Assignment 1: The Primary Care Clinic Due Week 4 and worth 160 points

 You are the manager of a new primary care clinic located about twenty five (25) miles outside of a small city (population of 50,000). With five (5) family physicians, two (2) nurse practitioners, two (2) physicians’ assistants (PAs), and twenty (20) clinical support staff consisting of RNs, LPNs, and CMAs, the clinic provides primary care services to a diverse community of people living and working outside the city limits. Originally a rural area, the community has been growing and now includes promising opportunities in employment, education, and comfortable living spaces for young families. However, there are still many residents who struggle to make ends meet with older farms that have belonged to families for generations.     The central city includes two (2) large acute care facilities, and one (1) tertiary care facility that is known for its excellent pulmonary care. Both acute care hospitals provide the usual services such as labor and delivery, outpatient surgery, chronic diseases care, etc. and have fully equipped ancillary departments, such as lab and radiology. Up until this point, the residents have used the facilities’ emergency departments for routine illnesses and conditions when their private physicians were not readily available.  Write a five to seven (5-7) page paper in which you: 1.Analyze some of the key social, political, and economic factors that have led to the proliferation of urgent care facilities and primary care practices over the last 20-30 years. 2.Create a comprehensive mission statement for the clinic, and discuss how it will facilitate the provision of quality services. 3.Analyze and discuss one (1) or more directions the clinic might take to grow its business. Determine what factors you would consider when deciding what services to provide in-house and which ones to affiliate with other institutions. 4.Decide how you will determine if the clinic is meeting its goals. Identify three (3) performance measurements you could use to evaluate the success of the clinic’s services. Begin by naming a goal, and then identify a quantifiable measurement you could use for each to determine if you are coming close or falling short of the goal. 5.Determine how you would then address whatever opportunities for improvement seem to exist and what processes you would put in place. 6.Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. 7.Format your assignment according to the following formatting requirements: a.Typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides. b.Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page is not included in the required page length. c.Include a reference page. Citations and references must follow APA format. The reference page is not included in the required page length.   The specific course learning outcomes associated with this assignment are: •Analyze the critical management issues, purpose, functions, and performance measures of different departments within healthcare organizations. •Examine the political, economic, and social forces that have influenced the organizational foundations of the United States healthcare system. •Explain how public policy has shaped the development of the U.S. healthcare system. •Use technology and information resources to research issues in health services organization management. •Write clearly and concisely about health services organization management using proper writing mechanics.

5

1. Customer Service Plan – Final Analysis

Overview

Throughout the class we have been completing an in-depth review of how customer service is a part of your organization. In this final project, provide an overview of your organization and make recommendations of how customer service could be made exceptional based on readings from the text, reviews of other organizations and from class discussions.

Instructions

  1. Download the assignment template: MAR160_M5_Template_FinalCustomerServicePlan.docx.
  2. Save the file as MAR160_M5_Assignment_lastnamefirstname.
  3. Review all the information in this document and delete the instructions as you develop and write your plan.

2.Final Business Plan

Overview

Throughout this course, you have completed several assignments that have contributed to the development of a business plan for an organization. Putting together a business plan for an organization has not only helped you solidify what you know about business, it also helps you protect what you create or innovate. The business plan is a written description of your business’s future, a plan that tells what you plan to do and how you plan to do it.

Instructions

Complete and submit your final business plan as follows:

  1. Download and use _AssignmentTemplate_FinalBusinessPlan.docx to complete the assignment.
  2. Complete the Executive Summary, Assumptions, Summary and Conclusion and Appendix (if applicable) segments.
  3. Make the necessary revisions to your Module 2-4 documents.
  4. Then, insert the content into the appropriate segments in the template.
  5. Follow the instructions inside the template file.
  6. Retain the template headings and subheadings.
  7. Delete all template instructions and help hints.

Bus303 Essay No plagiarism please final

 

Functions of HRM

[WLO: 3] [CLOs: 1, 2, 3, 4, 5]

The primary function of HRM is to increase the effectiveness and contribution of employees attaining organizational goals and objectives. Consider all the areas of HRM that have been discussed in this course:

  • Performance management
  • Human resources planning, recruitment, and selection
  • Human resources development
  • Compensation and benefits
  • Employment and labor laws and regulations

In your final paper,

  • Provide a high-level overview of each HRM area listed above.
  • Discuss HR functions within a performance management system that contribute to effective training and development.
  • Explain how an effective performance management system along with compensation and benefits can attract, develop, and retain talented employees.
  • Analyze employment and labor laws and regulations that impact these areas of HRM listed above and the relationships between employees and employers.
  • Explain how the functions of HRM work together in order to optimize organizational and employee behavior.

