EMR Implementation Part Essay - 2050 Words

EMR Implementation Part II An effective Electronic Medical Record (EMR) is more than a management tool for controlling patient data. Methods used to monitor implementation, relationship between organization’s processes, professional roles, and communications techniques used to address issues during implementation are points to develop in this paper. The essential capability of this system consists in capture data at the point of care, integrate this information from the internal or external source, and support caregiver’s decision-making (OpenClinical, 2010). The organization needs to monitor the entire process for the success of these changes. The evaluating the change process includes by addressing resistance that arises from members†¦show more content†¦To develop revisions about specifics participation of members of the workforce, discussion of new ideas, and acquisition of resources should be frequently, and made to fine adjustments. After the change implemented the continue monitoring of activities ensure that new objectives are met. To continue follow-up, reviews, and feedback mechanism help in the monitoring process. This organization needs to monitor the ongoing operations to ensure that follow the objectives and policies established for the implementation of this system (Spector, 2010). The Food and Drug Administration (FDA) approved the implementation of this system in this facility integrated data from a patient includes the laboratory reports, specific test procedures, and x-rays in research’s protocols for phase II (patients with diseases). The effective technology implementation aligned with the operational business’s part of the organization drive the positive outcomes. This new technology implementation creates an environment for changes achieved and sustained for long-term. To ensure success and desired outcomes is important the complete understanding of this system, the accountability for the staff involved, and the evaluation of the key elements in the implementation. To extract the maximum value out of the new EMR is necessary the control by monitoring budgetsShow MoreRelatedEssay about EMR Implementation Part III1849 Words   |  8 PagesEMR Implementation Part III The EMR system provides adequate assistance and support for the clinician. This system reduces the chances of errors and increases efficiency in research facilities. This paper includes a summary from previous plans developed in the implementation of these proposed changes. The effectiveness of these changes carried out, measurement strategies, costs, and satisfaction with the EMR system implementations are points of analysis in this presentation. This organizationRead MoreProblem Statement For Emr1190 Words   |  5 Pagesadministrative issues. As part of a multi-disciplinary team from medical, logistical, administrative and operational staff, the project decided to implement an Electronic Medical Record (EMR) in the hospital. To implement the EMR we have used multifaceted and multilevel implementation strategies to achieve one central place to capture, view, review and access patient clinical and administrative information, with a hybrid point of care approach, all within 18 months. The implementation is currently ongoingRead MoreStanford Hospitals And Clinics ( Shc )1066 Words   |  5 PagesStanford from other parts of the US and from around the world, making an effective implementation of an electronic medical record (EMR) vital to care and treatment of a myriad of patients, as well as to the clinicians and staff of SHC. Broad Implications of the Case The implementation of an EMR in a large, integrated health system is a complex and comprehensive process that will be extremely expensive and consume significant time and resources. The selection of the right EMR system, which can beRead MoreEMR Systems in Health Care: Assessment and Implementation1751 Words   |  7 Pagesï » ¿EMR Systems Assessment and Implementation Introduction The days of paper-based records in health care are fading. It is widely believed that the broad adoption of electronic medical record (EMR) systems can lead to major health care savings, help eliminate medical errors, and improve healthcare outcomes for patients (Lynn, 2011). Because of such benefits, the Obama administration included EMR adoption in health care as a part of its overall agenda calling for the immediate investments necessaryRead MoreManaging Change In Organization And Enhancing Performance1537 Words   |  6 PagesMedical Record is an electronic healthcare data record concerning one patient with complete interoperability within an enterprise. EMRs are designed on unique software connected in a networked setting between various departments within a healthcare setting. One of the most significant benefits of EMRs is the convenience of information. Looking for medical information in the EMR is easier and prompt (Haschak 2008). Since the information in uploaded on a server that is connected to several networks, anyRead MoreHealth Policy and The Federal Government Essay examples1238 Words   |  5 Pagesinsurance by 2014. The ACA is another step in the right direction towards health care reform in the U.S. Are EMRs and EHRs developed enough to be successfully implemented in the U.S. health care system? Unfortunately, for the United States we always tend to lag behind everyone else in our health IT. While other countries are in complete use of EMRs and EHRs we are still working on our implementation. â€Å"To Date, it is estimated that only 20% of doctors and 10% of hospitals currently use EHRs† (CullenRead MoreSummary and Critique679 Words   |  3 Pagesrecord (EMR) systems are used to improve quality of care while increasing efficiency. However, there is little classified evidence regarding the benefits and costs of EMRs’. It is believed that by implementing an EMR system, there will be a significant increase in the facilitation of work flow and quality of patient care and safety (Bardon et al., 2003). The Cost-Benefit Analysis of Electronic Medical Records is conducted to estimate the net financial benefits or cost of implementing an EMR systemRead MoreEMR Vendors Essay example1010 Words   |  5 Pages1. EMR vendors are being stretched to the limits by requir ements to support multiple standards across the country is this good or bad, why so? EMR vendors are being stretched to the limits by requirements to support multiple standards across the country. One of the functions of EMR is to make possible to transfer data into information and to support the knowledge; other indicator of quality is its interoperability (De.ryerson.ca, 2013 CHIT 100), in order to meet these requirements EMR systemRead MoreImplementing Organizational Change Essay1574 Words   |  7 PagesImplementing Organizational Change October 22, 2012 Implementing Organizational Change Health care organizations that choose to convert to an electronic medical record system (EMR) have several advantages; most important it increases patient safety, efficiency, cost-effectiveness and security. Accepting such a transition also presents with its share of challenges like preparing for the required significant time obligation and resources that will make the transition a successful one. LeadershipRead MoreAn Electronic Health Record ( Ehr )1160 Words   |  5 Pagesmain benefits of EMRs. One, an EMR tracks data over a length of time. Secondly, EMRs help health care providers distinguish patients who have upcoming preventative care visits or specialty screenings. Thirdly, EMRs help monitor how patients measure up to certain parameters, such as blood pressure readings and vaccinations. Lastly, EMRs aid in the advancement the general quality of patient care. Though very largely beneficial, EMRs of course have some limitations. One limitation of EMRs is that the information

