Quality improvement in medication administration Research Paper

Quality improvement in medication administration - Research Paper Example This research will begin with the statement that medication administration forms the key performance improvement area in Carlinville Area Hospital as a  strategy of alleviating liabilities and costs that may arise due to lapses in drug administration. Medication administration is one of the sensitive areas of public health that is highly controlled by a number of statutes both federal and state. It is important that healthcare practitioners observe stringent measures when administering drugs in order to avoid ligations associated with negligence and incompetence.   In fact, the law is very clear on the issues related to drug administration and in case Carlinville Area Hospital will fail to institute proper performance measures, it will be virtually impossible to avoid problems associated with poor drug administration. Instilling quality improvement in medication administration will ensure that Carlinville Area Hospital upholds all the stipulated guidelines, policies, and procedur es relating to nationwide drug administration. A number of methodologies are available to healthcare providers that can effectively be used to integrated quality improvement into performance measurements. The key methodologies include but not limited to Six Sigma, Lean Production System, and Root cause analysis. These methods are important to ensure that organization operations are streamlined enough to meet the performance measures instituted by the organizations.... ificant method of improving quality in a hospital setup, it involves formalized investigation, and problem solving approached aimed at uncovering what might have caused an event as well as the events that were intercepted. Root Cause Analysis plays a significant role in helping individuals pinpoint trends as well as assess risk to be applied in case of suspected human. RCA is often based on the assumption that systems rather than personal factors are probably the root cause of most problems (Hughes, 2008). Unlike other improvement methodologies, RCA is a reactive technique that starts to operate once an event has occurred, illustrating the sequence of events leading to the specified event and above all addressing the root causes for proper examination of the event. Notable advantages of Root Cause Analysis include highly significant in assessing reported errors. It can be used to suggest system changes whenever the need arises. Lean productions system has been utilized successful to integrate quality improvement and performance measures in number of organizations, healthcare not left behind. Lean production system has highly been used to remove inefficiencies in organization systems that may lead to wastes (Hughes, 2008). Customer needs are the focus of this method as it aims at removing activities considered non-value-added to improve processes. This methodology depends a lot on the root cause analysis in its effort to improve processes considering that RCA has the ability to investigate errors. Hughes (2008) asserts that Lean production method only comes in to improve quality and prevent future occurrence of identified errors through RCA. Lean production method is considered advantageous for producing results in an objective and concise manner. Additionally this

The US supreme court Essay Example | Topics and Well Written Essays - 750 words

The US supreme court - Essay Example For the appointment of a Supreme Court Judge to be confirmed by the Senate, a simple majority is required. Judges of the Supreme Court can be impeached and removed from office if they are found to be involved in misdemeanour or criminal activities (Abraham, 1992). The existence of the US Supreme Court is a necessity because of the roles it plays in several aspects of the legal framework of the country, such as its support for the civil rights movement, which received legal sanctity with the passing of the Civil Rights Act of 1964. This was a ground-breaking legislation in the country because it did away with most forms of discrimination against women and Blacks and with racial segregation. The Civil Rights Act of 1964 legally eliminated discrimination in voter registration as well as racial discrimination in educational institutions and at the work place. However, during the initial years, the constitutional validity of the Civil Rights Act was disputed in the context of its applicab ility to the private sector. In many of the important civil rights hearings, the US Supreme Court had held that Congress was not legally empowered to prevent discriminatory practices in the private sector. ... This ruling marked the beginning of the effectiveness of the separate but equal concept in the US. In 1971, the US Supreme Court held in the case titled Griggs v. Duke Power Co that the Civil Rights Act of 1964 does not permit discrimination at the work place and also that employers cannot adopt practices that are discriminatory towards women and minorities. In case titled University of Alabama v. Garrett, the Supreme Court held that the 11th Amendment did not permit state employees to file applications in federal courts to seek financial compensation for discriminatory practices used by employers in violation of the Americans with Disabilites Act. This decision revealed that the Supreme Court has not been favourable in regard to civil rights issues. It held that even if the state’s actions are indicative of being hard hearted, they may not necessarily violate provisions of the Constitution (The Leadership Conference, 2012). The US Supreme Court is a democratically legitimate institution because it acts under the given provisions and its judges are elected in keeping with the due process of law. However, the appointment of Supreme Court judges during the President Roosevelt’s time came under cloud because between 1933 and 1937, the Supreme Court had declared six of Roosevelt's eight major New Deal programs unconstitutional. Roosevelt wanted to prevent the Supreme Court from rejecting his future New Deal proposals and he reacted by introducing a scheme whereby new judges would be appointed to the Supreme Court and who would be supportive of his plans (Crawford, 2008). Roosevelt introduced a plan that gave him authority to appoint a new judge for

Preventing Harm From Deterioration In Patients Nursing Essay

