A Health Promotion Initiative for Smoking Cessation

A Health Promotion Initiative for Smoking Cessation Many health promotion initiatives had been undertaken everywhere. However, the most important is that such initiatives should establish certain aspects of characteristics based on best practice in order to be described as successful. This means that the initiative must be consistent with health promotion values, theories, evidence and understating of the environment (Kahan Goodstadt 2005). Although the definition of health promotion practice is broadly accepted, it is not fixed to any rigorously defined discipline, and is said to be practised by individuals in diverse organizations, trained in a multiplicity of disciplines (Boutilier et al. 2000). Generally speaking, health promotion initiatives emphasize elements of empowerment, participation, multidisciplinary collaboration, capacity building, equity and sustainable development (Judd et al. 2001). The Ottawa Charter is considered to be the backbone of any health promotion practice and it is acting as the wheel that guides all heal th professionals into an ideal and best practice of health promotion related issues. In addition, the best practice is provided through effective planning and evaluation. A working guide to help in successfully achieving the goal is by an approach focusing on the following points: identifying the issue, gaining support and forming a working group, conducting a needs assessment and get to knowing your community, developing an action plan, encouraging participation, communicating with the public through the media, implementing change, monitoring, evaluation and adjustments (NLHHP 2003). In this assay, I will critically review a health promotion initiative by comparing the characteristics of this initiative against the principles of best practice. The initiative example: (Attention: the abstract is attached at the end of the assignment). Secker-Walker, Roger H ; Flynn, Brian S. ; Solomon, Laura J. ; Skelly, Joan M. ; Dorwaldt, Anne L.; Ashikaga, Takamaru (2000) Helping Women Quit Smoking: Results of a Community Intervention Program, American Public Health Association, Inc. Volume 90(6), June 2000, pp 940-946. Smoking lends to health promotion solution: Smoking is a challenging health problem world-wide and it is considered to be the second major cause of death. It is currently responsible for the death of one in ten adults (WHO 2005). It is clear that smoking cessation is a priority for preventing many diseases and reducing their burden. There is a real need to expand the implementation of strategies to reduce tobacco use such as increasing the cost of cigarettes and implementing comprehensive tobacco-useprevention and cessation programs. (CDC 2003). Consequently, promoting smoking cessation can have a great impact in reducing the burden of diseases and improving the population health (Ezzati Lopez 2003). However, the health promotion is not just the responsibility of the health sector, but goes beyond healthy life styles to well being (WHO 2005). As a result, a lot of efforts at different levels are needed in order to control smoking. This could be achieved well only through proper health promotion intervention. Moreover, the hea lth promotion is defined as a set of activities designed to achieve optimal health for all by monitoring and enhancing the heath of everyone and facilitating individual control over the determinants of health (Kahan Goodstadt 2005). The definition itself sounds a logical solution for the high smoking prevalence among women. This is because of that in order to solve such problem, the women themselves should be actively involved and the community should be empowered. In addition, the physical and social supportive environment should be ensured in order to maintain smoking cessation. This is only ensured through a health promotion initiative. The best way to reduce the prevalence of smoking may be to use community-wide programs because smoking behavior is determined by social context. A community approach will remain an important part of health promotion activities (Secker-Walker et al. 2002). It has been proved that health promotion initiative will encourage smoking cessation and could prevent substantial numbers of deaths in the UK (Lewis et al. 2005). Needs assessment and its accountability for population wishes: It is crucial, first of all, to identify the issue through the need assessment. This is done by collecting the necessary information that specifies the needs that are considered as priority by the community. This provides an opportunity for the community to become involved in the planning from the beginning (Territory Health Services 2005). The health needs are defined as those states, conditions or factors in the community that, if absent, will prevent people from achieving complete physical, mental and social health (Ritchie et al. 2004). In this project, the need assessment is not well conducted and the different needs were not well assessed. It is not mentioned in this article whether the community profile was analyzed or not. However, the project investigators sat with local people, conducted interviews with key informants and shared information with them. Nevertheless, the following needs could be figured out: The decline in smoking prevalence among United States women was lagging behind that of men. This necessities the need of research on strategies to accomplish smoking cessation among women. There is real womens needs for social support while quitting In addition, their need for assistance with coping with negative affect in the absence of smoking, and their concerns about weight gain following quitting. Cigarette smoking is a risk factor for cardiovascular diseases. The smoking is a major health problem that can cause death. Many community based programs have been conducted to reduce cardiovascular risk factors, including cigarette smoking. Some of these programs showed the intervention effects on smoking behavior are effective. After analyzing this article, it is obvious that the need assessment indicates that smoking reduction among women is a priority public health in United States. This is a normative need. The best practice of health promotion emphasizing