Friday, August 21, 2020

National Service Framework Essays

National Service Framework Essays National Service Framework Essay National Service Framework Essay Indeed, even with clinical headways and expanded future, Diabetes remains the universes fifth driving reason for death and the quantity of victims is supposed to be expanding. The wellbeing profile of Medway shows no critical distinction contrast with England normal. It is plausible that improved safeguard measures ought to be created. For example while the general populace of Medway and Kent is predominately white, a few pieces of the region (especially in the north) are all the more ethnically various. In this manner medical clinics ought to apply strategies which mirror these ethnic varieties over the district. Seeing such contrasts empowers social insurance and wellbeing advancement messages to be focused in fitting manners (Kent and Medway general wellbeing observatory NHS 2008). The (DoH) (2008) calls attention to that the wellbeing profile of England gives some ongoing upgrades in various basic zones for instance declining death rates in focused executioners, for example, malignant growth and circulatory illnesses. Anyway comparative victories can't be ascribed to explore on diabetes, and the rates keep on increasing. In spite of the fact that reviews can give a helpful guide, for example an overview by the branch of wellbeing drew an association between a high predominance of diabetes and populace with more noteworthy stoutness levels. In April the Secretary of State for Health propelled Putting Prevention First, which set out designs for the NHS to convey a national program of vascular checks for everyone matured 40-74. This aspiring project will, just because, complete a precise, coordinated hazard appraisal of those individuals from the populace who are most in danger and who, as indicated by the proof, have the greatest chance to profit. Five Years on Delivering the Diabetes (NSF) (2008). At the point when the National Service Framework gauges were first distributed in 2001, just around 1.3 million individuals were determined to have diabetes, and it was believed that around a million had diabetes without knowing it. From that point forward, the Quality and Outcomes Framework (QOF) has compensated GP rehearses for the recognizable proof and treatment of individuals with diabetes in their general vicinity and therefore there are currently just about 2 million diabetic grown-ups recorded on training registers. This implies around 600,000 individuals have been analyzed over the most recent five years proportionate to 2,000 every week and are currently profiting by the help they have to deal with their diabetes (NICE 2009). Care arranging is a key piece of overseeing long haul conditions, and its significance has been expressed in various significant strategy archives. The last report of Lord Darzis, NHS Next Stage Review, High Quality Care for All, focuses on that, throughout the following two years, everybody with a drawn out condition ought to be offered a customized care plan. In February 2008 the National Diabetes Support Team (2008) created its manual for executing care arranging in diabetes Partners in Care and is additionally working with Diabetes UK and other key accomplices to decide approaches to help the NHS in inserting the standards of care arranging into the conveyance of diabetes administrations (NSF 2008). It has been accounted for that Primary consideration is improving at overseeing diabetes and one of the exceptional accomplishments of the Quality and Outcomes Framework is the rising quantities of diabetics accepting fundamental tests and estimations (for instance, circulatory strain and cholesterol). Better still the aftereffects of those tests have likewise shown wellbeing enhancements, anyway it is essential to take note of, that the 2005/6 National Diabetes Audit found that not every person is getting each care procedure that they need demonstrating that we despite everything have some best approach. Its additionally fundamental that the individual with diabetes is furnished with however much data as could reasonably be expected before their arrangement, to assist them with utilizing their time with the social insurance proficient as well as could be expected. This was a topic of the last report of the NHS Next Stage Review, which recognized that too hardly any individuals appro ach data about their own consideration (NSF 2008). Services There are numerous imaginative procedures that specialists can adjust to address the issues of various areas of the network. In Kent the network diabetes nursing group give proceeded with care and advance all through all phases of diabetic affliction. The group instruct those recently determined to have type 2 diabetes in facility and gathering settings across Medway and Swale and furthermore run bunch meetings for the individuals who need to begin insulin, generally by means of the phone triage framework, based at Parkwood Health Center. Home visits for the housebound are attempted, as are visits to patients in the network and emotional wellness wards, private and nursing homes and Prisons. The Community Diabetes Nursing group attempt the accompanying a wide scope of obligations giving inside and out warning and instructive help. National Frame work This National Service Framework (NSF 2005) for Long-term Conditions is a key apparatus for conveying the legislatures methodology to help individuals with long haul conditions planning to expand on proposed changes in NHS the board and dispatching to achieve an organized and orderly way to deal with conveying treatment and care for individuals with long haul conditions to improve wellbeing results for individuals with long haul conditions by offering a customized care plan for powerless individuals most in danger; to diminish crisis bed days by 5% by 2008 through improved consideration in essential consideration and network settings for individuals with long haul conditions; to improve access to administrations, guaranteeing that by 2008 nobody stands by over 18 weeks from GP referral to medical clinic treatment, including every single indicative system and tests. The (NSF 2005) completely underpins the idea of decision set out in Building on the Best: Choice, responsiveness and value in the NHS. This means to guarantee that all individuals have a decision of when, where and how they are treated from beginning of ailment until the finish of life. End: This exposition had indicated a basic record of the wellbeing necessities of a patient experiencing a ceaseless ailment featuring the significance and the need of thinking about a diabetes victim inside the network. Mr Thompsons case had indicated that as diabetic endure and the issues he had with his foot. The suitable treatment was fundamental so as to manage his concern the inclusion of a multidisciplinary group help to give the essential treatment to help Mr Thompson. Network Matron and the locale nurture assumed a significant job by following up in the interest of the patient who is experiencing a drawn out ailments guaranteeing that the patient got the proper consideration they need detailing a consideration intend to help control his diabetes and keep an eye on his foot ulcers. The danger of creating type 2 diabetes is know to increment with age, and might be because of individuals at a more seasoned age getting less dynamic, putting on weight tends to influences their versatility and debilitating their circulatory framework. The Department of Health prescribe that measures can be taken to improve the lives of diabetics. In spite of the fact that diabetes right now can't be quickly relieved, by utilizing prescription and different treatments it tends to be controlled. Anyway Foot issues that are brought about by diabetes connote more patients are bound to invest more energy in emergency clinic spending medical clinic assets which is can be exorbitant. Pleasant direction suggests that ordinary survey of patients feet ought to be attempted by the consideration from a multi-disciplinary foot care group whose point are to recognize hazard factors, (Armstrong et al 1998, Edmonds et al 2004) brings up the significance of dispensing with or dragging out the advancement of ulceration and can altogether diminish the occurrence of confusions and removal. The administrations points are to help individuals with long haul conditions by conveying suggest changes that will help individuals with long haul conditions. There are benefits inside the network that offer help and training for diabetes endures In Kent the network diabetes nursing group assume significant job in this time administration.