For additional support with completing your final paper, please refer to the following tools:

The Functions of HRM paper

  • Must be seven to eight double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center’s APA Style (Links to an external site.) resource.
  • Must include a separate title page with the following:
  • Title of paper
  • Student’s name
  • Course name and number
  • Instructor’s name
  • Date submitted

For further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.).

Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.

Graduate Level Article Review and Journal

Journal

In Chapter 1.1 of the textbook, the authors discuss the definition of terrorism and how it has changed over the course of time for the United States, leading to new terrorism.

What is your definition of terrorism? What does new terrorism mean to you? In what ways have you seen terrorism change, and what do you think will be the direction of change in the future? Do you think terrorist attacks with weapons of mass destruction are more or less likely to be used in the future?

Your journal entry must be at least 200 words. No references or citations are necessary.

Unit I Article Review

Select an article from a peer-reviewed journal in the CSU Online Library or another scholastic source that discusses the evolution of terrorism from the Cold War to today and how the command and control structure has evolved. 

Write a two-page review of the article, and address the items below. 

• Briefly introduce and summarize the article.

• Identify the author’s main points.

• Who is the author’s intended audience? 

• Identify the seminal events that shaped domestic terrorism legislation both before and after the terrorist attacks of September 11, 2001.

• What are the key factors leading to the growing danger of chemical and biological terrorism? 

• Define terrorism and the concept of new terrorism. 

• Discuss how the political, philosophical, and religious perspectives of the various actors have had an effect on this evolution and the opportunities and limitations for weapons of mass destruction terrorism globally.

• How does the article apply to this course? Does it support the information in your textbook?

• How could the author expand on the main points? 

Your review must be at least two pages long—not counting your cover page and reference page. Use proper APA style for all sources, including the textbook. The CSU Online Library’s databases are a good source for reliable articles. 

USE THIS ARTICLE: https://journals.lib.unb.ca/index.php/jcs/article/view/4265/4834

Week I study guide is attached for guidance.

(class book)

Howard, R. D., & Forest, J. (2013). Weapons of mass destruction and terrorism (2nd ed.). New York, NY: McGraw Hill.

Need original and unplagiarized work, please do not accept if cannot return quality work. Please read assignment fully

SOCW 6530 wk 7 peer responses

  

SOCW 6530 wk 7 peer responses 

Respond to the blog posts of three colleagues in one or more of the following ways:

Share an insight from having read your colleague’s posting.

Make a suggestion to your colleague’s post.

MUST RESPOND TO EACH ONE SEPARATELY CITE EVERYTHING AND FULL REFERENCES 

PEER 1 Alicia Simpkin

Evaluation of How You Have Addressed Evaluation or How You Might Address Evaluation

Evaluation of a service is beneficial in determining how a program/service is being run and whether or not it is working the way it is supposed to. When someone evaluates a service, they gather information related to how the program is being run, such as whether it has worked properly, or whether things need to be changed (i.e. implemented or removed). Evaluation may be done through surveys or other measurements to determine the validity of such. This information gathered may be utilized as ‘evidence’ when defending the use of the service or program in practice. According to the text, when considering the use of evidence in practice, “practitioners generally first consider the proximal similarity of information and the trustworthiness of the source before directly translating research into their clinical practice” (Wharton & Bolland, 2012). Practitioners will determine whether the research can be trusted before moving forward with incorporating such into their future practice.

In my field placement, services are typically evaluated through client satisfaction surveys upon discharge, or one can determine how a program is being run through client progress. If the program is running the way it should, then client progress will reflect such. For example, sessions with clients often have a purpose, whether that is to identify their triggers and work through them, or offer resources and other information and encouragement that allows them to work towards achieving their goals, etc. If client notes reflect progress in their recovery and progress towards achieving their goals, then one is able to understand that the tools offered in the program are beneficial in client recovery. I would also address evaluation of the program through client satisfaction surveys, which would allow clients to address all concerns and share what has worked for them and what has not worked well.

References

Wharton, T. C., & Bolland, K. A. (2012). Practitioner Perspectives of Evidence-Based Practice. Families in Society: The Journal of Contemporary Social Services.

