Too Far Ahead of the IT Curve Essay Example for Free

Too Far Ahead of the IT Curve Essay Over the years Peachtree had grown from a single hospital to a regional network of 11 institutions. With over 4,000 employees and a million patients Peachtrees IT infrastructure has not kept up with their growth. The current IT system is not reliable, efficient and secure. The company mission is to provide quality, consistency and continuity care across the entire network delivered with efficacy, economy and respect for patients and staff. In addition, unlike the healthcare industry which moved to standardized care, Peachtree believes its focus should be on the selective standardization. In order to achieve its objectives, Peachtree needs to overcome its failing IT infrastructure. This could be attained by implementation of SOA based system since it best aligns with the companys business model, mission and goals. Another recommended step is that Peachtree turns toward an incremental implementation of SOA. Peachtree should retain what still works and adds value to the company and replace only the most inefficient parts of the current system. Finally, standardizing only certain areas of clinical treatment could provide efficiency and cost savings and at the same time would allow doctors to make the final call, so the quality of care and patient safety wouldnt be compromised. Current Situation During the last 12 years Peachtree had grown from a single teaching hospital to a regional network of 11 healthcare institutions with additional support facilities. All 11 healthcare institutions have different size, purpose, history and culture. Each hospital has its own IT system and is doing things differently. As a result, Peachtree is encountering a problem with its incompatible technology that creates many problems and inadequate performance. The consistency and continuity of care across entire network is compromised which is not consistent with Peachtrees goals. In addition, Peachtree current system is not reliable. Reliability is crucial for the company, since the doctors and patient depend on it, and the system is very important for carrying out the companys mission. Another related issue is that a lot of time and budget goes into maintaining the current system. The  support and control of the current system is very difficult, and its not cost efficient. The more Peachtree grows, the bigger that problem will become. This is not consistent with companys goal to deliver care with the highest level of efficiency and economy. While the healthcare industry has moved towards standardization, Peachtree has resisted. One advantage of the current system is that it doesnt enforce blanked standardization, but provides flexibility. It gives the physicians freedom to form their own judgments about which treatment to use for which patient. This ensures quality care and respect for patients and stuff which is part of Peachtrees mission statement. Yet, many areas of clinical treatment could safely be standardized around best practises without compromising patient safety and quality of care. Moreover, in some operational areas, standard based system could create efficiency, cost savings and higher quality products. Criteria In order to ensure that Peachtrees IT system is aligned with companys strategy to provide quality, consistency, and continuity of care across the entire network delivered with efficacy, economy, and respect for patient and staff, Peachtree needs to consider the following criteria when selecting its new IT system. 1. IT system runs smoothly and reliably. 2. IT system provides high level of security. 3. System is cost efficient. 4. System is user friendly. 5. System allows for selective standardization. 6. Clinical information could be completely computerized. 7. System allows for tracking of care performance and patient outcomes. 8. IT infrastructure is consolidated. 9. System is flexible and allows doctors to make the final call. 10. System allows for continues improvement. Alternatives and Recommendations: 1. Implement Monolithic IT System. Pros: Allows implementation of standard procedures across all hospitals. Little risk of system failure since costs, challenges and benefits are known. Allows doctors to work together. Provides single set of systems and applications. Cons: Requires more time to implement. More expensive: $500 mill + Redesign acquired facilities. Limit doctors independence. 2. Move to SOA based system. Pros: Allows for continues improvement. Provide opportunities to access, adjust, redesign reprioritize along the way. Quick. Flexible in $ ability to integrate new facilities. Allows replacement only of certain inefficient parts of the existing system. Provides a range of standardization choices. Cons: Technology is untested in health care environment. Cost is undetermined. Benefits are uncertain. Risk is higher. 3. Make a full scale implementation of the new IT infrastructure. Pros: If the project is successful it could help the company to achieve its business goals. Cons: Cost could be substantial. Risk is high. Project is hard to manage and control. 4. Make an incremental implementation and replace only certain parts of the old system. Pros: Minimizes risk. Makes project more flexible. Makes project easy to control. Allows the IT to shift priorities and be more efficient. System reliability is not compromised. Allows replacement only of the most inefficient parts of the existing system. Cheaper than replacing the whole system. Cons: Deciding which peace of the infrastructure should be replaced may be challenging. 