Master Patient Index and Primary Keys

HSIS FALA09 Master Patient Index and Primary Keys The Master Patient Index (MPI) is an electronic medical record system for every patient registered in a health care organization. The MPI is stored in a database and contains a unique identifier, known as the Primary Key (PK). The PK is unique and identifies each record in the database. The MPI is considered the most important resource in a healthcare facility (AHIMA). The MPI will contain the core elements about a patient such as name, address, phone number, date of birth, gender, race, social security number, and the unique patient identification number (Merida). The MPI identifies all patients that have been treated in a facility or healthcare organization. The PK is the unique identification number associated with the patient. The PK allows a patient to be cross-referenced between different facilities within a healthcare system (AHIMA). Each time a patient visits a facility within the healthcare organization the registration system within the facility will look to the MPI for the patient information. If no record exists then one will be created at registration. Services obtained by the patient at each facility will now be linked to the MPI record using the PK (AHIMA). The MPI allows historical data about a patient’s care to be stored and later obtained. The MPI also allows access to information from any clinic, physician, laboratory, radiologist, medications, known allergies, referrals, billing, and accounts receivable with the use of the PK. The MPI allows for quick and accurate storage of a patient’s care. Quick access to a patient’s full medical history by a physician allows for better patient care (AHIMA). The MPI enables the health care organization to improve patient care through the integration of patient records and ensuring that all historical care information on each patient resides in one record. It also helps the health care organization to decrease costs through improved operational efficiency. Improved patient care, decreased costs, and improved operational efficiency make the Master Patient Index one of the most important resources in a healthcare facility. References American Health Information Management Association (AHIMA). (Dec. 2, 2009) Retrieved from http://www. ahima. org/ Johns, Merida L. , (2002). Concepts of Health Information Management. In S. Anderson (Eds. ), The _Health Information Management _Series (pp. 20-49). New York: Delmar.

Apple’s marketing relationship building with the target customers Essay

1. Introduction With the intensified competition and the rapid development of information technology, firms are facing unprecedented both opportunities and challenges in marketing. Marketing is a social platform to provide chances for individuals and groups to obtain what they need and want through exchanging various products with others (Kotler, 1974).In the contemporary society, people can not live without marketing with others which is much more important to firms. This report tends to evaluate how Apple-one of the most innovative and creative companies builds marketing relationships with its target customers through brand building. What is more, this report attaches much importance to customer profile which reveals some basic information about customers. This report is organized as follows. The first section is the introduction. The second part shows how Apple’s customer profile affects its brand building to have a closer marketing relationship with customers. The third one illustrates how Apple builds its brand and gradually builds the marketing relationship with customers through branding and customer profiles. From this part, it will be clearly clarified how Apple’s brand has amazing magic to attract so many fans. The last section is the conclusion. 2. Evaluation about customer profile of Apple According to Barron’s Marketing Dictionary, customer profile is the description of a customer group based on various demographic and psychographic characteristic. Apple collects customer profile through customers’ downloads in the app store. And these downloads are limited to Apple-buyers who have credentials. From these credentials, Apple can trace customers’ information thus finishing its profiles collecting. From Apple’s customer profile, it can be found that: ï  ¬Most Apple-users are young with professions and students take great part in the using of Apple products. A recent survey in 2008 based on the profile of iPhone users showed that most of the iPhone users are young and about 75% of iPhone users have used products of Apple before. (The Apple iPhone: successes and challenges for the mobile industry, 2008). It can be found from the picture below which shows the age distribution of iPhone users that most iPhone-users are beyond 40 years old and half of iPhone users are under the age of thirty. Figure2-1: The age distribution of iPhone-user Besides Apple’s customer profiles show that most of (79%) Apple-users are employed and 16% of Apple-users are students. In general, iPhone users tend to adopt progress of new technology. The research found that most iPhone-users are in the position of professional and scientific services, arts and the information and technology industry (The Apple iPhone: successes and challenges for the mobile industry, 2008). In addition, about 66% of households with Apple devices earn $60,000 or more in their income, compared with just over half of non-Apple users can earn that much (Apple profile report, 2008). In addition, from these two pictures below, it can be found that Apple users have obtained a higher educational level. From the Apple profile report 2008, it can be found that 68% have completed a 4-year university degree and even higher educational level like post-graduate degree or doctor degree. By comparison, only 45% of non-Apple households have reached this high educational level. It seems that Apple-users usually have higher educational level and higher incomes which help to afford them a higher disposable income, so that Apple’s high price not a barrier to them. (Apple profile report, 2008). In all, it can be concluded that Apple is favored by the economically elite. Figure 2-2: The working conditions of Apple-users Figure 2-3: The Educational level of Apple users Figure 2-4: The educational level of non-Apple users (Sources: The data comes from Apple profile report 2008) ï  ¬Apple-users take good advantage of internet. From the picture below, it can be found from the Apple profile report 2008 that 63% of Apple users spend more time using their computers to search the internet than watching TV. But only 57% of non-Apple users spend more time on computers than watching TV. While when comes to enjoying the fun on the internet, the difference between Apple users to non-Apple users is only slight. It has been found that there are almost 60% of Apple users keep discovering more ways to use the internet for fun and about 58% of the non-Apple users try to do that (The Apple iPhone: successes and challenges for the mobile industry, 2008). Since Apple-users are usually with higher level of education and most of them are employed, it is not strange that they take good advantage of internet and they also know better to use their devices for a better life. But Apple users still do not have better ideas to enjoy the fun of internet with their innovative devices. It could be a challenge for Apple to come up with new ways of enjoying the fun of internet with Apple devices. Figure 2-6: Comparison of Apple-users to non-Apple users on time-spending with computer and TV (Sources: The data comes from Apple profile report 2008 ) ï  ¬Apple-users are loyal to Apple’s products. What is more, it has been found that about Apple-users are loyal to products of Apple. From a survey on whether customers who use iPhone now have any other Apple devices, it has found that 49% of iPhone-users have used iPod previously. 20% of iPhone-users have used Mac and iPod and only 5% iPhone-users have once used Mac but no iPod. Only 26% of iPhone users do not use iPod or Mac before. So from the survey, it can be found that about 3 quarters who use iPhone today once have used Apple devices previously. These findings show that Apple-users are loyal to Apple’s various kinds of products and customers are quite satisfied with products of Apple. Figure 2-5: Did you own an iPod before you got your iPhone? To conclude, Apple with its various kinds of fantastic and innovative products such as iTunes, iPod, iPad, iPhone attract young people and turn them to be loyal customers of Apple. These customers who have high income or high educational level help to make the brand of Apple to have high status in the markets. And these customers’ love of Apple not only maintains brand loyalty of Apple but also attracts more and more customers get in love with Apple. 