PEER 2  LaTiona Washington 

An explanation of how you have addressed evaluation or how you might address evaluation in your field education experience

The evaluation focuses on the patient’s progress, goals, and if they need to be reevaluated (Scarnato, 2019). At Rolling Hills Hospitals (RHH), the term “Hospital” informs how the intent is to stabilize and discharge. Initially, it was difficult to determine evaluation at my agency. We assist the patient in creating long-term and short-term goals. Due to our setting, we are unable to follow up regarding long-term goals. Short-term goals focus on stabilization so the patient can be released. These goals include denying suicidal ideation for 48 hours prior to discharge, attending groups, getting out of bed, eating meals daily, and complying with medication. The doctors visit the patient daily and are knowledgeable about these goals. The doctor communicates with the social worker and both evaluate to see if the patient is stable enough to go home. A patient is stable enough when they no longer meet the clinical perimeters to be in the hospital. The social worker meets with the patient every other day due to their workload. I conduct evaluations when performing discharges. I can review how the client initially presented to the hospital, their assessment, and follow up to evaluate their current progress. If everything looks good, they are released.

Reference

Scarnato, J. M. (2019, July 30). The Generalist Intervention Model. MSW Careers. https://mswcareers.com/generalistinterventionmodel/.

PEER 3   Omoyinka Orekoya  

An explanation of how you have addressed evaluation or how you might address evaluation in your field education experience.

   Evaluation is the strategy to determine if the interventions we have used after our assessments of the clients are working, that is if what goals we hoped to reach have been achieved. It is also an endpoint activity that can lead to a mature client-worker decision to terminate professional relationships (Kirst-Ashman,  & Hull, 2018 p.308).  It can be done on the micro, mezzo, and macro. Evaluation can help to build the knowledge base of the profession through the documentation of the success of our efforts and increase both practice wisdom and publish knowledge (Kirst-Ashman, & Hull, 2018 p.310). Evaluation will hit its target if an evidence-based practice is used. EBP, according to Wharton,& Bolland, (2012), is  “a decision-making process integrating best research evidence, practitioner expertise, and client or community characteristics, values, and preferences in a manner compatible with the organizational systems and context in which care delivery occurs” (p.158)

     Taking the importance of evaluation into consideration, as an intern, I  might address evaluation in my field education experience in the following ways:

       Removing the fears that evaluation can bring. When it comes to evaluating my work, there may be questions like “what if I am not successful with every client. To remove this fear is to do everything possible to be successful while working with my clients (Kirst-Ashman,  & Hull, 2018 p.311).

        Proper management of caseloads in order to be able to evaluate the outcome or follow up on my clients’ progress. If a client’s case gets worse, evaluating the process is already defeated. I will work earnestly to make sure that my clients are returned to the positions they were in before the crisis.

          An evaluation may call for time, expenses, and patience. All these will be adequately planned to have a successful progress monitoring. I will also make sure that I get enough training in my internship in the use of evaluation approaches that are evidence-based to yield the best result Wharton, & Bolland,(2012).

Reference

Kirst-Ashman, K. K., & Hull, G. H., Jr. (2018). Understanding generalist practice (8th ed.)Boston, MA: Cengage Learning. 

Wharton, T. C., & Bolland, K. A. (2012). Practitioner perspectives of evidence-based practice. Families in Society, 93(3), 157–164.

discussion board on lupus

Topic: Disease Process

In this week’s discussion board, we will begin to tie the body systems studied thus far together. Moreover, we will see the effects of disease on the systems studied and thoughtfully consider how science equips humans to participapte in God’s redemptive work.

For this discussion board, you will research a disease process of your choice. Choose a disease process which involves at least three organ systems – the effect of the disease on these systems must be detailed in the initial discussion board post.

Choose your disease early – no more than 2 students may cover the same disease!  You can “claim” your disease as early as the first week by starting a thread in the discussion board that only has a subject heading for your disease.  Then post your discussion that includes the following outlined items as a reply to your own subject heading. If two of your classmates have already posted the subject heading for a certain disease, such as Diabetes Mellitus, you will need to choose a different disease process. 

You are required to the following outline as a guide:

Indicate the disease to be discussed

Describe disease process, including common symptoms and the effect on three organ systems

Discuss treatment and management of the disease

Describe how science equips humans to participate in God’s redemptive work

Initial post must be at least 250 words and include at least two scholarly sources. Initial post should not exceed 600 words. Acceptable sources include journal articles, manuscripts, scholarly textbooks, and/or internet sites from .edu or .gov sources. Avoid internet sites from .com, .net, .org, etc. as the information contained therein is not often peer reviewed.

