Healthcare Finance in The United States of America Free Essays

In United States the Congress had passed the Medicare Prescription Drug, Improvement and Modernization Act of 2003 or MMA and with this imposed a stoppage for 18 months on the starting of new physician owned specialty hospitals. At the same time, they also wanted to know the position regarding certain matters of physician owned heart, orthopedic and surgical specialty hospitals through MedPAC. The team visited sites, made legal analysis and met the share owners in these hospitals and finally presented a report to the Congress. We will write a custom essay sample on Healthcare Finance in The United States of America or any similar topic only for you Order Now It had also gone through the cost reports received from Medicare and inpatient claims of 2002, which was the most recent at that time. This will naturally form the basis of such hospitals being permitted or not. (Physician-owned specialty hospitals) The findings of this committee showed that:- Physician owned hospitals generally treated patients who had less severe problems and concentrated on specific diagnosis related groups and the reason for both of this was that these were expected to be more profitable than other patients. These hospitals do not treat as many Medicaid patients as community hospitals. Regarding the costs of patients in these hospitals for the patients, the Medicare patients did not get benefits of lower costs though the inpatients had shorter periods of stay. There was no appreciable impact of physician owned specialty hospitals on the community hospitals as seen in 2002, and there was also no impact on the financial performance of the community hospitals. Most of the differences in profitability can be rectified by improving the prospective patient system for inpatients that are made by Medicare. Thus according to the findings there are not major differences between the community hospitals and physician owned specialty hospitals in terms of costs or capability for services. (Physician-owned specialty hospitals) Differences among types of hospitals: We shall make comparison of the hospitals in India and USA. In India, apart from the government hospitals, there are a number of large hospitals run by trusts or large corporations. In the city of Bombay or Mumbai, the hospitals named Jaslok or Hinduja are run by trusts and Wockhardt Heart Hospital is run by a major pharmaceutical company. Even when the hospital has been promoted by a physician, still the hospital is run like a corporation as is seen in the case of Apollo Hospitals. There is now a new hospital named as Asian Heart Hospital in Bombay which has been promoted by a physician team and they have a large stake in the hospital. The team of physician is led by one Mr. Panda who is now the CEO of the hospital. These physicians have all invested their own funds, and to get more funds, they have even asked for more contributions from other physicians who are now not resident in India. The hospital is the result of a plan by these physicians in 1993-94. The hospital took about 10 years to complete. Thus one should realize that a hospital takes a long time to take shape up. (Doctors in arms) The biggest problems in the management of hospitals come from physicians and renowned physicians are sought for empanelment by hospitals. The physicians then continually force the hospitals to upgrade their infrastructure and also charge heavy fees from the patients. At the end of the services by the physicians, it is they who get the biggest returns. It is also difficult to retain the physicians as they leave at the earliest opportunity, and this statement is from one of the promoters of the hospital, GW Capital. They are now investing money in the concept of physician managed private hospitals. This resulted in its investment of Rs 150 million or about 3 million dollars in buying a 26 percent stake in another hospital group in Hyderabad, in 2000 called the Care Group. That group has expanded very fast and now has over a 1000 beds in its operations in six centers. (Doctors in arms) Thus the costs of the hospitals will require about 12 million dollars for a 1000 bed operation. At the same time, not all hospitals are made with money in mind and there are hospitals in Chennai or Madras in India which have 150 physicians, 500 nurses and 371 Para-medical staff. The entire team works within a budget of Rs 120 million or 2.4 million dollars. (Healing Ministry of the Madras Diocesan Medical Board) This hospital is run by a religious mission and its objective is to provide service to the people and this hospital does not want to make money, but run at break even costs. In United States, during 2002 there were 48 hospitals found to be physician owned hospitals. Of them 12 were heart hospitals, 25 were orthopedic hospitals and 11 were surgical hospitals. These hospitals are generally very small with average capacities of orthopedic hospitals being 16 beds, the surgical specialty hospitals being 14 beds and heart hospitals are the largest with average capacity being 52 beds. The general conditions of these hospitals are not full fledged as they do not have emergency departments, whereas 93 percent of the community hospitals have emergency departments. The reason for existence of these hospitals is the physician control over the hospitals. (Physician-owned specialty hospitals) At the same time, one of these hospitals has been named as one of country’s top 100 heart hospitals. (Parkwest Medical Center) Financial position of private hospitals: According to available reports, the private hospitals are in a position to take on patients who are capable of paying for them, and not take on patients who have to depend on managed care organizations. This increases the incomes of the hospitals by 20 to 50 percent. This reduces the cost of a bypass surgery at one of the hospitals in India, Care to about Rs 80,000 or $1,700. The cost in India is higher by about 30 to 40 percent in corporate hospitals. Even the new hospital, Asian Heart has predicted a cash break even during the second year of operations, and by the end of the second year it expects to pay a 15 percent dividend to the investor. Thus on an investment of $50 million, the returns would be $7.5 million from the second year. (Doctors in arms) The position in United States is the same, and in spite of some private specialty hospitals not having made any distributions to stockholders, the study showed that the margin in these hospitals was about 13 percent in 2002 as compared to 3 to 6 percent that was seen for community hospitals. (Physician-owned specialty hospitals) The advantages of physician owned specialty hospitals: To find this aspect out, there were discussions with the physicians who were investing in these hospitals. The cardiologists and surgeons want to admit their patients, perform the required procedures and have the patients recover with minimum disturbance. They believe that community hospitals cannot match their services as those hospitals have a variety of services and missions that they have to undertake. The direct control by the physicians help to increase productivity through less disturbances to the schedules in operating room which come from the emergency cases that come about, decreasing the down time between operations between two different surgeries and this is due to cleaning the operating room more efficiently, increased ability to work between two operating rooms even when the operating rooms are blocked due to some other work and better efficiencies through direct control of operating room staff. As mentioned earlier, they also like to form specialty hospitals as they have increases in income. There is some increase due to productivity, but they are able to collect a share of the profits from the facility for themselves and other associated physicians. They concentrate on providing services that are profitable, on treating patients who are less sick and thus more profitable. (Physician-owned specialty hospitals) Even in India the same situation exists and most of the physicians who have now started developing hospitals have been working together earlier, and one of the main aims is to remove the pressure from managed health care systems that they have to face otherwise. There is now a distinct change in the formation of hospitals and new hospitals are being formed by physicians. The total costs have been discussed to some extent, but without the participation of physicians, the hospitals are unlikely to be successful. How to cite Healthcare Finance in The United States of America, Essay examples