3. Analysis of how Apple builds marketing relationship with customers 3.1 Apple’s brand building with branding Brand has many advantages which companies can take to get closer to customers for more sales including improved perceptions of product performance, greater customer loyalty and increased marketing communication effectiveness (Keller, 2009).It is well acknowledged that brand has vital importance to a company even to a product or one kind of service. Especially in this fast-changing world, products are getting to be more similar because of the fierce competition which makes brand to be the difference between various products. Brands help to build sustained relationship with the customers. Strong brands lend endurance and performance to an organization and protect it from the market turbulence and uncertainties (Kapoor & Kulshrestha, 2011). In addition, brand gives customers a sense of reliance even makes them feel a better quality of life. Brands make meanings that become conventionally understood and shared across interpretive communities. (Holt, 2010, McCracken, 1996, and Kats, 2006 etc). The brand concept of Apple is â€Å"think different† which has last for over 30 years. From the creative and innovative products like iPod, iPad and iPhone, Apple always brings customers surprise and defines how to â€Å"think different†. In addition, Apple pursues to build a humanistic corporate culture with a strong corporate atmosphere to inspire employees to work voluntarily which can leave good impression on customers (Kahney, 2012). The famous global brand consultancy Interbrand which aims at creating and managing brand value released â€Å"2012 Best Global Brands† list, Apple jumps into the ranking 2 in the world, and the brand value growth is 129%. The brand of Apple has been a miracle in the global world. How dose the brand of Apple grow so quickly in the contemporary society? The following part will investigate this problem. The first step of is to get the customers’ attention. The advertisement of Apple has always maintained surprise which arouse the attention of customers. Since Steve Jobs returned Apple, the first release of iMac, either the video or the outdoor propaganda is featured with characteristic of Apple which makes the brand of Apple unique. Al Ries and Jack Trout pointed out in the book of 《The 22 Immutable Laws of Marketing》in 1994 that if an enterprise can not be the â€Å"first† in the consumers’ choices in the industry, then the best way is to create a new category to attract consumers. And the â€Å"opposite Law† pointed that to occupy the minds of consumers as the â€Å"second† best choices; the brand communication strategy is not to try to go beyond the â€Å"first†, but to be different. In the early eighties, Apple is trying to compete with the industry leader-IBM and then rapidly gain the attention of consumers. Through the long advertising campaign, such as â€Å"1984†³and â€Å"Think different†, Apple has built the spirit of innovation and fearless which brings the concept of the brand. Later with the promotion of iPhone and iPad, the advertisement of Apple started to focus on elite people. The people who use Apple’s products in the advertisement are usually well educated and pursue a higher quality of life. Through these advertisements, the brand of Apple has been positioned as elite and high quality of life. With customers’ attention, they are interested in the product of Apple and have the desire to buy the product. The productions of Apple’s products are tools for those who are ambitious and passionate to change the world. To conclude, through segmenting the targeting markets, Apple finds its own position and its target or potential customers. Products like iPhone, iPad, iMac are innovative and fashion which are favored by those who have high income with professions or those who are pursuing fashions. To them, Apple’s products are unique and innovative. By meeting customers’ demands and satisfying their psychological needs, Apple has built its branding and gradually makes the brand meaningful and attractive, thus making the brand o f Apple world-famous. 3.2 Building marketing relationship with branding and customer profile Marketing relationship is a process including identifying target or potential customers, establishing relationship with them, maintaining these customers and finally enhancing relationships with them (Gronroos, 1997). And in order to build marketing relationship with customers, it is of great importance to know better about customer relationship management. Customer relationship marketing is to maintain brand loyalty and stimulate repeat and even more purchases of customers (Murdy & Pike, 2012). Kumar (2010) pointed out that customer relationship management is the strategic process of targeting the important customers and provide them with well-considered services to shape the relationship between a company and these customers. The goal of the marketing relationship of customers is to optimize the interest of the customers and satisfy their needs. What is more, Taleghani, Vhirani and Mirrashed have mentioned in 2011 that the strategy of relationship marketing is based on creating, developing and maintaining relationships with customers. Through the brand building, Apple gradually establishes marketing relationship with customers. Customers start to pay attention to products of Apple and they are quite satisfied with these products. And with the brand being more meaningful and inspiring, customers are impressed with positive brand images of Apple. Gradually the brand of Apple has been identical for customers which help Apple to build the first step of marketing relationship with customers. And the second step for marketing relationship building is achieved by collecting customer profiles. Apple takes advantage of its customer profile to find their target customers, and to maintain brand loyalty. Through the information of customer profile, Apple knows exactly who bought their products, when did they buy the product and how many times did they buy the products. Depending on customer profiles it collects from these downloads of customers, Apple get a better understanding of its customers and can use these information to satisfy customers’ needs, thus maintaining brand loyalty and providing warm services according to customers’ needs. In all, the customer profile of Apple provides the knowledge needed to posit its target and potential customers and enable Apple to focus on marketing and branding efforts more effectively which finally help Apple to build marketing relationship with its customers. Thirdly, despite the innovative and amazing products of Apple, it also provides customers with the delicate services which help to enhance marketing relationship with customers. It has been said that Apple has five stages of service including approach, probe, present, listen and end. â€Å"Do not be manipulated by the machine but to manipulate machine yourself† is Apple’s customer-oriented concept to produce new products. In 2007, one month before the iPhone is officially on sale, Jobs asked developers to switch the phone’s plastic screen to tempered glass screen. This has solved the problem of the screen be scratched by keys. In addition, the Voiceover helps the blind to read texts and ever enter information. Apple always stands on the side of customers and think for them. These warm services and Apple’s caring about customers help Apple maintains brand loyalty of customers. By the three steps of establishing the brand of Apple, maintaining the loyalty of customers and enhancing connection between customers, Apple builds the marketing relationship with customers. Although Apple’s marketing strategies has been quite effective which make the brand of Apple known all around the world. While there still exists some problems in Apple’s marketing. First of all, Apple’s marketing is too dependent on the leadership of Jobs Steve. He gives the brand of Apple the name of fashion, innovation and esthetics. Depending on his public influence, many of his followers choose to buy the products of Apple. With the left of Jobs, the brand of Apple may face some challenges. Secondly, the price of Apple is too high among its competitors. Although most Apple’s customers are of high income or well educated, the high price of Apple also make Apple lose some customers since some other products can satisfy their needs with fair prices. Last but not least, Apple has a big competitor-Samsung. As a latecomer to the mobile phone industry, Samsung has defeated Motorolaï ¼Å'Nokia and other competitors to become the world’s second largest mobile phone maker. The competition between Apple and Samsung will challenge the brand value of Apple. 4. Conclusion To conclude, brand is of vital importance to a firm or an organization. A strong brand offers reliance for customers and thus becomes a link to maintain customers’ loyalty. Branding helps to make products different and can choose the target customers. Through branding, Apple builds the brand which establishes the first step of marketing relationship with customers. By collecting customer profiles, Apple knows better about its customers which help Apple to maintain brand loyalty of target customers. In addition, through the delicate services and innovative products, Apple enhances the marketing relationship with customers. In all, Apple builds the marketing relationship by three steps including establishing the brand of Apple, maintaining the loyalty of customers and enhancing connection between customers. Although Apple has successfully built its brand and has good relationship with customers, Apple still faces many challenges including the left of its famous leader, the high price of its products and the strong competitors. Reference Gronroos, Christian. (1997) ‘From marketing mix to relationship marketing-towards a paradigm shift in marketing’, Management Decision, 35/4, 322-339. Holt, D.B. & Cameron, D. (2010) Cultural Strategy: Using Innovative Ideologies to Build Breakthrough Brands, Oxford University Press. Kahney, Leander. (2012) ‘Apple: It’s All About the Brand’. [Online] Available at: http://www.wired.com/gadgets/mac/commentary/cultofmac/2002/12/56677 (Accessed: July 29, 2013) Kapoor, Avinash. & Kulshrestha, Chinmaya. (2011) Branding and sustainable competitive advantage: Building virtual presence. The United States of American: Business Science Reference. Kelle, K., L. (2009) ‘Building strong brands in a modern marketing communications environment’, Journal of Marketing Communications, 15:2-3, 139-155. Kotler, P. (1974) ‘Marketing during periods of shortage’, Journal of Marketing, 38(3), 20-29. Kumar,V.(2010).Customer Relationship Management. Published in Wiley International Encyclopedia of Marketing. Murdy, S. & Pike, S. (2012) ‘Perceptions of visitor relationship marketing opportunities by destination marketers: An importance-performance analyses, Tourism management, Volume 33, Issue 5. Reed, Brad. (2013) Apple is still the world’s most valuable brand. [Online] Available at: http://bgr.com/2013/05/21/apple-brand-value-analysis/ (Accessed: July 29, 2013) Ries, Al. & Trout, Jack. (1994) The 22 Immutable Laws of Marketing, Harper Business press. Taleghan, M., Chirani, Ebrahim. & Mirrashed, A. S. (2011) ‘A conceptuality approach to relationship marketing and customers loyalty to banks’, Journal of Applied Scientific Research, 1(11), pp2022-2025. Apple annual report 2008: Just how â€Å"different† and elite are Apple customers – socioeconomically, behaviorally, and attitudinally? (2008) Available at: http://technologyuser.com/2009/04/05/just-how-different-and-elite-are-apple-customers-socioeconomically-behaviorally-and-attitudinally/ (Accessed: July 29, 2013) The Apple iPhone: successes and challenges for the mobile industry (2008) Available at: http://www.nilofermerchant.com/wp-content/uploads/2008/04/iPhone-survey-whitepaper-v2.pdf (Accessed: July 29, 2013)

