Strategies For Writing An Essay - Helpful Tips For You

Strategies For Writing An Essay - Helpful Tips For YouIf you're looking for strategies for writing an essay and you have never before tried to write an essay in this manner, then this article is designed to help you. First of all, I'll give you a little introduction to what you're going to be facing and the reasons why this is difficult for you. You will learn that many people write essays without actually knowing what they're doing.But you don't need to be any different from the rest of the population when it comes to writing an essay. The strategies for writing an essay are basically the same as they were thousands of years ago. The trick has changed over the years but the basic strategy has remained the same.What you need to do is pick a topic that you know very well. This might sound obvious but many people will simply pick an essay topic that is not their strong point. If you're a writer and you do have a specialty area that you focus on, then the topic will be easier for you to choose. Also, pick a topic that will make you proud of yourself.After you've chosen a topic that you want to write about, you need to come up with a beginning and an ending. But even when you know what the beginning and the ending are, it still is vital that you use techniques that will help you improve your skills as a writer. These techniques will help you bring your ideas together into a cohesive whole.It is important that you read various tools that will help you improve your writing skills. However, the problem is that these tools are often not made with anyone who has little to no experience. So you need to find tools that are made specifically for people like you and me.Another thing that you should do is develop your own style. Remember that as a writer, you are going to be creating a piece of material that will be used for school, business, or some other type of written assignment. It is important that you have a specific style because your audience will need to be able to understand what you are trying to say.After you have developed your style, you need to learn how to construct sentences. Now, you might think that this sounds like a very simple thing to do but you will be surprised to know that this is not the case. You should be able to figure out how to construct sentences, but you need to have some simple guidelines. After all, if you mess up then it will be difficult for your audience to understand your argument.Hopefully by now you have found some strategies for writing an essay. In addition to improving your writing skills, you should also learn how to construct sentences so that you can also begin to develop your own style.

Clinical Case Study and the WHO Disablement Model Essay

CLINICAL SCENARIO: Conceptual models, specifically disablement models have been used for many years within the medical field to help guide clinical reasoning and the delivery of evidence based practice throughout the continuum of care. Valley Health Rehabilitation Services provides clinicians with opportunities for profession growth and development, as well as opportunities to learn from peers. Specifically, case studies are used within the systems as a useful problem-solving tool that enables clinical reasoning and subsequently guide treatment. FOCUSED CLINICAL QUESTION: The current VH Case Study format being used integrates the â€Å"WHO Disablement Model† also known as the International Classification of Impairments, Disabilities, and†¦show more content†¦APTA, AOTA, ASHA, as well as other American healthcare organizations endorse the ICF and incorporate it’s language into relevant association publications, documents, and communications. The ICF is currently utilized in clinical practice, clinical research, and policy development. Thus, it’s used at the individual level, institutional level, and social level, such as: - Assessment and treatment planning of an individual - Collecting data regarding outcomes of a specific treatment or intervention - Multidisciplinary communication - Quality improvement - Protocol development - Educational and training purposed (i.e. case studies) - Needs assessment at a societal level - Environmental assessment for universal design The ICF and the ICD-10 are intended to be complementary. The ICD-10 provides a diagnosis of diseases, disorders, and other health conditions, whereas the ICF provides information on the patient’s functioning. Used together they create a broader picture of the patient and their experiences with regards to health and function. CLINICAL BOTTOM LINE: Based on the total literature reviewed, the WHO ICF framework compared to the current VH Case Study format that integrates the â€Å"WHO Disablement Model,† represents current, up to date evidence and best practice. The â€Å"WHO Disablement Model† aka ICIDH model is outdated. It was publishedShow MoreRelatedGenetic Engineering And Gene Therapy3712 Words   |  15 Pagesstays dangerous is still under study to verify that it will be sheltered and powerful. Gene therapy is right now just being tried for the therapy of maladies that have no other cures.But gene therapy is not a sub-atomic wrap that will naturally alter any genetic issue. While numerous issue or target conditions can possibly be dealt with utilizing gene therapy, others are not suitable for this approach. Traditional breeding is powerful in enhancing genes, in any case, when contrasted and genetic engineeringRead MoreApproaches to Inclusion5803 Words   |  24 Pagesdisadvantaged or marginalised areas or groups. For the purpose of this report, the researcher will use the term ‘Children with Special Educational Needs’ to refer to the above groups. The researcher will provide a critical awareness on how theoretical models have changed ways of thinking about inclusive practice and the implications of this on legislation and policy making. The researcher will demonstrate a critical appreciation of the requirements of the law in relation to work practice and to evaluate