Replies: Reply to 2 classmates

Discuss the main causes of the disease described by your classmate and how it is diagnosed by a medical professional.  Then outline steps to prevent (if possible) the disease.  If it is not possible to prevent it, explain why.

This course utilizes the Post-First feature in all Discussion Board Forums. This means you will only be able to read and interact with your classmates’ thread in response to the provided prompt. 

Note: the disease process to which your are responding in each of your replies must differ from the disease process described in your own initial thread. In addition, each reply must respond to a different disease process. In summary, your initial post will cover one disease, your first reply will cover a different disease, and your second reply will address a third disease. Each reply post must be a minimum of 125 words and include a scholarly reference.

Plagiarism

Plagiarism is a serious academic infringement. Avoid it at all costs. To learn more about plagiarism and how to avoid it, visit this website. Note that you are fully responsible for any plagiarism detected by the instructor of this course. Cases of plagiarism will be dealt with according to current policies established by Liberty University Online.

Ford motor company Core Strategy and Structure

Requirements: Use the research and information you gained in the discussion this week to critically assess your company’s strategic planning process. Research the strategy of one of your company’s top three competitors, then compare and contrast their strategy to your organization’s strategy.

Your second milestone submission should address the following requirements:

1.  Provide a brief summary of your company’s strategy (do not copy word for word from your discussion post) and how it is impacted by the organization’s structure as well as the environmental factors you outlined in your first milestone.

2.  Describe the strategy of at least one of your company’s top three competitors and how their strategy is impacted by the environmental factors you outlined in your first milestone.

3.  Critically assess both strategies. Consider the following questions to help develop a full assessment:

a.  How are the strategies the same?

b.  How do the strategies differ?

c.  Are they impacted by the structure of the organization?

d.  Are they impacted by the same environmental factors?

e.  Is one better than the other? Or more successful than the other?

f.  What could your company change to improve their strategy?

Your second milestone submission should follow APA format, be well supported with a minimum of five recent sources, and be a minimum of four pages long.

Remember: The goal is to demonstrate critical thinking and application of concepts as well as how they interact. Focus the bulk of your efforts in this milestone not on summarizing strategies but rather in comparing and contrasting the two company’s strategies, assessing their effectiveness, and exploring what environmental factors are at play that impact the strategies.

Managing Proyect Risks and Opportunities

 

Use the following scenario. Review the scenario first and then continue on with your assignment. Consider saving the PDF or printing it out for your reference.

You have been meeting with the CEO, the project sponsor, your manager, and the heads of all the other departments to discuss the project and their expectations. You are starting to be concerned about the level of risk of this project and whether or not the organization really understands it. As far as you can tell, the company has never done formal risk management, taking a more relaxed approach to risks. You are starting to develop your risk management plan; you will present it to your manager and the sponsor in two weeks along with some other project planning deliverables.

Assignment Guidelines:

  • Create a project charter and identify the key constraints of the project (scope, budget, timeline, quality, people resources, etc.).
  • Using the scenario from this unit, create a spreadsheet that lists all the project risks you see based on what you currently know about the project. List at least 15 risks. For each project risk, provide a: 
    • Detailed description
    • Category (schedule, strategy, people, etc.) 

Note: This list will be used in later activities throughout the course.

Your submitted assignment (250 points) must include the following:

  • A 2-4 page typed document that includes:
    • A project charter and identification of key constraints
    • At least 15 risks listed in a spreadsheet with a detailed description and the category of each

Tourism in Kenya

  

The Factors Influencing Individuals/Groups to Undertake Tours: The Case of Selected Individuals in Mombasa County

Introduction

Tourism in Kenya is one of the largest source of foreign exchange, only second to Agriculture. The main attractions are wildlife, athletes, game reserves and beautiful sceneries in Kenya. Mombasa County is one of the leading tourist attraction areas in Kenya both by locals and foreigners. Lee Jolliffe, in her book Tea and Tourism: Tourists, Traditions and Transformations, argues that Kenyan tourism hasn’t developed on its conservation of natural resources, though “beach tourism, eco-tourism, cultural tourism, sports tourism all form part of the portfolio” (Jolliffe, 2007). Kenya won the Best Leisure Destination award at the World Travel Fair in Shanghai, China, in April 2008. The permanent secretary in Kenya’s Ministry of Tourism, Rebecca Nabutola, stated that the award “goes to testify that Kenya has a unique world acclaimed tourism product. The recognition will no doubt boost Kenya’s tourism and enhance its profile as a leading tourist destination.” Mombasa County is one of the 47 newly created counties in Kenya comprising: Changamwe, Jomvu, Kisauni, Nyali, Likoni and Mvita constituencies with the major town being Mombasa Town which is the second largest town in Kenya.

