Saturday, October 5, 2019

The Importance of Business Processes in Delivering Outcomes Essay

The Importance of Business Processes in Delivering Outcomes - Essay Example Depending on which industry an organization belongs, a business will provide needs that are products, services, or both. The usual end goals are: (1) profits for the Stakeholders; (2) customer satisfaction for the people who buy company products or avail of company services; (3) good management of employees; (4) skillful allocation, disposition, and maintenance of assets like cash, receivables, inventories, supplies, furniture, building, equipment, and vehicles; (5) wise sourcing of funds and timely payments of liabilities; (6) compliance with government regulations, specially the proper accounting and payment of taxes, permits, and other fees. (7) And for large corporations listed in the stock exchange, potential investors as well as existing investors also require that value of a company’s stock (otherwise known as Stock Value) has been increasing comparatively better than that of the competitors’ Stock Value. (8) All these have to be realized while the separate entity, be it a single proprietor, partnership, or corporation, is mindful of its social responsibilities for the community and the country wherein it belongs. (9) Finally, every business is expected to grow and to become stable. It also means resiliency to economic downturns. In the case of Quick Fit Furniture Co., the objectives revealed were the sales increase of 10% from the past year and the (2) implied need to improve the human relationship of its workforce between departments. II. Business Processes Have To Be Controlled In order to achieve all those goals, the Board of Directors, Top Executives, and the other Managers must be familiar with strategic ways by which goals can be accomplished. They have to be aware of the business processes from within and the external environment affecting those business processes. Moreover, resources allocated within each of them have to be controlled and directed towards arriving at desired outcome or results. From a general point of view, what business entrepreneurs and executives must do is to marshal the allocated resources within each process so that the output will contribute to the achievement of the ultimate goals. A diagram should clarify this concept. What are the business processes then ? According to Harvard Business School Press (2010, p. 4), â€Å"Technically, a business process is the set of steps a business performs to create value for customers. A process consists of three basic components: Inputs†¦Activities†¦Outputs.† The same book admits that â€Å"every organization contains large amounts of business processes† (p. 6). From the time a business is conceived, the processes of planning, organizing, directing, communicating, controlling, evaluating, and improving resources in all divisions and departments of the organization will continue to be ongoing. There are many activities taken in order to get things done. What will guide the implementation of plans are the objectives leading to the accomplishment of goals. As a matter of fact, every person working within the business has a corresponding set of activities called the duties and resp onsibilities defined and meant to meet specific needs to serve the interest of an entire organization. Let us take some examples. Under the Administrative Department, there are usually the following: recruitment activities, training and development activities, and personnel files record keeping activities, performance evaluation, and so on. Each of the activities have to meet certain standards. A company cannot just hire anybody to fill a position. Thus, during recruitment, testing activities and interviews are usually done. The most qualified personnel are chosen based on the criteria specified by the Department which requested for the hiring of personnel. For the Finance Department, some people with background in Accounting and/or Finance would have to be found. The activities they perform will be

Friday, October 4, 2019

Cash in hand Assignment Example | Topics and Well Written Essays - 250 words

Cash in hand - Assignment Example Mr. Thompson should have minimized his tax liability through legal tax planning whereby the government provides various tools and mechanisms to reduce tax returns such as exemptions, rebates, deductions, and allowances (Gavai 2010). Legal tax planning helps a business to minimize its expenses and thereby reducing its costs of operation and later having long term profits. Therefore, Mr. Thompson should have used other legal means such as low tax rates or other tax benefits that his country offers for investment. The government should ensure that there is tax transparency and ensures that taxes are disclosed to the public. Information sharing and modernization of international tax laws are ways that can reduce tax evasion. Other means of reducing tax evasion include keeping corporate income tax rates low, pursuing international tax information exchange agreements, tightening anti-avoidance rules and also coming up with new tax policies that can help businesses compete (Gavai

