Tuesday, December 31, 2019

Preventing Falls Among The Elderly Population - 1390 Words

Introduction Falls are a commonly experienced problem among the elderly population. The incidence rates of falls among the Hong Kong’s community-living elderly stood at 26 percent, while the incidence of new fallers stands at 198 falls per 1000 individuals per year. Whereas, one-year prevalence level of falls was identified to be 19 percent with the mean number of falls annually for a faller being 1.4 falls. Forty-seven of the falls in a year were identified occur indoors while the rest outdoors. Around a third of the elderly population aged over 64 years experience at least one fall a year. Past studies link falls to extrinsic factors and intrinsic factors. An example of intrinsic factors includes medical problems while one extrinsic factor involves environmental hazards. Comprehensively, falls result from muscle weaknesses, gait deficits, usage of assistive devices, cognitive impairments, arthritis, advanced age and history of falls (Fong, Siu, Yeung, Cheung, Chan, 2011). This paper proposes a research study focuses on preventing falls among the elderly population in Hong Kong. The target population of the study constitutes the elderly aged over 60 years on the hectic area named Mong-Kok, Kowloon in Hong Kong. Among the eighteen district areas in Hong Kong, the Mong-Kok is considered representative district for the study on the promotion program. Program Goals In coming up with this study, the research looks forward to having the proposed program fulfill a number ofShow MoreRelatedThe Importance Of Quality Assurance And Performance Improvement1558 Words   |  7 Pagesto discuss programs that are implemented to improve the care of the elderly population, especially in nursing homes. Throughout the paper, the general changes that the older adults go through their life will be discussed. Overview of five articles that are related to the elements of Quality Assurance and Performance Improvement (QAPI) will be given. Furthermore, this paper will examine physical and emotional changes that elderly go through. It will also focus on quality and improvement initiativesRead MoreThe Significance of the Study of Stepping On, a Fall Prevention Program710 Words   |  3 Pagesthe study: Stepping On (fall prevention program) According to Clemson (et al 2004), falls amongst the elderly represent a serious psychological as well as physical threat. Because of older patients physical frailty (as a result of complaints due to osteoporosis or arthritis), a fall can result in a substantial compromise to patient mobility and also result in a blow to patient self-confidence. Falls among the elderly represent a major economic and social problem Falls themselves and the beliefRead MoreFall Prevention Program for Elderly in DC1610 Words   |  6 Pages In DC, community based fall prevention programs have been rising to address falls but fall related incident, injuries and the cost has continuously been rising among elderly people (Costello Edelstein, 2008). In the study conducted by Berland et al. (2012), showed that in home health, not viewing patient safety as primary prevention, lack of investigation causing fall and frailty of elderly adult have been some factors contributing to falls in home health. Falls negatively impacts an individualRead MoreWhat Are The Three Major Health Issues And Challenges?1511 Words   |  7 Pagesolder population. When discussing arthritis, it will be involving any joint disease that brings pain and discomfort to the person. The topic of falling will account for falls that the elderly experience that in turn affect them long after the fall occurs. Lastly, medication use will look at the effects of medication use and combination with other medications. While discussing these topics, methods of health promotion and prevention will be explored in order to help present and future elderly adultsRead MoreEssay about Preventing Falls Among Elderly Patients1124 Words   |  5 PagesIntroduction The purpose of this project is to prevent falls among elderly patients which is an issue of concern for the nurses in the Unit. A proposed solution is the implementation of bed alarm. As nurses seek to keep patients safer, a critical analysis of the literature on bed alarms is developed to introduce the proposal in the unit. Pre and posttest questionnaires were conducted to evaluate the nursing learning needs. Strong evidence to support the use of bed alarms as an early warning systemRead MoreThe Health Problem Of The United States887 Words   |  4 PagesFall is unplanned descent to the floor with or without harm. Most falls occur due to multiple contributing factors such as muscle weakness, gait problems, environmental hazards, medications and many others (Centers for Disease Control and Prevention, 2014). Many residents living in nursing home fall frequently. Falls are a serious health care issue, and the leading cause of injuries and death among older adults in nursing home. Acc ording to Centers for Disease Control and Prevention (2014), everyRead MoreImproving Patient s Safety Investigating Risk Factors For Falls1694 Words   |  7 PagesOlder adults living in long-term care facilities