Monday, July 13, 2020

Best Business Plan Writers

Best Business Plan Writers Best Business Plan Writers Online Home›Best Business Plan Writers OnlineTop Business Plan Writers for HireLooking for business plan writers who can articulate your vision? Whether you are a budding business owner or a college student who is working on a project in your business course, there are plenty of business plan writing services out there. Of course, the problem is that while most claim they can deliver on their promises, in the end their actual “business” plan is to take you to the cleaners. That is not the case with us. For more than a decade, our business plan service has developed a solid reputation for providing aspiring business owners exactly what they need: the best business plan writer to make your idea look perfect on paper. Over the years, our business plan writing services have helped small IT companies, restaurants, fitness centers, and even yoga studios get off the ground by providing sound analysis about the market and developing short- and long-term plan s for success. If you want to see your dreams become a reality, hire the top business plan writers today!Save extra 10% on each and every order by receiving 300 words/page instead of 275 words/page offered by most of the essay writing websites.Want to Start a Business? You Need to Buy a Business Plan

Thursday, May 21, 2020

German Loan Words Used in English

If you are an English-speaker, you already know more German than you may realize. English and German belong to the same â€Å"family† of languages. They are both Germanic, even though each has borrowed heavily from Latin, French, and Greek. Some German words and expressions are used constantly in English. Angst, kindergarten, gesundheit, kaputt, sauerkraut, and Volkswagen are just some of the most common. English-speaking children often attend a Kindergarten (childrens garden). Gesundheit doesnt really mean â€Å"bless you,† it means â€Å"health†Ã¢â‚¬â€the good variety being implied. Psychiatrists speak of Angst (fear) and Gestalt (form) psychology, and when something is broken, its kaputt (kaput). Although not every American knows that Fahrvergnà ¼gen is â€Å"driving pleasure,† most do know that Volkswagen means â€Å"peoples car.† Musical works can have a Leitmotiv. Our cultural view of the world is called a Weltanschauung by historians or philosophers. Zeitgeist for â€Å"spirit of the times† was first used in English in 1848. Something in poor taste is kitsch or kitschy, a word that looks and means the same as its German cousin kitschig. (More about such words in How Do You Say â€Å"Porsche†?) By the way, if you were unfamiliar with some of these words, thats a side benefit of learning German: increasing your English vocabulary! Its part of what the famous German poet Goethe meant when he said, â€Å"He who doesnt know foreign languages, doesnt know his own.† (Wer fremde Sprachen nicht kennt, weiß auch nichts von seiner eigenen.) Here are a few more English words borrowed from German (many have to do with food or drink): blitz, blitzkrieg, bratwurst, cobalt, dachshund, delicatessen, ersatz, frankfurter and wiener (named for Frankfurt and Vienna, respectively), glockenspiel, hinterland, infobahn (for â€Å"information highway†), kaffeeklatsch, pilsner (glass, beer), pretzel, quartz, rucksack, schnaps (any hard liquor), schuss (skiing), spritzer, (apple) strudel, verboten, waltz, and wanderlust. And from Low German: brake, dote, tackle. In some cases, the Germanic origins of English words are not so obvious. The word dollar comes from German Thaler — which in turn is short for Joachimsthaler, derived from a sixteenth-century silver mine in Joachimsthal, Germany. Of course, English is a Germanic language to begin with. Although many English words trace their roots back to Greek, Latin, French, or Italian, the core of English — the basic words in the language — are Germanic. Thats why it doesnt take too much effort to see the resemblance between English and German words such as friend and Freund, sit and sitzen, son and Sohn, all and alle, flesh (meat) and Fleisch, water and Wasser, drink and trinken or house and Haus. We get additional help from the fact that English and German share many French, Latin, and Greek loan words. It doesnt take a Raketenwissenchaftler (rocket scientist) to figure out these â€Å"German† words: aktiv, die Disziplin, das Examen, die Kamera, der Student, die Università ¤t, or der Wein.   Learning to use these family resemblances gives you an advantage when working on expanding your German vocabulary. After all, ein Wort is just a word.

