom own more than 10%, but will be active participants in daily operations, management decisions and consulting though they do not own a financial stake in the company. Once the operation reaches its anticipated growth and profitability goals, the school plans to franchise and will register as a limited liability company or as a corporation, whichever will better suit the future business needs. Services KitKat training school offers quality child care services and a curriculum based designed for kids new born to 7 years old and pre-k to second grade. Normal operating hours will be 6:45am to 6:30pm. Hours of operation are Monday through Friday with observance of all major legal holidays. Early drop off service will be offered as needed. KK exists to provide premier child care services that are aimed at enhancing traditional day care methodologies and integrating extracurricular interests (such as arts and crafts, gymnastics) into one comprehensive program. Our activity based curriculum is specifically tailored for children. We offer state of the art technology programs in leading edge facilities which help prepare students through main school homework assignments and provide a base of understanding and interaction to ensure success in future educational endeavors. Finally, our developmental program reinforces basic social, listening, independence and motor skills and prepares studen ts for future related interaction. All of our learning and child care services employ technology, partnerships, professional services and other activities that support and promote higher learning. In addition to the extensive services and curriculum offered, each campus will also offer weekend specialty classes for children and adults and planned family activities in the community it serves. KK will also offer children birthday party hosting services, providing great activities for kids and an easy experience for parents. Activity instructors will be assigned for these events and will lead the activities, ensuring a memorable celebration Services Description Upon its opening, Kitkat Developmental and training services will offer four basic services in the Atlanta area: Full time child care Part-time/After school activities After school Tutoring Prior to opening, the school will have a two month enrollment drive. Based on the market reaction to the drive, these services may be altered to meet the needs of the community. The school will always remain nimble enough to respond to the needs of the community in which it serves. Support Service Offered Early Intervention starts with a committee meeting to determine what services a child may need. The team will take the time to evaluate child to see if they need any of the following listed below: Psychologist the referral for a psychologist is to obtain a current intellectual functional level of the child. During this process a parent questionnaire must be complete by the parents. This is for background information; the childs birth, prenatal development, weight at birth, complications at birth; medical history such as; asthma or food allergies; and behavior. The types of testing instruments the psychologist use for evaluation is: Brigance Inventory of Early Development this instrument test self-care, gross motor, cognitive/social, communication, perceptual/fine motor and this instrument checks the age equivalent in years and months of a child. Assessment of Intellectual Functioning- the purpose of the evaluation is provided and estimation of the childs intellectual ability as a comparison against actual academic achievement. Determining cognitive strengths and weaknesses also helps to evaluate learning potential and guide recommendations for the use of specific instructional strategies and intervention techniques. Stanford-Binet Intelligence scales: Fifth Edition (SB: 5) is an intelligence measure that consists of nonverbal and verbal tasks that assess skill in five domains. The SB: 5 yield composite scores in each of these domains as well as a nonverbal Intelligence Quotient (NVIQ), a verbal intelligence Quotient (VIQ) and a Full Scale Intelligence Quotient (FSIQ) that represents an estimate of the childs overall level of functioning. Speech therapy When a child who needs speech therapy received speech in the early stages to promote your childs development, it is a support system not only for the child, but also for the family, and finally it gives your child the abilities to become a functional member of society. Development Research has shown us that most of a childs learning and development happens in the pre-school years, which is why the timing of intervention is so important. All children have what we call stages of readiness to learn, and if you miss these stages, your child may have difficulty in learning particular skills later on. Support system This is extremely important for any family with a special needs child. We have a lot to cope with in the early days, after a diagnosis, disappointment, frustration and helplessness. Many families of handicapped children also have to deal with divorce and some degree of social isolation. Thats why stepping in early can definitely give your family the tools to h ave a better attitude within the family and towards the special needs child. Your therapists can provide you with information and skills to teach and help your child t best of your abilities, thereby relieving a lot of stress and feelings of helplessness. Take advantage of friends and family who offer to help, you need to take time out, you are after all more than just a mother and a wife. Society We would all like our children to become functional and contributing members of society, so start implementing the skills your child needs to do this, as