Preventing Harm From Deterioration In Patients Nursing Essay This study will discuss what a nurse needs to know in relation to identifying and preventing harm from deterioration in patients in a hospital ward setting. A review of current literature will be carried out in order to find the best available evidence on the subject. The key issues arising from the literature will be critically analysed to provide a balanced and objective consideration of the strengths and limitations of current practice in relation to the recognition and communication of patient deterioration. Finally the study will use the evidence to attempt to make recommendations for practice in this area and discuss the nurses role in the development of the new practices which could enhance the management of patient deterioration and ultimately ensure safer care for patients. Rationale for Subject Choice As a student nurse about to become a registered and accountable practitioner, one of my main concerns is that I have the knowledge and skills to recognise deterioration in the condition of my patients and the ability to communicate my concerns effectively to ensure they are seen promptly by a more senior clinician and any further decline is prevented. Therefore my rationale for choosing to study this topic was to try to find evidence which would support me in contributing to safer care of acutely ill patients. Background The increasing complexity of healthcare, an ageing population and shorter length of stay, means that hospital patients today need a higher level of care than ever before. Therefore, it is essential that hospital staff are equipped to recognise and manage deterioration (Department of Health 2009). Many patients who experience cardiopulmonary arrest show signs of deterioration for more than 24 hours before arrest, and it has been estimated that approximately 23,000 in-hospital cardiac arrests in the United Kingdom (UK) could be avoided each year with better care (Smith et al 2006). Furthermore, evidence has shown that delays in recognising deterioration or inappropriate management can result in late treatment, avoidable admissions to intensive care and in some cases, unnecessary deaths National Confidential Enquiry into Patient Outcome and Death (NCEPOD) (2005) National Patient Safety Agency (NPSA) (2007) (2007a). These studies highlighted the magnitude of the problem in the UK, they s howed that hospital staff do not understand the disturbances in physiology affecting the sick patient, they frequently ignore signs of clinical deterioration and lack skills in the implementation of oxygen therapy, assessment of respiration and management of fluid balance NPSA (2007) (2007a). NCEPOD (2005) reported that approximately 50% of ward based patients receive substandard care prior to Intensive Care Unit (ICU) admission, and 21-41% of ICU admissions are potentially avoidable. Analysis of 425 deaths that occurred in general acute hospitals in England showed that 64 deaths occurred as a result of patient deterioration not being recognised due to observations not being undertaken for a prolonged period leading to changes in vital signs not being detected, and delay in patients receiving medical attention even when deterioration was detected (NPSA 2007). Despite considerable economic investment there is continued evidence of suboptimal care and the Department of Health (DoH) (2 009) have acknowledged that the recognition and management of acutely ill patients need attention. They say there are many factors influencing a patients ability to receive appropriate and timely care including the failure to seek advice, poor communication between professional groups, and a lack of clinical supervision for staff in training (DoH 2009). The following literature review will attempt to find evidence of the factors which contribute to sub optimal treatment of deterioration. Literature Review A literature search was undertaken using the electronic databases CINAHL, ESCBO host, Internurse, Medline, Science Direct and Swetswise through the Liverpool John Moores University search engine, and also the British Nursing Index via Ovid using the Royal College of Nursing search engine. The keywords used were: deterioration, hospital deterioration, communication of deterioration and early warning systems. A total of thirteen articles were found to be of use, two of these were published outside the UK (Australia and Italy) however after reading them it was decided that the evidence was relevant and they were deemed appropriate for use. As the study developed a further search was performed using the terms deterioration tools, communication tools, SBAR and RSVP communication tool two articles from this subsequent search were used in this study. Additionally and as mentioned above useful references were also sought from the Department of Health, the National Patient Safety Agency, the National Confidential Enquiry into Patient Outcomes and Death, and the National Institute of Clinical Excellence. The search revealed the topic had been fairly well researched, especially in recent years and the articles seemed to have stemmed from the reports by NPSA (2007) (2007a) and NICE (2007). Smith (2010) recently proposed a Chain of Prevention to assist hospitals in structuring their care processes to prevent and detect patient deterioration and cardiac arrest. The five rings of the chain represent staff education, monitoring, recognition, the call for help and the response and it was found that the themes of education, and recognition were well documented in the literature. Nurse Education Preston and Flynn (2010) say in order to avoid unrecognised patient deterioration and therefore enhance patient safety nurses must review their knowledge and skills in measuring the physiological parameters of temperature, blood pressure, blood glucose levels, oxygen saturation levels, and neurological function, and in particular identified the respiratory rate as a particularly sensitive indicator of clinical decline. In addition nurses also need to recognise the significance of physiological compensatory mechanisms that are activated in clinical deterioration, so they can report their findings accurately and with confidence to doctors and senior staff. Steen (2010) agrees that nurses require the knowledge and skills to be able to provide critical care in the general ward setting, as accurate assessment using a systematic approach can aid timely detection and intervention and can help to stabilise the individuals condition preventing organ dysfunction, multi organ failure and furthe r deterioration, thus reducing morbidity and mortality rates and admission to ICU. However, Odell, Victor and Oliver (2009) feel that recognising deterioration of a ward patient and referring to critical care teams is a highly complex