RLG202H5 : Nov 17 - Religious Laws

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azurealligator307

6 Jan 2011

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orthopraxy vs orthodoxy: ortho = straight, correct: orthodoxy: doxy = doctrine: set of ideas, correct ideology. hard to define judaism in terms of doctrine. the shema (deut 6:4-9: central prayer in judaism. polytheism, monolatry, and monotheism: monolatry: worship of one god but accepting other gods as, jud: it does not deny existence of other god (?, monotheism: universal among the jews. philo"s logos theology: philo of alexandria, use of stoic doctric of logos of biblical theology, philo applied to the biblical text to the stoic concept of the. Logos, a rational principle that mediates between the purely spiritual creator and the physical universe. the logos: responsible for day to day interaction with. divine unity in medieval jewish philosophy: medieval theology and philosophy insisted on a more restrictive understanding of the principle of divine oneness. www. notesolution. com. God is completely beyond number, and not composed of multiple elements.

Related Questions

There are sometimes conflicts within the same code, between the code and the __________ and between the code and a counselor's value system.

		Judgment
		Ethics
		Law
		Value

2 points

Question 2

Section A of the ACA Code of Ethics highlights important issues within the __________________________________.

		Privacy Act
		Confidentiality Act
		Professional's Responsibility
		Counseling relationship

2 points

Question 3

______________________ in a code sometimes lag behind the values of society and of professional associations.

		Laws
		Attitudes
		Values
		Beliefs

2 points

Question 4

Which section was added to the latest edition of the ACA Code of Ethics (2014)?

		Resolving Ethical Issues
		Advocacy and Social Justice
		Distance Counseling, Technology, and Social Media
		Research and Publication

2 points

Question 5

Which of the following is not one of the ethical "hot spots" identified in this chapter?

		Gatekeeping
		Social and Cultural Issues
		Informed Consent
		Technology

2 points

Question 6

Which of the following is not a type of ethical decision-making model discussed in the text?

		Problem-solving model
		Advocacy model
		Social constructivist model
		Developmental model

2 points

Question 7

_______________ has to do with protecting the independences, self-determination and freedom of choice for client.

		Nonmaleficence
		Beneficence
		Justice
		Autonomy

2 points

Question 8

People who have this view of the world, see things in black and white, are very concrete, rigid, and authoritarian.

		Dualistic
		Modern
		Post-modern
		Flexible

2 points

Question 9

Which section of the ACA Ethical Code (2014) offers guidelines on how to report an ethical violation?

		Section B
		Section I
		Section E
		Section A

2 points

Question 10

.__________ is the responsibility under the law for a violation of federal or state criminal statute.

		Beneficence
		Nonmaleficence
		Civil liability
		Criminal liability

2 points

Question 11

To prove that they are following the best practices of their professions, counselors should:

		Know relevant laws
		Maintain good records
		Stay professional with clients
		All of the above.

2 points

Question 12

______________ is the most rigorous form of credentialing.

		Accreditation
		Licensure
		Certification
		Registration

2 points

Question 13

Theories help counselors and other helping professionals in the following way(s):

		conceptualizing clients' problems
		necessary to become a licensed psychotherapist
		offer specific techniques to apply
		both a and c

2 points

Question 14

What is a paradigm shift?

		A change like a universe.
		A change in the way information is perceived.
		A change in theory.
		A change in human nature.

2 points

Question 15

Do psychodynamic theories consider which of the following to be important in understanding a person's functioning?

		Child-rearing practices
		The unconscious and conscious
		Examining the past
		All of the above

2 points

Question 16

Sigmund Freud was trained as a:

		Physician
		Counselor
		Caseworker
		Social worker

2 points

Question 17

Freud believed that there are ____________ structures that make up personality.

		1
		2
		3
		4

2 points

Question 18

Freud, and later his daughter Anna Freud, identified a number of _______________ that help people to cope with anxiety.

		Defense skills
		Coping mechanisms
		Coping skills
		Defense mechanisms

2 points

Question 19

___________ believed that each of us has a unique psychological type which includes the attitudes of extraversion and introversion.

		Freud
		Rogers
		Jung
		Cattell

2 points

Question 20

_______________________ believed that every child was born with innate and unique capabilities and is inherently moving toard the future, not determined by the past.