early as possible. Become involved in your childs treatment, and implement all the skills that your therapist suggests to improve their overall communication skills. The speech teacher works with the child; to assist the child in developing the ability to understand basic concepts, when shown two pictures, the child will understand the difference between the two concepts; to assist the child in identifying pictures describing basic concepts; to understand the concept of sequencing with 10%, 20% etcà ¢Ã¢â€š ¬Ã‚ ¦; the child will begin to understand sounds, temporal sequencing; the child will develop the ability to make sound, position lips, and tongue; assist the child in matching and sorting pictures with association relationship; Expressive Language-increase expressive language skills that are needed to facilitate effective daily communications; to produce his own name; name body parts; imitate sounds, intonations and words; name common objects and pictures of objects; assist the child in expressing needs through words; use eye to face contact when speaking needs through words; decrease echolalia and preservation speech; develop self confidence in verbal encounters; develop volume that is appropriate to the listeners need; participate in group activities that involve turn-taking and observation of rules; develop reasoning in cause and effect relationships; identify the object described when presented aloud with the definition; carry on a conversation in a socially appropriate manner; tell about recent and past experience; to correctly produce one-word utterances; name object and person; say words to call attention to an object; say two words to indicate the recurrence of an object; say two or more word utterance which contain an adjective and a n oun; say two or more words to show disappearance of an object; say two or more words to show emotion; use verbs appropriately; name pictured verbs; described actions performed by himself/herself; describe actions performed by others; use categories and association appropriately; name member of the category when presented with the category title; imitate the model as they point to peers possession; respond orally with the correct possessive form in short phrases as the speech teacher points to peers; respond to wh questions; answer what, who, where, when, why, and which, questions; Competitive Comparison The child care industry as a whole is saturated. However, based on US Census 2000 data, DeKalb County child care services provider listing is growing and has few licensed developmental and training centers for disabled children. Kitkat School intends to fill this local market need. In the Atlanta area North Druid Hills subdivisions mostly have retired resident homes respectively (Margret Harris Comprehensive school). There is only one other developmental facility in the North Druid Hills neighborhood. This one is on knob Dr. There is also three family child caregivers listed in the area, but none in the immediate community. Kitkat will differentiate itself from its local competitors by offering an alternative to these traditional day care approaches. The kitkat school market strategy is based on providing an activity based learning environment that is used in many major public schools. We will offer the community of professional caregivers with the credentials to not only enhances a childs early social and motor skills, but to also teach them advanced studies in cognitive and social skills. Technology Since the school founder has an extensive information Technology background, its only natural that Kitkats school will employ and maintain the latest technology to enhance its curriculum, office management systems, payment processing and record keeping. Marketing Analysis Summary Kitkats developmental and training program offers services which are vitally important in todays fast paced, dual-income world. As an increasing number of families have become dependent on one income, the need for quality child care has skyrocketed. According to Atlanta Business Statistics, 84.6% of licensed child care facilities succeed and make a profit in their 1st year of operation. Nationally, this number is 66.7%. There is no doubt, in the North Druid Hills area, that there is room and a need for a school for disabled children. Market demographics to support this statement can be found below. Target Market Segment Strategy The target market for Kitkat is full-time workers. Referral marketing, direct-mail campaigns and Referral marketing, direct mail campaigns and community activity days will be the primary types Of marketing strategies utilized. Maintaining and enhancing its reputation with families and in the community will be crucial in obtaining the planned market share growth of this target market. Market Segmentation Kitkat has a focus on meeting the local community need for child care services within the 5 mile radius of downtown Atlanta. Students will taken in flexible on either a full time or part- time basis. Full-Time Worker The school will establish a significantly large, full-time, regular client

Protection of Health Information Privacy