Mombasa is an important tourism center due to its vast diversity of culture, beaches, old towns, hotels and restaurants, wildlife and economic activity. Mombasa is the original Arabic name for Mombasa and this city has an average population of about 1 million people. Mombasa is a place rich in history, yet at the same time fascinating commercial and cosmopolitan port town. Mombasa is an island connected to the mainland by bridges and ferries. The town overlooks a wide harbor, where commercial shipping mingles with traditional sailing dhows. The true heart of Mombasa is found in the exotic old town, among the narrow winding streets and Arab architecture (Magical Kenya, 2015). This paper will focus on factors affecting decision making by tourist by using Mombasa County as the case study. 

Statement of the problem

Due to her high touristic potential and capacity, Mombasa’s tourism represents a fast growing sector of the economy. All over the region and the world at large, Mombasa represents an important attractive destination for many tourists who still consider it as a world prototype; consequently, the high demand has been increasing from one year to another. This strategic sector, however, still has to deal with: the large capital required to invest in this sector, poor government support, low level of technology in the country, poor infrastructure, lack of social services, diseases and natural calamities, expensive tourism facilities which may scare tourists away, environmental pollution, encroachment, terrorism and kidnapping of tourists. The Government should play the key role here by formulating legislation that support tourism and provide both financial and marketing support to curb the tourism menace.

Purpose of the Study

The purpose of this study was to develop an understanding of how different factors can influence individuals/groups to visit a tourism location. https://iacademicessay.com/2021/06/01/im-working-on-a-art-discussion-question-and-need-an-explanation-to-help-me-lear/ This is achieved through studying scenarios of tourism from different parts of the world. The extensive review of literature, including any article or book related to tourism for a wide base of research and better understanding of the topic. The study focuses on finding out the different factors identified in relevant literature as being significant to the choice of tourist destinations by tourists by using Mombasa as a case study. Through a study of each of these factors and the interdependent relationships that concomitantly developed among these factors, an understanding of what happens in the real world is explored.

Objectives of the Study

The general objective of this study is to come up with as many factors as possible on the forces that affect the tourist choices and how the negative factors can be remedied. The study tries to steer learning and sense making aptitudes in translating social, authoritative and individual impacts identified with tourism. The objective incorporates looking at oblivious and cognizant thinking processes by tourists in settings that identify with tourism in Mombasa County.

Research questions

Is the Government doing enough to support tourism in Kenya? What services are available for visitors? Are there Budget-friendly options in the area? What sets Mombasa County apart from other similar locations? What economic factors affect tourism in the region? How safe is the country? The research question were not limited to these questions, these questions were meant as a guide as to what the researcher required out of the research. 

Literature Review

The study viewed a large number of literature resources that are concerned with tourism of different parts of the world and the factor that affect different tourism destinations. The study used empirical-based research reports, academic and non-academic research reports to increase the area of research. 

Regardless of the importance of destination marking in both the educated community and industry, literature on its calculated improvement is limited. An extraordinary image is a segment of destination brand affiliations. The general picture/image of the destination is a go-between its image/brand affiliations (i.e., subjective and emotional) and visitors’ future practices (i.e., expectations to return to and recommend to others). General image is affected by brand affiliations and is a basic go between brand affiliations and travelers’ future practices. Distinctive systems can be sought after to accomplish more prominent name acknowledgment among potential guests. Usually, this includes focusing on potential guests to a territory. Marketing is an important factor in ensuring a tourist destination is known to the world. 