The Medias Negative Affect on Women Essay - 1279 Words

The Media’s Negative Affect on Women Our society’s media portrays women in a very distorted and twisted way. Women in the media are made out to be purely sexual objects. Only images of women who are thin, over sexualized, and what our cultural believes to be â€Å"beautiful† are shown on television, magazines, and ads. Lyrics in popular music often also degrade women. Constantly being bombarded by these inaccurate depictions of how females should look and be treated has many negative effects on women. Inaccurate depictions of females in the media causes women to have self-esteem issues, become over sexualized at a young age, and makes mistreatment by males seem acceptable. In our culture the â€Å"thin ideal† is considered to be the only form of†¦show more content†¦Self-esteem can hit an all-time low for women who find themselves pursuing these methods but still don’t find themselves measuring up to the women in the images. What these wome n don’t realize is that the images they are seeing are fictional and that the women’s bodies do not look that way in the real world. Yet these women are still trying to attain this body type. They are working for an unachievable goal, and that is to have a body that looks like the photo-shopped and airbrushed bodies that are shown in the media. Not only can the media cause women’s self-esteem to plummet, it can cause them to become over sexualized. Sexualization is defined by â€Å"the process of emphasizing the sexual nature of an individual (Fraser-Thill)†. In the media this happens constantly. â€Å"Virtually every media form studied provides ample evidence of the sexualization of women, including television, music videos, music lyrics, movies, magazines, sports media, video games, the internet and advertising (Zurbriggen)†. Being constantly surrounded by these forms of media beginning at a very young age, young girls grow up looking up to and w anting to emulate the women that they see. Women in the media are portrayed as nothing more than sexual objects. They dress in provocative clothing and imply sexual readiness in their posture and facial expressions. It is extremely unhealthy for young girls to view this material, let alone aspire to replicate it. In 2007 the American PsychologicalShow MoreRelatedHow Women Should Act And Look Essay1629 Words   |  7 Pages Women have had the continuous problem of being seen as second hand citizens to their counterparts, men. In today’s society it is easy to find women depicted in negatives ways constantly in the media. All you have to do is a movie, read a magazine, or be scrolling down your social media timeline to see examples the way women are portrayed in today s media. If you look at television and movies where woman have roles, they often come second to men. The way women are presented in the media is thatRead MoreEssay on Media Effects on Body Image617 Words   |  3 Pagesconclude that it causes a negative effect on men and women leading to eating disorders, self-esteem problems, and possibly even sometimes more dramatic actions such as suicide (Groesz, Levine, and Murnen 2,4). So why always have these ultra-thin gorgeous female models and tall handsome masculine models in magazine ads, billboards ads, etc.? If the media would show people as who they really are and at weights and sizes that are attainable it could possibly decrease the negative effect that is such aRead MoreMedia s Impact On Society956 Words   |  4 Pagespublic†(Mitu, 2011). The media’s impact on society has been studied since the 50’s. Back then, it was concluded that the media can and does influence society. This influence can be either positive or negative. Over the past five decades the media’s outlet has grown far past anyone could have predicted. Today the media cannot only reach society by in home outlets, the masses can be reached via mobile devices as well. Many of the influences of the media have undoubted affects social economics. TheseRead MoreA Culture Of Perfection : Media s Influence On Adolescents1362 Words   |  6 Pages A Culture of Perfection: Media’s Influence on Adolescents Comparison. It is one of the most dangerous and detrimental habits within our society. We fall into a routine of â€Å"self-checking† ourselves against others; mentally taking notes of what we can improve and what we are doing better. We all know that comparison often takes its’ toll on our confidence and self-worth; what we may not realize, however, is how early these destructive habits begin and why. The media’s influence