Protection of Health Information Privacy The Necessity of Developing a National legal Framework Introduction: A concise factual review of â€Å"privacy† indicates this concept accentuated since Hippocrate, s affidavit, firstly (1ØŒ 2). afterwards, defined by Samuel Warren and Louis Brandies as â€Å"the right to be let alone† in 1890s, subsequently, evolved as â€Å"informational privacy,† defined by Allen Westine considering as individual’s right to control personal information(3). Generally, privacy covers intermixed concepts including confidentiality and security of Personal health information (4). .Patients have an expectation of appreciation of privacy and security in connection with health information(5). Further, patient-provider reciprocal confidence form a cornerstone of medicine and privacy has the main role in this regard(1). Protecting information privacy is imperative since health records whether paper-based or electronic, encompass crucial information such as demographic, occupational, social, financial and personal information simplifying individuals, recognition(6). Moreover, it becomes paramount with the influx of an immense number of computers and information systems in health care industry, the growth of health research needs as well as the increase of information demands (7). Unfortunately, confidentiality may be exposed chiefly due to staff imprudent behaviors out of curiosity than malice(8). Studies reveals that some providers may violate confidentiality whenever speaking about a known case loudly with other colleague riding elevators or walking across the passage ways(9). Personal health information Security breach influential in patients and health care organizations so that according to literature, medical identity theft, inflict over 7 billion $ on U.S. health care industry every year. Further, victims may be high sensitive regarding confidential records and be doubtful about information piracy(10). Moreover, the disclosure of personal health information may impose economic losses and psychological influence on patients. in addition, sociological status may be at stake(11ØŒ 12). Remarkably, serious effects may be shown as the negligence of privacy protection by health care providers resulting in partly concealment of medical history; patient reluctance to go to physician; an increase of anxiety and aggressive behaviors(13) particularly in regard to growing trend in digitized health data (14). This study was investigated legal frameworks in relation to personal health information in leading countries to develop a customized national framework treating sensitive health information aptly. Methods: This study was performed as a preliminary step of a multi-stage research to develop a national framework on protection of the privacy health information. It sought the existing legal frameworks in leading countries such as Canada, Australia, United States, and European Unions to provide the insight into the necessity of development of legal framework governing the conservation of health information privacy in management information cycle consists of data collection; storage; retention; use and disclosure and destruction. The study environment has been selected for the precedence and perfection of privacy activities. Two approaches were used to locate relevant literature. Firstly, we search PubMed-Medline and Science direct (by September 2014) and Scientific Information Distribution database. Separated searches were carried out using following terms â€Å"principle†, â€Å"Act†, â€Å"Law†, â€Å"regulation† AND â€Å"framework†, â€Å"model† AND â€Å"health information†, â€Å"health data†, â€Å"medical information†, â€Å"medical data†, â€Å"patient information†, â€Å"patient data† AND â€Å"privacy† framework†. Secondly, a search was conducted on the internet search engine using the free text â€Å"health information privacy Act† AND â€Å"Personal Health Information Act†. Out of extracted literature the most prevalent frameworks investigated. Results: The considerable findings have outlined in three following tables which the first one indicates sequential review of Privacy legislation in general and particularly in health information among the selected countries. As seen in Table 1, these countries are the pioneers of law making apropos of health information privacy protection. furthermore, literature review suggested several protection of health information privacy Acts in federal and provincial levels Table 2 (15-17). Likewise, a number of guidelines, policies and frameworks developed as self-regulatory effort Table 3 (18-31). Generally, free information Act passed in 1966 in The U.S justifying individual’s right to request information from federal institutions, considers nine exceptions regarding to records generated in federal organizations which the sixth one relates to personal and medical information considering unjustifiable privacy breaches as disclosed. The privacy Act has enacted in 1974 in order to protect patient confidentiality in governmental health care institutions (e.g. institutions affiliated Veterans Affairs). Policies and laws on disclosure of health information in response to jurisdiction requests are under part 164/512 Code Federal Regulation and Health Insurance Portability and Accountability Act(32). Entirely, in Canada, privacy Act have enacted in 1983, while, the history of the concept of privacy of the personal information date back in 1997, when the Royal Commission of Inquiry investigated privacy of personal information in reply to police request for having access to medical records free from obtaining individuals informed consent(33). The concept of privacy has originated in the ratification of the Freedom of information Act in 1982(34) and Privacy Act in 1988 in Australia. Along with, The common wealth’s Information Privacy Principles has been set out to protect personal information from potential threats which may be occurred during collection or storage based on Section 14 of the Privacy Act in 1988 and â€Å"The Australian Standard AS 4400 Personal Privacy Protection in Healthcare Information System† defined requirements protecting PHI integrity and confidentiality in health information system usable for anybody involve in Health information systems development and implementation. It is developed based on the common wealth’s information privacy principles, Organization