Provide an executive summary to your team on how to credential providers

Provide an executive summary to your team on how to credential providers. You will need to consider the following: 2 page minimum

  • Type of provider  being credentialed
  • Steps they will  go thru to be credentialed
  • Educational  background needed
  • Does this  provider have an NPI number?
  • State the  provider will work in
  • Is there a  standard application?
  • Is an onsite  visit needed; why or why not
  • Who gets  credentialed (list at least 5 specialties)
  • Are all  facilities credentialed?

Gather your research from at least 2 sources, other than your textbook. Cite your sources using APA guidelines. All submitted work should be free of grammatical errors.

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Crowd sourcing in drug discovery Crowd sourcing is emerging as an open-innovation approach to promote collaboration and harness the complementary expertise of academic and industrial partners in the early stages of drug discovery. Here, we highlight examples of such initiatives and discuss key success factors.

Crowd sourcing in drug discovery Crowd sourcing is emerging as an open-innovation approach to promote collaboration and harness the complementary expertise of academic and industrial partners in the early stages of drug discovery. Here, we highlight examples of such initiatives and discuss key success factors.

Greater collaboration between academic institutions and the pharmaceutical industry is increasingly being pur- sued to access and foster innovation in the early stages of drug discovery. The hope is that such collaborations could help to address the need to improve research and development (R&D) productivity in industry1, and also enable academic institutions to more effectively exploit the translational potential of their research. Although there are a growing number of examples of industry collaborating closely with a major academic partner, approaches that harness the expertise of a larger sci- entific community to address a specific question have been more limited. Nevertheless, using the internet as a platform, an open-innovation model known as ‘crowd sourcing’2 is now being tested in early-stage drug dis- covery by several organizations. This model has suc- cessfully been used in other sectors (for example, the Procter & Gamble connect and develop portal (www. pgconnectdevelop.com) through which consumers can put forward their ideas for product improvements or novel products).

Applications of crowd sourcing Originally, crowd sourcing was defined as a mechanism by which specific problems are communicated to an unknown group of potential solvers in the form of an open call, usually via the internet; the community (the crowd) is asked to provide solutions and the ‘winners’ are rewarded. In 2001, Eli Lilly was the first company to introduce this concept in drug discovery, with the estab- lishment of the InnoCentive platform (www.innocen- tive.com). Organizations in need of answers (seekers) post specific questions (challenges) on an internet mar- ketplace. The web community can then provide solu- tions to the challenge (solvers). In each challenge, the seeking company can select the ‘best’ solution and the winning solver transfers the intellectual property (IP) to the seeker in return for a financial reward. InnoCentive is now an independent organization with a solver com- munity of more than 200,000 experts from more than 20 countries.

Further crowd sourcing initiatives in the area of early- stage drug discovery have followed in the past 2 years (see Supplementary information S1 (table) for more

details of the examples discussed below). Importantly, in contrast to the classical concept of crowd sourcing, in which the task is finished once the solution has been provided, the goal of these initiatives is to seek novel ideas that are then pursued further in a more collabora- tive approach. The key benefits are that potential solvers, most of whom are researchers in academic institutes or small companies, gain access to specific tools or knowl- edge, such as data, assays, compounds or drug discovery expertise in large pharmaceutical companies, whereas the searching organization gains novel ideas, targets, compounds or tools (such as novel assays or models) that help to address a specific challenge.

For example, in May 2009 Bayer Healthcare intro- duced its Grants4Targets initiative (G4T; www.grant- s4targets.com)3, the goal of which is to discover new therapeutic options by bringing together knowledge on potential novel targets in academia with drug devel- opment expertise within the company. Grants for the validation of innovative targets in oncology, cardiology, molecular imaging and gynaecology are provided for a period of 1 year. To promote the validation process and generate value for both partners, senior scientists from the company are appointed to support the projects with expertise and tools. Three types of grants are provided (support, focus and collaborative), and IP remains fully with the applicants for the support and the focus grants3. After the grant period, promising targets may be pursued further via collaborative agreements. So far, four calls have been completed, more than 380 grant applications have been received, and 59 grants have been awarded to academic groups worldwide3.