Electoral College Essay Example For Students

Electoral College Essay Electoral CollegeThe Electoral College is not important in choosing the president of the United States. I agree with this because it should matter what the voters say, this is a democracy and it should be the peoples final choice, and if the Electoral College changes the voters choice then they will be the ones to blame if our country goes haywire. The Electoral College has a final say in which president will be chosen. Its not right because if the majority of the voters choose one president and the Electoral College chooses another then most of the voters will be upset. They chose that certain president for a reason and it would just be a waste of their time if the candidate they voted for didnt get elected. There are some that feel that the Electoral College in its present form will cause a president to become elected who was not the winner by popular vote. This country has a democratic government. If the whole country doesnt have a say in who is president then it will be only ran by a small group of people which, by definition, is not a democracy. I myself would hope that my vote counts. It really doesnt if a small group of people can overrule the choice my fellow voters and I make. Lastly, I dont think that the Electoral College is a very good idea because each person in this country matters. If they chose a president, even if by popular vote, it was their choice and they will be the ones who have to live with whatever promises that president chooses to make or break to them. If they made a mistake on which president to choose it will be their own fault and they wont have anyone else to blame but themselves. In conclusion I disagree with having an Electoral College because it should matter what the voters say and if there is an Electoral College to make a final decision then its not the voters choice, this is a democracy and it should be the peoples final choice, and if the Electoral College makes a bad decision on who should be elected then it will be their fault and the people will have someone else to blame.