Wednesday, May 6, 2020

The Far-reaching Effects of Smoking Essay - 616 Words

Smoking has far reaching effects on your life and the lives of others around and being able to quit this habit can allow you to live a more active life free of the desire to smoke. Smoking cigarettes are an addictive habit that is caused from a chemical that is in the tobacco called nicotine. Addiction is the word that is used to describe a person that habitually smokes cigarettes but the word addiction was not always used to describe such a negative thing. Addiction originally was used to describe an individual that was committed to another to learn a trade such as on the job training is used today. In the 1800’s the word addicted became more related to negative actions such as alcohol, cigarettes or drugs. Cigarettes are addicting†¦show more content†¦A year after you quit, your chances of having a heart attack are cut in half. In five years, your risk of having a stroke is the same as that of a nonsmoker. In 10 years, your chance of lung cancer is half of what it would be if you had continued smoking. In 15 years, your risk of heart disease will be the same as that of a nonsmoker.(45) Quitting this drug like any other has withdrawal symptoms that are related to quitting this type of drug that can be overcome with assistance but failure is still a concern. Nicotine replacement drugs are available as an over the counter medication for purchase at any local convenience store. Reducing the amount of cigarettes you smoke may be able to lessen the chemical dependency that you have and then quitting all together could reduce the risk of withdrawal symptoms. These types of medications have the ability to assist with the chemical dependency of cigarettes but not the psychological desire to smoke. To combat this psychological dependency some people turn to therapy to determine the triggers that make them want to smoke and determine alternate methods to deal with those triggers. Aversion therapy is another method that has been used in the past in which one will combat the pleasure that they receive from smoking with a negative one. This method is accomplished by simply attaching a rubber band to ones wrist that they use toShow MoreRelatedEssay Smoking Should NOT Be Banned in Public Places730 Words   |  3 PagesSmoking Should Not Be Banned in Restaurants      Ã‚  Ã‚  Ã‚   In the perfect situation, smoking policy would be set by bar or restaurant owners, and customers would patronize the establishments with the policy they prefer. Customers would decide-without the governments help-if they want to avoid smoke-filled rooms or enter them. They might even choose to sit in an area sectioned off for smokers or non-smokers, but the ultimate issue is choice (Ruwart 1). When the government starts telling restaurantRead MoreShould Smoking Be Public Places?1110 Words   |  5 Pages Will smoking be convenient in your life? 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What a smoker does to themselves is a personal matter, but what they do to a non-smoker is different. New laws in Texas can help protect nonsmokers from secondhand smoke, as well as the harmful effects it causes. Secondhand smoke has many classifications, a well known term being EnvironmentalRead MoreIllegal Drug Abuse And Drugs980 Words   |  4 Pages there is likely to be increased cases of theft, a vice accomplished by the addicts to satisfy their drug dependence. Through such theft, they are able to get the money required to buy the drugs. The legal stretch against illegalized drugs is far reaching. In United States, usage of such drugs could call for hefty fines and long-term imprisonment (Addiction Help Center 1). In line with this, the families of the addicts have to live in constant fear of possible developments, fear of what could beRead MoreNot So Young At Heart1635 Words   |  7 Pagese-cigarettes, gum, nasal sprays, etc. With an abundance of resources, quitting has become easier than ever. And as quitting has become easier, awareness is at is peak with the rise of the Internet and social media. The stigma around smoking is growing, and the health effects are becoming more noticeable and easily communicated. This invokes the following question: Why do people continue to smoke, knowing that it will damage their health? This advertisement, titled â€Å"Not-so-young at heart† was initially