fall frequently and the rate will continue to increase. The purpose of this paper is to improve patient’s safety examining risk factors for falls using evidence based practice research studies. The studies suggested that falls are associated with many factors like impairments, medication, lack of exercise, and nursing intervention. Strategies for implementation of a fall prevention are listed, along with current nursing practice. Another essentialRead MoreThe Importance Of Diabetes1529 Words   |  7 Pageshealthy eating as well as oral hypoglycemic medications, both with the same objectives of managing the blood glucose levels, preventing complications and having a positive impact on life expectancy with these patients. Purpose: The purpose of this research project is to examine the relationship between type II diabetes and management interventions for the elderly population for a longer life span with favorable outcomes. Management of diabetes will consist of exercise plans and healthy diets versusRead MoreEvaluation Of A Vulnerable Population1214 Words   |  5 PagesEvaluation in a Vulnerable Population The hospital acute care nurses have a difficult time and contradictory set of goals providing direct patient care (Oliver et al., 2008). Aside from maintaining patient safety during hospitalization, nurses need to address the problem that prompted the patient’s hospital admission. Hence, they must help support or assist the patient to an optimal state of physical and mental health (Chang et al., 2004). Oliver et al., (2008), stated fall prevention includes theRead MorePrevention Of Diabetic Complications Among Elderly1696 Words   |  7 PagesPrevention Of Diabetic Complications Among Elderly Diabetic complications such as retinopathy, nephropathy, peripheral neuropathy are directly linked to the geriatric depression scale (Floch, Doucet, Bauduceau Verny, 2014). Diabetes mellitus id one of the leading causes of death among elderly populations and it has great association with the behavioral factors such as inadequate meal, no physical exercise, smoking, consumption of added salt and junk foods, hypertension and other comorbidities (Mantel

Sunday, December 22, 2019

Information And Communication Technologies ( Ict )

Introduction Information is a key factor that plays a large role in the day-to-day activities within the health care sector. It is generated and processed by health care providers, such as physicians, nurses and hospitals as they provide care to their patients. However, managing that information and using it productively poses an ongoing challenge. It is especially challenging in the complexity of the U.S. health care sector, with its many different types of providers, services and settings for care (Congressional Budget Office, 2008). Information and communication Technologies (ICT) has the potential to greatly increase the effectiveness and efficiency of the health sector by assisting healthcare providers with managing information. It also has the potential to lead to better cost-efficiency in the health sector. ICT can play a critical role in improving health care for individuals and communities. It can also transform informal regulation by providing people with the knowledge they require to challenge existing practices and make more rational health care choices (Adeboyejo and Olatokun, 2009). Patients are empowered to take more responsibility for their health and quality of life through the use of health ICT. Health ICT allows the collaboration and involvement of patients and healthcare providers in the prevention and treatment of common illnesses. Through the development of databases and other applications, health ICT provides new and more efficient ways of accessing,Show MoreRelatedInformation And Communications Technologies ( Ict )1576 Words   |  7 PagesGreyling, 2014). Information and Communications Technologies (ICT) education is our society’s efforts to teach its current and emerging students valuable knowledge and skills around computing and communications devices, the software that operates them, the applications that run on them and the systems that are built with them (mpict, 2008). The industry of Information Technology (IT) which involves computers, software, networking and other IT infrastructures to help manage information is very importantRead MoreInformation And Communication Technologies ( Ict )820 Words   |  4 PagesIntroduction Information is a key factor that plays a large role in the day-to-day activities within the health care sector. It is generated and processed by healthcare providers, such as physicians, nurses and hospitals as they provide care to their patients. However, managing that information and using it productively poses an ongoing challenge. It is especially challenging in the complexity of the U.S. health care sector, with its many different types of providers, services and settings for careRead MoreIct : Information And Communication Technologies1350 Words   |  6 PagesICT stands for Information and Communication technologies; it is a notation used to summaries technologies, which consist of devices to collect, store, edit and transfer information in various forms. I am writing this report to inform the