Tourism destinations and their individual tourism organizations are all competing for the uses and essentialness that sightseers convey to their separate areas. Yet, in settling on travel decisions, these vacationers have contemplations other than distance, cost and timing. They are additionally considering the everyday climate and other atmosphere elements while deciding both where to go and the degree to which they making the most of their travel experience. Tourism companies are using climate change as a marketing tool, offering to take people to places endangered by global warming or with species on the verge of extinction (TreeHugger, 2015). Tourist will tend to avoid areas that have adverse weather conditions that will affect their visit while at the same time they would like to experience a hotter or colder climate with respect to their native land.  https://getacademicessay.com/5542/i%e2%80%8c%e2%80%8d%e2%80%8d%e2%80%8d%e2%80%8c%e2%80%8d%e2%80%8d%e2%80%8c%e2%80%8c%e2%80%8d%e2%80%8d%e2%80%8d%e2%80%8c%e2%80%8d%e2%80%8d%e2%80%8d%e2%80%8d%e2%80%8c%e2%80%8d%e2%80%8d-want-to-do-assignm/

Family travelers liked to stay at hotel facilities giving items and services particularly intended to take into account family vacationers, including rebates for youngsters’ stay, a swimming pool with lifeguard, and discount packages for families (Yang, Wong & Wang, 2012). National hotel chains as of now presented additional huge rooms, furnished with all the more bed options to cater for family vacationers. Despite the fact that it is vital to fathom the business sector pattern and to create tourism items and services because of the pattern, powerful tourism advertising will be expanded when industry specialists see what buyers need from their get-away as well as how purchasers settle on their travel choices.

Long & Nuckolls (1994) underscore the need for effective planning and stress that technical assistance can prove crucial to tourism development success for many small communities with limited resources. In numerous communities, tourism serves as an imperative contributor to the nearby, regional, and national economies, and now and again is a noteworthy patron to domestic economic income. Since security episodes may have a noteworthy negative effect on these economies, such occurrences are regularly a reason for real sympathy toward nearby, regional, and national governments. 

McDaniel’s (2001) article of southwestern Virginia, which highlights the tourism potential of the region’s scenic and abundant recreational activities, is an emphasis on the importance of heritage and history in tourism. Heritage tourism alludes to recreation travel that has involves visiting historical places. A main worry of heritage tourism is verifiable genuineness and long haul maintainability of the historical location or object. Apart from heritage tourism, another type of tourism is eco-tourism which is concerned with the conservation of the natural environment and the wildlife. The third form of tourism is the agri-tourism where an individual can visit a destination purposefully for agricultural purpose. 

To better understand the supply-side development of sport tourism Kurtzman & Zauhar, (2005) have identified five major areas: attractions, resorts, cruises, tours, and events. Sport tourism visits takes tourists to their most loved game occasion or destination across the globe. The sport tourism can either be organized by an entity for its members or it can be self guided. 

Gil-Pareja, Llorca-Vivero & Martínez-Serrano (2007) argue that the Euro has induced effects also on the expansion of business tourism as a consequence of the positive impact of the EMU on trade creation. Tourism sector is highly dependent on both macro and microeconomic factors of a country. A high inflation rate like in Zimbabwe is likely to scare tourists away because of the increased prices of goods and services. The tax and exchange rates of a country should be favorable for a country to attract tourists’ especially international ones. 

The safety and security in the tourism industry has been identified as one of the forces causing changes in the tourism sector in the new millennium (Edgell et al., 2008). Security reasons are among the high ranking reasons why a tourist would decide to visit a destination or not. Over the recent past, countries have been issuing travel bans to their citizens due to issues of insecurity and political stability. Security does not only involve personal safety of tourists and their property, but it includes an ability to become oriented in an alien environment, understand the local system of signs, indications, and social conventions, and finally the security of shopping and consumer services (Popescu, 2011). 

Buhalis & Deimezi (2003) suggests that e-tourism reflects the digitization of all processes and value chains in the tourism, travel, hospitality and catering industries. To increase efficiency in the tourism sector, tourism destinations have been able to integrate innovative and technological systems such as computer reservation systems to boost convenience in tourism. Technology has reduced the world into a global village where people can interact from different parts of the world at the comfort of their living room. Technology has enabled tourist to seek information they want online, book reservations and also transact cash electronically. Some of the concepts used in e-tourism include e-marketing, e-procurement and e-finance. 

Research Design

The research adopted qualitative study mainly because the subject matter of the research is more concerned with behavioral science rather than the number of tourists visiting different destinations. The qualitative approach is important because of the collection of data from individuals who previously visited Kenya and especially Mombasa and have firsthand information of the natural setting. The qualitative approach will assist in obtaining in-depth information about the factors affecting the behaviors of tourists in choosing a tourist destination. 

Qualitative research is used as an exploratory tool that is used to find in-depth insights on a particular phenomenon, and it is important for obtaining new ideas (Bryman, 2007). There is scattered information about decision making process by tourists therefore a qualitative study can be helpful in gathering information on the topic. A quantitative approach would not be desirable in this research because there is no statistical hypothesis that needs to be validated. Qualitative studies are used to determine the characteristic behaviors and emotions of people. Qualitative research is flexible when it comes to carry out a research therefore it can assist in obtain in-depth information on tourist decision making. It will be important to use semi-structured methods of data collection and analysis to cover the different areas in the research. 