Thursday, October 3, 2019

The European Community Institutional Framework Essay Example for Free

The European Community Institutional Framework Essay The European community which has its history back in the 1950s when the European Coal and Steel Community (ECSC) was formed to cater for the interests of expanding coal and steel market among member states which stood at six during its formation. In 1957 the European Economic Community was formed together with the European Atomic Energy Community, the Merger Treaty [Merging of the executives, 2007] saw the three bodies merge afterwards to give birth of the now twenty seven member-European Community (EC). The creation of this super body is based on a number of treaties that govern its operations, these treaties that were drafted and mutually agreed up on and accented to provide for the formation of various institutions tat oversee the day to day running of the community’s affairs. The formation of the European community was chiefly to iron out physical boundaries between member states and also to hasten the rate of economic development among other reasons. Due to the diverse interests of the populations of the member states, the community adopted various laws that provide the legal foundation for the representation of these interests. One of the main functions of the legal framework is to give the base for the creation of institutions which cater for the diverse interests of the members. The community’s institutional framework is considered to be unique chiefly because of its separation of power between the three arms that are the basis of it operation, i.e. the judiciary, legislature, and the executive, and partly due to its attempts to secure equal representation of diverse interests while keeping a proper balance between them. The community has got various institutions that are divided in to two categories i.e. politically based institutions ad the non-politically based ones. The political institutions include; the parliament, the commission, and the council, the non-political ones include; court of justice and the court of auditors.