		Adler
		Freud
		Rogers
		Jung

2 points

Question 21

Existential-humanistic approaches embrace a phenomenological perspective, stressing all but which of the following?

		The subjective reality of the client
		the role of the unconscious
		How the counselor uses his or her personal qualities in counseling
		the importance of consciousness and/or awareness

2 points

Question 22

Although Ludwig Binswanger is generally acknowledged as being the first existential therapist, who is seen as the person who popularized this approach through "logotherapy"?

		Irvin Yalom
		Carl Rogers
		Alfred Adler
		Viktor Frankl

2 points

Question 23

____________________ developed client-centered therapy.

		Carl Jung
		Viktor Frankl
		Carl Rogers
		Ludwig Binswanger

2 points

Question 24

Today, most Gestalt therapists believe that from birth, the individual is in a constant state of ______________ through a process of need identification and need-fulfillment.

		Self-regulation
		Self-actualization
		Existential crisis
		Emotional distress

2 points

Question 25

This therapy was developed by Albert Ellis during the 1950s.

		Psychodynamic therapy
		Behavioral therapy
		Cognitive therapy
		Rational emotive therapy

coralsnail276

What exactly was Hooker's response to Darwin's, Origin of Species? Thank you for your help. I need help deciphering what his opinions truly were.

Hooker, J. D. 1859. [Review of] On the origin of species. Gardeners' Chronicle (31 December): 1052. Part 1.

From the above expressions it will be inferred that we have risen from the perusal of Mr. DARWIN'S book much impressed with its importance, and have moreover found it to be so dependent on the phenomena of horticultural operations, for its facts and results, and so full of experiments that may be repeated and discussed by intelligent gardeners, and of ideas that may sooner fructify in their minds than in those of any other class of naturalists, that we shall be doing them (and we hope also science) a service by dwelling in some detail upon its contents. Thus much we may premise, that it is a book teeming with deep thoughts on numberless simple and complex phenomena of life; that its premises in almost all cases appear to be correct; that its reasoning is apparently close and sound, its style clear, and we need hardly add its subject and manner equally attractive and agreeable; it is also a perfectly ingenuous book, bold in expressions as in thought where the author adduces what he considers clear evidence in his favour, frank in the statement of objections to the hypotheses or conclusions founded on its facts and reasonings; and uniformly courteous to antagonistic doctrines. In fine, whatever may be thought of Mr. DARWIN'S ultimate conclusions, it cannot be denied that it would be difficult in the whole range of the literature of science to find a book so exclusively devoted to the development of theoretical inquiries, which at the same time is throughout so full of conscientious care, so fair in argument, and so considerate in tone. . . . Hitherto most [naturalists] have, as we have already observed, contented themselves with the hypothesis that they were independently created, and the minority have clung to the only other explanation hitherto conceived, that they have all been created by variation from a single first-created living organism, or a few such. Now it must be borne in mind that both these views are mere hypotheses in a scientific point of view; neither has any inherent or prescriptive right to a preference in the mind of the impartial inquirer; but the most superficial observation will show that the hypothesis of original creations is incapable of absolute proof, except the operation be witnessed by credible naturalists, and can only be supported by facts that are either not conclusive against the opposite doctrine, or may be regarded as equally favourable to it; and this hypothesis is hence placed at a disadvantage in comparison with that of the creation of species by variation, which takes its stand on the familiar fact that species do depart from the likeness of their progenitors, both in a wild and domestic state. On the other hand the hypothesis of creation by variation labours under the disadvantage of being founded upon a series of phenomena, the action of each of which individually, as explained by Mr. DARWIN, would appear to prevent the possibility of species retaining their characters for any length of time, and it therefore appears at first sight opposed to the undisputed fact, that many hundreds of animals and plants have transmitted their characters unchanged (or nearly so) through countless generations, and covered, even within the historic period, many square miles of country each with millions of its exact counterpart. To explain this anomaly and to raise this hypothesis of creations by variation to the rank of a scientific theory, is the object of Mr. DARWIN'S book, and to do this he has endeavoured to invent and prove such an intelligible rationale of the operation of variation, as will account for many species having been developed from a few in strict adaptation to existing conditions, and to show good cause how these apparently fleeting changelings may by the operation of natural laws be so far fixed as to reconcile both the naturalist and the common observer to the idea, that what in all his experience are immutable forms of life may have once worn another guise. The hypothesis itself is a very old one; it was, as all the world knows, strongly advocated by LAMARCK, and later still by the author of the "Vestiges of the Natural History of the Creation," but neither of these authors were able to suggest even a plausible method according to which Nature might have proceeded in producing suitable varieties, getting rid of intermediate forms, and giving a temporary stability to such as are recognised as species by all observers. Mr. DARWIN has been more successful, though whether completely so or not the future alone can show. We shall proceed to examine his method in another article.

