HCS 483 Clinician Provider Order Entry Implementation Essay Example for Free

HCS 483 Clinician Provider Order Entry Implementation Essay Clinician Provider Order Entry Implementation Health Care Information Systems HCS 483 September 02, 2013 Clinician Provider Order Entry Implementation Implementation Process Health care organizations look forward when starting the implementation process for information system implementation. Adding or upgrading health care systems is met with excitement and opposition from the employees who must use the system and adapt their current practice processes. Constructing a rollout period for the employees to train and get specific training for their job requirements is imperative to the success of the health system implementation. Employees knowledge of how to use the system is equally important to the implementation process as choosing and designing the program that is best for the organization. Roles and responsibilities The project or system champion is someone in the organization who is vested in the completion of the project. The champion’s role is to help obtain the buy-in of other physicians into the use of the new system and makes sure the physicians who will be using the system have adequate input in the selection process of how the new system will be used. The board of directors is the governing entity for the health care organization that approves the acquisition and implementation of a new system. The board of director’s role is to have a voice for the organization. Going forward the board needs to be involved in how the new system will affect the processes of the primary users and help curtail the expenses that develop as the project evolves. The Project manager is the person accountable for the successful implementation of the new information system. â€Å"He or she is the person who provides the day-to-day direction setting, conflict resolution, and communication needed by the project team†(Wager, Lee, Glaser, Burns, 2009, Chapter 7). The project manager is responsible for the team of engineers  installing and testing the information system. The project manager is responsible for relaying the progress of the project back to the board of directors. This includes the good, and the bad as outlined in the case study of Memorial Health System in which Dr. Melvin Sparks yelled at Sally Martin over substantial increases in work force, cost, and time increases. Sally Martin resolved not to share any bad news or setbacks with Dr. Sparks again creating a false sense of understanding of where the project was in the stages of completion. The original action of Dr. Sparks started a domino effect toward the failure of the project. Fundamental Activities Information Technology (IT) is responsible for the long and tedious process of installing, changing, removing, testing, and correcting the chosen information system for the health care organization. IT must have a strong plan in place for the scope of the projected project. Organizing, identifying the project champion, determining the project’s size and expectations, and establishing and implementing the project plan are the steps in the IT implementation process. Creating detailed project guidelines for cost, number of employees needed to complete the implementation and project completion dates of the different phases to help complete the goals set forth by the health care organization. Fundamental activities that led to the project failure were lack of organization, system analysis, and employee workflow. The project was set to a rushed timeline that did not permit for proper organization for the intricate details of implementing a new information system. Doing the system analysis in six months and making a choice without direct input from the employees who would be using the system on a daily basis was part of the project failure. Employee workflow is a vital portion of the selection process of a new system in a health care organization. â€Å"One of the first activities necessary in implementing any new system is to review and evaluate the existing workflow or business processes†(Wager, Lee, Glaser, Burns, 2009, Chapter 7). If the process is too complicated or cumbersome, the workforce will fight back and reject the new system. In the case study of Memorial Health System although intentions were good for the implementation of a clinician provider order entry (CPOE) system by Fred Dryer and Joe Roberts the process was rushed and not properly laid out with realistic goals in place. IT was  not given adequate time to organize, plan, or determine the scope for the steps they would need to make to implement the new CPOE. Commun ication Dr. Melvin Sparks was a fundamental player in the project failure at Memorial Health System. Probably without direct knowledge of his actions, Dr. Sparks started a domino effect that ultimately led to many of the project failures with implementing the CPOE system. The initial communication between Dr. Sparks and his appointed project manager, Sally Martin, set the communication barrier of relaying time delays, lack of workforce, and budget increases that snowballed into the failure of the CPOE implementation. Project Failure Project failure in the Memorial Health System case study was evident from the beginning of the project. The idea was solid, but the planning was not thorough. Five indicators that the project would fail are lack of clarity of purpose that happens when the