Elizabethan Crime And Punishment Of The Elizabethan Era

Elizabethan Crime and Punishment On a normal day during the Elizabethan Era you would pass the town square to find someone screaming bloody murder and begging for mercy. There were public executions that many people took a day off of their jobs to go see. Torture devices were a big part of Elizabethan Crime and Punishment. There was a specific punishment for everything from begging to high treason. If a peasant stole anything worth more than five pence, which was the currency of the time period they were hanged, anyone who committed a capital offense was quartered, and the queen’s guards were not allowed to wear cloaks. Crime and punishment of the Elizabethan era was brutal and ruthless compared to this day in time. Common Crimes†¦show more content†¦The Justice of the Peace for each town took up a tax from landowners so that they could help out the poor in the Elizabethan era. Punishments Every common crime had a specific and brutal punishment as its consequence but the poor took the worst part of Elizabethan Crime and Punishment. The punishments of the Elizabethan era were gory and brutal, there was always some type of bloodshed.There were many uncomfortable ways of torture and punishment that were very often did in front of the public.Very common punishments during the Elizabethan era were hanging,burning,The pillory and the Stocks,whipping,branding,pressing,ducking stools,the wheel,boiling,being starved in a public place,cutting off of ears and other parts of the anatomy,The Gossip’s Bridle, and The Drunkard’s cloak.All of the punishments were meant to be extremely embarrassing and nevertheless, painful and they were.Leg stocks were a very uncomfortable way of public punishment and it was extremely embarrassing.Leg stocks was when someone was tied up by their legs on a wooden board why inhumane things were done to them such as getting kicked,spat on,and called names.It was not the most painful punishment but it was very embarrassing.The most dreadful punishment by far was being hung, drawn, an d quartered although punishment by death was dreadful and terrifying.It was done publicly so many people would witness it.Some of the commonShow MoreRelatedElizabethan Era Crime and Punishment728 Words   |  3 PagesIn the Elizabethan era, doing a crime was the worst mistake of all, depending on how big your crime was, people had to know that their lives were at risk. Every crime was big before, even â€Å"crimes of treason and offenses against the state were treated with that murder and rape today.†(Elizabethan Crime and Punishment) â€Å"Offenses such as manslaughter, robbery, rape, piracy and capital crimes entitled one to hanging, usually in the town square.† (Elizabethan crime and Punishment) During Queen Elizabeth’sRead MoreCrime and Punishment in Elizabethan England788 Words   |  4 PagesDuring the Elizabethan Era, crime and punishment was a brutal source of punishments towards criminals. The term â€Å"crime and punishment† was a series of pu nishments and penalties the government gave towards the people who broke the laws. In William Harrison’s article â€Å"Crime and Punishment in Elizabethan England†, says that â€Å"the concept of incarcerating a person as punishment for a crime was a relatively novel at the time† (1). This seemed reasonable at the time, because back then they didn’t sentenceRead MoreEssay on Elizabethan Era: The Golden Age1205 Words   |  5 Pagespalaces full of gold and silver- these are just a few thoughts that come to mind when one hears the term â€Å"Elizabethan Era†; however, there is more to this period than what meets the eye. The Elizabethan Era was a significant epoch in the United Kingdom’s history. Ranging from 1558 to 1603, this was during the reign of Queen Elizabeth I. The Elizabethan Era, also known as the Elizabethan Age or Elizabethan Period, is said to be the golden age of English history, with a quite diversified public life, a