4263 Operations courses in Shepshed delivered Online

Duration 2 Days 12 CPD hours This course is intended for Cloud Solutions Architects, Site Reliability Engineers, Systems Operations professionals, DevOps Engineers, IT managers. Individuals using Google Cloud Platform to create new solutions or to integrate existing systems, application environments, and infrastructure with the Google Cloud Platform. Overview Apply a tool set of questions, techniques and design considerations Define application requirements and express them objectively as KPIs, SLO's and SLI's Decompose application requirements to find the right microservice boundaries Leverage Google Cloud developer tools to set up modern, automated deployment pipelines Choose the appropriate Google Cloud Storage services based on application requirements Architect cloud and hybrid networks Implement reliable, scalable, resilient applications balancing key performance metrics with cost Choose the right Google Cloud deployment services for your applications Secure cloud applications, data and infrastructure Monitor service level objectives and costs using Stackdriver tools This course features a combination of lectures, design activities, and hands-on labs to show you how to use proven design patterns on Google Cloud to build highly reliable and efficient solutions and operate deployments that are highly available and cost-effective. This course was created for those who have already completed the Architecting with Google Compute Engine or Architecting with Google Kubernetes Engine course. Defining the Service Describe users in terms of roles and personas. Write qualitative requirements with user stories. Write quantitative requirements using key performance indicators (KPIs). Evaluate KPIs using SLOs and SLIs. Determine the quality of application requirements using SMART criteria. Microservice Design and Architecture Decompose monolithic applications into microservices. Recognize appropriate microservice boundaries. Architect stateful and stateless services to optimize scalability and reliability. Implement services using 12-factor best practices. Build loosely coupled services by implementing a well-designed REST architecture. Design consistent, standard RESTful service APIs. DevOps Automation Automate service deployment using CI/CD pipelines. Leverage Cloud Source Repositories for source and version control. Automate builds with Cloud Build and build triggers. Manage container images with Google Container Registry. Create infrastructure with code using Deployment Manager and Terraform. Choosing Storage Solutions Choose the appropriate Google Cloud data storage service based on use case, durability, availability, scalability and cost. Store binary data with Cloud Storage. Store relational data using Cloud SQL and Spanner. Store NoSQL data using Firestore and Cloud Bigtable. Cache data for fast access using Memorystore. Build a data warehouse using BigQuery. Google Cloud and Hybrid Network Architecture Design VPC networks to optimize for cost, security, and performance. Configure global and regional load balancers to provide access to services. Leverage Cloud CDN to provide lower latency and decrease network egress. Evaluate network architecture using the Cloud Network Intelligence Center. Connect networks using peering and VPNs. Create hybrid networks between Google Cloud and on-premises data centers using Cloud Interconnect. Deploying Applications to Google Cloud Choose the appropriate Google Cloud deployment service for your applications. Configure scalable, resilient infrastructure using Instance Templates and Groups. Orchestrate microservice deployments using Kubernetes and GKE. Leverage App Engine for a completely automated platform as a service (PaaS). Create serverless applications using Cloud Functions. Designing Reliable Systems Design services to meet requirements for availability, durability, and scalability. Implement fault-tolerant systems by avoiding single points of failure, correlated failures, and cascading failures. Avoid overload failures with the circuit breaker and truncated exponential backoff design patterns. Design resilient data storage with lazy deletion. Analyze disaster scenarios and plan for disaster recovery using cost/risk analysis. Security Design secure systems using best practices like separation of concerns, principle of least privilege, and regular audits. Leverage Cloud Security Command Center to help identify vulnerabilities. Simplify cloud governance using organizational policies and folders. Secure people using IAM roles, Identity-Aware Proxy, and Identity Platform. Manage the access and authorization of resources by machines and processes using service accounts. Secure networks with private IPs, firewalls, and Private Google Access. Mitigate DDoS attacks by leveraging Cloud DNS and Cloud Armor. Maintenance and Monitoring Manage new service versions using rolling updates, blue/green deployments, and canary releases. Forecast, monitor, and optimize service cost using the Google Cloud pricing calculator and billing reports and by analyzing billing data. Observe whether your services are meeting their SLOs using Cloud Monitoring and Dashboards. Use Uptime Checks to determine service availability. Respond to service outages using Cloud Monitoring Alerts. Additional course details: Nexus Humans Architecting with Google Cloud: Design and Process training program is a workshop that presents an invigorating mix of sessions, lessons, and masterclasses meticulously crafted to propel your learning expedition forward. This immersive bootcamp-style experience boasts interactive lectures, hands-on labs, and collaborative hackathons, all strategically designed to fortify fundamental concepts. Guided by seasoned coaches, each session offers priceless insights and practical skills crucial for honing your expertise. Whether you're stepping into the realm of professional skills or a seasoned professional, this comprehensive course ensures you're equipped with the knowledge and prowess necessary for success. While we feel this is the best course for the Architecting with Google Cloud: Design and Process course and one of our Top 10 we encourage you to read the course outline to make sure it is the right content for you. Additionally, private sessions, closed classes or dedicated events are available both live online and at our training centres in Dublin and London, as well as at your offices anywhere in the UK, Ireland or across EMEA.

