Data Definition and Examples of Data in Argument

In the Toulmin model of argument, data is the evidence or specific information that supports a claim. The Toulmin model was introduced by British philosopher Stephen Toulmin in his book The Uses of Argument (Cambridge Univ. Press, 1958). What Toulmin calls data is sometimes referred to as evidence, reasons, or grounds. Examples and Observations: Challenged to defend our claim by a questioner who asks, What have you got to go on?, we appeal to the relevant facts at our disposal, which Toulmin calls our data (D). It may turn out to be necessary to establish the correctness of these facts in a preliminary argument. But their acceptance by the challenger, whether immediate or indirect, does not necessarily end the defense.(David Hitchcock and Bart Verheij, Introduction to Arguing on the Toulmin Model: New Essays in Argument Analysis and Evaluation. Springer, 2006) Three Types of Data In an argumentative analysis, a distinction is often made between three data types: data of the first, second and third order. First-order data are the convictions of the receiver; second-order data are claims by the source, and third-order data are the opinions of others as cited by the source. First-order data offer the best possibilities for convincing argumentation: the receiver is, after all, convinced of the data. Second-order data are dangerous when the credibility of the source is low; in that case, third-order data must be resorted to.  (Jan Renkema, Introduction to Discourse Studies. John Benjamins, 2004) The Three Elements in an Argument Toulmin suggested that every argument (if it deserves to be called an argument) must consist of three elements: data, warrant, and claim.The claim answers the question What are you trying to get me to believe?--it is the ending belief. Consider the following unit of proof: Uninsured Americans are going without needed medical care because they are unable to afford it. Because access to health care is a basic human right, the United States should establish a system of national health insurance. The claim in this argument is that the United States should establish a system of national health insurance.Data (also sometimes called evidence) answers the question What have we got to go on?--it is the beginning belief. In the foregoing example of a unit of proof, the data is the statement that uninsured Americans are going without needed medical care because they are unable to afford it. In the context of a debate round, a debater would be expected to offer statistics or an authoritative quo tation to establish the trustworthiness of this data.br/>Warrant answers the question How does the data lead to the claim?--it is the connector between the beginning belief and the ending belief. In the unit of proof about health care, the warrant is the statement that access to health care is a basic human right. A debater would be expected to offer some support for this warrant.  (R. E. Edwards, Competitive Debate: The Official Guide. Penguin, 2008) Data would be counted as premises under the standard analysis.  (J. B. Freeman, Dialectics and the Macrostructure of Arguments. Walter de Gruyter, 1991) Pronunciation: DAY-tuh or DAH-tuh Also Known As: grounds

International Business Transactions Outline Essay

IBT OUTLINE—Karamanian, Spring 2008 I. Modern Forms and Patterns of IBT a. Types of IBTs, categorized by penetration: i. export-import transaction ii. agent or distributor sells goods abroad iii. licensing to a foreign entity to manufacture and distribute products abroad iv. Joint ventures b. Forms of Trade i. Goods ii. Services iii. FDI iv. Knowledge/Technology Transfer c. MNE i. DEFINITION: a number of affiliated businesses which function simultaneously in different countries, are joined together by ties of common ownership of control, and are responsible to a common†¦show more content†¦minimum coverage = K cost plus 10% (110% coverage) 4. Must have a negotiable B/L a. in CIF, the goods are delivered past the ship’s rail, but S does not possess them until the port of destination. This is distinct from the FOB where delivery and possession occur at same time. 5. Buyer has a right to inspect before shipment (unlike FOB) 6. only for waterway transport iv. Biddell Brothers v. E. Clemens Horst Company ( Ct. Ap. King’s Bench, 1911) 1. Kennedy, Dissent(even though the K does not require payment against documents, it is necessarily implied by the term CIF, because otherwise the S would give up the goods, while B would still be able to reject them at the port of delivery, or would have to hold the B/L until goods were accepted, in violation of the K. This view was taken upon appeal to H of Lords. 2. Reference Parker v. Schuller (1901) in which Seller sues Buyer under a CIF K for not shipping the goods. The sellers lost on appeal b/c they should have argued that the breach occurred when B failed to ship the documents, b/c the documents could not have been shipped without shipping the goods. 3. SIG: a. CIF(duty to deliver documents to S, goods to carrier. b. 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Health Financing in India Free Essays

string(170) " by the Ministry of Health and Family Welfare, Central Ministries and local bodies, while private expenditure includes health expenditure by NGOs, \? rms and households\." Institute for Financial Management and Research Centre for Insurance and Risk Management Delivering Micro Health Insurance Through the National Rural Health Mission A Strategy Paper Rupalee Ruchismita, Imtiaz Ahmed and Suyash Rai August 2007 Rupalee Ruchismita (rupalee. ruchismita@ifmr. ac. We will write a custom essay sample on Health Financing in India or any similar topic only for you Order Now in) and Imtiaz Ahmed (imtiaz@ifmr. ac. in) are with the Centre for Insurance and Risk Management at IFMR, Chennai (http://ifmr. ac. in/cirm). Suyash Rai is with the ICICI Centre for Child Health and Nutrition, Pune. The views expressed in this note are entirely those of the authors and do not in any way re? ct the views of the Institutions with which they are associated. . Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission Contents 1 Introduction 2 Health Financing in India 3 Key issues in Health Financing 4 Exploring Risk Transfer and Pooling Strategies 5 Proposal for a National Apex Body 6 Conclusion 7 Annexures 7. 1 ANNEXURE I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. 2 ANNEXURE II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. 3 Objectives, Activities, and Services . . . . . . . . . . . . . . . . . . . . . . . 1 1 3 4 8 13 14 14 19 22 0 Ruchismita, Ahmed, Rai: Delive ring Micro Health Insurance through the National Rural Health Mission 1 Introduction The Indian health scenario is fairly complex and challenging with successful reductions in fertility and mortality offset by a signi? cant and growing communicable as well noncommunicable disease burden1 , persistently high levels of child undernutrition2 , increasing polarisation in the health status of the rich and the poor3 and inadequate primary health care coexisting with burgeoning medical tourism! This situation is further complicated by the presence and practice of multiple systems of medicine and medical practitioners (several of whom are not formally certi? ed and recognised) and very limited regulation. In such a context, this paper highlights the challenges in ? nancing health in India and examines the role of health insurance in addressing these. It proposes an operational framework for developing sustainable health insurance models under the National Rural Health Mission, responding to the contextual needs of different states. 2 Health Financing in India The total spending on the health sector in India is not low. According to the National Health Accounts 2001-02, the total health expenditure in India for the year was Rs. 1,057,341 million, which accounted for 4. 6 percent of the Gross Domestic Product (GDP). The concern lies in the fact that households are the major ? nancing sources, accounting for 72 percent of the total health expenditure incurred in India. State Governments contribute 12. 6 percent of the total health expenditure, Central Government 6. 4 percent and the public and private ? rms 5. 3 percent. External support from bilateral and multilateral agencies accounts for 2. percent of health expenditure in India, a majority coming in as grant to the Central Government. So, only about 20% of the overall funding comes from India accounts for only 16. 5% of the global population, it contributes to approximately a ? fth of the world’s share of diseases: a third of the diarrheal diseases, tuberculosis, respiratory and other infections, parasitic infestations and perinatal conditi ons; a quarter of maternal conditions; a ? fth of nutritional de? ciencies, diabetes, cardiovascular diseases, and the second largest number of HIV/AIDS cases in the world. Report of the National Commission on Macreconomics and Health. 2005. New Delhi: Ministry of Health and family Welfare. ) 2 National Family Health Survey III, 2005-06. Mumbai: International Institute of Population Sciences. 3 The poorest 20 percent of Indians have more than twice the rates of mortality, malnutrition, and fertility of the richest 20 percent. (Peters DH et al. Better Health Systems for India’s Poor. 2002. New Delhi: World Bank. 1 Although 1 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission he government, which is one of the lowest in the world. This is a signi? cant problem in a country where the government has mandated itself to provide comprehensive quality health care to all. The problem of household expenditure for health care is compounde d by the fact that 98 percent of this is â€Å"out-of-pocket†, which is fundamentally regressive and burdens the poor more. Also, the absence of proper pooling and collective purchasing mechanisms for the households’ money further worsens the situation because of the resulting inef? ciencies. Most of the household expenditure on health goes to the fee-levying and largely unregulated private providers. The share of household consumption expenditure devoted to health care has also been increasing over time, especially in rural areas where it now accounts for nearly 7 per cent of the household budget4 . This situation is not surprising since public and private expenditure on health are closely linked. Given that government spending on health stands at less than 1 per cent of the GDP, which is very low by international standards, the need for private out-ofpocket expenditure increases. Seventy percent of the total ? nancial resources ? ow to health care providers in the for pro? t private sector. Only 23 percent are spent on public providers. In an environment of minimal regulation, this provides signi? cant opportunity for the exploitation of health care seekers. In addition, there are signi? cant inter-state differences in health ? nancing. Among the major states, Himachal Pradesh ranks highest in terms of per capita public spending on health (Rs. 493 per year) and also has the highest public expenditure as percentage of total expenditure (37. 8%). On both these parameters, Uttar Pradesh is the lowest ranking state, with a per capita public spending on health of Rs. 84 per year, and only 7. 