A similar approach was recently initiated by MRC Technology (MRCT), the technology transfer arm of the Medical Research Council (MRC) UK. MRCT’s Centre for Therapeutics Discovery is focused on ‘de-risking’ early-stage academic projects in areas of substantial unmet medical need, showing their potential in pre- clinical models before partnering with industry. This resource was originally developed to translate MRC- based research, but in 2010 they started their Call for Targets programme (www.callfortargets.org) to identify early-stage projects from non-MRC sources. The review process has two stages: an initial triage, which is followed

Monika Lessl and Khusru Asadullah are at Global Drug Discovery Bayer HealthCare Pharmaceuticals, Muellerstraße 178, 13342 Berlin, Germany. Justin. S. Bryans is at the Centre for Therapeutics Discovery, MRC Technology, 1–3 Burtonhole Lane, London NW7 1AD, UK. Duncan Richards is at GlaxoSmithKIine, Academic Discovery Performance Unit, Medicines Research Centre, Stevenage SG1 2NY, UK. Correspondence to M.L.  e-mail: Monika.Lessl@bayer. com

COMMENT

NATURE REVIEWS | DRUG DISCOVERY VOLUME 10 | APRIL 2011 | 241

© 2011 Macmillan Publishers Limited. All rights reserved

 

http://www.pgconnectdevelop.com
http://www.pgconnectdevelop.com
http://www2.innocentive.com/
http://www2.innocentive.com/
http://www.nature.com/nrd/journal/v10/n4/suppinfo/nrd3412.html
http://www.grants4targets.com/scripts/pages/en/index.php
http://www.grants4targets.com/scripts/pages/en/index.php
http://www.callfortargets.org/
mailto:Monika.Lessl@bayer.com
mailto:Monika.Lessl@bayer.com

 

by a full proposal that is reviewed in conjunction with an external panel of experts. Key criteria include target novelty, medical need, disease association, reagent avail- ability and structural data. So far, out of 112 proposals received, 52 projects have passed the triage and out of the 17 heard at full application stage, 13 have been accepted and collaborative projects have either started or are under negotiation. Projects are progressed as true collaborations between MRCT and the academic group and, impor- tantly, no transfer of IP rights is required — any IP that is developed as part of the collaboration is jointly owned and any revenue that is generated is split between the two parties under the terms of a pre-negotiated agreement.

Aiming for novel compounds rather than targets, Eli Lilly introduced its Phenotypic Drug Discovery pro- gramme (PD2; www.pd2.lilly.com) in June 2009 as a platform to search for novel chemical compounds with high structural diversity. Structures can be submitted via the internet and are evaluated by specific cheminfor- matics tools to determine whether they meet Eli Lilly- defined minimum criteria, such as structural novelty or drug-like properties. If a compound passes the first-line evaluation, Eli Lilly analyses the compound in a panel of phenotypic screens to evaluate whether the compound has activities linked to its key indications (Alzheimer’s disease, cancer, diabetes or bone formation). If the screen provides promising data (which are provided freely to the investigators), the compound can be evaluated fur- ther through either in-licensing or collaboration.

Another approach has been taken by GlaxoSmithKline with their Pharma in Partnership programme (www. pharmainpartnership.gsk.com), in which the company posts information on assets that are either potentially suitable for repurposing because they show clear phar- macology but have perhaps failed in their initial indi- cations, or that are novel targets for which additional information is required to validate the target or identify the optimal clinical indication. Academics are invited to register for updates as new molecules or mechanisms are posted, and to submit proposals to address the key question posed for that asset. The potential outcomes for successful proposals are flexible, ranging from a material transfer agreement for an in vitro study to full adoption as a GlaxoSmithKline clinical programme. One particu- lar expectation is that the successful proposals will lead to research collaborations with a substantial contribu- tion from the proposer. The programme was launched in April 2010, and since then five molecules/mechanisms have been posted. The first successful proposal has been identified and a collaboration is under negotiation.

Factors for success To use crowd sourcing successfully, it is critical that the questions or challenges to be addressed are suitable, precisely defined and clearly presented, and that what is expected from potential solvers and offered by the

searching organization is clearly communicated. In the examples mentioned, the organizations are seeking novel targets or compounds in clearly defined indications, or additional therapeutic options for specific, well-defined compounds. Use of specific questions within the submis- sion template can guide the proposer to ensure that they are addressing the key questions. A precise definition of search terms (for example, ‘what is a target?’) avoids futile efforts. This also means that organizations have to be sufficiently transparent in explaining what they are interested in, and they have to overcome concerns regarding confidentiality of the information provided.

Operational implementation is another key success factor. An accessible internet submission tool that pro- vides a simple and transparent submission process is needed. A good example is the flow chart of the PD2 initiative. The transparency and speed of the evaluation procedure are important. In the case of the G4T pro- gramme, applicants receive feedback on the success of their application within 8 weeks of submission, and for Pharma in Partnership, feedback is sent within 28 days of the call closing. Low bureaucratic hurdles for both partners are also needed to make submissions attractive and manageable, and the IP policy should also be clearly defined. Pre-negotiated master contracts can facilitate rapid execution of agreements.

To generate awareness of the call, the initiative has to be communicated appropriately; for example, through scientific conferences, targeted advertising and mail- ings to relevant institutions, societies and field leaders. Finally, it is essential that proposer organizations are willing and ready to take up externally generated ideas. Collaboration with external parties needs particu- lar attention to relationship management and usually requires dedicated resources.

Crowd sourcing initiatives in drug discovery are still in their infancy, and whether they will have a substan- tial impact has yet to be proven. Nevertheless, an initial evaluation of the impact of the InnoCentive initiative was promising4, and our own experience so far suggests that such initiatives could provide an important source of future innovation in early-stage drug discovery.

Monika Lessl, Justin S. Bryans, Duncan Richards and Khusru Asadullah

1. Paul, S. M. et al. How to improve R&D productivity: the pharmaceutical industry’s grand challenge. Nature Rev. Drug. Discov. 9, 203–214 (2010).

2. Howe, J. (ed.) Crowdsourcing: Why the Power of the Crowd is Driving the Future of Business. (Crown Publishing Group, New York, 2008).

3. Lessl, M. et al. Grants4Targets — a novel approach to translate basic research to novel drugs. Drug Discov. Today 1 Dec 2010 (doi:10.1016/j.drudis.2010.11.013).

4. Bishop, M. The total economic impact of InnoCentive’s enterprise solution: challenges, InnoCentive@work and ONRAMP. (Forrester Business Consulting, Cambridge, Massachusetts, 2010).

Competing financial interests The authors declare competing financial interests: see Web version for details.

Acknowledgements The authors thank S. Schoepe for her valuable contributions in editing the manuscript.

242 | APRIL 2011 | VOLUME 10 www.nature.com/reviews/drugdisc

C O M M E N T

© 2011 Macmillan Publishers Limited. All rights reserved

 

https://www.pd2.lilly.com/pd2Web/
http://www.pharmainpartnership.gsk.com/
http://www.pharmainpartnership.gsk.com/
http://www.nature.com/nrd/journal/v10/n4/box/nrd3412_audecl.html

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An introduction, including an overview of both selected nursing theories • Background of the theories 

Compare two nursing theories:  includes an overview of each theory and specific examples of how it could be applied in your own clinical setting. , 8-10 pages,

An introduction, including an overview of both selected nursing theories • Background of the theories

• Philosophical underpinnings of the theories

• Major assumptions, concepts, and relationships

• Clinical applications/usefulness/value to extending nursing science testability • Comparison of the use of both theories in nursing practice

• Specific examples of how both theories could be applied in your specific clinical setting

• Parsimony

• Conclusion/Summary

• References: Use the course text and a minimum of three additional sources, listed in APA (6th ed.) format

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Write a 2–3-page essay on a selected issue related to the tension between individual freedom and social institutions.

Overview

Write a 2–3-page essay on a selected issue related to the tension between individual freedom and social institutions.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies

· Competency 1: Explain the nature of ethical issues.

. Explain the ethical basis for the relation of individuals to their government.

· Competency 2: Critically examine the contributions of key thinkers from the history of ethics.

. Describe the social contract theories of Hobbes, Locke, and Rousseau.

· Competency 3: Engage in ethical debate.

. Assess the advantages and disadvantages of these theories as they relate to a selected issue.

· Competency 4: Develop a position on a contemporary ethical issue.

. Apply traditional social contract theories to a selected contemporary issue.

· Competency 5: Communicate effectively in the context of personal and professional moral discourse.

. Communicate in a manner that is scholarly, professional, and consistent with expectations for members of professional communities.

 

Context

 

Another dose of ethical theory, focused this time on social organization. Several political philosophers have explained the foundation of governmental authority in terms of a fictional social contract:

· Hobbes

· Individuals are purely selfish, so they naturally exist in a state of war with all

· In self-defense, we join together under the authority of a sovereign who rules

· Locke

· In nature, rational agents have equal right to enforce the natural law

· For protection of “life, liberty, and property” we consent to be governed

· (Notice the influence of this approach on founders of the United States.)

· Rousseau

· We are born free, so any agreement to join together is purely voluntary

· Each individual freely chooses to serve the “general will,” the welfare of all

Present-day nations exhibit a variety of social organizations:

· Authoritarian: absolute power in a single dictator who imposes power over everyone

· Elitist: a small group rules for all, based on birth family, wealth, or merit

· Democratic: everyone participates in governance, usually by electing representatives

Under any form of government, the fundamental question is how much freedom individual citizens retain in the face of legitimate authority. If we accept the need for some protection of the public good, we must submit in some circumstances, but each of us wishes to pursue our own choices within that broad framework.

With respect for justice, we allow the law to prevent us from harming each other, but otherwise we like to be left alone.

Questions to consider

 

o deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community.

As you think about the theme “freedom and authority,” consider addressing the following questions:

· Which version of social contract theory offers the best understanding of your issue?

· How much individual freedom is compatible with the legitimate authority of government?

· What solution do you defend for the issue you have selected?

 

Resources

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Hobbes

· Hobbes, T. (2001).  Leviathan . South Bend, IN: Infomotions, Inc.

. Parts I and II.

· Cudd, A., & Eftekhari, S. (2017). Contractarianism. Stanfield Encyclopedia of Philosophy. Retrieved from https://plato.stanford.edu/entries/contractarianism/

. Pages 1–11.

· Kemerling, G. (2011). Hobbes’s Leviathan. The Philosophy Pages. Available from http://www.philosophypages.com/hy/3x.htm#mech

. Pages 1–3.

· Lloyd, S. A., & Sreedhar, S. (2018). Hobbes’s moral and political philosophy. Stanford Encyclopedia of Philosophy. Retrieved from http://plato.stanford.edu/entries/hobbes-moral/

. Pages 1–8.

· Williams, G. (n.d.). Thomas Hobbes: Moral and political philosophy. Internet Encyclopedia of Philosophy?. Retrieved from https://www.iep.utm.edu/hobmoral/

. Pages 1–18.

Locke

· Locke, J., & Cox, R. H. (Ed.). (1982).  Second treatise of government . Wheeling, IL: Harlan Davidson.

· Kemerling, G. (2011). Locke: Social order. Philosophy Pages. Available from http://www.philosophypages.com/hy/4n.htm

. Pages 1–4.

· Moseley, A. (n.d.). John Locke: Political philosophy. Internet Encyclopedia of Philosophy. Retrieved from https://www.iep.utm.edu/locke-po/

. Pages 1–37.

· Tuckness, A. (2016). Locke’s political philosophy. Stanford Encyclopedia of Philosophy. Retrieved from https://plato.stanford.edu/entries/locke-political/

. Pages 1–19.

Rousseau

· Wraight, C. D. (2008).  Rousseau’s the social contract: A reader’s guide . London, UK: Continuum.

· Bertram, C. (2010, September 27). Jean Jacques Rousseau. The Stanford Encyclopedia of Philosophy. Retrieved from http://plato.stanford.edu/entries/rousseau/

. Pages 1–20.

· Delaney, J. J. (n.d.). Jean-Jacques Rousseau: 4. The social contract. Internet Encyclopedia of Philosophy. Retrieved from http://www.iep.utm.edu/rousseau/#H4

. Pages 11–12.

· Kemerling, G. (2011). Rousseau. Philosophy Pages. Available from http://www.philosophypages.com/hy/5d.htm

. Pages 1–3.

· Social Contract Theory.

Individual Freedom

· Skillsoft. (n.d.). Overcoming your own unconscious biases [Tutorial].

. The systemic influence of cultural presumptions often infringes upon individual freedom. Use this Skillsoft video to explore the biases to which we may be susceptible.

. Running time: 22:00.

· Skillsoft. (n.d.). Influence others with political savvy [Tutorial].

. This Skillsoft tutorial describes some workplace opportunities to deal with the potential conflict between collective limitations on individual freedom.

. Running time: 22:00.

Ethical Controversy

· NBC Learn. (n.d.). EPA head Scott Pruitt faces growing ethics controversy [Video].

. In this video, you will see an example of ethical standards in government.

. Running time: 01:33.

· NBC Learn. (n.d). Arizona governor poised to veto anti-gay bill? [Video].

. In this video, you will see an example of governmental infringement on individual rights.

. Running time: 03:09.

General Education Information Research Skills Library Guide

A Capella University library guide has been created for your use in General Education courses. The General Education Information Research Skills Library Guide contains tips on how to use the Capella University Library to find resources for your General Education courses. You are encouraged to refer to the resources in this library guide to direct your research in this course.

Note: This Program Guide supports the Essential Undergraduate Learning Outcome of Information Literacy.

 

Assessment Instructions

Assessment Overview

Political philosophy concerns itself with the formation and maintenance of civil societies. Its central theme is the need to explain the relationship between individual human beings and their governments. You have been considering several specific examples of the tension between individual freedom and social institutions. From among those examples, you have chosen one as the focus for your own views on freedom and authority.

Assessment Instructions

Your assessment is to write an essay assessing the issue you selected, both in terms of versions of social contract theory proposed by Thomas Hobbes, John Locke, and Jean-Jacques Rousseau and from your own view of the proper relation between society and the individual.

Address the following concepts in your essay:

1. Explain the ethical basis for the relation of individuals to their government

2. Describe the theories of Hobbes, Locke, and Rousseau about how societies are organized.

3. Assess the strengths and weaknesses of the theories in justifying the imposition of authority over individuals.

4. Apply these social contract theories to the issue you have selected.

Your instructor may provide video feedback on your work, as well as completing the official scoring guide for the assessment.

Assessment Requirements

· Written communication: Ensure written communication is free of errors that detract from the overall message.

· APA formatting: Format resources and citations according to current APA style guidelines.

· Number of resources: Use your judgment to ensure your topic is thoroughly researched. There is no minimum number of resources required, however.

· Length of paper: Submit 2–3 typed, double-spaced pages.

· Font and font size: Use Arial, 12-point font.

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