Organizational Change Essay Example for Free

Organizational Change Essay Structure for Multinational Corporations: Converting a business into a Multinational organization is a complex task as it involves controlling of multiple variables with the internal and external environment of the corporation growing considerably. In order to make the task of structuring the organization easier, many multinationals simply opt to organize their business according to their geographic location and the placement of their international operations. This form of an organizational structure is simply known as the geographic based structure. However other forms of organizational structuring are also possible like â€Å"worldwide functional, worldwide product, international division, area, and matrix structures. † (Daniels, Pitts, Tretter, 1984) It is also possible for a multinational organization to have a mixed type of organizational structure which is a combination of the above mentioned structure types. The reason for this is because no organization has a finite environment and as a result it experiences different personnel dynamics. Some of the complications which come about due to these personnel dynamics are that â€Å"there may be uncertainty about who has the authority over certain decisions, especially if dual relationships exist with line and staff personnel. Managers may continue to use old labels even though the organization has changed; or a structural type may be referred to before it is completely in place. † (Daniels, Pitts, Tretter, 1984) Problem Statement: The problem that has been identified for the multinational corporation in this case is the lack of a proper chain of command for authority and delegation, which is required. This means that the organization now needs to be structured in order to have a systematic flow for operations and reporting both in the international locations and well as the local ones. Factors Effecting Multinational Corporations: The factors that are affecting this organization particularly relate to the diversity in its international locations which is going to influence the organizational design. The changes in organizational parameters such as size, diversity, foreign activity, and personnel deployment patterns often lead to shifts in multinational structure. † (Daniels, Pitts, Tretter, 1984) Other factors that influence the structure of the organization include the culture of the personnel in the working at the international locations, their work ethics, the training provided to the locals in the international locations, the kind of operations being carried out in the international location and the priority of these operations relative to the worldwide operations of the business. The Stopford and Wells model helped in identifying that multinationals with a low percentage of foreign sales and product diversity usually have structures based on the international division while those having higher degree of product diversity and low percentage of foreign sales are based on worldwide product division structures. â€Å"The international strategies involve relatively high percentages of foreign sales and the supporting structures tend to be high integration structures† (Egelhoff, 1980). Organizational Structure for the Organization: The symptoms of the problem mentioned above show that the staff of the organization at the international location is demoralized and has no sense of belonging to the organization. This is true due to the undefined nature of the corporation. By specifically identifying the chain of command and authority levels, a link between the international branches and the head office will be created which will help in encouraging a sense of belonging and purpose in the personnel. The structure of this organization will be such that the center of command and operations would be the head office in the U. S. There would be regional division based on the geographic location with a regional head office in every region. These regional head offices will be monitoring the operations in countries which come under their jurisdiction. In this manner, the reporting in the organization will be hierarchical, with the international operations reporting to their regional head quarters and the regional headquarters reporting to the head quarters in the U. S. Using this hierarchy, their would be localized operations in each country with a code of conduct dictated by the headquarters in the US. This will allow for cultural diversity in the international operations and help satisfy the personnel that they are not second class to those in the U. S. office. As the regional head office will be monitoring and controlling operations in the countries which come under it, the complaints and conflicts between the international operations will be handled by the regional head quarters whose decision would be much more acceptable to the personnel in the international offices. This kind of organizational structure will be matrix in nature where is will be dependent on the geographic location of the operations as well as the functionality of the operation divisions. â€Å"Organizing as a matrix helps bridge the gap between the international division’s inherent weakness and the commitment for fully integrated operations. †(Herbert, 1984)