Build the financial and accounting skillset needed to rise to an executive level of responsibility and earning power. Financial management is an essential part of any successful business. The Financial Management and Business Accounting Diploma focuses on specialist modules including financial accounting, management accounting, business finance, financial management, strategic management accounting and international financial reporting. If you are looking forward to advancing your career and move toward an organizational leadership position, this Financial Management and Business Accounting Diploma will help you build the skills you'll need to make high-level decisions that impact your organization's current operations and financial future. The course will equip you with the potential to become a senior manager, administrator or executive in business management, accounting and finance, in commercial and public organisations. This course will teach the framework of managing business finances. It can also be the first step to qualification as an accountant. Who is this course for? Financial Management and Business Accounting Diploma is suitable for anyone who want to gain extensive knowledge, potential experience and professional skills in the related field. This course is CPD accredited so you don't have to worry about the quality. Requirements Our Financial Management and Business Accounting Diploma is open to all from all academic backgrounds and there is no specific requirements to attend this course. It is compatible and accessible from any device including Windows, Mac, Android, iOS, Tablets etc. CPD Certificate from Course Gate  At the successful completion of the course, you can obtain your CPD certificate from us. You can order the PDF certificate for £9 and the hard copy for £15. Also, you can order both PDF and hardcopy certificates for £22. Career path This course opens a new door for you to enter the relevant job market and also gives you the opportunity to acquire extensive knowledge along with required skills to become successful. You will be able to add our qualification to your CV/resume which will help you to stand out in the competitive job industry. Course Curriculum Personal Finance Calculations Personal Finance Introduction FREE 00:01:00 Calculating Your Net Worth 00:01:00 Calculating Your Real Hourly Wage 00:02:00 Expenses for Life Energy 00:02:00 Calculating a Monthly Budgeting 00:05:00 Saving for Retirement Paying Off Debt 00:02:00 Build an Emergency Fund 00:02:00 Personal Savings 00:04:00 401K Basics 00:03:00 Asset Allocation 00:04:00 Investment Strategies 00:02:00 Advice on Financial Advisors 00:01:00 3h- Questions About Investing 00:15:00 Building Credit to Buy a Home FICO Score 00:09:00 Starting Credit 00:03:00 Increasing Credit Score 00:02:00 Owning vs. Renting 00:02:00 Types of Mortages 00:03:00 Personal Finance Guides for Beginners Advice to Teenagers 00:04:00 Guide to Buying a Car 00:05:00 Professional Bookkeeper Introduction Professional Bookkeeper FREE 00:09:00 Introduction to Accounting and Business Defining a Business 00:07:00 Ethics in Accounting 00:05:00 Generally Accepted Accounting Principles (GAAP) 00:10:00 The Accounting Equation The Accounting Equation 00:07:00 Transactions 00:11:00 Financial Statements 00:13:00 Analyzing Transactions The Accounting Equation and Transactions 00:16:00 Double-Entry System 00:11:00 Transactions - Journalizing 00:17:00 Journal Entries 00:38:00 Entering Information - Posting Entries Posting Entries 00:10:00 The Trial Balance 00:10:00 Finding Errors Using Horizontal Analysis 00:09:00 Horizontal Trend : Balance Sheet 00:21:00 Horizontal Trend: Income Statement 00:36:00 Adjusting Process The Purpose of the Adjusting Process 00:15:00 Adjusting Entries Adjusting Entries - Prepaid Expenses 00:13:00 Adjusting Entries - Accrued Revenues 00:10:00 Adjusting Entries - Depreciation Expense 00:09:00 Adjustment Summary Adjustment Summary - Review 00:13:00 Vertical Analysis 00:33:00 Preparing a Worksheet Preparing a Worksheet 00:06:00 Financial Statements The Income Statement 00:11:00 Financial Statements - Definitions 00:12:00 Completing the Accounting Cycle Temporary vs. Permanent Accounts 00:19:00 The Accounting Cycle Illustrated Accounting Cycle Illustrated - Steps 1-5 00:11:00 Accounting Cycle Illustrated - Steps 6-10 00:12:00 Fiscal Year Fiscal Year 00:09:00 Spreadsheet Exercise Spreadsheet Exercise - Steps 1-4 00:11:00 Spreadsheet Exercise - Steps 5-7 00:37:00 Certificate and Transcript Order Your Certificates or Transcripts 00:00:00