the sharing of need assessment with local people in order to improve the chance of success of any intervention. In this way, the success is ensured because sharing the results of the needs assessment will raise community awareness about the issues and possible underlying causes, stimulate discussion about ways to address the issues and get the community more involved in planning and decision-making (Territory Health Services 2005). There is clear information in the article that the community members were involved in the planning and implementation of the intervention throughout the five years period. On the other hand, it is not mentioned clearly how they assess the felt needs (i.e. whether the community groups say what they want, or address the proble ms that they think are important (Territory Health Services 2005)). Nevertheless, the participatory community organization was used to plan and provide widespread support to women smokers as they tried to change their smoking behavior. The comparative and expressed needs were not assessed. Goals and objectives of the initiative: It is essential after the needs assessment is over, to set up appropriate goals and objectives. The first step in critical analysis of goal and objectives is whether these had been stated clearly. The goal of this intervention was to reduce the prevalence of cigarette smoking among women aged 18 to 64 years old in Vermont and New Hampshire. This goal is specific, measurable, achievable and includes the nature of change expected. It will be more comprehensive if it was mentioned that it was limited to five years, which is the duration of the project and to specify the amount of smoking prevalence reduction in order to know exactly what intervention success means. However, this goal does identify the broad long term changed that was expected to be achieved ultimately (Hawe et al. 1990). The objective is not mentioned in this article. Instead they mentioned the sub-objectives. However, by analyzing the article I feel the objective should closely serve the goal. This means that achieving reduction in the smoking prevalence through a positive change in the women smoking behavior. As a result, the objective should be stated as to increase the number of serious quit attempts among women aged 18 to 64 years old in Vermont and New Hampshire by 20% for example. So the objectives will be also specific, measurable, achievable, includes the nature of change expected and time limited (SACHRU 2005). The sub-objectives were clearly mentioned. These were to increase motivation and intention to quit smoking and confidence in staying quit despite weight gain and negative affect, to increase awareness of cessation activities and to strengthen perceived norms and available support to help women quit smoking. It is known that a sub-objective should happen before the objective in the pathway and it might create a change in favour of the objective (Hawe et al. 1990). Keeping this in mind, there is a clear description task of these sub-objectives and they closely serve the objective by taking in account how to overcome womens negative feeling affect and thus create a change in the behavior. On the contrary, they were not time limited and some of them seems be difficult to be measured like increase confidence in staying quit despite weight gain and negative affect and also perceptions of norms. It is essential for any good health promotion planning to focus on underlying causes and factors that could possibly contribute or lead to the problem (Kahan Goodstadt 2005). Therefore, development of clear and organized goal and objectives based on a critical analysis of the problem in terms of contributing and risk factors is essential (Territory Health Services 2005). It is not mentioned clearly in this article about the underlying causes of or contributing factors to smoking among women. However, specific health related behavioral and environmental factors linked to smoking were mentioned. It was stated that the smoking was most prevalent among lower income class. This implicates that poverty play an important role as an underlying cause of smoking. It sound logic that one of the sub-objectives should be stated clearly to take care of improving socio-economic situation or more accurately to tackle poverty related issues. It is also mentioned that the womens concerns about weight gain following quitting act as a barrier to stop smoking. Luckily, More than one sub-objective took care of this factor. Description of the intervention: A good description of the intervention is provided in the article under specific headings. It was directed to two pairs of demographically matched counties in Vermont and New Hampshire in United States which were assessed preintervention and postintervention during the period 1989 to 1994. The project was initiated by organizing community planning groups and the program was called Breath Easy. Each countys planning group formed a coalition, and each coalition formed 5 working groups. The planning process was taken up by the local planning group along with its coalition with very little input from the investigators except for the first year. Different activities were conducted during each year after the starting of the program. In the first year, the focus was to develop support systems to help women quit smoking through individual proactive telephone peer support. During the second year, videotape showing the process of quitting smoking was produced and distributed at no cost. In the third year, free smoking cessation classes were organized with a focus on dealing with negative affect. Later, the health professionals were involved in the Breath Easy program. Also, workplaces initiatives included presentations to businesses and worksites and assistance with smoking policies were started. Moreover, there was involvement of media initiatives included newsprint and radio (Secker-Walker et al. 2000). The conceptual frame work and underlying theories and values: The conceptual framework and underlying theories are not described in details in this article. It is only mentioned that they used social cognitive theory, the transtheoretical model of behavior change, diffusion of innovation theory, and communications theory. It