is everywhere andRead MoreTeenage Girls and Body Image Essay1291 Words   |  6 Pagesa lot of influence from the media’s message. The problem with this is the media has a specific way of doing things and can be negative to a susceptible teenage girl. Media’s way of portraying a woman can be skewed and unrealistic way from what reality is. Teenage girls then have a desire for this look or way. In this essay the three ways I will describe as to why the media can negatively affect a teenage girls body image is by showing unrealis tic bodies and women, women whose bodies are desirableRead MoreEssay about The Media’s Effect on Adolescent Bodies 1725 Words   |  7 PagesThe Media’s Effect on Adolescent Bodies The stringent standard Barbie-doll proportions of body image and what is considered beautiful in today’s media has resulted in devastating effects on adolescent women. The images displayed of women who have long beautiful legs, thin waist lines and smooth flawless skin are very hard to ignore. Throughout history the female body has been on display as a selling tool to coerce people into buying that new fancy car or the latest new appliance that can makeRead MoreThe Media Of A Middle School Student1486 Words   |  6 Pagesthey were being, or trying to be, â€Å"women.† The media is falsifying the appearance of, and ideals about, women; this negatively affects a man’s opinion about women, as well as a woman’s opinion about herself. Because unrealistic representation of women in the media is harmful, the media should instead portray realistic and positive ideals about women. Photo shopped images are seen on a daily basis. According to the Beauty Redefined Administration, â€Å"The average women sees 600 photo shopped images perRead MorePositive Adult Role Models1038 Words   |  4 Pagespositive adult role models while growing up; because if they don’t have positive adult role models, teens can be influenced by negative media, negative peer pressure, and teen drug use. The first reason why teens need positive adult role models is, if teens are not influenced by a positive adult role model, they will be influenced by media. First, media has had a large negative impact on the way teen girls see themselves. They don’t need media telling them they are ugly, or that they are not good enoughRead MoreMedia s Effect On Society s Perceptions Of Women s Body Image1474 Words   |  6 PagesMedia’s effect on society’s perceptions of women’s body image causes mental health issues Part 1: 1. Group Topic Our group’s main topic explores women’s mental health and the issues around it that affect women socially, politically, and economically. 2. Individual Subject †¨ In the beginning of my report I was researching juvenile women affected by mental disorders and media’s influence on it. I had several disorders I was going to discuss, however, I became embedded into the subject surroundingRead MoreBurgess, Melinda, and Sandra Burpo. The Effect of Music Videos on College Students1100 Words   |  5 Pagesimages of women. The author then ended the article by mentioning the limitation of the experiment. The first limitation was due to the inability to examine the long-term effects of such videos and the second thing is that the participants were all from nearly the same age. Burgess used a proper confirmation for the authors’ assertions. This source is highly related to my thesis statement since it directly observes the effects of media’s portrayal on encouraging violence against women and makes

The American Dream - 946 Words

Defining the American Dream is a difficult task, because the dream is different for each person you ask. The stereotypical American Dream is a well-off, middle class family, living in the suburbs of America. However looking at modern day society, that dream has split into multiple different hopes, as middle class has become increasingly large, and coincidently, increasingly vague. It can no longer be defined as just being â€Å"middle class† because middle class can mean a family with well-paying jobs, no student loans, good credit, and a decent handicap at the local country club. However it can also mean a family with divorced parents, in a broken home, with multiple entry-level jobs, outstanding loans, no healthcare, and barely making ends†¦show more content†¦(O’Keefe)† Although, at the time, most states already had laws prohibiting discrimination against sexual orientation and identity, at least 29 states did not have any laws in place. The bipartisan support of this act and overall acceptance of the act by the American public shows how this aspect of the American Dream is still possible. Liberty is the second of the three basic rights guaranteed to any American citizen. And in terms of the American Dream, Liberty can be defined as the freedom to practice any religion, pursue any career, and follow your dreams. Religious freedom is not only protected in the U.S. Constitution, but also in laws and policies passed by the American Government. For example, The Religious Freedom Act of 1998, which is a significant development towards protecting international religious freedom as it established an international religious freedom office in the U.S. State Department. (Ochab)† was passed in 1998 and was a major step forward in protecting religious freedom