E 2 635 harsha - Information Systems
QUESTION 1
The relationship between IT and other areas of the organization is critical for many aspects of IT within organizations. Discuss the role of IT governance and leadership in understanding how organizations see the value of IT.
What is IT governance? Discuss different approaches to IT governance.
How can different types of IT leadership impact the role of IT within an organization?
Provide specific examples where applicable. Use the readings (and, if you wish, other relevant references) to support your answer. Please provide citations.
QUESTION 2
Develop an IT innovation strategy for your organization (or an organization you are familiar with). Describe the organization’s situation and how a specific innovation approach (disruptive, architectural, routine, radical) would be most appropriate for it.
QUESTION 3
Choose one of the following:1) internet of things 2) blockchain 3) big data/analytics
Describe two real-world applications of your chosen technology. How does this technology enhance business competitiveness/profitability in the two applications?
Please Note the Following:
1- Make sure to cite the references (both required readings and external sources, if any) you use. Proper citing (using, for example, APA style) of an article includes necessary information such as author name(s), journal title, year of publication, etc. Just referring to Readings from Week 3 or Harvard Business Review is not proper citation.
2- As always, quality outweighs quantity. While your answer needs enough length to conduct a thorough analysis, it is very important to offer a coherent and readable answer that is well organized and that has a smooth and logical flow. The answer must reflect a reasonable mastery of the required readings. Answers that are too generic and that can be provided by a layman with superficial knowledge of the material is not acceptable.
3- Academic honesty is extremely important and any suspected plagiarism (including copying material without citing it) will not be tolerated.BETTER
DECISION RIGHTS
F
or better or worse, the IT
spending boom has ground
to a halt, replaced by a
more sober era where IT
decisions are made with far
greater scrutiny. Once bit-
ten, twice shy is the name
of the game, as CEOs take
more control of IT initiatives and
tighten the purse strings by demanding
greater justification for new initiatives.
This cautious, less trusting environment
has resulted in a credibility gap between
management and IT, with IT staff in the
vulnerable position of feeling expend-
able as long as the outsourcing bug is in
the air. And IT staff frustration is often
compounded as staff members are
blamed for IT decisions made by top
management!
The irony of this scenario is that there
has never been a more important role for
IT in the e-business environment of
today. Integration of IT in internal
processes and external markets is grow-
ing at a furious pace. The stakes for good
communication are high. On one hand
there is an adversarial relationship due to
the credibility gap and the starkly differ-
ent language spoken at the business and
“The perils of screwing up (with technology) are greater every
year, making the stakes for effective communication even higher.”
—STAN LEPEAK, VP OF TECHNOLOGY
RESEARCH SERVICES AT METAGROUP.
FIX IT-BUSINESS
RELATIONSHIPS
THROUGH
80 December 2007/Vol. 50, No. 12 COMMUNICATIONS OF THE ACM
By Varun Grover, Raymond M. Henry,
and Jason B. Thatcher
IT ends. On the other, there is the need
for executive management and the top
IT brass to come together to synchronize
organizational IT with business needs
[1]. A sour relationship between these
groups is not good in an environment
where the downside risks of IT failure
are catastrophic and the upside potential
is often dictated by competitors.
Just how bad is it? We surveyed senior
IT managers in a variety of industries and
focused on some very simple questions:
• Who makes major IT decisions? Who
is held accountable for them?
• Does this affect the relationship of your
group with top management?
In this article, we discuss the concepts of
decision rights and accountability, and the
gap that might sour the relationship
between IT management and top man-
agement.
DECISION RIGHTS AND ACCOUNTABILITY
IT decisions in organizations are made in
a wide variety of areas. Major decision
areas range from those involving IT strat-
egy, or the role of technology in trans-
forming business, to more technical
decisions concerning IT infrastructure.
An appropriate decision-making frame-
work is critical for organizations that want
to effectively manage IT and information
assets. These include not only the hard-
ware and software assets, but the increas-
ingly important data on customers,
suppliers, and business processes. Without
an effective framework that allocates deci-
sion rights to the appropriate people, deci-
sions regarding IT assets will be
conducted in a piecemeal, incomplete, or
sub-optimal manner. Such non-integrated
thinking doesMIS Quarterly Executive Vol. 10 No. 4 / Dec 2011 157© 2011 University of Minnesota
CIO and Business Executive Leadership Approaches to Establishing Company-Wide Information Orientation
CIO and BusIness exeCutIve LeadershIp
apprOaChes tO estaBLIshIng COmpany-wIde
InfOrmatIOn OrIentatIOn1,2
William J. Kettinger
University of Memphis
(U.S.)
