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Quality Education: Sustainable Development Goals (SDGs) African History Assignment Help


5 Tips for Selecting the Right Exhaust Flex Joint african history assignment help: african history assignment help

Flexible bellows, common known as expansion joints, are the elements that absorb movement in the piping system. The movements that they absorb are defined by lateral, axial, universal, and angular movements. The bellows are made to absorb either one or a combination of these movements.

Deciding on the right bellow to use can be challenging. You need to have in-depth knowledge to make the right decision. Your engineers can help make custom bellows by specifying the metal alloy, and technology to use in the process. According to a study by Brown University, a new material which is a mixture of carbon, nitrogen, and hafnium has the highest melting point at 7460 degrees Fahrenheit. Therefore, the new material would be useful in the manufacture of stainless exhaust flex joint.

The intent for making the flex joint is to use it as a versatile component. Some of these uses include sealing, temperature, evacuation and pressure as specified in custom bellow design process. Here are the checkpoints to consider when selecting the right exhaust bellows.

Opt For Stainless Exhaust Flex Joint Manufacturer You Can Trust

Choose the bellow manufacturer who has your best interest at heart. For instance, a competent designer will have the best bellow forming machine. With this, you can take guesswork off your selection process.

Yes, deciding on the right stainless exhaust flex joint configuration or material can be challenging. Choose a manufacturer who’s ready and willing to help you out.

Consider the Quality of Their Work

When making the purchase, you want a lasting stainless exhaust flex joint at an affordable price. However, for this to happen, you have to share any necessary information with your designer.

Remember, a pipe expansion joint is rarely a one-size-fits-all product. Designing the stainless exhaust flex joint to suit your needs costs less while delivering the best results.

Therefore, do your due diligence on what your needs are. Otherwise, the metal bellows and expansion joints will only cost you more than they should.

Never Make Guess

If you don’t know the correct pressure or temperature, find out. In most cases, someone will always have that vital piece of information.

For instance, don’t assume you need a stainless exhaust flex joint rated 150 psig because the one you’re replacing has 150# class range. Making this simple assumption will get you into trouble or cost you more than necessary. Don’t let it happen.

The rule of the thumb is, higher pressure requires a thicker bellow material. Thicker bellow materials require bigger materials and higher labor costs.

Go for Multi-Ply Bellows

Request your manufacturers to supply expansion joints made from multiple thinner layers of materials. Reason being, they’ll last longer than single-ply from thicker materials. Plus, multi-ply bellows are cheaper than single-ply bellows.

Check the Bellow Design Data Sheet

Before making the purchase, request the exhaust expansion joint to give you the bellow design datasheet. Ensure the metal bellow you acquire has been manufactured per the Expansion Joint Manufacturers Association (EJMA) guideline.

Ensure the bellows have the correct design for temperature and pressure. The axial and lateral movements also need to be correct. The fatigue cycle should help you calculate the lifespan of your expansion joint. For instance, if the fatigue cycle is 350, and your expansion joint makes a complete cycle in a day, it will fail in less than a year. If the cycle doesn’t excite you, let the supplier know that you want better.

Remember, some unscrupulous dealer would want you to buy an expansion joint from them every year. As the informed consumer, you deserve better than this.


When looking for a metal bellow, it is important to work with a manufacturer or supplier that you can trust. The success of the entire process is dependent on your relationship with the designer. The designer needs to know the amount, direction and combination of all movements that the expansion joint will encounter.



Stakeholders Mapping In Healthcare Organization history assignment writing help

Stakeholders in a process are actors (persons or organizations) with a vested interest in the policy being promoted (Fottle et al. 2009). They usually fall into three categories; those who provide inputs, competitors and those that have particular special interests. Stakeholders are categorized into:

Interface Stakeholders – those who function internally and externally to the Hospital. For example Trustees and Senior Staff who represent the Hospital’s interests (Fottle et al. 2009).

Internal Stakeholders – those who operate within an organization, in this case generally Hospital staff.

External Stakeholders- stakeholders who are impacted or impact the Hospital, but are not employed by the Hospital (Fottle et al. 2009). According to x and x, they fall into three categories: those that provide inputs like suppliers and those that rely on the hospital outputs, competitors and special interest groups. While people’s participation is increasingly incorporated into national and international public health policies, we know who is involved in decision-making and action, and who has the ability to influence the outcome of the power decision maker (Brailsford et al. 2009). The concept of stakeholders is ubiquitous among scholars, policymakers, media and business leaders. Stakeholders are common and require organizational strategies for the public sector and project design. Stakeholder engagement is an important priority for current government policy, both NHS and local government. Many of these organizations recognize that stakeholder engagement is not an option to expose choices (Brailsford et al. 2009). This is because their views, needs and ideas determine their choices and services that flow out of them.