was stated in the article that the project intervention was based on the proven effectiveness of this type of community intervention in promoting smoking cessation among women in Smoke Free North Side study. However, as I am reading the article it becomes clearer to me how well these theories could be fit into a community based health promotion project. The five basic stages of a behavior change as identified by the transtheoretical model of behavior change are pre-contemplation, contemplation, determination or preparation, action and maintenance (Nutbeam Harris 2004). These stages could be applied to explain the change of smoking behavior among women especially ensuring maintenance through peer support. According to the social cognitive theory an individual, the environment and behavior are continuously interacting and influence each other (Nutbeam Harris 2004). This is clearly noticed in the modifications of community norms concerning women smoking. The people decision to smoke is made within a broad context and influence by the surrounding environment which shapes the health behaviors such as smoking. In addition, diffusion of innovations refers to the spread of new ideas, techniques, behaviors or products throughout a population (Ferrence 1996) and this is exactly what had happened in this project where the message of smoking cessation was spread through mass media, videos and classes. Lastly, the communications theory is also applicable to this project. The values are important things because they affect which issues we choose to address and how we are going to address them (Kahan Goodstadt 2005). The values of community intervention and development were not mentioned in this article. After literature review, it became obvious that some of these values are respect, equity, participation and meaningful process (http://www.wrha.mb.ca/howcare/commdev/). The process of community participation allows removal of inequality barrier and ensures fair distribution of resources. Moreover, respecting of local people and their involvement in determining their own health problems resulted in a positive outcome of this project. Application of Ottawa Charter action areas: There are many social factors that affect the diseases risk factors such as smoking and thus affecting the health. This includes low levels of social support and lack of personal control. These issues were well addressed in this initiative through the proper applications of Ottawa charter action areas. It is well stated that the achievement of the project objectives is through community members participation in planning and implementation. The community action is strengthened by involving local people to participate actively in order to improve their own health. The community organization is set up by forming local planning groups and from each group, the annual plans are drawn up. The supportive environment is provided through the supportive telephone communications networks which were arranged to encourage women to stop smoking. In addition, a healthy and supportive environment was ensured in workplaces, community college and high schools. Moreover, the organization of free smoking classes that focus on dealing with negative affect following quitting played an important role to maintain the quitting process. Healthy public policies were built in the community. An example is that smoking cessation policies were introduced into the workplaces. Another example was the active involvement of media which included newsprint and radio and made use of paid advertisements and thus information for quitting were available in each community. The personal skills of targeted females were developed. This was by training the female ex-smokers to provide support to current smokers to quit smoking through proactive telephone support. In addition, they were involved in the production of videos showing their own process of quitting smoking. Re-orientation of health services took place to some extent. This was by mobilizing the health workers towards focusing on smoking cessation activities rather than providing the medical care only. This was through making referrals to the telephone peer support system and they were trained in a brief smoking cessation protocol. It is quit obvious that by analyzing the interventions of the project, the Ottawa charter definition of health promotion is clear. This is because the project interventions could be understood as a process of enabling people to increase control over, and to improve, their health (WHO 2005). Evaluation: The evaluation process plays an essential role in ensuring the best achievement of any given program as it will affect the way in which the program will be conducted and the amount of effort needed (Ewles Simnett 1999). For the evaluation to be accepted, it should consist of process, impact and outcome evaluation. It is important to have the three parts otherwise it will be difficult to understand how the evaluation took place (Springett et al. 1995). The evaluation starts by evaluating the process including measuring the strategies, the activities and the quality of the project. Then, measuring the immediate effect of the project and this is called impact evaluation. At the end, it should measure the outcome or long term effect (Territory Health Services 2005). The evaluation was well planned and was well in place for this project. They used PRECEDE frame work to integrate the overall objectives of the program with the evaluation plan. This model takes into account multiple factors that determine health and quality of life and generates specific objectives and criteria for evaluation (Green Kreuter 1999). The design of the study was non-randomized with two pairs of demographically matched countries assessed peintervention and postintervension. This established a relationship between the intervention and observed outcome by comparing the situation before and after the intervention. In addition, they have set specific measurable objectives for each working group to be accomplished or initiated during the following 12 months. The stages of evaluation were done as follows: Process evaluation: Specific factors were set to evaluate predisposing, reinforcing and enabling factors. These