5% of the total health expenditure is public expenditure. All India per capita expenditure on health is Rs. 997 (207 from public and 790 from private)5 . There are also indications of declining state government spending in crucial areas. Overall health spending declined over the decade 1993-94 to 2002-03 in 3 states, and declined between 1998-99 and 2002-03 in 6 4 Government Health Expenditure in India: A Benchmark Study. 2006. New Delhi: Economic Research Foundation. All India public expenditure including expenditure by the Ministry of Health and Family Welfare, Central Ministries and local bodies, while private expenditure includes health expenditure by NGOs, ? rms and households. You read "Health Financing in India" in category "Essay examples" 2 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health M ission states6 . There are also sharp and generally growing rural-urban disparities in spending in most states. 3 Key issues in Health Financing Drawing from the above analysis and other related literature, the following emerge as the key issues in reforming health ? ancing in India. Increasing government spending on public and more speci? cally, primary health care As discussed earlier, the government spending on public health in India, constituting about 4% of its total expenditure and less than 1% of the GDP, is very low. In per capita terms, the government spends only USD 4 annually on public health. According to the World Health Report (2000), only twelve other countries spend less than India on public health, most of them in Africa. For most other nations, government spending on health is more than 10 percent of the total government expenditure. The Commission on Macroeconomics and Health has estimated that public spending in low income countries should be within the range of $30-$45 per capita to ensure achievement of public health goals. In India, most of the government spending is on medical colleges, into tertiary centres, and very little trickles down to the primary and secondary levels. There is therefore a strong case for increasing government spending across the board, with a much higher focus on primary care services. This will reduce the need for spending by the poor and also improve the overall health status. The options for increasing public ? ancing of health include reallocation of the government budget (possibly by re-routing other direct and indirect subsidies) and earmarked taxes (such as the taxes levied for ? nancing the Sarva Shiksha Abhiyan). Addressing the supply and demand-side factors that prevent the poor from bene? ting from the health sector In general the poor bene? t much less from the health sec tor than the rich do largely because of their inability to seek timely and adequate health care. The poorest quintile of Indians are 2. 6 times more likely than the richest to forgo medical treatment when ill7 . Government Health Expenditure in India: A Benchmark Study. 2006. New Delhi: Economic Research Foundation. 7 Peters, D. et al. Better Health Systems for IndiaSs Poor: Findings, Analysis, and Options. 2002. Washington 3 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission However, whatever care they do access, the poor are found to rely signi? cantly on the public system for preventive and inpatient care including 93 percent of immunizations, 74 percent of antenatal care, 66 percent of inpatient bed days, and 63 percent of delivery related inpatient bed days. Improvements in the public system through increased and more effective spending would therefore bene? t the poor signi? cantly. Increasing the effectiveness of public health spending would require attention to supply side factors such as facility location, availability of staff, medicines, equipment and quality of care as well as demand-side factors such as indirect costs (travel, wage loss), non formal charges, awareness levels, perception of quality and uncertainty about payment. Mitigating risks due to out-of-pocket expenditure, particularly catastrophic expenditure for the oor At least 24 per cent of all Indians fall below the poverty line because they are hospitalised8 . It is estimated that out-of-pocket spending on hospital care might have raised the proportion of the population in poverty by 2 per cent. Risk-pooling and collective purchasing mechanisms could increase the ef? ciency and equity with which the households’ money is collected, managed and used, so that the households’ burden is reduced. 4 Exploring Risk Transfer and Pooling Strategies Exploring Risk Transfer and Pooling Strategies in the context of the NRHM In attempting to understand the potential of risk pooling or risk transfer mechanisms such as insurance (which immediately addresses the cost which a household spends on hospitalization) in achieving public health goals within the overall NRHM mandate, the following issues become relevant: 1. The potential value addition that insurance could provide 2. The various models of health insurance for the poor 3. Implementation of the insurance programme in the context of the NRHM D. C. : The World Bank. 8 Ibid 4 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission 1. Health Insurance leads to: †¢ Risk pooling for in patient care (hospitalization): As discussed, one of the major causes of poor households slipping into the poverty cycle is out of pocket expenditure incurred for hospitalization. In such a scenario, insurance, which allows for risk pooling, helps in making available additional source of ? nancing for the household thereby reducing overall vulnerability and smoothening expenditure shocks for larger unpredictable catastrophic health events. Increased utilisation of health services: It is expected that the introduction of health insurance will lead to greater utilisation of health care services. Across the world it has been found that the overall use of curative services for adults and children was up to ? ve times higher for members of health insurance programmes than non-members9,10 . †¢ Standardization and cost effective q uality health care: Insurance as a mechanism attempts to standardize protocols, procedures and bring down cost through rate negotiations. This ensures the availability of cheaper healthcare, controlling fraud and possibility of rent seeking behaviour which is high in the case of the poor who have comparatively lesser knowledge about their health status or possible treatment required. Further due to Health Insurance, the out of pocket expenditures per episode of illness are signi? cantly lower for members as compared with those for non-members11 . Under the NRHM it is hoped that a national level expert committee will play a pivotal role in standardizing treatment protocol and rates. Presently such an activity has been undertaken by World Health Organisation (WHO), India-Of? e, in collaboration with Armed Forces Medical College (AFMC). †¢ Cover for access barriers (loss of wage, transportation cost) and new and emerging diseases: It has been seen that since most of the micro insurance models evolved from community institutions and NGOs, they packaged critical P. , and F. Diop. Synopsis of Results on the Community â €“ Based Health Insurance (CBHI) on Financial Accessibility to Healthcare in Rwanda. HNP Discussion Paper. 2001. Washington, D. C: World Bank. 10 Preker, A. S, Carrin, G. SHealth Financing for Poor People – Resource Mobilisation and Risk Sharing. T 2004. ? ? Washington D. C. : World Bank. 11 Preker, A. S and G Carrin. Health Financing for Poor People – Resource Mobilisation and Risk Sharing. 2004. Washington D. C. : World Bank. 9 Schneider 5 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission access barriers as part of their insurance cover. Also, insurance as a concept works on the principle of risk pooling and cross subsidization for low frequency events. The cost of healthcare for life style diseases like diabetes or critical illnesses and HIV/AIDS, is very high. Community Insurance models delivered at a large aggregation can cover for these rare events and ensure that the poor do not fall back into poverty in the process for paying for this high cost event. This has been tried in some schemes like the Arogya Raksha Yojna (ARY)12 . †¢ Development of stronger referral linkages: Insurance as a mechanism to be sustainable requires developing strong upward as well as downward referral mechanisms. Strong referrals ensure non escalation of cases, thus ensuring ‘right care at the right time’, reducing possibilities of collusion and fraud. †¢ Ef? ciency in the health system in terms of: – Allocative ef? iency in addressing the most risky event a household faces i. e. hospitalisation and by diverting the surplus premium to strengthen the health infrastructure and incentivise manpower. – Value for money: Presently the expenditure on health by the poor includes leakages such as transport costs, spurious drugs, unlice nsed medical practitioners who offer health care of sub optimal quality. 2. Various Models of Health Insurance for the Poor Models of micro health insurance may be categorized into the following: †¢ Social Health insurance: Such insurance models are found in about 8 countries across the world. The overall model works with a differential premium payment mechanism where the economically secure pays a relatively higher premium than what their risk pro? le dictates and the poor pay a comparatively lower premium commensurate with their income. This leads to cross subsidization across the rich and poor category. In India it is mostly seen in the formal sector in the form of ESIS and the CGHS scheme. 12 With Narayana Hrudayalaya, Biocon and ICICI Lombard in Anekal Taluka of Bangalore district of Karnataka. 6 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission Community Based Health Insurance (CBHI): There are three basic designs of CBHI, depending on who the insurer is. In Type I (or HMO design), the hospital plays the dual role of providing health care and running the insurance programme. In Type II (or Insurer design), the voluntary organisation is the insurer, while purchasing care from independent providers and ? nally in Type I II (or Intermediate design), the voluntary organisation (NGO/CBO) plays the role of an agent, purchasing care from providers and insurance from insurance companies. This seems to be a popular design, especially among the recent CBHIs13 . The merit14 of the last model is the aggregating role and the context speci? city that the NGO/CBO assumes. Since the NGO has systematically addressed information asymmetry, and also shares the community’s trust, these initiatives show better results (as seen in case of Dhramasthala insurance programme). In the case of a national roll out this can be the best model as it will capture the diverse nature of health requirements in the different NRHM states. The provider model or insurer model may not work out as customisation to local condition becomes the main crux of success or failure of the scheme. Further an NGO along with an insurer will be in a better position to retain the large risk of the community as compared to an individual entity like a provider or an NGO alone. It is crucial to ? nd NGOs that have a long term stake and therefore would act as ‘conscientious players’ who will ensure that the insurance programme, generates long term positive impact on the health system of the speci? c geography. 