Jaguar free essay sample

You can quickly get a feel for the culture of an organization just by looking around and talking to the people who work for it. For example, some organizations are very dynamic and their people are encouraged to take risks. Others are backward looking and rarely take risks. The culture of the organization provides the meaning, direction and clarity (the human glue) that drives the business to achieve its goals. From time to time it becomes necessary to change the culture of an organization to make sure that it fits the environment in which the organization operates. Changes in the car industry The car industry has changed dramatically. At the start of the twentieth century, the industry was dominated by the achievements of Henry Ford who created a manufacturing system that was known as Fordism. In Fordist organizations, the manufacturing system was geared towards creating standardized products such as the Model T Ford. We will write a custom essay sample on Jaguar or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page The needs of the production line determined the life of the production line worker. Workers knew exactly what was expected of them and were given set periods of time to carry out particular operations. This system was very successful, lowered production costs and brought the motor car within the budget of the ordinary family in the west. However, during the 1980s the car industry was transformed by new manufacturing approaches from Japan. Japanese success was based partly on the competitive prices they were able to ask for their products and services, but mainly on their quality. The concept of Total Quality Management (TQM) was developed in the US after the end of World War Two but was implemented first in Japan. It changed the balance of world trade and ed many companies in the west to rethink their attitudes, policies and structure. TQM can only operate when responsibility and power are delegated downwards through all levels of the organization. Responding to changing demands As the world became more competitive, organizations had to respond quickly to rapidly changing demands. They could no longer rely on producing standardized products but had to manage a wider portfolio of as sociated products. This demanded increased flexibility, and the active co-operation of a versatile and increasingly skilled workforce. In the 1980s and the 1990s, many American and European companies adopted more flexible Japanese ways of working so they could respond quickly to changing market conditions. In recent years the world car industry has been rationalized. Instead of hundreds of car companies world-wide, there are ten major global players. Part of this rationalization has seen the development of a new Ford group of companies. In the 1990s Ford took control of Jaguar. It recently overhauled the Halewood plant to produce the new X400 Jaguar and created a new way of working. Many of the employees at Halewood had previously produced Ford Escorts using traditional manufacturing techniques, in which they were not encouraged to show initiative. They now needed to learn new approaches to work which involved empowerment and flexibility; more responsibility was given to the operative at the sharp end of production. What better place to introduce a culture change than by starting with a prestige marque like Jaguar? Strategy To manage the change process at the Jaguar plant, Ford worked closely with a consultancy group called Senn Delaney Leadership. Senn Delaney believes that it is important to align the culture, structure and the strategy of an organization. The organization that seeks to change its strategy without changing its culture will experience resistance to change. The successful management of change is crucial. The strategy of the organization includes the overall business direction and the plan to achieve it. Structure includes the organisational design and model, the processes, systems, policies and procedures that support it. Organizations involved in the hange process often focus on strategy and structure and neglect culture change. As a result, the existing culture acts like an invisible anchor that drags the business down. Teamwork approach In the motor industry in the early 1990s, many employees were not used to making decisions for themselves. They expected to be told what to do. This slowed down change when companies wanted to move on to self-managed teamwork approaches. In the 1990s Jaguar overhauled its app roaches to work to create an environment in which employees were encouraged to ‘take ownership’. They would be involved in managing a process of continuous improvement that revolved around ‘lean production’. Lean production involves standardizing work processes to cut out waste. The standard set is the best identified method of operation at a particular moment in time. This standard is continuously improved. The key to lean production is to identify which production processes add value. Processes which do not add value are cut out so that labour and machinery can focus on added value activities. To introduce lean production at Halewood it was necessary to transform existing attitudes in the workforce. Employees had to take responsibility for introducing new working methods and to continuously suggest further improvements. They would work in small teams with a team leader. The Jaguar Vision To transform working patterns at Halewood, a Halewood Difference Programme was introduced based on a new vision and set of guiding values and behaviours. Jaguar targets industry leadership in quality, value for money, customer care and human resource management. Compatible with these targets the vision for the Halewood body and assembly plant is: †¢ a world class vehicle manufacturing facility producing Jaguar cars for the discerning luxury car buyer, providing maximum job satisfaction and security †¢ a safe environment in which highly motivated employees demonstrate a pride, passion in the product and an earnest desire to drive continuous improvements †¢ a management that respects its employees and is committed to best practices in terms of fairness, recruitment, communications, training, education, diversity and individual employee welfare †¢ anagement and employees working together to achieve shared goals, volume and job growth opportunities †¢ The leading manufacturer in the community, fulfilling environmental responsibilities and proactive in supporting local initiatives. Guiding values and behaviours set out a picture of how people within the plant would work with each other and with external customers on a day -today basis. This provided the basis for a new organisational culture. On a day-to-day basis Halewood people would focus on: †¢ Quality: consistently delivering world class quality products and service. †¢ Customer focus: striving to exceed customer expectations. Accountability/Responsibility: being accountable and responsible for their personal conduct and their tasks. †¢ Respect: treating each other with respect, dignity, courtesy and having pride in the workplace. †¢ Open communication: openly communicating with each other regardless of level. †¢ Teamwork: working together for the good of Halewood as members of one team. †¢ Adaptability and flexibility: showing a commitment to embrace change. The Halewood programme stimulated a more open and democratic relationship between managers and employees as employees became key decision makers. Making the change You cant force a new culture on an unreceptive workforce. Introducing changes in culture involves a detailed programme for introducing new ideas in a participative way. †¢ Needs and assessments measurement The first stage was a series of one-to-one interviews and focus group activities for representatives from all areas of the organization. These identified the cultural strengths and the barriers to change at Halewood. These sessions were designed to find out how employees thought and felt about their work culture, and to provide the feedback to outline the strategy and the key messages for the culture change programme. Management workshops -The next phase involved a series of three day sessions for managers to build up a commitment to the change programme. †¢ Union workshops Union leaders took part in workshops so they could better understand the new Jaguar approach to building cars on the basis of pride and dedication. This gained union support for the change and showed everyone what the benefits would be. †¢ Management and union workshop Management and unions identified a joint approach to take the initiative forward and embrace the new values. †¢ Supervisors’ workshops Supervisors were to play a key role in introducing the new ways of working. Supervisors’ workshops therefore concentrated on how they could help to lead the change process. †¢ Pilot workshops Five pilot workshops of thirty participants taken from all levels of the organization were trialed. The emphasis was on breaking down divisions within the organization so that a new model of team working relationships could be established. †¢ Selection and training of internal facilitators To cascade the Jaguar (Halewood) Difference message across the organization, sixteen internal facilitators from all areas and levels of the organization were selected and trained. Two day workshops for all employees The final stage of the roll out of the culture change programme were a series of two-day workshops led by the internal facilitators. These sessions gave all 3,000 employees a clear understanding of the difference between working on a Ford Escort and creating the new Jaguar X400. They also heightened awareness of the Jaguar Difference values and behaviou rs. The early phases of the new programme were very encouraging. It was immediately obvious that everyone had a common goal to make a success of Halewood. By involving everyone in the culture change programme it was relatively easy to establish a shared vision. Through the workshops, employees built up real enthusiasm for the empowerment process. Employees were motivated by the fact that they had a role to play in the change process. For example, one employee commented favorably on the initiative when he stated, ‘I always thought the company wanted me to leave my brain at the gate’. Conclusion The success of the X400 production system at Halewood is based on three pillars. 1. An emphasis on quality at every stage in the production of the new cars. . The culture change programme – creating an empowered, entrepreneurial and committed workforce, and 3. Establishing centres of excellent practice across the organizations which act as benchmarks for improving performance in areas carrying out similar operations. New facilitators will take the change process forward even further. They are being coached by existing facilita tors and throughout the organization employees are being formed into empowered teams to drive lean production forward. The Halewood plant will provide the benchmark for improvements across the Ford organization in the UK.