Organ Transplants Essay -- Medicine

The need for organs in the UK is increasing by an outstanding rate, leaving up to 5000 people to die, while waiting for an organ to be donated, each year. Hospitals and their resources are exhausted. The number of donated organs is simply not enough to keep up with the increasing demand for healthy, transplantable organs. Scientists have in recent years come up with numerous advances in this area of science; however various issues have become apparent on the road to successful transplantations. Transplantation is the process of replacing a damaged or failing organ with a compatible functioning one. For years the only foreseeable solution were voluntary donors who allowed the use of their organs after they passed away or live donors who were prepared to donate cells, blood or transplantable organs such as kidneys. The main issue with organ transplantation is the lack of donors. Governments in the past have put forward the idea of compulsory donation. However some people argue that this is unethical and a person has the right to refuse. In some major religions the idea of harming the body after death is just simply not an option. Counter arguments claim that these issues are irrelevant as the number of lives saved would outweigh any negatives; they would be ‘saving lives’. Transplants from human donors are relatively straightforward on the face of it however underneath the surface hides a tangle of ethical and moral concerns. What are the sources of organs used in transplantation? Should we pay for organs? Should someone who has already received one transplant, be allowed a second? Should alcoholics be given liver transplants? Yes, in the United Kingdom, organs are sourced from volunteers, however in recent years the issue of ... ...://stemcells-research.net/2011/07/09/stem-cells-ethics/, ‘stem cell ethics’ http://ndt.oxfordjournals.org/content/27/3/1246.full.pdf+html?sid=cc03e2a4-2c56-4dfa-9a45-2ac85b454869, ‘Comparison between bortezomib and rituximab in the treatment of antibody-mediated renal allograft rejection’ http://bioethics.georgetown.edu/pcbe/background/davispaper.html, ‘A Staff Working and Discussion Paper; The Ethics of Organ Allocation’, September 2006 http://www.unos.org/donation/index.php?topic=organ_allocation, ‘Organ Allocation’, updated 2012 Journals/Books: Budiani-Saberi, Da; Delmonico, Fl, "Organ trafficking and transplant tourism: a commentary on the global realities.†, American journal of transplantation, May 2008 Videos/movies: http://www.cbsnews.com/video/watch/?id=7394380n, ‘Stem Cell Fraud: A 60 Minutes investigation’, CBS NEWS; 60 minutes, January 8, 2012 Organ Transplants Essay -- Medicine The need for organs in the UK is increasing by an outstanding rate, leaving up to 5000 people to die, while waiting for an organ to be donated, each year. Hospitals and their resources are exhausted. The number of donated organs is simply not enough to keep up with the increasing demand for healthy, transplantable organs. Scientists have in recent years come up with numerous advances in this area of science; however various issues have become apparent on the road to successful transplantations. Transplantation is the process of replacing a damaged or failing organ with a compatible functioning one. For years the only foreseeable solution were voluntary donors who allowed the use of their organs after they passed away or live donors who were prepared to donate cells, blood or transplantable organs such as kidneys. The main issue with organ transplantation is the lack of donors. Governments in the past have put forward the idea of compulsory donation. However some people argue that this is unethical and a person has the right to refuse. In some major religions the idea of harming the body after death is just simply not an option. Counter arguments claim that these issues are irrelevant as the number of lives saved would outweigh any negatives; they would be ‘saving lives’. Transplants from human donors are relatively straightforward on the face of it however underneath the surface hides a tangle of ethical and moral concerns. What are the sources of organs used in transplantation? Should we pay for organs? Should someone who has already received one transplant, be allowed a second? Should alcoholics be given liver transplants? Yes, in the United Kingdom, organs are sourced from volunteers, however in recent years the issue of ... ...://stemcells-research.net/2011/07/09/stem-cells-ethics/, ‘stem cell ethics’ http://ndt.oxfordjournals.org/content/27/3/1246.full.pdf+html?sid=cc03e2a4-2c56-4dfa-9a45-2ac85b454869, ‘Comparison between bortezomib and rituximab in the treatment of antibody-mediated renal allograft rejection’ http://bioethics.georgetown.edu/pcbe/background/davispaper.html, ‘A Staff Working and Discussion Paper; The Ethics of Organ Allocation’, September 2006 http://www.unos.org/donation/index.php?topic=organ_allocation, ‘Organ Allocation’, updated 2012 Journals/Books: Budiani-Saberi, Da; Delmonico, Fl, "Organ trafficking and transplant tourism: a commentary on the global realities.†, American journal of transplantation, May 2008 Videos/movies: http://www.cbsnews.com/video/watch/?id=7394380n, ‘Stem Cell Fraud: A 60 Minutes investigation’, CBS NEWS; 60 minutes, January 8, 2012