Gourmet Pasta Brand Analysis

Gourmet Pasta Brand Analysis Name- Charanjot Sethi Introduction:- As I have done in the first assessment how to prepare the audit for gourmet Pasta and in this assessment I am going to do conduct a audit to see progress of that business and I would use all this sales records and their financial records that has been increase or decrease by the last one year or two years. The many types of pasta in your kitchen have traveled a long road. Soon after early man began to plant grain, woman began to grind flour; shape or cut lumps of dough, and throw them in the soup. Thus was pasta invented at different times and in different parts of Asia, the Middle East, and the Mediterranean Scholars and others have traced-and imagined-lines of migration and influence, but they look more like fussily than spaghetti. Along the journey from prehistoric dumpling to tagliatelle al ragà ¹, neat timelines are few; the most rewarding route will be a tour of scattered highlights. Conduct an external audit:- Data and information is classified as their qualitative or quantitative. As that gourmet Pasts Company was using flyers in local letterbox but that was only junk mail anyway. It can be easily to measured and analysis to determine quantity or extent of factors being investigated. Quantitave data is focused on words and observation not numbers. as that pasta company gives us their sales records for that year of 2009 which are showing that how was their sales going on into that time in the market. External audit:- EXTERNAL AUDIT is an audit conducted by an individual or firm that is independent of the company being audited. These independent auditors audit the books of a company generally once per year after the completion of the companys fiscal year. Their role is to give an opinion of the financial statements reflection of the status and operations of the company being audited. Based on what they witness during the audit they will also produce, for management and board utilization, a management letter. Although a financial statement audit is the most common type of external audit, external auditors may also conduct special purpose audits which might include; performing specific tests and procedures and reporting on the results, a less intensive review, and compilations. An external marketing audit covers issues such as economic factors, demographic factors, technology factors and legal factors. Economic factors: gourmet pasts company thinks about their sales that has a big change from last years and they are not having a up to date staff that who could provide all the information as they mentioned in the case study one of their staff member do not know how to attended phone call for the take away orders and that effects the business most. They are not achieving short, medium and long term expectation of their business in regards of their staff and their credit availability. Demographic factors: according to the demographic that area has most of the people between age group of 25-50, and young professional who live close to the location and their income over $60000. I think they have to be careful because they are getting trouble with their competitors that next to them and they all are busy all the time that affects a lot on gourmet pats restaurant. Technological factors:-gourmet pasta have problem about their parking area that have big impact on people having access to the restaurants at night. They should provide new products and they could change their names according to their types. They could start doing online services and need to update their business and services that they are providing to the customers. Legal factors:-according to me they have to follow the rules and regulation according to the government if they changing their price list they should mentioned in advance to their regular customers because it impact the business lot. They have to keep in mind what are the new rules and make sure they are following them according to the government. External micro factors:- those factors that meet audit requirements include:- Market characteristics:-  that is the trend of market for restaurants is headed towards a more sophisticated customers. The restaurants patron today relative to yesterday is more sophisticated in a number of different ways. As now days the preference for high-quality ingredients is increasing as customers are learning to appreciate the qualitative differences. Customer need:- sartos pasta is providing with a wide selection of high-quality pasta dishes that are unique and pleasing in presentation and utilize top-shelf ingredients. Sartos gourmet pasta seeks to fulfill some benefits that are important for their customers. Competitors factors: as the owner of pasta restaurant explained that their competitors, had built a large 30 seat outdoor eating area and that it seemed to be full every time he went past and looked in and also one of the franchise chains, pasta bite, had opened up in the adjacent suburb giving the local customers greater options in pasta. Conduct internal audit: Internal audit is a dynamic profession involved in helping organizations achieve their objectives. It is concerned with evaluating and improving the effectiveness of risk management, control and governance processes in an organization. To do this, internal auditors work with management to systematically review systems and operations. These reviews (audits) are aimed at identifying how well risks are managed including whether the right processes are in place, and whether agreed procedures are being adhered to. Audits can also identify areas where efficiencies or innovations might be made. Internal audits are organized under an ongoing program of review and advisory activity this is based on the strategic needs of an organisation. In the course of their role, internal auditors work across all areas of an organisation. In addition to core areas of financial control and IT, they review the tangible aspects of operations, such as an organizations supply chain or IT systems; as well as more intangible aspects such as organizational culture and ethics. In fact, any system that has an impact on the effective operation of an organisation may be included in internal audits scope. The criteria to be used:-in the internal audit we are focusing on sales analysis, SWOT analysis, product development, profitability and efficiency. they all are mentioned below:- SWOT analysis:-a swot analysis examines the strengths, weaknesses, opportunities and threats for the business. As we strengths and weaknesses are factors that are able to control by the business. They both need to be consider from the perspective of the customers and should only be assessed based on their ability to assist or prevent the business in meeting market needs. Opportunities and threats exist independent of the business and are often beyond its control. Pasta company owner has to match internal strengths with external opportunities to create the best competitive advantage. Sales record:-as the company financial record staff member gave me the detail about the actual sales of 2009 which is below:- Segment Budget-2009 Actual-2009 individuals 120,000 121,000 families 150,000 112,000 Take away 180,000 203,000 Total 450,000 436,000 Functional efficiency, internal interface and:- Gourmet pasta restaurants owner need to make sure that their relationship between sales and marketing are good and they are working effectively or he need to bring some changes in. to make sure everything working properly he need to check all the service are up-to date and products and their technological skills are changed according to the new time basis. He should know that their staff members know all the service how to answers on the phone and how to serve people with reasonable manners and that would impact his business with positive way. He should know about all the problems that are happening into the business and he need to consternate on them and they need to be fixed such as manufactured, fiancà ©, purchasing and new product development. Marketing system:- Marketing system is a set of procedures and methods designed to generate, analyze, disseminate, and store anticipated marketing decision information on a regular, continuous basis. An information system can be used operationally, managerially, and strategically for several aspects of marketing. A marketing information system can be used operationally, managerially, and strategically for several aspects of marketing. We all know that no marketing activity can be carried out in isolation, know when we say it doesnt work in isolation that means there are various forces could be external or internal, controllable or uncontrollable which are working on it. Thus to know which forces are acting on it and its impact the marketer needs to gathering the data through its own resources which in terms of marketing we can say he is trying to gather the market information or form a marketing information system. This collection of information is a continuous process that gathers data from a variety of sources synthesizes it and sends it to those responsible for meeting the market places needs. The effectiveness of marketing decision is proved if it has a strong information system offering the firm a Competitive advantage. Marketing Information should not be approached in an infrequent manner. If research is done this way, a firm could face these risks: Opportunities may be missed. There may be a lack of awareness of environmental changes and competitors actions. Data collection may be difficult to analyze over several time periods. Marketing plans and decisions may not be properly reviewed. Data collection may be disjointed. Previous studies may not be stored in an easy to use format. Time lags may result if a new study is required. Actions may be reactionary rather than anticipatory. And the owners of that business have to control all those kind of risk and problems that affect the business. Marketing productivity:- Measuring too much can be as bad as no measurement at all. ECI will assist you in navigating through the data and research maze of marketing analytics. The result of our data architecture audit is clearly defined key performance indicators that explain and clearly correlate to long- and short-term marketing and business success. To secure transparency and up-to-date overviews of your marketing performance we will support you in the implementation of extranet and dash-board solutions. Technology will not only increase productivity in the day-to-day marketing process, but also secure ownership of information and models related to your significant marketing and media investments. The system will track your investments from allocation of funds for marketing all the way to the profit and payback. The output of the process will be clear input to future briefings.