Free Essays on Stars & Constellations

What is it that makes our universe work how was it formed and why is it here? Is it merely for our enjoyment and livelihood, or is there from of a large picture aspect of it all? It is hard to know why and how how our solar system came to be but there are several things in science that make it seem more that just a random collection of gases and dust particles formed together to make up a bunch of planets, stars, and all the various other strange phenomenon that you find in space. It has been a question on the minds of scientists for years and years as to what made the galaxy form the way it did was it formed by a supreme being of some sort or was it just purely coincidence. My belief is that to a point there is a need for both sides of this argument and neither side is 100% correct. Although there is no way to prove whether or not there is a supreme being of some sort we have to take into account the fact that most of the world approximately 85-90% of all living human beings on this planet believe in some sort of creator or supreme power who rules over us. Although not the point I feel it important to make sure that we touch on this subject based on the staggering statistics of religious followers in the world. Stars, Planets, Constellations there are so many various objects of interest out there it is difficult to talk about them all so I would like to concentrate on the Constellations and Stars in our Galaxy. The most prominent and well known star because of the inate ability to recognize it and to navigate by it is the North Star. From the earliest recorded record there is reference to the North most star or the Bright star that has always been used as a means of navigation to a Lost travelers with no other means of navigation. Sailors of olden days would plot their course and travel at night to be able to use the night sky as a guide to their travels. Some of the structures of Stars out at certain times of the mon... Free Essays on Stars & Constellations Free Essays on Stars & Constellations What is it that makes our universe work how was it formed and why is it here? Is it merely for our enjoyment and livelihood, or is there from of a large picture aspect of it all? It is hard to know why and how how our solar system came to be but there are several things in science that make it seem more that just a random collection of gases and dust particles formed together to make up a bunch of planets, stars, and all the various other strange phenomenon that you find in space. It has been a question on the minds of scientists for years and years as to what made the galaxy form the way it did was it formed by a supreme being of some sort or was it just purely coincidence. My belief is that to a point there is a need for both sides of this argument and neither side is 100% correct. Although there is no way to prove whether or not there is a supreme being of some sort we have to take into account the fact that most of the world approximately 85-90% of all living human beings on this planet believe in some sort of creator or supreme power who rules over us. Although not the point I feel it important to make sure that we touch on this subject based on the staggering statistics of religious followers in the world. Stars, Planets, Constellations there are so many various objects of interest out there it is difficult to talk about them all so I would like to concentrate on the Constellations and Stars in our Galaxy. The most prominent and well known star because of the inate ability to recognize it and to navigate by it is the North Star. From the earliest recorded record there is reference to the North most star or the Bright star that has always been used as a means of navigation to a Lost travelers with no other means of navigation. Sailors of olden days would plot their course and travel at night to be able to use the night sky as a guide to their travels. Some of the structures of Stars out at certain times of the mon...