5. Implement fully standardized care. Pros: Easier to support and control. Better integration of applications. Lower cost. Cons: Could reduce the quality of care. Physicians may resist standardization. 6. Implement selective standardized care. Pros: Allows to standardized certain areas of clinical treatment safely around the best practises and at the same time provides the physicians with flexibility to decide on the treatment which is best suited for the patient. Increases efficiency, provides for cost savings and higher quality products without compromising patient safety and the quality of the service. Cons: Could increase cost. Could make difficult infrastructure improvements and coordination. Could lead to very complex system. Its recommended that Peachtree implements the SOA based system since it best aligns with the companys business model, mission and goals. SOA based system provides a range of standardization choices, reliability, flexibility and cost efficiency. It also allows replacement of only certain inefficient parts of the existing system. It is also recommended that Peachtree turns toward an incremental implementation of SOA. Peachtree should retain what still works and adds value to the company and replace only the most inefficient parts of the current system. This would be more cost efficient approach and would provide opportunities to adjust and redesign along the way. Also, by gradually installing the SOA, Peachtree and its doctors would learn about how the systems worked and â€Å"master† it in a sense as the infrastructure moved further. Furthermore, it is recommended that a selective standardized care is implemented. In that way certain areas of clinical treatment could be standar dized in order to achieve efficiency and cost savings. At the same time, doctors would be allowed to make the final call, so the quality of care and patient safety wouldnt be compromised. Risk Management Plan Since the SOA technology is untested in the health care environment, its implementation might be risky, but with a proper planning the probability for success is greatly increased. In order to ensure success with the implementation of the SOA based system, an oversight committee must be formed. The committees role will be to ensure that the new system aligns with the business goals and that the implementation schedule is followed. This will reduce the risk from project failures. Since the cost for the implementation of the new system is undetermined, Peachtree should be strong enough to absorb the hit if the technology project goes overbudget. Series of small, but independent projects could be run which will reduce not only the financial risk, but the risk of business  and technology change. This also will provide opportunities to adjust, redesign and reprioritize along the way. The oversight committee will also play an important role in preventing budget overruns. Yet, if the new system is total failure, Peachtree needs to be prepared to terminate the project. In order to ensure success of the SOA based system, Peachtree must carefully consider how the new system could be best aligned with companys current business practices. The management needs to determine what the system needs to do, which parts from the old system still add value and should be retained, which parts need to be replaced and which standardized. Again, series of small but independent projects will allow for project flexibility and adjustments along the way. Peachtree could use pre-fabricated SOA module coupled with customized modules to achieve the most basic and critical functions first. Since SOA allows for outsourcing, Peachtree could purchase a custom built service and focus on modules that best help the company to achieve its strategy. However, Peachtree is in an unique position since there is not pre-built SOA for the health care field. This may result in unexpected cost, but should allow for more customized modules making the achievement of the business goals easer . The health care industry is not competing on price, but its competing on product features, quality of service, delivery time etc. Thus, the quality care is very important for the success of the company. In order to maintain a quality care, the new SOA system must excel at reliability and security. Reliability is crucial for the company since the doctors and patient depend on it. Even a short downtime could be disastrous for Peachtree. In order to ensure reliability the new system should be well planned with respect to power failures hackers and hardware failures, and based on a single transferable platform to allow for efficient data sharing. By using pre-built modules, when possible, the system could be both reliable and secure. Furthermore, if outsourcing is used additional people would need access to confidential data in order to implement the process. Peachtree needs to research the outsourcing company to ensure the confidentiality of the patients. While the threat of new entrants, substitutes and bargaining power of the patients is low for Peachtree, the bargaining power of the doctors is high. Its possible that the doctors resist the change. Its very important that the capabilities of the new system allow for user friendly interfaces in order to appear to doctors. Peachtree could use inputs from the doctors and implement them in the new system to meet their needs.

