Wednesday, May 13, 2020

Youth Smoking and Prevention Essay - 3811 Words

Youth Smoking and Prevention Introduction: Ascertaining the Issue and Addressing the Problem As we progress into a more sophisticated and knowledgeable future, it is no wonder that our prosperity and health are first on our list of priorities. By simply looking at the longevity people have in todays world, one can see something that was unfathomable less than one hundred years ago. In this proposal, an issue is addressed that deals on many levels. It is an issue that touches everyone, whether one is directly involved or not. It is an issue that lives in every community around the world and affects more people than most realize. So as we advance into an increasingly foreseeable future, where our standard of success rises higher†¦show more content†¦To provide a picture of the magnitude of the problem, it was estimated that underage smokers consumed 924 million packs of cigarettes in 1998 (U.S. Dept. of Health and Human Services, 188). A number as large as this will be certain to raise eyebrows, but as we have seen from the past, most times it does not. A prime exampl e of the ignorance shown toward smoking is given by the Centers for Disease Control and Prevention who state that over 2 million deaths in the 5-year period from 1995 through 1999 were attributable to cigarette smoking (Heinrich 1). This total lack of adherence is shocking. But first, to begin to assess and fully understand what we are dealing with, knowledge of tobacco and how exactly it became so popular is necessary to achieve a meaningful solution and ultimately effective proposal. Tobacco: A Self Portrait Exactly how tobacco gained so much influence and popularity is uncertain. There was never a single moment in time when everyone all at once decided that they should take up smoking cigarettes. This is why tracing the exact origin of influence is hard to do. However, when one looks at the past, hints of causing factors can be seen that still create problems in todays issues. For example, Joel Spitzer, a former smoker, writes about how smoking cigarettes started to become part of everyday life andShow MoreRelatedChildren s Awareness Of Youth Smoking969 Words   |  4 PagesControl and Prevention, (â€Å"Youth and Tobacco Use†). The eyes of many open once they experience a loved one that suffered from addiction . In the United States, there are many active companies that are trying to increase the awareness of youth smoking. American Lung Association tries to inform parents and children about the risk smoking has to our bodies, (â€Å"Our Mission†). To dramatically impro ve the health of the youth, many organizations come together to inform the youth of the effects smoking has onRead MoreThe Effects Of Cigarette Smoking On Health884 Words   |  4 PagesCigarette smoking remains the chief cause of none communicable disease and death in the United States. Each year, cigarette smoking is responsible for an estimated 480 million deaths and more than 8 million smoking-related illnesses (CDC, 2014). It is accountable for total costs nearing 170 billion dollars in direct medical expense and work lost productivity (2014). Although it is true that smoking adversely affects health, there are more than 4 million adults reported as active smokers. In manyRead MoreSmoking Essay1280 Words   |  6 Pages Smoking is known as the leading cause of death in the United States with over 480,000 deaths each year. Due to smoking increasing the risks of dying from several other diseases the total number of deaths that can be attributed to smoking is about 540,000. Acc ording to Lecture, the problem exists in society with about 23% of U.S. adults smoking. The highest rates are found in American Indians and Alaska Natives with the lowest being Asians. Smoking is known as public health enemy number one. SmokingRead MoreThe Dangers Of Tobacco And Smoking1584 Words   |  7 Pagessurrounded