Analysis of a compelling project Essay Example | Topics and Well Written Essays - 4000 words

Analysis of a compelling project - Essay Example While I agree with several of Lanier’s criticism’s of Technology, I nonetheless believe wholeheartedly that Technology is leading us forward and that it is revolutionizing communication in an ultimately positive manner. That said, Technology remains very unpredictable – as in the case of technological singularity – and often difficult to manage and direct once it has been released into the culture, particularly via the economy. Once the marketing cycle has taken up a piece of Technology, its future leaves the hands of the designer forever. Therefore, designers and technologists need to take our embryonic design steps very cautiously as we advance even farther into the realm of Technology. As Lanier explains: [Technology] can change how you conceive of yourself and the world. [Designers and technologists] tinker with your philosophy by direct manipulation of your cognitive experience, not indirectly, through argument. It takes only a tiny group of engineers to create technology that can shape the entire future of human experience with incredible speed. Therefore, crucial arguments about the human relationship with technology should take place between developers and users before such direct manipulations are designed (6). This supposition on the part of Lanier’s I agree with one hundred percent. ... Artificial Intelligence typically receives a negative treatment in the media, particularly in the cases of dystopian visions of a world once Technological Singularity has occurred. The standard plot line features hapless human beings at the mercy of or terrorized by malevolent Artificial Intelligence forms such as those found in I, Robot, Blade Runner, 2001: A Space Odyssey, and AI. The dystopian nightmare scenario of Technological Singularity received full treatment in the 2004 to 2009 sci-fi television series Battlestar Galatica, wherein a race of Artificial Intelligence life forms created by human beings and called the Cylons evolved to the point where they declared war on their human creators, exiled the human beings from their home planet, and hunted them mercilessly across multiple galaxies. While the dystopian, negative treatment of Technological Singularity may be the norm, it originates largely in fear and ignorance. I am not a technophobe, and I do not believe in the inhere nt dystopian view of Technology and Artificial Intelligence. I do however believe in mindful awareness of the power of technology to transform human society – for good or ill. In Lanier’s words, I understand that â€Å"Technology is not innocent, because its consequences are too direct† (Lanier 5). I found the topic of Week Four, You Are Not A Gadget: Technologies, Devices, Mediations to be the most appealing one and the lecture most aligned with my studies. The readings for this topic relate more with my interests in Design and Technology, and I believe that conducting research about this topic will benefit me in my future endeavors in the field of Design and Technology. Before coming to the

The Girl who played with fire Essay Example | Topics and Well Written Essays - 750 words