Management Control Systems Final Written Case Assignment Free Essays

Management Control Systems Final Written Case Assignment Budgeting and Performance Evaluation at the Berkshire Toy Company Prepared for: Karen M. Foust, Ph. D. We will write a custom essay sample on Management Control Systems Final Written Case Assignment or any similar topic only for you Order Now , C. P. A. Adjunct Professor at Tulane University A. B. Freeman School of Business New Orleans, Louisiana Prepared by: Andres A. Calderon andres. calderon@ieminc. com PO Box 21420 Baton Rouge, LA 70893 Date: September 4, 2000 Background Janet McKinley’s father, Franklin Berkshire, founded Berkshire Toy Company (BTC) in 1974. In 1988 Janet worked her way up to the position of Assistant to the President after completing her MBA. Janet promoted employee participation and teamwork. The company went public in 1991, and in 1993 Mr. Berkshire retired, leaving Janet as corporate CEO. In 1995 Quality Products Corporation, a company with a wide variety of products, acquired BTC for $23 million. Janet had an agreement that allowed her to continue to work for BTC for at least 5 years at an annual salary of $120,000. The company had a staff of 241 employees organized in three different departments: purchasing (11 employees managed by David Hall), production (175 employees managed by Bill Wilford), and marketing (52 employees managed by Rita Smith)1. BTC produces a fifteen-inch, fully jointed, washable, stuffed teddy bear. The bear is packaged in a designer box and is accompanied by an unconditional lifetime guarantee, and a piece of chocolate candy. The bears are accessorized according to customer order specifications. Internet sales began in 1997. Janet has just received the June 30, 1998 income statement showing Operating Income at $1,632,317 below budget, while Total Revenue is at $1,440,487 above budget (see Exhibit 1). Janet is having trouble understanding how the company’s revenue is thriving, but the company is not generating profits as expected. Current Situation BTC is a decentralized division of Quality Products Corporation that has been experiencing growth in sales over the past four years (see Exhibit 2a). BTC’s strategy is to have an enhanced product image, build customer brand loyalty through product differentiation, and produce an all American quality product. BTC implemented a management compensation plan in 1997; the plan is structured as follows: †¢ †¢ David at Purchasing: 20% of net materials price variance, assuming favorable Rita at Marketing: 10% of excess variance of net revenue, assuming favorable 1 The remaining three employees are Janet, her secretary, and her secretary’s assistant †¢ Bill at Production: 3% of net variance in material, labor, variable overhead, labor rate variance, and the variable and fixed overhead spending, assuming favorable variances The bear is hand made and the quality of material acquired by purchasing can negatively affect production generating excess waste or potentially jeopardizing the quality of the product. Marketing sells the bear through catalogs, company’s retail store adjacent to the factory, Internet sales, wholesale to department stores, toy boutiques, and other specialty retailers. Most orders are shipped the same day as they are received. Commissions of 3% are paid on retail store sales and sales to wholesale buyers, no commissions are paid on catalog sales. Internet sales began in 1997 with bears being sold at a wholesale price of $32. The Marketing and the Purchasing departments seem to be operating well, but the Production department manager has identified the following problems: production was affected by materials ruined during flood, raw material is substandard, high rate of product stock-out, deviations from standard production plans, overtime to met sale demands is high, overworked staff, plant is at maximum capacity, and maintenance is almost impossible to be scheduled. Analysis of the Case Non-quantitative BTC could work an alliance with its supplier in such a way that raw material is guaranteed to meet high levels of quality. Currently Bill in production receives the raw material from David at purchasing, so inspections for defective material happen at the time of production and under the pressure of orders piling up awaiting production. David does not have any incentive to provide quality, but just to reduce his cost. Current incentive plan is not working to the advantage of the Production department, it is not fair to have bonus linked to factors that cannot be controlled by the responsible manager. Incentives are structured in such a way that they encourage â€Å"low balling† revenue figures by the Marketing and â€Å"high balling† raw material price budgets by the Purchasing manager. A budget of zero sales to be achieved by the Internet deployment, supported by an expensive national radio campaign, is not acceptable and should not be rewarded. Quantitative Analysis The favorable sale revenue of $1,440,487 can be explained by a favorable impact of Internet sales2 (+307%), an unfavorable effect of the Retail and Catalog sales (-214%), and a negligible budget variance (+7%) explained by the Wholesale efforts. Ninety one percent (equivalent to $2,300,980) of the unfavorable Total Variable Cost variance ($2,515,896) can be attributed to unfavorable variances in: Direct Labor (39% or $980,305), Variable Overhead (27% or $679,361), and Variable Selling Expense (25% or $641,314) (See Exhibit 4). Almost the entire unfavorable variance of fixed cost can be attributed to the unfavorable variance in Selling Expenses. The Direct Labor3 variance is mainly due to a variance of 42% (from 1. 2 budgeted to 1. 7 actual) labor hours per unit and a variance in salary rate from $8. 0 budgeted vs. $8. 17 actual. The Variable Overhead also affected by the unfavorable 1. 7 hours per unit of direct labor, contributed with an unfavorable amount of $181,639 (see Exhibit 6c). The Variable Overhead Cost per Hour went up due to the additional overhead. The Variable Selling Expense caused an unfavorable variance of $ 443,100 due to the added cost per unit (see Exhibit 6c). Average price per unit sold $44. 37 compared to a $46. 45 budget. The mix variance stemmed mostly from a price difference between Retail Catalog ($49) and Internet ($42) sales. The 280,000 units are distributed between Retail Catalog (85%) and Wholesale (15%) sales. Using the Static Budget Mix expected sales are of $15,122,083 (see Exhibit 5). Fixed Cost Selling Expenses caused an unfavorable variance of $560,192 to the budget, compared to a negligible favorable increase of $261 to budget due to the Fixed Cost Administrative Expense. 4 Almost half ($225,627 favorable) of this unfavorable variance is counteracted by the higher than budgeted output and a fixed manufacturing overhead per unit of $ 1. 674 compared against the budgeted $1. 97. The overall unfavorable $114,910 Fixed Manufacturing Overhead is due to the variance in labor hours per unit. Due to 2 3 Or better said a very unrealistic â€Å"low ball† budget of Internet sales I attribute this to the fact that the company works on an â€Å"order received basis†, instead of forecasting production. the incentive structure at BTC, David Hall has been buying â€Å"cheap† polyester fill ing and accessories, causing an unfavorable price efficiency variance of $49,609. Sales and Total Cost unfavorable variance of $ 2,669,607, compared to $1,632,317 budgeted can be attributed to poor sales mix performance (unfavorable Budgeted Sales Variance $675,589) and unfavorable Labor Volume Variance ($437,338)5. Incentive Program It is my opinion that the incentive program at BTC is the major contributor to the unfavorable variances. David Hall is rewarded for purchasing â€Å"cheap† raw material, which is affecting production. Rita is rewarded for selling products over the Internet at prices that are not appropriate. For a bonus allocation in dollars please refer to Exhibit 7, Incentive Plan (better named: â€Å"Let’s all gang against poor old Bill†). While David pockets $9,636. 