3. Some suggestions for the proposed Health Insurance Programme As discussed earlier, the health system in India is characterised by grave inequities leading to a political economy that makes health care access income and classdependent. This creates the need to explore various types of innovations and changes that could improve this unacceptable situation. Insurance is potentially one such et al. Community-based Health Insurance in India: An Overview. July 10, 2004. Economic and Political Weekly. New Delhi. 14 The Yeshaswani insurance programme (the large health insurance programme in the country) follows this model through the various cooperatives facilitated by the department of cooperatives. Other example is the Dharamasthala insurance programme where the NGO (Dharmastahala trust) is the aggregator and has about 1 million insured under its scheme. 3 Devadasan 7 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission innovation. However, for health insurance to effectively improve the ef? ciency of health spending and ultimately improve health status, it would need to be conceptualised as a part of a larger effort to improve the accessibility and quality of health care s ervices, especially for the poor. In the Indian context, any health insurance programme will have to take into account the plural nature of the health system, especially the presence of a large fee-levying, unregulated and ill understood private sector. It will have to explore synergies and integration with the widespread public health system and its current ? nancing mechanisms. Questions such as who should pay the premiums for the poor and how should incentives be aligned will have to be carefully thought through to ensure the management of problems such as adverse selection, inadequate monitoring and moral hazard, exacerbated because of extreme information asymmetries inherent in health services and goods. Internationally and within India, there is a signi? ant body of literature regarding the impact of different health insurance programmes on the health system. For the Indian context, it would be important to learn from these various experiences, develop a theory about the mechanisms through which insurance can contribute to public health goals, run pilots in different contexts within India to understand feasibility and impact, and determine the ? nal programme based on these learnings. 5 Proposal for a National Apex Body Proposal for a National Apex Body Working as a Coordinating Centre for Micro Health Insurance: It is proposed that a National Apex Body, ideally placed within the Insurance Regulatory and Development Authority (IRDA), be established to monitor and coordinate the implementation of the micro health insurance operations in the country (see ANNEXURE 2). The Apex body should have capacity in the areas of public health and insurance, host national and state-level dialogues on the idea of insurance in the context of health systems, implement pilots in speci? geographies and take forward the learning, and ensure knowledge sharing so that progressively larger regions can be covered under the micro 8 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission insurance scheme. ANNEXURE 2 provides details of potential roles this apex body (tentatively named Micro-insurance Coordinating Centre) could play in taking forward the agenda of usefully employing the strategy of insurance to get closer to the public health goals of the country, focusing on the vulnerable. It is envisaged that this body should play a knowledge-building, technical advisory, policy advisory, facilitative coordination role with a long-term aim of achieving universal health insurance coverage by an optimal combination of social and micro health insurance mechanisms, in a manner that it integrates seamlessly with the overall health system. The proposed apex body should host a process that ‘arrives’ at a framework of implementing health insurance under NRHM. Based on our understanding, the following emerge as important aspects of any national level health insurance programme developed under the NRHM. The health insurance model under the NRHM should explore the Partner-Agent approach which includes both the insurance partner (risk partner) and the agent (NGO). Based on experiences from the pilots, the insurance cover could be a compulsory, cash less health insurance product with a family ? oater with minimum initial deductibles. Depending on the availability and quality of providers, the insured should have the choice to access the nearest (private or public) health care facility and should be allowed to choose between any provider within a given geographical parameter. The client could be issued a biometric ID card which is updated with diagnostic information and refers her/ him to the desired care provider to control overcrowding at the tertiary facility. 1. Product Cover: To begin with, the product should cover basic hospitalisation at the secondary care level (either at the cluster of village, block or district level). It should include the cost of: †¢ Hospitalisation †¢ Diagnostic services †¢ Medicine and consumables †¢ Consultation and nursing charges †¢ Operative charges 9 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission The product should also try to cover for access barriers like transportation cost (with a initial deductible to control frauds and limited to only the cheapest mode of transport available, customized according to the district), loss of wage (in case of the male or female member of the household as de? ned by the state according to the minimum wage guaranteed by the state government. This could be done in tandem with the National Rural Employment Guarantee Scheme (NREGS). In geographies where investment in directed preventive and promotive services can bring down the need for seeking in-patient care, directed primary care primary level care can be provided by the insurance programme. For example, Directed preventive promotive community health education could lead to reduction in the frequency of inpatient care due to vector borne diseases in several geographies15 . Thus based on the speci? location package of additional community health intervention will be developed, which can be paid from the insurance model The insurance programme can work with District Health Societies to offer rehabilitative care and ? nancial help to patients who have recovered but are disabled due to diseases like leprosy or polio. It can also help the People Living with HIV/AIDS (PLHIV) by providing additional services like providing nutritional supplement and other additional services wh ich will supplement the current care being provided by the national programme for control of HIV/AIDS. 2. Health providers: Both private and public facilities at the secondary care level could be empanelled as providers. Private care hospitals could include nursing homes or 20 bedded medical facilities as seen in the Missionary hospitals as well as entrepreneur led inpatient care. For the government hospitals such as the district hospital, the difference in rates could be used for improving infrastructure and incentivising staff. 3. Building information systems: There is a need for a reliable transparent MIS sys15 For Insurance covering hospitalization due to events that can be impacted by Sspeci? S preventive promo? tive health education, it makes economic sense to proactively invest in Community Health Education, which will reduce the probability of hospitalization due to the event. Vector borne diseases show a high degree of sensitivity to such Community Health Education programmes. 10 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission tem to improve the overall ef? ciency of the system. This would reduce paper work, streamline referral linkages and aggregate data helpful for product customization. The community health insurance model could generate a much needed Electronic Health Records (EHR) system. This would imply that as per commonly agreed terms all health related information of an individual (parameters like diagnostic test results (blood pressure, body temperature, pulse rate, ECG), diseases to which he/she is prone; past illnesses etc) is stored onto a system or a database. This database can be accessed by all ensuring anonymity and therefore all insurers, health workers and policy makers can access and interpret the health data to be able to conduct community risk assessment. This will encourage insurers to compete for risk pricing of the community in the said geography and lead to cheaper insurance premiums. The focus of the EHR system would be to ensure – Universality, Consistency, Open Standards, Non-Proprietary, and Acceptability. To institutionalize a reliable EHR system it should be made compulsory that any treatment/diagnosis/medical intervention be updated into the individual’s EHR, such that the EHR is the most authentic source of health information about an individual. The other challenge that needs to be addressed for development of better health insurance products as well as better health care delivery is the challenge of targeting and uniquely identifying the individual. Such identi? cation could be achieved through a biometric identi? cation smart card. The smart card can be used to not only help in identi? cation, but also for storing of? ine health information With an EHR and smart card system, the insured can freely access b oth the public and private health care facilities available in the geography. This helps the insured as well as the medical practitioners and improves diagnosis and response time. The Smart Card can also be used to store health insurance related information of the client. The health provider can thus check the eligibility of the individual in terms of insurance before delivering treatment. The same card can also be used as a payment instrument to capture the payments that need to be made to the health providers. The card can be used to pass 11 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission n incentives to clients as well as the hospital to keep using the card. The biometric card will have terminals (which can upload data of? ine) in the various network hospitals to upgrade data whenever the insured avail care. 4. Formative Research: a Community Needs Assessment (CNA) will need to be done to list down the health needs and the willingness to pay, a mapping of the healthcare facilities in the geography, an unde rstanding about the type of premium and payout that the community are expecting from the insurance scheme and the broad range of social protection measures that they want the insurance to take up. Based on the information provided above the product and the EHR can be developed. Initially, it is advisable to undertake health insurance pilots in different contexts to develop and ? nalise the health insurance programme. 