objectives of the project are unclear. Lack of belief in the project happens when the key users are not convinced the system will ease their workload. Insufficient leadership support happens when the lack of commitment shows through the lack of involvement by the leaders spearheading the implementation process. Organizational inertia happens when project work is added on top of the daily workload adding stress to the employees. Project complexity is multifold and is a direct effect of when the people working on the project do not have an understanding of the scope of the project. Minimize Project Failure Memorial Health Systems could have taken different steps to eliminate or minimize the effects of the project failure on the new CPOE system. This Student would have acted differently to minimize the effects for a different outcome on the implementation process for the new CPOE system. Lack of clarity of purpose This student would have communicated that the implementation of the new system will make the daily process of patient care is necessary so the providers and supporting staff understand that it will prepare for a better patient health record and reduce errors in orders. Lack of belief in the project This student would have communicated an understanding that the new CPOE system will create an efficient and useful electronic medical record. Therefore, easing the workload and minimizing errors in patient orders. This student would have made continual updates and newsletters updating the providers and staff about improvements that they would be making in his or her patient’s care. Insufficient leadership support This student would have created a more visible and involved leadership team. This student would have created meetings and training involving both the leadership team and the providers to create a better understanding of how the implementation of the CPOE will help the quality of care given by the providers at Memorial Health System. Organizational inertia This student would have organized the workforce to help drastically reduce the amount of daily workloads to free up dedicated time for the CPOE implementation project. Working in stressful environments can create lack of forward motion on a project because of the added work. Increasing the workforce to distribute the workload will help in the project continuing to move forward. Project complexity This student would have had a frank conversation with the contributing departments and stakeholders about the complexity and scope of the CPOE project. Communication would have included that additions to the project would increase the timeframe and cost of the project. When all entities understand the complexity of the project and that, there will be delays or setbacks in the implementation process this will help ease doubt during transitional times. Conclusion Having a strong implementation plan and goals are imperative when beginning the process of adding or changing an information system. Health care is changing rapidly and implementing system changes takes time, extensive planning, and support. Ensuring that a strong foundation and understanding of the project is in place before implementing a systems change will help in the success of the project. References Wager, K. A., Lee, F. W., Glaser, J. P., Burns, L. R. (2009). Health Care Information Systems. A Practical Approach for Health Care Management, Second Edition. [University Of Phoenix]. http://dx.doi.org/ 9780470387801

An Interpretation of Emily Dickinsons Poem I Felt a Funeral in My Brain :: Dickinson I Felt a Funeral, in My Brain Essays

An Interpretation of Emily Dickinson's Poem I Felt a Funeral in My Brain Emily Dickinson was a reclusive individual that was rarely seen by anyone outside of her immediate family and few close friends. This solitude emerges in her poetry in the form of doom and gloom depictions. Dickinson seems to have a fascination with death as if death is a friendly character rather than a horrible image. It has been stated that Dickinson's obsession with death was a sign to others around her and her readers that she was struggling internally. In the poem "I Felt a Funeral in My Brain" Dickinson seems to be describing a delusion of a person that is contemplating what will happen to him/her when he/she dies. This poem also seems to be an affirmation of heaven and hell and a personal battle within the narrator to come to terms with his/her own mortal existence. In the first stanza Dickinson describes "feeling a funeral in her brain". This could be a metaphor for her own personal death and the reference to "sense breaking through" tells the reader that only through death can a person ever understand and/or value life. This could be viewed as a retrospection on the narrators life and a telling poem about where she was at in her existance around this period of time. If this interpretation is justified then in stanza two the funeral proceeds with the narrator hating to be there as she/he says: "And when they all were seated, A Service, like a Drum- Kept beating-beating-till I thought My Mind was going numb-" This stanza shows that the narrator is still bored with the living world even in death. The third stanza continues the theme of a struggle between heaven and hell in the last line when the narrator states, "Then space-began to toll". This reference to a bell tolling, or time running out seems to suggest the impending judgment for the narrator. Heaven is discussed in the forth stanza and compared to a bell: "As all the Heavens were a Bell And Being, but an Ear, And I, and Silence, some strange race