Economic Cooperation Development (OECD) guidelines with regard to privacy protection and concerning council of Europe conventions and regulations(35). As with U.S. and Canada, many Australian legislations govern on personal information collection, use and disclosure(36). For instance, 10th and 11th principles of Information Privacy Principles (IPPs) and 2nd principle of National Privacy Principles (NPPs) govern information use and disclosure. According to the 10th IPPS information use especially health information use is permissible in terms of the purposes for which data was collected, otherwise obtaining an informed consent is compulsory. Furthermore, with reference to 11th IPPs, notifying people about the probability of information exchange among individuals and organizations is required before the disclosure, albeit, some exceptions are made regarding permissible conditions for information disclosure(37). Further, supplementary activities were conducted in this regard, for example; Royal Australian College of Physicians published a manual of health information management useable for private practice properly modelling best practices related to respect for legal and ethical requirements of health information privacy and confidentiality. In addition, The Australian Commission on Safety and Quality in Health Care bills of right was approved by Health Department which on the basis of one of them, protection of health information privacy and confidentiality is a must(38). Data protection in the EU enacted in 1995 due to different laws related to protect data privacy throughout the EU and the lack of pertinent laws among some members(39). It approved since enacted Organization of economic cooperation and Development principles towards data protection in 1980 were not imperative in legal view. EU directive 95/46 is not a part of national regulation on privacy but it is actionable on the basis of national regulations(40). Overall, These principles categorized in five groups specifying principles governs data quality, determination the scope of purposes of data collection and use, protection of data security, explicitness, and responsibility to control conditions in terms of measures relevant to each principles purposes of data use, minimal limitation implemented in nationwide and cooperated in the globe. with reference to Article 8 EU/directive 95/46 health information is among protected information and processing them is not permissible except for speci fied conditions(41). In electronic environment provision of health care services and products needs more data processing activities, therefore, sensitive personal information should be processed under both directives of data protection and electronic privacy to ensure the respect for individual right to privacy and network security and communication. In this particular case, a guideline relevance to patient privacy in Transborder health care environment issued to e-health care providers comply with EU directive requirements(42). In Iran, the right of privacy is not determined clearly either in the constitutional laws or the common laws, but achievable through laws interpretation. conservation of medical information during storage, process and dissemination in cyber space has been determined merely in Electronic Commerce law(43) privacy has been expressed in 3rd paragraph of patients’ bill of rights accordingly, individuals have right to request their own crucial diagnostic, therapeutic information directly. Patients have right to ensure that their medical records (e.g. the results of examination and clinical consultation) retained confidentially and their privacy protected. Furthermore, patients have the right to access complete medical records; request a copy of medical information and correction of the mistakes(44). Discussion: Individual health information (e.g. medical records) is declared highly sensitive personal information in Supreme Court of Canada view and under the Australian Privacy legislations, therefore, individuals could control over their own information (15ØŒ 45). The findings indicate peculiar Acts regulate sensitive health information. Nonetheless, internal literature indicate that respect for confidentiality principles is required in view of the significance of medical records confidentiality and broad use of medical records in legal and jurisdictional domains(46). According to literature, the enactment of different laws for ensuring the confidentiality of medical records is a must. Furthermore, national official authorities have major role in setting out clear rules pertinent to patient data access; announcing them as actionable directives to all health care organizations as well as determining criminal and civil penalties for disrespect for patent records confidentiality and unauthorized disclosure and also data breaches(47). Given the aforementioned, considering the national requirements in regard to maintain the patients right of privacy and confidentiality of health information, health care workers both clinical and administrative staff should comply with a general framework guiding collect, use or disclose health information in a safe manner. Development of this framework illuminates the pathways for better health information management and lower patients concerns about health data breach. For this end, formation of a multidisciplinary team composed of health information managers; medical laws and ethics and experienced health information custodians is required. Normally, executive health care administrators, health policymakers influence on appropriate and actionable policy making or develop a comprehensive framework. In summary, review of the pioneers’ legislations is enlightening in this regard.

