Wednesday, January 29, 2020
Electronic Health Records and Our Government Essay Example for Free
Electronic Health Records and Our Government Essay Electronic Health Records involvement in health care reform is at the main focus of lowering the cost to make care more affordable and improvement in the quality of care patients receive. The transition to electronic health records for the last couple years have been driven by offered incentives through the government. As the time pass by the popularity of electronic health record system increase more and more. EHR Systems involvement with government health care reforms in 2010 Financial incentives were aligned to encourage the adoption of EHR. To further support the transition to EHR funds were also provided to train health care professionals on how to us EHR in a meaningful manner. The incentives decline every year until 2015 when it will then be mandatory. After the deadline of 2015 not being in compliance will result in being penalized financially. In order to receive the incentives there are very specific guidelines and requirements that must be fulfilled. Some examples of requirements are EHR systems that record BMI (body mass index), patient demographics, as well as 40% of prescriptions must be submitted electronically. EHR Systems involvement with government health care reforms in 2011 The reporting year begins for eligible professions on January 1st. Medicare EMR incentive program registration began in January 3rd. In April Attestation began. In May Payments began. July 3rd was the last day for eligible hospitals to begin their 90 day reporting period to demonstrate meaningful use for the Medicare EMR incentive program. September 30th was the last day of reporting year ends for eligible hospitals. October 1st was the last day for eligible professionals to begin their 90 day reporting period for calendar year 2011. December 31st the reporting year ends forà eligible professions. Out of 57% of office based physicians that were using HER systems only 34% met the criteria to receive incentives. (CDC) EHR Systems involvement with government health care reforms in 2013 According to the CDC By this time fifty percent of doctors and eighty percent of hospitals were receiving incentives for using EHR meaningfully. Before the encouragement of transitioning to EHR by presi dent Obama only seventeen percent of physicians were using it. (U.S. Department of Health Human Services) It was predicted by the congressional budget office that ââ¬Å"the federal government will be saving close to twelve billion by converting to electronic health recordsâ⬠.(U.S. Department of Health Human Services) WORKS CITED Hsiao, Chun-ju, and Esther Hing. Electronic Health Record Systems and Intent to Apply for Meaningful Use Incentives Among Office-based Physician Practices. Centers for Disease Control and Prevention. Centers for Disease Control and Prevention, 07 Mar. 2012. Web. 11 Sept. 2014. HHS. News. Doctors and Hospitals Use of Health IT More than Doubles since 2012. U.S. Department of Health Humanservices, n.d. Web. 11 Sept. 2014. Pear, Robert. Standards Issued for Electronic Health Records. THE NEW YORK TIMES. NEW YORK TIMES COMPANY, 13 July 2010. Web.Schiling, Brian. Quality Matters. The Federal Government Has Put Billions into Promoting Electronic Health Record Use: How Is It Going? THE Comonwealth Fund, n.d. Web. 11 Sept. 2014. Feris, Nancy. Electronic Health Record Standards. Health Affairs. Project Hope, n.d. Web. 11 Sept. 2014.