Chen Zhang
University of Memphis
(U.S.)
Donald A. Marchand
IMD (Switzerland)
MISQUarterly
Executive
Executive Summary12
In the digital world, business executives have a heightened awareness of the strategic
importance of information and information management to their companies’ value
creation. This presents both leadership opportunities and challenges for CIOs. To
prevent the CIO position from being marginalized and to enhance CIOs’ contribution
to business value creation, they must move beyond being competent IT utility managers
and play an active role in helping their companies build a strong information usage
culture. The purpose of this article is to provide a better understanding of the leadership
approaches that CIOs and business executives can adopt to improve their companies’
information orientation. Based on our findings from four case studies, we have created
a four-quadrant leadership-positioning framework. This framework is constructed from
the CIO’s perspective and indicates that a CIO may act as a leader, a follower or a non-
player in developing the company’s information orientation to achieve its strategic focus.
The article concludes with guidelines that CIOs can use to help position their leadership
challenges in introducing or sustaining their companies’ information orientation
initiatives and recommends specific leadership approaches depending on CIOs’ particular
situations.
THE GROWING IMPORTANCE OF INFORMATION AS A
BUSINESS RESOURCE
In today’s digital world, enabled by social media, cloud computing, sensor networks,
online service offerings and big data applications, the volume, velocity and variety
of data are growing at unprecedented rates as individuals are constantly producing,
gathering and sharing information. Consumers, including the growing number
of digital “natives,” demand information competence in their network-based
communication. From a business perspective, IT and information are increasingly
embedded in products, services and business processes, leading companies to
collecting and managing ever greater amounts of data. Transforming the vast amount
of data both inside and outside companies into relevant information offering business
insights and helping companies improve efficiencies, seize opportunities and compete
is a critical challenge in the dynamic digital business environment.
Today’s leading CEOs, CFOs and COOs understand this. They recognize that
improving information management and leveraging the power of information and
digitization throughout all aspects of their business is critical to the execution of their
business MIS Quarterly Executive Vol. 7 No. 2 / Jun 2008 57© 2008 University of Minnesota
CIO Leadership Profiles: Implications of Matching CIO Authority and Leadership Capability on IT Impact
CIO LeadershIp prOfILes: ImpLICatIOns Of
matChIng CIO authOrIty and LeadershIp
CapabILIty On It ImpaCt1
David S. Preston
Texas Christian
University
Dorothy E. Leidner
Baylor University
Daniel Chen
Texas Christian
University
MISQUarterly
Executive
Executive Summary
Ultimately, organizations invest in information technology (IT) initiatives to improve
their level of performance. However, there have been mixed results from the payoff of IT
investments. This article presents evidence that the variation in benefits derived from IT
is in part due to the organization’s CIO leadership profile. This profile is determined by
whether the CIO’s level of strategic decision-making authority is high or low, and whether
his or her strategic leadership capability is high or low. We label the resulting four
CIO leadership profiles: (1) IT Orchestrator, (2) IT Laggard, (3) IT Advisor and (4) IT
Mechanic, and have identified the typical characteristics of CIOs that match each of these
profiles.
Based on empirical data collected from a field study,2 we show that the level of IT
contribution to a firm’s performance varies according to the leadership profile of its
CIO. We show how organizations can assess their current CIO leadership profile and
provide recommendations for CIOs who need to change their CIO profile to best fit their
organization’s goals. Over time, there will be a shift to IT Orchestrators, and CIOs lacking
the necessary characteristics should plan to acquire them.
THE IMPORTANCE OF CIO LEADERSHIP TO THE
MODERN ORGANIZATION
Over the past several decades, information technology (IT) has become essential
for organizations to increase operational efficiency and to obtain strategic success.3
However, many organizations have experienced the “productivity paradox”—
they have not been able to observe business value that is directly linked with their
investments in IT. Savvy organizations have realized that they cannot derive business
value by simply pouring vast sums of money into IT; rather, the strategic leadership of
IT is the key to maximizing its potential benefits.