5. Implementation and monitoring: The proposed National Apex body, should monitor and coordinate the implementation of the micro health insurance operations in the country (see Annexure- 2). The following ideas can potentially strengthen the monitoring and implementation of the programme: †¢ The District Health Accounting System and the proposed ombudsman (to be created under NRHM to monitor the District Health Fund Management) will work closely with the NGO and the insurer to ensure the smooth running and monitoring of the programme. †¢ At the backend, the insurance programme with the EHR system will develop a rich data source and act as a Fraud control mechanism. This data will help in identifying disease patterns for the community and could be a critical tool for the NRHM team to de? e ? nancial allocations, target services and make evidence based policy recommendations. (While developing this EHR we should ensure that we are following international standards to be able to be coded properly and stored in a card). In the long run, this apex body should aim at achieving universal health insurance coverage by combination of social and community based health ins urance mechanisms. There is a case for building facilitative institutional arrangements of the ‘right’ stakehold12 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission rs who will pursue this goal. The learning from the challenges and processes involved in implementing Universal Health Insurance Scheme (UHIS) will be very valuable. 6 Conclusion Promoting health and confronting disease requires action across a range of challenges in the health system. These include improvements in the policy making and stewardship role of the government; better access to human resources, drugs, medical equipment, and consumables; and a greater engagement of both public and private provider of services. Insurance has a limited but important role to play in solving some of the health ? nancing challenges. Innovative pilots of partner agent model led micro health insurance could giver useful insights for designing a national level programme, led by an apex body. Such a programme could systematically impact the health system in the country. 13 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission 7 Annexures 7. 1 ANNEXURE I Beyond the pilot, the initial cover will be modi? ed to cover primary and tertiary tier of the health systems in the country. . Primary level: The Insurance will cover: †¢ Diagnostic charges incurred on low and high end diagnostic16 †¢ Medications including expensive medication (like life saving drugs, higher antibiotics etc), injectibles and other consumables not usually available in the primary health centre †¢ Based on the recommendation given in the NRHM document, practitioners of AYUSH and other speci alties can be roped in to act as the Primary Physician †¢ Based on the scale and/or the insurance experience in 1st year, further social security bene? s can be added as follows: †¢ Reimbursement of transportation charges, wage loss, ? nancial compensation for attendant, compensation for disability and subsequent rehabilitation. 2. Impacting infrastructure and Manpower: †¢ Depending on the claims experience and the volume, some monies can be utilized to purchase new or replace old goods/equipment at the Primary Health Centre (PHC) and such activity monitored by District Health Mission through district health accounting system and the proposed ombudsman under NRHM. Besides there is a need for 5-10 bedded hospitals to come up at the taluka or clusters of village level in severely resource constrained area for which emerging entrepreneurs like the Vatsalaya hospitals who have already set up such hospitals elsewhere in the country (especially in Karnataka in this case). L ocal doctors looking at running hospitals can set up such hospital and run it on a franchise model. in this realm may lead to cost effective and customised diagnostic solution. in this regard ICICI Knowledge Park is involved in coming out with such customised solution for the rural poor 16 Innovation 14 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission †¢ There is also a need for high end diagnostic chain to come in to the rural space with similar franchise model of commercial diagnostic companies17 . Standardization of all the services will be done by a committee of experts in each state. These services will include outpatient, in-patient, laboratory and surgical interventions. †¢ Manpower: The ANMs/CHWs/ASHA/MPWs can be incentivised to provide their services more ef? ciently and quickly from such fund given to the Panchayat either from the government or from the insurance fund. It is assumed that with the introduction of ICT component (EHR and biometric cards) like smart card, the 40% of time wasted by ANM on documentation will be saved18 . – To incentivise the doctors to work in the PHC: – Posting of quali? ed graduate doctors in PHCs can be made mandatory and also made necessary pre-requisite for eligibility to sit for Post Graduate Medical Entrance Examination. – Top 10 or 20 high performing PHC doctors in the entire state might be allowed to join specialty of their choice in P. G courses directly or some higher percentage of quotas may be assigned to them which will facilitate them to get admission. Transparency and accountability in the whole service delivery can be brought about by making the health manpower within the PHCs and other levels accountable to the PRIs and the Village Health Committee through a rigorous and scienti? c accountability system19 . †¢ Additional Services: De? ned amounts of fund can be made available to the local Panchayat or a certain percentage of premium collected be allowed to remain with them and be spent for these purposes according to their discretion 17 This entity can set up satellite diagnostic centre at the taluka or district level. They can have sample collection unit which collects the pathological samples from the villages and brings it to the satellite centre where it is examined. The report is either passed on to the patient the next day when the sampling collection team goes to the villages or can be sent directly to the referred doctor under the health insurance scheme. 18 This will give her more time to cover more villages, services and bring about ef? ciency in the overall healthcare delivery. It will also reduce paper work and make information easily accessible at each level. 9 Smart card technology will be used to increase transparency and accountability of the health staff bringing about good people governance. In this the gram Panchayat and the Village Health Committee will completely evaluate the work of ANM and other staffs (including the doctor). Their performance will be graded in a scale devised in consultation with the representatives of the PRIs and the District Health Mission and accordingly incentive/disincentive can be given based on the score. This information can be made available online for access to the general public. 5 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission and mutual decision (It can also cover other expenses like loss of wage and destitute supports). †¢ Health Database management system: ICT component in the form of smart card technology (in the form of a biometric card) be introduced which will ensure the capturing of health and insurance data of the population and minimize fraud. †¢ It requires a decoder cum uploading device which will be portable and hand held. This can be used by ANM/Health staff/PRI/Hospitals to upload or read information starting from the primary to tertiary level †¢ Will be able to transmit images and radiographic reports (X-ray and ultrasound, CT scan) apart from other routine test results. This can be done of? ine (Because in villages, the power supply is erratic or absent and the internet connectivity is lacking) and can be the precursor of telemedicine20 . 3. Tertiary level: It will cover all high cost, sophisticated care which may not be available at the secondary level. The diseases that can be covered are as follows: †¢ Cancer †¢ Myocardial infarction †¢ Major organ transplant †¢ Paralysis †¢ Multiple sclerosis †¢ Bypass surgery †¢ Kidney failure †¢ Stroke †¢ Heart valve replacement 20 With internet connectivity through satellite (which are now provided free of cost by ISRO to interested NGOs and CBOs) which will mean that the patient will not have to travel to district level or tertiary level care and can walk in to such tele-consulting centre within the village where his diagnostic reports are accessed by punching in the unique I. D number of the patient on the smart card. The specialist sitting at the district level can then assess the prognosis of the case and decide whether the patient needs to travel or else advices the local doctor on what is the line of treatment for the patient which then can be carried out locally. This will save a lot of money (on traveling and loss of wages), time and resources which the patient would have spent otherwise. 16 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission 4. Impacting infrastructure, Manpower and Services: †¢ It is envisaged that the government medical college hospitals, other government health institutions, central or regional health institution operating in the state can act as the tertiary care provider. †¢ Insurance can start paying for upgrading these infrastructures and incentivising the medical work force in a similar way as was explained under primary level care. Besides private healthcare who will start the franchise model or other wise interested (and agreeable to the negotiated rate for the insured) will act as the tertiary care providers21 . The government should play a central and leading role in developing a strong referral linkage in the state. †¢ As most high level tertiary care hospital are charitable trust hospital and get substantial subsidies and exemption from the government in return for providing subsidized services for the poor (but in reality a very few actually provide such services) it should be made mandatory and compulsory for these hospitals to treat the insured poor. 5. Health Database Management: †¢ There will be a Central Data Warehouse which will develop from the EHR integrate all the information collected from the primary level upwards, making it accessible to each level and hence acting as a central store house of information. †¢ Additionally it will have personnel(s) who will analyse such data. Such analysis will be invaluable for monitoring, evaluation and mid-course correction. This will help in achieving the following: – Help revise insurance premium – Incentivise and monitor providers 21 The bene? will be two fold – it will provide quality care to the poor (through a TPA and the District Health Mission and Rogi Kalyan Samiti which will empanel hospital) which will ensure compliance to a particular standard of care) and will also help reduce crowding in the government hospital. At the tertiary level, a working arrangement should be made with national level government hospital (like AIIMS,CMC etc), regional ins titutes, post graduate medical institutes (JIPMER) and large private/corporate hospital (Apollo, Wockhardt, Fortis etc) so that patient requiring advanced critical care can be referred to them. 7 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission – Control fraud The developing of referral linkages is very much possible with insurance playing a central role and ICT in the form of smart card technology will ensure equity, ef? ciency and quality in healthcare delivery at each level. The coupling of the whole machinery with tele-medicine will bring about synergy and help the poor in terms of saving money on traveling and also loss of wages. It has to be always borne in mind by all the stakeholders that all component of health care i. . preventive, promotive, curative and rehabilitative care as emphasized under National Rural Health Mission as well as the coming of all stakeholders to work together will ensure harmonious and ef? cie nt delivery of quality healthcare with insurance playing a vital role. None of the components or stakeholders can be undermined as each will ensure that we will be able to see demonstrable impact in the health indicators of the community in days to come. 18 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission 7. 