riseRead MoreThe Life of William Shakespeare669 Words   |  3 Pagesto convince her that Hamlet deserves such violent punishments due to his actions. Throughout his speech the audience is completely aware that this is a set up done by Claudius himself. This speech builds a feeling of distance and mistrust between the audience and Claudius as they are entirely aware was the reasons behind Hamlets banishment. By his wording in the speech it displays Claudius’ character as a liar. If to be sitting in an Elizabethan audience Claudius would be frowned upon as he is nowRead MoreQueen Elizabeth I : The Golden Age Of The Elizabethan Era1000 Words   |  4 PagesEven today, people look back fondly on the Elizabethan Era as one of the times when England was very close to achieving a golden age. While living under Queen Elizabeth did bring about troubles, such as an extreme system of punishment and quarrels with the Catholics, the Elizabethan Era was a time of peace and prosperity, heavily c ontrasting life before and after Elizabeth’s reign. In a time when England was almost about to tear itself apart, Queen Elizabeth I came to power and improved the situationRead MoreCrime From The Elizabethan Era1813 Words   |  8 Pageshighs and lows. However, no matter which Era, certain problems always seem to shine through the cracks. This problem is usually caused by the sole culprit of crime. Crime is the largest problem in most times. Every time has its own crime; and therefore, every generation deals with crime differently, each using their own type of punishment and order. Also, each Era has had its own way to carry out the punishments. Oftentimes it had been through officials of crime. Though different generations have hadRead MoreCustoms Of The Elizabethan Wedding Customs1341 Words   |  6 Pagesnow (Elizabethan Wedding Customs 1). The main difference between marriages now and in the past is that in this case, the marriages were arranged, and there was no choice in who you married (Elizabethan Wedding Customs 1). Marriages were organized in a way in which both families would benefit from the marriage (Elizabethan Wedding Customs 1). Couples met for the first time on their wedding day (Elizabethan Wedding Customs 1). Some customs vary between the rich and the poor (Elizabethan WeddingRead MoreRenaissance Anatomy And Dissection825 Words   |  4 Pages The Renaissance was a time period in history that came with a plethora of changes in art, religion, and science. Considered one of the most beautiful eras thus far, it shaped the modern age. Curiosity peaked in people everywhere in Europe; this curiosity included fascination with the human body and new research. Dissection gained popularity and importance during the Renaissance, which led to body snatching becoming common; both of these activities gave way to new advancements. Dissection of humanRead MoreDeath Penalty : The Penalty1475 Words   |  6 Pages DEATH PENALTY BY TURKI ARUGI 6/15/2015 ELS LANGUAGE CENER Death Penalty When someone hears about death penalty the first thing that comes up to the mind is murder, robbery, treachery but not every crime is punishable by death penalty. It is indeed a punishment for severe crimes which are not forgivable or can be done in a prison. Sometimes death penalty is the only option left for the government or it may be too dangerous to let the person to stay alive. Death penalty is one of the mostRead MoreEssay about Elizabethan England2559 Words   |  11 PagesBloody Painful: Crime and Punishment in Elizabethan England This article’s purpose is to express the danger of breaking the law in England. Most of the punishments of our time are deemed cruel and unusual. The death penalty can no longer be enacted in cases of theft or highway robbery. The following paragraphs will describe the various instruments of punishment (torture) of the period. One out of the ordinary punishment of this era is the drunkards cloak. It is a punishment for public drunkenness;

Alzheimer s Disease Has No Cure - 1771 Words

No cure† is two words that cause worry and stress faster than any other two words put together. Alzheimer’s disease has no cure. Over 100 years ago, German physician Alois Alzheimer did an analysis of a dementia patient’s brain. This analysis and study later became known as Alzheimer’s disease. Alzheimer’s disease is expected to affect 100 million worldwide by 2050. It is a progressive degenerative disorder of the brain. The life expectancy of patients diagnosed with the disease is somewhere between five and ten years; however, some patients can survive closer to twenty years partially depending on the treatment and care they receive. Alzheimer’s disease is expected to affect 100 million worldwide by 2050. With Alzheimer’s†¦show more content†¦There are many suspected causes and genetic risks linked to Alzheimer’s disease such as diabetes, chronic infections, inflammations, and hereditary. Aging People with diabetes are at a higher risk of developing Alzheimer’s disease (Marsa 54). Excessive brain specific insulin resistance impairments and signaling, account for many Alzheimer’s abnormalities. Brain insulin signaling regulates food intake, body weight, reproduction, also learning and memory. Defective insulin signaling results in cognitive ability decrease. Studies have also shown a link between chronic infections and inflammation in patients that develop Alzheimer’s disease. Viral and bacterial chronic infections, which cause cumulative damage, are an inflammatory vessel for Alzheimer’s disease. Infections have the potential to initiate a surge of e vents leading to inflammatory conditions of the central nervous system by generating free radicals and nitric oxide (Monastero et al. 107). There is an association between cognitive decline and systemic inflammation and infections. Successful treatment of chronic infections and inflammation is difficult but important in the effort of improving the quality of life in an Alzheimer’s patient. Alzheimer’s disease is not a normal part of aging; however, researchers know that genes play a part in the disease. There is a

Gift Shop Red Flags free essay sample

The interest expense on the income statement for the year is $1,560. This one is kind of tricky – you have to pay interest on loans there is really no way around it. You could either pay off the loan with the money that is in savings – this would save you a ton on interest – or you could try to find another bank with a lower interest rate for this. Because this is a non-profit organization paying interest on a loan is really unrealistic – If I were in control of the budget this would be paid off with the money that is in the checking account. Red Flag 4 The balance sheet shows that the checking account has over $20,000 in it, and the account does not pay interest. The gift shop does not have an interest bearing account. This is a problem because the gift shop is a non for profit organization so it really needs to be a little smarter with its finances this checking account should really be an interest baring account. We will write a custom essay sample on Gift Shop Red Flags or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page This needs to be switched over – it might not make a fortune but it would definitely be better served if we were gaining interest on this money that is just sitting here. Red Flag 5 You notice that in the floral cooler there are many flower arrangements which are looking as if they are dying. Not only is this not appealing to the customers that do come into the gift shop but this also means that whomever is doing the ordering for the gift shop is ordering more than they are selling – someone needs to go throw and make sure that there is not a lot of back stock for the gift shop – ordering more than the gift shop is selling is an internal control that can be fixed. Red Flag 6 There are five employees who are paid; one fulltime and the rest are part-time. The fulltime employee purchases the stock, which is to be resold. She places purchase orders, receives the goods, and pays vendors. Her sister is also a part-time employee. I really do not see the need to have that many employees running a gift shop that is not making any profit. If cutting back some hours would help until we can get the gift shop back to a profit or even just where we are coming out even then I think that should be done. We also need to make sure that there is just one person handling the books if we have to many employee’s doing the ordering and such than mistakes may happen. Our fulltime employee needs to take on more responsibility in the gift shop so the part time employee’s can be cut back. Since there is going to be a cut in what is being ordered for the shop this should increase her time to be helpful to customers and clean the gift shop.

Discuss any link between the poetry of Donne and Milton Essay Example

Discuss any link between the poetry of Donne and Milton Paper Much poetry from the 16th and 17th Centuries, was based around religion, addressing God, and asking for His help and advice. Two such examples of the authors who wrote this poetry are John Donne and John Milton. Both these men were highly religious people, and used their poetry to question and criticise God, as is shown in the two poems that I have studied below. In Johns Donnes poem, Holy Sonnet 14, Donne is demanding Gods help. He uses violent masculine imagery as well as passive feminine imagery to make these demands. Donne also uses metaphors and paradoxes in order to show his need for God in his life. In the first six lines of Holy Sonnet 14, Donne uses a metaphor with which his life is a usurped town. He says in the first line, batter my heart, three personed god. Here, Donne demands that God break into his town and allow the people to follow. In line two he starts to complain about how little God has done in pushing his way through the gates of his town. He tells God to oerthrow me demanding that God overthrow his town (soul) and take it over. We will write a custom essay sample on Discuss any link between the poetry of Donne and Milton specifically for you for only $16.38 $13.9/page Order now We will write a custom essay sample on Discuss any link between the poetry of Donne and Milton specifically for you FOR ONLY $16.38 $13.9/page Hire Writer We will write a custom essay sample on Discuss any link between the poetry of Donne and Milton specifically for you FOR ONLY $16.38 $13.9/page Hire Writer The fourth line begins with Donne showing how Gods power could break into the town and make it new. He uses powerful verbs such as break, blow, burn when describing Gods powerful means. Then in lines five and six, Donne proclaims to God that he wants to let God into his heart but that he has failed in doing so. Although Donne takes responsibility for his failure in letting God in, he criticises gods viceroy (reasoning). In line seven, Donne shifts his feelings of self-remorse and turns them into criticisms of reason. He begins this shift by starting the sentence with reason. Reason not only signifies a shift in his tone and feeling, but it also represents Gods viceroy, his representative, within Donnes soul. The second part of this poem begins Donnes second metaphor. In this part of the poem Donne demands things of God that would be more like characteristics of things that are against what God stands for. In line nine, Donne proclaims his love to God and he tells God he wants to be loved back. But in line ten he says he is betrothed unto your enemy. Here, betrothed is inferring his relationship is so close to the enemy that it can be compared to marriage. Donne has become so close to Gods enemy that he feels helpless against him. In the next two lines Donne pleas for Gods help. Donnes plea for help is reflected in action phrases such as divorce me, break that knot again. He also pleads for action, saying ravish me and enthrall me. Donne is telling God, paradoxically, that he will never be pure or virginal unless God rapes him and will never be free unless God enslaves him. A paradox Donne uses is how he asks God to take over his body. He uses sexual images as if he was a female. Sexual imaginary is best shown in his final line, Nor ever chaste, except you ravish me. Being ravished or chaste is most commonly associated with women. He is saying in order for him to be virginal again, he must be raped and enslaved by God, becoming no longer pure. But when done by God, it will return him back to a virginal state. Another interesting paradox is why he uses the word reason when referring to Gods viceroy. Traditionally the word reason has been used to try and contradict religious influences. This may imply along with the poems mixed syntax Donnes confused state of mind when writing this poem. These types of things may also imply his insecurity with his faith in God. It seems as if he is using this poem to cry out for help from God. Donne uses metaphors and paradoxes in this poem to aid the reader in visualising God taking over Donnes body and spirit. His first metaphor compares his life with an usurped town. He uses a towns physical imagery in order to give an animated description of God usurping his soul. In the second half of the poem, Donne uses God and his enemy as the second metaphor. Here, God has to play the roles of his enemy in order to take over Donnes heart. Miltons Sonnet 19, When I Consider How My Light is Spent, shows a religious doubt within the author regarding his relationship to God. This doubt, possibly caused by the narrators recent loss of sight, stems from his confusion over what God wants him to do. Ultimately, there is no easy solution to the authors problem of religious, and Milton suggests that any clearness and happiness to be found can be had only with patience. The structure of the sonnet, which is Petrachian in style, is a conversation with God in the form of a question and an answer. It is divided into an octet which shows the reader the problem and leads to the question, and into a sestet which offers a sort of answer to the problem. The use of the word fondly in Line 7, which translates to foolishly in new English, shows that the author has doubt as to whether questioning God was the right thing for him to, and shows concern that he has made his relationship with God even more tenable. We are shown at the start of the poem, that since his blindness became apparent, Miltons talent has become ineffectual, and he has a feeling of not being able to serve his God in the ways that he has done before. We are not told exactly what Miltons line of work, or talent was, but it is clear that his life is feeling dark and empty while he is unable to perform his previously usual tasks, which is obviously making him feel like he is worthless in Gods eyes. We presume that the reply comes from a source of God, either being directly from Him, or indirectly via a messenger or angel. In reply to Miltons question as to whether a man has to be a hard worker to gain the respect of God, God says that it is not the hard-working man that comes off best, but the loyal, and believing one. The loss of light in this poem can be literal (physical blindness) or figurative (his understanding crippled, leading to a mind full of doubts). Milton doesnt understand how God can afflict him with this illness, and yet still expect him to perform his usual duties to him There is a Biblical reference within the poem to a parable in the gospel of Matthew, in which one mans talent is taken away from him, and he is left in darkness, and yet another man has five different talents Milton, as a religious man, would more than likely been aware of this story, and be worried that he had offended God in such a way that he has replayed it upon him. Ultimately, I dont think Milton is criticising God for withdrawing his sight, but is more concerned as to what he has done to deserve it, and has a worry as to how he can continue to serve God without the use of his sight. To conclude, both the poems are very emotionally and religiously charged, both asking for answers from God, and asking for some form of help. Both men seem to be in a state of religious confusion, not sure which way to turn next within their lives, nor how to regain the loyalty to God that they think they have lost. As religion is no longer as prominent in society as it was in the 16th/17th Century, the poems are not as easily related to a modern audience, and it is more difficult to understand the importance that religion had within the lives of everyday people.