Tuesday, January 21, 2020
Sociological Theory Essay -- Social Inequality Sociology
It is a theme in sociology to discover where and why there are social inequalities, either as a result of class stratification, gender, race, and/or a combination of these factors. Theorist cannot explore, or even attempt to, discuss all of the issues so they develop explanations that, at times, coincide with one another. In dealing with the relationship between two conceptualized ideas, oppression/inequality and individualist/liberal ideology, theorist seem to focus on the cause and effect association that structures these ideas. Focusing on four theorist and their ideas for the production of these relationships we will discover how they intertwine and build on each personââ¬â¢s understanding of one topic, and show how it can branch to cover others, or expose the deficiencies and provide a new perception of the societal structure. After the examinations and suggestions made on how to make the communities we live in more inclusive of those who feel, and in fact are, oppressed ther e are no remedies that can cure the plague of societyââ¬â¢s inequalities/oppressions, and whether they are evidence of individualist/liberal ideology does not matter. In T.H. Marshallââ¬â¢s ââ¬Å"Citizenship and Social Classâ⬠he assesses the reasons for social inequality by examining the structure and definition of citizenship. He defends his argument by investigating the origin of citizenship in English history. In the beginning of his theory Marshall defines the individual pieces that produce citizenship; civil rights, political rights, and social rights. Civil rights are ââ¬Å"the rights necessary for individual freedom-liberty of the person; freedom of speech, thought, and faithâ⬠(Marshall 1995 [1965]. p.94); political rights give permission to be a member of the politic... ...hley W. Doane and Eduardo Bonilla-Silva (eds.), ââ¬Å"ââ¬ËNew Racism,ââ¬â¢ Color-Blind Racism, and the Future of Whiteness in America.â⬠In White Out: The Continuing Significance of Racism (New York: Routledge), pp. 271-312. Fraser, Nancy and Lynda Gordon. 1995. ââ¬Å"Contract versus Charity: Why is There No Social Citizenship in the United States.â⬠In Gershon Shafir (ed.), The Citizenship Debates (Minneapolis: University of Minnesota Press), pp. [XX]. Marshall, T. H. 1995 [1965]. ââ¬Å"Citizenship and Social Class.â⬠In Gershon Shafir (ed.), The Citizenship Debates (Minneapolis: University of Minnesota Press), pp. [XX]. Young, Iris Marion. 1996. ââ¬Å"Gender as Seriality: Thinking Theoretically about Women as a Social Collective.â⬠In Barbara Laslett and Ruth Ellen Boetcher (eds), The Second Signs Reader: Feminist Scholarship, 1983-1996 (Chicago: University of Chicago Press), pp. 713-738.
Monday, January 13, 2020
Extraction of Benzoic Acid
Introduction: The theory behind the extraction of a solution containing benzoic acid, cellulose, and methyl orange involves many components pertaining to the fundamental ideas of solubility and polarity. Using the concepts of like dissolving like and acid base reactions, a solution of organic acid (benzoic acid), a water soluble compound cellulose, and an organic soluble compound methyl orange, can be separated and benzoic acid can be isolated by a method of extraction.At the fundamental level, organic solvents separate from aqueous solutions based on their varying densities, typically the organic layer being less dense and therefore on top of the aqueous layer1. Therefore any solutes in those solutions are also separated and can be isolated from one another. This phenomenon is the basis for the liquid-liquid extraction and leads into the concept of the partition coefficient. According to MtCg the ratio of concentrations of a solute in each layer is defined by the partition coefficie nt K, where K = C2 / C1.The distribution coefficient can therefore be viewed as the ratio of the concentration of the compound in organic solvent to the concentration of the same compound in aqueous solution. This constant allows for the calculation of dissolved compound in each layer of the solution, so that after several extractions, the yield can be sufficient for the purposes of the experiment. A second type of extraction, acid-base extraction, involves the addition of acids and bases in solutions to change the polarity of organic acids and bases to their corresponding water-soluble salts2.This allows us to take advantage of the liquid-liquid extraction to separate organic acids and bases from solution mixtures. Such extraction can be considered chemically active extraction because the polarity of one substance is altered to increase solubility in water. This type of extraction is necessary when both compounds are non-polar and dissolved well in organic solvents. For Experiment #1 Extraction of Benzoic Acid, a solution of benzoic acid, cellulose and methyl orange will first be added to ether, heated and filtered to separate the organic insoluble cellulose leaving benzoic acid nd methyl orange. Then after adding NaOH, the benzoic acid will react to form the water-soluble salt, sodium benzoate, which can be separated via the liquid extraction technique. Finally adding HCl to the aqueous sodium benzoate will cause the acid-base reaction to undergo restoring benzoic acid in the organic layer and NaCl in the water layer. Reagent Table: Experimental: To start, a solution of diethyl ether was mixed with 4. 