importance of ICT in different sectors; such as education, health and banking. In addition to this, I would like to inform about the development of technology over the years. I am going to carry out this research through the use of online sources and textbooks.Read MoreInformation And Communications Technologies ( Icts )1508 Words   |  7 PagesAbstract: To date the ICT industry could be seen as one of the top sectors in the country for graduate women employment in terms of creating high quality jobs it can enforce the strength empowering the rural women in deed. As caregivers, communicators and providers women play a major role in the society. Information Communications Technologies (ICTs) help to co-ordinate some aspects of rural women’s life in developing states. As the women education rate job participation is growing graduallyRead MoreInformation And Communications Technologies : Ict1354 Words   |  6 PagesINFORMATION AND COM MUNICATION TECHNLOGY Introduction: - Information and Communications Technologies (ICT) education is basically our society’s efforts to teach its current and emerging citizens valuable knowledge and skills around computing and communications devices, software that operates them, applications that run on them and systems that are built with them.   Dimensions of ICT: - There are many important dimensions to ICT education, including: Analyze and apply appropriate academic standardsRead MoreInformation And Communication Technologies ( Ict )1771 Words   |  8 Pagesto Syed (2009) Information and Communication Technologies (ICT) permeates through every business set-up. He further states that ICTs are influencing production, work and business methods and trade and consumption patterns in and between enterprises and consumers. Denni (1996) cited by Syed(2009) stress that every business must bring ICT into their business operation and take advantage of the benefits they offer. The emergence of and advances in information communications technology offers opportunitiesRead MoreInformation And Communication Technologies ( Icts )909 Words   |  4 Pagesservice periodically and staff training on operation system. 3.5.5 The Significance of Technology Applications to Nursing Care. Information and communication technologies (ICTs) used in the health sector have well-known advantages. They can promote patient-centered healthcare, improve quality of care, and educate health professionals and patients. However, implementation of ICTs is new development in technology it remains difficult and involves changes at different levels: patients, healthcare providersRead MoreInformation And Communication Technologies ( Ict ) Essay2236 Words   |  9 PagesIntroduction In this era of technology, there is a general agreement that Information and Communication Technologies (ICT) have been contributing to improve qualities of life, as well as economical growth as a whole. Businesses and economic sectors are relying on technological advancements that facilitate them to establish an integrated value chain. Using these advancements strategically and appropriately can also enhance productivity and improved competitiveness. Likewise, governments and globalRead MoreInformation And Communication Technologies ( Ict )1433 Words   |  6 Pagesâ€Å"Globalization and rapid improvements in information and communication technologies (ICT) have resulted in a closely integrated global labour and capital market (UNCTAD, 2004) where firms have greater access to human capital scattered around the globe† (Lewin, 2005 and Volberda, 2006). Due this the firms have started offshoring their business to different countries as an effective strategic practice so as to increase their profits. Offshoring can be done in two ways i.e by setting up a partnershipRead MoreInformation Communication Technology ( Ict )1115 Words   |  5 PagesInformation communication technology (ICT) continues to play a major role in business especially in electronic commerce or e-commerce. E-commerce is the financial business that is conducted in an electronic network and mainly the internet. Through e-commerce, consumers are allowed to make purchases from both businesses as well as other consumers where payments are made through various options. For information system to flourish there is a need to have the necessary infrastructure and the requisite Information And Communication Technologies ( Ict ) â€Å"Globalization and rapid improvements in information and communication technologies (ICT) have resulted in a closely integrated global labour and capital market (UNCTAD, 2004) where firms have greater access to human capital scattered around the globe† (Lewin, 2005 and Volberda, 2006). Due this the firms have started offshoring their business to different countries as an effective strategic practice so as to increase their profits. Offshoring can be done in two ways i.e by setting up a partnership with an existing company in the country or by setting up their base. Creating value through outsourcing has emerged as an important strategy for firms the services sector in the knowledge based global economy. In spite of the growing significance of outsourcing, we have limited knowledge of offshoring and outsourcing to emerging