Wednesday, October 2, 2019

Contracts :: GCSE Business Marketing Coursework

Contracts Lump Sum Contract A defined lump sum plan expresses employees' pension benefits as a lump sum amount, which makes it easy for them to understand and appreciate the benefits. In many cases, the plans also allow employees to accrue larger benefits at younger ages than they would under a traditional pension plan. And, increasingly, defined lump sum plans provide "portable" benefits that employees can take with them if they leave the company before retirement age. Cost plus percentage contract: Cost-plus construction contracts are often used for projects in which an owner or developer wishes to retain flexibility in selecting construction materials or modifying the design during construction. Unless specifically described in the contract, the contractor and the owner/developer may have a different perception of what types of costs are reimbursable to the contractor. The cost-plus contract should include a section defining all of the types of costs that are reimbursable by the owner/developer, and most standard form contracts include such provisions. Cost plus fixed fee contract: A cost-plus-fixed-fee contract is a cost-reimbursement contract that provides for payment to the contractor of a negotiated fee that is fixed at the inception of the contract. The fixed fee does not vary with actual cost, but may be adjusted as a result of changes in the work to be performed under the contract. This contract type permits contracting for efforts that might otherwise present too great a risk to contractors, but it provides the contractor only a minimum incentive to control costs. Design and build contract, also known as "package deal" and 'turnkey" contracts Turnkey drilling services offer a viable method for operators to better man age drilling risks and reduce costs. In the future, they may be able to utilize drilling management contractor services for complete field development programs. The offshore turnkey drilling industry remained a high-margin, low-volume business until about 1993 when turnkey drillers began to realize bidding prices were not competitive with most operators' internal cost estimates. Increasing market share could only be achieved by reducing margins to match the real competition, which is the operator's AFE (authority for expenditure). Since then, the number of offshore turnkey wells has increased almost every year. However, the future of the offshore drilling management services industry involves moving beyond merely providing a well or a completion for a fixed price.

Analysis Of Islam :: essays research papers

Religiological Analysis of the Islam Through the Koran and Hadith Islam may be considered as an exotic religion to many in the western part of the globe. The impression that Westerners have is usually obtained through the media representing Islamic countries or groups in the middle of a Holy War. The wars, called Jihad, are usually waged by Islamic Fundamentalist who use terrorism to get their messages across giving Islam a negative reputation. Because of the lack of understanding of this highly publicized religion, many conflicts arise between the people who live in eastern and western worlds. In turn, this causes problems amongst different cultures through various political and religious battles that result from these misconceptions. In order to prevent future strife, it is important for people all over the world to have a better understanding of other religions. To interpret Islam from a objective point of view it is easier to use Religiological Analysis, a system that that break s the religion down into specific terms: Epistemology, Ontology, Anthropology, Psychology, Teleology, and Methodology. The Epistemology of Islam is contained in the sacred book called the Koran that was revealed in Arabic to the Prophet Muhammad in exact words of God through the Angel Gabriel. The Koran means Recollect, Clarify, Recital, Reading, and Criterion. It contains truths about everything and functions as a recollection of all previously revealed books. When Muhammad was forty years old, he had his first revelation and continued to do so for the next twenty-two years, remembering each revelation and then having them written down by scholars. The whole book consists of chapters that were believed to be put in order by Muhammad himself and are word for word from God. This book is the most widely read and memorized book in the world and because of the number of people memorizing the book it helped it remain unchanged for the past fourteenth centuries. Containing truths about th e world and our existence till the end (Judgement Day), it is also a guide for us on a way to live and worship God. Besides the Koran, Sunnah, known as the customs or practices of the Prophet Muhammad are also considered sources of knowledge by Muslims who hold him as an exemplary human and try to emulate his actions and lifestyle. His actions, and sayings were recorded and reported in what is know as the Hadith, a collection of his doings in his whole life.