includes attitudes and beliefs towards quitting smoking, perceptions of norms and social supports, availability of smoking cessation materials and services, program recognition and media coverage. Suitable indicators were used to measure the above factors such as social support scale, measures of confidence in being able to stop smoking and confidence in being able to control weight gain after quitting smoking and measures for availability of smoking cessation resources. Impact evaluation: The impact was evaluated through a change in the smokers behavior. The indicators which were used are average daily cigarette consumption and average number of serious quit attempts. Outcome evaluation: This was evaluated by measuring the smoking prevalence among women aged 18 to 46 years old. It was found that the prevalence had declined significantly. This indicates the effectiveness of this project through achieving its main goal. Summative evaluation: It is the last step to be done and it involves considering the project as a whole, from beginning to end (SACHRU 2005). The investigators did not evaluate all different aspects of the project. However, they mentioned about strengths, limitations, response rate and their recommendations. The strengths of the study were small size and rural nature of these communities. On the other hand, the major limitations were nonrandomized design, the inclusion of only two counties in each condition, lack of prior measures of smoking prevalence in these counties and lack of ethnic diversity in the study population which limit the generalizability of the results. The overall sample size was 6436 with response rates of 89.9%. Their recommendations were that any future community interventions designed to effect reductions in smoking should place greater emphasis on the provision of a broad range of support for quitting smoking that is readily accessible to all smokers (Secker-Walker et al. 2000). Conclusion: Adoption of health promotion best practice is the only way to ensure effective and successful results of any intervention. However, this practice is not an easy mission. It requires a lot of augmentive efforts. The application of Ottawa charter and the reliance on justifying theories and values is essential. Moreover, the quality of the initiative is based on effective planning and evaluation from the initial stages. The community involvement in promoting smoking cessation was ensured in this project from the initial stages. Also, the evaluation process was proceeding well with PRECEDE framework. In conclusion, this initiative was about to be an excellent example of best practice except improper statement of objective, values behind the intervention and insufficient statement of needs assessment

Global Procurement and Supply

GlaxoSmithKline:Sourcing Complex Professional Services Erin Edwards Global Procurement & Supply April 22, 2018IntroductionGlaxoSmithKline also known as GSK is currently losing millions of the dollars annually in legal process. Normally, GSK always billed the law firms on hourly basis but this was not practical for the company. The team not had to research and innovate new ways to cut the spending through a new procurement process. GSK, GlaxoSmithKline uses an innovative approach to procure outside counsel by trading relationship based selection of law firms to an online reverse auction. However, the quality of the work, and selecting the right the law firm was a challenging hurdle to jump. GSK was willing to take up the challenge to come up with a better process of handling their spend.GSK is hit with a devastating suit and only has a certain number of days to hire a firm in time to respond. Their managing attorney Sophia Keating grapples with GSK approach to selecting suppliers. GSK employees ensured Sophia that this approach drives down cost and improves the quality of work submitted by the lawyers. Still skeptical about the process, she still runs process by comparing the competing firms and their bids. Furthermore, it was the decision by Harlow to outsource the services. GSK made strides to come up with the suitable options, and options to meet the criteria of less cost, and quality work. However, there were other concerns that could be discussed more broadly to avoid the pitfalls during the process. This case also describes the process in which this process was made and adopted beyond the implications for law firms and other service providers. Many processes seemed to only be adopted by selecting vendors for a variety of supplies and products but can be used for services also. This procurement process can be incredibly beneficial, especially streamline purchasing and tracking spend. This process can ensure a company pays the best price for goods or services, save time by choosing the most reputable vendors, and minimize order delays and mistakes. After getting early endorsement from the general counsel, Marty Harlow worked with GSK's global external legal relations team (GELRT) in legal to develop a matter-specific, mini-RFP tool that enables in-house counsel to assess firms' specific qualifications for a particular representation. The other main component of the OCSI is the electronic reverse auction which encourages fee competition among qualified law firms instead of hourly rates. GSK's preferred firm roster work with procurement to draw up a shortlist of firms to invite to an OCSI event. GSK lawyers use a form-driven process to state as much detail about the matter as possible and these are passed to Harlow's team for submission to firms. This case is very useful in talking about institutional change and how the procurement process can be adopted to many fields and services.Main IssuesUncontrollable SpendingThe company was spending millions of dollars annually on the spending on the legal matters. It was identified that there was also extra unnecessary cost incurred that could have been avoided through a better process that was more centralized. â€Å"More than a quarter of companies in the U.S. and UK spent over $5 million annually on litigation costs in 2012, and among healthcare companies that proportion was estimated to be 30%– 40%. Because legal fees had become a prominent line item in company overheads, top management in many companies pressured their general counsel (GC), the chief lawyer of a legal department, to rein in legal spending† (Gardner and Silverstein 2)There were some moments when the company even did not know about the spending on the legal matters, and legal department exceeded the budget sometimes. This was an issue many companies were being affected by, not just GSK. However, GSK noticed the high costs and need to be able to have a better centralized process. Therefore, it was challenging for the company to manage the spending on the legal matters and find another solid process that could not only cost less, but also provide quality services since quality is very important in the legal work. Relationship Vs. QualityGSK is engaged with the same law firms that they have had long relationships with. â€Å"One involved consolidating the number of firms with which their company regularly worked—sometimes ending long-standing relationships.