To become an efficient manager, you need a great command in leadership qualities. As much as you are influential in leadership qualities, your managerial success will become so high. However, if you wish to make your managerial career far better implementing efficient leadership quality, take a look at our accredited well designed The Manager: Management and Leadership Development course. The course is designed to teach you all the process and procedures of manager step by step. Following that, the modules of the course instruct you how to make a plan, execute the plan, take a decision, meet different challenges, solve problems, and evaluate and measure the performance efficiently. Overall, the course assists to enhance your knowledge, skill, and information regarding management and leadership to become expert in this role. Who is this course for? The Manager: Management and Leadership Development is suitable for anyone who wants to gain extensive knowledge, potential experience, and professional skills in the related field. This course is CPD accredited so you don't have to worry about the quality. Requirements Our The Manager: Management and Leadership Development is open to all from all academic backgrounds and there are no specific requirements to attend this course. It is compatible and accessible from any device including Windows, Mac, Android, iOS, Tablets etc. CPD Certificate from Course Gate  At the successful completion of the course, you can obtain your CPD certificate from us. You can order the PDF certificate for £9 and the hard copy for £15. Also, you can order both PDF and hardcopy certificates for £22. Career path This course opens a new door for you to enter the relevant job market and also gives you the opportunity to acquire extensive knowledge along with required skills to become successful. You will be able to add our qualification to your CV/resume which will help you to stand out in the competitive job industry. Course Curriculum Management and Leadership Development Module One - Getting Started 01:00:00 Module Two - Grooming a New Manager 01:00:00 Module Three - Coaching and Mentoring (I) 01:00:00 Module Four - Coaching and Mentoring (II) 01:00:00 Module Five - Measuring Performance 01:00:00 Module Six - Motivating Managers 01:00:00 Module Seven - Signs of Poor Management 01:00:00 Module Eight - Trust Your Team of Managers 01:00:00 Module Nine - When an Employee Complains About Their Manager 01:00:00 Module Ten - When Do You Step In 00:30:00 Module Eleven - Remember These Basic Qualities 01:30:00 Module Twelve - Wrapping Up 01:00:00 Business Management Designing Your Organisational Structure 00:30:00 Introduction to Operations Management 00:15:00 Understanding Financial Terms 00:30:00 Getting the Right People in Place 00:15:00 Getting Your Product Together 00:15:00 Building a Corporate Brand 00:30:00 Marketing Your Product 01:00:00 Selling Your Product 00:15:00 Planning for the Future 00:15:00 Goal Setting and Goal Getting 00:30:00 Succession Planning 101 00:15:00 Managing Your Money 00:15:00 Ethics 101 00:15:00 Building a Strong Customer Care Team 00:15:00 Training Employees for Success 00:15:00 Leadership Essentials 00:15:00 Business Leadership About the Learning Organization 00:15:00 Achieving Personal Mastery 00:15:00 Analyzing Our Mental Models 00:30:00 Achieving a Shared Vision 00:15:00 Team Learning 00:15:00 Systems Thinking 00:15:00 Five Practices 00:15:00 Building Trust 00:15:00 Managing Change 00:30:00 Managers vs. Leaders 00:15:00 Influence Strategies 00:15:00 Managing Relationships 01:00:00 Strategic Planning 00:00:00 Doing Delegation Right 00:15:00 Criteria for Useful Feedback 00:15:00 Feedback Techniques 00:15:00 Mastering Your Body Language 00:15:00 Meeting Management 00:30:00 Pumping up a Presentation 00:15:00 Employee Accountability Defining Accountability 00:30:00 Creating an Accountable Organization 00:30:00 Setting Goals and Expectations 00:30:00 Doing Delegation Right 00:45:00 Offering Feedback 00:15:00 Activities The Manager: Management and Leadership Development - Activities 00:00:00 Mock Exam Mock Exam - The Manager: Management and Leadership Development 00:20:00 Final Exam Final Exam - The Manager: Management and Leadership Development 00:20:00 Certificate and Transcript Order Your Certificates or Transcripts 00:00:00

This five-day programme empowers participants with the skills and knowledge to understand and effectively apply best practice commercial and contracting principles and techniques, ensuring better contractor performance and greater value add. This is an assessed programme, leading to the International Association for Contracts & Commercial Management (IACCM)'s coveted Contract and Commercial Management Practitioner (CCMP) qualification. By the end of this comprehensive programme the participants will be able to: Develop robust contracting plans, including scopes of work and award strategies Undertake early market engagements to maximise competition Conduct effective contracting and commercial management activities, including ITT, RFP, negotiated outcomes Understand the legalities of contract and commercial management Negotiate effectively with key stakeholders and clients, making use of the key skills of persuading and influencing to optimise outcomes Undertake effective Supplier Relationship Management Appreciate the implications of