Periodontal Disease Essay -- Dental Dentistry Teeth Disease Health Ess

Periodontal Disease   Ã‚  Ã‚  Ã‚  Ã‚  Periodontal disease is more commonly known as gum disease or gingivitis. This infection is serious enough, that it can lead to tooth loss if left untreated. This chronic infection starts around the tooth and it affects the supporting bone and gums. Periodontal disease can affect anywhere from one tooth to all thirty-two teeth. The disease pathology starts with the plaque that builds up on your teeth everyday.   Ã‚  Ã‚  Ã‚  Ã‚  The plaque build up causes the gums to become red and inflamed. If not properly brushed off, the remaining plaque will also cause the gums to bleed. This stage of periodontal disease is commonly referred to gingivitis, literately meaning  ¡Ã‚ °swelling of the gums. ¡Ã‚ ± There is no real pain associated with gingivitis. It is curable with a good dental cleaning and proper brushing and flossing at home. However, if left untreated gingivitis can lead to advanced periodontal disease.   Ã‚  Ã‚  Ã‚  Ã‚  After a person has had untreated gingivitis for some time, plaque starts to grow and spread. It travels down below the gum line and the bacteria produce toxins. These toxins irritate the gums and cause the body ¡Ã‚ ¯s natural defenses to kick in. When the inflammatory response has been triggered for a while it causes the tissues that support the teeth and bone to break down. The gums begin to pull away from the tooth and a pocket forms. A pocket is a space between the gums and teeth. The deeper the pocket is (in millimeters), the further the gums are from the tooth, and the more advanced the Periodontal disease is. A normal pocket depth of a health tooth is between one and three millimeters deep. Gingivitis is 4 millimeters deep. A pocket depth of five to tooth loss is advanced periodontal disease. (I ¡Ã‚ ¯ve seen pockets as deep as 12 millimeters deep) When your dental professional is checking pocket depth, they are performing what is called a perio-chart. Perio-charting should be done annually as a preventative measure of gum disease. Plaque is the main cause of gum disease, but there are many contributing factors. Smoking is one of them. Most people are aware of the dangers of smoking. Not many people are aware that tobacco use significantly increases a person ¡Ã‚ ¯s chance for periodontal disease. Once diagnosed with periodontal disease, a smoker ¡Ã‚ ¯s chance of healing is dramatically decreased. If a smoker does heal from periodontal disease... ...ointment can cost around two hundred dollars. Crown lengthening and tissue grafts can easily cost three times as much. Not to mention the cost of prescriptions and lost time. Insurance companies will help on select procedures, but the amount covered varies per plan. The cost of a toothbrush, toothpaste, floss and Listerine is considerably cheaper. To avoid treatment costs, one should do all they can to prevent the infection.   Ã‚  Ã‚  Ã‚  Ã‚  As a trained dental assistant of four years, I have seen my share of mouths. When I first started in this profession I was amazed at how many patient I saw who were educated and well off, and who still had poor hygiene. People now days may be getting better about see the importance of taking care of their teeth, but there are still many out there that need some encouragement. Brushing your teeth is not enough in many cases. Make friends with the floss as well. It may prevent you from contracting periodontal disease. If a person has heart disease and periodontal disease their risk for death increases greatly. This disease isn ¡Ã‚ ¯t something that you can forget about. It needs to be taken seriously or it may come back to haunt you and your wallet later.

The Semiotics of the Encore :: Concert Music Audience Papers

The Semiotics of the Encore Introduction In this reflexive paper, I wish to add a brief addendum to the literature about the semiotics of performance by examining the semiotic acts that surround the ritual of the encore in a live concert performance. I will bring to my analysis of this phenomena my twenty-some years of experience witnessing rock concerts in venues of all sizes and with a wide variety of audiences and performers. I will argue that there are specific elements to this ritual that are of particular interest to semioticians. I am going to attempt an admittedly incomplete semiotic analysis of the encore based on Daniel Chandler's guidelines for "D.I.Y. Semiotic Analysis," as found at http://www.aber.ac.uk/~dgc/sem12.html. The Umwelt of the Encore What are the important signifiers and what do they signify? - What is the system within which these signs make sense? - What connotations seem to be involved? (Chandler, based on Berger, 40-41) The Umwelt of the concert goer, or semiotic 'stage' of this event, includes: the literal stage, which is raised to a greater or lesser degree above the seats on the main floor of the concert hall; the levels of seating--the class structure, to put it in Marxist terms; the ushers and/or security; the tickets which are required to gain admittance; as well as the background of prior experiences that the concertgoer brings with him or her, and an infinite number of other aspects. Of course, this Umwelt, like all Umwelten, is not identical or universal for all of the concertgoers. Each individual member of the audience builds up their own particular knowledge structures of this kind of event; these structures form their own particular Umwelt. The more experiences of concerts, the more complex the Umwelt constructed around them. For instance, the Grateful Dead often performed two sets without an opening act. Most concerts feature two acts with an interim between them. A friend of mine, unfamiliar with the way the Dead's music and the way they structured their concerts, went to her first Dead show and in the intermission between sets, said loudly, as it had been twenty minutes or so since the band had left the stage, "Gee, when are the Dead coming on?" This was greeted with howls of derision from her surrounding neighbors, whose Dead-concert Umwelt was more developed. The most important aspect of the rock-concert Umwelt, I would argue, isn't directly observable: the invisible ring or wall around the stage which separates the performers from the audience.