process, requiring skill, experience, and confidence. Preston and Flynn (2010) suggest that nurses can be helped to develop these skills by attending the Advanced Life Threatening Events Recognition and Treatment (ALERT) course, they considered the possibility of nurses undertaking the ALERT course whilst a student, they say this will help newly qualified nurses to promote their skills, abilities and rationale for recognizing and responding to patient deterioration. They also recommend the further development of acute illness simulation programmes in both pre and post registration courses to help nurses to become more confident and expert in responding and reporting acute illness to medical and more senior staff. They say what is needed is a closer col laboration between education and health service partners to deliver these programmes and competent clinical teaching staff to facilitate these simulated exercises in a safe environment that utilises accurate patient scenarios, equipment and charts that are currently used in practice (Preston and Flynn 2009). Monitoring Accurate monitoring of patient condition featured highly in the literature. The NPSA (2007) revealed that in 14 of the 64 incident reports they studied, no observations had been made for a prolonged period before the patient died therefore vital signs such as blood pressure, pulse and respirations were not detected. But the literature revealed the crucial importance of regular observations in the recognition of deteriorating patients. Preston and Flynn (2010) said doing the observations is crucial for detecting early signs of deterioration in acute care as closely monitoring changes in physiological observations can identify abnormalities before a serious adverse event occurs. Early identification is important to reduce mortality, morbidity, length of stay in hospital and associated healthcare costs (NICE 2007). Preston and Flynn (2010) also stipulated that close supervision of unqualified nursing staff doing the observations in acute care should be a high priority and should follow both the NICE (2007) guidelines and recommendations from the NSPA (2007) (2007a). However following an observation of care by Morris (2010) an issue was identified where observations were incomplete, with recording of respiratory rate and oxygen saturations omitted and although an early warning score chart had been used, a score had not been recorded (Morris 2010). Recognition The importance of nurses utilising an early warning system was highlighted. Cei, Bartolomei and Mumoli (2009) say using the Modified Early Warning Score (MEWS) when recording patient observations is a simple but highly useful tool to predict a worse in-hospital outcome and aid identification of patients at risk of clinical adverse events such as cardiac arrest, sepsis and raised intracranial pressure. Nonetheless a study by Donohue and Endacott (2010) revealed that participants did not look for trends in the MEWS data and few used MEWS data in the manner it was intended i.e. it was used to confirm whether the patient met the trigger criteria, rather than as a routine component of assessment, the study found that MEWS was used infrequently, used too late and not employed to communicate patient deterioration. Mohammed, Hayton, Clements, Smith, and Prytherch (2009) felt the significant advantage of an early warning or track and trigger system like MEWS was that they use a visual scale t hat gives a score if a physiological recording enters a colour zone. But they found that there are disadvantages to using these systems in practice if nurses add up the scores incorrectly. In their study (Mohammed at al 2009) found that calculating scores could be improved by using a handheld computer and this approach was more accurate, efficient and acceptable to nurses than using the traditional pen and paper methods in acute care. The Department of Health (2009) say early warning systems play a key role in the detection of deteriorating patients; however, clinicians need to be aware that in some clinical situations these systems will not reflect clinical urgency (Department of Health 2009) and effective assessment skills must be employed. Call for Help and Response The NPSA (2007) report revealed that in 30 of the 64 incident reports they audited, despite recording vital signs, the importance of the clinical deterioration had not been recognised and/or no action had been taken other than the recording of observations (NPSA 2007). This could be due to ineffective communication of the deterioration. The literature review showed that communication of deterioration was a more recently well documented subject. Steen (2010) Tait (2010) feel that a vital component of the management of the acutely ill patient is the ability to communicate clearly and precisely with all members of the multidisciplinary team to aid timely and appropriate help and intervention for the patient. Still there is much evidence of communication breakdown between disciplines, Beaumont (2008) states communication between medical and nursing staff can be problematic, nurses may not communicate clearly enough and struggle to convey information in a manner that would convince doctor s of the urgency of the situation, sometimes there is failure by doctors to perceive, understand or accept the source of nurses clinical and professional judgement, less experienced nursing staff might not feel comfortable or confident to call more senior staff because they fear doing the wrong thing or crossing occupational and hierarchical boundaries. These problems can result in conflict between professional groups as they attempt to work towards positive outcomes and may prevent patients from receiving assistance and support when required (Beaumont 2008). Endacott, Kidd, Chaboyer and Edington (2007) agree that formal divisions of labour and professional boundaries can cause gaps or discontinuities in patient care and feel communication between clinicians must improve. Donahue and Endacott (2010) say the failure of nurses to recruit senior support to deal with acutely ill patients is a contributing factor to the sub-optimal care of critically ill patient, it may be due to a lack of experience or knowledge on the part of the doctor but may equally be due to the nurses inability to articulate the seriousness of the situation. Their data identified that nurses have an awareness of the need for a succinct story but they continue to make calls for assistance with little relevant information (Donohue and Endacott 2010). As stated above suboptimal communication between health professionals has been