national and organisational culture on contracting and commercial activities Appreciate professional contract management standards Set up and maintain contract and commercial management governance systems Take a proactive, collaborative, and agile approach to managing commercial contracts Develop and monitor appropriate and robust KPIs and SLAs to manage the contractor and facilitate improved contractor performance Appreciate the cross-functional nature of contract management Collaborate with clients to deliver sustainable performance and to manage and exceed client expectations Understand the roles and responsibilities of contract and commercial managers Use effective contractor selection and award methods and models (including the 10Cs model) and use these models to prepare robust propositions to clients Make effective use of lessons learned to promote improvements from less than optimal outcomes, using appropriate templates Effectively manage the process of change, claims, variations, and dispute resolution Develop and present robust propositions Make appropriate use of best practice contract and commercial management tools, techniques, and templates DAY ONE 1 Introduction Aims Objectives KPIs Learning strategies Plan for the programme 2 The contracting context Key objectives of contract management Importance and impact on the business 3 Critical success factors Essential features of professional commercial and contract management and administration The 6-step model 4 Putting the 'management' into commercial and contract management Traditional v 'new age' models The need for a commercial approach The added value generated 5 Definitions 'Commercial management' 'Contract management' 'Contracting' ... and why have formal contracts? 6 Stakeholders Stakeholder mapping and analysis The 'shared vision' concept Engaging with key functions, eg, HSE, finance, operations 7 Roles and responsibilities Contract administrators Stakeholders 8 Strategy and planning Developing effective contracting plans and strategies DAY TWO 1 Contract control Tools and techniques, including CPA and Gantt charts A project management approach Developing effective contract programmes 2 The contracting context Key objectives of contract management Importance and impact on the business 3 Tendering Overview of the contracting cycle Requirement to tender Methods Rationale Exceptions Steps Gateways Controls One and two package bids 4 Tender assessment and contract award I - framework Tender board procedures Role of the tender board (including minor and major tender boards) Membership Administration Developing robust contract award strategies and presentations DAY THREE 1 Tender assessment and contract award II - processes Pre-qualification processes CRS Vendor registration rules and processes Creating bidder lists Disqualification criteria Short-listing Using the 10Cs model Contract award and contract execution processes 2 Minor works orders Process Need for competition Role and purpose Controls Risks 3 Contract strategy Types of contract Call-offs Framework agreements Price agreements Supply agreements 4 Contract terms I: Pricing structures Lump sum Unit price Cost plus Time and materials Alternative methods Target cost Gain share contracts Advance payments Price escalation clauses 5 Contract terms II: Other financial clauses Insurance Currencies Parent body guarantees Tender bonds Performance bonds Retentions Sub-contracting Termination Invoicing 6 Contract terms III: Risk and reward Incentive contracts Management and mitigation of contractual risk DAY FOUR 1 Contract terms IV: Jurisdiction and related matters Applicable laws and regulations Registration Commercial registry Commercial agencies 2 Managing the client-contractor relationship Types of relationship Driving forces Link between type of contract and style of relationships Motivation - use of incentives and remedies 3 Disputes Types of dispute Conflict resolution strategies Negotiation Mediation Arbitration DAY FIVE 1 Performance measurement KPIs Benchmarking Cost controls Validity of savings Balanced scorecards Using the KPI template 2 Personal qualities of the contract manager Negotiation Communication Persuasion and influencing Working in a matrix environment 3 Contract terms V: Drafting skills Drafting special terms 4 Variations Contract and works variation orders Causes of variations Risk management Controls Prevention Negotiation with contractors 5 Claims Claims management processes Controls Risk mitigation Schedules of rates 6 Close-out Contract close-out and acceptance / completion HSE Final payments Performance evaluation Capturing the learning 7 Close Review Final assessment Next steps

Gain essential skills in nursing assistance, phlebotomy, and catheterisation with the Nursing Assistant Training with Phlebotomy & Catheterisation bundle. Perfect for aspiring healthcare professionals, this comprehensive programme equips learners for multifaceted roles in patient care.