First Impressions Essay example -- essays research papers

First impressions are very important to your every day life. They are the basis of how relationships start and how you are seen by other people. People, based on first impressions, form opinions. The opinions could begin many things and lead towards success or these opinions could be ones that are misleading and have a negative impact on how people relate to you. First impression are very important on people’s social life, in your education and in employment. In your social life, first impressions come from your friends, family, and even new people who come into your life. First impressions for your education consists of your teachers or classmates when you are taking a class. First impressions on employment go from your current co-workers, boss, and former employers. The are very significant in job interviews. First impressions are important, but are not always the final word. First impressions from the social perspective is the issue at hand, when viewing the importance of first impressions, and then taking in account the environment that one is in, then lastly viewing the important role that first impressions play throughout the course of a relationship such a friendship. The importance of first impressions is essential to the development of relationships be it for a friendship or just merely business acquaintances, the role of first impressions is resounded throughout the course of that relationships. How you are perceived has a very basic bearing as to how you are treated. Your outward appearance plays a pivotal role in the compiling of a first impression, when you are viewed by others, a snap decision is made about you that people will hold in their minds whether subconsciously, or conscientiously that first moment that they laid eyes on you. Also the way that you portray yourself comes into play at this point, your social skills are the main focus of the first impression after the mental image of you is implanted in the person’s mind. Your social skills would reflect how you wish to present yourself to the people that you are meeting, if you wish to get along then you take a route that would help you get along in your company of the people that you are meeting. How you present yourself in this situation has a direct reflection to the type of environment that you are in. Depending on the environment that you are in, this will reflect your actions, i... ... and that could all be because of the initial impression we may have left with the interviewer. There have been studies of what types of people have what types of jobs in this country. Educational first impressions are very important also. These first impressions are the ones that you make on your teachers and other classmates. For example, when you start a new class at a school, you want to have a good first impression on your teacher so that they respect you and give you the attention and value that you need. With you classmates, you want to make a lasting first impression on them. The first impressions is important because you can develop relationships from this. If you come in to class late on the first day and look messy and have an attitude, peoples first impression on you would be negative and treat you differently then you deserve to be treated. Finally, as you can see, first impressions do have a great affect on people who meet you. They are the base of all relationships. First impressions are very important socially, educationally, and employment wise. Impressions on people usually last forever. Although people have second impressions, the first ones are very important.

Nike, Operational Strategy Essay

An example of an operational strategy I found was within the Nike  organization. Nike was created in 1972, by co-founder Bill Bowerman & his University of Oregon runner Phil Knight. Together, with the people they hired, the company was able to grow and expand from a U. S. based footwear distributor to a global marketer of athletic footwear, apparel & equipment that is unrivaled in the world today (www. nikeinc. com). Operations strategy is the development of a long term plan for using the major resources of the firm for a high degree of compatibility between these resources & the firm’s long term corporate strategy (Schroeder & Rungusanatham, 2011). On May 5, 2010 Nike  unveiled one of its strategies & key initiatives to achieve sustainable, long term growth across its global portfolio of brands & businesses (www. nikemedia. com) their plan consists of a revenue target of 27 billion by the end of 2015 and over 12 billion of free cash flow from operations through 2015. Nike   also uses an outsourcing strategy, where they have subcontractors scattered throughout the globe. The cross functional decisions associated with a company of this magnitude is enormous & would involve a multitude of people and departments. Nike  main cross functional decision making process involved that of Dennis Dwyer, Senior Manager Footwear Division; Vice President & CFO, Donald W. Blair; President, Mark G. Parker; Divisional V. P. & General Manager, Craig Zanon; V. P. of New Business Development, Clare L. Hamill; GM, Kirk Richardson and Director of Communications, Jack Gould (www. ifestagingblog. com). There are two types of strategies involved with the supply chain strategy and they are imitative and innovative (Schroeder & Rungusanatham, 2011). Imitative strategies generally relies on following or imitating other companies, while having predictable demand, are efficient and have a low cost supply chain. The Innovative strategy is different from other companies but may still have a sort of â€Å"sameness† imitation, whereas there is unpredictable demand, are flexible and have a fast supply chain.