Essay on the importance of education Essay

The term education is derived from Latin, word ‘educere’, ‘educare’ and ‘educatum’ which means to ‘to learn’ , ‘to know’ and ‘to lead out’. Education is the process of receiving or giving systematic instruction, especially at a school or university: a course of education, the theory and practice of teaching. A body of knowledge acquired while being educated. In some occasions I would personally say that I am not always learning, this can be caused by: lack of focus; teacher being absent; cover teachers; teacher being unable to teach the subject well; destructive students or no interest in a topic. French is a pleasant subject to learn as it comprises a lotof active and team work which requires a lot of studying and patience. During the period of exams, later on the month of May 2012, I found myself talking and disrupting the class (due to the lack of focus) which was odd as French was one of my strongest subjects and a few in which I enjoyed. The reason for this was that my teacher was absent and we had a cover teacher which I imminently then thought that I had the privilege to mess about for there will be no consequences but I was wrong†¦ The only person this affected was me myself and this caused me into failing French with an E. One day in my Science class around mid March, we were studying momentum and I found myself tuned in with the lesson (which doesn’t happen often) and was fully focused which resulted to improving my understanding of the topic and Iaccumulated more information about it. The reason being was that the lesson was a mixture of practical active learning and theoretical learning. This made me to enjoy, have fun and partake in the lesson. I really did learn a lot despite my weakness and hatred for science. ‘Education is life itself’ Some people would agree with the statement that education is life itself and utter that education is the most powerful weapon and the key to success. Referring to the bible in Ecclesiastes7:12 ‘For the protection of wisdom is like the protection of money and the advantage of knowledge is that wisdom preserves the life of him who has it’. This quote may suggest that the survival of one may depend upon their knowledge. Being educated is an advantage in life so therefore we should cherish and preserve it as we would protect money. On the other hand, other people may disagree with this statement and say that education isn’t life itself for some people are not well educated but have managed to become successful,people such as:Abraham Lincoln, John D. Rockefeller, Amancio Ortega Gaona and many more. This comes to show that knowledge isn’t just the approval on a paper (degree) but can be physical and specialized skills. Also other unfortunate people mostly in LEDCs (less economically developed countries) such as: Egypt, Mali, Haiti, Ghana,Ukraine, Libya, Vietnametc but does this mean that due to lack of being educated results to individuals from these countries to not be successful ?Of course not. Finally, in my belief I think that education is very beneficial to all. From my personally experience I would say that living does in fact educate me, why? In the past I made mistakes that I had to learn from such as revising a week before an exam to major mistake as forbidden sins from the bible (The 10 commandments) but that’s alright because life never came with instructions. We all came to learn, to conquer and to succeed. Robert M. Hutchins aforementioned: ‘Education is not to reform students or amuse them or to make them expert technicians. It is to unsettle their minds widen their horizons inflame their intellects teach them to think straight. If possible’ sowhy is it that the older generation put a lot of pressure on the younger generation in other words the ‘youths’ to study hard to become doctors and lawyers? We cannot all be doctors and lawyers for God gave each individual a conscious to help us make right and wrong decisions and to follow our hearts. Education is life itself some would say, but I say education is a high light to life ‘the key to success. Victor Hugo ‘He who opens a school door, closes a prison.’

The age of the globalisation has gifted mankind of many...

The age of the globalisation has gifted mankind of many advancements and enhancements in many aspects or areas. One of the advancements is the technological enhancements in the field of health technologies which is evolving tremendously every minute; but whether this advancements in health technology is in our advantage or disadvantage is entirely a different question. Many disadvantages arises with such advancements as it does with most technologies known to mankind. Our research has yielded some disadvantages of the modern health technology which is illustrated in detail in this report. This increasingly sophisticated health care technology definitely does not come cheap. The increasing population of people in our country certainly†¦show more content†¦As we already know, the health care technologies are evolving every day which means there will be new improvements and upgrades on the old versions all the time. This could be a very herculean task to keep up with such upgra des and advancements. For example, if a hospital chooses to buy a model of MRI machine and a new upgrade is introduced