2 ANNEXURE II Setting up of a national coordinating and development entity: One of the key issues recognised by many is that increased coordination as well as sharing of knowledge and resources among the various actors in the sector would greatly stimulate success of NRHM as well as micro insurance development. This is especially true of health micro insurance for which few (if any) truly successful and sustainable programs have been observed to date. Hence it is felt that there has to be an apex body in the form of a coordinating centre which will initiate, regulate and monitor these activities. Following is a matrix which delineates the various stakeholder who will be represented in such a supra structure. 19 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission Stakeholders Stakeholder Needs Coordinating Centre’s Criteria for Success 1. Bene? ciaries * Simpli? ed claims procedures with minimal bureaucracy * Solutions that result in fast claims payment 1. 1 BPL families * Timely payments of * Service satisfaction from bene? ciaries * Solutions leading to affordable insurance products with quality servicing promised bene? s * Systematic increase in product coverage to ensure reduction of access barriers * Access to health services and health risk protection services 2 Microinsurers, Insurers, reinsurers * Access to technical assistance, actuarial studies, EHR records and the Centralized Data Warehouse reports, exposure to international innovations * Long term sustainability of microinsurance programs servicing the poor * E ffective, broad-based microinsurance delivery channels * Microinsurance pro? ts commensurate to investment risk * Competent pool of microhealth experts insurance technical Service packages developed and patronized * Service satisfaction from micro-insurers * Insurers aggressively competing to offer superior products and services to MICC client governments * Investment and ? nancial support from insurers 20 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission Stakeholders Stakeholder Needs Coordinating Centre’s Criteria for Success 3 NGOs, MFIs, trade unions, employer grassroots organizations, organizations, * Strong partnerships with hospitals, diagnostic players, NRHM team, AYUSH, ASHA workers and insurers Satisfaction with the coordinating agency’s ability represents all stakeholders’ interest and re? ected by strong involvement and support and investment through time in the centres work corporate sector, co-opera tive sector, etc. * Successful delivery of risk protection services to their memberships and clientele 4 Insurance Regulatory Development Authority * Robust, vibrant health microinsurance industry * Insurance regulations followed * Robust and vibrant network of micro-insurer clientele * Mandate and support from the IRDA * Achievements towards supportive and enabling policy 5 Health Providers * Timely payment from insurers * Reliable stream of BPL clients utilizing their services * Reasonable pro? tability * Positive ratings from health providers * Service satisfaction of BPL clients * Minimal problems with * Fast claims turnaround Solutions that result in: fraud and overcharging, etc. 6 TPAs Innovative and effective collection, distribution, and servicing channel 21 Sharing best practices Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission Stakeholders Stakeholder Needs Coordinating Centre’s Criteria for Success 7 State Governments * BPL population covered Support and mandates from governments * Ef? cient utilisation of resources and resources leveraged through a resource center * Moving closer to the goals stated under NRHM 8 Government of India * Access to comprehensive and quality health care for all * Improvement in national statistics on accessibility of health care services 8. 1 Ministry of Health and Family Welfare 8. Department of Insurance, Ministry of Finance * In synergy with existing programmes and structures * Proper utilization of departmental funds * National statistics on health insurance penetration * Increase in the number of legalized community health insurance programmes * Moving towards universal coverage * Regularising illegal community health insurance programmes Other major stakeholders that will have to be consulted are the likes of Indian Medical Association (IMA), Institute of Public H ealth (IPH), Federation of Obstetric and Gynecological Societies of India (FOGSI) and Institute of Health Management Research (IHMR). . 3 Objectives, Activities, and Services The stakeholders and clients of the Microinsurance Coordinating Centre envision a network of professionally-managed micro-insurers and accredited service providers offering 22 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission affordable, comprehensive, quality risk protection to the majority of poor people in India. Similarly, the Mission Statement may read as follows: The Microinsurance Coordinating Centre aspires to facilitate delivery of innovative health ? ancing and health insurance solutions in the country and improve the health indicators. It also aims to improve the capacity of insurance providers to provide risk protection services on a sustainable basis. The Centre is committed to building a vibrant health ? nancing and risk pooling sector through coll ective advocacy and through concentration, leveraging, and focusing on resources and knowledge towards developing innovative technologies. More speci? cally, activities and services of the MCC may include the following: †¢ To diagnose the feasibility and requirements of proposed micro-insurance projects in speci? districts of the identi? ed NRHM states; †¢ To develop and offer comprehensive, feasible, customized technical solutions complete with onsite guidance and implementation assistance; †¢ To facilitate strengthening the technical and cost effective management capacities of the NRHM team at the district level; †¢ To analyze and document the leading and best practices in the health microinsurance industry; †¢ To provide a forum for regular exchange and dissemination of ideas, innovations, lessons learned, achievements, and international best ractices; †¢ To develop and support EHR central data warehousing and tools; †¢ To develop health microin surance performance standards and prudential indicators, and the supporting technologies and tools that will enable micro-insurers to meet these standards; †¢ To provide a rating service of NRHM districts with micro health insurance pilots micro-insurers with respect to the standards and indicators; 23 Ruchismita, Ahmed, Rai: Delivering Micro Health Insurance through the National Rural Health Mission To facilitate and strengthen collaboration and partnerships among the various microinsurance providers and Health Ecosystem partners †¢ To establish linkages between insurers and resource institutions such as funding agencies, ? nancial institutions, and research institutions; †¢ To accredit a network of providers delivering affordable, quality health care through use of clinical protocols and negotiated tariff schedules; †¢ To provide and manage a data repository and also a national helpline for query redressal. To conduct industry experience studies and share resul ts for use in pricing and management purposes; †¢ To represent the health microinsurance sector to the Government of India and lobby for favorable and enabling policy; †¢ To identify and facilitate networking and business opportunities among the various stakeholders; and †¢ To elevate the insurance consciousness through awareness campaigns and education. Some of the activities such as product design are already being carried out by insurance companies. However, since microinsurance differs greatly from commercial insurance it requires unique design, marketing, and distribution strategies and skills. The MICC, with its personnel focused and specializing in micro insurance and health (health economists), with access to current data, and with concentration of knowledge about the industry would be positioned to facilitate superior solutions in these areas. 24 How to cite Health Financing in India, Essay examples

Reflection on the Past Present and Future of Robotics

Question: Discuss about theReflection on the Past Present and Future of Robotics. Answer: Interest The most important and the memorable stands that I had undergone in this weeks discussion reflects the age variations of arise of robotics and thereby focus is created in depth of the advancement of robots in various fields. Today robotics not only stands as a mere tool of reducing human effort but they are subjected to more adverse jobs and environment where the human body cannot perform. Robots are present in the hitherto of everyday life performing complex jobs like medical surgery, curing illness through the use of nanomedicines, etc. These are the surprising idea that reflects the weeks discussion. The interesting question which remained unanswered in this weeks discussion reflects that Can we stop the rise of the machines, really? Relevance As per my analysis regarding the weeks discussion, the most useful ideas that are depicted in this week depicts the Nano-robotics, The Gecko, Nano-medicine, Slugbot, EcoBot II with the past history of the robots. Analysis The major purpose depicted in this discussion depicts the consciousness with the hard problems faced due to the usage of the robots in the practical fields. Also the crucial facts that are depicted as per me in this weeks discussion is that the laws of the robotics and the harms created with the usage in the practical field. This also becomes the important or the centre of focus regarding the weeks discussion Conceptual Connections According to the reflections made on this weeks discussion, it reflects the eternal phrase regarding the three laws depicted in the usage of robotics. The future advancements of the robotic vision stand in the hands of the way by the reflection is made in this weeks discussion Final Piece of Advice As per the reflection made according to me, I have gained knowledge about the robots in this weeks discussion regarding the enhancement of the technological advancement. Henceforth the discussion also depicts the usefulness of robots in the artificial intelligence with considering the policies and rules.

