One of the leading reasons for death in United States is cardiovascular disease and according to Centers for Disease Control and Prevention the leading reason for death in the country is acute myocardial infarction. According to available figures, this results in 40 percent of all deaths. In general about 900,000 patients are diagnosed with the disease and about 225,000 of them die. One of the saddest points about the whole issue is that of them 125,000 pass away before receiving any medical care. These unfortunate incidents led to the formation of a core team for acute myocardial infarction by the Joint Commission for the Accreditation of Health Care Practitioners the recommendations of this committee were adopted into practice by Meridian Health. This hospital established a cardiac care process for this in 2004 which developed a process for the improvement of care. The attempt was to look into two specific measure

s against AMI and this was to administer aspirin and a beta blocker to the patients at the time of their admission to the hospital when they were suspected to be having AMI. (Quinn; Mannion, 2005)

Often the mistakes come as the end goals are taken to be the same as the means to achieve the goals. The end goals are positions where the organization has to reach and those cannot be compromised since they are correct descriptions of the achievements to be reached. The means to reach those goals can be different and there may be many paths to reach the same end. An example will make this clear and let us say that for an individual the objective is to collect an entry for a prestigious show. One of the sources can be to win a contest where the prizes are entry tickets to the show, and an individual may feel that those must be won to get an entry. At the same time, one has to remember that the objective is to be present at the show and not win the contest. Even if the person loses in the contest, there are other methods through which one can reach that concert. When the person fails to win the contest then the person should try to find another method of reaching the concert. On the other hand, the end goals have to be achieved and for this purpose fresh courage have to be built and that involves meeting new persons, learn and grow and contribute to the organization. For this purpose, even if the original path is blocked, then other methods must be found. (Pavlina, 2005)

There are also systems that are written in common languages like Microsoft Access and that is a part of the common software Microsoft Office. The reason for this is that the basic system has been designed by a doctor though the final system was written by a consultant. This has helped in required changes to the system on many occasions over a relatively short period of two years. The database system, however, keeps a track of all requirements from patients like test results, physiological parameters etc. keeps noting changes in the patient which can be seen graphically and even alerts the attending staff about the screening tests, due preventive care and educational sessions. (McLaughlin; Kaluzny, 1999)

The solution for many organizations where previous information is the decider for future action ensures that the concerned organization has quality and proper database management.

Thus it is important to review all plans regularly for them to be successful. When the method of Hoshin was first reviewed then it was learnt that a bi-monthly 2 hr review was scheduled. This was to ensure that the plans that were made were not to lie on the shelf, but be utilized. The plans can also be viewed as a part of the check in process. The steps in the cycle according to Hoshin includes vision, 1 year plan, deployment of the individual and alignment of the plan, execution or process management, diagnosis on a monthly basis and finally an annual diagnosis. However the entire process accord

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Approximate Word count = 1997
Approximate Pages = 8 (250 words per page double spaced)