recognised as a significant causative factor in incidents compromising patient safety and the use of a structured method of communication has been suggested to improve the quality of information exchange (Marshall, Harrison and Flanagan 2009). A number of communication tools are available; some hospitals use the SBAR (situation, background, assessment, recommendation) tool to structure conversations between members of the multidisciplinary team, which uses standardised questions to prompt the conveyor of information to share the necessary details (Steen 2010). In a simulated clinical scenario Marshall et al (2009) described the positive effect of this method on students ability to communicate clear telephone referrals. However, Featherstone, Chalmers and Smith (2008) feel that SBAR is not a memorable acronym and they prefer the use of the RSVP (Reason, Story, Vital Signs, Plan) system used in the ALERT cou rse as framework for the communication of deterioration, the authors say SBAR does not easily slip off the tongue, and RSVP is much easier to remember in an emergency. They say the reason for the call can be explained in clear simple language, and the story gives a time line of important events, they feel nurses will be familiar with a narrative style of communication and are used to giving a brief summary as part of the handover process. The vital signs must be given in figures, and can include the early warning score, or summarized in words that convey the deterioration effectively and the plan for the patient should be outlined by the caller or expected from the receiver (Featherstone et al 2008). Smith (2010) says the use of standardised method of communication, such as the RSVP system will improve communication about patient decline. Recommendations for Practice Constant change within the National Health Service is essential to advance care quality and ensure the provision patient focused care that is evidenced based. Ensuring the latest and best available evidence is put into practice is a is a crucial way of ensuring that people get the treatments and services that are the most effective and will have the best health outcomes, it ensures that the public funding that supports the NHS is used wisely and that the treatments and services offered are cost effective, and both of these factors lead to the provision of clinically effective care. Everyone involved in healthcare provision must ensure quality is enhanced and must be willing to change current practices for the benefit of patients. Nurses have a professional responsibility to keep up to date with changes and developments within their field and to deliver care based on the best available evidence or best practice (Nursing and Midwifery Council 2008). Larrabees (2009) Model for Evidence Based Practice Change suggests that there are six steps towards implementing change in practice, firstly practitioners should assess need for change in practice, and this study has found evidence which clearly points to the need for changes in practice in order to reduce avoidable harm to patients. The next steps of Larabees Model (2009) are to locate the best evidence, and critically analyse the evidence, and from the evidence found in this study it is evident there are several recommendations for changes in practice which would help nurses in acute care to develop their skills in recognising and reporting deterioration. To keep the Chain of Prevention suggested by Smith (2010) strong he suggests that staff education, monitoring, recognition, the call for help and the response must all be robust in order to prevent harm from unrecognised and unassisted illness. Recommendations to enhance these areas would be to ensure that the recognition of life threatening illness is taught from an early stage in a nurses career by attending the ALERT course earlier in their training and by the teaching of patient scenarios in the clinical area and facilitated by staff who are trained in critical care. With regards to the call for help and the response rings of the Chain of Prevention (Smith 2010), it has been shown that the use of communication tools help nurses to get an earlier response when calling for assistance, so it seems sensible to implement the standard use of a communication tool in acute care when communicating deterioration. The next step in Larabees Model for Change (2009) is to design the practice change, and it is recommended that use of the RSVP communication tool (see appendix) should become hospital protocol when calling for assistance; this is because it is easy to remember and it is used as part of the ALERT course which many acute care nurses have attended. Nurses should receive training on the use of this tool and it should be displayed near the tele phone in every acute area. In order to implement and evaluate this change, which are the next steps in the Model (Lara bee 2009) a nurse should firstly let people know about it, this can be done by using various means of communication i.e. trust intranet, ward meetings, discussion with senior nursing staff and managers. They must then get people to take on the change by involving enthusiastic team members and organising a pilot test of the use of the RSVP tool. Crucially the rate in which more senior practitioners respond must be audited find out if the tool is working in practice and if not why not, is more information or training required is the tool not displayed clearly enough. The final step of the Model for Change (Larabee 2009) is to integrate and maintain the change in practice, to do this a nurse must ensure all new staff are trained to use the system and continuously evaluate its use to ensure it is working in practice. Conclusion This study has highlighted the evidence base and resources available to support nurses in contributing to safer care of acutely ill patients it has found that in order to facilitate accurate detection of changes in condition, nurses working in acute care must acknowledge the importance of observations and early warning systems in the identification of patients at risk of adverse events and ensure patients are assessed using a sound knowledge of physiological compensatory mechanisms, to enhance this knowledge they should attend an ALERT course, the evidence pointed to nurses attending these courses early in their career and that clinical scenarios could also help increase their knowledge of acute illness. It was found that communication tools help nurses when calling for senior assistance and the implementation of a standard tool within acute hospital settings could help to prevent harm from deterioration.