† (Gardner and Silverstein 3) Relationship management is very key is long lasting business relationships, which has allowed GSK to be very successful with prior legal matters. However, through this process, the company would incur extra cost on the legal matters, because there is no cap on spend since it was tracked hourly. Since there was no centralized system to track the work and spend, GSK had no idea about the urgent matters and problems of the company. It is very important the firms that are selecting ensure that quality work is being completed without overspending. Cost does not always mean quality. GSK should have to risk quality during their cost for the best legal pursuits. Even though supplier relationship management is great, but it becomes challenges when spend is starting to become uncontrollable and unmanageable. Building closer relations with your strategic partners will minimize supply chain risks. Having strategic partners whose goals are aligned with business objectives are highly valuable and important to long term success.KPIsThere was not performance management in place to determine how the firm is performing. GSK did not have a quantifiable measure that is used to track and assess the status of the firm process. Every area of business especially complex professional services should have specific metrics that should be monitored. Having metrics will focus more on big picture financial metrics, which was an issue for GSK without the procurement process. The case does not mention how performance of the firms will be tracked. â€Å"GELRT leveraged technology to obtain?the information it needed to optimize financial performance and strengthen strategic planning. Matter management, electronic billing, and reporting systems were already in place within the legal department.† (Gardner and Silverstein 6) There is a lot of information about how GELRT uses technology to acquire information. The system is able to track spending, but there is no system in place to track KPIs.AnalysisThe process of sourcing involves the company to select suppliers for a product or service. The complete an evaluation of the supplier and finally contract with the supplier to deliver the required products or services. While procurement refers to the activity of getting the deliveries from the supplier identified and ensuring that the payments to the supplier are made. GSK adopting procurement process has helped make changes within their spend. â€Å"By 2006–2007, procurement had become heavily involved in the sourcing of many ancillary services. Harlow's tough stance in negotiations saved GSK an estimated $23 million: $19 million from Legal Staffing/eDiscovery, $1 million from Court Reporting, and $3 million from Medical Records.† (Gardner and Silverstein 4) By taking the right initiatives in sourcing and procurement, GSK is able to see the benefits. Having a process in place will save the company time; ensure that one is getting the right solution to meet business needs. A procurement process will ensure you pay the right price and avoid overlooking vital steps that may come back to haunt the firm later. Procurement policies and procedures allow a business to arrange its buying strategy to its long-term goals and objectives. Procurement helps with a better chance to meet business goals. â€Å"This system reminds me of buying office supplies or landscaping services. Can it really be applied to a complex legal case like this one†¦.?† (Gardner and Silberstein 1) This is what Sophia Keating thought to herself when the idea of a reverse auction process was presented to her. The vendor selection process initially starts as part of a company's strategy. A procurement process can measure the direct costs and the team timesaving achieved through better management. For example, GSK was very focus on their legal spend, which in turns means you need to select firms that would be able to handle the request in the right budget. The nice thing they had a selection of firms who meet their cost, quality and service requirements needs, but also add some firms who were new. After they shortlisted their firms, GSK was able to use OCSI for their quotes, terms and minimum service levels. Finally, review their proposals from the reverse auctions and reward the firm with the lowest number. Procurement increases an organization's productivity by providing visibility into transactions.Benchmarking is the process of paralleling what companies are doing with what the best performing company in your industry is doing. In textbook, Purchasing & Supply Chain Management describes bench making as, â€Å"Benchmarking is the continuous measuring of products, services, processes, activities, and practices against a firm's best competitors or those companies recognized as industry or functional leaders.