Healthcare Management Essay

Executive Summary There are over 850,000 physicians practicing in the United States today, covering every imaginable specialty and sub-specialty (Young, Chaudhry, Rhyne, & Dugan, 2011). According to the World Health Organization (2000), even though our country spends more money per capita than any other country in the world, the USA ranks 37 out of the top 191 countries in the world in terms of overall health system performance. Although there are many reasons for this poor performance, several experts cite the lack of emphasis on primary care and true preventative medicine in the US (The Commonwealth Fund Commission on a High Performance Health System, 2011). This is a proposal to create a community ambulatory health center in a suburban community that would provide the setting for training family medicine residents. The establishment of such a center would allow a hospital to provide better primary care services to the uninsured and underinsured patients in its community. It may also help reduce unnecessary emergency room visits as well as hospital readmissions by providing quality care to these patients. A training program would also improve the hospital’s ability to recruit and retain actively admitting primary care physicians. The proposal discusses the process for choosing the center’s location, funding models, administrative structures, as well as staffing and architectural requirements. Strategy of Service Lines and Location As mentioned in the executive summary, it is well known that many communities in the US could benefit from increased access to primary care services (Commonwealth Fund Commission, 2011). Even within suburban communities that may appear seemingly affluent, there are often significant socioeconomically challenged populations. The parent hospital would have to conduct a SWOT analysis, to identify its strengths, weaknesses, opportunities, and threats (Longest & Darr, 2008). In this case, the presence of a family medicine residency program is a great strength, both in clinical and economic ways. Family medicine residents (and their faculty) are well versed in current, best standards of care. Graduate medical education often provides significant revenue streams, as described below. Up to four residents can work under the supervision of a single faculty  physician; often the number of patients seen in a residency clinic far exceeds that of a private office. Weaknesses include the presence of other residency clinics in the region, as well as difficulties recruiting quality residents to a new training program that has no established reputation. It can also be difficult to recruit and retain skilled and motivated faculty physicians for progams, as the compensation for such academic positions is often less than that of purely clinical posts. Threats to this proposal include changes in GME funding (external environment) and the possibility of the residency program losing its accreditation (internal and external environment). In scanning the external environment of the organization, it is possible to identify specific geographic locations that have significant numbers of uninsured/underinsured patients (but still within the hospital’s catchment area). It would also have to be convenient to public transportation, such as bus stops, subway stations, or railroad stations. Analysis of the various economic, political, demographic, and regulatory sectors would also identify the best time and location to create such a clinic. Significant forecasting would also have to confirm that the current external environment would not change in a way that would significantly worsen the chances for the clinic’s success. The creation of this new community health center would fall under the hospital’s directional strategy, as most hospital’s mission and vision statements include caring for the needy in their communities (Longest & Darr, 2008). Management and Personnel Structure Being a hospital-owned facility, a hospital administrator would be the senior manager / liaison; this would most likely be the Vice President for Ambulatory Affairs or Chief Medical Officer. The organization itself would have two chief administrators reporting to the hospital liaison; an Administrative Director (who would be the middle manager responsible for the overall management and vision of the center) and a Medical Director (who would be responsible for clinical activities, supervision, and initiatives). The Medical Director might well be the hospital’s department Chair of Family Medicine. The family medicine residency program would require a full-time physician serving as both Director of Medical Education and residency Program Director. The residency itself would have 24 residents.  In order to maintain an appropriate ratio of preceptors to trainees, there would need to be at least 4 full-time faculty attending physicians (American Osteopathic Association, 2011) An office supervisor (first-level manager) would be responsible for the day-to-day operations in the front (reception) and back (finance) portions of the office. In the front office, the practice would need 3 receptionists who would register patients upon their arrival and answer telephone calls. They would also verify patients’ insurance status. The back office would require 2 coders who would be responsible for verifying correct coding for practice visits, submit claims, and process payments from both patients and third-party payors. Another clerical staff member would be needed to process pre-authorizations and referrals (both incoming and outgoing). Finally, a charting person would be needed (even in an electronic medical record-equipped practice) to accommodate incoming paper / faxed documents. The middle (clinical) part of the office, would require 2 medical assistants who would be responsible for bringing patients from the waiting room into the appropriate area (exam room, laboratory, or procedure room) and triage them (taking and recording vital signs, documenting the chief complaint, and verifying medications and allergies). A registered nurse and licensed practical nurse would be needed to administer vaccinations and medications. Finally, a phlebotomist / lab assistant would be needed to perform venipuncture’s, prepare specimens, and perform CLIA-waived tests. The registered nurse would also serve as the Clinical Supervisor (first-level manager) for the clinical support staff. Funding Model Medicare is the primary formal financier of graduate medical education programs, contributing 72 percent of all tax-financed support. Other federal payors include Medicaid (11 percent), the U.S. Department of Veterans Affairs (10 percent), the U.S. Department of Defense (3 percent), and the Bureau of Health Professions (3 percent) (Young & Coffman, 1998). A teaching hospital will receive direct medical education (DME) payments cover the cost of resident and faculty stipends and benefits, and overhead costs that are directly related to the teaching programs, such as ambulatory  office space. Hospitals also receive funding for indirect medical education (IME) costs because teaching hospitals have more complex case mixes, more uninsured patients, and provided services that were costly but not necessarily well reimbursed, such as trauma centers and transplants units (Cymet & Chow, 2011). These payments are, on average, total $100,000 per resident per year. However, over the last 20 years, the federal government has either frozen GME funding or in some cases, reduced it significantly (especially under the Balanced Budget Act of 1997) (Phillips, et al., 2004). Currently, the family medicine residents in this proposal do result in a net gain for the hospital. With an average salary of $45,000 plus $20,000 in benefits, the hospital stands to net $35,000 per resident. For a program of 24 residents (8 in each year), the hospital would have a net income of $840,000 from Medicare GME funding. Each of the faculty physicians would have their own clinical practice (about 0.25 FTE), so they would bill Medicare and third-party payors for their services. They would have a productivity plan whereby each month they would receive 25% of their revenue after fulfilling their monthly salary/benefit costs. Physical Characteristics / Layout of the Facility Because of the educational nature of the practice (i.e. a residency teaching clinic), the physical layout of the facility has specific needs. In the front portion of the office, the waiting room needs to have ample seating to allow for extended wait times associated with teaching clinics. The waiting room would also have to be child-friendly, with easily disinfected toys (i.e. no stuffed animals). Because many potential patients will have to apply for Medicaid or hospital-based charity programs, it would be ideal to have an office (or at least a kiosk) where a financial coordinator could meet with patients in a private area. Since this would be a multi-specialty practice with dozens of residents and attending physicians, there would need to be a large number of exam rooms, perhaps 18, all with exam tables equipped with stirrups to accommodate pelvic exams, Pap smears, and STD testing. There would also need to be a large procedure room to accommodate the need for various gynecological (colposcopy, endometrial biopsy, IUD placement/removal, etc.) and other types of procedures (suturing, biopsies. etc.). The center would also have a spacious area dedicated to residents for  charting and research, as well as two precepting rooms where clinical cases can be discussed with faculty physicians. There would be a conference room equipped with a computer and LCD projector for presentations and discussions. Numerous computer workstations throughout the clinic would allow access to an electronic medical records system. One exam room could be equipped for videotaping that is used (with the patient’s permission) to observe residents as they demonstrate the core competencies while providing patient care. The center would need a laboratory for the collection and processing of blood and other specimens. In order to avoid the same stringent regulations and testing associate with a hospital or reference laboratory, the center would only perform CLIA-waived tests such as finger-stick blood glucose testing, throat cultures, and urine dipstick analysis (CDC and CMS, 2006). The building would al so ideally have offices for each of the faculty attending physicians, as well as for administrative and support staff. Clinical Practice As mentioned previously, this community health center would offer multiple specialties. The main service would be primary care. Family medicine residents, under the supervision of faculty preceptors, would provide general internal medical, pediatric, obstetric (pre- and post-natal), and gynecologic care to patients of all ages. Additionally, other specialty physicians would be available for special â€Å"clinics†: obstetrics (perinatal) and advanced gynecology twice a week, dermatology once a week, and general surgery, gastroenterology, pulmonology, cardiology, and urology once a month. These specialty services are essential in serving the needs of the target population: uninsured and underinsured (i.e. Medicaid) patients who are unable to see these specialists in private practice. Credentialing The Chair of Family Medicine is responsible for maintaining records of each attending physician’s credentials. These would include a New York State Medical License (with updated registration), DEA registration (to prescribe controlled substances), copies of medical school and residency diplomas, proof of board certification (and maintenance), records of continuing  medical education, and CPR/Advanced Cardiac Life Support training cards. The Director of Medical Education / Residency Program Director is responsible for maintaining records for each resident physician such as their medical school diplomas/transcripts, licensing examination transcripts, ACLS training, and signed residency contracts. Local zoning and legal concerns Consideration must be given as to the choice of commercial property for this ambulatory health center. The ideal location would be a pre-existing medical office building that has already been zoned for a medical practice, and has the required number of parking spaces (especially handicapped) and adequate access in and out of the building. A multi-level building must have elevators that are compliant with ADA (Americans with Disabilities Act) regulations. In County, a Certificate of Need must be granted before a new healthcare facility can be built. There are also village and town zoning ordinances that must be considered when modifying or creating a medical office building . The center would fall under the jurisdiction of the same regulatory bodies as that of its parent hospital, and would be setup as a not-for-profit organization, since a significant portion of its care would be uncompensated.

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Your Are An Enterpreneur - Assignment Example The companies such as Coca-Cola, Pepsi and other leading companies would be reached. In the agreements, retailer margin, transport of products, loss in transit, bulk purchase discounts and other important factors shall be discussed. However, before going to finalize agreements, the entrepreneur intends to research the existing policies and interaction between these companies with the retailers. For this purpose, both online and offline resources would be used to gather the relevant information. The entrepreneur intends to hire three full time assistants serving to customers. These assistants would be required to guide customers, provide information and assist them with any other requirements needed by the customers. The reason behind hiring three assistants is to facilitate customers. This facilitation enhances possibility of customer loyalty. Subsequently, this would generate an interrupted flow of customers and revenue would be keep

Journal Essay Example | Topics and Well Written Essays - 1750 words - 4

Journal - Essay Example Attractive person strikes the cords in the hearts of most individuals who belong to the same community because he or she is believed to prove that harmony exists. Harmony, in its turn, can be viewed as a combination of ‘right’ and ‘desirable’ phenomena or concepts. Getting the idea of what is right, people start looking for the proof that the ‘right thing’ exists. Natalia Vodianova, the main character in the commercial, is seen by many as a very attractive woman. When she is shown in the video running with a prosthetic leg her aura of strength, glamorousness and grace is enhanced. In most cases, new things, unknown traits disagree with the concept of harmony and are not universally seen as attractive. But the video once again shows that the beauty is, indeed, in the eye of the beholder. Worrying about ‘norms’ and labels people are ‘blindfolded’ and don’t see every person’s beauty. As the song goes â€Å"Money can’t buy me love†. But the same can be true about any other emotion or sensation. Money basically cannot make you feel something other that the joy of having money (provided you are prone to avarice). Thai commercial â€Å"Unsung Hero† inspired me to consider what money really means to people and what ‘currency’ can be invested in life. According to the authors of the commercial what people really want has nothing to do with fame, fortune, and success. It is the emotion or feeling of happiness. And in many cases it has nothing to do with money. Going on holiday to a new location, trying new dishes, buying new things is exchanging money for sensations. The holiday sun tan disappears, exotic food is digested, new clothes or gadgets soon become habitual and start serving their purpose be it protecting us from the rain and cold or facilitating communication. But the sensations, the emotions such as the excitement of the discovery of new destinations, fascination with one’s own reflection in the mirror

Economic Finance Assignment Example | Topics and Well Written Essays - 1000 words