Tuesday, October 1, 2019

Health Leadership Theory

Leadership Midterm Chapter 1 Introduction 1. Leadership- a process whereby an individual influences a group of individuals to achieve a common goal. 2. Trait vs Process Leadership- innate characteristics that individuals are born with vs properties possessed that one is able to develop. 3. Assigned vs Emergent Leadership- based on occupying a position within an organization vs an individual perceived by others as most influential member of a group regardless of individuals title. 4. Power- capacity or potential to influence (beliefs, attitudes, & actions) 5. Bases of Power: . Referent power- follower’s identification and liking for the leader b. Expert- based on followers’ perceptions of the leader’s competence. c. Legitimate- having status or formal job authority. d. Reward- having the capacity to provide rewards to others. e. Coercive- having the capacity to punish others. Real, Expert, Leaders, Reward Compliance (1st two are personal power while the ladder thr ee are positional power) Chapter 2 Trait Approach * One of the first systematic attempts to study leadership. Early theories focused on innate qualities/characteristics. Major Leadership traits***: 1. Intelligence- verbal, perceptual, and reasoning capabilities 2. Self-confidence- certainty about one’s competencies and skills 3. Determination- desire to get the job done 4. Integrity- quality of honesty and trustworthiness. 5. Sociability- Leader’s inclination to seek out pleasant social relationships. Israel’s, security, defense, is, strong * Big Five Personality factors: 1. Neuroticism- tendency to be depressed, anxious, insecure,†¦ (don’t want) 2. Extraversion**- tendency to be sociable and assertive with positive energy. . Openness- informed, creative, insightful, and curious. 4. Agreeableness 5. Conscientiousness- thorough, organized controlled, dependable, and decisive. * Emotional Intelligence- ability to perceive and apply emotions to lifeâ₠¬â„¢s tasks. The premise is that people who are more sensitive to emotions & their impacts will be more effective leaders. Chapter 3 Skills Approach * Leadership skills- ability to use one’s knowledge and competencies to accomplish a set of goals and objectives. * Katz developed the Three-Skill Approach: 1.Technical- having knowledge about and being proficient in a specific type of work or activity. 2. Human skill- having knowledge about and being able to work with people. 3. Conceptual skill- the ability to do the mental work of shaping meaning of organizational policy or issues. Top management has high human and conceptual, but low technical. Middle management has high everything Supervisory management has high technical, high human, and low conceptual. * Chapter 4 Style Approach Style Approach emphasizes the behavior of the leader: 1. Task behaviors 2. Relationship behaviorsStudies: 1. Ohio state studies developed a leadership behavior description questionnaire (LBDQ) and it resulted in leaders with initiating structure and consideration. 2. University of Michigan-results in leaders with two type of behavior: employee oriented and production oriented. Blake & Mouton’s Managerial Leadership Grid focuses on concern for production and people. *Be able to draw this* Note that the first 4 chapters focused on the leader and his abilities. The next few chapters focus on the interaction with subordinates. Chapter 5 Situational ApproachLeaders must match their style to the competence and commitment of subordinates. Leaders need to diagnose the situation and then adapt their style. **** Chapter 6 Contingency Theory Leader Match Theory Fiedler developed the Contingency model High LPCs are effective in moderately favorable conditions while low LPCs are effective in extreme conditionis. Chapter 7 Path-Goal Theory Centers on how leaders motivate subordinates to accomplish designated goals. Leadership generates motivation when it: 1. Increases rewards (payof fs) 2. Increases assistance by leader- clarifies & defines goals 3.Removes obstacles 4. Makes work personally satisfying R,C&D,O,S Chapter 8 Leader-Member Exchange Theory High quality leader member exchanges between leaders and followers produced multiple positive outcomes (less employee turnover, greater commitment, promotions,.. ) Quint Studer Introduction Managers create the best possible plan to deal with the changing external environment. And they do this in a quick fashion. â€Å"We are only as strong as our weakest link. † Chapter 1 Alignment Healthcare organizations must be aligned to provide excellent medical care.The difficulty here is that most organizations don’t have a uniform or seamless organization. It takes significant amounts of time for information/procedures to flow down through the organization from C-Suite leaders to supervisory personnel and this process needs to speed up. Chapter 2 Action How quickly and effectively leaders can drive action dete rmines whether an organization lives or dies. As leaders we must be able to anticipate the outcome of changes in the external environment as they are occurring and respond appropriately. This is prohibited as the majority of leaders do need get prepared for their leadership role.Studer identifies that the training should cascade through an organization with leader taking ownership of training leaders below them. Chapter 3 Accountability Organizations require a system to be in place that holds people accountable for their actions. While top managers might say that their leaders are performing exceptionally when compared with yearly goals this doesn’t line up. The majority of time