around the world. While Freedom of Religion is important in relation to the American Dream, almost equally as important is being able follow your dreams. No one can exemplify this better than Hamdi Ulukaya, the CEO of Chobani yogurt company. In an interview with Steve Kroft for 60 Minutes, he described moving to the US, not speaking any English, with no friends, no family, and no real plan to speak of. He managed to get his footing in New York, with aShow MoreRelatedImmigrants And The American Dream1362 Words   |  6 PagesImmigrants and the American Dream In the article â€Å"The American Dream†, by James Truslow Adams in The Sundance Reader book, he stated that the American dream is that dream of a land in which life should be better and richer and fuller for everyone, with opportunity for each according to ability or achievement. It is a difficult dream for the European upper classes to interpret adequately, and too many of us ourselves have grown weary and mistrustful of it. It is not a dream of motor cars and highRead MoreThe American Dream By Kimberly Amadeo1637 Words   |  7 PagesNowadays, a large number of people migrate to the United States to work and achieve the American Dream. According to the Article â€Å"What is the American Dream?† by Kimberly Amadeo, â€Å"The American Dream was first publicly defined in 1931 by James Truslow Adams in Epic of America. Adam’s often-repeated quote is, ‘The American Dream is that dream of land in which life should be better and richer and fuller for everyon e, with opportunity for each according to ability or achievement.’† There are many peopleRead MoreAnalysis Of The Movie The American Dream 754 Words   |  4 Pages Nyreel Powell Ms. Jones American Literature 1 June 2015 The American dream in A Raisin in the Sun Have you ever had a dream and it didn’t come how you wanted it to be? Have you ever had accomplishments that you wanted to achieve but people were getting in the way of them? The four main characters in this book all have good dreams but there are people in the way of getting to those dreams or their dream is too high to accomplish. A Raisin in the Sun a play written by Lorraine Hansberry, andRead MoreSister Carrie and the American Dream1618 Words   |  7 PagesThe American Dream is surely based on the concept of â€Å"Life, Liberty and the Pursuit of Happiness† but it is above all, a matter of ambition. James Truslow Adams, an American writer and historian, in 1931 states: life should be better and richer and fuller for everyone, with opportunity for each according to ability or achievement†, which not only points towards a better standard of living for Americans but also denounces a degree of greed in the US society. Ambition not only â€Å"killed the catâ₠¬  butRead MoreGrapes Of Wrath And The American Dream1644 Words   |  7 PagesThe idea of the American Dream is ever changing depending on the person and the time of life that person is in. Although the main ideas of the American Dream remain the same to be educated, economically sound, healthy, to have a family, and equal rights. Many great films and works of literature were created to show case all the different ideas people have for their American Dream. The film â€Å"Grapes of Wrath† directed by John Ford and the poem â€Å"I Will Fight No More Forever† by Chief Joseph, both depictRead More Destruction of the American Dream Essay2145 Words   |  9 PagesDestruction of the American Dream I’ve talked about it in the past, the destruction of the American Dream. Always, there have been papers, writings, and thoughts that quantify a particular section of its ultimate demise, be it due to money, education, or sexuality. Maybe the destruction cannot be viewed as a singular event or cause. Perhaps instead it must be examined as a whole process, the decay and ultimate elimination of a dream. Self destruction, if you will†¦ Mr. Self Destruct Read MoreSuccess As One Of The American Dream1137 Words   |  5 PagesApril 2015 Success as One of The American Dream When we hear the word â€Å"success†, we often think of wealth and money. To some people, the embodiment of being success is earning a lot of money. In fact, the concept of success is primarily based on how much money a person earns. However, each person views the definition of success differently. One way to define success is something that has more to do with flash than it does with substance. John Wooden, an American basketball player and coach viewRead MoreJim Cullen And The American Dream2081 Words   |  9 Pages The American Dream, as defined by Cullen, is starting your goal off with a little and ending with more; it s like a business, you invest in it in order to gain more money. Usually, people will define the American Dream as being able to achieve your goal because everyone is offered opportunities. Cullen does acknowledge that people are born with different opportunities, so he talks about the good life. The good life describes different factors that determine your opportunities. Throughout the otherRead MoreFactors Influencing The American Dream1834 Words   |  8 Pagesindividual to succumb or to not succumb to the seductions of crime. These three factors are brilliantly portrayed in the television show, Breaking Bad and the novel, The Stick Up Kids. The American Dream is what many