The following list of internal and external stakeholders in Big Spring Local Hospital

Internal stakeholders
External stakeholders

Director of Public Health
Head of Health Intelligence and Information
Director of Nursing
Public Health Strategists
Public Health Management Analyst
Director of Programmes and Services
Research Scientist
Environmental Health Intelligence Analyst
Public Health Manager
Board committee members


local Authority/council
Acute trusts
Service users
Quality assessors
LINk group
Special interest groups
Health visitors/school nurses
Wider public health workforce




In a healthcare organization, there is a group of policymakers. Policymakers establish a framework for providing health care to citizens of the country. In this book, “decision makers” are synonymous with the “Ministry of Health” or the government of the national government responsible for population health. Policymakers combine data from patients, providers and payers to create population-level indicators that inform their health and health economic policies.  Besides, there is a group of healthcare providers; Health care providers manage the delivery of health care in a policy environment (Fletcher et al. 2003). They provide medical services to patients and maintain patient medical information. As a member of the care team, the care provider coordinates the care of the patient with other care providers. Many suppliers are independent companies that must manage their operations and finances. On the other hand, the payer makes the financial elements of the strategic framework work. The payer registers the patient as a beneficiary. They represent the beneficiary patients to purchase care from a health care provider. They must also undertake the mathematical task of ensuring the financial sustainability of the care plan. They report to decision makers.

Insurance companies are an important part of external stakeholders. Liability insurance for health professionals is an insurance policy that provides financial protection for doctors and other medical professionals (Fletcher et al. 2003). Some states and most hospitals require doctors to be provided with medical accident insurance making insurance companies important external stakeholders to the specific healthcare organization. Although some hospitals and medical institutions provide medical accident insurance to protect their organizations, litigation can identify medical professionals separately. Doctors and health care professionals are responsible for certain court injuries to patients. Medical professionals, such as medical assistants, can cover their own accident insurance in the event of litigation to protect their interests. In addition to paying claims on behalf of the insured’s bankruptcy insurance, they also provide legal representation to a health worker and investigate the claim. Liability insurance provides peace of mind for healthcare professionals (Eric, O. 2007). Health care professionals can perform their duties without fear of losing financial assets in the event of litigation. Therefore, Insurance companies are important actors in a healthcare organization and they play a significant role in making sure that all operations run smoothly.

Finally, Patients are important stakeholders, without patients, it is difficult for healthcare organizations to operate. Patients are customers and source of income to specific healthcare units. Patients contribute to the growth as well as the expansion of healthcare organization. Patients often leave behind suggestions as well as comment on the quality of services provided which are then used t improve on the quality of services provided (Eric, O. 2007).

In conclusion, a healthcare organization is in stake of several stakeholders; both internal and external. Paramedics, the board of management, insurance companies, and pharmaceutical companies as well patients are important stakeholders towards the success of any healthcare organization






Fottler, M. D., Blair, J. D., Whitehead, C. J., Laus, M. D., & Savage, G. T. (2009). Assessing key stakeholders: who matters to hospitals and why. Journal of Healthcare Management, 34(4), 525.

Brailsford, S. C., Bolt, T., Connell, C., Klein, J. H., & Patel, B. (2009, December). Stakeholder engagement in health care simulation. In Proceedings of the 2009 Winter Simulation Conference (WSC) (pp. 1840-1849). IEEE.

Fletcher, A., Guthrie, J., Steane, P., Roos, G., & Pike, S. (2003). Mapping stakeholder perceptions for a third sector organization. Journal of Intellectual Capital, 4(4), 505-527.

Eric Olson. (2007). Healthcare Stakeholders mapping.

Savage, G. T., Taylor, R. L., Rotarius, T. M., & Buesseler, J. A. (2007). Governance of integrated delivery systems/networks: a stakeholder approach. Health Care Management Review, 22(1), 7-20.


The Major Stakeholders in a Healthcare world history essay help: world history essay help

Financial management and Analysis

A stakeholder is a person or an organization whose regards is to give, receive, manage and make payments for healthcare. A stakeholder is also a person or an organization with the interest of funding, implementing or providing any service in an organization or decision-making. However, stakeholders are unions, patients, employees, cares, social services, staff, the local health authorities as well as voluntary organizations and unions. Stakeholders can influence or be influenced by the activities in a company’s aims and strategies, and they are not the same in every organization.