The Girl who played with fire - Essay Example Nonetheless, to a bigger extent, this novel is a mirror of the society today, and therefore, presents a challenge, and offers insightful platforms for moral transformation of individuals and whole society. Lisbeth Salander is one of the main characters who carry most of the themes in the novel. Most of the events in this novel are a representation of what happens in the society today. This therefore, plays the role of highlighting these moral concerns in society, thereby, instilling the urge of change in the people who read this novel. The society today is faced with a high level of moral decadence, just as the case in this novel. First, the aspect of violence is rampant in the novel. The author has used different violent scenes to show this. For instance, forms of sexual violence; including rape, shoot-outs, murders, bombings, and axing, are all forms of violence present in this novel. Salander, the main character propagates some forms of violence; while on the other hand, she is al so a victim of violence. She uses violence as a defence mechanism for herself and others. As a victim of violence, Salander’s character suffers in the media and in the social welfare system. â€Å"POLICE TRACKING LESBIAN SATANIST CULT.† (20.173). ... Teleborian had pretended that Salander was violent, which was not the case. The court systems and police force also propagate a form of violence when they fail to address the concerns of rape victims in a just manner. The height of violence is also manifest at the end of the novel, when Salander’s brother buries her alive, after being shot in the head by her father. The novel therefore, highlights violence, which is highly despised in society, but still rampant. Gender and gender discrimination is another moral question present in Larsson’s book. There are both good and bad male characters in this novel. The good men show a higher level of respect for the females. The bad men in the novel are sadistic and perpetuate discrimination of women in the novel. For instance, they show disrespect for women by using obscene words such as â€Å"whore,† â€Å"bitch,† and â€Å"slut† to refer to women. Some of the men are responsible for raping women, killing wo men, and beating them up. â€Å"The press would rip him to shreds. A member of the Security Police who exploited teenage prostitutes†¦If only those fucking cunts hadn't been so young.† (23.29). Gunnar Bjorck views women as sex objects, and does not feel guilty that he abused them, he only fears being exposed. Apart from sadistic men, the media, systems of justice, social, and health institutions also contribute to discrimination of females. â€Å"When it later turned out that Norgren had been convicted for sexual offenses twice before, the prosecutor decided to drop the case. But that did not mean the social welfare report on Salander was set aside.† (21.10). Although Norgeren assaults Salander, he is not punished for it, yet Salander continues to be depicted as a