62 ($48,183 @ 20%) by purchasing substandard polyester fillings for the bear, Bill looses $2K due to additional filler required for production of a quality bear. There is no reasoning on how Rita sets the price for the Internet bear. Rita set a low price on the bear causing an unfavorable mix variance and there is no reasoning on how she established the budgets; overall she is favored by both moves, hurting the company’s profits. Overtime This is due to the inefficient use of labor, adding to the low morale of the employees. The unit labor requirement went from 1. 2 to 1. 7 due to the poor quality of raw material. The pay rate went up 17 cents due to new hires that had to be enticed to work at BTC. All these problems can be associated with the order base production scheduling, causing a â€Å"knew jerk reaction† in the system every time a new order is received, forcing employees to work overtime (See Exhibit 8 for more details). The case makes it clear that there have been no technology improvements in the past five years at BTC. Fixed manufacturing overhead is favorable due to the higher volume of items sold, but it does not reflect on the performance of the firm, since this is due to the low Internet price. I assume that most of this expense is to cover the radio campaign and the Internet cost, increasing volume with no concerns on the effect on Production 5 I blame this on Rita for selling products at less than reasonable price, only looking after her compensation. She increased volume with no concerns on the effect this might have on production. 4 Recommendations Production Bill should consider going to a forecasted production cycle, allowing a better distribution of the work load over the year (reducing overtime from 9. 11 to 8. 47), allowing time to mentor new employees (as attrition rate would be hire), allowing for scheduled maintenance without worrying about capacity during peak production times, and dedicate more time to the cleaning of the machinery (there is a substantial drop in cleaning material cost, in this industry this can be associated with a higher maintenance expense, see Exhibit 2b). The quality management effort should be integrated to supports the overall strategy of maintaining a high quality product at BTC. The integration of marketing and production could yield better production schedules to be developed; this integration can be accomplished by establishing shared goals between the two departments. With better production schedules BTC could identify bottlenecks and make sure that those are never starved for work6, reducing overtime demands during peak demand cycles. Overtime Premiums have been rising at an alarming rate (1619% in 1998, 1055% in 1997, see Exhibit 2b); this has very bad consequences on the company’s bottom line7. Production planning should increasing employee morale, allow for proper maintenance of equipment and reduce the risk of breakage during peak production times, and allow for planned training of new employees. In order to offer a higher quality product and impact the reduction of overtime, Bill has to consider upgrading some of the outdated equipment, especially replacing the equipment that reduces overtime and maintenance cost. The company is operating near to capacity; new equipment should alleviate the production bottlenecks and provide the foundation to reduce the overtime labor cost. If Bill is not familiar with new technologies in this industry, he should seek support from consultants in this area. Incentive Plan The incentive model should encourage accurate reporting by encouraging the right behavior, thus discouraging â€Å"low or high balling† while developing budgets (see Exhibit 3). David should be rewarded for finding the least expensive input material, without compromise of quality. Samples of material to be 6 Technology could also be deployed to reduce the bottlenecks, especially the labor-intensive bottlenecks. purchased should be analyzed by Production prior to committing to the shipment and purchase. This can only be accomplished if purchases are based on forecasted production, also allowing David to have more time for the negotiation of better prices for quality raw materials. Rita should continue to be rewarded for selling products, and growing markets. Instead of basing Rita’s bonus on the Static budget, her bonus should be evaluated against the Flexible Budget. In general static budgets are departmental goals that jointly represent corporate goals. Flexible Budgets incorporate some of the present variations in prices, markets, production, costs, etc. that tend to invalidate the Static Budget over time. The incentive plan for BTC should have a mix of departmental goals and division goals, so that there is a better integration among the different departmental goals. Bonuses should reflect management’s favorable performance; therefore, managers should have adequate control over those drivers that affect BTC’s outcomes. BTC should design a Balanced Scorecard as an integrative effort to support efforts of the individual managers of the different department in an orchestrated effort. Balanced Scorecard BTC’s Balance Scorecards should be aligned to support the corporate strategy, both short and long term. Incentives should be assigned to the degree the different measures contribute to the corporate goals. Managers shall respond to incentive, thus supporting corporate goals (see Exhibit 9 for details). A Balanced Scorecard typically includes measures in each of four areas: Financial, Customer, Internal Business Processes, and Learning and Growth8. Some organizations add other dimension to support their strategy, or replace one of the four perspectives with one that uniquely reflects their mission and strategy. In the case of BTC the identified areas are: Corporate (BTC), Marketing, Purchasing, Production, and Management9. The proposed set of Balanced Scorecards for BTC is presented in Exhibit 10. It sounds like the previous manager was a former student of Dr. Page, since the â€Å"two envelop† strategy was employed. First envelope: Blame the predecessor, write loss off. Second envelope: Prepare two envelopes. This case is common in situations with companies that pay bonuses. That’s why companies are moving into options. 8 The Balanced Scorecard, Robert S. Kaplan and David P. Norton, Harvard Business School Press, 1996 9 Management as part of the Balanced Scorecards tends to be forgotten. Management (upper) has a responsibility to support the different departments with information on quality, cycle time, and cost. 7 Exhibit 1 Berkshire Toy Company A Division of Quality Products Corporation Preliminary Statement of Divisional Operating Income for the Year Ended June 30, 1998 Units Sold Retail and Catalog Internet Wholesale Total Revenue Variable production costs Direct Material Acrylic pile fabric 10-mm acrylic eyes 45-mm plastic joints Polyester fiber filling Woven label Designer box Accessories Total Direct Material Direct Labor Variable Overhead Total Variable Production Cost Variable Selling Expense Contribution Margin Fixed Costs Manufacturing Overhead Selling Expenses Admin Expenses Total fixed Costs Operating Income Actual Units 325,556 $ 8,573,285 174,965 $ 4,428,018 105,429 $ 1,445,184 45,162 $ 14,446,487 Master (Static) Budget 280,000 $ 11,662,000 $ $ 1,344,000 $ 13,006,000 Master Budget Variance 45,556 $ (3,088,715) $ 4,428,018 $ 101,184 $ 1,440,487 Unfavorable