Macbeth Essays (483 words) - Characters In Macbeth,

Macbeth MacBeth was a play about a power hungry guy that would do anything to have power, including killing people. In the play, his moves and actions were heavily influenced by others. If he had just done his own thing would he have ended up the way he did? Some of the people that had an impact on him were his wife, Lady MacBeth, the witches, and MacDuff. Without the help of those people would he have ended up dead? First of and foremost I think the witches, including Hectate, play the biggest role in MacBeths downfall. They almost led him up to killings but not quite. First off they great him by saying, Thane of Glamis (which he currently is), Thane of Cawdor (what he should soon be), and King hereafter. With that news he cannot hide it from Banquo whom is there with him. They then tell Banquo that he will be lesser than MacBeth, and greater, not as happy, but yet much happier, and you shall get kings, but not be one. Then later on in the story three apparitions come when MacBeth goes to meet the three witches and the first apparition, which is an Armed Head tells him, to be aware of MacDuff. The second apparition, a Bloody Child, comes to tell him that he can not be defeated by anyone who was born from a woman. (We later find out that MacDuff was actually ripped from his mothers womb. The image of this bloody head is very sickening, but its is believed that it was a metaphor to MacDuff by his murdered children, and too Banquo as his successors. Then the third apparition, a Child Crowned comes to tell him that nothing will happen to him until Birnam wood moves to Dunsinane Hill. All of those seem like quite impossible tasks put prove themselves to be true. Then in a very close second I think Lady MacBeth had a major role in MacBeths downfall. After she received a letter from MacBeth tell her about the witches prophecies, she decided it would be best to kill Duncan. After hearing about Duncan coming to visit she tells MacBeth, to catch interest near way, which mean kill Duncan. MacBeth is scared at first for a couple reasons. One, the effect it will play on him in the afterlife, This bank and shoal of time, because murder is a mortal sin. Another fear of his was, the belief back then was that if you disrupted the Elizabethan view of the universe then there would be complete chaos. After all the thoughts run through his head he decides that he has no reasons for killing Duncan except for vaulting ambition, his lust for power. English Essays

How to Write Content Both Humans and Search Engines Love

How to Write Content Both Humans and Search Engines Love I’m a big fan of Google. That means that every single word that I write has the â€Å"mumbo jumbo† that appeals to search engines. In other words, each post that I write has at least some sort of keyword analysis to it. For example, this post itself is based around keywords like how to write for search engines and content writing. But, that’s not all. I’ll let you in on a little secret. I’m a fan of writing for humans too. Why? Because even if you get ranked at the top, at the end of the day, Google doesn’t pay you, nor do they subscribe to your website. Humans do. That being said, it is an age long debate between SEOs  who you should really write for: search engines, or humans? Well, today, I’m going to show you how you can actually do both. In this post, I’ll share with you a little about the history behind the conflict between search engines and humans, why there has been so much debate going on around it. I will also go super in depth into how, by the end of reading this post, you can have a good idea of how to write content that both search engines and humans love. Let’s begin! Download Your Free SEO Content Template and Guide Bundle Creating the best content possible that achieves high search engine rankings and inspires readers to click isnt easy. That is, of course, unless you have these 12 free downloadable resources. Apply the advice youll get in this post with these free templates and guides: On-Page SEO Checklist SEO Content Strategy Guide Latent Semantic Indexing Infographic Best Time to Publish Blog Posts Guide Keyword Research Template SEO Rank Tracking Template Blog Post Outline Template Blog Post Writing Checklist Catchy Blog Title Infographic How to Write a Blog Post Template Emotional Power Words Tear Sheet Content Calendar Excel Template How This Post is Written I was originally going to write this post in the manner of a listicle, when I decided that â€Å"’s readers don’t need this! They don’t need another list telling them what to do!† And that’s true. The Internet’s already full of this stuff. That got me the idea of writing this post to be as actionable as possible. At every step of the way, I will be listing down particular steps that you can take, and apply immediately to your own blog. Recommended Reading: How to Boost Traffic With 34 Important SEO Tips You Need to Know (+ Free Kit) The Ultimate Blog Writing Process to Create Killer Posts How to Make an SEO Content Strategy That Will Improve Your #1-3 Results By 248% The Test Bed In order for us to understand this post in detail, we’ll have to use a standard post for our study. In this case, we’ll be using my post on LinkedIn profiles: The Debate Between Search Engines and Humans If you want to understand the debate between Search Engines and Humans, first you’ll have to understand how different these two beings analyze the same chunk of text. For this case study, let’s use the best search engine word reader that every WordPress owner knows and love: the YOAST analyser. Should you write for search engines, or for humans? The answer: both.Your SEO Best Friend, The YOAST Analyzer The Yoast Analyzer is a plugin  that you can install easily from the WordPress Repository, and is totally free (though it comes with paid upgrades that you really don’t need). Downloading Yoast Installing Yoast is pretty straightforward. First, you’d want to go to Plugins on your WordPress Dashboard. Click on it. Then, click on Add new on the top left-hand corner. Next, on the left-hand corner of the screen, you should see a box that looks like this: Type in Yoast, and you should see the following option at the bottom: Click on the blue install button (my button says active because it has already been installed). Accessing Yoast To access the Yoast analyser, simply click on Posts on the left hand side of your WordPress Dashboard: Next, choose a post that you’re working on: Then, inside the Edit Post section, scroll down to the bottom, and you’ll see the Yoast Plugin. The Yoast Analyzer displays key SEO information on your post that looks something like this: Here’s what the colors mean: Orange: Meh†¦Your content is good...but not that good Green: Yay! Red: Change it. NOW. Here's how to make the most out of @yoast for your #WordPress blogAnalyzing your Content for Search Engine-Friendliness The first thing we have to understand in order to create search engine friendly words, is to understand that how Yoast breaks down your post. In this section, you will learn all about the different ranking points that Yoast identifies after years of being in the industry as the top plugin for SEO. Step 1: Enter Your Focus Keyword The focus keyword is what the Yoast plugin operates around with. It’s this section that helps Yoast to analyze your post, and give you all the useful information that you saw in the screenshot above. Naturally, it’s also the first step that you should take when you use this plugin to analyze your text for search engine friendliness. Now, you try it: Select a keyword that you want to rank for, depending on the topic that you’ve earlier decided. For example, in the case of my LinkedIn profile post, I naturally chose to rank for the keywords Linkedin profile. If you’re just starting with writing a blog, you might want to consider using long tail keywords (3 or more words as your focus keyword), but for the sake of this tutorial, we will just keep things basic. Once you’ve decided on the keyword that you want to rank for, input your keyword into the focus keyword section, and wait, as YOAST analyses your text, and churns out your report. Step 2: Keep Your Slug Short and to the Point Simply speaking, the slug is simply the end phrase that your post URL ends with. For example, this is the slug of my LinkedIn article: Take note that the slug cannot contain stop words, which we will cover in Step 3. Take note that the slug should be short, concise, and should not contain irrelevant information in regards to your keyword. If you’re wondering what irrelevant information looks like, it might include the following: The date of your post The category of your blog The time that you posted One general rule of thumb that you can steal from me is to simply use the objective of your article and effect that it brings for the user. For the sake of helping you to understand what objective and effect is, here’s a deeper explanation: Objective: What is the purpose of the article? What is the article based around? Effect: What end goal or effect does it bring the user? What benefits can the user expect out of the article? The first step is to go your headline, and identify what your objective and effect is. For example, going back to my LinkedIn article, my post title looks like this: As you can see, I’ve identified the objectives and the effect of the LinkedIn post, which then gives me a starting point for my slug. In this case, my objectives and effect look something like this: Objective: LinkedIn profiles. Obviously, since the entire article is dedicated to talking about LinkedIn profiles, this part is a no-brainer. Effect: Simple steps. It’s a list of simple things that readers can do to get their desired effect. Converts. What’s the point of writing up a LinkedIn profile if it doesn’t convert? This is a sure winner. When you piece together the Effect and Objective of your title, it becomes super easy for you to come up with a decent slug. Here are some examples that I came up with for my post: Powerful-linkedin-profile Highly-converting-linkedin-profile Simple-steps-linkedin-profile-converts As you can see, I chose the first one, because I felt that it was more direct, to the point, and more importantly, search engine friendly for that particular keyword. Now that you understand what a slug is, it's time to understand what stop words are. Quick #SEO tip: make your slugs search engine-friendly.Step 3: Inbound and Outbound links Links are at the heart of the internet. They help search engines understand website, and they also help humans to better reach and access information. In other words, every time you create a blog post, be sure to do your linking correctly, if you want both search engines and humans to love it. Links consists of two types: inbound and outbound. Inbound Links Inbound links are links that pointing internally within your site, and are also known as internal links. In other words, these are links that you point out to the other pages in your website. For example, if I were to do a post on content marketing, and the work that I have done as a Content Marketing Consultant, I could include a simple line in my post that says â€Å"after being in the Content Marketing field for 6 years...