Economic Finance - Assignment Example Theorists in this context often argued that the occurrence of East Asian crisis was the consequence of the fiscal irresponsibility performed by global institutions including the IMF, especially concerning its financial liberalization policy of the 1980s and the 1990s (Bustelo, â€Å"The East Asian Financial Crises: An Analytical Survey†). THESIS STATEMENT The following discussion hereunder intends to focus on the arguments made by Joseph E. Stiglitz on IMF intervention, which is often accounted as a key reason for the East Asian Financial crisis of the 1990s. Accordingly the discussion also includes the description of the other agendas laid by the IMF other than the promotion of stability and growth in the least developed countries of the world. HOW THE IMF INTERVENTION DID WORSEN THE EAST ASIAN FINANCIAL CRISIS OF THE LATE 1990s? According to Stiglitz, the IMF policies in respect to the gradual capital market and financial liberalization should be accounted as the most import ant reasons of the East Asian financial crisis in the year 1990 (89-91). Stiglitz further argues that the IMF was founded with an intention to deal with similar crisis situations, but it failed in preventing the East Asia Crisis of the 1990s rather worsening the crisis situation being emphasized to facilitate liberalization within the global economy. Such liberalization activities around the world contributed to currency speculations affecting the group of poorer and developing nations of the East Asian region (Stiglitz 91-95). Arguments by Stiglitz concentrates on the consequences of encouragement by the IMF, in support of the US Treasury, to promote capital market liberalization globally. As per the enacted policy measure of market liberalization, IMF credited the Asian markets with supply of capital in dollars as a measure to aid their sustenance in the currency exchange rates. Accordingly, the money was utilized by the countries to provide the various firms with dollars. These d ollars were again utilized by the firms in the repayment of loans obtained from the Western banks increasing currency speculation. Such a transition in the capital market led to high inflation rates in the East Asian countries. Additionally, in order to rectify this problem, IMF imposed higher rates of interest, taxes and cut offs on the government expenditures in the East Asian countries at the time when they were facing the negative consequences of high degree of indebtedness. As a consequence, many firms in the East Asian countries perished, thus worsening the crisis situation in the region (Stiglitz 104-113). According to Stiglitz, another the major fault of the IMF in worsening the crisis situation in the 1990s was its policy to support the attitude of a ‘bumbling restructuring’ (Stiglitz 113-118). Undoubtedly, restricting without proper planning inhibited the stable growth and reformation within the East Asian economies. Not only so, but according to Stiglitz, the restructuring increased the chaos within these economies, which were already suffering from increasing levels of unemployment along with deepening inflation rates and huge burden of indebtedness (113-118). Above the mentioned issues, Stiglitz also argued that the most serious fault of IMF in performing its responsibilities was its greater significance to corporate welfare rather than towards the development of the rudimental levels of the East Asian

Information Communication Technology Essay Example | Topics and Well Written Essays - 1500 words

Information Communication Technology - Essay Example From this research it is clear that a stand alone system can be helpful initially for the teachers to provide training to the users who are unfamiliar with the use of computer systems. A computer system helps in enhancing the knowledge new users who want to accelerate in this domain. A single or stand alone computer can only solve the issues who are just required in a closed vicinity. But when we have to think about the communication over the globe or whole world then the concept of computer networking can solve this issue. Networking helps in connecting computer systems over the globe and it provides an immense set of advantages in domain of ICT which we will have to discuss one by one.This paper highlights that  networking helps in file sharing between all the computers who are connected together. It provides a sort of more flexibility than using floppy drives and USB drive. We can share different types of data like photos, documents, music files, and many more. A network approac h also helps us in saving our important data on a different computer by using a home network. Home network helps us in making backup or duplicate copies of our critical data.  When a network facility is available and different computers are connected via media then it becomes easy to share a single printer among all computers.  When a shared printer will be available on the net then there would not be the need of jumping from one system to another one for printing purpose.

The Plama Membrane Essay Example for Free

The Plama Membrane Essay The plasma membrane exists in all living things for the simple reason that it serves vital functions without which the cell cannot survive.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   The plasma membrane is composed primarily of a phospholipid bilayer which is made up of hydrophobic lipid â€Å"tails† that point inwards and hydrophilic phosphate â€Å"heads† that are positioned so that one layer is in contact with the extracellular fluid and the other with the cytosol. The membrane may thus be thought of as the cells â€Å"skin† enclosing and protecting the organelles and the nucleus. The cell (and its components) however, is not cut off from its environment because the plasma membrane is semipermeable, allowing specific substances necessary for the normal functioning of the cell to pass through. Also, embedded in the bilayer are proteins that assist the passage of substances that normally would not be able to pass through by simple diffusion. A good example would be the sodium-potassium pump (Krogh, 2003) which is responsible for the active transport of these ions. Both potassium and sodium need to move up their concentration gradients (into and out of the cell, respectively) and since both are ions that would be difficult to transport through the hydrophobic interior of the bilayer, such transport needs to be facilitated by the use of proteins that will serve as channels through which these ions can pass through. This therefore illustrates as well the regulatory functions of the plasma membrane in that it allows transport into and out of the cell in a selective manner (Postlethwait Hopson, 2006).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Proteins that lie on the surface of the plasma membrane also serve a role in facilitating communication between the cell and its environment, including other cells. Lymphocytes (white blood cells) for example, differentiate foreign cells from that of the body by recognizing antigens, surface-bound proteins that serve as identification for the lymphocyte to know whether the other cell is an invader that needs to be eliminated (Postlethwait Hopson, 2006).   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Clearly, the plasma membrane serves critical roles in cellular function, not just in THE PLASMA MEMBRANE  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   Page # 2 protecting the cell but as well as in transport, regulation and communication, and since, as Krogh (2003) has stated, â€Å"all life is made of cells†, it follows that life simply is not possible without the plasma membrane. References: Krogh, D. (2003). Biology: A Guide to the Natural World, 3rd ed. Companion Website. Retrieved Dec. 31, 2007, from http://wps.prenhall.com/esm_krogh_biology_3/ Postlethwait, J. H., Hopson, J. L. (2006). Modern Biology.  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚   Texas: Holt, Rinehart and Winston.

Lou Gehrig Disease Essay Example for Free

Lou Gehrig Disease Essay Lou Gehrig Disease is a term used in the United States that also refers to ALS or Amyotrophic Lateral Sclerosis. It was named after the famous Lou Gehrig, a baseball player for the New York Yankees between the 1920’s to the 1930’s. His career in baseball was cut short when he became afflicted with the disease ALS is a fatal and progressive disease which is characterized by the degeneration or deterioration of nerve cells within the brain, specifically those involved in motor functions that control the movements of voluntary muscles. As it is a disease that involves the motor neurons, ALS can cause body and muscle weakness as well as deterioration or wasting away of the whole body due to the degeneration of motor neurons which cease to send impulses from the brain to various muscles of the body. As is the tendency of things that cease to serve their function, the body muscles gradually become weak due to inactivity and later on, begin to develop muscle twitching. An end result is muscle wastage and atrophy due to denervation so that an individual afflicted with the disease cease to have control of his own voluntary movements with the exception of the eyes. In ALS, the individual usually retains their mental or cognitive functioning except in such cases when ALS is associated with fronto-temporal dementia. However, several studies have indicated that many individuals with ALS have slight changes cognitively in instances when neuropsychological testing is utilized. The nerves that transmit sensations as well as the autonomic nervous system is usually not affected. ALS affects all people with no preference for race or ethnicity and is regarded as one of the most common diseases that affect the brain and muscles worldwide. Annually, 2 out of 100,000 individuals become afflicted with ALS (Ropper and Brown 2005). It commonly occurs in middle to older adulthood, with ages ranging from 40 to 60 years of age although it is not unlikely for other age groups to contract the disease and men have an increased risk for the disease as compared to women. The affected parts of the body which is usually affected by ALS depend on the motor nerve cells that damage the body. Two-thirds of ALS cases consist of individuals experiencing ALS that initially occurs in the limbs. Individuals may notice a significant change in walking or running and may initially pass this off as clumsiness or awkwardness. Other people report onset of the disease through their arms and hands and report difficulty in going about simple tasks such as writing or buttoning a shirt. One-third of ALS cases, meanwhile, are bulbar at the beginning. Individuals may report difficulty in talking and speech may become slurred and incoherent. The first signs are commonly a decrease in the speech volume and an increased nasal tone. Eventually, individuals experience dysphagia (Difficulty in swallowing) as well as decreased mobility of the tongue. This would eventually lead to the inability to talk and loss of protection of the airway during swallowing. The initial onset of the symptoms and the body parts which it initially affects does not really matter as this will eventually spread throughout the body during the progression of the disease. Aside from the above symptoms, this could also include spasticity of muscles, an exaggeration of reflexes and the occurrence of Babinski’s sign which normal for babies but abnormal for adults. Furthermore, individuals may also experience labile emotions such that they may display uncontrolled bouts of laughter followed by instances of sadness or an increased frequency of mood swings due to the degeneration of bulbar motor nerve cells. There is no definitive test to diagnose ALS although many believe that the presence of motor nerve cells in a single limb may strongly indicate ALS. The diagnosis and confirmation that it is indeed ALS is commonly based on ruling out other diseases that may bring about similar symptoms produced by ALS that include Lyme disease, Syphilis, HIV as well as tick-borne Encephalitis (el Alaoui-Faris 1990). In a research conducted by Passinetti et al (2006), it was found out that individuals with ALS have lower levels of three proteins that are found in the cerebro-spinal fluid as compared to individuals who do not have the disease. These proteins include the carboxyl-terminal fragment of neuroendocrine protein, Cystatin C, and TTR. As such, this method has provided a means to diagnose patients with ALS at a sooner time, thus allowing them to receive the necessary medical attention and provide an earlier relief of symptoms. As of now, there is no drug or therapy that could completely cure ALS although Riluzole, the first drug for ALS has gained the approval from the Food and Drug Administration. This drug is said to decrease the release of glutamate within the body and such, is said to decrease nerve cell injury and damage. It also provides several effects that protects neurotransmitters through blocking and preventing calcium and sodium (Hubert et al 1994), the prevention of protein kinase C formation and antagonism of the N-methyl d-aspartate receptors (Beal et al 2005). The patient’s survival is thereby lengthened and increases the time before ventilation support is needed References: Beal, MF et al. (2005). Neurodegenerative Diseases: Neurobiology, Pathogenesis and Therapeutics. Cambridge: Cambridge University Press. el Alaoui-Faris, M et al (1990). Amyotrophic lateral sclerosis syndrome of syphilitic origin. 5 cases. Rev Neurol (Paris) 146 (1): 41–4. Hubert, JP et al (1994). Antagonism by riluzole of entry of calcium evoked by NMDA and veratridine in rate cultured granule cells: evidence for a dual mechanism of action. Br. J. Pharmacol. 113 (1): 261–267 Phukan, et al (2007). Cognitive impairment in amyotrophic lateral sclerosis. Lancet Neurol 6 (11): 994–1003. Ropper, AH and Brown, RH (2005). Syndrome of muscular weakness and wasting without sensory changes section of Degenerative diseases of the nervous system. In Adams and Victors Principles of Neurology, 8th ed. , pp. 938–949. New York: McGraw-Hill. Pasinetti, G et al (2006). Identification of potential CSF biomarkers in ALS. Neurology 66 (8): 1218–22.