to the model the next year, the hospital is required to upgrade their equipment which could be expensive and time consuming procedure; not to mention the amount of energy, money and resources which will be needed to train new staffs to operate the machine and technicians to service the machines on a regular basis to keep the equipment up to date. This could be also a struggle for the old staffs. The technological advancement in the world is always interconnected between different areas of technology. For example, the technological advancement in the field of telecommunications, computer system architecture and also software developments have vastly contributed to the growth and advancement of health technologies that exists in the present day. For example, the invention of computers, smaller memory disks that can store large amount of information and sophisticated s oftware systems that can analyse data in a short amount of time have lead the health technology to its prime advancement which is the paperless patient records and also known as the health care informatics. This provides access at private patient files containing any data

Boxer Rebellion Timeline in China

At the turn of the 20th century, intense social pressure due to increasing foreign influence in Qing China led to an upsurge of participation in the Righteous Harmony Society Movement (Yihetuan), called the Boxers by foreign observers. From their base in drought-ravaged northern China, the Boxers spread across the country, attacking foreign missionaries, diplomats, and traders, as well as Chinese Christian converts. By the time it ended, the Boxer Rebellion had claimed almost 50,000 lives. Background to the Boxer Rebellion 1807: First Protestant Christian missionary arrives in China from the London Missionary Society.1835-36: Daoguang Emperor expels missionaries for distributing Christian books.1839-42: First Opium War, Britain imposes an unequal treaty on China and takes Hong Kong.1842: Treaty of Nanjing provides extraterritorial rights to all foreigners in China - they are no longer subject to Chinese law.The 1840s: Western Christian missionaries flood into China.1850-64: Christian convert Hong Xiuquan leads to bloody Taiping Rebellion against the Qing Dynasty.1856-60: Second Opium War; Britain and France defeat China and impose harsh Treaties of Tientsin.1894-95: First Sino-Japanese War, former tributary Japan defeats China and takes Korea.Nov. 1, 1897: Juye Incident, armed men kill two Germans at missionary home in Shandong Province, northern China.Nov. 14, 1897: German Kaiser Wilhelm II sends a fleet to Shandong, urges them to take no prisoners like Attila and the Huns.1897-98: Drought followed by flooding strikes Shandong, causing widespread misery. The Boxers Rebel 1898: Young men in Shandong form Righteous Fist groups, practicing martial arts and traditional spiritualism.June 11-Sept. 21, 1898: Hundred Days Reform, Emperor Guangxu tries to quickly modernize China.Sept. 21, 1898: On the verge of handing over sovereignty to Japan, Guangxu is stopped and goes into internal exile. Empress Dowager Cixi rules in his name.Oct. 1898: Boxers attack Liyuantun villages Catholic church, converted from a temple to the Jade Emperor.Jan. 1900: Empress Dowager Cixi rescinds condemnation of Boxers, issues letter of support.Jan-May, 1900: Boxers storm through the countryside, burning churches, killing missionaries and converts.May 30, 1900: British Minister Claude MacDonald requests defense force for Beijing foreign legations; Chinese allow 400 troops from eight nations into capital. The Rebellion Reaches Beijing Jun 5, 1900: Boxers cut railroad line at Tianjin, isolating Beijing.June 13, 1900: First Boxer appears in Beijings Legation (diplomatic) Quarter.June 13, 1900: Pro-Boxer General Dong Fuxians troops kill Japanese diplomat Sugiyama Akira.June 14, 1900: German Minister Clemens von Ketteler arrests and summarily executes a young boy he suspects of being a Boxer.June 14, 1900: Thousands of angry Boxers storm Beijing and burn Christian churches in response to boys murder.June 16, 1900: Empress Dowager Cixi and Emperor Guangxu hold council meeting, decide to fully support Boxers.June 19, 1900: Qing government sends messengers to offer foreign legation members safe passage out of Beijing; instead, the foreigners shoot the messengers dead.June 20, 1900: Manchu Bannerman Captain En Hai kills Minister von Ketteler in a melee to avenge the murdered Boxer boy. Siege of the Legations June 20-Aug. 14, 1900: Boxers and Chinese Imperial Army besiege legations sheltering 473 foreign civilians, 400 foreign soldiers, and approximately 3,000 Chinese Christians.June 21, 1900: Empress Dowager Cixi declares war against the foreign powers.June 22-23, 1900: Chinese set fire to parts of Legation district; priceless Hanlin Academy library burns.June 30, 1900: Chinese force Germans from a position atop Tartar Wall overlooking legations, but Americans hold the position.July 3, 1900: 56 US, British and Russian soldiers on Tartar Wall launch a 2 am a surprise attack, kill 20 Chinese soldiers, and drive survivors from the wall.July 9, 1900: Outside of Beijing; Shanxi Province governor executes 44 missionary families (men, women, and children) after offering them asylum at Taiyuan. Victims of Taiyuan Massacre become martyrs in eyes of Chinese Christians.July 13-14, 1900: Also 120 km (75 miles) outside Beijing, Battle of Tientsin (Tianjin); Eight-Nations relief