The use of qualitative research in this study is desirable because behavioral coding can be used to convert qualitative data into quantitative data, but it would be difficult to convert quantitative data into qualitative data. The main disadvantage of using quantitative approach in this study is the inability of the approach to reach many participants to gather a lot of information on the topic. The study has targeted tourist who have gone to Mombasa; this will be a difficult task to find them in order to reduce biasness in the results desired. Quantitative approach has the capacity to obtain a lot of information in a short period of time, and it is cost-effective (Bryman, 2006). 

The target population of this study will be individuals who have been in Mombasa Kenya as tourists. There are many people who have visited Mombasa, but it is difficult for the researcher to locate them in a certain geographical area. Therefore random sampling could not be possible, the participants were chosen on the basis of “whoever is available.” The research targeted thirty individuals who had visited the country in at least the past ten years. The research also targeted corporate trips and family trips to the country. The relatively small sized population n=30 was chosen because of time, labour and financial constraints. 

Research Method

The data collection instruments used for this study include questionnaires, interviews, and study documentation. To increase the scope of research, the researcher had to email most of the participants the questionnaires; information was also sought through email from reputable resorts and restaurants in Mombasa, and direct interviews were carried out to individuals who could be available for face to face interview with the researcher. Interviews were also carried out through phone and Skype due to geographic challenge.

Interviews

Semi-structured interviews were employed in the studies that questioned the participants through phone calls, Skype and face to face interaction. The face to face interviews were more informative because the researcher could ask follow up questions and clarification without being concerned with time. The questions that were asked were not leading and were meant to find meaning to the aspects that affect tourism destination decision making. The interview served the purpose of narrating a lived experience in the tourist destination by looking at the whole experience in different context e.g., cultural and social contexts. The interview objective was to uncover new insights and understanding of the phenomenon under study. The interaction with the interviewee will help understand the behavior under study in its natural setting. 

Interview is an important data collection instrument in eliciting the meaning of behavioral elements and experiences. A data-rich in meaning would be provided by the interviewees by narrating their experiences as stories, the researcher ensured that the interview was casual as possible. The interviewer/researcher would record the interviewee and also take important notes from the interviewee’s experience in Mombasa. An interview guide was constructed that was in line with the research objectives and research questions. The interview was intended to be flexible and cover the subject matter widely. The interviewees were asked to narrate their experience in Mombasa and determine areas of weakness and strength in the destinations, follow up questions were used to reinforce their stance. 

Questionnaires

Questionnaires were used purposefully to cover more grounds where interview could not cover. All the questionnaires were sent through email. The research used semi-structured questionnaires that guided the participants on the desired results. The questions in the questionnaires were aligned with those of the interviews by requiring the participants to just outline their experiences, the destination strength and weaknesses. The questionnaires were simple enough to prevent instances of rejection by the participants due to complexity. The questionnaires were cost effective and ensured a wide population was reached within a short period of time (Langley, 2004). 

Study documentation

The study utilized online resources and journals that were up to date to seek more information of Mombasa as a tourist destination. The online resources provided insightful information about Mombasa like the Hotels and Restaurants available, the infrastructure, the beaches, culture and heritage, and tourist sites that can be visited (One of the sites is http://www.mombasa.com/v/attractions/). An example of an insightful journal is “Journal of Sustainable Tourism.” Study documentations exuded partiality and biasness because they only looked at the positive aspects of the tourist destination. 

Data Analysis

The data collection instruments were insightful in obtaining data that could be merged and transformed into useful information. The researcher studied the feedback from the questionnaires, notes and interviews recordings, and the study documentation to come up with a comprehensive analysis of the phenomenon under study. The researcher analyzed the data in reference with the literature review for guidance and understanding. The researcher first transcribed the data before organizing it. Open coding was carried out first where data with similar text were coded together; this was followed by axial coding, which involved coding the open coded data according to concepts presented in the interviews and questionnaires.  