Recommendation of Coca Cola based on performing various valuation models

Recommendation of Coca Cola based on performing various valuation models The recommendation of Coca-Cola Company is based on performing various valuation models, which include HR practices, economic profit analysis, relative valuation and a fundamental price to earnings valuation model that revealed the Coca-Cola Company to be overvalued. Even though they find the stock to be overvalued and they feel that KO has some promising outlooks as well as possible challenges in the near future and they want to recommend it as a hold instead of a sell. The Coca-Cola Company is the #1 company within the non-alcoholic beverages industry. They have a 20- year standing of being the leader and investors know that the Coca-Cola Company has an extraordinary reputation for maximizing shareholder value. Opportunities that exist for the company in the future is expanding market share in the non-carbonated beverages segment, a restructuring of their business model, and better consistency of earnings results. A challenge that the Coca-Cola Company is facing is the struggle with their global competitors in the fact that their HR practices are greater and less than coke. If coke wants to more reputation in the world they must produce more incentives for employees from which they more done work hard and produce good quality. Their new management team needs to work on implementing cohesive goals between the two to reach the Coca-Cola Companys long-term growth potential. TABLE OF CONTENTS 1 INTRODUCTION Mission and vision 5 History 7 4 Brands/product line 14 5 Total quality management 16 6 Environment of coca cola 16 7 Health and Nutrition 18 8 Management of coca cola in Gujranwala 19 9 Departmentalization 27 10 Human Resource Management 29 11 Job analysis and designs 30 12 Planning and forecast 30 13 Recruitment and selection 31 14 Training process 32 15 Performance and appraisal 33 16 Compensation and benefits 34 17 Employees relationship 35 18 Safety policy 36 19 Recommendation and Suggestion 37 INTRODUCTION Founded in 1886, the coca-cola company is the worlds leading manufacturer, marketer, and distributor of nonalcoholic beverage concentrates and syrups. The companys corporate headquarters are in Atlanta, with local operations in over 200 countries around the world. Although Coca-Cola was first created in the United States, it quickly became popular wherever it went. Our first international bottling plants opened in 1906 in Canada, Cuba and Panama, soon followed by many more. Today, we produce more than 300 brands. More than 70 percent of our income comes from outside the U.S., but the real reason we are a truly global company is that our products meet the varied taste preferences of consumers everywhere. MISSION STATEMENT To benefit and refresh everyone it touches and to create values for our share owner on a long term basis by building a business that enhances the coco-cola company trade marks According to Gujranwala plant: To have a strong, dominant profitable business in Pakistan. VISION All of us in the Coca-Cola family wake up each morning knowing that every single one of the worlds 5.6 billion people will get thirsty that day and that we are the ones with the best opportunity to refresh them. Our task is simple: make Coca-Cola and our other products available, affordable, and acceptable to them, quenching their thirst and providing them a perfect moment of relaxation. If we do this if we make it impossible for these 5.6 billion people to escape Coca-Cola then we assure our future success for many years to come. Doing anything else is not an option. According to Gujranwala Plant: To create value for our share holders We are committed to: à ¢Ã¢â€š ¬Ã‚ ¢ Building preference market leadership for our brands à ¢Ã¢â€š ¬Ã‚ ¢ Achieve quality excellence and serve our customers with quality products. à ¢Ã¢â€š ¬Ã‚ ¢ Maximizing profits à ¢Ã¢â€š ¬Ã‚ ¢ Developing People à ¢Ã¢â€š ¬Ã‚ ¢ Optimum utilization of assets Shared Values: à ¢Ã¢â€š ¬Ã‚ ¢ WE VALUE RESPECT OUR PEOPLE à ¢Ã¢â€š ¬Ã‚ ¢ WE COMMUNICATE OPENLY à ¢Ã¢â€š ¬Ã‚ ¢ WE HAVE INTEGRITY à ¢Ã¢â€š ¬Ã‚ ¢ WE ARE COMMITTED TO WINNING Beliefs: There is much in our world to celebrate, refresh, strengthen and protect. The Coca-Cola Company is a vibrant network of people, in nearly 200 countries, putting citizenship into action. Through our actions as local citizens, we strive every day to refresh the marketplace, enrich the workplace, protect the environment and strengthen our communities. We are a local employer, with responsibility to enable our people to tap into their full potential; working at their innovative best and representing the diversity of the world we serve. We are an investor in local economies and a driver of marketplace innovation, with a responsibility to act as a good steward of our natural environment. A local citizen, understanding our responsibility to contribute to an improved quality of life in our communities BRANDS / PRODUCT LINE In 2002, Coca-Cola added pop to a category that many believed had lost its fizz in North America. In May, after just six months in development, Vanilla Coke became the first extension of the Coca- Cola brand since 1985 and immediately generated profitable volume. Vanilla Coke helped boost sales of Coca-Cola branded beverages while inviting new consumers to rediscover the cola category through a completely original flavor experience. In product formulation, the Vanilla Coke team struck a balance that lets the taste of Coca-Cola come through-intriguingly new, yet undeniably Coca-Cola. Already one of our top 10 brands in the United States, Vanilla Coke is performing well in its initial international markets-including Australia and New Zealand, with more countries planning launches for 2003. In response to consumer demand, diet Vanilla Coke was introduced to the U.S. marketplace in October, just three-and-a-half months after it was given the green light. In 2002, we also celebrated the 2 0th anniversary of diet Coke and the expansion of diet Coke with lemon, which made strong debuts in several international markets after its U.S. launch in 2001. In March 1923, Coca-Cola was sold in a 6-bottle carton for the first time in New Orleans, Louisiana. Today, products of The Coca-Cola Company are consumed at the rate of more than one billion drinks per day. Major Brands: There are 323 brands of coca-cola. Out of which there are 7 brands of coke in Pakistan. Two brands Lemon and Strawberry are recently introduced products of Coca-cola in Pakistan. TOTAL QUALITY MANAGEMENT (TQM) Passion for Quality: Our reputation is built on trust. Through good citizenship we will nurture our relationships and continue to build that trust. That is the essence of our promise The Coca-Cola Company exists to benefit and refresh everyone it touches. Wherever Coca-Cola does business, we strive to be trusted partners and good citizens. We are committed to managing our business around the world with a consistent set of values that represent the highest standards of integrity and excellence. We share these values with our bottlers, making our system stronger. These core values are essential to our long-term business success and will be reflected in all of our relationships and actions in the marketplace, the workplace, the environment and the community. Marketplace: We will adhere to the highest ethical standards, knowing that the quality of our products, the integrity of our brands and the dedication of our people build trust and strengthen relationships. We will serve the people who enjoy our brands through innovation, superb customer service, and respect for the unique customs and cultures in the communities where we do business. Workplace: We will treat each other with dignity, fairness and respect. We will foster an inclusive environment that encourages all employees to develop and perform to their fullest potential, consistent with a commitment to human rights in our workplace. The Coca-Cola workplace will be a place where everyones ideas and contributions are valued, and where responsibility and accountability are encouraged and rewarded. Environment: We will conduct our business in ways that protect and preserve the environment. We will integrate principles of environmental stewardship and sustainable development into our business decisions and processes. COMMUNITY: We will contribute our time, expertise and resources to help develop sustainable communities in partnership with local leaders. We will seek to improve the quality of life through locally relevant initiatives wherever we do business. Responsible corporate citizenship is at the heart of The Coca-Cola Promise. We believe that what is best for our employees, for the community and for the environment is also best for our business ENVIRONMENT OF COCA-COLA In the first decade of the new century, we face the challenge of a new environment, which is driven by a fundamental shift in international economic dynamics, the growing influence of technology and the fact that people increasingly expect more of large corporations. That challenge demands innovation. While we will always be disciplined by our purpose and our ideals, we must intensify our focus on innovation and create new ways to deliver the promise of Coca-Cola. In fact, in an era that is increasingly international and interconnected, we must pioneer a movement from a homogenous global approach to a highly tailored approach reflecting the unique character of our markets. This new approach will require: 1) Being innovative in our marketing, our brands and our consumer relationships 2) Collaborating more productively with our business partners 3) Changing some of the structures of our enterprise 4) Increasing our commitment to community and the environment Thus, we will reinvigorate our enterprise and bring to full life the unique spirit of Coca-Cola and our people. Such real renaissance of the Coca-Cola spirit will enable us to fulfill our purpose of delivering refreshment and benefit to everyone touched by our business. The Coca-Cola Company and our bottlers have been at the forefront in helping solve environmental, litter and solid waste issues for more than 20 years. We realize that we touch the lives of billions of people around the world and that our responsibility to them includes conducting our business in ways that help preserve the environment. Soft-drink packaging is the most recycled consumer package in the United States. Our system supports dozens of litter prevention organizations, including the Center for Marine Conservation and Keep America Beautiful. The Coca-Cola Company is a founding member of Keep America Beautiful. Whats more, weve been recycling at our headquarters for years, to the tune of thousands of pounds of waste annually. Weve donated more than $100,000 in proceeds from these recycling efforts to charities. Shaping new Products experiences with packaging and technology: As we created new products and fresh brand experiences in 2002, one fact became increasingly clear to us: Consumers are eager to see The Coca-Cola Company bring excitement to the marketplace. One simple innovation last year-the Fridge Packà ¢Ã¢â‚¬Å¾Ã‚ ¢ -has changed the dimensions of 12-pack sales for us and for our bottling partners. This sleek, refrigerator-friendly pack is increasing consumer awareness and preference, accelerating consumption and case volume in markets where it has been introduced. From our packaging suppliers who assisted us and our bottlers in developing the Fridge Pack, to the retailers whose shelves were reconfigured to accept the new design, partnership made this innovation possible- and profitable. The future of our business in North America also evolved in 2002 with the continuing rollout of iFountain, the most advanced soft-drink dispensing system in the industry. iFountain gives our custome rs a technologically advanced fountain system that enhances available brand options, improves operating efficiency and automatically calibrates each drink served to assure consumers of a quality drink every time HR coca cola HEALTH AND NUTRITION GIFT Business School 18 Today, people are more concerned than ever about health and nutrition. They understand the importance of good nutrition and proper hydration and they also know that delicious foods and beverages are an enjoyable part of life. People have trusted and enjoyed soft drinks for more than 115 years, and they can continue to be confident about their favorite beverages. In this section, we answer many of the questions you may have about our family of beverages., We also take a look at how The Coca-Cola Company promotes a healthy active lifestyle through programs around the world that promote fun and physical activity. There is growing confusion about what constitutes a healthy diet. With so much conflicting information available about health and nutrition, it can be very difficult to determine what is accurate and what is not. The truth is that soft drinks and other beverages have a place in a healthy lifestyle. A healthy diet incorporates the basic principles of variety, balance and moderation without sacrificing enjoyment. Your Health Our Beverages: There is growing confusion about what constitutes a healthy diet. With so much conflicting information available about health and nutrition, it can be very difficult to determine what is accurate and what is not. The truth is that soft drinks and other beverages have a place in a healthy lifestyle. A healthy diet incorporates the basic principles of variety, balance and moderation without sacrificing enjoyment. Climate Change: The Coca-Cola Company takes the issue of global climate change very seriously. We have adopted a comprehensive policy aimed at reducing the environmental impact of our cooling equipment over time. By the 2004 Olympic Games in Athens, we will no longer purchase new cold-drink equipment using hydrofluorocarbons (HFCs), wherever cost-efficient alternatives are commercially available. Additionally, we will reduce the energy use of our individual equipment by 40-50 percent over the next ten years. As we developed our cooling equipment policy, we referred to the basic tenets of the Kyoto Protocol. While we support the scientific analysis and general objectives of the agreement, we believe that ratification of international treaties and protocols should be left to national political processes. By focusing on our own efforts to reduce