the managers results doesn’t match up with there reviews because there is a serious disconnect. Studer suggests that leaders take the lead in creating accountable organizations.Set specific goals, properly measure the data, and watch how results vary, act accordingly. Also, be able to change th e system quickly as the environment changes. Chapter 4 Leader Consistency & Best Practices All leaders in the organization need to be consistent with each other and adopt/implement best practices. Leaders often have difficult implementing best practices. Reasons for this include that leaders of one organization might not want their successful strategies being utilized in another company because they will no longer have the edge.. Current Events Hospital PartnershipsHospitals are now forming partnerships in an attempt to decrease expenses and increase quality of care. Understand what the term synergistic means. Ex. 1+ 1=3 Together something may be obtained, but individually this could never happen. Fraying Hospital Safety Nets While safety net hospitals receive less reimbursement for procedures they are still maintaining high quality of compare. This article demonstrated through studies that these less aesthetically pleasing hospitals have similar if not better readmission rates than others. Healthcare Reform Law Creates New Age of ConsumerismIf Obamacare gets implemented the 40 million uninsured individuals in the US will now have access to healthcare. This brings a new age of consumers accessing health services. Since a lot more people are coming into the system many companies are restructuring their services to make them more â€Å"digestible† said Karen ignangi CEO. Medi-cal recipients warned they could lose day healthcare benefit Medical recipients might loose ability to attend adult day healthcare center where they receive nursing care, social services, and meals. To continue receiving benefits these individuals must enroll in managed care programs.Cedars Sinai- UCLA cut from LA city health plan Because of increased cost cefars and ucla DOCTORS have been cut from anthem blue cross network. 60,000 employees are unable to attend these hospitals for future services. Because of research and public perception cost these hospitals are capable of charging higher rates. New system for patients to report medical mistakes â€Å"Currently there is no mechanism for consumers to report information about patient safety events. † Politicians and other officials state that it would be beneficial to implement a system where patients/consumers can give feedback regarding their experiences.This will increase the quality of care over time. Some officials are worried that patients may mischaracterize an outcome as an adverse event because they have a lack of medical knowledge. Patients would report these errors using a website and telephone interviews. What, when, where,.. Allergan drops bid for FDA approval to promote Lap-Band for teens The company sought permission from FDA to promote lap band for kids as young as 14. After a period of time they withdraw the permission and stopped asking for it. The company faces declining revenues and is likely trying to bring them up by getting into a new market of younger kids/adults.Allergan has yet to publish their clinical results which creates doubt in its effectiveness and may be the reason why they withdrew permission. Five people have died as a result of procedures and obesity is still a catastrophic problem in our society. We need to be pushing diet, exercise, and healthy eating habits rather than surgery.. Filipino nurses win language discrimination settlement $975,000 settlement was reached between the hospital and many philipino nurses that worked there and were prevented from speaking their native language. They claimed they were followed and harassed by security and other individuals.They were even threatened by the instillation of security cameras. All the while other individuals were aloud to speak their native languages like Spanish. Administrators don’t want them speaking other languages because it makes patients feel uncomfortable. Patients need to know what’s going on at all times since their health is at stake.. Doctor turns away obese patients Put staff at risk, office isn’t equipped to handle care of over weight patients, equipment costs are high. She is legally allowed to do this but ethically it is unsound. Where did Dr. Rubino go on vacation?St Petersberg, Russia KNOW THE TRENDS IN HEALTHCARE: 1. Cost cutting will be top of mind for CEOs: mergers/partnerships, outsourcing functions to less costly vendors,†¦ 2. IT will also be of importance; incorporating EMR, and health information exchange 3. Expect consolidation, mergers, and zcquisitions 4. Expect higher turnover in C-suite as redirection and early retirements occur. These positions are now more demanding and involve more conflict. KNOW THE CASE STUDIES WE DID IN CLASS (HINT) Study the case studies they will be reworded Introduction is included in Quint StuderWhen you permit you promote Draw the contingency model What would prevent a manger from preventing a best practice? Ego is one answer What word could you use to describe _______? Synergistic relati onships*** Exam question His own article on the amount of money that is being wasted in the medical field. The budget for medical services per year in the US is $2. 2 Trillion of which $750 billion is determined to be wasted. There is groups like administrative waste (working on projects and things that are not necessary), physicians suggesting services not contingent with evidence based medicine, fraud,†¦