The chief information officer (CIO) plays a critical role in the ability of an
organization to derive business value from IT. Organizations that view the CIO as a
strategic asset are more likely to create business value through IT and thereby achieve
superior business performance.4
However, not all firms need to include IT as an integral part of their business strategy.
We argue that the impact of IT within an organization depends on the fit between the
CIO and the strategic context of the organization. This article describes four distinct
profiles of CIO leadership. We examine the influence of these four profiles on IT’s
1 Jeanne Ross is the accepting Senior Editor December 2018 (17:4) | MIS Quarterly Executive 281
Digital Workers and the Gig Economy1, 2, 3
The gig economy is rapidly transforming labor markets in the U.S. and other countries
worldwide by creating demand for short-term contracts or freelance work, and reducing
the availability of full-time permanent jobs. In the U.S., 20\% of the workforce participates in
freelance contract work, and experts expect that proportion to rise to 50\% within the next
10 years.4 Our focus is this article is on what this changing labor market means for IT leaders.
Are they prepared for the gig economy? Can they take advantage of it to find talent in an
increasingly difficult hiring market for digital professionals?5 What challenges will they face as
they tap into this growing freelance workforce to meet their staffing needs? What can they do
to overcome these challenges and ready themselves to benefit from this new labor market?
This article provides answers to these questions from the perspective of a group that
is sometimes overlooked: workers. We focus on one group of gig economy workers: digital
workers6 who use crowdsourcing platforms to obtain and deliver work and to receive
remuneration for the work they do. The term we have coined for this segment of the gig
economy is information technology crowdsourcing (ITCS).7 By sharing what we have learned
about this particular group, we can provide guidance to IT leaders on the actions they can take
to benefit from the gig economy.
1 10.17705/2msqe.00002
2 Michelle Kaarst-Brown, Tim Weitzel, Jeria Quesenberry and Fred Niederman are the accepting senior editors for this article.
3 A previous version of this article was presented at the MIS Quarterly Executive Academic Workshops held at the Hawaii Interna-
tional Conference on System Sciences on January 3, 2018. The valuable feedback received during the workshop has been incorpo-
rated into the manuscript.
4 National Public Radio recently broadcast a series of articles examining the growth and implications of contractors in the U.S,
economy, an example of which can be found in Noguchi, Y. “Rise of the contract workers: Work is different now,” January 22, 2018.
5 Difficulties in staffing digital roles is a commonly cited concern of IT executives. See, for example, Kappelman, L., McLean, E.,
Johnson, V. and Torres, R. “The 2015 SIM IT Issues and Trends Study,” MIS Quarterly Executive (15:1), March 2016, pp. 55-83.
6 Our focus in this study was on digital workers who participate in technology-related tasks—e.g. programming, project manage-
ment, requirements gathering, security assessment, etc.
7 In this article, we use the term “crowdsourcing” to describe a form of micro-sourcing (small contract engagements) that are
facilitated by online transaction environments. This approach is based on that presented in Oshri, I., Kotlarsky, J. and Willcocks, L. P.
The Handbook of Global Outsourcing and Offshoring, Palgrave Macmillan, 2011.
How IT Leaders CanMIS Quarterly Executive Vol. 5 No. 4 / Dec 2006 181© 2006 University of Minnesota
Sustainable IT Outsourcing
Executive Summary
This article explores the relationship between IT outsourcing and enterprise architecture. An
earlier article described four stages of architecture maturity (business silos, standardized
technology, rationalized process, and business modularity).2 In this article, we conclude that
three different outsourcing arrangements support transitions from one stage to another, as
follows:
Firms transitioning from Stage 1 (business silos) to Stage 2 (standardized technology)
can use a strategic partnership form of outsourcing to support the transition. The
vendor can take the lead in defining, implementing, operating, and updating a
standardized technology environment so that the client need not invest in developing
these world-class skills. We describe how a partnership between Campbell Soup and
IBM helped Campbell transition to Stage 2.
Companies transitioning from a Stage 2 enterprise architecture (standardized
technology) to Stage 3 (rationalized process) can benefit from a co-sourcing alliance
form of outsourcing in making this transition. The vendor, who is in a close working
relationship with the client, can help implement the technology changes to support the
new business processes while the client can focus on the change management aspects
of the transition. An alliance between The Dow Chemical Company and Accenture
serves as an example.
