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Characteristics of michael henchard mayor of casterbridge
Life journey of Henchard as Mayor of Casterbridge
Project topics on thomas hardy's the mayor of casterbridge
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Redemption and Reconciliation in The Mayor of Casterbridge
In Thomas Hardy’s The Mayor of Casterbridge, rejection and reconciliation is a consistent theme. During the Victorian era, Michael Henchard, a common hat trusser, becomes Mayor of the town of Casterbridge, Wessex. However, his position does not prevent him from making a series of mistakes that ultimately lead to his downfall. Henchard’s daughter, Elizabeth Jane Newson, is affected by her father’s choices and is not spared any disappointing consequences. In the novel, the characters of Henchard and Elizabeth Jane both experience the pain of rejection in its different forms and discover reconciliation from that rejection.
Henchard and Elizabeth-Jane similarly endure rejection from those they have deemed important figures in their lives. Lucetta loses her feelings for Henchard and he takes second place to Farfrae. Henchard confronts Lucetta at her home regarding her intention to marry him. After the encounter, Lucetta rebelliously cries, “[H]e’s hot-tempered and stern, and it would be madness to bind myself to him knowing that. I won’t be a slave to the past—I’ll love where I choose!”(Hardy 250). Similarly, Elizabeth-Jane, upon seeing Farfrae in the churchyard, notices that she has lost his attention. “[W]hether or not he saw her he took no notice, and disappeared. Unduly depressed by a sense of her own superfluity she thought he probably scorned her”(207). Through the rejection Henchard and Elizabeth-Jane suffered from Lucetta and Farfrae, the father and daughter are communally bound in their care for the happiness of the two lovers but they also feel hurt and rejected by the marriage. More important than Henchard and Elizabeth-Jane’s rejection by their friends, is their rejection of each other. When Elizabeth-Jane and Farfrae are courting, Henchard foresees his stepdaughter easily leaving him under the influence of Farfrae. Henchard admits that “Farfrae would never recognize him more than superciliously; his poverty ensured that, no less than his past conduct. And so Elizabeth would grow to be a stranger to him, and the end of his life would be a friendless solitude”(381). However, Elizabeth-Jane is not influenced negatively by Farfrae. Henchard is rejected only when Elizabeth-Jane discovers the selfish lie her stepfather had told to keep Newson from her. Elizabeth-Jane is a...
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...bstacles of rejection yet both characters have the strength to reconcile these situations in some way. Henchard and Elizabeth-Jane are both rejected by those they care about; however, we see that these characters are also capable of rejecting each other. They are the victims as well as the instigators of rejection and in both positions they suffer grief. Both Henchard and Elizabeth-Jane similarly, in an introverted manner, handle and resolve the dereliction that they have experienced. Henchard silently tries to change how others regard him while Elizabeth-Jane reconciles herself without help from anyone. These character’s views on their situation are very different. Henchard wallows in a depressed state even after there is some reconciliation because he fears that he will suffer the same rejection again. Elizabeth-Jane, however, tries to be optimistic and trusts that better things await her. The theme of rejection and reconciliation, although carried through the novel by two very different individuals, follows the same patterns; however, the end results vary distinctly because of the character’s perspective on life.
Bibliography:
Hardy, Thomas. Mayor of Casterbridge.
With the passage of the Affordable Care Act (ACA), the Centers for Medicare and Medicaid Services (CMS) has initiated reimbursement based off of patient satisfaction scores (Murphy, 2014). In fact, “CMS plans to base 30% of hospitals ' scores under the value-based purchasing initiative on patient responses to the Hospital Consumer Assessment of Healthcare Providers and Systems survey, or HCAHPS, which measures patient satisfaction” (Daly, 2011, p. 30). Consequently, a hospital’s HCAHPS score could influence 1% of a Medicare’s hospital reimbursement, which could cost between $500,000 and $850,000, depending on the organization (Murphy, 2014).
Healthcare organizations must inhere a strategy to stay ahead of their competitors so that they can maintain their patient volume. By measuring the quality of care through performance, patient satisfaction, and experience, and cost all play a role of having patients to choose your hospital. Today, many healthcare organizations have adopted the triple aim strategy of great quality, great patient experience for a reasonable cost. With the tracking of their patient experience and continuously improving the quality of care at a reasonable cost to stay one step ahead of their competitors and to maintain and increase patient volume has been successful help in the healthcare
Pay-for-performance (P4P) is the compensation representation that compensates healthcare contributors for accomplishing pre-authorized objectives for the delivery of quality health care assistance by economic incentives. P4P is increasingly put into practice in the healthcare structure to support quality enhancements in healthcare systems. Thus, pay-for-performance can be seen as a means of attaching financial incentives to the main objectives of clinical care. However, reimbursement is a managed care payment by a third party to a beneficiary, hospital or other health care providers for services rendered to an insured or beneficiary. This paper discusses how reimbursement can be affected by the pay-for-performance approach and how system cost reductions impact the quality and efficiency of healthcare. In addition, it also addresses how pay-for-performance affects different healthcare providers and their customers. Finally, there will also be a discussion on the effects pay-for-performance will have on the future of healthcare.