American citizens strive for. However, not all of those citizens are able to achieve the American Dream through a legal pathway. The reason an indivudal may not being able to do so is because of his or her background factors. It is important to note that background factors are a fractionRead MoreShark Tank And The American Dream1755 Words   |  8 PagesShark Tank and The American Dream The TV show Shark tank embodies everything the American dream represents. The show obtains successful Entrepreneurs ready to invest their own money into other Americans wanting to be just like them, reaching the American dream and become a successful entrepreneur. The show presents entrepreneurs working towards the goal of creating a business to not only gain wealth but also change the way we live today. The show is to keep the American dream alive and well while

Boots of Clovers free essay sample

Walking in the cold. Stopping in the rays of the sun. Walking more. I shiver as a cool breeze nips at my exposed neck. I pull my notebook closer to my chest and lower my head to look at my boots. They are wet and speckled with grass and clovers. As I raise my head, I spot a tree in direct sunlight. I continue my walk until I am faced with this very tree. Perfect. I sit at its base, open my notebook and look around for something to write about. Thinking. Thinking. Thinking. Nothing. My mind is blank. Instead, my eyes wander, searching for something to write about. My eyes soon close as I lean my head against the tree and take a deep breath. The world seems to slow as I lower my head. The trees in front of me are lost in the golden hue of the sun that continues to rise. We will write a custom essay sample on Boots of Clovers or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page After what seems like a few seconds, the birds resume their early morning calls, already ignoring the fact that I have invaded their area. As I sit there I think of how unusual it is for me to be here at all. I am a disturbance, a nuisance, an irritation to the surrounding nature. I do not belong. I stick out like a drop of blood in a snowy field. The curtain of sun that once graced me, has now moved on. The one reason that I sat at this very tree is now gone. A cold breeze nips at my cheeks. I zip up my vest and draw my legs in to retain heat.I glare at the rays of the ever moving sun, as if I had some sort of control over it. A tiny red squirrel makes its way from tree to tree, stopping once it has reached the one where I rest. It lowers itself down the branches, peppering my paper with droplets of morning dew. I look up. I’m immediately graced with the curious face of the tiny squirrel, no more that six feet above me. It tilts its head to the right and I do the same, mimicking its actions. The tiny squirrel takes off as I move to get a better look. Everything seems to go still as the squirrel hurriedly makes its way through the trees. I freeze as well. Just as quickly as it appeared, it is now gone. The birds once again resume their morning chatter, as if nothing happened. They don’t seem to care that a stranger is in their home. I wonder what they think of me. Am I just another creature, like the rest that periodically make their way through here. Or are they, like the squirrel, curious, but just too scared to come any closer. I look at the trail that I had come from and rule out the curiosity, for these trails are mowed and maintained. These birds have seen a person before and think nothing of it. But then why did the squirrel stop? Was it because I stopped and sat in one place? Was it the disturbance of my entire presence? Was it just a baby squirrel, curious at everything new? I lower my legs as the sun decides to peek out from behind a tree and grace me with warmth once more. I close my eyes and bask in the golden rays. The cheerful tunes of the birds make sure I don’t dose off. I open my eyes once again. I look at the smeared lines of my notebook as something catches my eyes. A tiny green clover is stuck to the side of my boot. The leaves are pressed flat, like a newly paved road. The stem barely curves to the right and changes shades to a lighter green. I gently remove it from its place and twirl it in my fingers. I then let it fall to the forest floor. I think of that clover, yanked from its comfortable home of the earth, plucked from its safe haven, then discarded as if it were nothing. It seemed out of place on my boots. Just as I seemed out of place in this forest. It seemed like nothing. I stand, brushing myself off . I step back out to the trail and look back to where I once sat. The grass that once stood tall is now flattened. It looks out of place. Like it shouldn’t be there, and I am yet again reminded that I do not belong here. I walk down the trail deep in thought. No longer am I stopping in the rays of the sun. No longer do I tuck my chin, when a cold breeze sweeps through. No longer do I notice the cold seeping into my bones. I do however notice a foot print. It is mine, from the walk out. I stepped in a clover patch. Was this where the single clover came from? I do not know. But as I look at this footprint I am greeted with a lovely sight. Where the clovers are now parted sits a small tree frog, that has seemed to make the parted clovers its new home.