Female Depression among Group Home Residents Essay -- Social Psycholog

A greater insight into female depression could lead to improvements in group home settings. Specifically with a focus on youth (ages 12-17), the relationship between experience in the justice system will be gathered and interpreted with emotions and symptoms of depression. Critically exploration of the relationship between females who experience symptoms of depression and the justice system using respondents who reside in group homes will lead to a greater understanding of the causes and services that could be made available. Defining Concepts For the purposes of this study depression is â€Å"based on a predicted probability of a person experiencing a major depressive episode (Mitura & Bollman, 2004).†Questions which address â€Å"feelings of sadness, depression, losing interest in most things, feeling tired/low energy, trouble concentrating and trouble falling asleep over the previous 12 months† would be effective for gathering data specific to this study (Mitura & Bollman, 2004). Youth will be defined as participants between the ages of 12 and 17. Experience in the justice system is expanded to include personal encounters in both the capacity of a victim and offender. Group homes are â€Å"community - based homes for young people who are in need of group care (McMann Youth, Family and Community Services Association, 2009)†. Group homes in this study are characterized by the structured, planned and supervised nature of the programs within the home and based upon the assessed needs of the individual ( Ibid) Disciplines The disciplines related to the research being conducted include the fields of psychology and medicine. Psychology covers the aspects of the mind and behaviour of those suffering from depression. The medical field in also di... ...f replicated, similar results would surface (Berg, 2009). This research project will uncover opinions and experiences through interviews and potentially focus groups. Conclusion Females living in a group home setting lack research into depression related to the criminal justice system. Although the subject matter may evoke a great deal of personal hardships, the results would lead to a better understanding of the negative effects of our justice system on girls that do not have continuous parental support. The group home setting provides challenges with obtaining subjects, although with access to this vulnerable population, depression rates could be decreased. The experiences and emotions that come out of this study will provide a glimpse into to complex life of depressed Calgary girls living in group care and hopefully bring positive change to their lives.

Case Study/Research Paper of Mergers Icici and Icici Bank

————————————————- case study ————————————————- MERGER DEAl: ————————————————- icici with icici bank merger For Mergers and Acquisitions in the BANKING SECTOR AAKANKSHA KUMAR * EXECUTIVE SUMMARY ICICI- Industrial Credit and Investment Corporation of India Limited (ICICI) was founded by the World Bank, the Government of India and representatives of private industry on 5 January, 1995. The objective was to encourage and assist industrial development and investment in India. Over the years, ICICI has evolved into a diversified financial institution.ICICI’s principal business activities include project finance, infrastructure finance, corporate finance , securitization, leasing, deferred credit, consultancy services and custodial services. It has set up specialised subsidiaries in the areas of commercial banking, investment banking, non banking finance, investor servicing broking, venture capital finance and state level infrastructure financing from where the group draws its strength. ICICI BANK- ICICI Bank was set up by the ICICI group as a commercial banking outfit on 5 January, 1994 and received its banking license from the RBI on 17 May, 1994.The first branch of ICICI Bank was started in Chennai in June 1994 and by 31 March, 1999 and before the merger it had 64 branches across the country. From the beginning the branches were fully computerised with state-of-the-art technology and systems and networked through VSAT technology. It offered a wide spectrum of domestic and international banking services to facilitate trade, investment, cross-border business and treasury and foreign exchange services. This is in addition to a whole range of deposit services offered to individuals and corporate bodies.ICICI Bank’s ‘Infinity’ was the first Internet banking service in the country. Currently the Bank has around 350000 customers. * ABOUT THE MERGER After consideration of various corporate structuring alternatives in the context of the emerging competitive scenario in the Indian banking Industry, and the move towards universal banking, the managements of ICICI and ICICI Bank decided to go for the merger of ICICI with ICICI Bank which would be beneficial for both entities and would create the optimal legal structure for the ICICI group’s universal banking strategy.In October 2001, the Board of Directors of ICICI and ICICI Bank approved the merger of ICICI and two of its wholly-owned retail finance subsidiaries, ICICI Personal Financial Services Limited and ICICI Capital Services Limited, with ICICI Bank. The merger was approved by shareholders of ICICI and ICICI Bank in January 2002,by the High Court of Gujarat at Ahmadabad in March 2002, and by the High Court of Judicature at Mumbai and the Reserve Bank of India in April 2002.ICICI Limited merged with ICICI Bank Limited on 30 March 2002, with the swap ratio of 2 ICICI Shares for 1 share of ICICI Bank Limited. With this merger, the second largest Bank in India was born. RBI had given approval for the reverse merger of ICICI Ltd. with its banking arm ICICI Bank. ICICI Bank with Rs. 1 lakh crore asset base bank is second only to State Bank of India, which is well over Rs. 3 lakh crore in size. RBI also cleared the merger of two ICICI subsidiaries. FOR ICICI THE MERGER MEANT- 1. Increasing the speed in financing long-term projects 2.Obtaining access to cheaper funds for lending 3. Increasing its appeal to investors for raising capital base needed to write off bad loans 4. Competing more effectively in the retail finance market dominated by banks FOR ICICI BANK THE MERGER MEANT- 1. Expanding geographically 2. Utilising l arge capital base of ICICI 3. Gaining brand equity from the strong brand of ICICI 4. Deriving benefits