force besieges Boxer-h eld city, 550 Boxers and 250 foreigners killed. Foreign troops (especially Germans and Russians) rampage through city afterward, looting, raping and killing civilians, while Japanese and Americans try to restrain them.July 13, 1900: In Beijing, Chinese set off a mine under French Legation, force French and Austrians to shelter in British compound.July 13, 1900: Advancing Chinese drive Japanese and Italian troops to precarious last defense line at Prince Sus palace.July 16, 1900: Australian journalist George Morrison injured and British Captain Strouts killed by Chinese snipers.July 16, 1900: London Daily Mail publishes a  report that all legation besieged had been massacred, including mercy killing of women and children, Russians boiled to death in oil, etc. The story was false, fabricated by a reporter in Shanghai.July 17, 1900: Eight-Nations relief force lands on the coast, begins the march to BeijingJuly 17, 1900: Qing government declares a cease-fire on legations.August 13, 19 00: Chinese end cease-fire, bombard legations as foreign rescue force approaches capital.August 14, 1900: Relief force lifts the siege on legations, forgets to relieve besieged Catholic North Cathedral until August 16.August 15, 1900: Empress Dowager Cixi and Emperor Guangxu escape Forbidden City dressed as peasants, go on inspection tour to ​the  ancient capital of Xian (formerly Changan) in Shaanxi Province. Aftermath Sept. 7, 1900: Qing officials sign Boxer Protocol, agree to pay huge war reparations over 40 years.Sept. 21, 1900: Russian troops seize Jilin and occupy Manchuria, moves that will spark 1904-05 Russo-Japanese War​.Jan. 1902: Empress Dowager Cixi and Emperor Guangxu return to Beijing from Xian and resume control of the government​.1905: Empress Dowager Cixi abolishes imperial examination system for training bureaucrats in favor of western-style university system, part of an attempt at sweeping modernization​.Nov. 14-15, 1908: Emperor Guangxu dies of arsenic poisoning, followed the next day by Empress Dowager Cixi​.Feb. 12, 1912: Qing Dynasty falls to Sun Yat-sen; formal abdication by Last Emperor Puyi.

“Have Gun, Will Travel…to Work” Essay - 1255 Words

â€Å"Have Gun, Will Travel†¦to Work† Case Study 8.5 Sharron F. Scott Professor K. Porter BUS 309-Business Ethics March 7, 2011 Question 1: Assume that either the Second Amendment or state law gives you a legal right to keep a gun in your car. Do you also have a moral right to do this? Do you have a moral, not only a legal, right to own a gun? Do you have either a moral or a legal right to park a car with a loaded gun in a public parking lot regardless of what the lot’s owner wants? No, I do not have a moral right keep a gun in my car regardless to the Second Amendment or state law gives me the right to keep a gun in my car. Although having a gun in your car is your legal right, the company policy may state it is prohibited. The†¦show more content†¦Question 3: Do you agree with the NRA that if companies ban guns from their parking lots, this restriction would take â€Å"a wrecking ball to the Second Amendment† or nullify the right of people to have weapons for self-defense? Explain why or why not. In your view, have gun advocates been guilty of politicizing this issue? Do you think state legislatures are right to get involved, or should the matter be left to companies and employees to settle? No, I do not agree with the NRA that if companies ban guns from their parking lots, this restriction would take â€Å"a wrecking ball to the Second Amendment† or nullify the right of people to have weapons for self defense. The Second Amendment gives the owner of the property the right to refuse weapons on their private property. I feel everyone believes in the Second Amendment but some people feel more strongly about this issue than others and it is a political issue. The state legislature should not get involved when it pertains to the issue of private property such as company property policies. These types of matters should be left up to the company and their policy makers. Question 4: Because the workplace is the company’s private property, the company could choose, if it wished, to allow employees to bring guns not only into the parking lot but into the workplace itself. Are there ever circumstances inShow MoreRelatedThe Physics of Firearms1626 Words   |  7 Pagestelevision crime dramas, but have you stopped to ponder about where these devices came from, the different types, the trajectory patterns that are created their bullets and how they work? The following paragraphs are designed to address all of the following questions. A firearm is a complex arrangement of various metals that can eject a small lead piece at high speeds, causing maximum destruction on the target with minimum energy delivery on the shooter themselves. (Definition of a Gun, n.d.) The mechanicsRead MoreTransportation in Elizabethan England Research Ppr Essay1698 Words   |  7 PagesEngland, travel was very basic, just feet, hooves, and wheels on cobblestone streets (Singman 86). 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Classroom Engagement Produces Longitudinal - Free Samples