06g of crude benzoic acid with two impurities.Boiling stones were added to the mixture and heated over the steam bath until the ether solution began to boil. Once the solution was boiling to most efficiently dissolve the inorganic parts of the solution, the ether insoluble material was filtered out of solution using the Buchner funnel vacuum filtration techniqu e. The filtrate ether remaining was added to a separatory funnel with 30mL of 1M NaOH, mixed and vented properly, and then rested as the solution settled into separate organic and aqueous layers.The bottom layer (aqueous) was drained from the separatory funnel into a beaker and another 30mL of NaOH was added to the left over ether, swirled and vented, separated, and the aqueous layer drained off into the same beaker as the first aqueous extraction. Next the aqueous solution that was collected was cooled on ice and 50mL of chilled 6M HCl was added to the mixture. At this point, a Bruchner funnel was used to collect the solid precipitate via vacuum filtration and those collected crystals were weighed out and set aside for the recrystalization of benzoic acid.Results: The most important measurements made during this lab were the initial weight of the crude benzoic acid, which was 4. 06g, and the mass of the crystals after the separation from the two impurities, 4. 88g. The fact that th e crystals weighed more than the starting material can be accounted for based on the lack of proper drying time for the crystals, and will be accounted for when calculating the percent composition.Discussion: After the results of the lab, there were a few points to consider in the final analysis. First off, and most importantly, after the crystals were obtained from the aqueous solution obtained by adding NaOH, the crystals were used immediately for the recrystalization and were not given the proper time to dry out, so the weight of the wet crystals must be used to calculate the percentage composition, which will be inaccurate.Another important note was after the HCl was added to the aqueous solution, the solution turned bright pink, indicating that some of the methyl orange, which should have remained in the organic layer in the separatory funnel, had made it into our aqueous solution. To counteract this, when the vacuum filtration technique was used, the solid precipitate was wash ed with distiller water to ensure the crystals did not contain a pink tint to them.The reason this lab works was because the first filtration got rid of the organic insoluble cellulose leaving methyl orange and benzoic acid in the ether mixture. Then, using the acid-base extraction technique, benzoic acid was altered to sodium benzoate, rendering it soluble in aqueous solution, which allowed for the separation of the sodium benzoate from the methyl orange (still dissolved in ether) and then the reformation of benzoic acid by adding a strong acid to the aqueous dissolved salt. References: MtCg pg. 129 MtCg pg. 131
Saturday, January 4, 2020
1984 the Loss of Humanity Essay - 747 Words
1984: The Loss of Humanity The novel 1984 has left a lasting impact in the literary world. Though the year in which the book takes place has come and gone, the book can still warn of a future that could come. In all reality, the book could be titled 2100 and have the same plot line. But although the warning still has relevance and citizens of the United States should be conscientious of it, the democratic society of the country provides a protection against the loss of individualism. The first step of losing humanity occurs when citizens lose their ability or desire to think independently and know the truth; 1984 depicts the loss of societyââ¬â¢s human qualities and how this scenario might occur in the future. In 1984, Winston andâ⬠¦show more contentâ⬠¦In the 2012 presidential election, 99% of citizens voted for either the Democrat or Republican candidate (ââ¬Å"Election 2012â⬠). Americans like to think they are different from everybody else, but this is not always the reality. So, Americans may be losing some of their individualistic thinking, bringing them closer to the minds of the citizens in the society of 1984. In recent years, America has become a world of social media. On September 14, Facebook reached 1 billion users, which is about one seventh of the worldââ¬â¢s population (Vance). Though social media allows everyone to share their opinion with whomever they want, it is also used by some as the only avenue to learn information. In 2010, 6.1 million students were taking at least one online course (Lytle). Many citizens also accept information off the internet as true without validation. People become ââ¬Å"followersâ⬠and can base their opinions on what somebody else says. In the society of 1984, the idea of social media does not exist. However, the act of blind following does exist in 1984ââ¬â¢s society. Big Brother is the citizensââ¬â¢ only source of information and they do not question the validity of any claims made by the Party. 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