† (770) In Exhibit 3 of the case, you able to see how GSK compares with the other Law Firms Self-Assessment. Unfortunately, GSK managing attorney assessment does under perform in a couple areas like understanding business objectives, involvement of diverse team members, and reactiveness and creativeness. One of three types of benchmarking, process benchmarking compares operational processes. Performance benchmarking compares product or services, marketing and sales to determine how to increase profits. Short term benchmarking goals, produce quick results. But it is the long-term goals that help with the direction and strategies of the company that will make it more competitive in the market. Performance management is a performance controlling style that has grown increasingly popular with a variety of companies. Performance management is the process in which it challenges the company's overall performance and abilities. It challenges them to bring their best foot and work forward. Performance manage usually involve setting goals, then evaluating their progress or work with a reward or penalty depending on how the firm or vendor performs. RecommendationsRun Reverse AuctionsA reverse auction is best used to obtain the best rate by embracing competition among firms bidding on price. GSK using this method will allow the law firms to compete with their best idea to win the business and also be within budget. The idea of reverse because during the auction makes sure the price drops. Price was definitely an issue for GSK previously because there was no way to track the spending. Using the method of reverse auction has a number of advantages. Some of the benefits of reverse auction is the amount of time it takes to make a decision. Before something that could takes months, can now be shortened into weeks or even days. Also, the bidders are able to see who their competition and how they compare to them. There is a lot more transparency when it comes reverse auctions. Law firms would calculate their preliminary prices and confirm the very lowest price they would go to secure the business. II. Conduct Routine Performance ReviewsPerformance management is a mutual agreement about how companies or individuals contribute to an organization's goals. This is what OCSI can do for GSK. OCSI can act as a process of performance management and appraisals focusing on aligning GSK's workforce, building capabilities, improving employee performance and development, and influencing better business results. GSK should complete annual performance reviews to evaluate the firms' performance. This entails gathering feedback from co-workers and clients into consideration and observations by management. These assessments can be very detailed and elongated to include a review of the previous years' evaluation and an assessment of services. Many firms may have the company complete an evaluation of their own performance that is then discussed during the evaluation and compared to the official evaluation. Monitoring gives the company an opportunity to make a course correction or adjust a timeline if it is needed so that the vendor will produce the desired outcome of successfully achieving goals. If GSK concludes the vendor has unacceptable performance, monitoring performance enables them to identify the problem early and get an opportunity to rectify before being evaluated incorrectly.III. Implementing a Performance-Based IncentiveThese systems are designed to retain top-performing vendors, motivate the desired performance, and control costs. If a company wants to pay for performance, it must define performance in very specific, objective, quantifiable terms, measure it and track it. Introducing a performance based incentive program with help firm collective help GSK reach their business goals and legal objectives. This r eally entices firms to align their work with the business goals. Having a reward for exceptional performance and penalties for poor performance really ensure that money is not being wasted but invested properly. IV. Routinely Fresh Preferred SuppliersIt is healthy to refresh suppliers and firms from time to time. If you consolidate your supplier base, it will allow better visibility over the billing process. It will be easier to track payments leaving the business and going to the suppliers, so any errors will be identified more rapidly. When you deal with less suppliers and vendors, there is less administration and paperwork to handle. This allows more time to focus on other areas of the business. When it comes to decreasing the number of suppliers GSK uses, it is best to control what's best for the business. Above all, GSK needs to find the best overall fit so that there's a steadiness between the time it takes to achieve their supplier base and the profitability of the business.Conclusion Procurement is should be viewed strategic function working to improve the organization's cost-effectiveness. Procurement helps streamline processes, reduce service prices and costs, and identifying better firms to do services. It is essential to any business that purchases anything such as products or services. Since GSK buys services like other companies, then the better its procurement function works, the more money it can make. Typically, businesses buy products or services from multiple vendors. Procurement handles the details of procuring these purchases at optimal prices. Combining your strengths with stakeholder' helps find new progressive solutions to remain successful in business and stay ahead of the competition. To maintain sustainable supply chain, procurement management has a profitable impact on a company's processes. It helps avoid supply chain risks by better collaborating with vital partners and providing added value to diverse business practices. The bottom line: Performance management is an ongoing practice, not a yearly task. The success of an organization, if aligned to your organizational goals, will drive business results.ReferencesCapko, Judy. â€Å"Five Steps to a Performance Evaluation System.† Family Practice Management, 1 Mar. 2003, www.aafp.org/fpm/2003/0300/p43.html.Gardner, Heidi K, and Silvia Hodges Silverstein.â€Å"GlaxoSmithKline: Sourcing Complex Professional Services.†Ã‚  Harvard Business Review, 26 Feb. 16, hbr.org/product/glaxosmithkline-sourcing-complex-professional-services/414003-PDF-ENG.Accessed 18 Apr. 2018.Markgraf, Bert. â€Å"How to Evaluate a Company's Performance.†Ã‚  Small Business – Chron.com, Chron.com, 5 Feb. 2018, www.smallbusiness.chron.com/evaluate-companys-performance-67095.html.Monczka, Robert M., et al.  Purchasing and Supply Chain Management. South-Western, 2011.Wincel, Jeffrey P.  Lean Supply Chain Management: a Handbook for Strategic Procurement. Productivity Press, 2008.