raspberryspider271

The CEO of St. Sebastian Health System, a moderate-sized hospital system in a mid-sized, Midwest city has hired you to help turn things around. The CFO is projecting a $3.7 million operating loss this year, which will be more than offset by non-operating income. However, the board has made it clear that the situation must improve. If the system cannot produce a positive operating margin in 2017, someone else is going to be the CEO. The CEO and CFO have asked you to recommend strategic approaches to sell their services in the community that will help turn the financial ship around.

Your Health System

St. Sebastian is a community-based health system. The senior management team has an average tenure of 17 years. The exception is the Chief Medical Officer (CMO). She has been in her position for two years and is the fourth CMO in that role in the past ten years. The CEO and COO have each been in their current roles for ten years. The system is comprised of the following:

Two large, acute care hospitals

Two long term care facilities

Two skilled nursing facilities

One long-term acute-care hospital (LTAC)

Four geographically distributed outpatient centers

Four Urgent Care Centers

Two free-standing ambulatory surgery centers (ASCs)

A 400 member employed physician group that includes 180 Primary Care Providers (PCPs). All 28

PCP practices are certified Level III Patient-Centered Medical Homes by NCQA.

The remainder of the 1,000 members medical staff is generally comprised of large, independent groups who have varying degrees of loyalty to the system. The Radiology and Emergency groups, for example, do 100% of their work at St. Sebastian and have no ownership of any outside facilities. The Gastroenterology Group, on the other hand, does work at the hospital but also owns its own, freestanding endoscopy center. The orthopedic group does 75% of their work at St. Sebastian but maintains privileges at other facilities. They do not own their own ASC.

In the current year, St. Sebastian is projecting 220,000 patient visits (combined IP and OP) with an average cost per visit of $1,727. They have an average charge per visit of $4,545.

Over the past ten years, St. Sebastian has been active in pursuing many different strategic projects including:

They have established clinical institutes in cardiovascular, orthopedic, oncology, maternity, and neurologic care. Each of these has been built through a co-management agreement between the system and the internal or external physician group who would be most logical. Each institute is led by a dyad of an administrator and medical director.

Five years ago, they consolidated maternity programs to one facility, a move that justified investing in a Level III Neonatal Intensive Care Unit (NICU)

They have established a research division in the hopes of working with national pharmaceutical companies and/or tertiary care hospitals in the Midwest.

They have established a Physician Hospital Organization (PHO) and intend to become an Accountable Care Organization (ACO) that can participate in the Medicare Shared Savings

Program (MSSP) and/or enter into global risk contracts with third-party payers. The PHO is currently evaluating whether or not they should purchase an insurance license so that they could offer commercial, Medicare Advantage, and Managed Medicaid insurance products.

5. They have established a Business Health division to service the corporate health needs of the employers in the region. This would include things like EAP programs, on-site wellness, drug screening, on-site clinics, etc. This division also recently built two large, full-service fitness centers.

The competition The community is currently served by three other major health providers:

Mercy is the competitor acute care system in town and has two hospitals and various outpatient centers. They have not been active in physician employment they employ a group of 60 PCPs, but no specialists. Similarly, they have not been engaged in branching out with different strategic initiatives, preferring instead to focus on cost-efficient care. They do not have clinical institutes, research divisions, a PHO, or a Business Health division. They have 230,000 visits per year, with an average cost of $1,435 per visit and an average charge of $4,348.