Most of the participants thought that the Kenyan Shilling was relatively weak compared to other currencies, and the inflation rate was a little bit high, which had an impact on their choice of this destination. But it was noticeable that most of them viewed Kenya as not having many tourism taxes, which may be an incentive to attract more tourists. The majority of the tourists thought that the prices of basic commodities had hiked over the past five years. Even though most participants acknowledged the government’s participation through the Kenya Tourism Board, a few believed that the government hadn’t done enough, and were it not for the private sector pro-activeness, the tourism sector in Kenya would have been way behind. Most of them viewed the government as having failed in terms of strategies and plans when it comes to tourism.

The participants stated that Mombasa is popularly known out there. Most of them said they learnt about it through the social media. When it came to marketing, the majority believed that Mombasa was not adequately marketed out there, and they blamed it mainly on the lack of government participation and lack of technological know-how. Athletics topped the list when it came to sport tourism, Kenya is a home of athletic talent, and many would go there to see them run. Other sports that would make tourists visit Kenya are Rugby, Safari rally and Cricket. Scuba diving is also found in Mombasa. Many supporters of Soccer were disappointed by the sorry state of the sport in the country. 

Kenya fairs poorly when it comes to technology in the tourism sector. The Tourism Board of Kenya has tried to improve creativity in the sector but still is not up to the standards that the tourists had anticipated. Some of the technology that the foreign tourists suggested includes: collaborative filtering, personalization software/profiling, knowledge-based software and online word of mouth (WOM). The climate and topography of Mombasa is amazing. The climate is wet and dry. The geography of Mombasa is not hilly and has features to admire like the exfoliation domes. Mombasa has only had few cases of weather related calamities such as the tsunami. 

Mombasa ranks as one of the best tourism sites in terms of hospitality and culture. Most of the hotels were exquisite with great services and hospitality. The diversity of culture was also an attraction factor with the different ethnic groups, different languages, dances, music, food, attires and more. Most of the tourist marvel at what Mombasa holds when it comes to heritage. The town is rich in history from how the town was conquered by the Sultan of Oman to how the old town developed. Tourist love to visit sites like Fort Jesus that was built by the Portuguese in the 14th century, and it still stands up to date. Apart from the Hotels and Restaurants, the infrastructure of the country is not well developed, especially the roads. The roads would cause inconvenience when it came to maneuvering around the country.

When it comes to a tourist destination, no other factor ranks better than security and safety. A country with eye catching sceneries, developed infrastructure, rich heritage, well marketed, etc will not attract any tourists if it is not secure. Kenya has seen a reduction in the number of tourists since their disputed election that was carried out in 2007, which left more than 1,000 people dead and more than 200,000 people internally displaced. The country has been rocked with insecurity challenges since then such as the Al-Shabaab extremist group. 

Conclusion

In summary, there are various factors that would affect the decision making process of any tourist wanting to visit any tourist destination site. In reference to the study, the decisions are affected by security and safety, hospitality and culture, history and heritage, attraction sites, technology, media and marketing, sports, economic factors such as taxes and exchange rates, climate and geography, and infrastructure and services. A tourist would choose a tourism destination that is rich in culture, has political stability and has good security. The tourists will avoid locations with high taxes related to tourism and poor infrastructural development and services. A tourist will refer others to a destination where they received great hospitality, saw great sceneries and, have rich history and heritage.

Easy

Module 05 Content

  1. PPA I OVERVIEW LOCATION: UNIVERSITY CLINIC ASSOCIATES
    This week you will turn in your final project. As a part of this assignment you will write/create a PowerPoint presentation or a memo for the financial manager of University Clinic Associates with conclusions and recommendations. Remember to refer to the information in Module 02 for the scenario.
    Requirements to Include in Your Presentation
    Using the above pieces of information, prepare a PowerPoint presentation (10-15 slides) or a memo (at least two pages) including the following:

    1. An introduction.
    • Who are you?
    • Why were you hired?
    • What type of services/codes did you audit??
    1. An interpretation and description of the findings in Table 1 in the Module 02 Introduction to Audit Project.
    • Did the clinic over or under charge overall?
    • What is the total amount?
    1. A well-written conclusion to the financial manager based on your findings, including examples of the errors found.
    • Which codes were over coded, thus over billed?
    • Which were under coded, thus under billed?
    1. Include at least one over coded example and one under coded example.
    2. Explain what these codes are.
    3. Provide specific recommendations
    • Research and provide at least four ideas/changes the clinic can implement to improve coding accuracy. Each idea should be specific and include supporting reasoning for why the change would improve Evaluation and Management coding at this clinic. Include citations for the sources you used.
    1. A conclusion.
    • What follow-up do you recommend?
    • Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates