Friday, August 28, 2020

HSA 515 Dealing with Fraud Essay

As the Chief Nursing Officer of the state’s biggest Obstetric Health Care Center, this creator is liable for grievances with respect to deceitful conduct in the inside. The reason for this report is to (1) assess how the Healthcare Qui hat influences human services associations, (2) give four instances of Qui Tam cases that exist in an assortment of social insurance associations, (3) devise a methodology for induction into a medicinal services office that maintains the law about the necessary number of Medicare and Medicaid referrals, (4) suggest a corporate uprightness program that will relieve episodes of misrepresentation and evaluate how the proposal will affect issues of multiplication and birth, and (5) Devise an arrangement to secure patient data that consents to every single essential law. Qui Tam (from the Latin expression â€Å"he who sues for the king†) is a notable component utilized by private individual to help the legislature in upholding explicit laws (Ruhnka, Gac, and Boerstler, 2000). The False Claims Act of 1863 is one of the most significant instances of the Qui Tam instrument that was established during the Civil War to indict war profiteers who were discovered cheating the Union Army (Ruhnka, Gac, and Boerstler, 2000). Showalter (2012) states that the informant (otherwise known as relator) records the suit as a sort of â€Å"private lawyer general† in the interest of the legislature in a qui cap case. Assess how the Healthcare Qui cap influences social insurance associations. Medicinal services qui hat influences social insurance associations from numerous points of view. The most well known and badly designed way is budgetary misfortunes. In the event that an association is blamed for qui hat, a suit is documented and if the organization is seen as liable of misrepresentation, they remain to acquire a monetary misfortune due to reimbursing cash to the administration. Ruhnka, Gac, and Boerstler (2000) express that purposefully deceitful exercises, for example, charging for administrations not gave, charging for administrations or hardware that isn't therapeutically fitting, or disregarding unmistakably expressed charging rules are unsatisfactory and ought to be indicted at whatever point they happen. Qui cap impact on medicinal services associations has not been a positive one. Voyage (2003) express that qui hat activities has constrained associations to build up another framework of working rules and strategies all in all called â€Å"compliance programs† bringing about associations paying $600 †700 million every year to an advisor industry to inform them on the complexities with respect to this new period. Medicinal services associations have embraced Federal Sentencing Guidelines as a piece of their consistence programs because of the laws administering Medicare extortion and misuse (Cruise, 2003). Instances of Qui Tam cases that exist in an assortment of medicinal services associations. Medicinal services is on the ascent in the United States. Medicare and Medicaid is the biggest of the administration supported social insurance designs and give human services inclusion to upwards of 95 million Americans, at an expected expense in 2012 of more than $900 billion (Raspanti, n.d.). Raspanti (n.d.) express that the essential purpose behind the ascent in medicinal services cost has been the huge level of extortion submitted against these two significant government human services programs. Raspanti (n.d.) express coming up next are instances of qui cap cases, yet not constrained to: â€Å"Kickbacks: The administrative Anti-Kickback Statute forbids any offer, installment, requesting or receipt of cash, property or compensation to initiate or prize the referral of patients or human services administrations payable by an administration medicinal services program, including Medicare or Medicaid. These inappropriate installments can come in a wide range of structures, including, however not restricted to: referral expenses; finder’s charges; efficiency rewards; limited leases; limited gear rentals; research awards; speaker’s expenses; inordinate remuneration; and free or limited travel or diversion. Theâ offer, installment, sales or receipt of any such monies or compensation can be an infringement of the Federal Anti-Kickback rule, 42 U.S.C.  §1328-7b(b), the Federal False Claims Act, just as different other government and state laws and guidelines. Phantom Patients: The accommodation of a case for social insurance administrations, medicines, symptomatic tests, clinical gadgets or pharmaceuticals gave to a patient who either doesn't exist or who never got the administration or thing charged for in the case. Up-Coding Services: Billing of government and private protection programs is finished utilizing a perplexing arrangement of numerical codes that distinguish the particular technique or administration being performed. These code sets can include: the American Medical Association’s Current Procedural Terminology (â€Å"CPT†) codes; Evaluation and Management (â€Å"E&M†) codes; Healthcare Common Procedure Coding System (â€Å"HCPCS†) codes; and International Classification of Disease (â€Å"ICD-9†) codes. Government social insurance programs allocate a dollar sum it will pay for every technique code. Up coding happens when a social insurance supplier submits of a case for medicinal services administrations, medicines, indicative tests or things that speak to a more genuine and more costly methodology than that which really was performed. Up coding can be an infringement of the Federal False Claims Act. Packaging and Unbundling: In numerous cases, government social insurance programs have unique repayment rates for gatherings of techniques that are normally performed together, for example, research center tests. One regular sort of misrepresentation has been to â€Å"unbundle† these methods or tests and bill every one independently, which brings about more prominent repayment than the gathering repayment rate. Lawyers in the national qui cap informant practice of Pietragallo Gordon Alfano Bosick and Raspanti effectively spoke to the lead relator in perhaps the biggest instance of â€Å"unbundling† throughout the entire existence of bogus cases prosecution, United States ex rel. Merena v. Smithkline Beecham Clinical Labs, which brought about a recuperation of $328 million for government citizens. Bogus Certification: When doctors, clinics and other medicinal services suppliers submit bills to government social insurance programs they are required to incorporate various significant affirmations, including that the administrations were therapeutically vital, were really performed, and were acted as per every pertinent guideline and guidelines. Furthermore, social insurance organizations, for example, pharmaceutical organizations and drug store benefits directors that give items or administrations to governmentâ health care programs are required to confirm that they are fulfilling all commitments under their agreements with the legislature. One basic kind of extortion has been to misrepresent these confirmations so as to get a social insurance guarantee paid or to get extra business† (Raspanti, n.d.). Stanton (2001) recognizes that in a medicinal services office, with Medicare, each bogus case is viewed as an individual charging whether for a particular clinical thing or administration. Punishments can rise rapidly with suspension or defer installment of future cases for an office on the off chance that it has been blamed for submitting bogus cases (Stanton, 2001). Devise a methodology for entrance into a medicinal services office that maintains the law about the necessary number of Medicare and Medicaid referrals. So as to keep away from medicinal services qui hat, social insurance associations must remain side by side and consistent with Medicare and Medicaid laws. At the point when a patient enters an office for disease or an arrangement, there are steps to follow. At registration, the patient gives protection card and appropriate data to nurture. The attendant enters the data into the framework. The patient trusts that the specialist will survey the ailment to decide the requirements of the patient. â€Å"Physician inputs data into the framework and framework codes the treatment dependent on Medicare or Medicaid conventions; framework affirms and warnings any treatment or drug that isn't permitted; quiet is released and Medicare or Medicaid is charged for administrations rendered by the emergency clinic, doctor, and for medication† (Burnaby, Hass, and O’Reilly, 2011). In the event that for reasons unknown, things charged are addressed or denied, the things are looked into and resubmitted to Medicare or Medicaid for installment. Suggest a corporate respectability program that will alleviate episodes of extortion and evaluate how the proposal will affect issues of propagation and birth. Corporate Integrity Agreements (CIAs) are viewed as fresh opportunities for social insurance associations. By utilizing CIAs, the association maintains a strategic distance from rejection from Medicare, Medicaid, or other Federal human services programs by setting up and actualizing a consistence program for each CIA guidelines and rules (MetricStream, n.d.). Actualizing CIAs is testing and can cause monetary strain; anyway it can â€Å"protect partners and clients from hazard, and manufacture brand value† (MetricStream, n.d.) CIAs are implementedâ for social insurance associations to maintain certain measures and to satisfy the organizations’ missions and objectives. CIAs are generally proposed because of charges of misrepresentation or misuse which are seen as obvious through reviews or self-divulgences; and are drawn up for a time of three to five years and can reach out as long as eight years (MetricStream, n.d.). Ramsey (2002) proposes that a suggested uprightness program ought to incorporate specifications, for example, â€Å"designation of a consistence official and a consistence committee† †to guarantee that the required changes will be made; â€Å"a required set of principles, commanded consistence approaches and procedures† †expressing that the association is focused on following the laws; â€Å"training requirements† †to guarantee that staff and doctors are learned and state-of-the-art on all prerequisites and procedures required by the association, the administration and merchants; â€Å"review and inspecting procedures† â€

Saturday, August 22, 2020

I Am The Cheese Essay Example For Students

I Am The Cheese Essay I am the Cheese I am the CheeseBy Robert CormierI am the Cheese is a convincing and whimsical novel. The books significant qualities incorporate the employments of a ground-breaking topic, a charming title, and advanced composing methods. It has three degrees of portrayal that are associated, but then keep the peruser in a changeless mess. Robert Cormier figures out how to make a perplexing, upsetting environment generally of the novel, which fits in well with the subject of the book. He successfully uncovers the subject, which is a disclosure about the lies in our debased society, with the utilization of control and complex composing strategies. The title of the novel is additionally an expansion of the books message, which adds to the force of the story. In I am the Cheese, the fundamental topic of the story manages a powerless, singular young person confronting the Establishment, and standing up to the insidiousness and falsehoods which exists in our general public. It is a tale a bout the battle of the person against a framework where the lines among companion and foe are obscured. An outline of this would be Adams colleague with Mr. Dark and Brint. The peruser can't unmistakably mark these secretive individuals as fortunate or unfortunate. Despite the fact that Adam and his family are under their complete control, very little is thought about who these individuals are, and what are their genuine intentions. This epic uncovered the way that we are encircled by mysteries and lies, and in light of the fact that there are such huge numbers of layers of the real world, we are never certain what is a definitive truth. A circumstance which depicts this emerges when Adams father changes his personality in the wake of finding a connivance, and stays quiet away from Adam to secure him. The exceptional topic ofI Am The Cheese is gradually uncovered through the bewildering story of a bike ride, the meeting tapes, and especially in the last pages in the book. The writer s reason for existing is to get inside every individual peruser and power them to frame their own conclusions on great, insidious, and what is correct or wrong. The peruser would without a doubt leave this book having gained inquiries concerning our reality, how we live in it, and considerations on how degenerate it truly is. The topic of the novel uncovers that for this situation, it's anything but an issue of good against detestable, yet essentially that the cheddar stands alone.Adam is the solitary individual against the intensity of the administration and the criminal organizations, which makes the title of this book is a compelling one, since it restates the subject of the novel. The melody The Farmer in the Dell, which contains the verses from the title, is an important tune for Adam, who regularly thinks back about his dad. Its our tune, he says. I can recall how hed shot in the arm when I was only a child and swing me nearly to the roof, singing(P29) The title of this novel, I am the Cheese, is related intriguingly to the mind boggling story. The sections of the melody are a progression of connections, and similarly, Adam is the toward the end in a progression of connections from composed wrongdoing, to the ruined government, to a low type of presence. Adam has been sedated and is under the total force, both genuinely and truly, of Brint and the strange inst..itution which can choose his destiny. When he is in such a down and out position, what does he truly have left to lose? Indeed, even Adam can acknowledge his fated fate: I know, who I am, who I will consistently be. I am the cheddar. (P217)The astounding title of this book is an augmentation of the temperament in this novel, which is to some degree undecided, because of the movements from a propagating bicycle ride, to confounding, individual flashbacks and apathetic meetings with Brint. The perusers would feel uncomfortable as they follow Adam on his bicycle ride and the meeting tapes, as though a few things didn't appear to be directly in the plot. When we arrive at the peak and the resolution, where we become familiar with the destiny of Adam and his folks, a darkest and most evil climate is imparted through Adams heartbreaking recollections, for example, the demise of his mom. She gazed at him with surprised eyes ye t she was not so much gazing at him since Adam realized the eyes were blind, empty. She was dead, unalterably dead, the information obvious as he lay on the asphalt now.(P207) As the model shows, this is a startling novel which makes the peruser as hesitant to go ahead as the hero seems to be. The completion is a solid aspect of the novel, as it spellbinds the peruser upset and. Reality which lies underneath isn't normal and absolutely not a typical completion in a novel. To make such an exceptional climate in I am the Cheese, the writer utilized an assortment of composing methods. These captivating and incredibly complex techniques help the novel in moving the perusers, and crumbling the differentiation among the real world and visualization. An example of this happens in the end result of the novel. The peruser discovers that the bicycle ride had recently been a fabrication of Adams creative mind, interweaved with impressions from the genuine individuals around him. In a viable an d novel method, the essayist tosses a blinding shadow on a whole book with the last meeting interpretation. Abruptly, the most irrelevant signs meet up, and uncover the insider facts that are covered up underneath. The story is brimming with clear spaces which give concealed implications that meet up like a jigsaw puzzle toward the end. Vulnerabilities, for example, why Adam can't contact Amy, or what Adam is conveying to his dad on his experience, are altogether flawlessly settled. The writers composing strategies, which incorporate flashbacks, give route for elective turns and endings to I am the Cheese. The end could have been totally unique, yet this specific one is amazing since it is unfathomably similar and frightening. Taking everything into account, I am the Cheese is a ground-breaking, one of a kind novel which manages the dismal real factors of life. It gives the peruser thoughts to mull over about our general public, the realities which are kept from us, and the individu al battle against the Establishment. The components which make up this noteworthy story incorporate an unmistakable topic and title, the utilization of enamoring methods, and a perplexing mind-set. Robert Cormier has achieved a dazzling, noteworthy novel, and ensuing perusing will entrance the peruser with new knowledge covered up between the lines.

Friday, August 21, 2020

Leg discussion week

Offers Competitive Proposals Combination of Competitive Procedures when fixed offering isn't fitting Other Competitive Procedures, for example, Selection of hotspots for Architect-Engineer contracts as per the arrangements of 40 U. S. C. 102 Competitive determination of essential and applied research and that piece of improvement not identified with the advancement of a particular framework or equipment acquirement coming about because of a wide office declaration or peer or cientific audit o Use of different honor plans gave by the Administrator of General Services. Decide how government obtainment officials can adjust getting a decent cost with getting a viable outcome †as it were, best worth. Contracting officials need to get an incredible item for an extraordinary price.Best esteem isn't generally the least expensive cost, when you put your proposal on the table you need to really state best worth first before the conveying the offer. Week 2 Discussion 2 â€Å"Specification Overload† Please react to the accompanying: Debate the difficulties to government acquisition officials in completing their Job of composing determinations for everything from interpretation administrations to contender Jets †including the scope of aptitude that would be required to make details in accordance with FAR requirements.Agencies may choose from existing necessities reports, alter or consolidate existing prerequisites records, or make new technique. 1. Archives commanded for use by law. 2. Execution situated reports. 3. Point by point configuration arranged reports. 4. Guidelines, determination and related productions gave by the administration utside the Defense or Federal arrangement for the non-monotonous securing of items.The details may likewise incorporate an ideal agreement grant date and conveyance date, incorporate suggested sources, give transportation, checking, and bundling data, some other appropriate data, for example, unique terms and condition w anted or required by the agreement. The level of data and detail generally mirror the dollar estimation of the acquisition and the idea of the exertion. Redistributing contracts includes the task of specific rights and obligations over an open ervice to a private firm in return for some venture (I. . , time or cash. ) Proscribe a strategy for how full and open rivalry prerequisites can be kept up in the redistributing procedure. In law 10 U. S. C. A 2688 an administration office will pass on utility framework proprietorship to a private element that will be answerable for the activity, upkeep and capitalization of the foundation for an endorsed period and for the arrangement of sage a solid utility administrations to the legislature in return for sensible remunerations.

Tuesday, May 26, 2020

A Review of College Paper

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Friday, May 15, 2020

Why Multi National Corporations Become Successful

There are a variety of reasons why multi-national corporations become successful, and possibly more reasons why they fail. One key aspect of being successful in the international arena of business is the ability to create a successful multinational/cross-cultural teams. Top companies such as Exxon Mobil, Wal-Mart, and GE have mastered the formula of building such teams (DeCarlo, 2013). Our world today has become more and more intertwined and has led to more cross-cultural business teams being created. To build a cross-cultural team, there are many obstacles a company may face. To become as successful in building cross-cultural teams for international business as the companies named previously, it is absolutely necessary to study the differentiation in several key areas. The importance in understanding difference in the areas of Legal and Political views, communication (verbal and non-verbal), and business practices in varying cultural dynamics cannot be understated. It is imperative to have a deeper understanding of each aspect if an organization hopes to create sustainable cross-cultural teams. The first extremely important aspect for MNCs to consider is the legal and political differences the organization will encounter when expanding into new and unfamiliar territories. Obviously any organization successful enough to expand into an MNC should have the resources and foresight to understand the importance of performing their due diligence in these areas. The ability to beShow MoreRelatedContemporary Business Relations929 Words   |  4 Pagesthere are several inherent drawbacks to this process that should ideally be avoided. A prudent analysis of both of these factors indicates that it is more advantageous to become a multi national company that not particularly if one does so in a way that is prudent. The advantages of many successful multi-national companies are multi-fold, and include increasing access to an ever growing customer base as well as to needs pertinent to various parts of the world which is the primary impetus for the decentralizationRead MoreNo Logo1167 Words   |  5 Pagesaddresses the growing massive globalization of corporations into global Goliaths. She makes the claim that such large corporations may even be considered form of multinational government. Klein states that these huge corporations are squeezing out the competition and creating less competition to compete with within the markets, and less of a fight to attract consumers. â€Å"The astronomical growth in the wealth and cultural influence of multi-national corporations over the last fifteen years can arguablyRead MoreThe Key Characteristics Of Servant Leadership981 Words   |  4 Pagesa sense an important part of the company. These employees see the company and their jobs are more than just a paycheck, they invest more into the company, into their work and the quality of their work, which can only help make the company more successful. Servant leadership is an effective style because it creates leaders who deeply care about others, they pay attention to the needs of their followers and help them to grow and reach their potential. In turn, this creates employees who care aboutRead MoreChallenges Managers Face When Companies Go International2578 Words   |  11 PagesExecutive Summary These days, most businesses are set in a global environment, and the various corporations do not just regard their primary market locations or bases, they also have to take the rest of the world into consideration. Thus, many more corporations are going into multi-national business, scattered all over numerous parts of the globe. 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They become even more important in the Asian and African context, where a majority of population is residing in rural areas. For centuries the rural world in India was static as a self sufficient unit of production and consumption, but it is no longer so. The rural setting is changing every day, with the corporateRead MoreThe Consumption Of Bottled Water1716 Words   |  7 Pageswater industry produces a product that is unnecessary and the government should be working on implementing better infrastructure instead of letting corporations fill the void. Global Level Worldwide trends of bottled water are increasing in recent years impacting various regions of the globe. Researchers noticed the links made between obesity problem in the West and increased consumption of soft drinks reinforce the growth of bottled water, therefore, Americans are turning towards bottled waterRead MoreThe Globalization And Ideology Of Apple Inc.1244 Words   |  5 PagesThe Globalization and Ideology of Apple Inc. Brief introduction to Apple In. Apple Inc. is an American high-tech multinational corporation engaged in researching, designing and producing electronic technology products (Wikipedia, 2013). In 2007, the company changed the name from Apple Computer Inc to Apple Inc. headquartered in Cupertino, California (Wikipedia, 2013). The company was established on April 1st, 1976 by Steven Paul Jobs, Stephen Gary Wozniak and Ronald Gerald Wayne (Wikipedia, 2013)Read MoreO Mondo Grande : International Non Perishable Food Distribution Essay1466 Words   |  6 Pagesconsumers. O Mondo Grande, which means The Big World from the Portuguese language., is a Brazilian-American individual company that makes it their business to locate gourmet food items from Africa, Asia, Europe and South America that has developed to become a worldwide leader in the international food distribution at affordable prices. The mission statement of the `company â€Å"bringing the world closer with affordable gourmet foods†. 2. Competitive Forces: Many competitors produce from its central conceptRead MoreShould College Athletes Be Paid?1385 Words   |  6 Pagesand it was created by Theodore Roosevelt. Since then the NCAA has made many changes. The NCAA has become a multibillion dollar industry that makes billions annually off college athletes. Universities also make millions of dollars annually from their athletes. Players also run a huge risk of getting injured. Many will try to argue that a full scholarship is enough for an athlete, and that’s why they should not be paid. People also try to argue that college athletes cannot be considered employees

Wednesday, May 6, 2020

Pesticides A Bee s Nemesis - 865 Words

Pesticides: A Bee’s Nemesis For many years, companies have been making pesticides for farmers to rid themselves from unwanted pests. However, they are also ridding themselves of the bees who are trying to help and protect the crops. Without having the bees pollinating the crops for the farmers, there is nothing for the vegetation to grow in a healthy process. Pesticides have actually been found by beekeepers and researchers, to be one of the causes for the decrease of bees. An entomologist from South Dakota becomes disregarded by his supervisors because they do not want that information getting out, Jonathan Lundgren, a USDA entomologist in Brookings, S.D., said â€Å"in civil service documents that while the agency did not stop publication of the research, supervisors harassed him, tried to stop him from speaking out, and interfered with new projects† (StarTribune). Because these pesticides that are being sold out to farmers, they are doing more harm to the bees than t hey are being beneficial to the crops. As scientists and beekeepers keep on looking into the situation that they are all facing, one conclusion is definite, pesticides do have a lethal effect on the bees. Some symptoms that would lead to a bee’s death would be the weakened immune system, disrupted digestion, and the result of the brain failing. In Science Magazine, an article was written about oh the European countries have been effected by the decrease of bees, â€Å"Confused honey bees huddled trembling outside

Tuesday, May 5, 2020

Industrial Engineering and Operations Management

Question: Discuss about the Industrial Engineering and Operations Management. Answer: Introduction Hospital workers in Australia are under high pressure to perform their work competently with less income and management skills. Physical discomforts can worsen this demanding condition in the workplace (Maakip et al., 2017). Due to this, the healthcare staffs fall at high probable danger of physical strain which may result to musculoskeletal disorders (MSD). These are serious issues among nurses and some of the factors which cause these problems include, transferring, lifting and reposition of patients. Due to new technologies in the health care and also the economic stresses, there is a great need to check and identify measures to prevent these issues. The article will address the literature on work-related musculoskeletal disorders in hospital in Australia. Coenen, et al. (2017) asserted that manual handling in health centres means moving and supporting any load by an individual by using arms or any form of body effort nurse. Doctor usually uses their efforts in pushing, lifting, moving and also supporting patients in a hospital and it causes lots of risks. Injuries can occur due to lack of skill to handle the patient, working conditions, overexertion and the physical situation of the patient. According to Cruz Dias-Teixeira (2016), awkward positions in hospitals are common issues which patient and also the clinician face in health centres. Squirting and kneeling are ordinary activities which are experienced with the hospital premises. Many clinicians work in awkward positions which can result in static loading of soft tissues. The issues may lead to building up of metabolites which accelerate degeneration and eventually lead to disc herniation as indicated by Awang et al. (2016). When the joints are closer to the end of the range of motion, there is greater stress which is inserted into soft tissue of particular the joint parts for instance nerves, muscles and tendons. Chin et al. (2014) indicated that at times when the prolonged sitting is not a key factor which caused the back pain, the combined exposure to continue sitting in awkward positions has the high probability of increasing the risks. However, the prolonged sitting by medical staffs during their work period fo rms an aggregating for many subjects with LBP. Also, the flexion of the spinal can negatively affect the proprioception, and it is likely to be linked with the LBP. Work-related neck and upper limbs disorders There exists lots of literature which concentrates on the LBP but there few literatures which address the issues of occupational cervicobrachial, shoulder and arm pain. Vieira et al. 2016 found out that the process if handling patients can cause not only LBP but it also causes shoulder, arm pain because it exerts lots of burden on the neck and arms. The upper limbs disorders are caused by repetitive work, sustained force and also the awkward postures (Karwan et al., 2015). All these happen among health workers when they are doing a lot of tasks and poor working conditions in Australian hospitals. The common ULDs among the clinicians are carpal tunnel syndrome, shoulder capsulitis, thoracic outlet and tendinitis (Karwan, et al., 2015). The tension neck syndrome causes lots of pain in the neck which are associated with the discomforts in muscles, spinal vertebrae and nerves. All these pain can also be felt as numbness or even weakness in the arms. Due to prolonged awkward position by h ealth workers such as placing computer mouse too high and also pending over some tasks for a very long time could likely cause lots of stresses in neck muscles and related nerves. According to Sharan et al. 2015, cervical spondylosis is a disorder