Favorable Favorable Favorable $ $ $ $ $ $ $ $ $ $ $ $ $ 256,422 125,637 246,002 450,856 16,422 69,488 66,013 1,230,840 3,668,305 1,725,6 65 6,624,810 1,859,594 5,962,083 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 233,324 106,400 196,000 365,400 14,000 67,200 33,600 1,015,924 2,688,000 1,046,304 4,750,228 1,218,280 7,037,492 661,920 4,463,000 1,124,000 6,248,920 788,572 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 3,098 19,237 50,002 85,456 2,422 2,288 32,413 214,916 980,305 679,361 1,874,582 641,314 (1,075,409) (3,023) 560,192 (261) 556,908 (1,632,317) Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Unfavorable Favorable Unfavorable Favorable Unfavorable $ 658,897 $ 5,023,192 $ 1,123,739 $ 6,805,828 $ (843,745) Unfavorable Exhibit 2a Company Growth based on Schedule of Actual Manufacturing Overhead Expenditures for years Ended June 30, 1994 — 1998 Units Produced 350,000 300,000 250,000 200,000 150,000 100,000 50,000 – Units 1994 1995 1996 1997 1998 Year Exhibit 2b Variable Cost Associated with BTC growth Berkshire Toy Company A Division of Quality Products Corporation Schedule of Actual Manufacturing Overhead Expenditures for years Ended June 30, 1994 — 1998 1998 1997 1996 1995 1994 325,556 271,971 252,114 227,546 201,763 Units Produced Variable Overhead Payroll Taxes and fringes Overtime Premiums Cleaning Supplies Maintenance Labor Maintenance Suppliers Miscellaneous Total $ 840,963 $ 423,970 $ 4,993 $ 415,224 $ 27,373 $ 13,142 $ 1,725,665 $ 524,846 $ 24,665 $ 6,842 $ 256,883 $ 15,944 $ 11,244 $ 840,424 $ 467,967 $ 2,136 $ 6,119 $ 232,798 $ 12,851 $ 9,921 $ 731,792 $ 413,937 $ 1,874 $ 5,485 $ 244,037 $ 15,917 $ 8,906 $ 690,156 $ 356,150 $ 1,965 $ 4,996 $ 216,142 $ 14,323 $ 7,794 $ 601,370 The following table shows the increases in variable cost associated with the production growth. Variable Overhead Growth Payroll Taxes and fringes Overtime Premiums Cleaning Supplies Maintenance Labor Maintenance Suppliers Miscellaneous Units Produced 1998 1997 1996 1995 60% 12% 13% 16% 1619% 1055% 14% -5% -27% 12% 12% 10% 62% 10% -5% 13% 72% 24% -19% 11% 17% 13% 11% 14% 20% 8% 11% 13% Increases in Variable Cost Associated with the Production Growth 1800% 1600% 1400% 1200% 1000% Percent 800% 600% 400% 200% 0% 1994 -200% 1995 1996 Year 1997 1998 1999 Payroll Taxes and fringes Maintenance Suppliers Overtime Premiums Miscellaneous Cleaning Supplies Units Produced Maintenance Labor Exhibit 2c Fixed Cost Associated with BTC growth Berkshire Toy Company A Division of Quality Products Corporation Schedule of Actual Manufacturing Overhead Expenditures for years Ended June 30, 1994 — 1998 Fixed Overhead Utilities Depreciation—machinery Depreciation—building Insurance Property Taxes Supervisory salaries Total 1998 $ 121,417 $ 28,500 $ 88,750 $ 62,976 $ 70,101 $ 287,153 $ 658,897 1997 $ 119,786 $ 28,500 $ 88,750 $ 61,716 $ 70,101 $ 274,538 $ 643,391 1996 $ 117,243 $ 28,500 $ 88,750 $ 57,211 $ 68,243 $ 275,198 $ 635,145 1995 $ 116,554 $ 28,500 $ 88,750 $ 55,544 $ 68,243 $ 269,018 $ 626,609 1994 $ 113,229 $ 28,500 $ 88,750 $ 54,988 $ 66,114 $ 254,469 $ 606,050 The following table shows the increases in fixed cost associated with the production growth. Fixed Overhead Growth Utilities Depreciation–machinery Depreciation–building Insurance Property Taxes Supervisory salaries Units Produced 1998 1% 0% 0% 2% 0% 5% 20% 1997 2% 0% 0% 8% 3% 0% 8% 1996 1% 0% 0% 3% 0% 2% 11% 1995 3% 0% 0% 1% 3% 6% 13% Increases in Fixed Cost Associated with the Production Growth 25% 20% 15% Percent 10% 5% 0% 1994 -5% 1995 1996 1997 1998 1999 Year Utilities Property Taxes Depreciation–machinery Supervisory salaries Depreciation–building Units Produced Insurance Exhibit 3 Incentive Model for Accurate Reporting10 ?b1* forecast + b2 * (actual – forecast) if actual ? forecast Incentive = ? b1* forecast – b3 * (forecast – actual) if actual forecast b1: rewards are positively related to forecasted sales, give managers and incentive to forecast high b2: sales should be higher than the forecast, b2 affect this component b3: w hen actual sales are less than the forecast, this plan penalizes the manager For example: b1 b2 b3 5% 3% 7% Actual Sales Forecasted Sales Incentive 1000 1000 50 1100 1000 53 1200 1000 56 1000 1100 48 1100 1100 55 1200 1100 58 1000 1200 46 1100 1200 53 1200 1200 60 10 Example from: Managerial Accounting an Introduction to Concepts, Methods, and Uses by Maher Stickney Weil. Exhibit 4 Total Variable Cost Variance Contributions Variance Cost Contribution Acrylic pile fabric 1% 10-mm acrylic eyes 1% 45-mm plastic joints 2% Polyester fiber filling 3% Woven label 0% Designer box 0% Accessories 1% Direct Labor 39% Variable Overhead 27% Variable Selling Expense 25% Total Variable Cost Variance Contributions Acrylic pile fabric 45-mm plastic joints Woven label Accessories Variable Overhead 10-mm acrylic eyes Polyester fiber filling Designer box Direct Labor Variable Selling Expense Exhibit 5 Analysis of Sales Flexible Flexible Budget Budget (Budgeted Units Sales Volume Mix)(5) Variance $1,897,427 $$218,656 $2,116,083 $13,559,427 276723 $0 $1,562,656 48833 $15,122,083 325556. 1464 Actual Retail and Catalog Internet Wholesale Units Price Master (Static) Budget $11,662,000 $$1,344,000 $13,006,000 Budgeted Budgeted Mix in Total Sales Sales Mix Mix PercentagesBudgeted Price Variance Variance 238000 0 42000 280000 85% 0% 15% 100% $49. 00 $42. 00 $32. 00 $46. 45 $(3,088,715) $(4,986,142) $4,428,018 $4,428,018 $ 101,184 $(117,472) $1,440,487 $(675,596) $8,573,285 174,965 $49. 00 $4,428,018 105,429 $42. 00 $1,445,184 45,162 $32. 00 $44. 37 Total Revenue $14,446,487 325556 Exhibit 6a Schedule of Standard Costs: Fifteen-Inch Berkshire Bear Table 2 Standard 280,000 Units Quantity Allowed per Unit Direct Material Acrylic pile fabric 10-mm acrylic eyes 45-mm plastic joints Polyester fiber filling Woven label Designer box Accessories Direct Material per unit Total Direct Material Direct Labor Sewing Stuffing and cutting Assembly Dressing and Packaging Total direct labor 0. 02381 2 5 0. 9 1 1 Input Price $ $ $ $ $ $ 35. 00 0. 19 0. 14 1. 45 0. 05 0. 24 Standard Cost Per Unit $ $ $ $ $ $ $ $ $ 0. 83335 0. 38000 0. 70000 1. 30500 0. 05000 0. 24000 0. 12000 3. 62835 1,015,938 0. 50 0. 30 0. 30 0. 10 1. 20 $ 8 $ 9. 60 Variable manufacturing overhead 1. 2 $ 3. 114 $ 3. 7368 Fixed manufacturing overhead 1. 2 $ 1. 970 $ 2. 3640 Exhibit 6b Schedule of Actual Manufacturing Costs for year Ended June 30, 1998 Table 3 Actual 325,556 Units Quantity Allowed per Unit Direct Material Acrylic pile fabric 10-mm acrylic eyes 45-mm plastic joints Polyester fiber filling Woven label Designer box Accessories Total Direct Material Direct Material per unit Direct Labor Sewing Stuffing and cutting Assembly Dressing and Packaging Total direct labor Overtime Premium Other Variable Manufacturing Overhead Fixed manufacturing overhead 7,910 661,248 1,937,023 344,165 328,447 315,854 Input Price $ $ $ $ $ $ 32. 4174 0. 1900 0. 1270 1. 3100 0. 0500 0. 2200 Total Cost $ 256,422 $ 125,637 $ 246,002 $ 450,856 $ 16,422 $ 69,488 $ 66,013 $ 1,230,840 $ 3. 780732 189,211 104,117 121,054 34,615 448,997 103,787 $ $ 8. 1700 4. 0850 $ 3,668,305 $ 423,970 $ 1,301,695 $ 658,897 $ 7,283,707 Exhibit 6c Analysis of Cost Static Budget Direct Material per unit Direct Material per unit Units Total Materials Labor Cost per Unit Total direct labor per unit Labor Hours Hourly Rate Total Labor Cost Variable Manufacturing Overhead Variable Overhead Cost per Hour Labor Hours Variable Manufacturing Overhead Variable Selling Expenses Cost per Unit Units Total Variable Selling Expenses Fixed Manufacturing Overhead Cost per hour of labor Total hours Fixed Manufacturing Overhead $ $ 1. 97000 336,000 661,920 $ $ 1. 