Anti-Trust Law Cooperatives free essay sample

History of anti-trust legislation, scale economies cooperative as way for small farmers to avoid breaking such law. The agricultural sector in the United States is in a state of transition. During this period, thousand of small-scale farmers the family farmers and many more marginal operators find themselves in critical situations with respect to the ability to thrive or survive in American agriculture. There does exist one type of organizational device, however, which affords some advantages to the smaller, independent family farmers over the corporate farms and the associations of larger farmers. This organizational device is the agricultural cooperative, which, through a combination of antitrust exemptions and federal income tax benefits, permits members farmers to compete on a more equal footing with larger agricultural

How to Study for a Law School Exam

How to Study for a Law School Exam In most instances, your grade in a course will depend entirely on one law school exam. If that sounds like a lot of pressure, well, quite frankly, it is, but theres good news! Some people in your class have to get As, so you might as well be one of them. The following five steps will help you ace any law school exam: Difficulty: Hard Time Required: Three months Heres How: Study all semester long.Be a diligent student throughout the semester by doing all the assigned reading, taking great notes, reviewing them after each week, and participating in class discussions. Law professors love to talk about seeing the forest for the trees; at this point you should focus on those trees, the main concepts your professor is covering. You can place them in the forest later.Join a study group.A great way to be sure youre understanding key concepts throughout the semester is to go over the readings and lectures with other law students. Through study groups, you can prepare for future classes by discussing assignments and fill in gaps in your notes from past lectures. It may take you a little while to find fellow students you click with, but its worth the effort. Not only will you be more prepared for the exam, youll also get used to talking out loud about cases and conceptsparticularly great if your professor uses the Socratic Method.Outline.Leading up to the readin g period, you should have a good grasp of major concepts, so now its time to pull them all together into the forest, if you will, in course outlines. Organize your outline based on the syllabus or your casebooks table of contents and fill in blanks with information from your notes. If you dont want to leave this until just before the exam, do it gradually throughout the semester; start a document with the major concepts, leaving large blank areas that you can fill in with information as you review it from your notes at the end of each week. Use past exams of professors to prepare.Many professors put past exams (sometimes with model answers) on file in the library; if your professor does so, be sure to take advantage. Past exams tell you what your professor considers the most important concepts in the course, and if a sample answer is included, be sure to study the format and copy it as best you can when you attempt other practice questions. If your professor offers review sessions or office hours, be sure to come prepared with a good understanding of past exams, which are also great for study group discussion.Improve your test-taking skills by learning from your past exams.If youve already been through a semester or more of law school exams, one of the best ways to improve your performance is by studying your past performances. If you can get copies of your exams, look at your answers and the model answers carefully. Note where you lost points, where you did the best, and also think back to how and when you preparedwhat worked and what may have been a waste of your time. Also be sure to analyze your exam-taking techniques as well, for example, did you use your time wisely during the test? What You Need: CasebookNotesOutlineTime