Italian Words Used in Fashion and Design

Picture it: You walk into a boutique shoe shop on the main corso in Viterbo, Italy, looking to buy some shoes to match an outfit later that evening. La commessa (the saleswoman) greets you with a salve! and points to the merchandise arranged around her store.   Pairs of shoes sit on illuminated shelves, shoes with heels so tall, you couldn’t imagine wearing them without twisting an ankle on the cobblestone streets that line the center of the city. Each visit to a  un negozio (a store) to find a sweater, a pair of jeans, or a new top becomes an opportunity to acquire new, specific vocabulary for the items themselves and all the various colors, sizes, and materials they come in.   Below, find a list of common vocabulary and phrases that can be used when shopping in Italy or just talking about clothes. Accessories (Gli Accessori) Belt -  la cinturaBowtie - il papillonCap -  il berretto/il cappellinoGloves -  i guantiHat -  il cappelloPurse - la borsaSocks -  i  calziniSunglasses  - gli occhiali da soleTie -  la cravattaWatch - l’orologio Clothing (L’Abbigliamento / Il Vestiario) Blouse -  la camicetta/la blusaBra -  il reggisenoCoat -  il cappottoDress - il vestitoJeans - i jeansLingerie - la biancheria intimaPants -  i pantaloniRaincoat -  limpermeabileScarf -  la sciarpaShirt -  la camiciaSkirt -  la gonnaSweater -  il pullover/il golfSweatshirt - la felpaSweatsuit - la tutaSuit - il completoTuxedo - lo smokingUnderwear -  le mutandeVest -  il panciottoWindbreaker -  la giacca a vento Shoes (Le Scarpe) Flip-flops - le infraditoHigh heels - le scarpe col taccoHiking boots - le scarpe da trekkingRainboots - i stivali di gomma/stivali da pioggia Vocabulary Descriptions Cotton - il cotoneLeather - il cuoioLinen - il linoPolyester - il poliestereSilk - la setaWool - la lanaLoose - largoTight - strettoStriped - a righe/strisce Phrases Cerco una felpa a righe.I’m looking for a striped sweatshirt. Tip: Notice that in Italian there is no preposition used after the verb cercare (to look for). The â€Å"for† is implied within the verb. Sono/Porto/Indosso una taglia†¦(media).I’m a medium.Vuole provarlo?Do you want to try it on?Vorrei provare questi, dove sono i camerini?I’d like to try these on, where are the fitting rooms? Tip: In the phrase above, â€Å"lo† would be used if the item were singular and masculine, like il vestito (the dress). However, if it were singular and feminine, like la sciarpa (the scarf), it would be â€Å"Vuole provarla†? While it’s important to make everything agree, don’t stress if you can’t remember the gender of the object you have. You’ll be safe with using the pronoun â€Å"lo†. È comodo.It’s comfortable.Il vestito à ¨ troppo stretto, avete una taglia pià ¹ grande?The dress is too tight, do you have a larger size?Questi (stivali) sono scomodi.These (boots) are uncomfortable.Preferisco il rosa.I prefer pink. (As a color) Notice the differences in meanings below. Preferisco la rosa.I prefer the rose (flower).La preferisco rosa.I prefer  it (something feminine like: la gonna, la sciarpa, la maglietta...etc)  in pink.Lo preferisco rosa.I prefer  it (something masculine like: il golf, il pantalone, il papillon...etc)  in pink.