46749 448,997 658,897 $ (225,627) $ (222,604) $ (448,231) Price Total $ $ 1. 97 390,667. 20 769,614. 38 $ 225,627 $ (114,910) Volume $ $ $ 4. 35100 280,000 1,218,280 $ $ 5. 71206 325,556 1,859,594 $ (443,100) $ (198,214) $ (641,314) Price Total $ 4. 35 325,556. 00 $ (443,100) $ Volume $ $ $ 3. 11 336,000 1,046,304 $ $ 3. 84 448,997 1,725,665 $ (327,488) $ (351,873) $ (679,361) Price Total $ 3. 11 390,667. 20 $ (327,488) $ (181,639) Volume $ $ $ $ 1. 20000 336,000. 00 8. 00000 2,688,000 $ $ 1. 6980 448,9 97. 00 8. 17000 4,092,275 $ (980,305) Total $ (76,329) $ (903,976) Price $ $ 1. 20 390,667. 0 8. 00 $ (76,329) $ (466,638) Volume $ $ $ 3. 62835 280,000. 00 1,015,938 $ $ 3. 78073 325,556. 00 1,230,840 (49,625) (165,291) $ (214,916) Price Total $ 3. 63 325,556. 00 $ (49,609) $ Volume $ Actual Variance Type Flexible Budget Price Efficiency Variance Volume Variance $ 1,181,231. 11 $ 3,125,337. 60 $ 1,216,537. 66 $ 1,416,494. 16 Flexible Budget Total Cost per Unit Total Cost Variance Price Variance Volume Variance (670,915. 33) (1,841,957. 90) $ 14. 26335 $ 16. 50162 $ 14. 26335 Flexible Budget Variance $ (1,434,086) Total Price Efficiency Variance $ (670,899. 27) Total Volume Variance $ (763,187. 10) Static Budget Variance $ (2,512,873. 3287) Fixed Costs Actual Static Variance Total Cost Variance Selling Expenses $ $ $ $ 5,023,192 4,463,000 (560,192) (3,072,804) Administrative Expenses $ $ $ 1,123,739 1,124,000 261 TOTAL Budget Cost Variance Budget Sales Variance Budget Variance Total Cost Variance Flexible $ (1,994,017) $ (675,589) $ (2,669,607) Static $ (3,072,804) $ 1,440,487 $ (1,632,317) $2,669,607 1,632,317 $1,037,290 Variances Volume Variance $ (903,976) $ (466,638) Labor Variance $ (437,338) Labors Hours Exhibit 7 Incentive Plan (better named: â€Å"Let’s all gang against poor old Bill†11) David Hall (Purchasing) Quantity Actual Price Static Budgeted Price Acrylic fabric 7910 $ 32. 42 $ 35. 00 10-mm acrylic eyes 661248 $ 0. 19 $ 0. 19 45-mm plastic joints 1937023 $ 0. 13 $ 0. 14 Polyester fiber filling 344165 $ 1. 31 $ 1. 5 Woven label 328447 $ 0. 05 $ 0. 05 Designer box 315854 $ 0. 22 $ 0. 24 Accessories 325556 $ 0. 20 $ 0. 12 Bonus $ 14,632. 71 20% Rita Smith (Marketing) Revenues Variable Selling Expenses Fixed Selling Expenses Net Revenues Bonus Actual Master Budget $14,446,487. 00 $13,006,000. 00 $ (1,859,594. 00) $ (1,218,280. 00) $ (5,023,192. 00) $ (4,463,000. 00) Delta $ 7,563,701. 00 $ 7,324,720. 00 $ 238,981. 00 10% $23,898. 1 Pur chasing Variance $ 20,428. 37 $ $ 25,181. 30 $ 48,183. 10 $ $ 6,317. 08 $ (26,946. 28) $ 73,163. 57 Bill Wilford (Manufacturing) Price Variance Volume Variance Static Budget Variance $ (670,915. 33) $ (1,841,957. 90) $(2,512,873. 3) NO BONUS Since negative Static Budget Variance 11 Production processes input into output. Both, the input responsible manager and the output responsible manager, make good money $73K and $24K in 1998, while the production manager makes no money. This situation is ill-fated, or just plain dumb. The â€Å"sandwich effect†, the manager in the middles gets squeezed. This is the sarcasm in management that I am illustrating with this title. Exhibit 8 Overtime Hours 448,997. 00 Direct Overtime 103,787. 00 448,997. 00 Actual Pay Rate Total Hours $ 8. 17 $3,668,305. 49 390,667. 20 $ 4. 09 $ 423,969. 90 45,457. 20 $ 9. 11 $4,092,275. 39 390,667. 20 Flexible Pay Rate Total $ 8. 0 $3,125,337. 60 $ 4. 00 $ 181,828. 80 $ 8. 47 $3,307,166. 40 Exhibit 9 Balanced Scorecard12 The actions of management are not static but, rather, are dynamic over time. A round of Strategic performance improvement (usually every year at the time budgets are being developed) may result in an increase in the goals that have been established by the manager and their Balance Scorecard supervisor. (see Figure 1) An analogy may be useful at this point (see Figure 2): just as in high jumping, the goal (bar) is not set at the point at which it will eventually end. It is Performance Measure in set lower, and as the jumping progresses, it is steadily moved higher. As the jumper Management trying to meet Performance clears it at lower heights, the bar is moved up. Each time the assessment (depicted by the black line in the graph) approaches or exceeds the goal (depicted by the gray line), the Figure 1. Balanced Scorecard in action 100 95 90 Performance Metric 85 80 75 70 65 60 55 50 2000 goal is increased until performance is at a level at which further improvements may not be desired. The management group of a corporation will develop plans for the year, those plans are revised through time, incentives are allocated and measures are taken to draw new plans for future years. The Balance Score card allows managers to keep their Goal core and their measures clear, so that decisions are made towards a goal that is congruent with the corporate goal. Outcome measures are results. Driving measures are Assessment incremental in nature, such as the ones depicted in Figure 2. 2004 Year 2005 2006 2007 2008 2001 2002 2003 Figure 2 Progressive Goal Setting 12 Graphs were extracted from Leadership Model based on Performance Measures and Continuous Improvement by Andres A. Calderon Exhibit 10 Balanced Scorecard for BTC Group BTC Scorecard Customer Satisfaction Measures Number of Complaints and number of unsolicited letters Employee satisfaction (involvement, recognition, access to information, support from staff functions, etc. , Staff turnover, Productivity (revenue per employee, return on compensation, profit per employee, etc. ), Number of employees qualified for key jobs relative to anticipated requirement Outcome Performance Initiatives Driver BTC Employee Satisfaction Marketing Attain a high market share in the sale Percent of stuffed animal market share and cost to attain of quality stuffed animal toys a new customer Brand recognition by becoming the synonymous for Teddy Bears (â€Å"brain Percent of people that relate teddy bear to TCB share†) Reduction of selling expenses while increasing number of sales (Last Year Sell ing Expense – Current Year Selling Expense) / (Last Year Sale – Current Year Sale) Marketing Marketing Marketing Marketing Marketing Introduction of successful new product Number of new motives or designs introduced per year, variations to the market Time to market, Break even time Introduction of better distribution channel Accurate product pricing based on market Market accessibility related to delivery cost Contribution Margin Growth and market understanding by polling customer perception of value for money Marketing Accurate forecasting of sales and Percentage off error related to inventory cost, Percent of peak seasons (to minimize stock-outs key items out of stock, Number of back-orders and inventory cost) Group Scorecard Reduce cost of raw material while maintaining Production quality standards Minimize raw material shortages, so that Production does not have to wait Minimize production cycle time Measures Number of times Production rejected raw material, raw material cost compared to price index Percent of key raw material out of stock, Number of backorders Production cycle time Outcome Performance Initiatives Driver Purchasing Purchasing Production Production Production Minimal percentage of manufacturing Service failure index, return rate, warranty claims, number defects of defects Timeliness Percent on-time delivery, total time for customer interaction (e. g. time of Internet session), average waiting time (e. g. to receive a teddy bear), satisfaction with delivery time Number of processes having adequate information on quality, cycle time, and cost New revenue or savings per database, report, etc. Management Information coverage ratio Management Return on Data How to cite Management Control Systems Final Written Case Assignment, Essay examples