from ICICI’s well established corporate relationship * CONDITIONS LAID DOWN BY THE RBI BEFORE GIVING THE APPROVAL FOR THE MERGER (i) Compliance with Reserve Requirements The ICICI Bank Ltd. ould comply with the Cash Reserve Requirements (under Section 42 of the Reserve Bank of India Act, 1934) and Statutory Liquidity Reserve Requirements (under Section 24 of the Banking Regulation Act, 1949) as applicable to banks on the net demand and time liabilities of the bank, inclusive of the liabilities pertaining to ICICI Ltd. from the date of merger (ii) Appointment of Directors The bank should ensure compliance with Section 20 of the Banking Regulation Act, 1949, concerning granting of loans to the companies in which directors of such companies are also directors. iii) Conditions relating to Swap Ratio As the proposed merger is between a banking company and a financial institution, all matters connected with shareholding including the swap ratio, will be governed by the provisions of Companies Act, 1956, as provided (iv) Subsidiaries While taking over the subsidiaries of ICICI Ltd. after merger, the bank should ensure that the activities of the subsidiaries comply with the requirements of permissible activities to be undertaken by a bank under Section 6 of the Banking Regulation Act, 1949 and Section 19 (1) of the Act ibid. v) Preference Share Capital Section 12 of the Banking Regulation Act, 1949 requires that capital of a banking company shall consist of ordinary shares only (except preference share issued before 1944). * BENEFITS OF MERGER Through the merger, ICICI Bank became India’s 1st universal bank that is, one-stop shop financial services in India and acquired large market share of retail banking and offered a complete range of banking products. 1. Optimum utilisation of human capital 2.Improved ability to further diversity asset portfolio and business revenues 3. Reduced costs of funds 4. Availability of more float money due to active participation in the payment system 5. Diversified fund raising due to access to retail funds 6. Leveraged the ICICI’s capital and client base in terms of increase in fee income 7. Improved profitability by leveraging technology and low cost structure 8. Access to ICICI group’s talent pool and thereby development of human resource at lower costs. * PROBLEMS FACED . The risk of failure to obtain government and other approvals of the merger as per planned. 2. The risk of failure of the High Courts of Mumbai and Gujarat to approve the scheme of Amalgamation. 3. The risk of business which may not be integrated as smooth as planned. 4. Merger of ICICI Ltd and ICICI bank making it more difficult to maintain relationships with clients, employees and suppliers. 5. The risk of new and changing regulation and unfavourable political support or other developments in Indian and internatio nal markets. CONCLUSION The swap ratio was based on the valuations and recommendations of investment bankers. The merger ratio was set as two ICICI shares for every ICICI Bank share that is one equity share of ICICI Bank was swapped for two equity shares of ICICI. The merger brought operational strategies both in terms of economies of scale and scope. Economies of scale achieved through increase in business volumes at lower operating costs and deployment of latest technology. Economies of scope were achieved through enlarged product range.FINANCIAL PERFORMANCE OF ICICI AND ICICI BANK AFTER MERGER ICICI Ltd Profit to equity holders increased by 16% 21% increase in Indian GAAP consolidated profits ICICI BANK There was always an increase seen in the profits after the merger The merger took place in 2002 and its 2013 now the merger has successfully completed 11 years which shows that the merger created a strong entity, which will redefine banking in the highly competitive era of globali sation and liberalisation. BIBLIOGRAPHY * www. google. com * www. economictimes. com Case Study/Research Paper of Mergers Icici and Icici Bank ————————————————- case study ————————————————- MERGER DEAl: ————————————————- icici with icici bank merger For Mergers and Acquisitions in the BANKING SECTOR AAKANKSHA KUMAR * EXECUTIVE SUMMARY ICICI- Industrial Credit and Investment Corporation of India Limited (ICICI) was founded by the World Bank, the Government of India and representatives of private industry on 5 January, 1995. The objective was to encourage and assist industrial development and investment in India. Over the years, ICICI has evolved into a diversified financial institution.ICICI’s principal business activities include project finance, infrastructure finance, corporate finance , securitization, leasing, deferred credit, consultancy services and custodial services. It has set up specialised subsidiaries in the areas of commercial banking, investment banking, non banking finance, investor servicing broking, venture capital finance and state level infrastructure financing from where the group draws its strength. ICICI BANK- ICICI Bank was set up by the ICICI group as a commercial banking outfit on 5 January, 1994 and received its banking license from the RBI on 17 May, 1994.The first branch of ICICI Bank was started in Chennai in June 1994 and by 31 March, 1999 and before the merger it had 64 branches across the country. From the beginning the branches were fully computerised with state-of-the-art technology and systems and networked through VSAT technology. It offered a wide spectrum of domestic and international banking services to facilitate trade, investment, cross-border business and treasury and foreign exchange services. This is in addition to a whole range of deposit services offered to individuals and corporate bodies.ICICI Bank’s ‘Infinity’ was the first Internet banking service in the country. Currently the Bank has around 350000 customers. * ABOUT THE MERGER After consideration of various corporate structuring alternatives in the context of the emerging competitive scenario in the Indian banking Industry, and the move towards universal banking, the managements of ICICI and ICICI Bank decided to go for the merger of ICICI with ICICI Bank which would be beneficial for both entities and would create the optimal legal structure for the ICICI group’s universal banking strategy.In October 2001, the Board of Directors of ICICI and ICICI Bank approved the merger of ICICI and two of its wholly-owned retail finance subsidiaries, ICICI Personal Financial Services Limited and