Impacts on Student Learning and Academic Achievement

Impacts on Student Learning and Academic Achievement Education is the most important part of life to uphold intelligence and human can increase knowledge through which an individual move the world for good and sinful on the basis of his wishes. Education, in fact, is one of the major life processes of human beings, as there are other vital processes to live likewise education, are also a vital process in every aspect of human life. (Ahmer. F Anwer. E, 2013) There are many factors which effects on students learning and academic achievement including student performance, teacher role, family support, school environment, peer relationship and the most important factor is the socioeconomic status of parents. According to Mehmood and Saifi (2011), socioeconomic status is a combined measure of an individual’s or family’s economic and social position relative to others, based on income, education, and occupation.† The home environment is influenced by the factors such as parent’s education, occupation, income, and facilities provided to their children. All these factors together can be defined by a single term the â€Å"socio-economic status† (SES) of parents. Thus we can say that the socioeconomic status of parents affects the performance, learning and academic achievement of students. I have selected this topic because of the multiple reasons; the reason is that being a student I have also face many hurdles during my studies till now so those movements force me to choose this topic. Like me, most of the students in our society also face financial problems. So due to low socioeconomic status students cannot compete and unable to achieve their goal. In addition, they become dependent on parents and parents make decisions for them. Moreover many students end up with psychological problems like stress and depression due to the financial crisis and they can’t achieve their ultimate goal. It is generally said that the performance of students in academic depends on the socioeconomic status of their parents. Higher the socioeconomic status the better exposure to learning facilities. If parents are well educated and economically stable they afford their children to get a better education and they always support their children what they want to do. As in literature, it is also stated that well-educated parents ensure their children’s future earning by providing them auspicious learning environment but the students who belong to a low socioeconomic status family even they can’t afford their basic needs. Such students do not have access to learning facilities. (Ahmer. F Anwer. E, 2013). Research shows that students from lower socioeconomic background faced a higher risk of low achievement as compared to students from a higher socioeconomic background. Home environment and parents education are directly effect on students learning. (Nasreen. A, 2013). So the environment at home is the basic learning unit and effects a child interest and ambitions for the future. If we look upon on our society most people are more interested in rich people and they show more respect towards them and their children. So research shows that lower Socioeconomic status students have lower and lower academic achievement as compared with students of higher Socio-economic status. When a teacher makes a decision about students based on their class and Socio-economic status, they are taking the first step in checking students from having an equal opportunity for academic achievement. Ghazi et al. (2013). Due to teachers stigma mostly students suffered from their studies and they cannot show good performance in education. So its educators responsibility to overcome this stigma of poverty and help those students to boost up their hidden talent. Being a citizen of a developing country almost more than half of the total population is living in rural areas and they mostly belong to the low socioeconomic family. As our country is on the list of poor countries where the majority of the population belongs to low socioeconomic status. So it’s very difficult for parents to fulfil all the needs of their children. Poverty is the main problem which has a direct effect on students learning especially when it occurs early in the child’s life. When it remains throughout their life it influences child development in different ways, like the physical and mental health of the child as well as it influences on parents health also. It also influences child affective interactions. According to Karwowski (2012), Parents’ social position influences many aspects of their childrens school careers. The higher social position of parents of children with disabilities may make it easier for them to meet their costly needs, as well as to act as they support their children in contacts with educational institutions and to help them in their studies. I have also experienced this kind of situation in my school life. When I completed my secondary education with good grades, I got admission in Aga Khan higher secondary school but unfortunately, at that time, my father lost his job. At that time I had no any option to get admission even I couldn’t continue my studies and I missed one year and I felt at that time. Even I didn’t talk to my family members and it was a moment of disappointment for me and the family as well. At that time I consulted a counsellor who advised me to continue my studies in another college. After all these situations I realized the importance of socioeconomic status.at that time I became very sad because it was very difficult for me to cope with that situation. Due to the economic crises, I had to leave my previous school which was at the top level in our area. In literature, it is also stated that parents income level is an important factor that affects the academic achievement and performance o f their children. If the parents earn good and adequate than there would be less stress for the parents as well as for their children. They will provide learning resources easily to their children. While parents with low income, they cannot afford easily their children such a learning environment which becomes a barrier in the learning process. (Ahmad. I Khan.N, 2012). In addition, low income of parents also leads to conflicts in families due to lack of access to basic needs of their children. So the students who belong to a low socioeconomic status they cannot get a quality education and they cannot access new technology facilities like the internet to get information and they are unable to acquire new technology. As in a research among the students of a university in Sargodha shows that students who are getting facilities of new technology show high grades and they show better performance as compared to those students who belong to low socioeconomic status. Azher et al,. (2013). Another factor which affects students learning and academic achievement is parents education. Educated parents can easily understand the basic needs and important resources for their children. For the progress of any individual education plays a vital role in their life. According to Ahmad and Khan (2012), parent’s education level play an important role in the academic performance of their children. Because educated parents can easily manage the difficulties in any mode of their children’s education and they know how to encourage to create interest in the academic performance. Educated parents can easily manage their timetable to check and balance their daily activities.in addition, especially mother education is very important for child development which has a big effect on a child’s performance and academic achievement. According to Lacour. M Laura. D (2011). It is stated that mother education has an important effect on children’s score rather than parents income. The mother’s educational level has 20% higher efficiency than the father’s education level on the academic achievement of students. Another negative effect of low socioeconomic status is the cognitive development of children. Most parents use alcohol and other substance like cigarettes to cope up with stress during financial crises as I encountered such a client in my neighbour who always drinks alcohol when he faces any problem. He has two children and both are not good at their studies. Both of them always missed their classes and they even cannot solve simple mathematics problems. According to Brogan (2009). The families among low socioeconomic status there are more incidents of substance abuse, which effects on their child’s cognitive development. Especially if any mothers use alcohol during pregnancy their children are more prone to attention problems and the children with premature birth develop neurological problems like mental retardation. They also cause lessened brain development. All these problems lead to learning and performance disabilities which effects on academic achievement of children. Being a nursing student it’s our responsibility to teach about the importance of education for the better development of child and family. Another important factor is parent’s income which influences a student’s performance, therefore, it is recommended that the government should take some serious initiatives to provide jobs to people and raise the socioeconomic status of people. The government should provide financial support and should give scholarship especially to those who cannot afford the expenses of education. Mass media also play an important role in the awareness among people regarding the poor literacy condition in our country on account of socioeconomic problems.in addition, we can counsel students to do extra efforts along with their studies so that they don’t have to compromise with their studies. In conclusion, I want to say that keeping the view of the above discussion there is a direct relation between socioeconomic status and students learning and academic achievement. Especially the parents income and education level which has a great impact on children academic achievement. Therefore it’s very important to raise the socioeconomic status of people so they can easily afford their children education expenses. For this, we can have interventions individually and on government level like educating parents, mass media awareness, and scholarship etc. As it is stated in a study which is conducted in International Islamic University Islamabad that socioeconomic status has a significant impact on students learning. Akhter (2012).