greenhouse emissions, we hope to provide an example of how businesses can operate in an environmentally sustainable manner. MANAGEMENT OF COCA-COLA Following are the information about the management of Gujranwala plant. The factory is control by the BOM (Business operational manager) and under him eight Departments is working. Every Department is lad by a department Manager. The Departments of account is lead by the manager account and under him assist manager works. Who control the other employees of the department under him? Department of production and engineering is lead by the Prod. Eng. Manager. Under him work Mechanical Engineers Mechanical Supervisor and Assistant Production. Quality control department lead by the manager quality control. Under him working the chief chemist whos responsibility is to give the quality product to the customer. Sale marketing department is playing the important part in the growing market share in the country. That department led by the Sale marketing manager that department is further divided in the sale and marketing section. The marketing department is lead by the marketing manager and the sale section by sale manager. Sale men work under the sale manager F leet department control thetransport vehicle of the company the head of the department is Fleet manager and under him work the assistant fleet manager who manages the control over the transportation of the company. The distribution of the coca-cola around the Gujranwala region is the responsibility of distribution department, which is lead by the distribution Manager. Assistant distribution manager work under Him to full fill their duties. Human recourse and international affair department take control over the external environment of the company and help the in the growth of the company. That Department is lead by the Manager H.R.I.R. other executive work under his supervision. The R D Department plays the most important role in the development and the growth of the company. This Department is lead by the Manager RD. and Assistant Manger work under him. The total number of employees in the coca-cola Gujranwala Company is 236. To be specific the working environment in the company represents the companys culture in large. The culture is the shared values among the different people so the environment of the company is widely shared by its employees that conclude to form the companys culture. In the coming lines the working environment of the Gujranwala Coca-cola factory is described. Company culture:- The factors, which must be highlighted in this regard, are as follows: à ®Ã¢â€š ¬Ã¢â€š ¬ special training is given to employees, New employees also are placed with old ones to learn work and the values prevalent in the company, à ®Ã¢â€š ¬Ã¢â€š ¬ Two cups tea are free for every employee daily this represents the hospitable nature of the company, This factor keeps the employees motivated as they are taken well care this fact is clear by the physical actions took by the company, à ®Ã¢â€š ¬Ã¢â€š ¬ The company working environment is really a good blend of Asian and western values. Motivations for employees: Wages:- Coca-cola is providing smart wages to its employees, which are competitive and really satisfy its employees. As along with the wages they are provided with a lot of facilities and amenities. In brief structure of wages can be described like this blue collar workers are offered wages along with commission, sales man are offered wages plus commission pursuing certain criteria, White collar workers who are the officers and the executives draw a handsome amount of salary which is really competitive. Staffing and training: The Coca-Cola Company has always believed that education is a powerful force in improving the quality of life and creating opportunity for people and their families around the world. The Coca-Cola Company is committed to helping people make their dreams come true. All over the world, we are involved in innovative programs that give hard-working, knowledge-hungry students books, supplies, places to study and scholarships. From youth in Brazil to first generation scholars, educational programs in local communities are our priority. Annual Leaves:- Coca-cola international has different leaves structures in different regions and countries of the world where they have their company. Their leaves structure regarding Pakistan especially in Gujranwala Division Company is as follows: Designation Allowed leaves Supervisor 26 leaves per annum Above then Supervisor 26 leaves per annum Below supervisor 24 leaves per annum The above table shows simply how the leaves structure allows for the leaves and how well the employees are awarded with facility of getting their own personal time to manage their own problems. These leaves are authorized for the employees and these include the with pay leaves. This facility is really great which keeps the employees motivated and thrilled about their work. Time Management For Work:- Time management is the key to grow in this fast and furious century of growth and development, so therefore Coca-cola is doing at their best for this pivotal factor of managing time. To cover this segment of management they have divided the work in to shifts. For this purpose phenomenon of division of labor is contributing for its functioning. In Gujranwala Coca-Cola company has divided the shifts for the work in the following manner: They are managing the working time in two shifts. They can include some extra shift if there is demand but normally there are two shifts, which are explained in the following. 8 a.m. to 4 p.m. (all departments other then technical departments), à ¢Ã¢â€š ¬Ã‚ ¢ 4 p.m. to 12 p.m. (Technical department). These are the shifts in which the work in the factory is mostly conducted. Medical Facilities:- Medical facilities are of prime importance in any organization as the health of employees is in the benefit of the company as well as its the social responsibility of the company to provide nice and healthy work environment to its employees, These facilities are such facilities which can include first aid treatments, emergency handling problems, sickness, and other diseases which are fatal for a person. The Coca-Cola Company is providing Medical facilities to all its employees. These treatments are provided to employees as per their designations. The medical facilities are also provided to supervisors as well as the officers in the company. Employees our Asset: The heart and soul of our enterprise have always been our people. Over the past century, Coca-Cola people have led our successes by living and working with a consistent set of values. While the world and our business will continue to change rapidly, respecting these values will continue to be essential to our long-term success. As we have expanded over the decades, our company has benefited from the various cultural insights and perspectives of the societies in which we do business. Much of our future success will depend on our ability to develop a worldwide team that is rich in its diversity of thinking, perspectives, backgrounds and culture. We are determined to have a diverse culture, from top to bottom that benefit from the perspectives of each individual. Employee Forums: We believe that a sense of community enhances our ability to attract, retain, and develop diverse talent and ideas as a source of competitive business advantage. In the U.S., through employee forums, employees can connect with colleagues who share similar interests and backgrounds. In those forums and elsewhere, employees support each others personal and professional growth and enhance their individual and collective ability to contribute to the company. Forums that are currently active include: à ¢Ã¢â€š ¬Ã‚ ¢ Administrative Professionals à ¢Ã¢â€š ¬Ã‚ ¢ African-American à ¢Ã¢â€š ¬Ã‚ ¢ Asian/Pacific-American à ¢Ã¢â€š ¬Ã‚ ¢ Gay Lesbian à ¢Ã¢â€š ¬Ã‚ ¢ Latin à ¢Ã¢â€š ¬Ã‚ ¢ Women Mentoring Programs: The Coca-Cola Company is creating a system of mentoring programs that include, one-on-one mentoring, group mentoring and mentoring self-study tools. Currently, Coca-Cola North America and The Minute Maid Company have one-on-one mentoring programs designed to foster professional growth and development. These HR coca cola GIFT Business School 26 Every year, the world produces billions of tons of waste. Recycling and reusing waste materials is absolutely crucial if we are to maintain the health and beauty of the earth. The Coca-Cola ® Company is working constantly toward coming up with smart, creative ways to reuse waste. Heres a glance at what were doing. To introduce innovative and environmentally friendly packaging, we Opened a breakthrough facility in Sydney, Australia for the worlds first PET bottles to be produced from recycled PET bottles. Today, one in four PET containers sold by our company in North America contains recycled content. Our Commitment To Diversity: Our commitment to diversity also extends into the community. Valuing our people helps us better meet the needs of our customers and partners. Through our people and our local bottling partners, we build relationships through local marketing, local civic programs and local business opportunities. Realizing the full potential of diversity has a direct impact on our company: à ¢Ã¢â€š ¬Ã‚ ¢ It improves our understanding of local markets; à ¢Ã¢â€š ¬Ã‚ ¢ It makes us a better employer and business partner; à ¢Ã¢â€š ¬Ã‚ ¢ It helps us compete more effectively; à ¢Ã¢â€š ¬Ã‚ ¢ It makes us better neighbors in our communities; and ultimately, à ¢Ã¢â€š ¬Ã‚ ¢ It builds value for our shareowners. Our company is energized with a new entrepreneurial operating culture, fueled by the twin engines of innovation and diversity. DEPARTMENTALIZATION: Following are the departments in Coca-cola company regarding to Gujranwala plant:- à ¢Ã¢â€š ¬Ã‚ ¢Human Resource and international relation department. à ¢Ã¢â€š ¬Ã‚ ¢Research and Development department. à ¢Ã¢â€š ¬Ã‚ ¢Account department. à ¢Ã¢â€š ¬Ã‚ ¢Engineering department. à ¢Ã¢â€š ¬Ã‚ ¢Production department. à ¢Ã¢â€š ¬Ã‚ ¢Quality Control department. à ¢Ã¢â€š ¬Ã‚ ¢Marketing department. à ¢Ã¢â€š ¬Ã‚ ¢Sale department. à ¢Ã¢â€š ¬Ã‚ ¢Fleet department. à ¢Ã¢â€š ¬Ã‚ ¢Distribution department. Human Resource Management within Coca Cola Human Resource Management is an essential part for any organization. Moreover, development of this department is the first step, the ground on which the future of the company depends. It is essential for every single business unit and especially for such international company as Coca Cola. It is people, not technology who create the company. Human Resource Management at Coca Cola Company has many advantages. It is the global company and it is impossible to create certain policies or procedures applicable in all divisions of the company, cultural and political differences need to be taken into account. Therefore, the focus of this paper will be on four tasks and duties of Human Resource Management (performance management, compensation, career development, succession planning) based on the United States procedures. Basically the HRM practices are necessary for every organization. But unfortunately in Pakistan not so much used HRM practices. In multinational companies like coca cola have their own separate department of HRM. According senior executive of HR Waqar Mahmood our HR department consist of 29 people in Gujranwala plant. Every organization has its own policies and strategies by which they control the functions of their departments. Similarly, we also have own policies and strategies by which we control all the functions of our departments. coca cola HR department is also conducting all the practices of HRM like Job analysis and design of work ,r e c r u i t m e n t and selection, training and development, performance appraisals, compensation, employee relationships, staff welfare and medical policies and some other things like that. These all practices are conducted by own policies and strategies. HR department not make decisions related of its own department, they also conduct in companys decision. Job analysis and designing Job analysis is the procedure for determining the duties and skill requirements of a job and the kind of person who should be hire for it. Job analysis consists of two products one is job description and second job specification. Job description: a list of job duties, responsibilities, reporting relationship, working conditions, and supervisory responsibilities- one product of a job. Job specification: a list of a jobs human requirements that is requisites education, skills, personality, and so on-other product of a job analysis. Coca cola company HR department check its own job description and job analysis in which they get the information about employees work activities, human behavior, performance standard, job context and human requirements and also other information related to this conduct. HR department of coca cola used this information for Recruiting, selection, compensation, performance appraisal, training, and employees relationship. Planning and Forecasting The process of deciding what positions the firm will have to fill, and how to fill them. Coca cola HR department involves in company strategic planning and they also make sufficient planning for hiring new employees in the future. We forecast for the expected employees needs in the organization. We forecast of employees on the change technology and increasing in productivity. After planning we send this report to the head office for approval. If we get approval from the head office then we start recruitment process. Our recruitment process Our recruitment process is well established first of all we give ads in news papers, company website, institutions etc.Once we receive an application form, from candidates with required documents and C V. Internal recruitment External recruitment External Selection process The selection process will vary depending on the position youre applying for, as one process cant fit all the different roles we have here at CCE. However, in most cases a combination of any of the following tools will be used: Interview Group exercises Presentations Psychometric tests Role plays/Situational Exercises Interview The interview is designed to reveal more about you and your experiences. Well ask for examples of how you behaved in different situations, maybe at school, university, a club, at home or in previous jobs. This is not

