Instant Car-Pooling on the Android Platform

CS 8803 AIAD TERM PROJECT REPORT TEAM#2 CS 8803 – AIAD Project Report. Instant Car-Pooling on the Android Platform Vinaya Shenoy Parikshit Sudumbrekar Madhura Tipnis 1 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Table of Contents: Introduction Objectives Motivation Technology Overview Related Work Architecture Project Screen-Shots Evaluation Future Work Project Experience Conclusion References 3 3 3 4 5 5 6 14 14 15 16 17Table of Figures Figure 1: Android Technological Overview Figure 2: Carpool Application – Starting Window Figure 3: Carpool Application – Create a new Event Figure 4: Carpool Application – Contact List Figure 5: Carpool Application – Events Created history Figure 6: Carpool Application – SMS for carpool invitation received Figure 7: Carpool Application – Car pool Invitation Details Figure 8: Carpool Application – Details for the event creator Figure 9: Carpool Application – Map showing pick-up points 4 6 7 8 9 10 11 12 13 2 CS 8803 AIAD TERM PROJECT REPORTTEAM#2 Introduction: With increasing convergence between different technologies like the cellular world, internet (IP) world, different applications have become popular and many more are under development. One of the prominent services popular amongst the users is the â€Å"Location Based Services† and â€Å"presence†. The current location-based services out there in the market use the policy of ‘broadcasting locations' while enabling any activity between the various users. This may lead to unintended recipients being the beneficiary of certain events.With this in mind, we aim to develop an application/service that would enable selective delivery of events/messages to the intended recipients based on their location. This would help in avoiding thousands of messages being sent to unintended recipients. Thus, not only the location of the intended recipient is taken into consideration; but the context of the location i s also taken into consideration. In this project, we define the context of the recipient as its distance from the initiator of the event. Objectives: The objectives of the „Instant Car Pooling Application? can be stated as follows: 1.Enable users to create events that would specify the following information? The total vacancy in the car. ? The time at which the event is going to take place. ? The Final destination. 2. Development of the logic that would enable? Poll in the location information of all the intended recipients. ? Take decision based on the context on the location. ? Send „sms? to all the selected recipients and handle the accepted or rejected messages received from the recipients. 3. Generate a Google Map that shows the initiator the map between his location, all the recipients that agreed to his car pooling event and the final destination.We aim to demonstrate all these scenarios on the „Android Emulator?. Motivation: The application under considerat ion, the „Instant Car Pooling? application, is a novel idea which has never been implemented before. This became our source of motivation for going ahead with this project. All the current car pooling methods are 1. Time consuming. 2. Require a lot of before-hand planning. 3. Require several rounds of communications in the form of series of e-mails or a series of telephonic conversations. 3 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Also, there seems to be an absence of a „Car Pooling? pplication on the mobile phones. This motivated us to develop our application on the „Android Platform? , one of the upcoming and latest mobile platforms launched by Google. A different source of motivation behind the development of this application is that of the „Georgia Tech India Club?. All the members of this club complained about receiving thousands of mails which either requested for a Car Pool or which offered a Car Pool. Thus, uninterested students used to receive such ma ils. We thought; why not develop a „mobile-based instant Car Pooling application? s our gift to the student community of Georgia Tech? This really gave us the passion to go after the completion of this project. The initiator of the event could select intended recipients from the contact list. The application then checks for the relative context of the location of all the selected recipients and forwards the event to only those recipients that satisfy the context. Technology Overview: Figure 1: Android Technological Overview Android is a new operating system for the G1 phone that has been released by Google in 2008.The main difference that sets the Google G1 phone apart from other operating systems is that the Android is based on an open source platform. This implies that anyone can view and even modify the source code. This results in constant evolution of the software. In case a developer senses that there is a certain feature that is currently not included then he or she can incorporate it in the phone and the software would develop. Since it is a fairly new platform, it is not as 4 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 developed as other mobile operating systems.But considering the open source nature and other features, it can go a long way beyond other mobile operating systems. The hardware associated with the phone is provided by various companies. As and when the hardware becomes more advanced, the Android OS will be able to support more features functions. Related Work: 1. Location tracking is the most essential thing and a definite pre requisite for any mobility related application. This can be done in different ways. 2. A social tool has been developed which helps the user connect with people around him. This tool has been developed on the Symbian Operating System.The location of the user is detected in the cell phone by getting information from the cell tower. This application doesn? t need GPS. Each user can keep up with what is happening wi th people in the friend? s list. Broadcasting of messages is the approach followed in this tool. It also provides other features like connecting people with similar interests. It helps the user explore various places in and around the location detected. 3. There is a mobile social networking service called Loopt which broadcasts the location of the user even when the phone is closed.It also allows sending of messages or sharing of photos between contacts. This Loopt is currently limited to the Sprint network. Architecture: The users that have this application installed on their cell phones can use this application as either initiators of car pooling event or as invitees for a car pooling event. When the user launches this application, the user is given three options to choose from. The user can create a new car pool event, view the events that he has created earlier or view invitations for car pool event from other users.When the user chooses to create a new event, he is given a for m which has fields such as subject of the car pool, time of the car pool, vacancies in the car, destination address of the car pool, and a button to choose from the list of his contacts. The user enters the values in the fields and then clicks on the contact list. The contact list is displayed from which the user selects the contacts he wants to send the invitation of the car pool to. All the invitees will be sent an SMS with the details of the carpool event.When the invitee accepts an invitation, the carpool application on his phone will respond back to the initiator with the current GPS location of the invitee. When the initiator gets back the positive reply from an invitee, he will retrieve the location co-ordinates from the sms and using reverse geocoding functionality of the Geocoder utility will calculate the street address of the contact. Now when the initiator views the event generated, he can see all those who all have responded to the event. A Google map is created with th e locations of all those who have responded to the event.It gives the order of pick up as per the order in which the invitees have responded. We have used the Google Map API here for 5 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 generation of the route map based on the location as detected by the geo coder. Once the vacancies are full, the other invitees who try to accept the invite later are displayed a message which says that the car is full. Project Screenshots: Figure 2: Carpool Application – Starting Window This is the first screen that appears on the cell phone display when the user starts the application. There are three options that are provided.They are ? ? ? Create an event – This allows the user to start a new car pool. View created events – This allows the user to go back and view the car pool events that have been created earlier by him. View Invitations – This option lets the user view invitations for other car pooling events from his friends. 6 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Figure 3: Carpool Application – Create a new Event This screen appears on the cell phone display when the user chooses to create a new car pooling event. In the subject box, the user can type out a short description of the purpose of the car pool.Since it is an instant car pooling application, the day is set to the current day as recorded in the cell phone. The user is given a list of times to select from when he clicks on the â€Å"pick a time† option. Also the user is allowed to specify the number of vacancies in his car to go to a particular destination. The user enters his destination address in the destination 7 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 box. Then the user can select contacts from his contact list to whom all the event will be sent to. Figure 4: Carpool Application – Contact List This screen is the contact list.The user can select the contacts he wishes to send the car pool event invite to, with the hel p of check boxes provided next to the names of the contacts. When the user clicks on â€Å"add to event†, the invitation is sent to the selected contacts from the contact list. This event is sent in the form of a „sms?. 8 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Figure 5: Carpool Application – Events Created history This screen is displayed on the cell phone display when the user chooses to view the car pool events created by him. The user can click on the individual events to view the details of each event.This list contains all the past events as well as the pending events. 9 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Figure 6: Carpool Application – SMS for carpool invitation received When the message is sent to the contacts, the message as shown above appears on the display of the contacts to which the message is sent. The name of the car pool event generator also appears in the message pop up. 10 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Figure 7: Carpool Ap plication – Car Pool invitation details When the user clicks on â€Å"view invitation† option on the main page, the user is displayed the screen above.The invitation gives details of the car pool which includes the subject of the car pool, the name of the initiator of the event, the time at which the car pool is scheduled to take place, the destination of the car pool and the status of the reply. The user is given to options to respond to the message of either attending or not attending. The user can click on either one depending on his choice. Once the user responds to a message he won? t be given an option to change his decision. 11 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Figure 8: Carpool Application – Details for the event creatorThis page will be displayed to the user who created the events. It will give him a summary of the event with details such as the subject, the time of the event, vacancies in the car, destination of the car pool, invitees to the even t, and the order of pickup of the invitees who responded. The order of pickup is decided on first come first serve basis currently. Also the user is given an option to check the map of the route now by clicking on â€Å"show route map†. 12 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Figure 9: Carpool Application – Map showing pick-up pointsThe route map is displayed to the creator of the car pool event when he clicks on the â€Å"show route map† option. Along the route, the pick-ups in the order of first come first serve are plotted. The interesting thing about this application is that in the beginning when no recipient has accepted the invitation, the initiator of the event can view a map of source (his location) and the final destination. As and when recipients accept the car pooling invitation, the map is updated and it shows all the intermediate pick-up points (the locations of the recipients who have accepted the car pooling invitation).Thus, the initiator of t he event now has the entire map, wherein he has all the information about the route to follow. 13 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Evaluation/Testing: We tested our application by running four instances of the emulator on the same machine. In each emulator we stored three contacts with their numbers being the port numbers on which the other three emulators were running. We then tested the following scenario: 1. When a user creates a new event, the event is created properly ensuring that all the parameters are valid. For eg, the user can? put a time in the future or put a negative vacancy, give no invitees. Also, we verify the destination address provided by the user to ensure that the address is correct and exists on the map. 2. Once the event is created, we verified that all the invitees got an sms message with the proper details and the invitation is displayed in their invitation list. 3. When an invitee accepts an invitation a reply sms with his GPS coordinates is sent bac k to the initiator. 4. When the initiator gets a accept response, the event is updated and the initiator can see the pickup location of the invitee on the map. . When the carpool for an invite becomes full, all invitees who respond after that get a carpool full response sms. Future Work: This project provides a proof of concept of the „Car Pooling? application. It is a stripped down version of our dream „Car Pool? application. There are a lot of improvements that can be incorporated into this project that makes it more complete and feature rich. The future work with regards to this project can be summarized as follows: 1. Currently, the initiator sends car pooling invitation to his friends from his contact list.Their location is forwarded back to him when they accept the invitation. This helps in the creation of the Google Map for the event initiator. In the future, we could have a web service that handles all this location information. This would also solve some privacy related issues like the publishing of recipient location etc. 2. At the moment, the routes are decided on the „First Come First Serve? basis. This means, the route is decided on the order in which the recipients accept the car pooling invitation. But the path obtained from this may not always be the shortest path.Thus we could have algorithms like the „Dijkstra? s? algorithm or Algorithmic concepts like „Dynamic Programming? to calculate the shortest path between source, destination and all the recipients. Thus, optimization on this front can be obtained. 3. The web service can be programmed to handle the context of the location. The context of the location can be determined by its proximity to the location of the event creator. Thus, the web service can determine a radius and determine the recipients which fall within the 14 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 adius as the ones who would receive the car pooling event message; while those which lie outside the radius would be ignored. Thus, broadcasting of the event can be avoided. 4. Other features can include displaying only the events that are pending when the user clicks on the „View Created Events? button. All the past and completed events could be stored in a separate „history log?. 5. Currently, the final destination needs the complete address of the location. In the future, the final destination address could be populated by extracting information from the „subject? of the event and using Google Maps functionalities.For example, if the user types in „Trip to Wal-Mart? as the subject, then the final destination address could be filled automatically by the closest Wal-Mart store located near him. Project Experience: Working on the project was a learning process with a lot of interesting discoveries. The Android platform being comparatively new was a challenge to work on, since very less documentation was available as well as little support was available thro ugh the online communities. During the initial phase of the project, all the various APIs that were supported were studied to determine their use and feasibility towards the project.During this initial feasibility study, we realized that certain API support have been removed from the latest version of Android. This included the crucial one of Google Maps, which our project was dependent on. Thus, began another study to determine the use of actual Google Map APIs through the Android code. Also the basic idea of the project made us realize that how convenient car pooling can be made with this application. The project exposed us to the latest technology in the area of mobile platform development. In class the various issues in mobile computing were covered.Also there was an extensive explanation of mobile computing in general. This discussion helped us a lot in the project. We realized that issues such as less power on the device, etc. can be a problem if there are huge amounts of comp utations to be done. Thus, we made a point to keep the client as this as possible and with this aim in mind, we also aim to develop a web service in the future that would completely take care of all the computation and make the clients really „thin?. Location based services were extensively covered in the class. This motivated us to incorporate them into our project.We have extensively used locations in our project, in fact we have the plotted the Google Map by making use of them. Due to such background developed in class, we thought of experimenting on the Android platform. It gave us a boost to explore the yet not totally discovered areas in Android API usage. 15 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 Initially we wanted to test the project by executing instances of the Android emulator on different machines. These emulators would then communicate between each-other through means of messages. But, we were not able to demonstrate in this fashion due to certain technological challenges.In the end, we demonstrated the application by executing different instances of the Android emulator on the same machine. We further aim to test the performance of our application by adding a number of recipients and measuring the time taken for the Google Map to build. This would help us in determining whether the time remains for large number of recipients, finding the bottle-necks if any and moving towards a cut-off for the number of recipients for which the application shows normal execution time. Conclusion: Thus, this project successfully demonstrated a mobile based „Car Pooling? application.This application would help in the process of creation of „instant car pool? events. Thus, we successfully reduced the long conversations needed for normal car pool events. In future, more functionality can be added to make this application more robust and more feature rich. With the advent of smart phones, this application, when developed to its fullest, would be ab le for all to use and make their journeys much more enjoyable and comfortable. 16 CS 8803 AIAD TERM PROJECT REPORT TEAM#2 References: 1. Android API documentation. (n. d. ). Retrieved from Android Developers: http://developer. ndroid. com/reference/packages. html 2. Android Development Community Forum (n. d). Retrieved April 2009 from http://www. anddev. org/index. php 3. Google Maps API documentation. (n. d. ). Retrieved from Google maps: http://code. google. com/apis/maps/documentation/ 4. Strickland, J. (n. d. ). How the Google Phone Works. Retrieved April 2009, from How Stuff Works: http://electronics. howstuffworks. com/google-phone5. htm 5. What is Android. (n. d. ). Retrieved April 2009, from developer. android. com: http://developer. android. com/guide/basics/what-is-android. html 17