The Major Stakeholders in a Healthcare

The government-the government makes sure that there is the availability of enough equipment accessibility of affordable basis within the area. It provides primary, secondary and makes sure that there are minimum incidences of infectious disease as well as providing maternal and child care.

Non-government agencies-They boosts the government work, helping the government in giving education to both caregivers and patients and giving practical exhibitions and explanations in healthcare.

Hospital administrators and government bodies-They are known as the board of trustees who usually make sure that there is proper care in health care, manages the funds and the staff, assessing of the CEO, coordinate with the chief executive officer, allocating funds for healthcare development.

The healthcare providers- These are the public health nurses, the village health guides, the physicians, the healthcare professional. They all provide care to the patients as well as taking care of them in the form of treatment.

Health insurance- They supply drugs in hospitals; they supply lab and x-rays facilities, they respond to specific emergencies, family welfare services as well as providing antenatal and postnatal services.

In summary, all the stakeholders, either minor or significant, play an essential role in healthcare, although they are not equal. Every stakeholder has a role to play, and so they should be treated equally. All stakeholders should work together, share decisions, and coordinate to make the company successful. The government is the most significant stakeholder, which should adequately organize all the other stakeholders, and therefore, others will work well, and everything will work correctly. If the government fails, the different stakeholders fail as well; hence, stakeholders are crucial for any organization.

Works Cited

Alein, Dorothy. Major stakeholders. Newyork: stream systems, 2018.

L, Benard. “Stakeholders.” Medical Phisicians, (2017): 281.



Standardization in the EHR Discussion Questions global history essay help

Discussion Question 1

Standardization is not only used in meeting the financial needs of the healthcare institution but to also improve patient safety and care objectives. It is evident that the main purpose of standardization is in the provision of patient safety resulting from concise, clear communication based on clinician institutions (Rudin, 2017). Therefore, accessing this standardized information from any location allows pharmacists to effectively administer drugs to patients. The use of complete names, adoption of an order format and use leading zeros where decimal points involved ensure the correct medicine is administered (Rudin, 2017). Additionally, standardization allows for information to be recorded efficiently in that anyone can easily interpret the information and access the records easily.

Discuss Question 2

In the provision of healthcare, standardization of data is necessary as it allows the medical practitioners to improve the quality of care provided. Standardized is easily accessible therefore, the nurse or clinician is able to acquire previous health records before they can attend to them. In view of the safety of patients, standardized data is clear and concise which promotes easier analyzing and interpreting (Koutkias, 2019). The health institution staff can easily know when a patient health condition is in bad shape and seek medical care for them. Standardized data reduces wastage or misuse of resources that would lead the institution to acquire more which increases its operating costs. Additionally, the use of standardized data reduces miscommunication that would have drastic impacts. Nursing as a practice highly benefits from the standardization of data. This is due to the position they hold in the provision of health care (Koutkias, 2019). They are directly involved with the patients more than the doctors. As such data standardization which encompasses methods, protocols, terminologies, and specifications involved in the collection, exchange, storage and retrieval of information associated with health care.

Discuss Question 3

The nursing practice needs to know the importance to document care using standardized nursing languages especially with the increased use of electronic documentation and use of electronic data (Olatubi, Oyediran, Faremi & Salau, 2018). Inter-professional learning is important to ensure the successful use of electronic data to describe the key components of the care process. Standardized nursing language enhances accurate communication of health providers and nurses in the health care process. Additionally, these languages will increase the visibility of the interventions of nurses in the provision of health care (Olatubi, Oyediran, Faremi & Salau, 2018). Records that are prepared using these languages will enhance data collection evaluation data that will access the outcomes of nursing care. Moreover, inter-professional learning will foster greater adherence to standards of care and facilitate the assessment of nursing competencies, especially in the health care provision process.



Koutkias, V. (2019). From Data Silos to Standardized, Linked, and FAIR Data for Pharmacovigilance: Current Advances and Challenges with Observational Healthcare Data. Drug Safety, 42(5), 583-586.

Olatubi, M., Oyediran, O., Faremi, F., & Salau, O. (2018). Knowledge, Perception, and Utilization of Standardized Nursing Language (SNL) (NNN) among Nurses. International Journal Of Nursing Knowledge, 30(1), 43-48.

Rudin, R. (2017). Using information technology to exchange health information among healthcare providers.