Forensic Psychology And The Human Mind And Its Functions

Psychology and law at first glance are not two terms that seem to correspond with each other. One might even question why they would be mentioned in the same context. Crime has become a major issue within today’s society. It seems as though the only way to prevent most of them is to enforce the repercussions of the act and punish those that partake in it. Criminals often have motives or attributes that lead them into a life of crime. Forensic psychology is the cynosure that brings the association between psychology and law into perspective. The term forensic is defined by The Oxford English Dictionary as, â€Å"Relating to or denoting the application of scientific methods and techniques to the investigation of crime.† Psychology is defined as, â€Å"The scientific study of the human mind and its functions, especially those affecting behaviour in a given context and the mental characteristics or attitude of a person or group (OED).† These terms combined form one of the newest subfields of psychology. The main objective of forensic psychology is to aid in the punishment and prevention process of criminal and civil investigations. As the field continues to expand, a plethora of careers and opportunities have and are becoming available. Of course, with anything new and/or unfamiliar, there is question of credibility and moral. Since law is a major component involved in this subfield of psychology; the ethics involved in the practice must also be considered. 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Psychology isn’t just a phenomenon; it is a scientific study. Psychology as a science answers the question â€Å"why†, proposes a theory and sets experiment to test the hypothesis. The researchRead MoreForensic Psychology: Limitation of Forensic Assessments4656 Words   |  19 Pagestheir incredible ability to glare into socially and morally deviant minds and weave stories around them. We see a similar trend today. Much of primetime television is filled with shows that have experienced psychoanalysts chasing sophisticated and grossly deviant criminals or some variation of this general theme. The general public tends to relate to the job of a forensic psychologists to that of a cat chasing a mouse. Forensic psychology, however, is a far less glamorous and far more complex endeavorRead MoreThe Health Of Health Psychology Essay1973 Words   |  8 Pageseffectiveness of health psychology as it relates to improving health care quality†. 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The Fourth Amendment And Fifth Amendment - 1585 Words

The three amendments that are used to protect the rights of those accused of a crime include, the Fourth, Fifth, and Sixth Amendment. The Fourth Amendment protects the right of people to be secure in their persons, papers, and effects, against unreasonable searches and seizures. (Peak, 2015, p.181). The Fifth Amendment protects the accused against self-incrimination, double jeopardy, and life, liberty, and property. Meaning no person will be forced to be a witness against themselves, they cannot be tried for the same offense twice, and their right to life, liberty, and property are protected under the law. (Peak, 2015, p.193). The Sixth Amendment is the right to counsel. Any person who is accused of a crime has the right to counsel for their defense, a speedy and public trial by an impartial jury, to be informed of the nature of their crime which also includes Miranda rights, and to be confronted with the witness against him/her while also having witnesses of their own. (Peak, 2015, p.195). These three Amendments in summary mean to me, that any person who is accused of a crime is innocent until proven guilty and their rights are just as important as anyone else. They have the natural born right to have their rights as citizens protected under the law, and ensure fair treatment from law enforcement officers. In 1993, the Supreme Court ruled a decision on the court case, Minnesota v. Dickerson. This court case is a following case of the original Terry v. Ohio in 1968, theShow MoreRelatedThe Fourth Amendment And The Fifth Amendment Essay1594 Words   |  7 Pagesand the Bill of Rights, the Fourth Amendment can be best defined as an amendment providing the right of the people to be secure in their persons, houses, papers, and effects, against unreasonable searches and seizures, shall not be violated, and no warrants shall issue, but upon probable cause, supported by Oath or affirmation, and particularly describing the place to be searched, and the persons or things to be seized (Fourth, 2012). In general terms, the Fourth Amendment protects from illegal searchesRead MoreThe Fifth Amendment : The Fourth Amendment1681 Words   |  7 PagesFifth Amendment The Fifth Amendment (Amendment V) which is followed by the United States Constitution belongs to the part of the Bill of Rights and will protect each and every