Art Comparison Analysis

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Stress Management Essay Example | Topics and Well Written Essays - 1250 words

Stress Management - Essay Example Moreover the job designation has evolved in the past few years into a complex hybrid of what if used to be. The employees today have to perform a number of different roles in order to ensure that their job is well done. A very common example is of a university professor. Not so long ago professor just worried about delivering lectures but the situation has now changed. A regular professor has to involve him or herself into administrative tasks, teach classes, be a positive role model and over all that engage in inter office politics. This is just one example from a pool of thousands of other similar problems being faced by employees globally. The importance of stress management programs have thus increased over the last few years. Corning Inc is a glass and ceramic manufacturing company located in United States. The company has a very long and rich history of implementing innovative and state of the art program to improve working conditions for its employees. The Research & Development department is a very significant aspect of Corning’s success in recent years. The capability to provide an environment of learning where its scientist and researchers can engage in developing latest technologies is a significant capability of Corning. Moreover a unique collaborative culture exists in Corning which ensures that ideas and people come together in excellence to produce high quality in both culture and goods. In 1992 the national institute for occupational and safety health was established in United States. The aim of this institution was to improve the everyday life and more importantly the workplace life of office workers. To keep the efficiency of the company to a maximum it is not has permitted a highly bureaucratic system like other governmental organizations. This has allowed the organization to keep the innovation intact. Over the years the company has engaged in many different ventures with organizations all around USA in order to