ICICI Capital Services Limited, with ICICI Bank. The merger was approved by shareholders of ICICI and ICICI Bank in January 2002,by the High Court of Gujarat at Ahmadabad in March 2002, and by the High Court of Judicature at Mumbai and the Reserve Bank of India in April 2002.ICICI Limited merged with ICICI Bank Limited on 30 March 2002, with the swap ratio of 2 ICICI Shares for 1 share of ICICI Bank Limited. With this merger, the second largest Bank in India was born. RBI had given approval for the reverse merger of ICICI Ltd. with its banking arm ICICI Bank. ICICI Bank with Rs. 1 lakh crore asset base bank is second only to State Bank of India, which is well over Rs. 3 lakh crore in size. RBI also cleared the merger of two ICICI subsidiaries. FOR ICICI THE MERGER MEANT- 1. Increasing the speed in financing long-term projects 2.Obtaining access to cheaper funds for lending 3. Increasing its appeal to investors for raising capital base needed to write off bad loans 4. Competing more effectively in the retail finance market dominated by banks FOR ICICI BANK THE MERGER MEANT- 1. Expanding geographically 2. Utilising l arge capital base of ICICI 3. Gaining brand equity from the strong brand of ICICI 4. Deriving benefits from ICICI’s well established corporate relationship * CONDITIONS LAID DOWN BY THE RBI BEFORE GIVING THE APPROVAL FOR THE MERGER (i) Compliance with Reserve Requirements The ICICI Bank Ltd. ould comply with the Cash Reserve Requirements (under Section 42 of the Reserve Bank of India Act, 1934) and Statutory Liquidity Reserve Requirements (under Section 24 of the Banking Regulation Act, 1949) as applicable to banks on the net demand and time liabilities of the bank, inclusive of the liabilities pertaining to ICICI Ltd. from the date of merger (ii) Appointment of Directors The bank should ensure compliance with Section 20 of the Banking Regulation Act, 1949, concerning granting of loans to the companies in which directors of such companies are also directors. iii) Conditions relating to Swap Ratio As the proposed merger is between a banking company and a financial institution, all matters connected with shareholding including the swap ratio, will be governed by the provisions of Companies Act, 1956, as provided (iv) Subsidiaries While taking over the subsidiaries of ICICI Ltd. after merger, the bank should ensure that the activities of the subsidiaries comply with the requirements of permissible activities to be undertaken by a bank under Section 6 of the Banking Regulation Act, 1949 and Section 19 (1) of the Act ibid. v) Preference Share Capital Section 12 of the Banking Regulation Act, 1949 requires that capital of a banking company shall consist of ordinary shares only (except preference share issued before 1944). * BENEFITS OF MERGER Through the merger, ICICI Bank became India’s 1st universal bank that is, one-stop shop financial services in India and acquired large market share of retail banking and offered a complete range of banking products. 1. Optimum utilisation of human capital 2.Improved ability to further diversity asset portfolio and business revenues 3. Reduced costs of funds 4. Availability of more float money due to active participation in the payment system 5. Diversified fund raising due to access to retail funds 6. Leveraged the ICICI’s capital and client base in terms of increase in fee income 7. Improved profitability by leveraging technology and low cost structure 8. Access to ICICI group’s talent pool and thereby development of human resource at lower costs. * PROBLEMS FACED . The risk of failure to obtain government and other approvals of the merger as per planned. 2. The risk of failure of the High Courts of Mumbai and Gujarat to approve the scheme of Amalgamation. 3. The risk of business which may not be integrated as smooth as planned. 4. Merger of ICICI Ltd and ICICI bank making it more difficult to maintain relationships with clients, employees and suppliers. 5. The risk of new and changing regulation and unfavourable political support or other developments in Indian and internatio nal markets. CONCLUSION The swap ratio was based on the valuations and recommendations of investment bankers. The merger ratio was set as two ICICI shares for every ICICI Bank share that is one equity share of ICICI Bank was swapped for two equity shares of ICICI. The merger brought operational strategies both in terms of economies of scale and scope. Economies of scale achieved through increase in business volumes at lower operating costs and deployment of latest technology. Economies of scope were achieved through enlarged product range.FINANCIAL PERFORMANCE OF ICICI AND ICICI BANK AFTER MERGER ICICI Ltd Profit to equity holders increased by 16% 21% increase in Indian GAAP consolidated profits ICICI BANK There was always an increase seen in the profits after the merger The merger took place in 2002 and its 2013 now the merger has successfully completed 11 years which shows that the merger created a strong entity, which will redefine banking in the highly competitive era of globali sation and liberalisation. BIBLIOGRAPHY * www. google. com * www. economictimes. com

The Relationship of Music Education Essay

The turning academic accomplishment spread observed in academic establishments in the United States has prompted legion research surveies conducted to happen ways and means to better the academic public presentation of school-aged kids in the state. Based on such surveies conducted. it has been determined that the incorporation of music instruction as portion of the course of study used among pre-school. simple and high school pupils can assist better the degree of academic public presentation observed in these degrees. As such. there are now a figure of different web sites found over the Internet promoting this method of learning school-aged kids of assorted degrees. However. there are still a figure of groups that remain disbelieving about its effectivity. This paper aims to supply information turn outing that the incorporation of music instruction to school course of study of different degrees result to an betterment of the academic public presentation of school-aged kids. Apart from supplying the legion benefits advocated by different web sites back uping this. this paper would look into surveies published in academic diaries available in Internet databases turn outing its effectivity. the claims provided by sceptics that have caused them to