Analysis on Quality Improvement in Federal Prison Essay Example for Free

Analysis on Quality Improvement in Federal Prison Essay Introduction In the light of establishing a furnished description of the subject tackled on this paper quality improvement (QI) is an organized approach to planning and implementing continuous improvement in performance. Although QI holds promise for improving quality of care and patient safety, federal prisons that adopt QI often struggle with its implementation. This article examines the role of organizational infrastructure in implementation of quality improvement practices and structures in the federal prison.   The author gives more attention specifically on four elements of organizational support and infrastructure for QI-integrated data systems, financial support for QI, organizational integration, and information system capability. Further, these macrolevel factors provide consistent, ongoing support for the QI efforts of clinical teams engaging in direct patient care, thus promoting institutionalization of QI. Results from the multivariate analysis of 1997 survey data on 2,350 federal prisons provide strong support for the hypotheses. Results signal that organizations intent upon improving quality must attend to the context in which QI efforts are practiced, and that such efforts are unlikely to be effective unless appropriate support systems are in place to ensure full implementation. This paper addresses these gaps by examining the role of multiple elements of organizational infrastructure in implementation of QI practices and structures in the federal prison. Our results are intended to provide managers with information about the kinds of resource commitments and structural changes that enhance the value of their investment in QI, and to help policy makers identify policies or incentives that would help the federal prison management reach its utmost desire in the sagacity of Time Quality Management and other sort. Analysis This section consists of a continuous improvement model and the tools of improvement arranged in a logical flow to get the desired results. The emphasis is on all employees. This model and the basic tools utilized can be learned and effectively applied by everyone. There are many statistically based programs that are helpful for driving improvements on very technical problems. These programs are good for what they are designed to do. The limitation is that often they only engage a small percentage of the workforce. Typically, a few managers and a few technologists or engineers will be involved. There are also some good problem-solving techniques available that, all too often, are applied only after a customer-upsetting incident has occurred. Most organizations have, literally, tons of data, and yet very few of them are using it effectively. Within this continuous improvement teaming, you will learn how to convert data into information. The tools that will be used to do this are Pareto diagrams, histograms, scatter diagrams, and charting. Where more information is required, you will learn how to design and implement check sheets to gather the data required to provide the sought-for information. In the beginning of a continuous improvement program, one only needs to have the visibility with regard to the effect of things which are not being performed well in the provision of high quality product or service to the subjects.   With the use of this certain flow of organizational improvement, it shall be easier to make us of a diagram which illustrates the essence of conjunction and brainstorming, hence, not undermining the other external and internal functions bereft the subjects under study.   The poor effects of the organizational strategies which has been utilized may give light on the sagacity of improving the organization’s standards and the elimination of the unnecessary ideas for that instance. Aside from that, if the certain causes are found to be that which is isolated to specific are, person, or time period within the operation, the it will most likely be easier to get a through glimpse of the operation thus learning an echelon of stratification techniques and other unique case which shall be pondered on by the launchers of the study. The factors which have been stated may be that which are implicitly defining the crucial state of improvement and other sort of the like.   However, such does not dente weakness, but rather an innate sense of quality analysis as shown in the diagram below[1].   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Even though the diagram is that which is not focused on the federal prison arena, still, the idea is the same.   The improvement process is a cyclical form hence, having internal and external collaborations.   As stressed by Lewis and Clark in the improvement process, it is important to bear in mind that improvement itself does not stop in a certain peak.   Nevertheless, all state should be equally given consideration and in order to achieve the summit of total satisfaction, it must not only dwell on the ability of the tangibility of entities, but behavioral realms as well. Conclusion Reflecting the growing emphasis on organizational systems of care, QI is an organized approach to planning and implementing continuous improvement in performance. QI emphasizes continuous examination and improvement of work processes by teams of organizational members trained in basic statistical techniques and problem-solving tools who are empowered to make decisions based on their analyses of the data. Like other systems-based approaches, QI stresses that quality depends foremost on the processes by which services are designed and delivered. The systemic focus of QI complements a growing recognition in the field that the quality of the care delivered by clinicians depends substantially on the performance capability of the organizational systems in which they work. While individual clinician competence remains important, many increasingly see the capability of organizational systems to prevent errors, coordinate care among settings and practitioners, and ensure that relevant, accurate information is available when needed as critical elements in providing high-quality care. We argue that implementation of QI in federal prison settings can be facilitated by organizational structures, resources, and operational systems that provide a supportive context for enhancing both the scope and intensity of clinical QI efforts. Scope refers to the extent or range of application of QI philosophy and methods, and, as such, it indicates the pervasiveness with which QI practices permeate organizational structures and routines. QI emphasizes organization-wide commitment and involvement because most-if not all-vital work processes span many individuals, disciplines, and departments (Berwick, Godfrey, and Roessner 1990; James 1989). Intensity refers to the strength of application or degree of focus on QI philosophy and methods and therefore, indicates the degree of development of the QI effort. In a well-developed QI effort, continuous improvement becomes an integral part of the daily work life of organizational members, as opposed to an intermittent or circumscribed activity (Berwick 1990; Deming 1986; Ishikawa 1985). While quality control remains important, continuous improvement becomes the primary goal (Berwick).    References:   Creech, B. (1995). The Five Pillars of TQM: How to Make Total Quality Management Work for You. New York: Plume. Foss, N. (1996). Towards a Competence Theory of the Firm (1 ed.). New York: Routledge. Schwab, D. P. (2004). Research Methods for Organizational Studies (Second ed.). New York: Lawrence Erlbaum. Williamson, O. E. (1995). Organization Theory: From Chester Barnard to the Present and Beyond (Expanded ed.). New York: Oxford University Press, USA. [1] Continuous Quality Improvement (CQI); Lewis and Clark Model.

Are You There, Reader? Its Me Margaret Essays -- Literary Analysis

Joseph Michael Sommers, has written an article on one of Judy Blume’s most iconic coming of age story; Are You There, God? It’s Me Margaret. In this article he speaks about the nature of this novel and how it speaks to young adolescent females. He speaks about the connection the novel has between the protagonist and the reader. Sommer’s argument is that the protagonist breaks the fourth wall and seeks outside intervention to her troubles in her life. The author speaks about the boundaries Judy Blume has tested. One is â€Å"sororal dialogism† in the novel, and how he will show it as a recast of avuncularism. Also how sororal bond can be found and interpreted in the novel. Another issue is, how Are You There God? It’s Me Margaret, has been described as a problem novel. As well as what position the reader plays. One thing that stood out was that Sommers in the title of the essay puts â€Å"reader† in the spot where the word â€Å"God† should be. The author uses first person point of view in his article, to connect with his audience, but his connection is not a personal one he wants it to be one of logic. He puts emphasis on the fact that we as reader are somewhat put in a position, that if we are the same gender and have gone through the same adolescent troubles (puberty, menstruation, boys, etc), we are compelled to identify with the main character. Sommer’s states: The reader reads in order to feel sorrow for the protagonist in a manner the reader can assimilate. Yet, it seems that the nature of Margaret’s thoughts is inherently dialogic or, to work with Duke’s terms, empathic: neither Margaret nor the reader uses the text in order to solicit pity from the other. What function would a â€Å"pity party† serve a reader by herself? To the contra... ...oached. Such as: how the reader is seen as having so many roles, and to which one do they take. This article is well- written and he has some significant points about the novel. Sommer’s tactics of constructing his argument in a logical manner was the right thing to do. It helps the reader to separate their feelings that they may have had when reading the novel, and look at facts. In some parts of the article he used reader-response, which helped you to question what others have said about this novel. Although there were parts where his argument is not clear, it did consist of some valid points. Works Cited Joseph Michael Sommers. "Are You There, Reader? It’s Me, Margaret: A Reconsideration of Judy Blume’s Prose as Sororal Dialogism." Children's Literature Association Quarterly 33.3 (2008): 258-279. Project MUSE. Web. 31 Mar. 2012. .

Social Concerns in the Novel “The Kite Runner”

In the novel The Kite Runner by Khaled Hosseini, there are plenty of examples that prove this to be correct, walking through the life as an upper or lower class citizen, dealing with tough situations. As upper class citizens, it is much easier to receive a proper education due to the fact that it isn’t necessary for one to get an occupation to help support their family because no additional support is needed. Since upper class citizens can have the luxury of being able to read and write, they are more likely to become successful, for example,Amir, a young boy who is born into the wealth of his father, Baba, talks about how he is using his education to excel in language arts, â€Å"In school, we used to play a game called Sherjangi, or â€Å"Battle of the Poems. † The Farsi teacher moderated it and it went something like this: You recited a verse from a poem and your opponent had sixty seconds to reply with a verse that began with the same letter that ended with yours. Everyone in my class wanted me on their team, because by the time I was eleven, I could recite dozens of erses†¦One time, I took on the whole class and won† (17). This example shows how Amir has the advantage over most kids, who aren’t as fortunate to receive an education and is able to excel by becoming one of the most prominent students in poetry of his class. It also shows that Amir has a good chance of being a success by using this education to advance him for when he’s older. Rahim Khan, Baba’s best friend, also notices that Amir is becoming more knowledgeable in language arts when he reads Amir’s first story, â€Å"I enjoyed your story very much.Mashallah, God as granted you a special talent. It is now your duty to hone that talent, because a person who wastes his God-given talents is a donkey. You have written your story with sound grammar and interesting style. But the most impressive thing about your story is that it has irony. You ma y not even know what that word means. But you will someday. It is something that some writers reach for their entire careers and never attain. You have achieved it in your first story† (28). This again further displays that because Amir is able to receive a good ducation, he is able to write impressively. Not only does this example show that he is a good student, but it also shows that if one is given the chance to be educated and takes advantage of it they can become successful. People in the upper class have the opportunity to gain an education because they have the wealth to be able to do so, however people in the lower class aren’t as fortunate. People who are in the lower class are forced to work hard for what they have because, they haven’t been blessed with the luxury of being born into a wealthy family.This is true for Hassan, Ali’s friend and servant, who must stay with his father and work at Ali’s home to earn a living and isn’t abl e to educate himself by going to school, however Hassan learns to appreciate life and everything that is given to him, for example, Amir describes a normal day for Hassan and himself, â€Å"During the school year, we had a daily routine. By the time I dragged myself out of bed and lumbered to the bathroom, Hassan had already washed up, prayed the morning namaz with Ali, and prepared my breakfast.While I ate and complained about homework, Hassan made my bed, polished my shoes, ironed my outfit for the day, packed my books and pencils. I’d hear him singing to himself in the foyer as he ironed, singing old Hazara songs in his nasal voice. Then, Baba and I drove off in his black Ford Mustang† (23). This excerpt shows very wonderfully, how Hassan is a hard working young boy, in the lower class, who appreciates things and makes the best of his situation, he is awake bright and early, full of energy, singing and enjoying the day he has before him, happy to be alive.It also sh ows the fact that people in the lower class are able to enjoy the little things in life much more than that of the upper class, because they have to work hard and appreciate the things they work hard for. However people in the upper class may become snobby and take for granted the things that they have, for instance, when Amir is reading to Hassan, and Hassan stops him to ask a question, â€Å"what does that word mean? ‘which one? ’ ‘imbecile’ ‘you don’t know what it means’ I said, grinning. ‘Nay, Amir agha. ’ ‘But it’s such a common word! ’ ‘Still, I don’t know it. ‘Well everyone in my school knows what it means’, I said. ‘Let’s see. ‘Imbecile. ’ It means smart, intelligent. I’ll use it in a sentence for you. ‘When it comes to words, Hassan is an imbecile’(25). This shows that Amir doesn’t appreciate the fact that he is able to be so educated and demeans Hassan for not being able to have an education. However, Hassan shows that he is eager to learn more and appreciates the stories that Amir reads to him and wants to have the full understanding of the story, thus showing that people of the lower class usually show reater appreciation for what they have and earn. Some may like to think that living life prosperously is always a good thing, and to most it is a very positive experience because it represents hard work that one has done in order to earn that rich lifestyle, but to others who come into prosperity without earning it find it hard to deal with the struggles one finds in life. People, such as Baba, know what hard work is and are generous to others who are less fortunate because they know what its like to work hard to become successful, for example, Rahim Khan refers to Baba’s enerosity when speaking with Amir,†I think that everything he did, feeding the poor, giving money to friends in need, it was all a way of redeeming himself. And that, I believe, is what true redemption is, Amir Jan† (302). This shows how Baba, although wealthy, is very caring and shows a true commitment to helping others who need it. It also displays the character that Baba has been instilled with through life experiences, such as trials and tribulations, which help him to appreciate what he has earned. However to others, such as Amir, who is born into prosperity, don’t know the meaning of hard ork or how to deal with problems they are faced with, for instance when Baba is discussing his son’s inability to deal with problems, such as bullies, with Rahim Khan he says, â€Å"Self-defense has nothing to do with meanness. You know what always happens when the neighborhood boys tease him? Hassan steps in and fends them off. I’ve seen it with my own eyes. And when they come home I say to him, ‘how did Hassan get that scrape on his face? ’ And he says, †˜he fell down. ’ I’m telling you, Rahim, there is something missing in that boy† (20). This is a good example of how Amir is unable to esolve matters on his own while Hassan is able to deal with situations and predicaments because of his tough upbringing. It also shows that Amir is incapable of working with conflicts because he has always been protected and dependant on others, unlike Hassan who hasn’t had that luxury of having things handed to him and has always fought for everything he has. In closing, the lifestyle of the upper class can be very fulfilling if the hard work that goes into it is understood, however if it isn’t and one becomes spoiled, it can be detrimental to one’s life and personality.

The Relationship Between Capitalism And Democracy

The relationship between capitalism and democracy has been defined by many as fundamental complementary ideologies, and social scientists have discovered an undeniable link between the two structures with some suggesting that â€Å"where either capitalism or democracy flourishes, the other must soon follow† (Reich, 2007). Currently, the main form of modern democracy is polyarchal democracy which originated from the Greek word polyarkhe, meaning ‘many rule’. This infers that multiple people within a government system possess political power, making it neither a dictatorship nor a pure democracy ruled by the people. The relationship between these two complementary yet conflicting social structures have led some to believe that there are in fact enemies rather than corresponding entities due to the selfish and competitive nature of capitalism negatively affecting a democracy’s notion of equality. Joseph Schumpeter however, proposed in ‘Capitalism, Socialism and Democracy’ that democracy may function just as effectively under socialism rather than drawing the conclusion that democracy is only generated under the conditions of capitalism. Other social scientists like Rueschemeyer, Stephens and Stephens (1992) believe that â€Å"democracy arises due to its functional fit with the advanced industrial economy†, which provides an answer as to why many 3rd world and developing countries still have yet to implicate the form of democracy in their political systems due to their lack of industrialShow MoreRelatedCharacteristics Of A Nation State902 Words   |  4 Pages While some inhabitants of a nation might accept the the culture of other nations in addition to their own, others might have feelings of deep nationalism. In Scotland, this appeared to be true and what it did was cause somewhat of a social rift between the two nations. 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