Question: Discuss about the Classroom Engagement Produces Longitudinal. Answer: Introduction: Student engagement is an essential forerunner of learning. It leads to better achievement while its opposite i.e. disengagement results in more dropouts. Student engagement is flourished in a learning environment where there is student autonomy but in a defined level. The engagement of students is also influenced by peers. The concept of student engagement is defined as identification and participation with the school. One way in engaging student is focusing on interpersonal behavior of teachers. For example, proximity contributes to emotional engagement whereas influence contributes to behavioral engagement. Helpful and friendly behavior along with the leadership would be the best way to engage students (Van Uden Ritzen, 2014) Student engagement increase the likelihood of school completion. It is characterized by students involvement and his participation in schooling process. It develops a sense of belongingness and commitment in students. The high engagement aspects include interest, concentrated attention and enjoyment. The low engagement aspects are apathy and no interest in school guidelines. High engagement in classrooms is significant predictor of continuing motivation and performance in school or college. The students are more likely to engage with authentic academic environment that allows them to solve real life problems. It extends beyond the classrooms. Also students are likely to be more engaged in student-controlled activities rather than teacher-controlled activities. Student engagement is characterized by teachers characteristics such as their effective communication, empathy and enthusiasm. Promoting participation among students can lead to reduction of school withdrawal. The engagement ca n be enhanced if teachers support students autonomy and competency. For example, teachers can provide task to student which offer choice, opportunities and connected to their goals. Teacher should provide tasks to students which are slightly difficult to do but not extremely difficult. Students are more engaged in individual and group assignment than listening to lectures (Shernoff Csikszentmihalyi, 2014). Engagement is defined as students involvement in learning activity. It has four dimensional constructs which includes behavioral, emotional, cognitive and agency aspect. Behavioral engagement describes how involved the student is in learning in terms of attention. Emotional engagement describes presence of positive emotions such as interest and absence of negative emotions such as anxiety. Cognitive engagement describes how strategically student is involved in learning like learning either by connecting or by memorizing. Agency engagement describes the extent of students contribution in terms of active participation like asking question, communicating their preferences etc. In order to enhance classroom engagement, it is necessary to generate motivational classroom experience such as new encounters with original or fresh ideas, promoting feedback and avoid pressured evaluations and criticism (Reeve Lee, 2014) Student engagement is very opposite of discipline problems, school failure and dropout. It helps in reducing gaps in the schools. Teachers should use effective strategies to involve students culturally and ethnically such as personality development training sessions which help students in connecting with curriculum, build authentic relationships and enhance reflective thinking (Bradshaw et al., 2018). Students learning experience and performances are correlated. The use of flipped model is the new way of engaging students. It leads to moving the lecture outside classroom using technology and moving homework inside the classroom through learning activities. The core idea is to flip the current model i.e. instructions via interactive lessons and teachers created videos are assessed at home and not in class while the work that needs to be done outside the class is now completed in classroom in the presence of teacher. It becomes collaborative learning experience. It gives opportunity to students to learn, to think by being actively engaged in content (Clark, 2015). From the earlier section of the report, it is found there are multiple ways to engage students in classrooms. So following are the most common ways that strengthen students engagement: helping and friendly behavior to students, effective communication, empathy, enthusiasm, promoting student participation, real life based studies, autonomy to students, introduce individual and group assignments, new encounters of students with original or fresh ideas, promoting feedback, personality development training session, flipped model .Also avoid pressured evaluations, continuous lectures and criticism. These student engagement ways have multiple strengths and weaknesses which should be evaluated, and finally necessary argument should be built upon it. More enriching lessons or real life cases, encounter to novelty help students to benefit from conceptualizations. Students are able to concentrate and are provided with intrinsic satisfaction that builds interest for future. Providing autonomy and competency help to cater the needs of changing society. Personality development courses can drastically impact the young peoples capability to involve in different activities such as group discussions, mind mapping etc. (Quaye Harper, 2014). Students will be equipped with new skills like reflective thinking and thus feel confident to pursue professional and personal goals. These methods remove the pain points of earlier method like criticism which undermines the ability of students. It helps in providing near universal