by smoking day to day everywhere we go even if we don’t smoke it affects us. It has been in our society for generations. Families have grown up with family members that smoke or even smoking themselves. Smoking is a large part of our society spending billions while boosting the economy with sales and ads; in the midst of so much negativity surrounding smoking which is it good or bad? We hear the negatives all the time but upsides to smoking are never discussed. Tobacco and smoking were notRead MoreWhy You Should Quit Smoking Essay1150 Words   |  5 PagesTopic: Smoking in Society Goal: I want to persuade my audience that smoking is a health risk to all of society and that smokers should be encouraged to quit. Thesis: It is imperative for smokers to quit, benefiting society as a whole a well as themselves. Introduction Attention Material: I am from a family where both of my parents dont smoke. There is although a person of my circle who smokes a lot everyday and that is my unlce. All my life I can remember him smoking and trying to quitRead MoreTobacco and Its Harmful Effects1685 Words   |  7 PagesThe â€Å"Smoking† Killer Smoking has become a big health epidemic in today’s society. Smoking has grown to be a â€Å"norm† among all races, genders, and ages of Americans. Smoking is very harmful to the body because of the vast chemicals that are involved in the tobacco. Various life-threaten disease, such as Cancer come from smoking. The government has implemented a wide range of ways to stop people from smoking these senseless chemicals to live a smoke-free life. Literature Review Tobacco crops are theRead MorePsychoactive Substance Problems Of The United States1072 Words   |  5 Pagesin the future. According to the Centers for Disease Control and Prevention (CDC), the impact of cigarette smoking on the economy is huge. Seventy-five percent of American health care money spent is due to the effects of tobacco causing various chronic diseases. Such diseases include, diabetes, heart disease, cancers, congenital defects, asthma, chronic obstructive pulmonary disease (COPD), stroke, birth defects, etc. â€Å"Cigarette smoking harms nearly every organ of the body, causes many diseases, andRead MoreEffects Of Cigarette Smoking Among Adult Smokers1264 Words   |  6 PagesAbstract The Los Angeles County Department of Health Services developed a survey for the assessment of cigarette smoking among adult smokers. The assessment showed that there has been a significant decrease/decline in cigarette smoking amongst adults in the year of 2003. The survey proved that fewer adults are smoking in Los Angeles County than if the rate of smoking had remained the same as in previous years. This paper evaluates the findings in the assessment conducted by Los Angeles County DepartmentRead MoreThe Effects of Smoking Bans on Victims of Exposure to Second Hand Smoke800 Words   |  4 PagesThe Effects of Smoking Bans on Victims of Exposure to Second Hand Smoke Exposure to second hand smoke, which for the purposes of this report will be designated SHS, poses extremely detrimental health risks for any and all individuals who consider themselves non-smokers, especially young children and pregnant women. SHS is estimated to contribute to heart attacks in nonsmokers and causes nearly 53,800 deaths in the United States alone on an annual basis.1 According to the United States SurgeonRead MoreTeenage Smokers and Advertisement Essays1085 Words   |  5 Pagesyoung people to its particular brand has a high chance that they will become loyal to their company and maintain their profit for many years to come. This concept applies to tobacco companies as well. A CDC (Center for Disease Control and Prevention) study showed that 80% of smokers start before the age of 18, which is why tobacco companies try hardest to attract young people the same as any other company would, by advertising. Even though Canada’s Tobacco Act (1997) bans advertising of