markets that are moving up from providing low†end services to high†end services (Javalgi et al., 2009). â€Å"Increasingly, standardized IT and business processes as well as high-valued-added activities, for instance engineering, RD and product design, are being offshored† (Lieberman, 2004 and UNCTAD, 2005). â€Å"Emerging markets such as South Korea, Malaysia, India, China, Russia, and Brazil continue to lead in the outsourcing of knowledge†based services† (Radhakrishnan, 2007). This leads to a fight to sustain this advantage over other countries from possible offshoring. Offshoring business models may take many forms including the following i.e Captive offshoring,Show MoreRelatedInformation And Communications Technologies ( Ict )1576 Words   |  7 PagesGreyling, 2014). Information and Communications Technologies (ICT) education is our society’s efforts to teach its current and emerging students valuable knowledge and skills around computing and communications devices, the software that operates them, the applications that run on them and the systems that are built with them (mpict, 2008). The industry of Information Technology (IT) which involves computers, software, networking and other IT infrastructures to help manage information is very importantRead MoreInformation And Communication Technologies ( Ict )820 Words   |  4 PagesIntroduction Information is a key factor that plays a large role in the day-to-day activities within the health care sector. It is generated and processed by healthcare providers, such as physicians, nurses and hospitals as they provide care to their patients. However, managing that information and using it productively poses an ongoing challenge. It is especially challenging in the complexity of the U.S. health care sector, with its many different types of providers, services and settings for careRead MoreIct : Information And Communication Technologies1350 Words   |  6 PagesICT stands for Information and Communication technologies; it is a notation used to summaries technologies, which consist of devices to collect, store, edit and transfer information in various forms. I am writing this report to inform the importance of ICT in different sectors; such as education, health and banking. In addition to this, I would like to inform about the development of technology over the years. I am going to carry out this research through the use of online sources and textbooks.Read MoreInformation And Communication Technologies ( Ict )1722 Words   |  7 PagesIntroduction Information is a key factor that plays a large role in the day-to-day activities within the health care sector. It is generated and processed by health care providers, such as physicians, nurses and hospitals as they provide care to their patients. However, managing that information and using it productively poses an ongoing challenge. It is especially challenging in the complexity of the U.S. health care sector, with its many different types of providers, services and settings for careRead MoreInformation And Communications Technologies ( Icts )1508 Words   |  7 PagesAbstract: To date the ICT industry could be seen as one of the top sectors in the country for graduate women employment in terms of creating high quality jobs it can enforce the strength empowering the rural women in deed. As caregivers, communicators and providers women play a major role in the society. Information Communications Technologies (ICTs) help to co-ordinate some aspects of rural women’s life in developing states. As the women education rate job participation is growing graduallyRead MoreInformation And Communications Technologies : Ict1354 Words   |  6 PagesINFORMATION AND COMMUNICATION TECHNLOGY Introduction: - Information and Communications Technologies (ICT) education is basically our society’s efforts to teach its current and emerging citizens valuable knowledge and skills around computing and communications devices, software that operates them, applications that run on them and systems that are built with them.   Dimensions of ICT: - There are many important dimensions to ICT education, including: Analyze and apply appropriate academic standardsRead MoreInformation And Communication Technologies ( Ict )1771 Words   |  8 Pagesto Syed (2009) Information and Communication Technologies (ICT) permeates through every business set-up. He further states that ICTs are influencing production, work and business methods and trade and consumption patterns in and between enterprises and consumers. Denni (1996) cited by Syed(2009) stress that every business must bring ICT into their business operation and take advantage of the benefits they offer. The emergence of and advances in information communications technology offers opportunitiesRead MoreInformation And Communication Technologies ( Icts )909 Words   |  4 Pagesservice periodically and staff training on operation system. 