Working Poor in America

Working to be Poor in America A single mother of three works two jobs at minimum wage can survive only if she takes advantage of food stamps and lives with a roommate to help pays the bills. This is the case with most of the â€Å"working poor† in America. In 2006, a family of four with one minimum-wage earner had a total income (including food stamps and the Earned Income Tax Credit) of $18,950, some $1,550 below the poverty line. America is one of the richest countries in the world and yet according to the US Census Bureau, in 2010 21 million of its population lived in working-poor families.This translates into nearly 9. 6 percent of all American families living below 100 percent of poverty have at least one family member working. How can this be? Some people believe that the workers are to blame; they believe that it is the workers’ lack of ambition and drive to better themselves that causes them to be in such dire conditions. While this might be true in very few cas es, I don’t believe that it paints the entire picture as to why there could be a â€Å"working poor† class in America.Despite what society may think, the â€Å"working poor† exists because they are subjected to minimum wage, insufficient hours, layoffs, lack of skills, expensive health care and childcare, and inadequate housing. Society throws so many curve balls at low-wage workers that it has become very nearly impossible for them to transcend their situations. One common misconception is that the answer to poverty is to get a job. We assume that if someone is hungry, it is because they are unemployed and are living on the streets. The reality is that over 49 million Americans are affected by hunger.Does this mean that they all are jobless and homeless? As the article â€Å"25 million depend on emergency food assistance† reports, about one-third of the adults between the ages of 18 and 65 needing emergency food-aid are employed. Thirty-six percent of al l families seeking assistance reported that at least one family member was working. As Michelle Conlin and Aaron Bernstein explain, today more than 28 million people, about a quarter of the workforce between the ages of 18 and 64, earn less than $9. 04 an hour, which translates into a full-time salary of $18,800 a year—the income that marks the federal poverty line for a family of four. â€Å"The Working Poor Are Not Getting By in America†) The Census Bureau lists that overall 63% of U. S. families below the federal poverty line have one or more workers. How is it that such a large percentage of the U. S. population can be considered as poor or hungry? Is it that all these people lack ambition or is it society that places the burden of poverty on these workers? The primary and main reason for the rut the â€Å"working poor† find themselves in is the minimum wage. While profits and productivity soar in today’s economy, the minimum wage hasn’t kept p ace with inflation.Opponents of a raise in the minimum wage often make dire predictions about supposed adverse impacts on employment rates and the economy. But study after study shows that there is simply  no  evidence that raising the minimum wage has led to higher unemployment, and there is substantial evidence that a responsible minimum wage increase does not affect employment rates at all. According to the New York Times editorial Board, if the minimum wage had kept pace with the rise in executive salaries since 1990, America’s poorest paid workers would be making more than $23 an hour.In 1956, the federal minimum wage was a dollar an hour; that same dollar when adjusted for inflation would be $10. 55 an hour in today's dollars, instead today the actual federal wage is $7. 25 and for tipped workers a dismal $2. 13. This amounts to about $1. 50 an hour less, in today’s money, than it did in 1968. In â€Å"Raising the minimum wage will reduce poverty† it s tates that even with a $7. 25-an-hour minimum wage, a family of five with a full-time, minimum-wage earner that receives food stamps and the refundable tax credits would fall $1,139 below the poverty line in 2009.In the past 30 years, Congress has passed legislation to increase the minimum wage exactly 3 times. With politicians and employers fighting furiously to keep this minimum wage down, low-wage workers are forced to work two, sometimes even three jobs in addition to depending on government handouts in order to barely get by. While their income is kept at a minimum, their expenses continue to soar: health care, child care, gas prices, housing, the list goes on. The cost of living has been constantly rising for years while the minimum wage lags behind. The number of people who lack health insurance is about 49. million. In 2010, the percentage of people who had health insurance through their employers fell to 55. 