Minute Clinic free essay sample

MinuteClinic, L. L. C. One CVS Drive Woonsocket, RI 02895 www. minuteclinic. com Strategy Development Table of Contents Chapter 1 – Introduction3 Chapter 2 – Current Strategy3 Chapter 3 Proposed Strategy†¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦ †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦. 5 Chapter 4 – Proposed Metrics. 6 Chapter 5 Summary6 Appendix †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. †¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦Ã¢â‚¬ ¦.. 7 Chapter 1 – Introduction MinuteClinic is a division of CVS Caremark Corporation, which is the largest pharmacy health care provider in the United States. MinuteClinic launched the first retail health care centers in the United States in 2000 and is the first provider to establish a national presence, with approximately 500 locations  across 26 states and the District of Columbia. By creating a health care delivery model that responds to consumer demand, MinuteClinic makes access to high-quality medical treatment easier for more Americans. We have seen 9 million patients since MinuteClinic started 10 years ago. Since 2007, weve seen almost 8 million of those patients. The rate of growth has really increased dramatically. Chapter 2 – Current Strategy MinuteClinic’s original value proposition was to bring in a disruptive health care model that targeted low-risk patients with specific needs. We will write a custom essay sample on Minute Clinic or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page We still stand by that model, offering standardized diagnostics and primary care services such as common illnesses, minor injuries, and skin conditions. It is important to us that patients are seen in an affordable, convenient, and fast way. The value for the clients is substantial and real. Clinics are ccessible, located in high traffic, convenient areas, and affordable. High quality is provided through standardized protocols for testing and other services. Mission Statement To provide expert care and innovative solutions in pharmacy and health care that are effective and easy for our patients. Vision Statement To offer the most efficient, most effective patient care in the most convenient locations for our patients. Core Values Accountability, Respect, Integrity, Openness and Teamwork. Our current Operational Strategy is referred to as â€Å"McDoc in the box†. This service delivery strategy is based on enabling easy and convenient access by locating the clinics at high traffic pharmacies, delivering fast and high quality care through streamlined patient diagnostics and protocol based treatment processes, cost effectiveness through trained yet lower cost workforce of Nurse Practitioners and Physician Assistants. The partnership with CVS pharmacies and continuously improving protocols are key enablers for the exponential growth of MC clinics in the past five years. The stores are located at high traffic pharmacies within CVS system with Walk-in service, seven days a week. The average wait time is limited to 5-10 minutes in most cases. The transferability of services is achieved through the collocation of the Clinics in CVS pharmacy premises. Most of the patients can get their medication prescribed at the clinic from the pharmacy enabling higher flow of volume of transactions per walk in patient. The 5-10 minutess limited service delivery duration is well suited to treat a range of different conditions while maintaining higher volumes. Technology includes â€Å"Click-and Point† diagnostics, Information system for patient record, and Pager system to manage customer wait times. Every patient visit, the patient medical information is entered into user’s electronic medical record, which is maintained by the Clinic. The patients of the patient’s Primary Care Physician can request the information in an electronic format. This allows for more communication between the Clinic and the PCP. Chapter 3. Proposed Strategy: CVS Minute Clinic is competing in a disruptive market place. Driving high volume of patients through the clinics is important for financial viability. Dependence on a narrow set of services and patient types is at the core of fast and low cost service model. Given the existing model and the changing landscape of healthcare in US CVS-MC has to deal with many opportunities and challenges. Implementing IT services as part of a push to deliver virtual medical services. Implementing Electronic Medical Records (EMR) and integrating the IT services with IDS and PCPs will enable MinuteClinic to have an intelligent monitoring of the patient outcomes and enable timely updates to care and triaging protocols. The system will enable the MinuteClinic to improve Pay for Performance measures and capitalize on the