knowledge and culture. Students feel empowered as they are involved in decision making activities through feedback mechanism and student-controlled lectures. Students will be trained in an environment where they are able to effectively communicate with their colleagues is an advantage of flipped model. They will be prepared like real world workplace environment. Teachers interpersonal characteristics provide motivation to students, which improve their involvement in classes. Teachers are reluctant sometimes to new concepts like flipped model. This is because they face the repercussions of such changes (Gilboy Heinerichs, 2015). It is not necessary that all teachers possess both subject matter expert and interpersonal qualities. It is challenging to foster these new ways. Students may fear or might not adapt the change. The changes like group assignment might increase the anxiety level among students. It might impact students emotional and social well-being. Not only the decisions makers are reluctant but also parents and general opinion becomes obstacle. There can be conflict among stake holders where one sees eliminating exams as an opportunity and other feels duty bound to safeguard the exiting process. Teachers interpersonal behavior might impact temporarily but it may not yield the desired result in the long run when students own efforts are counted more. Also these engagement effects might work for some students, but not necessarily for all. It is difficult to understand which aspect of teachers engagement is more beneficial. After analyzing both strengths and weaknesses of different ways, we can find that some of the activities like flipped learning suffer both implementation and cultural challenges in spite of its strengths. The report constitutes some simple approaches like interpersonal skills and characteristics of teachers that can foster student engagement when planned properly. These skills like group assignments, real life case studies, promoting student participation are value addition to knowledge but stakeholders might feel reluctant to implement them. It has been said that evaluations and criticism should be avoided without acknowledging their benefits. So is there anything else to replace these exams. Are students, teachers, parents and authorities have sufficient resources and in consent with each other to welcome the change? We can see that all student engagement ways which are mentioned have positive side as well as negative. It is difficult to implement these changes but isnt it like any other change in any other field? Change takes time, but its impact must not be ignored. So, implementing such changes is difficult but worth achieving. By the use of necessary instructional skills, they can become a rewarding and enriching experience that can produce positive outcome for all learners. Recommendations These new ways should be seen as opportunity to facilitate learning rather as a threat. They should not be limited to what is expected from teachers and students in the class instead these ways should build their beliefs, attitudes and motivate them (Reeve Lee, 2014). Each stakeholder should recognize the importance of these processes. It is necessary to have proper structure in place to make changes in exiting system. It is mandatory to understand the learner driven approach followed by planning and strategic implementation. The learners and teachers should be provided with ample support. It is essential to take into account students education histories, their development level, skills and their expectation out of the classroom learning (Foster Yaoyuneyong, 2016). The school authorities should evaluate learners ability before putting any change in place. These methods should be pilot tested and regularly improved. Teachers should be given proper training to implement these ways like programs to understand the importance of interpersonal behavior. Analysis should be done to understand whether it is practical to enforce such changes based on cost and result parameters. Substantial time should be given to evaluate and monitor the ways after implementation. It is important to understand all the ingredients of teacher s engagement that effect the classroom motivation. The interaction of multiple ways that effect engagement should not be ignored. For example would student feel engaged when they are provided with task of their choice and it is slightly difficult. The youth participation in schools leisure activities, extracurricular participation can be used as evaluation criteria for student engagement (Xerri, 2016). References Bradshaw, C. P., Pas, E. T., Debnam, K. J., Bottiani, J. H., Rosenberg, M. (2018). Increasing Student Engagement through Culturally-Responsive Classroom Management.World Academy of Science, Engineering and Technology, International Journal of Psychological and Behavioral Sciences,5(6). Clark, K. R. (2015). The effects of the flipped model of instruction on student engagement and performance in the secondary mathematics classroom.Journal of Educators Online,12(1), 91-115. Xerri, D. (2016). Teaching and learning English in a multicultural classroom: strategies and opportunities.Journal for Multicultural Education,10(1), 19-32. 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Engaging students: The role of teacher beliefs and interpersonal teacher behavior in fostering student engagement in vocational education.Teaching and Teacher Education,37, 21-32.