3% while 31% of Americans relied on the government for health insu rance. (Les Christie) However, while most children in families with a full-time minimum-wage worker are eligible for free or low-cost health insurance through Medicaid or the State Children’s Health Insurance Program, their parents are not. In fact, according to the Census data, in 25 states a parent in a three-person family with a full-time, minimum-wage job earns too much to qualify for Medicaid.As a result, about 41 percent of all parents with incomes below the poverty line were uninsured in 2005. In addition to this, many working poor families face significant childcare costs. According to the National Association of Child Care Resource and Referral Agencies, in the median state in the 2004-2005 academic year, full-time infant care in a licensed child care center cost an average of $7,100 per year, while full-time care for preschoolers in a licensed child care center cost an average of $5,800.Without a child care subsidy, a family earning at or near the minimum wage is un likely to be able to afford such a tuition bill for one child, let alone two or more children. Housing cost burdens for poor families are often severe. Expenditures on public housing have fallen since the 1980s, and expansion of public rental subsidies came to a halt in the mid-1990s. Actual rents have to be less than 30% of one’s income to be considered ‘affordable’. Ehrenreich 201) Housing analyst Peter Dreier reports that 59% of poor renters, amounting to a total of 4. 4 million households, spend more than 50% of their income on shelter. (38) Nationwide, the average cost of a modest two-bedroom apartment in 2006 was $821 per month, or $9,852 per year, according to the U. S. Department of Housing and Urban Development (HUD). At this cost, rent and utilities consume nearly half (48 percent) of the income of a family of four at the poverty line. This calculation assumes that the family receives food stamps, the EITC and child tax credit. ) Rising rents are forcin g the low-wage workers into motels with fluctuating prices for the winter season and tourist seasons. By relying on the minimum wage, basic necessities such as health care and home-ownership have now become a luxury to the â€Å"working poor† – a distant dream that can never be realized. We would assume that there is adequate support for the â€Å"working poor† through government handouts, but even this system is flawed.Throughout the nation soup kitchens and food pantries are stretched beyond capacity, struggling and failing to meet new need, much of it from working people whose wages simply haven't kept up. Barbara Ehrenreich in her book Nickled and Dimed reveals through her own experience as a low-wage employee just how difficult it is to receive help from the government and charity organizations and how limited these options are. You would need to dedicate a significant amount of your time and energy to locate these options and even when you do manage to get in touch with the â€Å"right person† the help received can be useless.As a low-wage worker, where every hour of your time is money spent, devoting this amount of time to looking for government aid is a luxury as well. Therefore, they are prevented from receiving the little assistance available to them. Most of the time, they do not even qualify for welfare because of the low-wage paying job that they have, even though they desperately need the assistance. Therefore, who or what do we blame for the devastating conditions of the â€Å"working poor† in our society?If there was a clear cut answer to this question, then maybe this question would never need to be asked. We would just point a finger and work on getting the problem fixed. Society strips the â€Å"working poor† of their dignity, self-worth, self-respect and pride and leaves them naked to suffer these physically demanding, dead-end jobs where they are paid next to nothing and in the end, still condemned because they are thought of as lazy parasites that put a strain on society through their addictions and their insistence on reproducing in unfavorable circumstances.Society is quick to judge these individuals and disapprove of their actions when in reality it is society’s fault that these people must depend on such things as welfare in order to minimally survive. According to Furman and Parrot in â€Å"Raising the minimum wage will reduce poverty†, raising the minimum wage would be an important first step and a useful complement to public policies like the EITC, food stamps, and child care subsidies, which provide additional benefits and supports for low-income working families.They believe that a broader agenda is needed, however, to raise the prospects of low-wage workers and their families more significantly. Such an agenda would need to include additional income supports, help in obtaining the health care, child care, and housing that these families need but