3.5.5 The Significance of Technology Applications to Nursing Care. Information and communication technologies (ICTs) used in the health sector have well-known advantages. They can promote patient-centered healthcare, improve quality of care, and educate health professionals and patients. However, implementation of ICTs is new development in technology it remains difficult and involves changes at different levels: patients, healthcare providersRead MoreInformation And Communication Technologies ( Ict ) Essay2236 Words   |  9 PagesIntroduction In this era of technology, there is a general agreement that Information and Communication Technologies (ICT) have been contributing to improve qualities of life, as well as economical growth as a whole. Businesses and economic sectors are relying on technological advancements that facilitate them to establish an integrated value chain. Using these advancements strategically and appropriately can also enhance productivity and improved competitiveness. Likewise, governments and globalRead MoreInformation Communication Technology ( Ict )1115 Words   |  5 PagesInformation communication technology (ICT) continues to play a major role in business especially in electronic commerce or e-commerce. E-commerce is the financial business that is conducted in an electronic network and mainly the internet. Through e-commerce, consumers are allowed to make purchases from both businesses as well as other consumers where payments are made through various options. For information system to flouri sh there is a need to have the necessary infrastructure and the requisite

Saturday, December 14, 2019

Bertrand Russell The Value Of Philosophy Free Essays

Consider a man that looks to material needs as the necessities of life. He moves through his world in a twenty-four hour cycle of the mundane, never reaching for a less ignorant existence. Bertrand Russell believes that these â€Å"practical men†, as society deems them, are wrongly named. We will write a custom essay sample on Bertrand Russell: The Value Of Philosophy or any similar topic only for you Order Now A meaningful life to this â€Å"practical man†, certainly does not include the understanding of a need for knowledge. Russell states, â€Å"It is exclusively among the goods of the mind that the value of philosophy is to be found; and only those who are not indifferent to these goods can be persuaded that the study of philosophy is not a waste of time† (page 9). The value of philosophy can be found when anyone chooses to step over the line between things and ideas. I am claiming, in this instance, that philosophy is valuable for being a source of knowledge and understanding, among other things. Those that attempt to gain these are in turn going to benefit from their efforts. A man does not necessarily need the ability to comprehend the entire universe, but just to be open to thought. In the past, men that worked towards this task of thinking, such as Newton, were able to take philosophy and evolve it into a separate science. This reasons that philosophy’s value is largely in the possibility of a greater enlightenment that has yet to be determined. There is value in the fact that a deeper reality exists. That life does not just run blindly through time, but streams around reason and thought. Knowledge should alone be enough of a value for philosophy to be an appreciated source of gaining exactly that end. Thomas Nagel writes, â€Å"†¦humans have the special capacity to step back and survey themselves, and the lives to which they are committed†¦Ã¢â‚¬  (page 23). This realization is one of the reasons that philosophy contains value for the society at large. Everyone, through examining and doubting their choices, can gain knowledge. And knowledge is the primary aim of philosophy, according to Russell and my own opinion. Socrates summarizes it best in Plato’s, Apology: Defense of Socrates, when he stated, â€Å"†¦an unexamined life is no life for a human being to live†¦Ã¢â‚¬  (page 40). Humans were given the capacity to have thought processes and go beyond the routine existence of lower level life forms. To let this possession go unused would be neglecting the possibilities of the mind. However, the value of philosophy for society at large is limited by self-assertion. The masses will find themselves looking for knowledge but being blocked by the view that the world is of less worth than themselves, or the Self. This will be the downfall of the instinctive man; he is contained in his private interests. It is almost like a trap, man fills his life with family and friends and believes that he has found his place in life. A true student of philosophy will have a want of knowledge that is free and pure. This want contains no concerns of Self, but rather of the not-Self. Knowledge arrives when man lets go of trying to fit the universe into his world and instead fits his world into the universe. In order to be a philosopher, one must overcome the narrow circle of the Self and of private interests. Therefore the largest value of philosophy is for the philosopher, for he is able to completely be open to the acquisition of knowledge. Most of the value of philosophy is then sent indirectly to the larger society. The fact that philosophy, as a subject, is prone to uncertainty can arouse disbelief in its value. It can be argued that no knowledge can possibly be gained by studying a field in which there are no definite answers. Russell agrees with this point when he maintains that even if answers are determined, none of them can