...lthcare system is slowly shifting from volume to value based care for quality purposes. By allowing physicians to receive payments on value over volume, patients receive quality of care and overall healthcare costs are lowered. The patients’ healthcare experience will be measured in terms of quality instead of how many appointments a physician has. Also, Medicare and Medicaid reimbursements are prompting hospitals, physicians and other healthcare organizations to make the value shifts. In response to the evolving healthcare cost, ways to reduce health care cost will be examined. When we lead towards a patient centered system organized around what patients need, everyone has better outcomes. The patient is involved in their healthcare choices and more driven in the health care arena. A value based approach can help significantly in achieving patient-centered care.
In Pride and Prejudice, Elizabeth Bennet’s journey to love and marriage is the focal point of the narrative. But, the lesser known source of richness in Austen’s writing comes from her complex themes the well-developed minor characters. A closer examination of Charlotte Lucas, Elizabeth’s dear friend in Pride and Prejudice, shows that while she did not take up a large amount of space in the narrative, her impact was great. Charlotte’s unfortunate circumstances in the marriage market make her a foil to Elizabeth, who has the power of choice and refusal when it comes to deciding who will be her husband. By focusing on Charlotte’s age and lack of beauty, Austen emphasizes how ridiculous and cruel marriage can be in this time.
As part of the health care reform, many hospitals have focused their marketing strategies on population health management as part of the transformation to value-based care. Managing population health requires a close relationships with physicians, partnerships with organizations in the community, and expansion into preventive and outpatient care and therefore must be implemented further. Likewise, comprised as key components are investing in technology - to connect with physicians, customers and the community and gather data necessary for improving quality (Takvorian, 2015) and merging with other hospitals and health care systems - consolidation as a strategy to gain capital necessary for health IT investments, outpatient facility construction, physician partnerships and other projects (Johns Hopkins Bloomberg School of Public Health, 2015; Ropak, 2012).
Patient-centered care is a broad topic that can be discussed on a daily basis within the healthcare world. Patient-centered care is when healthcare providers and facilities provide care that is respectful to the patient’s preferences, needs and values. It can also be described as physicians who practice patient-centered care can improve their patients’ clinical outcomes and satisfaction rates by improving the quality of the doctor-patient relationship, while at the same time decreasing the utilization of diagnostic testing, prescriptions, hospitalizations, and referrals (Rickett, 2013). Unfortunately, ideal patient-centered care is hard to come by, especially in all 50 states because there is a shortage of money and proper resources needed
The novel, Jane Eyre, by Charlotte Bronte, has a plot that is filled with an extraordinary amount of problems. Or so it seems as you are reading it. However, it comes to your attention after you have finished it, that there is a common thread running throughout the book. There are many little difficulties that the main character, the indomitable Jane Eyre, must deal with, but once you reach the end of the book you begin to realize that all of Jane's problems are based around one thing. Jane searches throughout the book for love and acceptance, and is forced to endure many hardships before finding them. First, she must cope with the betrayal of the people who are supposed to be her family - her aunt, Mrs. Reed, and her children, Eliza, Georgiana, and John. Then there is the issue of Jane's time at Lowood School, and how Jane goes out on her own after her best friend leaves. She takes a position at Thornfield Hall as a tutor, and makes some new friendships and even a romance. Yet her newfound happiness is taken away from her and she once again must start over. Then finally, after enduring so much, during the course of the book, Jane finally finds a true family and love, in rather unexpected places.
The balance between quality patient care and medical necessity is a top priority and the main concern of many of the healthcare organizations today. Due to the rising cost of healthcare, there has been a change in the focus of reimbursement strategies that are affecting the delivery of patient care. This shift from a fee-for-service towards a value-based system creates a challenge that has shifted many providers’ focus more directly on their revenue. As a result, organizations are forced to take a hard look at the cost of services they are providing patients and then determining if the services and level of care are appropriate for the prescribed patient care.