often cannot afford, and new opportunities to attend college or upgrade their skills so they can secure higher paying, more stable jobs. Works Cited â€Å"25 million depend on emergency food assistance. † Policy & Practice June 2006: 7.Academic OneFile. Web. 22 June 2012. Bureau of Labor Statistics. United States Department of Labor. May 2012. Web. 21 June 2012. Christie, Les. â€Å"Number of people without health insurance climbs. † CNN Money. Cable News Network 2012. Web. 21 June 2012. Conlin, Michelle, and Aaron Bernstein. â€Å"The Working Poor Are Not Getting By in America. † Poverty. Ed. Viqi Wagner. Detroit: Greenhaven Press, 2007. Opposing Viewpoints. Rpt. from â€Å"Working †¦ And Poor. † Business Week (31 May 2004). Gale Opposing Viewpoints In Context. Web. 0 June 2012. Dreier, Peter. Why America’s Workers Can’t Pay the Rent. Dissent 47 (3). Summer 2000. Ehrenreich, Barbara. Nickel and Dimed: On (Not) Getting By in America. New Yor k: Henry Holt and Co, 2001. Print. Furman, Jason, and Sharon Parrot. â€Å"Raising the Minimum Wage Will Reduce Poverty. † Poverty. Ed. Viqi Wagner. Detroit: Greenhaven Press, 2007. Opposing Viewpoints. Rpt. from â€Å"A $7. 25 Minimum Wage Would Be a Useful Step in Helping Working Families Escape Poverty. † www. cbpp. org. 2007. Gale Opposing Viewpoints In Context.Web. 22 June 2012. Jeff Chapman. â€Å"Employment and the Minimum Wage: Evidence from Recent State Labor Trends,† Economic Policy Institute, 2004. And in one of the most compelling studies, David Card and Alan B. Krueger find that the 1992 New Jersey state minimum wage increase had no negative effect on employment in New Jersey’s fast-food industry. David Card and Alan Krueger, â€Å"Minimum Wages and Employment: A case study of the fast-food industry in New Jersey and Pennsylvania,† American Economic Review, vol. 4 (4), 772-793, 2004. Pimpare, Stephen. â€Å"Welfare Reform Has Increase d Poverty. † Poverty and Homelessness. Ed. Noel Merino. Detroit: Greenhaven Press, 2009. Current Controversies. Rpt. from â€Å"Why Welfare Reform Has Failed. † ZNet. 2004. Gale Opposing Viewpoints In Context. Web. 22 June 2012. RaisetheMinimumWage. com. National Employment Law Project. June 2012. Web. 21 June 21 2012. Rhoda Cohen, J. , Mabli, F. , Potter, Z. , Zhao. Hunger In America 2010. Feeding America. February 2010.

Telemedicine Is Not A New Concept - 2090 Words

Telemedicine The term telemedicine is formally defined as â€Å"the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status† (ATA, 2012). In the 1900s, due to the invention of the telephone and various other avenues of communication, telemedicine medicine was introduced to the world. Throughout the years, varying degrees of advances in telemedicine have been acknowledged but telemedicine truly began receiving recognition in the seventies with the introduction of the personal computer (Ferrer-Roca and Sosa-Iudicissa, 2002). While telemedicine is not a new concept, is has begun to receive more and more recognition due to the advances in technology. As telemedicine†¦show more content†¦The biggest implication of telemedicine is that rural patients and hospitals can obtain better access to specialty care services. In turn, this could lead to earlier diagnoses and treatment which can contribute to improved outcomes and less costly treatment. Those individuals, who do not have access to care, are unable to leave their homes, or miss work to see their physicians, would be able to take advantage of telemedicine services. While Telemedicine is a broad category and can include various tools and indications, the methods in which Telemedicine is communicated between providers and patients has specific methods of application. The most popular methods of utilizing telemedicine are store-and-forward, remote monitoring and interactive services. These methods are explained in more detail below (Center for Connected Health Policy, 2014): †¢ Store-and-forward telemedicine involves transmitting medical data to a provider or medical specialist through a secure method of communication. Data most often sent through this method of transmission are X-rays, MRIs, photos, pathology reports, patient data, etc. This method of telemedicine more often than not uses an electronic format as the component to transfer patient information between providers. †¢ Remote monitoring enables medical professionals to monitor aShow MoreRelatedA Brief Note On The American Telemedicine Association1463 Words   |  6 PagesIntroduction The American Telemedicine Association defines in their web site Telemedicine as the use of electronic communications systems in the exchange of medical information from one site to another in an effort to improve a patient’s health status. Telemedicine has become an important tool in the health care field due to the rapid development in information technologies and the growing need for aid mechanisms allowing maximum and prompt access to health care services to a growing populationRead MoreResearch Background And Significance Of Telemedicine1096 Words   |  5 Pages1.1 Research Background and Significance