Not as Easy as 1,2,3 Essay Example for Free

Not as Easy as 1,2,3 Essay People, Work Organizations- MGMT20124 Assessment 1- Report Case Study Not as Easy as 1, 2, 3 Contents Contents2 Executive Summary4 1- Introduction5 1. 1 Background to the report5 1. 2 Scope5 1. 3 Aims 6 2- Discussion7 2. 1 Organizational Justice7 2. 2 Perception errors 8 2. 3 Stress8 2. 4 Exit-Voice- loyalty ­-Neglect model8 2. 5 Team work 9 2. 6 Motivation9 3- Literature review10 3. 1 Organizational Justice10 3. 2 Maslow’s needs hierarchy theory12 3. 3 Expectancy theory14 4- Solutions and suggestions18 4. 1 Organisational Justice 18 4. 2 Stress 19 4. 3 Improving feedback process21 5- Conclusion22 References24 Executive Summary There are three purposes for this report. It attempts to indentify the problems in the case study Not as Easy as 1, 2, 3. Accordingly, it discusses about six main problems in ABC consulting firm that have negative impact on the organization effectiveness and the productivity of the objectives. These problems are; ABC consulting organization failed in implemented the organizational justice. Next one is the perception errors of Janet, the client manager and human resource director. The third problem is George was forced in the stress situation and George’s dissatisfaction about job and work behaviors which caused to the exit-voice-loyalty-neglect actions is the problem number four. The fifth is teamwork environment, processes and the last problem is ABC consulting failed to implement the motivation procedures in motivating its staffs. In addition, it also mentions about the theories which related to each problem. The second aim of this report is to explain the literature review of some theories that are related to the case study’s problems and solutions. Particularly, the organization motivation justice theory, Maslow’s hierarchy needs theory and the expectancy theory. Lastly, this report intends to discuss about the solutions and suggestions in relation to the case’s problems such as, develop consistent organizational justice system, the methods to relief stress, and implement probably feedback processes system. 1- Introduction 1. 1 Background to the report In recent years, organizational behaviors are very significant in every company which can have positive or negative impact on individuals, groups and structures within an organization for the purpose of applying such knowledge towards improving an organizations effectiveness. It is because there are many issues need to be considered if an organization wants to be successful in managing people, and maximize their ability and capacity. Hence, each organization needs to create a consistent system that can motivate its staffs and also try to satisfy their needs in order to improve the productivity of the objectives. One of the motivate systems is organizational justice system which provides the fairness or distributive, procedural and interactional justice in the firm. Furthermore, there are many theories discuss about the methods that can be satisfied the employees’ needs such as; Maslow’s needs hierarchy theory and expectancy motivation theory etc. For example, Khin (2010) states that many Malaysian companies’ perspectives about the affect of organizational justice on employees’ job satisfaction, organizational commitment and turnover intention. They implemented the questionnaires around 300 employees about the distributive and procedural justice in a small to medium firms and the result showed that individuals were satisfy with their jobs, had more committed to the organizations and the organizational justice also provided appropriate working environment that can potentially heaps benefits like cost associated to employees retentions, influencing positive behaviors among employees, and thus achieve effectiveness and high productivity in the organization. 1. 2 Scope The case study Not as Easy as 1, 2, 3 focuses on several problems in ABC consulting firm. George was a new consultant staff in ABC firm who was employed by ABC because he impressed ABC’s human resource director and Janet, the client manger in the interview time. They said George was exactly sort of people they are looking for and promise him will get onto bonus system after three months probation. George was assigned in a project team with Daniel, the project manager and Janet, his duty is writing the report. However, nobody guided him how to write the report or told him about the role expectations; hence he could not complete his ideas in the report probably at the first meeting between him, Daniel and Janet. George’s manager disappointed about his report, they said â€Å"we thought you were a little more extroverted†. George was stress and tried to work more hours and put more efforts but had not satisfied his manager when he emailed his report two nights before it was due. Yet, Janet ripped his report to shreds, and told him she needs something more useful. It caused George felt down and lost his motivation, he came to work late, left early and took longer break than usual. He wanted to stay in ABC because of the bonus which his manger and human resource director promise him that everyone can get it after three months. Nevertheless, at the review meeting Janet and human resource director told him that he could not get onto the bonus system because he has not performed at they expected. Consequently, George sent out job applications in that night. 1. 3 Aims The purpose of this report are threefold, these include: Identify the issues in ABC consulting firm which have negative affect to organizational behaviors. Particularly, the six main problems are; ABC consulting organization failed in implemented the organizational justice. Next one is the perception errors of Janet, the client manager and human resource director. The third problem is George was forced in the stress situation. Another issue is George’s dissatisfaction about job and work behaviors which caused to the exit-voice-loyalty-neglect actions. The fifth is teamwork environment, processes and the last problem is ABC consulting failed to implement the motivation procedures in motivating its staffs. The literature review, explain the theories which are related to the case study’s problems in order to the motivation and satisfy employees’ needs. There are three important theories include; organizational motivation justice, Maslow’s hierarchy needs theory, and expectancy theory. Finally, the author provides some solutions and suggestions for the problems in ABC consulting firm such as, develop consistent organizational justice system, the methods to relief stress, and implement probably feedback processes system. 2- Discussion The case study NOT AS EASY AS 1, 2, 3 is facing with some significant problems in the organizational behavior that could have negative affect to employees’ performances, motivation, counterproductive behavior, and organizational citizenship etc. Yet, there are several issues in this case study but the author is focusing on six particular problems in ABC Consulting organization described as follows: 2. 1 Organizational Justice The first issue in ABC consulting company is the organizational justice. Organizational justice is the study of the concerns about fairness in the workplace which includes the distribution of resources has to do with distributive justice, and the fairness of decision-making procedures has to do with procedural justice (Greenberg 1990). Furthermore, Perceptions of distributive justice is one of the reasons employees want to withdraw from the organization (Cohen-Charash ; Spector 2001). In fact, ABC consulting had failed to maintain the fairness in the workplace which included: the procedural justice, George is the new staff in ABC consulting but he did not get any instruction or support to do the first client report. Besides, the distributive justice, the human resource director said that George will be eligible to get onto the bonus system as same as everyone in the company after three months’ probation but at the end of the probation period George could not get onto this bonus system. Consequences, the failure of fairness in workplace resulted George wanted to leave ABC consulting company, he was sending out the job applications. 2. 2 Perception errors The next problem in ABC consulting company is the perception errors of human resource director and Janet who is George area manager and this error can be explained in the Halo Effect theory. The â€Å"Halo Effect† is a type of perceptual error where people perception of one personality trait influences how they view a persons entire personality (Pollock 2012). The case study pointed out clearly that the human resource director and George’s area manager Janet said he was the exactly sort of person they are looking for because of the impression of George in the interview time, but they seemed to disappointed about George after the first meeting as Janet told him â€Å"We thought you were a little more extroverted†. The perception error of Janet and human resource director has leaded to unproductive of task and George’s dissatisfaction about his job. 2. 3 Stress Another problem is George was forced in a stress situation. Stress is something or situations that are perceived as challenging or threatening to the wellbeing of an individual. These conditions may lead to poor work performance, less work productivity (Colligan et al. 2006). George definitely is facing with the stress due to Janet’s commented on him â€Å"George sensed from Janet’s commented that she was disappointed†. Hence, he had to work from 7. 00 Am to 7. 00 Pm in the office and often do extra work at home. Yet, there were not useful points of his report even in the second time, Janet said she hope George has something useful to present on Monday after she read his report. 2. 4 Exit-Voice- loyalty ­-Neglect model The fourth issue is George’s dissatisfaction about job and work behaviours which caused to the exit-voice-loyalty-neglect actions and this type of actions can be identified in exit-voice-loyalty-neglect (EVLN) model. EVLN is a template that identifies ways that employees respond to dissatisfaction job (Hirschman 1970). Obviously, George was not satisfied with his job. Firstly, George had emailed the report again to his manger but she had been ripped to shreds. Thus, he felt anger, resentment and was not willing to do anything more on the project unless instructed to. Additionally, he had some reflected actions to his job dissatisfaction, Such as; he wanted exit from ABC consulting firm, â€Å"he was sending out job applications† after the company rejected him to get onto the bonus system. This action showed that George had a low loyalty in ABC consulting organisation â€Å"low loyalty produced exit with job dissatisfaction†. He also engaged in counterproductive behaviours (voice), George said he would only do absolute minimum, nothing more and he did not want to continue in dazzling anyone in the organisation. In last, he had reduced work effort, paid less attention to quality and increased absenteeism and lateness (neglect). It can be illustrated that he came to work late, left earlier, and took longer break than usual. 2. 5 Team work The fifth problem, ABC consulting firm had problem in organising a teamwork environment and processes. Teamwork is the cooperative and coordinated effort on the part of two or more people who work together as a team or in the interest of a common cause, which is normally the tasks set by the company (Salas et al. 2008). Probably, Daniel the project manager and Janet the client manager know that George is new staff in the organisation but they were not helping George as a team member. They did not give instructions or even ask if George has got any problem with the report and only expected on George will finish the report more than what he has done. 2. 6 Motivation Finally, ABC consulting failed to implement the motivation procedures in motivating its staffs. Motivation is the forces within a person that impact on an individual’s direction, intensity and persistence of voluntary behaviour (McShane et al. 2013). Particularly, ABC consulting firm was not successful in motivating George. First of all, they failed to identify the ability of George and the ability can make a difference in task performance and behaviour. They thought George was a bit more extroverted, that is why George could not complete the report well as they expected. The second is competencies of George; it includes knowledge, skills, personality, and self-concept, values etc. that results in superior performance. People can realise that ABC consulting firm did not implement well in matching George’s competencies with job’s task requirements and even though they did not provide any training for George, it caused an unproductive of George performance and organisational effectiveness. Moreover, the failure of ABC consulting firm in identifying the role perception to George that means they did not help George understand the job duties assigned to or expected of him. Thus, George could not finish his report as his manager wanted. 3- Literature review The problems in the case study Not as Easy as 1, 2, 3 related with few particular theories in the organisational behaviour which includes the organisational justice theories, motivational theories and expectancy theory of motivation. 3. 1 Organizational Justice The organisational justice contains the different theories that are distributive justice, procedural justice and interactional justice, and they all relate to the fairness in organisations. For example, fair payment, equal opportunities for promotion between employees, and personnel selection procedures etc†¦ Distributive justice is conceptualized as the fairness associated with decision outcomes and distribution of resources. An individuals react to actions and decisions of fairness made by organizations every day, and the distributing of outcomes or resources can be tangible (e. g. , pay) or intangible (e. g. , praise). Perceptions of distributive justice can motivate staffs when outcomes are considered to be equally applied (Adams 1965). On the other hand, procedural justice is defined as the fairness of the processes that lead to outcomes. When individuals feel the process involves characteristics such as consistency, accuracy, ethicality, and lack of bias then procedural justice is enhanced or they can have a voice in the process (Leventhal 1980). Additionally, interactional justice refers to the treatment that an individual receives the explanations or news with respect as decisions are made (Bies Moag 1986). Colquitt (2001) also declares that interactional justice is divided into two components: interpersonal and informational justice. Interpersonal justice that means the respect and propriety in people behaviours, besides informational justice related to the fairness of the explanations given in terms of their timeliness, specificity, and truthfulness. Therefore, the fairness is very significant in every organisation because people attitudes and behaviours are affected by the fairness of the managers’ decisions that can impact job attitudes and work performances and behaviours. Furthermore, Perceptions of justice can also impact many key organizational outcomes such as motivation (Latham Pinder 2005) and job satisfaction (Al-Zu’bi 2010). There are some common outcomes affected by organizational justice include trust, performance, job satisfaction, organizational commitment, organizational citizenship behaviours, counterproductive work behaviours, and absenteeism and so on. Firstly, trust can be built from the employee’s belief that since current organizational decisions are fair, future organizational decisions will be fair. In addition, a positive relationship between an employees and supervisors can lead to trust in the company (Karriker Williams 2009). According to (Hubbell Chory-Assad, 2005; Cohen-Charash Spector, 2001) procedural justice is the strongest related to trust in organisations. Secondly, work performance is also affected by organisational justice. Procedural justice affects performances as a result of its impact on employee attitudes. Distributive justice affects performances when efficiency and productivity are involved (Cohen-Charash Spector 2001). Thus, organisations need to improve the organisational justice in order to increase the productivities and performances. Karriker Williams (2009) also states that improving justice perceptions can improve productivity and performance. Thirdly, Job satisfaction and organizational commitment, (Al-Zu’bi 2010) declared that the greater of employee’s perceptions of justice result in higher levels of job satisfaction and greater injustice perception will result in lower levels of job satisfaction. Moreover, DeConick 2010; Cohen-Charash Spector (2001) argues that if employees feel the fairness in procedural justice within the organisation, it will result more commitment to the firm and vice versa. Fourthly, the organizational actions and decisions are perceived as more just, employees are more likely to engage in organisational citizenship behaviours (Karriker Williams 2009). Fifthly, the Counterproductive work behaviours (CWBs), there are many reasons that explain why organizational justice can affect CWBs. For example, increased judgments of procedural injustice can lead to employees’ unwillingness to comply with an organization’s rules because the relationship between perceived procedural injustice and CWBs could be mediated by perceived normative conflict, the extent to which individuals feel conflict between the norms of their workgroup and the policy of the organization (Cohen-Charash Spector 2001),. Finally, the Absenteeism and withdrawal of employees due to the perception of organisational justice, such as someone could not get onto a bonus or promotion is an example of a situation in which feelings of injustice may lead to absenteeism from work without reason. Furthermore, distributive justice perceptions are most strongly related to withdrawal in the company (Cohen-Charash Spector 2001). In addition, there are several motivational theories in the organization which relates to many different aspects. Yet, the author is only focuses on the Maslow’s needs hierarchy theory and Expectancy theory of motivation because these theories have involved in the problems in ABC consulting firm. 3. 2 Maslow’s needs hierarchy theory Maslow’s needs hierarchy theory is a motivation theory of needs arranged in hierarchy, it use to motivate people of fulfil their needs from lower to higher. Maslow used the terms Physiological, Safety, Belongingness (Love), Esteem and Self-Actualization needs to describe the pattern that human motivations generally move through (McShane et al. 2013). Physiological needs Physiological needs are the physical requirements for people survival in the workplace, if they are not satisfy with these needs, their body cannot function properly and will ultimately fail. Physiological needs of individuals are thought to be the most important; they should be met first in order to implement their tasks and function well in the organisations. For example, food, air, water, shelter, etc. Safety needs Every organisation needs to ensure that their employees are safe at work, with their physical needs relatively satisfied, the individuals safety needs take precedence and dominate behaviours. The safety and security needs comprise personal security, financial security, health and wellbeing security and Safety net against accidents/illness and their adverse impacts such as; working violence, natural disaster, job security, economic crisis, resources, morality, health etc. (Maslow 1954). Love and belongingness The company has fulfilled employees’ physiological and safety needs, they need to motivate their staffs with third level of human needs which is interpersonal and involves feelings of belongingness. According to Maslow (1943), people need to feel a sense of belonging and acceptance among their social groups including small groups (intimate partners, mentors, colleagues, and confidants), and large groups (sport teams, professional organisations, clubs). Belongingness and loved are very important because there are many people become susceptible to loneliness, social anxiety, and clinical depression in the absence of this love or belonging element, Hence organisations should satisfy this type of need in order to motivate its employees. Esteem Every individual needs to feel respected; it contains the need to have self-esteem and self-respect. Esteem presents the typical people want to be accepted and valued by others. People are likely engaged in a profession or hobby to gain recognition and these activities give the individual a sense of contribution or value. Most people in the companies have a need for stable self-respect and self-esteem and these needs can be described in two versions. Maslow (1954) points out two versions of esteem needs: a lower version and a higher version. The need of respect from others people is lower version of esteem, such as a status, recognition, fame, prestige, and attention. The need for self-respect is higher version, for example, the person may have a need for strength, competence, mastery, self-confidence, independence and freedom. Self-actualization This is the highest level of needs in order to motivate staffs of Maslow’s hierarchy needs theory. Maslow (1954) contends this level as the desire to accomplish everything that employees can, to become the most that people can be. Individuals may perceive or focus on this need very specifically. For example the self-actualization needs are morality, creativity, spontaneity, problem solving etc. Maslow also states that to understand this level of need, individuals must not only gain the previous needs, but they have to master them. In general, the lower-order of needs (physiological, safety, and love) and the higher-order (self-esteem and self-actualization) of needs are classified in Maslows hierarchy of needs is not universal and may different due to the cultures, individual differences and availability of resources in the region or geopolitical entity and country. On the other hand, Maslows hierarchy of needs fails to demonstrate and expand upon the differences between the intellectual and social needs of those raised in individualistic societies and collectivist societies. 3. 3 Expectancy theory Expectancy theory is a motivation theory based on the idea that people believe there are relationships between the efforts they put forth at work, the performances they achieve from those efforts, and the rewards they receive from their efforts and performances. In other words, people will be motivated if they believe that more effort will result to good performance and good performance will get the desired rewards (Fred 2011). According to Vroom (1964), (Chen ; Miller 1994) the expectancy theory contains three components as follows: Expectancy: Expectancy could be explained as the belief that strong or more effort will lead to better performances. This can be described by the thinking of if individuals work harder, they will make the outcomes better. However, in order to get better results individuals also need to have the correct resources available, the skills that are match with the job at hand, and having the necessary support to accomplish the job correctly. Instrumentality: Instrumentality can be described as the thought that if people perform well, then those people will get the value outcomes. Nevertheless, trust and respect for managers who make decisions on individuals deserve to receive what rewards, and see the transparency in the processes of who gets what rewards is something that help instrumentality is having a clear understanding of the relationship between performances and the outcomes. Valence: Valence means value and refers to beliefs about desired outcomes. There are individuals differences in the level of value associated with any specific outcomes. For instance, the bonus may not motivate employees if some one is motivated by increased status, promotion. Valence can be thought of as the pressure or significance that a individual puts on an expected outcomes. Vroom (1964) alleges that the force of motivation in an employee can be calculated using the formula: Motivation = Valence*Expectancy*Instrumentality Application of Expectancy Theory in the Workplace Organizational Applications: Expectancy Leaders need to have an ability to understand expectancy as related to the E-P linkage because it is very useful in the organisations. There are five different components for a manager to keep in mind concerning this linkage. First, a leader needs to design some challenging tasks for employees because unchallenging tasks can make employees feel boredom, frustration and marginal performance. Challenging objectives allow for self-confidence, education, ability development, training, skills and experience, among other things (Isaac et al. 2001). The next component is a leader must consider their staffs’ competencies because individuals differ on experience, knowledge, training, skill, and educational level etc. objectives need to be assigned based on the individuals level of abilities, if people feel they are not capable to finish the works assigned, the E-P linkage will be weak. A good leader needs to provide the necessary skills to the followers in order for them to be successful (Vroom 1964). Third, managers have to recognize that its employees differ greatly regarding their levels of self-esteem in regards to completing a task. Fourth, leaders need to determine and specify which are possible or impossible outcomes constitute acceptable performances. The leaders and its staffs both need to communicate and reach a mutual agreement on the behaviour that represents a successful outcome for each of them. Fifth, leaders need to recognize that expenditure of effort for many followers leads to satisfaction on the job (Brown Peterson 1994). Most of employees want to feel useful, competent, involved and productive. The workplace provides a vehicle to fulfil these needs. A manager that is aware of these different aspects of people perceptions, as they relate to expectancy, can effectively understand and facilitate the E-P linkage for each of their employees (Isaac et al. 2001). Managing these elements effectively can help a leader to strengthen the expectancy of each of their followers. The strengths and Weaknesses of Expectancy Theory Strengths Expectations are influenced by incentives and rewards, with clearly goals set, this will trigger a motivational process that can improve performances. According to Vroom (1964) an individual’s motivational force can be equated to the level of expectancy multiplied by the instrumentality multiplied by the valance. If any one of these factors is scored as a zero, then the motivational score will also be zero (Penn State World Campus 2011). This can easily be seen in situations where a people believe the amount of effort put on tasks will not result in the expected rewards, in situations where the level of performances will not yield the desired outcomes or that the rewards will not have the desired value as expected, the individual’s motivational level will be zero (Penn State World Campus 2011). On the other hand, when all the components of the equation are high, the motivational force will also be high (Penn State World Campus 2011). In general, by utilizing expectancy theory, companies must understand the importance of demonstrating appreciation for their employees works, and as a result, their employees will perform stronger, and show more loyalty towards the organizations. Weaknesses The weaknesses of between-subject design can be seen in the distinct of each person places on the effort, performance and value of rewards, because this design is quantitative, the comparisons between people are hard to measure. In addition, the applications of the theory in the organisations, in some companies’ the rewards some employees receive might not be seen as attractive as many people change their idea of desired rewards. What may have been a good incentive at one point in time may no longer hold its value to that individual anymore (Penn State World Campus 2011). Expectancy theory is only focusing on the extrinsic motivational factors and the conscious decisions employees make about their performances. Many managers and staffs are not motivated solely by extrinsic factors, such as a pay check, bonus, or public recognition. Consequences, the concept of instrumentality is found to be ambiguous and difficult to operationalise (Wabba ; House 1974). Therefore, it is hard for leaders in an organization to really understand what motivates their employees before attempting to utilize the expectancy theory model. 4- Solutions and suggestions 4. 1 Organisational Justice The case study Not as Easy as 1, 2, 3 has shown that ABC consulting firm has the problem with the fairness in the organisation. Hence, in order to improve and protect the fairness in ABC firm, the organisation should design procedures so they can be consistently, clearly applied to all employees and work groups. For example, have a structured performance review process so all workers are reviewed using consistent criteria. Furthermore, they must develop a policy about organisational justice system which includes procedural justice, distributive justice and interactional justice; like ABC firm needs to provide training and give instruction about the tasks for all new staffs, or provide tests of applicants’ knowledge, skills and experiences. Moreover, on the procedural fairness of recruitment processes, the manager and human director should not promise anything till the new staffs have finished their tasks. The state of Queensland (2012) also alleges that appoints or promotes workers based on performance, using valid and reliable selection and recruitment methods. Because if they promise something to the new employees and they could not receive it later, they will feel disappointed. It causes employees want to leave the organisation and it costs company more to do other recruitments; like George who had sent out job applications after he was refused to get onto the bonus system as his manager and human resource director promised him in the interview. Additionally, in order to maintain the relational fairness the manager needs to treat workers with respect, dignity and politeness at all times. George manager, Janet who should comment and response on his work more polite and respectful, Janet said â€Å"we thought you were a little more extroverted† and â€Å"the report had been ripped to shreds†. Besides, managers have to ensure that management structures across the organisation and reporting lines within work team are clear. This will help workers know who they are accountable to and where they can go for help with work problems, and Ensure workers have an up to date role or position description, which includes the role purpose, reporting relationships and the key duties expected of them. 4. 2 Stress George was so stressed and he could not concentrate on anything, there was simply too much to do, and he had not much time left to implement his report. Particularly, George was stress due to the way his manager Janet treated him, unclear expectations, urgent deadlines etc. Hence, In order to develop an effective stress management program in ABC consulting firm, first way is individual intervention. This starts off by monitoring the stressors in the individual, observes what are the reasons of the stress, next is attacking that stressor and try to develop the methods to alleviate them in any way. Developing social support is vital in individual intervention, being with others to help individual cope has proven to be a very effective way to avoid stress (BMJ group 2013). In addition, according to Lehrer et al. (2007) there are several ways the organization can change that employers and managers can make in order to reduce workplace stress, presented below. Develop work, health and safety program Provide training, ensuring all employees are understand Show that every employee are valued and useful Provide chances for career development Establish a zero-tolerance policy for harassment Clearly identify individual employees’ roles and duties Consult staffs about scheduling and work rules Make management actions consistent with organ

Learning Health Systems in Australia Analysis

Learning Health Systems in Australia Analysis Submitted by : Jaison Prabhath Jaiprakash INTRODUCTION A Learning Health System (LHS) aims to deliver the best possible care to patients, each time, and to learn and improve itself with each care experience. Its vision guarantees to change healthcare services, by empowering the health professionals to change the entire health care system into a highly reliable industry. A learning health system combines quality patient care with the routine collection of data. This is aimed at improving patient outcome. A fully functional system like this would advance the overall quality of healthcare and improve patient and provider safety. The data collected through electronic health records are vast and expanding, which helps in creating new knowledge about the effectiveness of the given treatment and helps in predicting outcomes. An LSH emphasises on an approach that shares data and insights across boundaries to drive better, more efficient medical practice and patient care. The key to achieve their objectives are linked to the collection of data th at is commonly called Big Data from various types of clinical practices. The big data movement in computer science has brought dramatic changes in what counts as data, how that data is analysed, and what can be done with that data. Big data has only recently begun to influence clinical practice. (Iwashyna and Liu, 2014). Enormous amounts of health care data are collected from patients and populations and the interpretation of that data is very important in meeting the needs of the patients. Combining big data and next-generation analytics into population health research and clinical practice requires new data sources, new thinking, training, and tools. If properly used, these pools of data can be an infinite source of knowledge to power a learning health care system. Clinical trials help to manage and improve the health care system. It is all about conducting studies and investigations into various diseases and conditions and eventually hope to eradicate the illnesses. It helps to harness the information for improved clinical trial design, patient recruitment, site selection, monitoring insight and decision making. Data produced through clinical trials like randomized control trials (RCT) often include many treatments and patients from different groups, to improve the reliability of participants and to access the data, these records are digitized, this is where big data helps to store large amount of data sets. By mining the area of clinical practice, we can learn a lot about the patient care. METHODS Search Strategy The SCOPUS and PubMed databases were searched for articles related to the role of learning health systems and clinical practice. Most articles were taken from the year 2014. The search was limited to articles published in journals. Search terms A Boolean search was performed using the following terms: learning health system AND clinical practice, learning healthcare system AND clinical practice, learning health system AND clinic and learning healthcare system AND clinic. Selection / inclusion Criteria The literature review was conducted and articles chosen were from the existing learning health systems such as PEDSnet which are already being used for various clinical practices.   The search was later filtered into aspects that are essential to clinical practice as well as learning health systems, namely, big data. RESULT The role of the health care system is important to deliver the quality care and treatment to the patients. Learning health systems have shown remarkable developments in clinical practices, for example formation of Clinical Data Research Networks (CDRN) consist of many health care systems which conducts research as a network on topics like health care delivery, population health, assessing health disparities and so on. A few of these healthcare systems are listed below. PEDSnet: A National Pediatric Learning Health System   Ã‚   PEDSnet is a clinical data research network (CDRN) that provides the infrastructure to support a national paediatric learning health system. The PEDSnet clinical data research network is an association of eight childrens hospitals, two existing patient-centred disease-specific paediatric networks addressing inflammatory bowel disease and complex congenital heart disease, a newly formed paediatric obesity network, and two national data partners. Together they form the essential components of the National Paediatric Learning Health System (NPLHS). The NPLHS will establish the data sharing environment to enable a community of patients and clinicians, interacting at the point of care, to generate data that can be reused for research and quality improvement and to support continuous monitoring of outcomes that identify specific management practices as targets for comparative effectiveness research (CER). (Forrest et al., 2014) All the information about the patients are recorded using Patient Reported Data (PRD) for quality improvement, clinical practice, or research applications. Table 1: PEDSnet overview (Forrest et al., 2014) Point of Care Research (POC-R) Point of Care Research (POC-R) is a clinical study design that is used to compare two or more treatments that are considered equal. It takes advantage of Electronic health records to enable participant recruitment and data collection of the patients. The goal of POC-R is to embed research into clinical practice, contributing to a Learning Healthcare System (Weir et al., 2014). pSCANNER (part of the PCORnet) The patient-centred Scalable National Network for Effectiveness Research (pSCANNER), is a part of the recently formed PCORnet (Patient Centred Outcomes Research net), which is a national network composed of learning healthcare systems and patient-powered research networks funded by the Patient Centred Outcomes Research Institute (PCORI). Its mission is to provide health related data available to clinicians, researchers and other stakeholders to improve the health-related policies, decision-making and governance. It uses a distributed architecture to integrate data from three existing networks VA Informatics and Computing Infrastructure (VINCI), University of California Research exchange (UC-ReX) and SCANNER, a consortium of UCSD covering over 21 million patients in all 50 states of the USA providing ambulatory care and community-based outpatient clinics with claims and health information exchange data. (Ohno-Machado et al., 2014). pSCANNER shares the data but also protects the privacy of patients at the same time. Only summary statistics are shared between the researcher and clinician. Initial use cases will focus on three conditions: congestive heart failure, Kawasaki disease and obesity. Stakeholders, such as patients, clinicians, and health service researchers, will be engaged to prioritize research questions to be answered through the network. The distributed system will be based on a common data model that allows the construction and evaluation of distributed multivariate models for a variety of statistical analyses. (Ohno-Machado et al., 2014) Learn From Every Patient (LFEP) The merging of three major trends in medicine, namely conversion to electronic health records (EHRs), prioritization of translational research, and the need to control healthcare expenditures, has created unique interests and chances to develop systems that advance healthcare while reducing the overall cost. But making a learning health system operational requires regular changes that have not yet been widely demonstrated in clinical practice. The authors developed, implemented, and evaluated a model of EHR-supported care in a cohort of 131 children with cerebral palsy that integrated clinical care, quality improvement, and research, entitled Learn from Every Patient (LFEP). Children treated in the LFEP Program for a 12-month period experienced a 43% reduction in total inpatient days, a 27% reduction in inpatient admissions, a 30% reduction in emergency department visits, and a 29% reduction in urgent care visits. LFEP Program implementation also resulted in reductions in healthcare costs of 210% (US$7014/child) versus a Time control group, and reductions of 176% ($6596/child) versus a Program Activities control group. Importantly, clinical implementation of the LFEP Program has also driven the continuous accumulation of robust research-quality data for both publication and implementation of evidence-based improvements in clinical care. These results demonstrate that a learning health system can be developed and implemented in a cost-effective manner, and can integrate clinical care and research to systematically drive simultaneous clinical quality improvement and reduced healthcare costs. (Lowes et al., 2017) Figure 1: The Learn From Every Patient (LFEP) model PaTH PaTH provides an informatics supported infrastructure for cohort identification and data sharing within the network of three targeted conditions: idiopathic pulmonary fibrosis (IPF), atrial fibrillation (AF), and obesity. It helps in linking the electronic patients records and understand the survey methods used in research. It uses an open source tools (i2b2 and SHRINE) to aggregate, analyze the distributed data, and facilitate patient centered, comparative effective research. It also helps in improving the decision making capability of both patients and physicians through collaborative process that brings each partner closer to the ideals of a learning health system. (Waqas Amin, 2014). DISCUSSION Big Data is an important but diverse intellectual movement seeking to bring new technologies of data acquisition, data integration, and data analysis into clinical research, hospital operations, and clinical practice. These trends will only accelerate for the foreseeable future, as they build on decades of others doing exactly those same things. Big Data will not solve fundamental challenges of either logical inference or of human behaviour. (Weir et al., 2014). Big Data will continue to provide new knowledge and decision-making support for an array of real and pressing clinical problems (Iwashyna and Liu, 2014). PEDSnet will transform paediatric healthcare and childrens health by developing an extensive and efficient digital infrastructure that enables all participants to work together in the work of producing new knowledge and improving health and care delivery. PEDSnet benefits from robust pre-existing resources and a unique history of collaboration by childrens hospitals that has fundamentally reshaped outcomes for previously fatal diseases, such as cystic fibrosis and many childhood cancers. As the basic digital structure to a learning health system, PEDSnet enables the quick application of new evidence into clinical practice and will address fundamental questions of clinical effectiveness for children and their families, particularly for individuals affected by serious, and generally rare, illness that persists into adulthood. (Forrest et al., 2014) The Point of Care Research (POC-R) highlights several possible factors important to a nationwide implementation of a pragmatic trial program. Participants were significantly concerned with added burden, changes in the provider-patient relationship, ethical implications, validity of results, and integration with workflow. To encourage and support provider buy-in, programs might consider provider training, marketing, and electronic support for decision-making. Providing evidence of equipoise and the validity of data capture might be essential for buy-in. Work process analysis should be part of the proposal. (Weir et al., 2014) pSCANNER will encode a significant portion of policies in software, use a flexible strategy to harmonize data, and use privacy-preserving technology that enables highly diverse institutions to join the network and allow stakeholders to participate. Significant challenges in terms of providing sufficient incentives for patients, clinicians, and health systems to participate and ensuring the sustainability of the network, which were not the focus of this article, will also need to be addressed. The pSCANNER project offers a unique opportunity to make progress toward these objectives, and share results with a community of researchers and representatives from a broader group of stakeholders. (Ohno-Machado et al., 2014) The introduction of EHR-supported care that integrated clinical care, quality improvement, and research resulted in large reductions in healthcare utilization, with associated reductions in charges. Direct comparisons with two distinct comparison groups, to account for the effects of time and LFEP Program activities, confirmed that patients in the LFEP Program had greater reductions both in healthcare utilization and healthcare charges than either control group. Together, these early results confirm that it is both feasible and cost-effective to operationalize key components of an LHS in a large academic medical center. Furthermore, such a system is able to simultaneously improve clinical care and efficiency, and reduce healthcare expenditures, while creating a robust research-quality data set enabling healthcare systems to systematically Learn from Every Patient. (Lowes et al., 2017) The PaTH network will adhere to best practices by using as its backbone open source tools (i2b2 and SHRINE) to aggregate data using standard vocabularies and provide distributed, de-identified cohort queries. PaTH will test these systems in three targeted disease conditions. PaTH will provide a robust informatics supported platform to facilitate comparative effectiveness research, support the conduct of clinical trials, and improve the decision-making capability of both patients and physicians through a collaborative process that brings each partner closer to the ideals of a learning health system. (Waqas Amin, 2014) CONCLUSION The ongoing feedback of insights from data to patients, clinicians, managers and policymakers can be a powerful motivator for change as well as provide an evidence base for action. Many studies and systems have demonstrated that routine data can be a powerful tool when used appropriately to improve the quality of care. A learning healthcare system may address the challenges faced by our health systems, but for routinely collected data to be used optimally within such a system, simultaneous development is needed in several areas, including analytical methods, data linkage, information infrastructures and ways to understand how the data were generated. (Deeny and Steventon, 2015) These results demonstrate that a learning health system can be developed and implemented in a cost-effective manner, and can integrate clinical care and research to steadily drive simultaneous clinical quality improvement and reduce the overall cost of healthcare. (Lowes et al., 2017) REFERENCES BRODY, H. MILLER, F. G. 2013. The Research-Clinical Practice Distinction, Learning Health Systems, and Relationships. Hastings Center Report, 43, 41-47. DEENY, S. R. STEVENTON, A. 2015. Making sense of the shadows: Priorities for creating a learning healthcare system based on routinely collected data. BMJ Quality and Safety, 24, 505-515. FORREST, C. B., MARGOLIS, P. A., CHARLES BAILEY, L., MARSOLO, K., DEL BECCARO, M. A., FINKELSTEIN, J. A., MILOV, D. E., VIELAND, V. J., WOLF, B. A., YU, F. B. KAHN, M. G. 2014. PEDSnet: A national pediatric learning health system. Journal of the American Medical Informatics Association, 21, 602-606. GRANT, R. W., URATSU, C. S., ESTACIO, K. R., ALTSCHULER, A., KIM, E., FIREMAN, B., ADAMS, A. S., SCHMITTDIEL, J. A. HEISLER, M. 2016. Pre-Visit Prioritization for complex patients with diabetes: Randomized trial design and implementation within an integrated health care system. Contemporary Clinical Trials, 47, 196-201. IWASHYNA, T. J. LIU, V. 2014. Whats so different about big data?: A primer for clinicians trained to think epidemiologically. Annals of the American Thoracic Society, 11, 1130-1135. LOWES, L. P., NORITZ, G. H., NEWMEYER, A., EMBI, P. J., YIN, H., SMOYER, W. E., LEARN FROM EVERY PATIENT STUDY, G., TIDBALL, A., LOVE, L., SCHMIDT, J., GOLIAS, J. MILLER, M. 2017. Learn From Every Patient: implementation and early results of a learning health system. Developmental Medicine and Child Neurology, 59, 183-191. OHNO-MACHADO, L., AGHA, Z., BELL, D. S., DAHM, L., DAY, M. E., DOCTOR, J. N., GABRIEL, D., KAHLON, M. K., KIM, K. K., HOGARTH, M., MATHENY, M. E., MEEKER, D. NEBEKER, J. R. 2014. pSCANNER: Patient-centered scalable national network for effectiveness research. Journal of the American Medical Informatics Association, 21, 621-626. STEINER, J. F., SHAINLINE, M. R., BISHOP, M. C. XU, S. 2016. Reducing missed primary care appointments in a learning health system. Medical Care, 54, 689-696. WAQAS AMIN, F. R. T., CHARLES BORROMEO, CYNTHIA H CHUANG, 2014. PaTH: towards a learning health system in the Mid-Atlantic region. Journal of the American Medical Informatics Association, 21, 633-636. WEIR, C. R., BUTLER, J., THRAEN, I., WOODS, P. A., HERMOS, J., FERGUSON, R., GLEASON, T., BARRUS, R. FIORE, L. 2014. Veterans Healthcare Administration providers attitudes and perceptions regarding pragmatic trials embedded at the point of care. Clinical Trials, 11, 292-299.

Computer Crime :: essays research papers

Computer Crime has become a very large issue in our society today; this paper will look at this issue from a sociological perspective. It will analyze the various crimes that make up computer crime and see what changes it has brought about in the world in which we live in. Computer crime first is a very new problem in our society today and it is crimes that are committed from a computer. These include embezzling, breaking into other computers, cyber porn and various other crimes that have a drastic affect on the society and the institutions that each of us hold to keep our global society running. To first understand computer crime one must understand first what crime is. According to Diana Kendall, â€Å"crime is a behavior that violates criminal law and is punishable with fines, jail or other sanctions†(Kendall 1999; 161). Yet since computer technology is so new it has really no laws to govern it. A law is formal norms that are enforced, norms being established rules of behavior. Many of the crimes committed on computers often times go unpunished. As stated by David Pitchford in the London journal Focus when writing on pornography on the Internet, â€Å" the only way illegal pornographers can be caught is through chance leads, tip-offs and telephone tracing† (Focus 1995; p10-12). Many of the crimes that are also committed on computers via the Internet are very new also. New subcultures have formed around the Internet for the possibilities it brings. Computer crime despite the many problems it has brought has also brought some needed social controls to the Inter net and as stated before some laws have been formed to protect many of the institutions that because of computer crime have become targets for criminals. Now that I have briefly explained computer crime, I will go into further depth into explaining computer crime from the different sociological perspective theories. To start with is the integrationist perspective looks at of society as the sum of the interactions of individuals and groups† (Kendall; 17). Many of those that commit computer crimes are hackers or people who hack into computer systems for both fun and for gaining access to information. They have formed their own subcultures and hold many different beliefs about the information that is stored in personal computers. Said best by J. Thomas McEwen in the article Computer Ethics many hackers believe that â€Å"computerized data [is] free and should be accessible to anyone (McEwen 1991; 8-11).

Analyzing King Lears Tragic Flaws Essay -- William Shakespeare King L

ANALYZING KING LEAR'S TRAGIC FLAWS King Lear is a play about a tragic hero, by the name of King Lear, whose flaws get the best of him. A tragic hero must possess three qualities. The first is they must have power, in other words, a leader. King Lear has the highest rank of any leader. He is a king. The next quality is they must have a tragic flaw, and King Lear has several of those. Finally, they must experience a downfall. Lear's realization of his mistakes is more than a downfall. It is a tragedy. Lear is a tragic hero because he has those three qualities. His flaws are his arrogance, his ignorance, and his misjudgments, each contributing to the other.   Ã‚  Ã‚  Ã‚  Ã‚  The first flaw in King Lear is his arrogance, which results in the loss of Cordelia and Kent. It is his arrogance in the first scene of the play that causes him to make bad decisions. He expects his favorite, youngest daughter to be the most worthy of his love. His pride makes him expect that Cordelia’s speech to be the one filled with the most love. Unfortunately for King Lear’s pride, Cordelia replies to his inquisition by saying, â€Å"I love your majesty/According to my bond and nothing less';(1.1.100-101). Out of pride and anger, Lear banishes Cordelia and splits the kingdom in half to the two evil sisters, Goneril and Regan. This tragic flaw prevents King Lear from seeing the truth because his arrogance overrides his judgement. Lear’s arrogance also causes him to lose his most faithful servan...

Noncontradiction as a Scientific Modus Operandi :: Science Logic Papers

Noncontradiction as a Scientific Modus Operandi We explicate the view that our ignorance of the nature of the real world R, more so than a lack of ingenuity or sufficient time to have deduced the truth from what is so far known, accounts for the inadequacies of our theories of truth and systems of logic. Because of these inadecuacies, advocacy of substantial correctness of such theories and systems is certainly not right and should be replaced with a perspective of Explorationism which is the broadest possible investigation of potential theories and systems along with the realization that all such theories and systems are partial and tentative. For example, the position of classical logic is clearly untenable from the perspective of explorationism. Due to ignorance regarding R and, consequently, the partial and evidential nature of our knowledge about R, an explorationist foundational logical framework should contain machinery which goes beyond that of classical logic in the direction of allowing for the handling of confirmatory a nd refutatory evidential knowledge. Such a foundational framework (which I call Evidence Logic) is described and analysed in terms of its ability to tolerate substantial evidential conflict while not allowing contraditions. 0. Overview The variegated landscape of theories of truth and systems of logic, wherein each is cogently argued while yet inconclusive, is substantially accounted for by the fact that we just don’t know enough yet about the nature of our universe, let us call it R, to be able to settle on one or the other of these theories and systems as adequate for the representation and processing of our knowledge about R. In this paper firstly we discuss this thesis, that it is primarily our ignorance of R, and not any failure to rigorously construct our theories and systems, that is a fundamental cause of the inadequacies of these theories and systems. Secondly we will delineate a scientific perspective, Explorationism, which, if the thesis first considered is correct, is deserving of advocacy. Finally, we exemplify this perspective by exhibiting a logic, Evidence Logic (EL), which incorporates a broadened concept of negation which (1) provides for the representation and processing of both confirmato ry and refutatory evidential knowledge including the possibility of a generous range of conflicting evidence while yet (2) enforces noncontradiction. 1. The inadequacy of our theories of truth and systems of logic Any survey of the gamut of theories of truth so far constructed makes clear that, while each may be presented cogently, each manages to tell only part of the story.

James Spencer Essay

Introduction The conditions for the poor were terrible at the time when Charles dickens wrote the novel a Christmas carol to express his concern about the conditions for these people. At first Charles was going to show his concern by writing a serious pamphlet explaining the conditions people were living in but after much thought he decided a book would be better because he was a famous author. Charles believed this would help by alerting people of the lives the people were living so they would donate to charity at Christmas a time of giving. Paragraph 1 In stave one of the book we are introduced to Scrooge and Jacob Marley. In the first stave scrooge is described as and evil man and also you can tell this from the things he says â€Å"Every idiot who goes around with â€Å"Merry Christmas† on his lips should be boiled with his own pudding and buried with a stake of holy through his heart. † He replied to his nephew after he invited him to Christmas dinner this shows he dose not like Christmas and also he is very rude and is not afraid of sharing his point of view with others. Scrooge is rude to all the people who try to be nice to him in this first chapter from the men who asked for a donation for charity to his employee who asked for Christmas day off to whom he only just excepted say he needs to be in the earlier the next day. When scrooge goes home he sees the ghost of his ex-partner Jacob Marley who tells him he will have to mend his ways or he may end up with a similar fate. Paragraph 2 In stave two Scrooge is visited by the first of the three ghosts of Christmas the ghost of Christmas past. This chapter gives us a lot of important information on scrooge such as his time at school his work for Mr. Feziwig and his relationship that ended when he became obsessed with money â€Å"I have seen you nobler aspirations fall off one by one until the master-passion, gain, engrosses you†. Scrooge’s fianci e told him when she didn’t want to see him anymore because he had changed at the begging of this chapter he is show as a hard working boy in school that didn’t really have any friends but had a grate love for his sister. The chapter also tells us about the time he worked for Mr. Feziwig and how he used to have a good time and how he was bad employer because he didn’t treat his staff to a good time. Paragraph 3 In stave three Scrooge meets the second of the ghosts the ghost of Christmas present who shows him what over peoples Christmas are like this shows the appalling conditions the Cratchits lived in and how his nephew disrespects him and what he says about him â€Å"his offences carry their own punishment, and I have nothing to say against his†. Fred said after he called a toast to his uncle later on at the meal they all insult scrooge. In this chapter we learn of the great poverty of the Cratchits were they have to share glasses and of tiny Tim’s illness and how he will die if scrooge doesn’t help him. Paragraph 4 In stave for scrooge meets the last of the ghosts the ghost of Christmas future. In this chapter of the book scrooge finds out he has died and he realizes that no one liked him and that his money was not any use to him when he was dead â€Å"he frightened everyone away from him when he was alive to profit us when he was dead! Ha, ha ha! † The pawn broker say’s as we realizes all of scrooges possessions have been sold when they can no longer be any use to him as he is dead. In this chapter he realizes that being a bad person isn’t any good to him and that’s its better to be remembered as a good person than a bad one because that’s all you have when you die. Scrooge has now changed and wants to be a better person and we see what he dose in the last chapter Paragraph 5. In the last chapter in the book scrooge seems to be happier person he dose this by trying to be nice to other people and by doing good deeds he also apologizes to bob and says â€Å"a merrier Christmas, bob, my good fellow, than I have given for many a year! I’ll raise your salary; endeavor to assist your struggling family. † Scrooge said to bob on Christmas day he also gives the Cratchit’s a turkey anonymously and goes to dinner with his nephew and family this shows that scrooge has changed a lot and also want to be a better person. Conclusion I believe that by the end of the story scrooge is a better person and the only reason he became a bad person was because of his own ignorance to what was going on around him. Charles Dickens is try to tell his rich audience of readers that money isn’t every thing and you can have a good time without it but if you do have it you should be generous and try to help over people have a good time and by doing that you will have a good time your self.