Prepare for success with the Microsoft PL-900 Certification Course, covering the fundamentals of Power Platform, including Power BI, Power Apps, Power Automate, Power Virtual Agents, and related topics such as Dataverse, AI Builder, Connectors, Dynamics 365, Teams, Security, and Administration. Suitable for beginners with no prerequisites.

Strengthen your command over C language

Computer Maintenance: Computer Maintenance Computer maintenance course will welcome you to a smooth, powerful Computer world. So that, you may become a tech master! Are you ready to begin working in IT or as a computer maintenance specialist? Our computer maintenance course will assist you in comprehending a computer's internal operations and gaining the skills necessary to execute computer maintenance activities to maximise its performance and longevity. With the assistance of our specialised Computer Maintenance: Computer Maintenance Course, you will acquire the knowledge and skills necessary to manage any computer-related issue that comes your way. The fundamentals of building, maintaining, and troubleshooting computer hardware and software are covered in this course on computer maintenance. computer maintenance includes subjects like setting up hardware elements including hard drives, processors, and memory. Computer maintenance courses instruct students on upgrades, backups, and security. You will learn the abilities and information required to competently maintain and troubleshoot computer systems in the computer maintenance course. The Computer Maintenance Course comes with a variety of educational films, clear pictures, instructions, assistance, and other materials. Throughout the course, you will have access to online support. Online access to the Computer Maintenance Course makes it possible for you to learn at your own pace and from the convenience of your home. The modules for the Computer Maintenance Course are accessible online from any location or device with an internet connection. Grab the chance to become an expert in computer maintenance. Learn the tricks to ensuring a computer runs flawlessly by enrolling right away in our computer maintenance course. Maintaining computers effectively will open up exciting career opportunities by our computer maintenance course! Main Course: Computer Maintenance Free Courses are including with this Computer Maintenance Course Along with The Computer Maintenance Course, We Offer a free IT Security Course Along with The Computer Maintenance Course, We Offer a free Social Media Marketing Course Along with The Computer Maintenance Course, We Offer a free Level 4 Time Management Course Special Offers of this Computer Maintenance Course This Computer Maintenance Course includes a FREE PDF Certificate. Lifetime access to this Computer Maintenance Course Instant access to this Computer Maintenance Course Get FREE Tutor Support to this Computer Maintenance Course Computer Maintenance: Computer Maintenance Learn the fundamentals of computer systems, their parts, and their operations with this Computer Maintenance: Computer Maintenance Course. Explore the motherboard, the beating heart of a computer system. You can solve common motherboard problems and learn about its various components with the assistance of this Computer Maintenance: Computer Maintenance Course. You can acquire the abilities and information required to confidently maintain and troubleshoot computer systems by enrolling in our Computer Maintenance: Computer Maintenance Course. Who is this course for? Computer Maintenance: Computer Maintenance This Computer Maintenance Course is open for all and is especially suited for: Aspiring IT professionals Computer enthusiasts Anyone interested in learning the fundamentals of computer maintenance Whoever desires to troubleshoot their own computers Everyone who wants to construct their own gaming computer Anyone aspiring to build a career as a Computer Technician Requirements Computer Maintenance: Computer Maintenance To enrol in this Computer Maintenance Course, students must fulfil the following requirements. To join in our Computer Maintenance Course, you must have a strong command of the English language. To successfully complete our Computer Maintenance Course, you must be vivacious and self driven. To complete our Computer Maintenance Course, you must have a basic understanding of computers. A minimum age limit of 15 is required to enrol in this Computer Maintenance Course. Career path Computer Maintenance: Computer Maintenance You can find employment in this field with the help of this computer maintenance course. With this computer maintenance course, you may stand out on your resume and get more work prospects, you may work as a: Computer Specialist Technician for PC Maintenance Expert in Technical Support Systems Engineer