Telemedicine is a new technology in which medical information are being exchanged from one place to another through electronic communications to improve patients’ health status. Telemedicine is the most recent technology which combines at the same time telecommunication and technology for medical resolutions [1]. It gives a new technique to deliver health care services when there are many kilometers between the doctor or hospital office and patient. RuralRead MoreThe Importance Of Health Care1429 Words   |  6 Pagesin need can be difficult for medical practitioners, especially if those patients reside across state boarders. Even more so, it is time consuming, tedious, and costly to obtain multiple state licenses. According to the New York Office of Professions, for a physician to obtain New York state licensure he/she must be a graduate from a registered or accredited medical program by the education department, completed clinical rotations in general hospital or suitable h ealth care facility, one year of post-graduateRead MoreA Brief Note On The Electronic Health Records1613 Words   |  7 PagesNursing is a very interesting field because of the fact that it never stays constant; new changes occur all time in the purpose of improving nursing care. Nursing is a hands-on type of occupation; however, as the year elapsed the nursing field also shares its growth and development in the technology area. These technologies range from the simplest to the most sophisticated ones. The (EHR) or Electric Health Records One of those technologies includes:† The (EHR) or electric health records which isRead MoreIndia s Impact On Healthcare Essay1305 Words   |  6 Pageshospitals and clinics, which provide quality healthcare. These centers are equipped with better doctors, availability of secondary and tertiary care. In such a situation, specialty care is a distant dream for rural India. Narayana Hrudayalaya This telemedicine system consists of medical software integrated with computer hardware (customized as per the needs of the organization) and the diagnostics instruments connected to the VSAT (very small aperture terminal) at each location. The ElectrocardiogramRead MoreImpact Of Technologies On The Economics Of Healthcare1195 Words   |  5 Pagesdisruptive technologies that are having a corresponding impact on the economics of health providers and the entire health care industry value chain. The two most disruptive technologies of all are cloud computing (Corredor, Martà ­nez, Familiar, 2011) and telemedicine administered remotely over the Internet (Johansson, Wild, 2010). Cloud computing is completely redefining the traditional financing and expensing approaches healthcare providers rely on for funding capital expense (CAPEX) projects. With cloud computingRead MoreTelemedicine Is The Most Newest Technology1658 Words   |  7 PagesTelemedicine is a new technology in which medic al information are being exchanged from one place to another through some electronic communications to develop patients the status of a patient health. Telemedicine is the most newest technology which join at the same time telecommunication and technology for the solution of medical [1]. It gives a new technique to deduce health care services when there are many miles between the hospital office or doctor and patient. Rural area will get the advantagesRead MoreA Brief Note On Health Informatics And Telemedicine1486 Words   |  6 Pagesinformatics and telemedicine are providing greater access to healthcare resources. Discuss the role of the Registered Nurse in improving access to healthcare in rural and remote areas. Health informatics and telemedicine are not new in the world of health profession. It has long been playing a major role in the delivery of health care to patients and consumers especially in rural and remote areas. Health Informatics is the appropriate and innovative application of the concepts and technologiesRead MoreThe Importance Of The Seattle Cancer Service Area887 Words   |  4 Pages Idaho (WAMI) region as they increase their research ideas into groundbreaking discoveries for cancer specialists and lifesaving realities for cancer patients. This will essentially improve the standards of, which care is being provided by through new techniques. The SCCA intends on providing care directly to the Seattle area by engaging in strategic partnerships with Northwest Hospital, Evergreen Hospital, and other hospitals in the Pacific Northwest region. They also serve as a national and internationalRead MoreOrganizational Program Design Project Design1466 Words   |  6 Pagesinherent d ifferences between goals. With the plan to implement a new telemedicine program to allow improved performance of basic healthcare service, inherent conflict exist among the staff as each of them have their different strategies to this common goal. Cognitive Conflict Is seen when the different ideas are not compactible - John Lafitte, a new graduate in the team (MHA degree) has new ideas from school and wants to try those new approaches which seem different from other people ideas Affective