be proven true without exception. The subjective areas of thought, those dealing with opinions and differences in beliefs and practices, would hold no basis in practicality. â€Å"Practical man† will continue to waste away in his secluded reality, convinced that being materialistic is the most important quality to possess. Russell himself mentions, â€Å"†¦many men, under the influence of science or practical affairs, are inclined to doubt whether philosophy is nything better than innocent but useless trifling, †¦and controversies on matters concerning which knowledge is impossible† (page 9). However, Russell contradicts his own statements on purpose with the idea that people have the wrong view of philosophy. The uncertainty in philosophy is what makes the subject intriguing and worth arguing for or against. So what if there are no definite answers? The process of coming to the conclusion that nothing is set in stone is where the knowledge lies in wait to be learned. The questions of life make for intellectual freedom in the search for the unfound answers. Philosophic contemplation best works when the desire for knowledge is unadulterated. This would then deal mainly with the area of the not-Self; it must be in union with the Self to create the right environment for the intellect. Russell helps to confirm my statement that knowledge is the value of philosophy when he writes, â€Å"†¦free intellect will see†¦without traditional prejudices†¦in the sole and exclusive desire of knowledge-knowledge as impersonal, as purely contemplative, as it is possible for man to attain† (page 11). J. J. C. Smart believes that we should never assume that we have found the ultimate and final truth about anything. But that having a condensed view will bring us closer than not pondering it at all. Then, any attempt to push beyond that line between things and thought will create a positive end. Knowledge, the total range of what has been perceived and learned, is the absolute value of philosophy in my opinion. Philosophers, as well as man, can only benefit from the scrutiny placed on thought. Without the knowledge that philosophy can provide, the world would be a very simple place based exclusively on materialistic views. The old saying that ignorance is bliss would unmistakably be true. Man would continue in his everyday life, unaware of the chance that he is missing. Think about what a waste such a world would be, when the possibility for undiminished intelligence and open mentality is right beyond the baggage that man carries around with him. Philosophy’s value in knowledge is that it makes man’s life worth not just surviving but truly living. How to cite Bertrand Russell: The Value Of Philosophy, Essay examples

Friday, December 6, 2019

Pacific Healthcare free essay sample

He now has the opportunity to authorize the use of any X ray film other than Kodak. An investigation was complete in where Mr. Rubble had a reason to believe that the current Kodak price was above that of possible competition. There was an existing agreement with Kodak calls for furnishing X ray equipment along with maintenance and service, at a considerable discount for using Kodak as a single supplier of the X ray film. Kodak refused to provide those services if they were not their only source for X ray film. II. Major Problem Kodak has been Pacific HealthCare’s main supplier for X ray film. Now that Mr. Howell has pasted it is Mr. Rubbles’ responsibility to either decide to keep the Kodak for the X ray film or change to a different X ray film supplier. What needs to be kept in mind is that Kodak was also offering Pacific Healthcare discounts for furnishing X ray equipment along with maintenance and service. We will write a custom essay sample on Pacific Healthcare or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This was all because they were their only X ray film supplier. If Pacific Healthcare switches to a different X ray film supplier they will lose those discounts. Obtaining the highest quality with the best service at the lowest price is Pacific Healthcare’s supply strategy for medical supplies. Their objective is to find a single source supplier for a one year contract. III. Possible Solutions A. There are four other companies that make X ray films DuPont, Agfa, Fugi, and 3M. The quality of DuPont and Agfa are consistent with Kodak. Mr. Rubble can choose to go with DuPont since it holds the standard of Kodak and cost less than Agfa. The price of DuPont $1. 50 per sheet of X ray film. B. There are four other companies that make X ray films DuPont, Agfa, Fugi, and 3M. The quality of DuPont and Agfa are consistent with Kodak. Mr. Rubble can choose to go with Agfa since it holds the standard of Kodak. The only real issue I see here is that there is another company that makes the same quality of X ray film than both Kodak and Agfa. DuPont make the same quality of film for a lower price. The price of Agfa is $1. 58 per sheet of X ray film and DuPont offers it for $1. 