Friday, April 24, 2020

Organ Trafficking Speech Essay Example

Organ Trafficking Speech Essay Good afternoon, my name is __________ and I’m here to talk to you about a massive problem. A massive problem which unfortunately we’re still letting this happen. While listening to this speech, you might think this is the typical speech anyone who really didn’t care about this matter, could give, but I believe this matter concerns everyone, and that I’ve got the enough reasons to convince you about that, to change your mind. Do you want to take part in changing this horrible matter into something far more pleasant? Do you want to stop this horrible, apalling and terrifying illegal business? You, the great United Nations, still live without knowing the other dangerous and critical part of organ trafficking? Hearts, lungs, kidneys, livers; the great demand for organs is starting to increase very rapidly. People need quick transplants, and this is what black market can offer. There are plenty of reasons why people have to sell their own organs. The principal reason that would come to your mind, is money. Yes, organ trafficking keeps on a great amount of money moving. Kidneys can vary from $25,000 to $60,000, and lungs and hearts can provide the people who sell them over $150,000. But when they do not follow through with their promises on payment, which happens often, they leave paid donors far less than they promised. This completely destroys these people’s lifes, leaving them not only without a kidney, but without an appropiate life condition. Not even half of the 7,000 people who require a simple organ transplant are attended. Do you think this is what people want? Wouldn’t you also trade for illegal organs? Changing this situation it’s just your decision, improve the organ donotation, make the difference! We will write a custom essay sample on Organ Trafficking Speech specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Organ Trafficking Speech specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Organ Trafficking Speech specifically for you FOR ONLY $16.38 $13.9/page Hire Writer But there are many other reasons why people sell their organs. People who arrive illegally into a country, need as well as money, a new identity to stay into that country. They would exchange anything, including their organs, to keep away from judicial problems. But where does all this happen? China and India are among those countries where maximum illegal sale of human organs happen. This is mostly because these countries are the ones that have the less legal vigilance, this is precisely the reason that they are also the ones who need the most help, when changing this situation. There is one rule in China that if no one claims the dead body then the organs of the person can be used for transplantation purpose. Poor communities, and poor people, are the ones most affected by this problem. They are the ones who are sometimes manipulated to offer their organs to the rich people, that can easily buy them. They are the ones who have no other option than risking their lives for an amount of money, which is unfortunatedly not enough for all of their needs. These sugeries, take part in unsanitary unhealthy and unclean conditions, where an infection can easily be caught. But lets stop for a minute. You might think that their lives can improve a bit after taking part in this horrible risky market, but impossible as it seems, sometimes it gets even worse. Many residents unable to work with pain in their sides, fell back into debt as post-sugery costs absorbed their kidney profits-contrary to the promises of their brokers. And sometimes they don’t even ask the donor’s permission. The case of Mohammad Salim is one of the terrific cases related to organ trafficking. He was lied to, and then escorted into a dark, paint-chipped room with gunmen who gave him an injection. He fainted, and then woke up with a pain in his side. His kidney had been removed. There are thousands of cases like the one of Mohammad Salim, and sometimes these people find themselves in terrible situations such as death. I’m truly sure that these kind of things are not appealing to anyone, and especially they’re not appealing to you all. And I’m also sure you’re not going to let this happen, because you are part of the United Nations for some reason, mostly, for trying to resolve each problem that crosses your path. You are now the only people who can solve this problem, you are the only people who are going to solve this problem. What about tougher laws? People’s lifes in these countries are completely ruined, do you think they would also deal with bills, with jail? And what about sending doctors, who really know what they’re doing? They’re so many doctors in our country without any job, that a great percentage of them would do anything to get one. But in my opinion what would really stop this black dangerous and painful market, would be to set up a legal regulated market. Lets follow Iran’s example. They can tout the world’s only regulated transplant market and abundant organ supply, with the goverment offering donors $1,200 and free health unsurance. People wouldn’t feel scared of their actions, people would feel safe, safe and happy, as they haven’t felt for a really long period of time. They would also earn money, apart from life quality, you don’t want to take that from their lives do you? During their lives, they’ve just had problems, followed by even worse problems. Their time has come for their lives to change in a positive way. So what do I really want to achieve by giving this speech? Well, I need your help, they need your help. So act now! Don’t let this repeat one more time! Their safety it’s just in your hands.