macro push for accountable care organizations. The MinuteClinic will be better positioned to enable hospitals and IDS to manage the patients under shared risk and capitation payment methods. Finally, integrating the IT services with patients and family care givers will enable them to develop virtual medical home services and provide care for chronic disease patients at their homes and help them manage their conditions effectively. Developing relationships with integrated delivery systems in metropolitan areas that are MinuteClinic markets. It is important that CVS develop relationships with integrated delivery systems like Partner’s Health, Cleveland Clinic, etc. These partnerships will provide multiple benefits for the Clinic: (a) Increased patient flow for minor conditions hence offloading the demand for minor medical procedures ; (b) Enable rotation of its staff with the IDS facilities which will ensure higher retention of medical staff, better training and improved quality of care, and reduction of costs; (c) Co-Branding can lead to main stream recognition for CVS MC and benefits for CVS pharmacy of partnership with big delivery networks; (d) Divert patients for minimal procedures to reduce load during periods of peak demand by partner hospitals. Develop capability to provide chronic disease management and wellness services. Given the Health Reform, PCP shortages and increasing number of chronically sick patients in USA, MinuteClinic is well positioned to enter chronic disease market. Expanding services for chronic disease management can have substantial long term financial benefits. Hypertension, Diabetes, Hyperlipidemia and Asthma can be the focus of initial push. MinuteClinic should also focus on wellness, health maintenance and screening services. (Obesity, smoking cessation, mammography) These services can rovide significant patient volume as most people avoid accessing hospitals for such services due to long wait times and visitation restrictions. Chapter 4. Proposed Metrics MinuteClinic should have clearly defined metrics. Given our mission statement and proposed strategy, the metrics should be as follows: These metrics are further broken down in Appendix 1, Balanced Scorecard. Patient Satisfaction Patient volume Patie nt wait time IT implementation Category of Patient Chapter 5. Summary We believe CVS MinuteClinic has been very successful. The suggested options are realistic ways to continue to increase patient volume and revenue. Appendix 1, Balanced Scorecard | | | | |Degree of |Sets | | | | | |Reliability/Q|Objective | | | | | |uantifiable | | | | | | | | | | |   |   |   |   |   |   |   |   |   | | Quality and Patient Satisfaction |Q1 |Patient retention |   |   |   |   |   | | |Q2 |Patient referral |   |   |   |   |   | | |Q3 |Patient complaints |   |   |   |   |   | | |Q4 |Patient Wait Time |   |   |   |   |   | | Process/Productivity |P1 |Technology |   |   |   |   |   | | |P2 |Efficiency Improvement |   |   |   |   |   | | |P3 |Systems Innovation |   |   |   |   |   | |Financial Management |L1 |Cost Per Patient Per Day |   |   |   |   |   | | |L2 |Performance against Contract |   |   |   |   |   | |Patient Category |C1 |Primary Care Services |   |   |   |   |   | | |C2 |Wellness |   | |   | |   | | |C3 |Screening |   |   |   |   |   | |

E.B. Whites Drafts of Once More to the Lake

E.B. White's Drafts of 'Once More to the Lake' At the start of every fall term, countless students are asked to write an essay on what must be the most uninspired composition topic of all time: How I Spent My Summer Vacation. Still, its remarkable what a good writer can do with such a seemingly dull subjectthough it may take a bit longer than usual to complete the assignment. In this case, the good writer was E.B. White, and the essay that took more than a quarter century to complete was Once More to the Lake. First Draft: Pamphlet on Belgrade Lake (1914) Back in 1914, shortly before his 15th birthday, Elwyn White responded to this familiar topic with uncommon enthusiasm. It was a subject the boy knew well and an experience that he fiercely enjoyed. Every August for the past decade, Whites father had taken the family to the same camp on Belgrade Lake in Maine. In a self-designed pamphlet, complete with sketches and photos, young Elwyn began his report clearly and conventionally This wonderful lake is five miles wide, and about ten miles long, with many coves, points and islands. It is one of a series of lakes, which are connected with each other by little streams. One of these streams is several miles long and deep enough so that it affords an opportunity for a fine all-day canoe trip. . . .The lake is large enough to make the conditions ideal for all kinds of small boats. The bathing also is a feature, for the days grow