Companies transitioning from a Stage 3 enterprise architecture (rationalized process)
to Stage 4 (business modularity) can benefit from the transaction exchange form of
outsourcing. Our example is eFunds, a transaction exchange vendor, that helps its
clients implement, process by process, their vision to become sleek, high-performing
firms that use plug-and-play, industry-standard components.
1.
2.
3.
SuStainable it OutSOurcing
SucceSS: let enterpriSe
architecture be YOur guide1
Jeanne W. Ross
MIT Sloan Center
for Information
Systems Research
Cynthia M. Beath
University of Texas
MISQUarterly
Executive
The InTerplay of enTerprIse
archITecTure and
ouTsourcIng�,�
In the early 1990s, management gurus envisioned
future organizations as sleek, high-performing entities
engaged in a small set of core competencies.� This
1 Jack Rockart was the accepting Senior Editor for this article.
� Ross, J.W. “Creating a Strategic IT Architecture Competency:
Learning in Stages,” MIS Quarterly Executive (�:1), March �00�, pp.
�1-4�.
� Many authors have written on this topic. Among them are: Hamel,
G., and Prahalad, C.K. Competing for the Future, Harvard Business
School Press, Boston, MA, 1996; Quinn, J.B. “Strategic Outsourcing:
Leveraging Knowledge Capabilities,” Sloan Management Review
(40:4), 1999, pp. 9-��; Quinn, J.B., and Hilmer, F.G. “Strategic
Outsourcing,” Sloan Management Review (�5:4), Summer 1994, pp.
4�-55; Malone, T.W., Yates, J., and BenjamiMarch 2014 (13:1) | MIS Quarterly Executive 15
MISQUarterly
Executive
Many IT Projects Still Suffer From Poor Estimation1,2
Despite a great deal of attention in the trade and academic press, IT projects continue to fail
at an alarmingly high rate. One of the most-cited reasons for these failures is poor estimation
practices.
“Unrealistic expectations based on inaccurate estimates are the single largest cause of [IT
project] failure.”3
Estimation is defined as an informed assessment of an uncertain event. For IT project
managers, accurate estimates are the foundation for effective project planning and execution
and, ultimately, project success. Unfortunately, most project managers do a very poor job
of estimating and, as a result, most IT projects are classified as failures—61\% in the latest
Standish Group report.4 The Standish Group’s data shows some improvement in the overall
success rate since 2004 (which it partially attributes to the Agile development process and
improved project management expertise). However, its figures show a slight increase in both
time and cost overruns since 2010—signaling that there is still much room for improvement.
According to Standish, 74\% of challenged projects experience time overruns and 59\%
1 Leslie Willcocks is the accepting senior editor for this article.
2 The authors would like to thank Steve McConnell and Arin Sime for their input throughout this research project. We would
also like to acknowledge the McIntire School of Commerce for providing financial support for this research project, thank research
assistant Meg Raymond and thank the Project Management Institute for posting a link to our survey.
3 Futrell, R. T., Shafer, D. F. and Shafer, L. I. Quality Software Project Management, Prentice Hall, 2002.
4 The Standish Group: Chaos Manifesto 2013, available at http://versionone.com/assets/img/files/ChaosManifesto2013.pdf.
IT Project Estimation: Contemporary
Practices and Management Guidelines
Many IT projects continue to suffer from poor estimation. Indeed, the accuracy of
estimation has hardly changed from that reported in a seminal study carried out over
20 years ago. Based on findings from two recent survey-based studies, which replicated
and then extended the original study, we provide guidelines for improving IT project
estimation, taking account of the greater use today of Agile, rather than traditional
Waterfall, development methods.1,2
R. Ryan Nelson
University of Virginia (U. S.)
Michael G. Morris
16 MIS Quarterly Executive | March 2014 (13:1) misqe.org | © 2014 University of Minnesota
IT Project Estimation
experience cost overruns. Further evidence can
be found in a review of 180 IT projects completed
between 1999-2013,5 64\% of which suffered from
poor estimation.
In this article, we examine the practice of IT
project estimation, report the findings from two
studies and provide recommendations to help
project managers improve project estimation.September 2019 (18:3) | MIS Quarterly Executive 191
IoT Field Data Can Be Leveraged throughout the Product
Lifecycle12
Across all industries, smart, connected products—such as connected cars, smart home
appliances, smart fitness trackers and connected drilling machines—are altering how
manufacturing companies interact with their customers and ultimately how they conduct
business. This new generation of offerings results from the merger of the physical and digital
worlds, often referred to as the Internet of Things (IoT). IoT solutions involve equipping
physical objects and devices with sensors, actuators, and connectivity, and applying data
analytics to the digital data streams (DDSs) flowing from the devices to offer complementary
digital services.3 The DDSs provide real-time data on usage and device behavior, as well as on
environmental parameters.4
Figure 1 shows there are four areas (domains) where IoT digital data streams can be used
for innovation. These four domains are determined by the DDS source (supply-chain data or
field data) and the focus of innovation (product/service or process). Manufacturing companies’
early initiatives to benefit from IoT field data focused mainly on offering new digital services
1 Gabriele Piccoli is the accepting senior editor for this article.
2 The authors thank the 46 practitioners who participated in this study for providing interesting insights. Thanks also to Gabriele
Piccoli, and two anonymous reviewers, and to Professor Stefan H. Thomke (Harvard Business School), Timo Gessmann (Bosch
Digital Solutions) and Dr. Jannis Beese (SAP) for their valuable input and constructive feedback. This research was supported by the
Bosch IoT Lab at the University of St. Gallen, and ETH Zurich.
3 For an introduction to the IoT, see Wortmann, F. and Flüchter, K. “Internet of Things – Technology and Value Added,” Business
& Information Systems Engineering (57:3), 2015, pp. 221-224.
4 For an overview of digital data streams, see: Piccoli, G. and Pigni, F. “Harvesting External Data: The Potential of Digital Data
Streams,” MIS Quarterly Executive (12:1), March 2013, pp. 53-64.
Driving Process Innovation with IoT Field
Data
The Internet of Things (IoT) promises to deliver tremendous business value and dis-
rupt various industries. However, many companies are taking much longer than
anticipated to realize these opportunities. To exploit the digital data streams flow-
ing from their smart, connected products (IoT field data), companies need to
identify new opportunities that go beyond well-known product and service in-
novations. We describe how manufacturing companies are leveraging IoT field
data to innovate in their internal processes at all stages of the product lifecycle.1,2
Dominik Bilgeri
ETH Zürich (Switzerland)
Heiko Gebauer
University of St. Gallen (Switzerland)
Elgar Fleisch
ETH Zürich and University of St. Gallen
(Switzerland)
Felix Wortmann
University of St. Gallen (SwitzerlandKudos to Robert Kaplan and Michael Porter
for their illustration of careful process
analysis and cost accounting in health care.
Their idea is terrific—but it is hardly novel.
Geisinger Health System in Pennsylvania
and Intermountain Healthcare in Utah have
long employed process analysis, and in
my 1997 book, Market-Driven Health Care,
I advocated activity-based costing of medi-
cal care bundles, which I called “health
care focused factories.”
Kaplan and Porter barely mention, how-
ever, that people are not fungible, so their
costs cannot be measured like the costs of
widgets in manufacturing. Some patients
are much sicker than others. A process fre-
quently called risk adjustment accounts for
these differences. The impact of risk ad-
justments on costs can be enormous. In a
risk-adjustment and activity-based costing
analysis that my students and I performed
for a total-knee-replacement procedure,
we found that while the average payment
was $35,000, the top decile averaged
$615,000. Useful risk adjustment requires
complex statistical analysis. If it were done
as the authors suggest, by simply adding
comorbidities, the analysis could create
thousands of different products, each
requiring separate analysis.
Furthermore, the implementation of
activity-based costing can “solve the
U.S. health care cost crisis” only if, as the
authors suggest, payers switch to reim-
bursing providers for value and bundles of
care. But those adopting the Kaplan-Porter
methods could repeat the mistakes of the
California health care providers that used
process analysis to price their offerings to
insurers in the 1990s: Many suffered sub-
stantial financial losses, in part because
their prices lacked risk adjustments and
reinsurance to protect them against ad-
verse selection by very sick patients.
Regina E. Herzlinger, Nancy R. McPherson
Professor of Business Administration,
Harvard Business School
HBR article by Robert S. Kaplan and Michael E. Porter, September 2011
“U.S. health care costs currently exceed 17\% of GDP
and continue to rise,” say Harvard Business School
professors Kaplan and Porter. They trace spending to
its source: health care providers. Doctors, nurses, and
specialists do not understand the value of medical care
to the consumer; they overspend because they can’t
accurately measure health outcomes. The authors take
a look at providers that are measuring costs the right
way, and then prescribe a cost-measurement system
based on individual patient conditions.
How to Solve the Cost
Crisis in Health Care
Why Your IT Project May Be
Riskier Than You Think
HBR article by Bent Flyvbjerg and Alexander
Budzier, September 2011
The authors’ research found that one in
six IT projects finishes wildly over budget,
with an average cost overrun of 200\%.
The article avoids the root cause of IT
failures: the lack of a framework for
effective collaboration. Far too many
organizations can’t do joined-up think-
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Topic: Purchasing and Technology
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https://youtu.be/fRym_jyuBc0
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After the components sending to the manufacturing house
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No matter which type of health care organization
With a direct sale
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One major ethical conflict that may arise in my investigation is the Responsibility to Client in both Standard 3 and Standard 4 of the Ethical Standards for Human Service Professionals (2015). Making sure we do not disclose information without consent ev
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The inbound logistics for William Instrument refer to purchase components from various electronic firms. During the purchase process William need to consider the quality and price of the components. In this case
4. A U.S. Supreme Court case known as Furman v. Georgia (1972) is a landmark case that involved Eighth Amendment’s ban of unusual and cruel punishment in death penalty cases (Furman v. Georgia (1972)
With covid coming into place
In my opinion
with
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While you must form your answers to the questions below from our assigned reading material
CliftonLarsonAllen LLP (2013)
5 The family dynamic is awkward at first since the most outgoing and straight forward person in the family in Linda
Urien
The most important benefit of my statistical analysis would be the accuracy with which I interpret the data. The greatest obstacle
From a similar but larger point of view
4 In order to get the entire family to come back for another session I would suggest coming in on a day the restaurant is not open
When seeking to identify a patient’s health condition
After viewing the you tube videos on prayer
Your paper must be at least two pages in length (not counting the title and reference pages)
The word assimilate is negative to me. I believe everyone should learn about a country that they are going to live in. It doesnt mean that they have to believe that everything in America is better than where they came from. It means that they care enough
Data collection
Single Subject Chris is a social worker in a geriatric case management program located in a midsize Northeastern town. She has an MSW and is part of a team of case managers that likes to continuously improve on its practice. The team is currently using an
I would start off with Linda on repeating her options for the child and going over what she is feeling with each option. I would want to find out what she is afraid of. I would avoid asking her any “why” questions because I want her to be in the here an
Summarize the advantages and disadvantages of using an Internet site as means of collecting data for psychological research (Comp 2.1) 25.0\% Summarization of the advantages and disadvantages of using an Internet site as means of collecting data for psych
Identify the type of research used in a chosen study
Compose a 1
Optics
effect relationship becomes more difficult—as the researcher cannot enact total control of another person even in an experimental environment. Social workers serve clients in highly complex real-world environments. Clients often implement recommended inte
I think knowing more about you will allow you to be able to choose the right resources
Be 4 pages in length
soft MB-920 dumps review and documentation and high-quality listing pdf MB-920 braindumps also recommended and approved by Microsoft experts. The practical test
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One thing you will need to do in college is learn how to find and use references. References support your ideas. College-level work must be supported by research. You are expected to do that for this paper. You will research
Elaborate on any potential confounds or ethical concerns while participating in the psychological study 20.0\% Elaboration on any potential confounds or ethical concerns while participating in the psychological study is missing. Elaboration on any potenti
3 The first thing I would do in the family’s first session is develop a genogram of the family to get an idea of all the individuals who play a major role in Linda’s life. After establishing where each member is in relation to the family
A Health in All Policies approach
Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum
Chen
Read Connecting Communities and Complexity: A Case Study in Creating the Conditions for Transformational Change
Read Reflections on Cultural Humility
Read A Basic Guide to ABCD Community Organizing
Use the bolded black section and sub-section titles below to organize your paper. For each section
Losinski forwarded the article on a priority basis to Mary Scott
Losinksi wanted details on use of the ED at CGH. He asked the administrative resident