The Prince :: essays research papers

"An Outline and Arguments on The Prince by Machiavelli" Niccolo Machiavelli was a very knowledgeable man. He was born in Florence in 1469 and when he was of the age 43 he wrote The Prince. His first admission into politics happened in1498 with the title as Secretary to the Second Chancery of the Signoria. He held this job through the year 1512 right before the Medici took over Florence. He was very faithful to his elders and to the policies of the government. In 1502 he became assistant to Soderini who was elected chief magistrate of the Republic. One of his finest accomplishments came in the year 1509 when he made Pisa acquiesce after a 15 year struggle. He was mostly credited because he directed the land and sea blockade that brought about Pisa’s submission. Three years later the Spaniards attacked Prato. They broke the walls, attacked the defenders, and totally destroyed the town. A couple days later Soderini resigned and went into exile. The Medici took control of Florence and six weeks later dismissed and banished Machiav elli for one year. Early in 1513 he was suspected of plotting to overthrow the Medici government. He was first arrested, then tortured, and then released after his innocence was satisfactorily proven. He then went to a small farm near San Casciano where he was restless and bored. There he wrote the book called The Prince. There are a lot of ideas and teachings mentioned in the book. It as a whole discusses what a principality is, what kinds there are, how they are won, how they are maintained and why they are lost. He first states that there are either republics or principalities (inherited or new). Principalities that are inherited are more easily to keep because the citizens already know and are familiar with the family in power. So the new prince should not keep away from the methods of his predecessors. This theory holds value because if the people are already familiar with the law and are acquainted with family then the heir to the throne will be loved and taken in as a brother. If a new state is conquered then it will be hard to keep because of all the injuries that took place while occupying the new principality. Therefore, he will probably lose it. But, after one has conquered a territory a second time it will be easily lost because the ruler can use the rebellion as an excuse. The Prince :: essays research papers "An Outline and Arguments on The Prince by Machiavelli" Niccolo Machiavelli was a very knowledgeable man. He was born in Florence in 1469 and when he was of the age 43 he wrote The Prince. His first admission into politics happened in1498 with the title as Secretary to the Second Chancery of the Signoria. He held this job through the year 1512 right before the Medici took over Florence. He was very faithful to his elders and to the policies of the government. In 1502 he became assistant to Soderini who was elected chief magistrate of the Republic. One of his finest accomplishments came in the year 1509 when he made Pisa acquiesce after a 15 year struggle. He was mostly credited because he directed the land and sea blockade that brought about Pisa’s submission. Three years later the Spaniards attacked Prato. They broke the walls, attacked the defenders, and totally destroyed the town. A couple days later Soderini resigned and went into exile. The Medici took control of Florence and six weeks later dismissed and banished Machiav elli for one year. Early in 1513 he was suspected of plotting to overthrow the Medici government. He was first arrested, then tortured, and then released after his innocence was satisfactorily proven. He then went to a small farm near San Casciano where he was restless and bored. There he wrote the book called The Prince. There are a lot of ideas and teachings mentioned in the book. It as a whole discusses what a principality is, what kinds there are, how they are won, how they are maintained and why they are lost. He first states that there are either republics or principalities (inherited or new). Principalities that are inherited are more easily to keep because the citizens already know and are familiar with the family in power. So the new prince should not keep away from the methods of his predecessors. This theory holds value because if the people are already familiar with the law and are acquainted with family then the heir to the throne will be loved and taken in as a brother. If a new state is conquered then it will be hard to keep because of all the injuries that took place while occupying the new principality. Therefore, he will probably lose it. But, after one has conquered a territory a second time it will be easily lost because the ruler can use the rebellion as an excuse.