50 per sheet. C. Mr. Rubbles can choose to stay with Kodak. The price for Kodak is higher than the other competition but they give Pacific Healthcare discounts on other services. Kodak furnishes Pacific Healthcare with X ray equipment, along with maintenance and services at a substantial discount for using Kodak as a single supplier for X ray film. I have found three issues with this possible solution. One, I do not know how much of a discount they are getting for the X ray equipment, along with the maintenance and services they are receiving from Kodak. With that I also need to know how much the competitors are willing to give Pacific Healthcare for those additional services that Kodak is offering to them. Last, but not least there are other competitors that are at a lower price range with the same quality as Kodak. DuPont offers their X ray film for $1. 50 per sheet and Agfa offers theirs at $1. 8 per sheet. Kodak is charging Pacific Healthcare $1. 80 per sheet of X ray film. With this solution we have to keep in mind that Pacific Healthcare uses approximately 1,500 sheets of X ray film per day. That is approximately $2,700 per day. If Mr. Rubbles chooses to go with DuPont which is the same quality as Kodak that would be approximately $2,250 per day. By choosing DuPont Pacific Healthcare with be saving about $450 a day. That is $3,150 per week and $12,600 a month by switching to DuPont. That is a huge saving for Pacific Healthcare. Pacific Healthcare can save money as well as keeping the same high quality as Kodak. IV. Choice and Rationale After reviewing all of the possible choices I chose to go with choice A. I chose A, because it saves Pacific Healthcare a lot of money as discussed in choice C. By choosing DuPont the company would save $450 a day compared to Kodak. That is $3,150 per week of savings and $12,600 a month by switching to DuPont. Also in choosing Agfa which is the same quality as Kodak, Pacific Healthcare would save $330. Keep in mind that Agfa and DuPont have the same quality as Kodak. Why choose Agfa over DuPont if they have the same quality of X ray film? That is why I chose DuPont. It is a smart solution, because it saves Pacific Healthcare money while also keeping the same quality as Kodak. Moving on two the other choices Mr. Rubble has. In the beginning I mentioned that there were four competitors that offered X ray films at a much lower rate than Kodak. The competitors were Agfa, DuPont, Fugi, and 3M. I have discussed Agfa and DuPont. The reason for not adding Fugi and 3M to my possible solutions is because Pacific Health care wanted to keep the same high quality in X ray film. Even though Fugi and 3M met minimum requirement they were thought of as having lower quality. Pacific Healthcare was looking for obtaining the highest quality with the best service at the lowest overall cost. To me they did not meet the requirement of Pacific HealthCare’s goal. V. Implementation I would let Pacific Healthcare know of my overall decision. In this brief, I would brief all my possible choices I had and why I chose to go with my choice. If we are in agreement my next step would be to contact DuPont and request their service for X ray film. From there I would let Kodak know that we appreciate their business, but we no longer are in need of their X ray film service. Of course I would make sure that DuPont has agree to be our single source supplier for X ray film prior to finishing the contract with Kodak. Appendix A What alternatives should Barney Rubbles consider when addressing the problem? Barry Rubbles should consider the high quality that Pacific Healthcare would like to keep as well as the best service with overall lower cost. He should consider which one would give the overall high quality as well as trying to save money. Should Pacific’s’ supply policies allow for any medical staff personnel to control sourcing decisions? In my personal opinion no, because they may not have the proper training or know what the companies needs are. I would like the professionals handle that. This case does not show a good example, because Mr. Howell chose the highest competitor. I would definitely have had both Mr. Howell and Mr. Rubbles work together. Sometimes one may come up with a different solution. What are the advantages and disadvantages of staying with Kodak—or changing suppliers? How would you evaluate these? If the Pacific Healthcare would stay with Kodak they could keep receiving their discount for the other services that Kodak provides. This includes the X ray equipment, maintenance and, service for being their only source for X ray film. Like previously stated, I am not sure exactly how much that discount was. Nor did I know how much the competitors were willing to give those services to Pacific Healthcare. With changing suppliers Pacific Healthcare would definitely save a lot of money. This would include changing to DuPont or Agfa. With DuPont the company would save $450 a day and by switching to Agfa the company would save $330 a day. Mr. Rubble has to keep in mind that both have the same quality of X ray film as Kodak. What action could Mr. Rubble have taken prior to Mr. Howell’s death to obtain reduced film prices? Mr. Rubble should have conducted a research just like he did when they put him in charge of the X ray film ordering. He should have presented this information to Mr. Howell and if he had disagreed Mr. Rubble should have taken it up to the company.