which causes abnormal wear on bone and also the cartilages of the neck. It is caused to due to the degeneration of the cervical spine which involves the cushioning between the vertebrae of the neck region and also the joints between cervical spine bones. Most occupational risk factors are the manual handling of patients or even any other loads such as equipment and awkward positions. These issues cause symptoms like pains in the neck region, poor neck fitness and also the lots of sensation in shoulders. Mishra, et al. (2015) concluded that the shoulders tendonitis affects the shoulders, and they come in two types; bicep tendinitis which results in pain in the front side of the shoulder and may go beyond to the elbow. Some of the pains can result due to the raising of the arms overhead. These particular can be accelerated by pushing, lifting and pulling the arm above the level of the shoulder. The occupation risk factors which caused the tendinitis among Australian health worker are repetitive shoulder and wrist motions, the prolonged loads which are put in the shoulder and also the sustained hypertension of arms. On the other hand, Dsouza, KU (2016) asserted that the thoracic outlet syndrome involves pain in the shoulder and neck, the tingling and also numbness of fingers. It results due to the inability of the blood vessels which pass via collarbone and upper ribs to get enough space. High pressure comprises these blood vessels, and it led to symptoms in hands. Cases of workers suffering from the issue in Australian health centers have risen, and there is need to check and offer a remedy to the problem. Most instances indicate that they work for long hours and they work while using awkward positions such as shoulder flexion and raising their hands above their shoulder. Frozen shoulder is another condition which affects health care workers in Australian government. As in indicated by Mishra, et al. (2015 ligaments usually are found in the capsule of shoulder and due to some factors, the bones if shoulder cannot move freely causing the shoulder to froze. Manual handling of goods as well as working in awkward positions causes workers to suffer from the condition. Frozen shoulder condition commences when acute pain deters an individual from freely moving hand, and it can make them unable to do undertakings like reaching behind or over the head. According to Stolt et al. (2016), the gravity and swelling can cause painless swelling in legs can be seen in lower part of the body. Due to prolonged standing and sitting in a laboratory for long hours by health care workers in Australia, such issues tend to arise. However, prolonged standing, particularly in awkward positions and long working hours, aggravate varicose veins among the clinicians due to working in such positions; blood will remain in the vein which leads to swollen and painful veins which are filled with lots of abnormal blood. When blood is pooling, the veins will get enlarged. Measures to prevent MSDs among health worker Due to increased risks which MSDs causes in hospital workers, there is need to keep them from avoiding causing lots of problems. The Australian health department should consider improving their working organisations so that employees will not strain especially in handling laboratory experiments (Mishra, et al., 2015). They should make tables which are scientifically accepted for laboratory processes. They should also train their personnel on the best ways or positions to work from to avoid lots of stress on tissue muscles. Standing for long hours also should be avoided, and seats in operating offices should be provided to counter the issue. The long working hours by medical staff also should be reduced to the standard levels, for instance, eight hours per day to avoid stress which workers go through. All employees should be allowed to use coveralls. The choice of this particular cloth also should be considerable important. Tight coveralls cause friction in skins leading to stress on muscles. The health centers also should ensure that they choose good mechanical equipment which will assist workers to handle heavy goods at ease (Dsouza, KU 2016). However, it is upon each and every employee within the health care centers to choose proper positions and also the right types of equipment which fit them. They should also reduce the number of efforts used through sliding rather than lifting goods. Conclusions MSDs in hospitals lead in causes of disorders among worker. Due to lots of poor handling of goods and even patients, poor or awkward working conditions bring lots of stress to workers. Lower limb disorders and upper limb disorders affect staffs, and they affect their working conditions making them incapable of working efficiently. Cases such as thoracic outlet syndrome involve pain in the shoulder and neck, the tingling and also numbness of fingers. It results due to the inability of the blood vessels which pass via collarbone and upper ribs to get enough space. However, their issues need to prevent such issues to help worker improve their working efficiency. By training staff on proper working postures and positions will help them avoid pains and related disorders. There should not be the use of tight coveralls because they cause friction in skins leading to stress on muscles. 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