General Pediatric is a pediatric teaching hospital. Five years ago, they signed an affiliation agreement with Johns Hopkins to gain access to clinical and research capabilities that would have been beyond their reach, given their size. The employee essentially all of the pediatric subspecialists and have a PHO, which includes 75% of the region's primary care pediatricians. They will have 200,000 visits this year, with an average cost of $2,100 per visit and an average charge of $5,000 per visit.

General University is an adult teaching hospital affiliated with the local university's medical school. They staff the region's free-care clinics and historically, have been the region's hospital for indigent/uninsured patients. They are the region's Level I trauma center and are well regarded for intensive services like trauma, stroke, and cancer care. However, their location and reputation for taking indigent patients mean that they are not preferred for normal medical care by commercially insured or Medicare patients. Besides the community health centers, they own an inpatient rehab hospital, but no other facilities. They have explored affiliations with national leaders in academic medicine, but so far have not signed any such agreements. They see 180,000 visits per year with an average cost of $1,833 and an average charge of $5,556 per visit.

There are no other hospitals currently operating, though there are 23 skilled nursing facilities (SNFs) and 3 inpatient rehab facilities throughout the region. They are independent actors and for the most part, are struggling to stay profitable. Several single-specialty physician groups operate ambulatory surgery centers and one chain of independent diagnostic treatment facilities (IDTFs). Three years ago, there was a significant change in the state government, and that resulted in the long-time Certificate of Need (CON) program is all but scrapped (Skilled Nursing Facilities are still heavily regulated). Several for-profit hospital companies have recently done some analysis around entering your market, but have not done so yet.

The community is a Midwest city and surrounding suburbs in the midst of a transition from a manufacturing employment base, which unfortunately accelerated with the 2008 economic downturn. The hospitals have seen this over the past several years in a tightening of benefits offered by local employers. Benefits continue to be offered, but increasingly are likely to have a significant deductible associated with them. Unemployment has been above the national average and is projected

to remain that way. This means that the average wage in the region is actually below where it was in 2008 when the last recession hit. The number of Medicare-age residents is projected to rise over the next 10-20 years while working-age patients are projected to stay flat or fall slightly. Similarly, birth rates are expected to fall slightly over the coming decade.

The community is 60 miles south, 45 miles east, and 50 miles north of other, similarly-sized cities. Until 20 years ago, that made this city effectively an island unto itself. Increasingly, however, the suburbs of each of these communities have become very close to each other. As that has happened, providers in each community have followed and established practice sites and free-standing outpatient centers.

The community has a normal looking mix of Commercial, Medicare, and Medicaid patients. Because the state's governor was fiercely against the Affordable Care Act, the Medicaid expansion that happened in other states hasn't happened here. Thus, the community also has a sizable population without insurance today. As you'd expect, different hospitals see a different mix of these patients. The local health council was able to provide you with the most recent years payer mix by hospital below:

Patient visits	Commercial	Medicare	Medicaid	Uninsured/Self-pay
Mercy	80,500	105,800	23,000	20,700
St. Sebastian	99,000	101,200	11,000	8,800
Gen. Pediatric	70,000	4,000	110,000	16,000
Gen. University	63,000	45,000	45,000	27,000
Community Total	312,500	256,000	189,000	72,500

Reimbursement the CFO was able to supply you with their best estimate for what various payers are reimbursing for services. In general, the commercial plans are paying 50% of charges, regardless of location, except at General Pediatric. There, the monopoly on pediatric services has allowed them to negotiate rates of 80% of charge, but only for the commercial plans. Medicare currently pays 30% of charges at all hospitals, and Medicaid pays 25% of charges everywhere. Uninsured patients are generally paying 2% of charges.

refer back to St. Sebastian and the facts laid out in the background reading and Case #1and consider:

What products are in this industry vs. part of another distinct group?

What is the geographic scope of competition?

Identify the participants and segment them. Who are,

The buyers and buyer groups?

Suppliers and supplier groups?

The competitors?

The substitutes?

The potential entrants?

Which of these forces is strong/weak and why?

If possible, analyze the industry structure.

Why is the level of profitability what it is?

Which are the controlling forces for profitability?

What are the recent and likely future changes in each force, both positive and negative?

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RLG202H5 : Nov 17 - Religious Laws

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