In 2015, the Centers for Medicaid and Medicare Services (CMS) released the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) which implements the final rule which offers financial incentives for Medicare clinicians to deliver high-quality patient centered care.5 Essentially, taking the time to learn the patient’s goals and treatment preferences allows for the patient to walk away from the medical treatment or service feeling understood and cared for by the provider.4 Thus, resulting in a better, more comprehensive plan of care. Policy makers are hopeful that the new incentive-based payment system will accelerate improvement efforts.
Jane does not experience a typical family life throughout the novel. Her various living arrangements led her through different households, yet none were a representation of the norm of family life in the nineteenth century. Through research of families in the nineteenth century, it is clear that Jane’s life does not follow with the stereotypical family made up of a patriarchal father and nurturing mother, both whose primary focus was in raising their children. Jane’s life was void of this true family experience so common during the nineteenth century. Yet, Jane is surrounded by men, who in giving an accurate portrayal of fathers and masculinity in the nineteenth century, fulfill on one hand the father role that had never been present in her life, and on the other hand the husband portrait that Jane seeks out throughout the novel.
Quality improvement organizations drive and champion the quality improvement, monitor the appropriateness and effectiveness, and provide quality initiatives for our nation’s health care system. They measure development, endorsement and approval. They provide accreditations, influence quality improvement, make public reporting available, and sometimes provide payment and incentives for efficiency. We also need information sharing between organizations on what works and what doesn’t in healthcare. Doing this helps eliminate unnecessary or harmful practices. It improves the efficiency in healthcare, the cost-effectiveness, and safety. These quality improvement organizations frequently make it one of their objectives to have a cross sharing of medical information between health care facilities (Donini-Lenhoff, 2011).
The plot of the novel follows traditional plot guidelines; although there are many small conflicts, there is one central conflict that sets the scene for the novel. The novel is about an embarrassing; mismatched couple and their five daughters. The novel begins with Mrs. Bennet, telling her daughters of the importance of marrying well. During this time a wealthy man, Charles Bingley, moves close to Netherfield, where the Bennets’ reside. The Bennet girls struggle to capture his attention, and Jane, who judges no one, is the daughter who manages to win his heart, until Mr. Bingley abruptly leaves town. Mr. Bingley is often accompanied by Fitzwilliam Darcy, who is a very proud man. Elizabeth Bennet, who is proud of herself, and Mr. Darcy are not fond of one another from the start, these two characters pose the central conflict in the novel. As the novel progresses, Elizabeth receives a marriage proposal from her cousin, Mr. Collins, and turns him down. Mr. Collins then proposes to Charlotte Lucas, Elizabeth’s bestfriend, who accepts. Elizabeth then leaves home to stay with, the Collins’ who live near Lady Catherine de Bourgh, Mr. Darcy’s aunt. While this is going on, Mr. Darcy realizes he has feelings for Elizabeth and proposes to her, this is the climax of the novel. She is astonished by his actions, and turns him flat down. She explains that she feels he is arrogant, and feels he stood in the way of Jane and Mr. Bingley marrying, and also feels he is a cruel man, especially in his treating of Mr. Wickham, she is expressing her prejudice towards him. He leaves and they part very angry with each other. Mr. Darcy then writes Elizabeth a letter, explaining his feelings, defending his actions, and reveling the true nature of Mr. Wickham. During this time Elizabeth returns home still baffled about the letter Mr....
The meaning of quality is “the right care for the right person at the right time”. Quality can be well-defined as the value, efficiency, consistency, and outcome of the care being provided. The Center for Medicare and Medicaid Service’s (CMS) stated “an rise in health care spending from $2.34 trillion in 2008 to $ 2.47 trillion in 2009, the largest one year increase since 1960” (Pickert, 2010). “The action to improve the American health care delivery system as a whole, in all of its quality dimensions such as efficiency, effectiveness, equitability, timeliness, patient-centeredness, and safety for all Americans” (IOM, 2011). This paper aims to find out the relationship between cost and quality relating to health care.
“Jane Eyre” by Charlotte Bronte is a novel about an orphan girl growing up in a tough condition and how she becomes a mature woman with full of courage. Her life at Gateshead is really difficult, where she feels isolated and lives in fear in her childhood. Her parents are dead when she was little, her dead uncle begged his evil wife, Mrs. Reed, to take care of Jane until she becomes an adult. But Mrs. Reed does not keep her promise, no one treats Jane like their family members even treats her less than a servant. By the end of this essay it will be proven that Jane’s life at Gateshead has shaped her development as a young woman and bildungsroman.