Prohibition of Religious Ambiguity Essay -- Philosphical Lawfulness, Ag

William James’s Argument William James argues that agnosticism is not a valid choice to make. He opens his argument with the conjecture that â€Å"voluntarily adopted faith† abides by philosophical lawfulness (74). He builds from this by defining a hypothesis as â€Å"anything that may be proposed to...belief† and it may be either live or dead in quality. A life hypothesis is one that appeals as a real possibility. The quality of being live or dead is not an â€Å"intrinsic property.† Instead, they are â€Å"relations to the individual thinker; measured by...willingness to act.† James defines an option as a decision between two hypotheses which may be 1) living or dead, 2) forced or avoidable, and 3) momentous or trivial (75). An option may be genuine if it is live, forced, and momentous. James’s next move is to show that scientific questions are â€Å"trivial options† with dead hypotheses and are avoidable, unlike the religious question. He shows this by questioning whether or not it matters if we have particular scientific theories or scientific beliefs. He conjectures that it â€Å"makes no difference† in these instances. James summarizes: Science says things are; morality says some things are better than other things; and religion says...1) the best things are the more eternal things,...and 2) we are better off even now if we believe [1] (76). James suggests that the religious hypothesis is forced and momentous; therefore, for those who religion is a live hypothesis, it is a genuine option. Hence, James concludes that he cannot accept â€Å"the agnostic rules for truthseeking† because any â€Å"rule of thinking which would absolutely prevent [us] from acknowledging certain kinds of truth if those kinds of truth were really there, would be an irrational rule† (77). U... ...onal decision; --just like deciding yes or no,-- and is attended with the same risk of losing the truth† (75). Hence, every individual’s hand is forced in making a decision regarding the religious hypothesis. One must either believe in the eternal or believe in the temporal because there is no in between option. According to James, if and when someone identifies with an agnostic philosophy, he or she is not choosing ambiguity, he or she is ultimately choosing disbelief of the religious hypothesis and will be subject to the same consequences of disbelief if the religious hypothesis is sound. Therefore, according to James’s argument, agnosticism is not philosophically lawful. Works Cited James, W. (1896). â€Å"The Will to Believe.† In G. L. Bowie, M. W. Michaels, and R. C. Solomon (Eds.), Twenty Questions: An Introduction to Philosophy (74-78). Boston, MA: Wadsworth.

I Have a Gambling Problem Essay -- Exploratory Essays Research Papers

I Have a Gambling Problem Professor’s comment: This student’s essay is well researched, strongly analytical, and seriously personal. But the essay did not begin as a personal essay—far from it— from major rewriting emerged this fascinating and very effective essay, in which social and personal analysis intertwine. Hi, my name is ______ and this is my first GamAnon meeting. I am nineteen years old, and I started gambling in junior high, $5 bets with friends. In high school, craps and deuces were the craze. The teachers had no idea. Then I started playing the lottery, hoping to hit the jackpot. Age never really mattered since the vendor never asked to see ID. In my first year of college, I started wagering on sporting events through an online sports book. It was completely legal, even though I was only 18 years old. I have always loved sports and having money on a game made it even more fun, more exciting. At first, it was only $25 or $50 a game, but then things got out of control: I was laying hundreds of dollars on single games. It wasn’t fun anymore. My bank account dwindled from four figures to two. My GPA was half my high school 4.0+. I knew I had a problem, but I just couldn’t stop, no matter how hard I tried. That’s why I’m here today. I need help. I never thought that a friendly wager could lead to such self-destructive behavior. Luckily, I recognized that I had a gambling problem and sought help, unlike the millions of other pathological gamblers who allow their problems to worsen, some eventually becoming involved with drugs, alcohol, and crime (Lesieur 43). Annually, Americans legally wager over five hundred billion dollars—more than they spend on groceries—and illegally bet hundreds of billions more (Ren... ...ychological Reports 67 (1990): 907-912. Griffiths, Mark. Adolescent Gambling. New York: Routledge, 1995. Koughan, Martin. â€Å"Easy Money.† Mother Jones. July 1997: 32-37. Layden, Tim. â€Å"Bettor Education.† Sports Illustrated. April 3, 1995: 68-83. Lesieur, Henry R. â€Å"Compulsive Gambling.† Society. May 1992: 43-50. McGowan, Richard. State Lotteries and Legalized Gambling. Westport: Quorum, 1994. McGraw, Dan. â€Å"The National Bet: Laying an Illegal Wager Has Never Been Easier.† U.S. News and World Report. April 7, 1997: 50-56. Reno, Paul. â€Å"The Diceman Cometh.† Policy Review 76 (1996): 40-46. Sandel, Michael J. â€Å"Bad Bet.† New Republic 216 (1997): 27. Simon, Paul. â€Å"The Destructive Side of Gambling Mania.† St. Louis Journalism Review 26 (1995): 8-11. Snyder, R.J. â€Å"Gambling Swindles and Victims.† Journal of Gambling Behavior 2 (1986): 50-57.