very warm at noon time and make a good swim feel fine. (reprinted in Scott Elledge, ​E.B. White: A Biography. Norton, 1984) Second Draft: Letter to Stanley Hart White (1936) In the summer of 1936, E. B. White, by then a popular writer for The New Yorker magazine, made a return visit to this childhood vacation spot. While there, he wrote a long letter to his brother Stanley, vividly describing the sights, sounds, and smells of the lake. Here are a few excerpts: The lake hangs clear and still at dawn, and the sound of a cowbell comes softly from a faraway woodlot. In the shallows along shore the pebbles and driftwood show clear and smooth on bottom, and black water bugs dart, spreading a wake and a shadow. A fish rises quickly in the lily pads with a little plop, and a broad ring widens to eternity. The water in the basin is icy before breakfast, and cuts sharply into your nose and ears and makes your face blue as you wash. But the boards of the dock are already hot in the sun, and there are doughnuts for breakfast and the smell is there, the faintly rancid smell that hangs around Maine kitchens. Sometimes there is little wind all day, and on still hot afternoons the sound of a motorboat comes drifting five miles from the other shore, and the droning lake becomes articulate, like a hot field. A crow calls, fearfully and far. If a night breeze springs up, you are aware of a restless noise along the shore, and for a few minutes before you fall asleep you hear the intimate talk between fresh-water waves and rocks that lie below bending birches. The insides of your camp are hung with pictures cut from magazines, and the camp smells of lumber and damp. Things dont change much. . . .(Letters of E.B. White, edited by Dorothy Lobrano Guth. Harper Row, 1976) Final Revision: Once More to the Lake (1941) White made the return journey in 1936 on his own, in part to commemorate his parents, both of whom had recently died. When he next made the trip to Belgrade Lake, in 1941, he took along his son Joel. White recorded that experience in what has become one of the best-known and most frequently anthologized essays of the past century, Once More to the Lake: We went fishing the first morning. I felt the same damp moss covering the worms in the bait can, and saw the dragonfly alight on the tip of my rod as it hovered a few inches from the surface of the water. It was the arrival of this fly that convinced me beyond any doubt that everything was as it always had been, that the years were a mirage and there had been no years. The small waves were the same, chucking the rowboat under the chin as we fished at anchor, and the boat was the same boat, the same color green and the ribs broken in the same places, and under the floor-boards the same fresh-water leavings and debristhe dead hellgrammite, the wisps of moss, the rusty discarded fishhook, the dried blood from yesterdays catch. We stared silently at the tips of our rods, at the dragonflies that came and went. I lowered the tip of mine into the water, pensively dislodging the fly, which darted two feet away, poised, darted two feet back, and came to rest again a little farther up the rod. There had been no years between the ducking of this dragonfly and the other onethe one that was part of memory. . . . (Harpers, 1941; reprinted in One Mans Meat. Tilbury House Publishers, 1997) Certain details from Whites 1936 letter reappear in his 1941 essay: damp moss, birch beer, the smell of lumber, the sound of outboard motors. In his letter, White insisted that things dont change much, and in his essay, we hear the refrain, There had been no years. But in both texts, we sense that the author was working hard to sustain an illusion. A joke may be deathless, the lake may be fade-proof, and summer may seem to be without end. Yet as White makes clear in the concluding image of Once More to the Lake, only the pattern of life is indelible: When the others went swimming my son said he was going in too. He pulled his dripping trunks from the line where they had hung all through the shower, and wrung them out. Languidly, and with no thought of going in, I watched him, his hard little body, skinny and bare, saw him wince slightly as he pulled up around his vitals the small, soggy, icy garment. As he buckled the swollen belt, suddenly my groin felt the chill of death. To spend almost 30 years composing an essay is exceptional. But then, you have to admit, so is Once More to the Lake. Postscript (1981) According to Scott Elledge in E.B. White: A Biography, on July 11, 1981, to celebrate his eighty-first birthday, White lashed a canoe to the top of his car and drove to the same Belgrade lake where, seventy years before, he had received a green old town canoe from his father, a gift for his eleventh birthday.