† I could then point a link from the sentence to a page where I talk more about my Consulting career, and how I can help my clients. Internal links help search engines to better understand where all the information is connected together, and how your site functions. This means that from a technical standpoint, it’s a bonus for the search engines, because they don’t have to run into walls every time they crawl your site. Also, internal links help your audience to stay on your site longer, because you are hopefully pointing them elsewhere with relevant information, which then helps them to understand what you do, and what your site is about. Needless to say, your bounce rate (the percentage of people who leave your site without any engagement with it) decreases because your visitors are now staying longer on your site, because they're more engaged with your content. For example, at Contentrific, I found that by increasing the number of internal links to my site by five, I found out that my bounce rate actually decreased by roughly 7%, which is not too bad for a start. How can adding internal links help decrease bounce rates?Outbound Links On the other hand, external links are links that are actually pointing out from your site. In other words, they are links that point search engines from your site to other websites. To really understand external links, it's best to use an example. Imagine that you have a new shoe company in town. You’re trying to tell the town hall to put up advertisements on their noticeboards, so that you can advertise your town. But imagine the town hall doesn’t really understand what you’re saying. â€Å"Is it an apparel shop?† â€Å"Do you sell food there?† Frustrated, you come up with a brilliant reference for them: â€Å"My shop is like a Nike of this town.† Now imagine the collective sigh that the town office gives you, when they finally understand it. If you haven’t guessed it yet, the town hall was Google in my example, and your shop was your website. By externally linking out to other authority sites like Nike (assuming your site sells shoes and sports apparel), it helps search engines like Google to better understand your site by referring your content and pointing them towards authority sites that have already been ranked highly. For example, if I were to do a post on content marketing, I’d make it a point to link out to other   learning resources on authoritative sites like Content Marketing Institute, Copyblogger, and any other sites that have been around for awhile. Think of Google as a learning baby,  and your objective is to teach this baby how to associate red with danger, green with go, and so on. Although it might not seem like a lot, these changes do contribute to an increased ranking when it all adds up. Don't worry that you might be pointing to your competitors, because in due time, you'll just rub the authority that they have, establishing yourself as the main voice in your industry as well. Step 4: Length of Text The length of your blog post plays a significant role in getting your posts to rank. Long-form blog posts are also increasingly becoming the most popular form of content of choice, because of the changes in Google’s algorithm in the recent years. So what exactly is long-form content? To put it simply, you can assume that you’re writing long form content when your blog posts go beyond 1,500 words. You’re writing long form content when your blog posts go beyond 1,500 wordsMy personal recommendation is to write content that goes above 2,500 words, since it has been proven extensively that this form of content is the ideal type of content that gets the most number of social shares and engagements  (assuming you don't have time to write mega posts of 8,000 words like I do). At every step of the way, you want to make sure that the content that you put out is not just there so that you can hit the word count, but actively works to elaborate and reinforce your main point. For example, if you're writing a post on LinkedIn profiles, you'd want to write extensively on the different aspects of a LinkedIn profile, instead of just the usual â€Å"create an account on LinkedIn and start filling it up†. A good start point for elaborating on your main topic is to find related topics and subtopics to write about. The key point is to fill up the meat of your content, so that it becomes an impressive hamburger that your readers will boast about to their friends. Step 5: Keyword Density Keyword density is simply technical jargon which basically means the number of times that particular Focus keyword appears in your content. For example, if my focus keyword is "linkedin profile," then the measure of my keyword density is the number of times the words â€Å"linkedin profile† appears in my entire blog post. In general, it is best to come up with keyword density of more than 1.5%; if you can't go higher than 2%, it would be best. Take note, however, that over-stuffing your posts with keywords is a bad thing. This gives a negative signal to Google that you're trying to flood your blog post with the key word, in an attempt to rank for it, instead of really providing information that shows value to the reader. Recommended Reading: Your Ultimate Content Marketer's Guide to Keyword Research Step 6: SEO title Your SEO title is something that you want to pay particular attention to, mainly because your headline is a key make or break factor that determines whether or not a reader clicks through to your article. Now, this is where it gets a little bit tricky. It's tricky because marketers and bloggers like you have to come up with SEO titles that are both human friendly, which means it intrigues, persuades, and excites, but it also has to be easy enough for search engines to understand it at a glance. Fortunately, Yoast makes this extremely easy for us. Just follow the green button! Kidding. Recommended Reading: Here Are the 101 Catchy Blog Title Formulas That Will Boost Traffic By 438% Step 7: Length of Page Title The next step that we have to take is to make sure that your page title isn't too Long. It's important for you to pay close attention to the length of the page title, since you wouldn't want your title to cut off mid way like so: Step 8: Focus Keyword Appears in URL Next, you have to make sure that the focus keyword that you've selected earlier is included in the URL. In other words, make sure that your focus keyword is included your slug as we've mentioned in step 2. This might actually get a little confusing, since we just covered the topic of effect and objective, but if you get your objective right, it’s a piece of cake. For example, if I were to do a blog post about tennis balls, and the main objective is tennis balls, why wouldn’t you place the words tennis balls in your URL? Chances are, you would. Step 9: First Paragraph of Copy Search engines tend to prioritize the words that you place in front of your copy, as opposed to the words at the back. More specifically, by placing your focus keyword in the first paragraph of your content, you’re telling Google â€Å"Hey! This keyword has been repeated in the page title, the URL, as well as the first paragraph!† What does that tell you? It tells you that the keyword is something that Google should pay extra attention to. For example, if I were to do a post on blogging, but I only mention the keyword â€Å"blogging† at last paragraph of my blog post, how relevant do you think my article is? Well, search engines work in roughly the same way as well. Recommended Reading: How to Maximize Your On-Page SEO in 2017 With One Awesome Checklist Step 10: Meta Description Although the meta description has been widely debated by SEOs whether it is a ranking factor, it is generally agreed that they are relevant for driving human interaction with a site. This is because when a searcher searches for information about a particular topic or question on Google, the queries come back to him/her looking like this: The shaded portion is where the meta description is located. Can you see why it is still considered important, even though most SEOs think that it’s not considered a ranking factor? Think of your meta description as an elevator pitch of sorts. Its job is to condense the information in the post into either a question or a sentence, to attract the attention of the reader, and convince them to click  through. The important points that you must have in your meta description are: A value proposition of the article Clear, concise summary of the article Create points of intrigue about your article, so that the prospective reader is incentivised to click through Make sure that your keyword is also included in the Meta Description. You don’t need to place your keyword at the front of your Meta Description. Step 11: Single Instance of Keyword This might come as a shock to you, but