Day: January 2, 2020

Now that you have participated in your servant leadership opportunity, discuss how the experience affected your understanding of leading by serving others. Support your ideas with specific examples from your volunteer experience. Strengthen your claims with supporting citations from topic study materials. Provide in-text citations and corresponding references.

Respond to… 

Just-in-Time (JIT) Inventories

Effective operation strategies are continuously being reevaluated to enhance their efficiency, reduce unused products, generate higher quality products, as well as many other features of what is obviously defined as Just-in-Time (JIT) (Vonderembse & White, 2013). This methodology was reinvented from the worldwide automotive manufacturing giant, Toyota during the 1980s. This method looked at ways to upsurge the quality of manufacturing without having outrageous amounts of additional inventory (Vonderembse & White, 2013). Today, many other firms have been able to adjust the concept and processes of JIT within their own businesses to decrease surplus waste from production. Yet, there are still organizations that this process of efficiency would not be as beneficial for.

In the retail industry, companies are using the JIT process to reduce the amount of back stock that housed within their facilities. The decrease of this back inventory allows for a greater turnaround of existing products while safeguarding that when stock amounts begin to decrease; the availability of ordering and receiving replacement orders are relatively productive and quick turnaround time. Yet, for example, the restaurant industry does not have the practices to greatly lessen excessive inventory to the levels that resemble the JIT process. Most restaurants, today, have the ability to use the fresh, farm to table products with easy re-order accessibility. However, there is a required amount of inventory that is needed, on hand to run their operations successfully on a daily basis.

Another company similar to restaurant servicing is Costco and Sam’s. Both companies are notorious for their warehouse approach at discounted pricing for members. The amount of excess inventory based on the current product listing far surpasses the quantity of traffic that is achieved. Costco and Sam’s Club will also order standard items that may not be readily available to the members until a certain time frame. This process is effective for these wholesale companies and alike warehouse shopping centers, but it does not reflect the JIT concept of only having the needed amount of inventory based on the production of sales. Just-in-Time has beneficial factors that can be tailored to many businesses and there are those, as previously illustrated that cannot or will not be able to adapt to the processes in their entirety.

Reference

Vonderembse, M. A., & White, G. P. (2013). Operations Management [Electronic version]. Retrieved from https://content.ashford.edu

Respond to… 

Companies or Industries WhichJust-in-Time ( JIT) Would be Inappropriate

          It is important to understand the concept or the theory behind the term Just-in-Time (JIT), which was explained in the text (Vonderembse, & White, 2013); which is a strategy implemented by management to increase its efficiency while minimizing its inventory. The JIT strategy works to align raw material orders from suppliers directly with its production schedules. One of the main goals of this system is to reduce waste by receiving the goods only when they are needed for the production process, which results in a decrease in the cost of inventory.  In order to successfully implement this strategy, it is vital that the producers forecast demand accurately (Vonderembse, & White, 2013).

           Based on the concept of JIT, there are companies that would not benefit from this strategy and it would also be inappropriate based on the type of industries.  Organizations that operate without any kind of processing cycle that consists of a  repetitive nature, such as manufactures of custom or specialized products would not benefit from JIT.   If the company or industry does not have a production process that is repetitive, then they would not know what materials are needed ahead of time.  As a result, the JIT inventory system would not work for small retailers, because the lower inventory volume would yield a higher cost per unit (Vonderembse, & White, 2013).  This model is unaffordable for smaller retailers due to the higher cost per unit.  For example, a small retailer such as Bealls department stores that sells apparel and various household items would not benefit from this system because they lack purchasing power and product volumes.   However, companies like Walmart thrive on the JIT model because they have high production levels and can benefit from economies of scale. 

  Reference

Vonderembse, M.A., & White, G.P. (2013). Operations Management [Electronic version].

     Retrieved from https://content.ashford.edu/  

Write a 2 Paragraph response (with 2-3 sources) to this post offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

Healthcare system presently is faced with challenges to improving quality of care and controlling costs and according to the Institute of Medicine, electronic health records (EHR) serve as a solution to these challenges (2001). The Health Information Technology for Economic and Clinical Health Act (HITECH) passed by President Barack Obama promotes the adaptation of EHR system by providing health organizations and providers with incentives through Medicare and Medicaid for meaningful utilization of EHR systems (McGonigle&Mastrian, 2017). Technology in nursing has evolved and transformed the way nurses work and continues to grow, along with the role’s nurses play in today’s health care environment (Melissa Wirkus, 2016).For many years the paper chat served as the patient’s primary medical records such as medical histories, medical diagnosis, medications, and other pertinent patient information. In the future, an expected healthcare technology trend in nursing practice will be a significant increase in the use of the Electronic health record (EHR) instead of the traditional paper charting As technology continues to grow so does additional information technology that helps caregivers, engage patients and improve efficiencies and better patient outcomes (Laureate Education, 2018). For example, patients can now have access to their medical health records at their own convenient through online portals and can effectively communicate with their health care provider. In addition, patients are also using social media platforms like Facebook and twitter to get/communicate with others with the same health-related diagnosis.

According to McGonigle & Mastrain “Public health information systems represent a partnership of federal, state, and local public health professionals” (2017). In the present-day majority of health care organizations are embracing the implementation of electronic health records. In the hospital I work, we are making use of the Meditech operating system. Patient medical histories, diagnosis, home medications, and current medications are updated and readily available. During patient’s hospital stay, all health care providers can log in with their personal access codes to document as well as view patients’ labs, patient notes, care plans and so on. More so, one intriguing benefit for the patients is during the patient’s hospital stay and at discharge, patients are educated about our patient portal where they can easily log in to look up their personal medical records.

Potential Risk/ Challenge Associated with data Safety.

A potential risk associated with data and or technology safety is the lack of patient confidentiality. For example, when a nurse who is from a different unit assesses patient medical records they took care of three days before, that is considered a break in patients ‘confidentiality because that nurse has no reason viewing records of a patient who is not assigned to them. At my facility, they monitor nurses who try to access a patient’s chart without proper authorization. This can lead to disciplinary action or termination of employment. The administration has zero tolerance for this behavior. With advancement in information technology patient’s vital information such as test results, labs, and assessments are automatically synched from the operating machine to the appropriate patient’s EMR. This prevents possible errors that can arise with paper documentation. At my current organization, the Meditech EMR system is utilized to its full extent. The EMR system allows a congruent flow inpatient care from providers and clinicians and prevents possible human errors. Informatics has assisted in the incorporation of information technology in healthcare delivery, by providing a haven for patients’ data and making valuable patient data readily available for treatment.

Finally, an inherent risk associated with a legislature that limits telehealth services pertains to reimbursement. State laws and rules regarding reimbursement rates for telehealth services differ, even within the same jurisdiction, for telemedicine profitability are driven primarily by payers, including Medicare, Medicaid, and private insurance companies (Fanburg & Walzman, 2018). Such inconsistency in reimbursement rules for telehealth services can create weak incentives among providers to expand telehealth care. Thus, each provider must be aware of legal policies governing telehealth practice within respective jurisdictions to promote telehealth services successfully.

As stated above, a current and future trend that has evolved and still evolving is the introduction of social media and telehealth. Currently, telehealth is trending I have seen many health-related groups on Facebook where patients with the same diagnoses communicate, ask questions, and even get healthcare provider recommendations. Telehealth, on the other hand, is the use of electronic information and telecommunications technologies to assist and promote long-distance clinical health care systems (McGonigle&Mastrian, 2017). For example, individuals who are looking for quick answers to their health problems, and maybe have no means of transportation, telehealth is beneficial for them in the comfort of their homes. Services like this offer patient immediate healthcare consult/answers and refrains patient from going to the emergency room and sitting there for several hours before being attended to. This impacts nursing practice positively. Telehealth nursing can be done anywhere. Nurses can make use of technology to conduct telehealth sessions in their homes, at doctor’s offices, in prisons, and in clinics and hospitals. Basically, any place where the proper technology is available is a suitable place for telehealth nursing. For example, in emergencies, nurses from around the world can participate in telephone triage set-ups. Wherever nursing is done in a telehealth setting, nurses can monitor a patient’s oxygen levels, heart rate, respiration, blood glucose and more. In addition, patients contact their nurses through the telehealth system to get help. In non-emergency situations, they can get the nurse to take their blood pressure readings or glucose readings, for instance. Nurses can instruct patients as to how to dress a wound or treat a minor burn. The patients usually find their telehealth nurses through their managed health care organization. Nurses must be overseen there to regulate patient access to the system. Most of the time, the goal is to reduce the number of trips patients make to the ER.

These are the sources you used for my post. You can use these or any others you want. I trust your judgement

Baniasadi, T., Kalhori, S.R., Ayyoubzadeh, S.M., Zakerabasali, S., & Pourmohamadkhan, M. (2018). Study of challenges to utilize mobile-based health care monitoring systems: A descriptive literature review. Journal of Telemedicine and Telecare, 24(10), 661–668. DOI: 10.1177/1357633X18804747

Naseribooriabadi, T., & Sheikhtaheri, A. (2015). Social media and health care: Necessity of facing their challenges. Iranian Journal of Public Health, 44(4), 596–597. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441977/

University of Saint Mary. (n.d.). Five exciting technologies that are changing nursing practice. Retrieved from https://online.stmary.edu/msn/resources/five-technologies-changing-nursing-practice

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32. doi:10.3390/informatics4030032

  TOPIC CAPITAL PUNISHMENT

Need for Future Research

For this assignment, suggest several ideas for future research that   will  build upon the lessons learned in your study. Explain why future    research in your research area will be worthwhile and what you expect    future researchers may find. Keep in mind the limitations that you  have   identified in the Week 9 Discussion as they may be beneficial for a future researcher to perform a study that overcomes these limitations from your study.