Jacob Lawrence :: essays research papers

Jacob Lawrence has painted figurative and narrative pictures of the black community and black history for more than 60 years in a consistent modernist style, using expressive, strong design and flat areas of color. Jacob Lawrence was a great artist. During Harlem Renaissance, he helped establish African American artists. He gave lectures at Washington University, and he enjoyed working with students of all ages. Jacob Lawrence was born in Atlantic City on September 7, 1917. His parents Jacob Armstead Lawrence and Rose Lee were part of the Great Migration of Black Americans (1916-1930). One million people left the rural South for the urban North during this period. He moved with his family for Easton, Pennsylvania. After his parents separated, he moved with his mother to Philadelphia. In 1927, his mother moved to New York and placed Lawrence and his siblings in foster homes. In 1930, Lawrence, age 13, and his brother and sister moved to Harlem to live with his mother. During Lawrence’s childhood, his family was forced to relocate many times as his parents looked for work. Steady jobs were hard to find, especially for African Americans. Racial prejudice prevented them from pursuing certain jobs or professions. Harlem was a crowded, teeming place, and the public school Lawrence attended was considered among the roughest in the area. But Harlem in the 1930s was also the center of what became known as the Harlem Renaissance. To keep her son out of trouble Rose Lawrence enrolled him in an after-school arts and crafts program at a local community center. It was taught by a young African American artist named Charles Alston. Alston liked the serious, quiet Lawrence and made sure he had lots of materials for his efforts. He found that drawing geometric designs in bright colors satisfied him greatly. He soon moved on to elaborate patterns and developed his own method of painting in which particular shapes were rendered in corresponding colors, one at a time. Lawrence continued in this mode through much of his career. The notable consistency of color is apparent in the artist’s later series of story panels. Lawrence got many of his ideas from the books and magazines he found at the center where the classes were held. Lawrence had Alston show him how to mix paper-mache, and he went on to create many colorful, life-size masks. He also used cardboard boxes to fashion three-sided scenes, depicting locales in Harlem- stores, barbershops, houses and newsstands.

Mcdonald’s Strategic Management Globalization Strategy

Example 1 Localization strategy of McDonald's McDonald is using localization strategy in term of choose to localize the language that they use to sell the items especially burger and tries to localize the food itself, localization is absolutely necessary to attract customers across nations. One of the examples is McDonald’s localization of its food menu. u. Even though the menu is to a certain degree standardized all over the world, but some of items are unique to each country and that taste also localize of the local market.The burger that prepared by McDonald’s well known in all over world. In Japan customer can order a â€Å"koroke† burger that which contains katsu sauce, cabbage and mashed potato. In Hong Kong, customers can find a burger that is served between rice cakes not in sesame seed buns. In Malaysia, McDonald customers have much choice such beef burger, chicken burger and fish burger. McDonald provided chicken. Some of religious group do not prefer t o take beef so McDonald provided chicken and fish burger for them.More than that, McDonald in Malaysia do not provide pig meat burger because majority of Malaysia don’t not take pork and would also be upsetting for religious. In India the type of burger totally different from other country because eating beef is against to religious rules. McDonald's brand is strongly associated with hamburgers, but McDonald open vegetarian restaurants that provide vegetarian burgers. International strategy In the India market McDonald's accepted the international strategy over franchising to push their main competencies and to customize their goods and service according to the demand of local customers.This way the business be sure of on local subsidiaries in India to follow the rules and regulations of running McDonald's and make sure the goods and service must be standardizing. McDonald to complete standardization within an international scale is difficult because of Indian market is more traditionally diverse. McDonald's standardizes as much as can to make less costs, but they are conscious of cultural differences and have to accepted the perception of â€Å"think global, act local† (Hill, 2009).The subsidiaries provided by international strategy with some freedom, but the main controls belong to with managers at the center of operations in America. The subsidiaries provided by international strategy with some freedom, but the main controls belong to with managers at the center of operations in America. The Indian subsidiaries are approved the power to plan, make and market innovative products that directly respond to the local customers' preferences According to Hindu population cow is worshipped so McDonald’s does not use beef to prepare burger.In India McDonalds fully removed beef for pork for Muslims customers. As a replacement for of the ever-popular Big Macs set up in the west, McDonald's in India serves â€Å"Maharaja Macs â€Å" that contain mutton and some vegetarian rice pies. McDonald's is required to change and adapt their goods and service to local customer demand because the India customers have different favorites due to traditional and religious differences. More than that, in foreign countries there have local food for consumer while McDonalds is among one of the traditionally American fast food.McDonalds able to maintain the local tastes on condition that it focuses on its main competency of fast food. In Europe, from fast foot roots McDonalds unfortunately straying. In strength to compete like Starbucks, McDonald’s is turn-off the restaurant space extra upscale and easy, while offering in good health and more locally tasty foods. McDonalds also offering rental iPods and Wi-Fi available for customers. However, this strategy not only reduces the product fair play by get used to local tastes, but also changes McDonalds even additional away from its main competitors of fast food

Part Five Chapter II

II ‘Brace yourself,' teased Howard Mollison at midday on Saturday. ‘Mum's about to post the results on the website. Want to wait and see it made public or shall I tell you now?' Miles turned away instinctively from Samantha, who was sitting opposite him at the island in the middle of the kitchen. They were having a last coffee before she and Libby set off for the station and the concert in London. With the handset pressed tightly to his ear, he said, ‘Go on.' ‘You won. Comfortably. Pretty much two to one over Wall.' Miles grinned at the kitchen door. ‘OK,' he said, keeping his voice as steady as he could. ‘Good to know.' ‘Hang on,' said Howard. ‘Mum wants a word.' ‘Well done, darling,' said Shirley gleefully. ‘Absolutely wonderful news. I knew you'd do it.' ‘Thanks, Mum,' said Miles. Those two words told Samantha everything, but she had resolved not to be scornful or sarcastic. Her band T-shirt was packed; she had had her hair done and she had bought new heels. She could hardly wait to leave. ‘Parish Councillor Mollison then, is it?' she said, when he had hung up. ‘That's right,' he said a little warily. ‘Congratulations,' she said. ‘It's going to be a real celebration tonight, then. I'm sorry I'm missing it, actually,' she lied, out of excitement at her imminent escape. Touched, Miles leaned forward and squeezed her hand. Libby appeared in the kitchen in tears. She was clutching her mobile in her hand. ‘What?' said Samantha, startled. ‘Please will you call Harriet's mum?' ‘Why?' ‘Please will you?' ‘But why, Libby?' ‘Because she wants to talk to you, because,' Libby wiped her eyes and nose on the back of her hand, ‘Harriet and I've had a big row. Please will you call her?' Samantha took the telephone through to the sitting room. She had only the haziest idea who this woman was. Since the girls had started at boarding school she had virtually no contact with their friends' parents. ‘I'm so desperately sorry to do this,' said Harriet's mother. ‘I told Harriet I'd speak to you, because I've been telling her it's not that Libby doesn't want her to go †¦ you know how close they are, and I hate seeing them like this †¦' Samantha checked her watch. They needed to leave in ten minutes at the latest. ‘Harriet's got it into her head that Libby had a spare ticket, but didn't want to take her. I've told her it's not true – you're taking the ticket because you don't want Libby going alone, aren't you?' ‘Well, naturally,' said Samantha, ‘she can't go alone.' ‘I knew it,' said the other woman. She sounded strangely triumphant. ‘And I absolutely understand your protectiveness, and I would never suggest it if I didn't think it would save you an awful lot of bother. It's just that the girls are so close – and Harriet's absolutely wild about this silly group – and I think, from what Libby's just told Harriet on the phone, that Libby's really desperate for her to go too. I totally understand why you want to keep an eye on Libby, but the thing is, my sister's taking her two girls, so there would be an adult there with them. I could drive Libby and Harriet up together this afternoon, we'd meet up with the others outside the stadium and we could all stay overnight at my sister's place. I absolutely guarantee that my sister or I will be with Libby at all times.' ‘Oh †¦ that's so kind. But my friend,' said Samantha, with a strange ringing in her ears, ‘is expecting us, you see †¦' ‘But if you still wanted to go and visit your friend †¦ all I'm saying is there's really no need for you to attend, is there, if somebody else is with the girls? †¦ And Harriet's absolutely desperate – really desperate – I wasn't going to get involved, but now it's putting a strain on their friendship †¦' Then, on a less gushing note, ‘We'd buy the ticket from you, of course.' There was nowhere to go, nowhere to hide. ‘Oh,' said Samantha. ‘Yes. I just thought it might be nice to go with her – ‘ ‘They'd much prefer to be with each other,' said Harriet's mother firmly. ‘And you won't have to crouch down and hide among all the little teenyboppers, ha ha – it's all right for my sister, she's only five foot two.'