individual from being compelled to witnesses against themselves in all sorts of criminal cases. Pleading the Fifth is a sort of informal term used generally for invoking the right which allows the witnesses to decline the chance of answering the questions which may lead the answers that might incriminate them, and basicallyRead MoreFourth, Fifth, and Sixth Amendments to the Constitution Essay887 Words   |  4 PagesCJL 4064 Amendment Project As requested by the committee chair, I have examined the 4th, 5th, and 6th Amendments of our Constitution. It is imperative for the participants of the Constitutional Convention to update, and furthermore, enhance the Bill of Rights. The amendments were created with a valuable perspective on individual rights in the 1700s. Today, in 2010, our country has developed in the use of language, our principles, and our overall society. After close examination of theRead MoreWhat is the Bill of Rights?1440 Words   |  6 PagesAmerican citizens. All ten Amendments in the Bill of rights are significant for protecting the right of the citizens but Amendment One the freedom of speech, religion, press, and petition, the Fourth Amendment gives the protection of unreasonable search and seizure without a search warrant, and Fifth protects the accused by protecting them from self incrimination, double jeopardy, and from depriving their life, liberty, or property without due process of law. The First Amendment gives citizens many freedomsRead MoreCybercrime Case Study Paper1123 Words   |  5 PagesCybercrime Case Study Paper The Fourth Amendment can be applied to the Internet, computer, and cybercrimes, but it must be done very carefully. The protections that are granted by the Fourth Amendment should depend on the data. If the data is content, which means any kind of communications such as email, or any remotely stored files on a computer system, then the information is protected by the Fourth Amendment. However, if the data is non-content information, such as IP address and email addressesRead MoreCJA 484 Criminal Law Foundations Evaluation1424 Words   |  6 PagesConstitution is comprised of a set of amendments, which have been written to protect several different rights that as a citizen are protected from false persecution. These constitutional amendments play a large roll, in the manner in which aspects of court procedure handled in both juvenile and adult court systems. The Fourth, Fifth, and Sixth Amendment were evolutionary in an effort to protect the rights of the people of the United States. Authoring the three amendments gave way to an overhaul in theRead MoreConstitutional Protections in Criminal Investigations1401 Words   |  6 Pagesfamiliar with the Fifth Amendment due to the popular phrase â€Å"I plead the fifth,† which is used as a defense in trials. But what should be familiar are the protections that we might take for granted such as the protection from double jeopardy. This means that a person cannot be tried more than once for the same offense (Salky, 2010). When reading the Fifth Amendment it could be agreed upon that this is where the right to remain silent and the Miranda Rights emerged from. The Fifth Amendment reads: â€Å"NoRead MoreDrug Testing for School Athletes966 Words   |  4 Pagesstudent-athletes; however mandatory drug tests are a violation of the Fourth Amendment, the Fifth Amendment and drug testing reverses the legal principle of innocent until proven guilty. In order to protect the rights of the American people, drug testing student-athletes without suspicion and without sufficient evidence should not be introduced into school athletics due to the fact that it violates the Fourth Amendment and the Fifth Amendment of the Constitution. Without suspicion of drug use, schools cannotRead MoreThe Justice System Of The United States1040 Words   |  5 Pagesis served. To ensure citizens freedoms are protected and individual rights are guaranteed the Constitution of the United States was formed. Within the Constitution consists of Amendments. This paper will be discussing the fourth, fifth, and sixth as well how the Bill of Rights applies to the states via the Fourteenth Amendment. Additionally, it will discuss how the due process correlates to these protections. The due process ensures citizens rights and freedoms are protected. The court acts as aRead MoreGovernment Enforcement, Crime And The American Population Essay1139 Words   |  5 Pagesprevalent, often creating controversy between the public and the police. Under democratically-inspired legal restraints, notably the Bill of Rights, the Fourth, Fifth, Sixth, Eighth, and Fourteenth Amendments to the United States Constitution ensure the personal rights and freedoms of American citizens against certain police-related matters. The Fourth Amendment to the United States Constitution addresses the concept of unreasonable search and seizure, based on archives of the Constitution published by the