Travel Agent & Travel and Tourism with Event Planning and Business Management Do you want to work in one of the most fascinating and successful industries in the world? If yes, you should enrol in ourTravel Agent & Travel and Tourism course to get skills and knowledge about this sector. Airports, airlines, and international aviation are all covered in our Travel Agent & Travel and Tourism. The management of tour operations and the significance of efficient distribution in the travel and tourism sector are part of this Travel Agent & Travel and Tourism course. Also, the Travel Agent & Travel and Tourism includes human resource management. You will learn how to manage the countryside for tourism in the Travel Agent & Travel and Tourism course. Learning Outcome of Travel Agent & Travel and Tourism After completing this Travel Agent & Travel and Tourism course, learners will know about: An overview of travel & tourism. The Travel Agent & Travel and Tourism teaches accommodation, quality, airlines, airports and international aviation. Tour operations management, distribution and costing are the main part of this Travel Agent & Travel and Tourism course. Travel Agent & Travel and Tourism describes HRM, marketing management, strategy and finance for tourism. The law and tourism are clearly elaborated in the Travel Agent & Travel and Tourism course. This Travel Agent & Travel and Tourism course explains how to manage urban tourism and countryside tourism. How to select sites, manage visitors, information collection and communication are broadly discussed in the Travel Agent & Travel and Tourism course. What are technologies used in tourism and how to know about the tourism environment are explained in the Travel Agent & Travel and Tourism. After completing the Travel Agent & Travel and Tourism course, you can handle crises and maintain ethics in tourism management. To become an expert in the field of travel and tourism, enrol in our Travel Agent & Travel and Tourism curriculum. Special Offers of this Travel Agent & Travel and Tourism Course This Travel Agent & Travel and Tourism Course includes a FREE PDF Certificate. Lifetime access to this Travel Agent & Travel and Tourism Course Instant access to this Travel Agent & Travel and Tourism Course Get FREE Tutor Support to this Travel Agent & Travel and Tourism Course Travel Agent & Travel and Tourism with Event Planning and Business Management Our Travel Agent & Travel and Tourism course is perfect for those looking to enter the exciting world of travel. The Travel Agent & Travel and Tourism course covers essential skills such as booking systems, customer service, and destination knowledge. With the Travel Agent & Travel and Tourism course, you'll gain in-depth understanding of the global tourism industry, enabling you to provide expert advice to clients. Whether you aim to work in a travel agency or start your own business, the Travel Agent & Travel and Tourism course prepares you for success in this vibrant field. Who is this course for? Travel Agent & Travel and Tourism with Event Planning and Business Management This Travel Agent & Travel and Tourism is recommended for anybody wishing to begin or advance their career in the travel and tourist industry. Requirements Travel Agent & Travel and Tourism with Event Planning and Business Management To enrol in this Travel Agent & Travel and Tourism Course, students must fulfil the following requirements: Good Command over English language is mandatory to enrol in our Travel Agent & Travel and Tourism Course. Be energetic and self-motivated to complete our Travel Agent & Travel and Tourism Course. Basic computer Skill is required to complete our Travel Agent & Travel and Tourism Course. If you want to enrol in our Travel Agent & Travel and Tourism Course, you must be at least 15 years old. Career path Travel Agent & Travel and Tourism with Event Planning and Business Management Candidates who successfully finish our Travel Agent & Travel and Tourism programme can go on to work as information clerks, tour guides, travel agents, and in a variety of other related roles.

Join our Lab Technician Course to develop essential skills in medical laboratory services. Learn about laboratory techniques, equipment operation, and safety protocols, preparing you for a successful career in healthcare.