when I first started out in SEO, I initially thought that the way to rank for keywords on Google was to create a ton of content around the same keyword! Boy, was I an idiot. But, now that I think about it, it makes perfect sense why I would think this way. It’s because most gurus online didn’t explain it clearly, or didn’t bother to explain it at all. When they say â€Å"create more content around your keyword†, it doesn’t mean create more content that are around the same keyword. Instead, what you should do is to create content around related keywords to your main keywords. Create content around related keywords to your main keywords.For example, in my LinkedIn profile writing article, my main keyword is obviously on LinkedIn profiles, but the topic is about LinkedIn in general. If I want to â€Å"create content around the same keyword,† what I should instead do is to find related keywords around the general topic â€Å"LinkedIn†, and find other keywords that are related to it. In this case, I can create come up with keywords such as: LinkedIn Publishing LinkedIn Sales Emails LInkedin Groups You get the point. When you create related content around a certain set of keywords (or keyword groups), you are in fact re-emphasising to search engine that your blog and website is about those particular group of keywords. Just don’t make the same mistake I did by using the same keyword over and over again- that’s suicide! Recommended Reading: How to Improve Your Keyword Research With Latent Semantic Indexing Before We Proceed to the Human Side ... Whew! We just covered what it takes to write for search engines. That’s a lot to digest (I know, my content gets comments like that all the time), but it’s information worthy to know. But, since this post is also about writing for humans, let’s cover that in the next section. What About Human Readers? Obviously, since this post is about search engines and human readers, we can’t continue without defining what human reading is. For those of you who are experienced bloggers (as I know you are, because you use :P), you’ll know that YOAST provides another section that helps you to analyse your post, and see if it scores well in the human’s eye too. This section is called the Readability Section. Again, access your Yoast Analyzer in your Edit Posts page, then click on Readability. You should see the Analyzer display a completely different set of information on your post. Again, the colors green, orange and red mean the same thing as I’ve mentioned above. Understanding the Different Factors that Make Up Human-Friendly Words In the next section of our post, we're going to take a look at the different factors that give us an understanding of how to write persuasively toward human readers. But before we proceed, let's take a look at the objectives of writing for humans: We want readers to subscribe We want to persuade readers to take a specific action Readers of our content have to be convinced that the content has value They have to find that the information on the blog post is easy to consume Now that we've defined the objectives of writing for humans, let's see what Yoast gives us. Step 1: Subheadings Do you like to read chunks of messages that are lumped together? I didn’t think so. That’s where subheadings come in handy. Subheadings are headings other than the H1 tag in your blog post: Generally, you’d want to make sure that you follow these steps when you write content on your blog: Have a subheading every 300 words Include your focus keyword in your subheadings - this keeps things on track for the reader too Include only 1 H1 in your content Step 2: Write Sentences No More Than 20 Words Long This should be a no-brainer too. Generally speaking, when you write sentences that are short and concise, it's easier to read your content. Step 3: The Reading Test Recently, I started seeing plenty of bloggers and writers trying too hard to write like the â€Å"big boys†, where they staff a ton of technical jargon and hard to understand sentences into their posts. While it's important to show that you know your stuff, it can hurt readability in the Long run, and lose you more readers than you would otherwise. For example, this post could have been explained using terms like canonical keywords, technical on-audits, and so on, but I deliberately chose to right in a simple way. But why? Shouldn't we write to impress? No. You should instead write to achieve your blogging goals, which most of the time means getting new subscribers to your website. Think about it this way. How are you supposed to convince new visitors on your site, sign up for your newsletter when they don't have a clue what you're talking about? For that reason, I always make it a point to  write in a way that even a high school kid will be able to understand. As a rule of thumb, you should always assume the majority of your readers are total beginners. In fact, Copyblogger did a case study, and they found out the number of beginners visiting their site was a staggering 80%, while advanced users were at 20%. How much traffic did you just lose? In fact, total beginners are the people who are trying to search for information the most, and the most desperate for a solution. If you can put across a concept or technique easily, in a way that is able to relate to that pain point, why won't they subscribe to you? Recommended Reading: How to Build New Marketing Skills in 11 Simple Steps (Backed By Science) Step 4: Paragraph Length With the attention span of a reader significantly reducing, it becomes harder and harder for marketers and content creators to maintain the level of attention to the words that we are saying. This means that any small mistake with the formatting of your content will turn off your readers, and significantly increase your bounce rate. And when it comes to keeping the attention of your readers, one of the most important aspects of overall readability of your content is the length of your paragraphs. Why is it so important to have paragraphs done right? Because the length of your paragraph creates an overall look and feel of your content. Which would you rather choose to read? Chances are, you’d choose the one on the right. Tip: For best results, keep your lengths to 20 words per sentence and no more than three sentences per paragraph. Step 5: Transition Words/Phrases Transition words are words that help to guide readers along your content. They make reading your content easier, in short. When you write blog posts, especially blog posts that are actionable in nature, you’d want to use words like these: Step 6: Passive Voice If you take away one piece of advice today from this post, and it'd be to  never write in a passive voice. I say this again. Never write in a passive voice. But, what exactly is passive voice? I'll give you an example. Say for example we are writing a simple sentence describing an elephant in a forest. Can you guess which voice is passive, and which is not? â€Å"The elephant went through the forest and came out a teddy bear† Versus: â€Å"An elephant is the best companion that you can have when you go to the forest, because it’ll become a teddy bear† The first one is the passive voice. Passive voice makes your content dull, monotonous, and irritating to read, because the reader is not a part of the action. For example, Ramit Sethi, one of the world’s top bloggers, uses a ton of active voice in his content. This keeps his content engaging, and is the main reason why readers read to the last sentence. Why should you never write in passive voice?Four Additional Tips So†¦ the key idea is to follow whatever Yoast tells us, and we’ll be alright, right? Well, not quite. You see, much as Yoast is a great plugin, it can only do so much by analyzing our text. The truth is, there are many other ways that you can improve your content, so that both search engines and your readers will love it. Since there are an endless number of ways that you can go about doing it (maybe I should come up with a blog post about it in the future), I’ll just list down four simple steps in this post that you can take additionally to improve your content.

StarBucks Essay Example | Topics and Well Written Essays - 1250 words

StarBucks - Essay Example Furthermore Starbucks does not follow traditional aggressive advertising strategy; rather it focuses on high-level branding and marketing practices (Larson, Marketing Strategy and Alliances Analysis of Starbucks Corporation). Word-of-mouth has been a widely practiced marketing communication strategy by the company. The ‘differentiation’ generic strategy provides sustainable competitive advantage to the company. Starbucks intentionally avoids traditional promotional approach. It believes that its brand is promoted through excellent in-store service, quality of the product, premium price and unique customer experiences. Such a strategy has definitely provided sustainable competitive advantages to the company. As far as customer response is concerned, Starbucks is very quick to respond to all their customer queries. Starbucks is committed to provide a unique experience to all its customers. It has all the required resources in order to support and sustain all its rapid response activities. Starbucks is one of the most successfully marketed brands in the world. The company has 16,706 stores (including both company operated and licensed) throughout the world. The company’s long term objective is to have 15,000 U.S. stores and 30,000 stores in the entire world (Horovitz, Starbucks aims beyond lattes to extend brand). Starbucks’s mission says that it is working for inspiring and nurturing human spirit – â€Å"one person, one cup and one neighbourhood at a time.† Generally strategic planners of any organisation develop the long term objectives in seven major areas which are profitability, competitive position, productivity, employee development, technological leadership, employee relations and public responsibility. Moreover quality of any long term objective can be evaluated on the basis of five factors namely flexible,