Wednesday, May 6, 2020

Government cut-backs Free Essays

High youth unemployment and cutbacks in government funding for post-secondary education are the new realities confronting students. The implications for most working and middle class students are either to abandon education altogether and to accept a future of McJobs and unemployment, or to be saddled with a lifetime of debt. Since the end of WW II, science and technology have been playing a dramatically increased role in the process of capitalist production in Canada. We will write a custom essay sample on Government cut-backs or any similar topic only for you Order Now As a result, there has been an increase in the demand for a more highly educated labour force. For example, between 1971 and 1986, jobs primarily concerned with the creation and utilization of data and technical knowledge have represented two-thirds of net job growth. This has led to a rapid expansion in school enrolment. Between 1951 and 1993, the number of full-time post-secondary students has increased over tenfold, growing from 91,000 to almost 1 million. However, accompanying the scientific and technological revolution, is a tremendous growth in productivity that has led to higher levels of unemployment. Between 1980 and 1993, youth unemployment increased from 12% to 17.5, leaving many with no other alternative but to remain in or return to school. Since 1984-85, tuition fees have more than doubled across Canada, pushing more students into the labour market in search of income. While in 1980, 31% of full-time students, aged 15-24, held jobs during the school year; by 1989, this number had reached 41%. This worsening economic situation has also seriously interfered with the studies of college and university full-time students, as almost a third of them were forced to work 20 or more hours per week during the school year. Another reflection of the economic hardship of students is their growing debt burden. In 1984, 114,000 Ontario students received around $4000 million in student aid, by 1993-94, as tuition continued to increase, about 180,000 students (representing almost half of full-time students) took out over $1 billion in loans. The average value of loans in 1994-95 was around $6800. By 1998, the federal government is scheduled to eliminate a total of $7 billion in transfer payments to the provinces for medicare, social assistance, and post-secondary education. The expected effect on Ontario university students is a doubling of their tuition. But this is only the tip of the iceberg. Ontario’s education minister, John Snobelen, has already made clear his government’s intention to move toward a â€Å"market-based tuition fee†. If both levels of government abandon their financial support for Ontario universities, tuition will reach minimum levels of $7500-$8000. To counter the danger of a dramatic growth in defaults as it increases tuition fees, the federal government has transferred liability for student loans to the private banks. While increasing the role of the private banks in the short term, these changes set the pace for the full privatization of the student loan system. Another plan, currently under discussion, proposes collecting the loan repayments through the taxation system, i.e., Revenue Canada, through an Income Contingent Loan Repayment Plan (ICLRP). If the direction of government â€Å"reforms† is not reversed, it is only a matter of time before students who are at a high risk of unemployment (disproportionately women) or who are expected to have a low income after graduation (again disproportionately women) are refused access to loans, while most of the rest are burdened with a lifetime of debt. But the class nature of the privatization process has already become apparent. For 1995-96, the demand for first-year places is down by 5% in Ontario–20% in some faculties–leading many schools to turn toward recruiting drives and to lowering their admission requirements. Evidently, higher tuition is an obstacle for better qualified, poorer students, while offering an opening to less qualified, richer students. Cut the deficit by taxing the big corporations By focusing attention on expenditure reduction, the big corporations and the right-wing aim to deflect attention from the cause of the national debt: the decreasing tax revenues from corporations, which have declined from 20% of total federal revenues to only 7% in the last 20 years. Canada continues to have one of the lowest corporate tax rates in the industrialized world. Even the same level of corporate taxation as in the U.S. would provide an additional $9 billion a year–more than enough to cover all the cuts in social spending scheduled by the federal government. The ongoing cutbacks to education follow more than a decade of political and financial pressures promoted by federal and provincial governments in relation to social spending in general. Indeed, the education crisis cannot be separated from the overall crisis of the capitalist economy in Canada. The critical challenge before us today is to bring together all the social elements that are hurt by the implementation of the big corporate agenda: to build wide coalitions of youth and students, workers, women, seniors, environmentalists, peace groups, farmers, aboriginal people, immigrants, and many others–in support of a genuine â€Å"People’s Alternative† program. This program would provide for decent wages, stronger public health and child cares systems, job creation programs, while restoring and increasing public funding for education. Reversing the current cut-backs and building the people’s alternative depend on escalating the student protests. As a first step, we must build strong grassroots organizations on campuses which can ensure wide student involvement in the mobilizations. Students and working people have fought a long battle to win the right to higher education, health care, UI, and other social programs. Today, we have to build the fightback against those who are bent on destroying our social programs and our right to a quality, accessible education. How to cite Government cut-backs, Papers

Tuesday, May 5, 2020

Information Management Information Securityâ€Myassignmenthelp.Com

Question: Differences between Information Management Information Security? Answer: Introduction In today's contemporary era, the business organizations are creating and using the large quantity of information because the information has become one of the most valuable assets for the businesses. Information provides support to the business in carrying out the various functions of the organization as well as helps in making decisions. The organizations are investing in the information technology because it helps to bring economic value. The economic value helps to increase the revenue, productivity as well as competitiveness. Information can play a role of liability or asset for the business organizations (KnowledgeBrief Manage, 2017; Benson Davis, 2008). The information management is a process that relates to the information and provided to the decision makers of the organization in an appropriate or timely manner. Information management includes all the processes and the systems in order to make use of the information in the organization(SFC, 2017). The purpose of management of information is to provide the right information to decision makers at the correct time and place. In order to attain effective information management in the organization, it is essential to pay proper attention for managing the soft knowledge that includes instinctive capabilities, decision making and tactic knowledge(Espejo Watt, 1988). The Issue The issue related to the information management that came up is that the information that is provided for the access may have threats regarding the distribution of information for the unauthorized access that possibly destroys the privacy and the secrecy of the information. Need for Information Management It is essential to management the information for the purpose to maintain the records of all the information regarding the activities or the functions in the organization. The information is the asset of the business organizations that helps the organization to foster growth through the implementation of the information in the business needs. The information provides a base for the development in the organization. It also maintains the flow of functions in the organization. Information is an essential resource for enhancing the performance of the organization as well as the employees of the employees. It allows to share the information regarding the procedures and the progress of the organization as this develops transparency within the organization as well as simplifies the decision making process (Markgraf, 2017; Jefferis, 2015). Information Management Principles The principles of the information management are: Information is a valuable asset that should be managed appropriately. The information should be accessible as well as shared across the organization in order to increase the understanding and the knowledge. The information should be understandable as well as consistent. The information and the data should be secured and protected as from the unauthorized access(SFC, 2017). Information Management and the Information Security The information management function is essential because information is the asset of the organization. The management of the information is one of the crucial elements within the organization. Along with the management of the information there is a need to secure the information of the company(Dearstyne, 2005). The need for security of the information is there in order to diminish the effects of cyber threats. The misuse of the information can destroy the privacy of the information of the company. The reasons behind these threats can be inadequate security technology, outdated security software, lack of encryption, third party entry, technology with weak security, neglecting proper configuration and the social media attacks(Georgetown University, 2017). The objective of the organization behind the security of the information is to ensure continuity of the business as well as to reduce or prevent the damage that impacts the security of the information of the organization. The basic security issues in the organization occurs due to the lack of control within the organization(BSI Group, 2017). Ways to Secure the Information The information can be secured by designing a safe system, using strong passwords, conducting the screening and background checks, providing training to the employees, keeping sensitive data apart from the regular data and regular scanning of the system and the software. The adoption of these methods possibly eliminates the risk to information. The regular analysis of the security of the information is essential. The security of the information is essential to restrict the occurrence of the issues related to the security of the information in the organization(Steinberg, 2011). Conclusion It can be concluded that the information management is an essential function in the organization that should be handled carefully. The information management in the organization includes controlling of the access to the information, establishing the transparency, and understanding of the information as well as the protection of information. The information security is essential to eliminate the risks of distribution or unauthorized access to the information. The security becomes vulnerable to threats because of inappropriate control of the access to information within the organization. The threats can be internal as well external. To secure the information, the organization should adopt the ways to protect the information of the organization. References Benson, V., Davis, K. (2008). Business Information Management. Retrieved 2017, from Bookboon.com: https://promeng.eu/downloads/training-materials/ebooks/business-information-management.pdf BSI Group. (2017). Why is information security needed? Retrieved 2017, from Bsigroup.com: https://shop.bsigroup.com/Browse-By-Subject/ICT/Information-security-standards-and-publications/Why-is-information-security-needed/ Dearstyne, B. W. (2005, July). The Information Enterprise: New Challenges New Dimensions. Retrieved May 13, 2017, from Arma.org: https://www.arma.org/bookstore/files/Dearstyne1.pdf Espejo, R., Watt, J. (1988). Information Management, Organization and Managerial Effectiveness. Journal of the Operational Research Society, 39(1), 7-14. Georgetown University. (2017). Top 10 Threats to Information Security. Retrieved 2017, from https://scsonline.georgetown.edu/programs/masters-technology-management/resources/top-threats-to-information-technology Jefferis, N. (2015, December 3). The need for an Information Management Function. Retrieved May 13, 2017, from Image and Data Manager: https://idm.net.au/article/0010818-need-information-management-function KnowledgeBrief Manage. (2017, May 13). Information Management. Retrieved May 13, 2017, from Kbmanage.com: https://www.kbmanage.com/concept/information-management-im Markgraf, B. (2017). How Is a Management Information System Useful in Companies? Retrieved 2017, from Smallbusiness.chron.com: https://smallbusiness.chron.com/management-information-system-useful-companies-63415.html promeng.eu. (2008). downloads/training-materials/ebooks/business-information-management.pdf. Retrieved 2017, from promeng.eu: https://promeng.eu/downloads/training-materials/ebooks/business-information-management.pdf SFC. (2017). Information Management Framework. Retrieved 2017, from Scottish Funding Council: https://www.sfc.ac.uk/web/FILES/AboutUsOperate/information_management_framework.pdf Steinberg, S. (2011, July 7). 10 Ways to Keep IT Systems Secure. Retrieved 2017, from Entrepreneur.com: https://www.entrepreneur.com/article/219954 thinkspace.csu.edu.au. (2014, May 19). itc540/2014/05/19/swot-analysis-and-report/. Retrieved May 13, 2017, from thinkspace.csu.edu.au: https://thinkspace.csu.edu.au/itc540/2014/05/19/swot-analysis-and-report

Wednesday, April 1, 2020

Lack Of Creativity In Contemporary Bangla Literature And free essay sample

Bangle contemporary novel writers have to add various dimensions in their writing in order to gain more acceptance among the readers Of Bangle literature. C] Contemporary writers need to use more metaphors among their writings and have to use their writings carefully and subtly in order to keep their readers interested. The writers have to assume that the readers are intelligent. This way they will be able to thrive. 3 Chuddar, S. (n. D). Stated that The Bengali novel originated in the nineteenth century as a product of the colonial encounter, though it drew upon a multiplicity of iterate traditions, indigenous as well as foreign. P. 6 ). C] Though those are the criteria of the initial category novels of Bangle, it has evolved very much since then. 4 RESEARCH QUESTIONS C] When was the last time they read a Bangle novel? CLC What do they expect from the writers? 0 How do they compare the international literature with the Bangle literature? 5 D What are they aspects they dont like about Bangle C] What do they think about lack of creativity in Bangle 6 HYPOTHESIS 0 The contemporary Bangle literature have many important aspects. We will write a custom essay sample on Lack Of Creativity In Contemporary Bangla Literature And or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Once a lot of creativity were hon. by the Bangle novel writers. But now we can see lot of clicks and predictability among the writers.C] From my research, expect to find that the writers are not getting enough motivations for writing Bangle 7 D think new writers cannot be found in contemporary Bangle literature due to the economic hardship the writers have to bear and endure. 1 also think that too much exposure to technology is killing the appetite for literature in youth. C] I also think that this situation can be changed with the necessary steps from the people related with Bangle 8 Number of respondents (20) . The last time the participants of the survey read a Bangle novel 12 10 25% 15% 5% A. Thin a month B. Before one month C. Within a year D. Cannot remember 55% people cannot remember when was the last time they read a Bangle novel. 80% of the respondents of the survey havent read a Bangle novel within a month. 9 2. Category of a contemporary Bangle novelist of the current era A. D. Creative, B. C. Mediocre, 3, 15% predictable, A. Weak predictable C. Mediocre D. Creative 70% of the respondents have a negative attitude toward a contemporary writer Of the current era. Only 30% of the respondents think that the contemporary writers of the current era are creative.

Saturday, March 7, 2020

The eNotes Blog The Next New Thing PersonalizedLearning

The Next New Thing PersonalizedLearning One thing about education as a profession- the grass is never allowed to grow under a teacher’s feet for very long. There’s always something new coming down the pike, which isn’t necessarily a bad thing, but it does induce a kind of professional dizziness from time to time. Adapting to the â€Å"next new thing† is always a challenge, especially if it moves from the periphery onto the center stage in classroom practices. The most recent concept in education is personalized learning, not to be confused with differentiated instruction. Differentiated instruction addresses how lessons are delivered to students, based on their individual needs. Personalized learning is more complex. In its purest form, personalized learning allows students to choose what they will study and to proceed at their own pace in meeting individual goals. Implementing it requires four instructional strategies, which are summarized  in â€Å"Personalized Learning: A Working Definition†: Continual assessment as a student progresses toward â€Å"clearly-defined goals,† with the student advancing and earning credit after demonstrating mastery. Learning environments designed to meet students’ needs in reaching their goals. Customized  Ã¢â‚¬Å"learning paths† based on each student’s progress, motivations, and goals. Up-to-date â€Å"learner profiles† that chart each student’s strengths, needs, motivations, and goals. That’s a lot to do after taking attendance! Seriously, it’s a lot to do period, and the current demands of standardized  testing make personalized learning seem like a classroom fantasy. It’s a great idea, though, so what can be done to personalize learning in a system based on covering a specific curriculum in a limited amount of time?  Apparently, quite a bit, starting with learner profiles. The learner profile is one part of personalized learning that’s already in place. Learner profiles may not be written down, but they exist,  filed  in teachers’ minds where they’re continually reviewed and updated. Ask a teacher about particular students, and be prepared for  a  detailed  report on their individual strengths, weaknesses, and motivations. (You’ll also probably find out what’s holding them back or pushing them ahead and who frequently needs to borrow lunch money.)  I think we’re good on learner profiles, except perhaps for having students set some specific learning goals  for themselves. The rest of personalized learning has been broken down into five essential elements: Choice, Pace, Path, Mode, and Data.  Within these five elements, there’s room to personalize learning even when a teacher is tied to an articulated curriculum and a pacing guide in meeting state standards. Choice and Pace Be creative in writing curriculum-based lesson plans so that they offer students some choice in what they will study. Let students choose their own topics for research papers, allowing them to study what most interests them. Create a list of activities that address students’ interests, different learning styles, and multiple intelligences, and allow them to choose their own activities from the list. Design an independent study project with several parts, and let students decide how they will accomplish each part- what they will read and write and which project activities they will complete. Let students design and pursue their own independent study projects. Considering the time constraints in a classroom, it’s unlikely that all students will be able to proceed at their own pace, all the time, in completing their work, but it’s usually possible to be somewhat flexible in setting due dates for assignments. Path and Mode These elements refer to the ways individual students pursue learning objectives and the means they use in mastering them. Providing students with different learning paths and different modes of study requires making some fundamental changes in instruction. Everyone won’t be doing the same thing at the same time. That sounds like a recipe for chaos, but not necessarily! Check out these examples of how to reorganize instruction efficiently and effectively in personalizing learning, and see  four more K-12 examples here.  Technology tools and the resources that can be tapped through them can play an essential role in personalized learning. Edutopia offers ten tips for using technology in implementing it. Data Regardless of how learning takes place, it has to be assessed. The prospect of writing individual tests for every student is daunting indeed, and actually doing it is most likely impossible. However, there are more ways than testing to assess learning. Learner Centered Teaching  lists dozens of ways to do it without giving tests, and using only tests in assessment is a bad idea anyway. One-size-fits-all never works well, so it’s not surprising that personalizing learning is the ideal way to educate kids. The challenge is figuring out how to accomplish it while simultaneously meeting the demands of †¦ well, everybody. It’s easy to think, â€Å"Personalized learning- can’t be done!† It’s true that personalizing every student’s learning, all the time in every way, is probably not possible in today’s classrooms, but there’s plenty of wiggle room in the concept. Exploring how to make the most of it so that kids achieve more and learn in ways that are more natural and meaningful for them is a good use of planning time. This â€Å"next new thing† deserves attention. This is a guest post from Staff Writer, Susan Hurn. Susan is a former high school English teacher and college instructor. She loves writing for and also enjoys good books, creative writing, and all things related to history.   Let us know if you’re interested in contributing to the   blog.

Thursday, February 20, 2020

American economic issues Essay Example | Topics and Well Written Essays - 1000 words

American economic issues - Essay Example Because debt plays such an integral part in the economy, it must be measured appropriately to convey the long-term impacts it brings forth. Currently, the national debt held by the public is over $13 trillion, which is around 74 percent of the country’s economy, as measured by Gross Domestic Product (GDP) (Fisanick, 2010). The gross debt, which includes money owed to other parts of the federal government, is over $18 trillion. The National debt has accumulated to that because, over the last 40 years, the federal government has generally spent more than it collected in revenue. When this occurs, the government must borrow money to cover the difference. The government borrows by selling securities such as treasury bonds, then agreeing to bondholders back with interest. Over time this borrowing accumulates into the national debt. Presence of a National debt in the economy directly affects the public in the following ways: The high cost of living: High debt levels mean higher inte rest rates on everything from credit cards to mortgage loans. Since incomes do not rise at the same rate as interest rates, what follows is a pinch in consumer pockets as goods and services become more expensive. Slower wage growth: In times of high debt and high-interest rates, every dollar an investor spends buying government debt is a dollar not invested elsewhere in the economy, hence slower economic growth. Reduced fiscal flexibility: The debt levels doubled between 2008 and 2013, as a response to the 2008 financial crisis.

Tuesday, February 4, 2020

Accreditation for Healthcare Organizations Essay

Accreditation for Healthcare Organizations - Essay Example enerally, this involves anticipating survey team observations and then proactively showing through patient activities and units of care delivery, a mastery of the essentials which the accreditation team is seeking at Sentara. The planning for accreditation at Sentara is more of an ongoing process in which accreditation, which is as mentioned above, already achieved, is also maintained. The various bodies that have accredited the healthcare system send survey teams from time to time to any one of Sentara’s hospitals and delivery facilities, in order to interview patients and staff, and review documents as well as observing quality of care. â€Å"The team may track a patient through his or her hospital stay--in person and through medical records--to find out how the hospitals systems and processes work in supporting patient care† (Accreditation, 2008). During this process, Sentara has to prepare to be judged directly in terms of what care is given to patients, whether it is quality care, effectively carried out, and performed well to the resulting tendency of improving the quality of life of the patient. In order to prepare for the accreditation and renewal processes (accreditation needs renewed after three years), Sentara concentrates on teamwork, leadership, and communication. The healthcare group is evaluated by survey teams who come through looking at various hospital departments. They work in a group together closely at every step of the process, integrating their respective findings to reach viable conclusions about Sentara’s system-wide performance. â€Å"At the end of the survey, the team scores the hospital on how well it meets the standards in the Accreditation Manual for Hospitals† (Accreditation, 2008), related to scored performance standards that are scaled and measured. the programs and the leader of Sentara makes a formal request for review. Then letters are sent out backing up this request. Then, some time before the review, the office for