reason that there is no relationship between the usage of music instruction and the betterment of the academic public presentation of school-aged kids would besides be presented. Music Education and Academic Performance As antecedently mentioned. there are a legion Internet web sites now recommending the usage of music instruction as a agency to better the academic public presentation of school-aged kids of different degrees. This is because research surveies have shown positive and promising consequences peculiarly among kids with particular demands such as those with autism and those that have been considered as kids at-risk. In one survey. the research worker found that the incorporation of music instruction in the schoolroom led to the creative activity of an environment where kids with autism become more successful academically since they determined that pupils with autism are able to react more expeditiously with the usage of music stimulation ( Darrow 2009 ) . In another survey. it was determined that through the incorporation of music instruction. members of the module and disposal have seen that there has been a diminution in the figure of pupils dropping out of school as compared to those that did non use these plans. In fact. they found that 93 % of pupils dropping out are those that are non included in any music instruction plan ( Olson 2008 ) . Internet websites that promote the incorporation of music instruction as a manner to supply school-aged kids the ability to develop and heighten assorted accomplishments which have been considered as indispensable for the success of school-aged kids non merely in school but besides within the corporate universe. Some of these accomplishments include mathematics. creativeness and communicating accomplishments. It was besides determined that through the usage of music instruction as a portion of the course of study of school-aged kids allow them to develop traits and personalities that would do them productive members of society. These include developing a sense of self-denial. less prone to effusions of fury and choler and substance dependence. These claims presented in these Internet web sites are supported by assorted research surveies released by such establishments such as the U. S. Department of Education and the College Board of New York ( Children’s Music Workshop 2006 ; Zhang 2007 ) . While this may be the instance. other Internet web sites have been found to rebut such claims and benefits. One of which is a web site that features the survey presented to the Australian Association for Research in Education entitled No Evidence for a Mozart Effect in School Aged Children. In this survey. the research workers have stipulated that while there have been legion surveies claiming that the usage of classical music and other methods of integrating music instruction in school course of study have caused an betterment in the academic public presentation in some academic establishments. this does non go on each and every individual case. This is due to the fact that other factors such as the cultural of the academic establishment and the quality of the instructors easing the instruction of the pupils play a major function in the overall academic public presentation of school-aged kids ( Crncec. Wilson & A ; Prior 2002 ) . In another Internet web site. it was stated that while music instruction does assist most school-aged kids with particular demands. this does non embrace all kids with particular demands. To be specific. kids with auditory upsets such as audile procedure upset. or APD. are unable to grok sound elements. As a consequence. the incorporation of music instruction to the course of study of school-aged kids would merely be unbeneficial for these kids. In fact. it may even do these kids to exhibit the really issues that Internet websites advancing the usage of music instruction are able to turn to ( Nikolaidou. Iliadou. Kaprinis. Hadjileontiadis & A ; Kaprinis 2009 ) . Conclusion The incorporation of music instruction in school course of study has. in no uncertainty. been able to assist in the betterment of the academic public presentation of school-aged kids in different degrees. The promising consequences presented by research surveies conducted have been found to be consistent when these rules have been applied by assorted academic establishments. peculiarly pre-school and simple schools. As a consequence. the incorporation of music instruction has now been endorsed by assorted local and authorities organisations involved in the betterment of the overall academic public presentation of academic establishments in the state. While there are restrictions to how much of an betterment may be observed in one academic establishment as presented earlier. the consistence observed on the part music instruction to the overall academic public presentation uninterrupted to do a feasible method to be used in schools throughout the state. Mentions Children’s Music Workshop. ( 2006 ) . Music instruction online. Retrieved from hypertext transfer protocol: //www. childrensmusicworkshop. com/advocacy/benefits. hypertext markup language. Crncec. R. J. . Wilson. S. J. & A ; Prior. M. ( 2002. December ) . No grounds for a Mozart consequence in school aged kids. Retrieved from hypertext transfer protocol: //www. Aare. edu. au/02pap/crn02420. htm. Darrow. A. ( 2009 ) . Adapting for pupils with autism. General music today. 22 ( 2 ) . 24-26. Department of the Interior: 10. 1177/1048371308328384. Nikolaidou. G. N. . Iliadou. V. T. . Kaprinis. S. G. . Hadjileontiadis. L. J. & A ; Kaprinis. G. S. ( 2009 ) . Primary school music instruction and the consequence of auditory processing upsets: pedagogical/ICT-based deductions. Retrieved from the IEEE Xplore Web site: hypertext transfer protocol: //ieeexplore. ieee. org/Xplore/login. jsp? url=http % 3A % 2F % 2Fieeexplore. ieee. org % 2Fiel5 % 2F4561602 % 2F4561603 % 2F04561902. pdf % 3Farnumber % 3D4561902 & A ; a uthDecision=-203. Olson. C. A. ( 2008 ) . Can music instruction aid at-risk pupils? Study finds positive testimony significant but quantitative research lacking. Teaching music. 16 ( 3 ) . 20. Retrieved from ERIC database ( 10697446. 20081101 ) . Zhang. L. ( 2007. March ) . Benefits of music instruction for your kid. Retrieved from hypertext transfer protocol: //www. articlesbase. com/education-articles/benefits-of-music-education-for-your- child-124538. hypertext markup language.