QUESTION 1 Competitive clustering occurs when an organization groups several outlets near each other

 QUESTION 2 A textbook retailer wants to locate a facility which is most convenient to their student customers. Five universities have been identified and located on a grid map as shown on the table below. Enrollment at each university is represented by the value inside each circle on the map. Using a cross-median method, the optimal location for the retailer is on the map ________

 QUESTION 3 Which of the following is NOT a typical success factor in a single location, single service business?
 QUESTION 4 If a cereal manufacturer were to sell its globally-branded cereals that were developed in its home country, but customize the formula and supply chain for each country in which it operates, the manufacturer's international operations strategy would be best described as __________.
 QUESTION 5 The local distributor for Macho Heavy Beer is reconsidering its inventory policy now that only kegs will be sold. The sales forecast for next year is 800 kegs. The cost to store a keg of Macho in a refrigerated warehouse is approximately $4 per year. Placing an order with the factory costs about $6. Recommend an EOQ for Macho Heavy Beer.

 QUESTION 6 A textbook retailer wants to locate a facility which is most convenient to their student customers. Five universities have been identified and located on a grid map as shown on the table below. Enrollment at each university is represented by the value inside each circle on the map. Using a cross-median method, the optimal location for the retailer is a ________

 QUESTION 7 In a continuous review system with safety stock, the reorder point is the sum of the safety stock level and the economic order quantity 
 



 QUESTION 8 A textbook retailer wants to locate a facility which is most convenient to their student customers. Five universities have been identified and located on a grid map as shown on the table below. Enrollment at each university is represented by the value inside each circle on the map. Using a cross-median method, the optimal location for the retailer is a ________

 QUESTION 9 A textbook retailer wants to locate a facility which is most convenient to their student customers. Five universities have been identified and located on a grid map as shown on the table below. Enrollment at each university is represented by the value inside each circle on the map. Using a cross-median method, the optimal location for the retailer is on the map ________

 QUESTION 10 The Anderson Palmer Hospital would like to reduce the cost of its inventory by calculating the optimal order size for hypodermic needles. On average, the hospital uses 80 needles per month, the cost of placing an order is $14, and holding cost is estimated to be $1.20 per needle per year. Using the EOQ formula, the optimal order size is ______

 QUESTION 11 The Anderson Palmer Hospital would like to ...

1. QUESTION 1
Competitive clustering occurs when an organization groups
several outlets near each other
QUESTION 2
A textbook retailer wants to locate a facility which is most
convenient to their student customers. Five universities have
been identified and located on a grid map as shown on the table
below. Enrollment at each university is represented by the value
inside each circle on the map. Using a cross-median method, the
optimal location for the retailer is on the map ________
QUESTION 3
Which of the following is NOT a typical success factor in a
single location, single service business?
QUESTION 4
If a cereal manufacturer were to sell its globally-branded
cereals that were developed in its home country, but customize
the formula and supply chain for each country in which it
operates, the manufacturer's international operations strategy
would be best described as __________.
QUESTION 5

2. The local distributor for Macho Heavy Beer is reconsidering its
inventory policy now that only kegs will be sold. The sales
forecast for next year is 800 kegs. The cost to store a keg of
Macho in a refrigerated warehouse is approximately $4 per year.
Placing an order with the factory costs about $6. Recommend an
EOQ for Macho Heavy Beer.
QUESTION 6
A textbook retailer wants to locate a facility which is most
convenient to their student customers. Five universities have
been identified and located on a grid map as shown on the table
below. Enrollment at each university is represented by the value
inside each circle on the map. Using a cross-median method, the
optimal location for the retailer is a ________
QUESTION 7
In a continuous review system with safety stock, the reorder
point is the sum of the safety stock level and the economic
order quantity
QUESTION 8
A textbook retailer wants to locate a facility which is most
convenient to their student customers. Five universities have
been identified and located on a grid map as shown on the table
below. Enrollment at each university is represented by the value
inside each circle on the map. Using a cross-median method, the
optimal location for the retailer is a ________

3. QUESTION 9
A textbook retailer wants to locate a facility which is most
convenient to their student customers. Five universities have
been identified and located on a grid map as shown on the table
below. Enrollment at each university is represented by the value
inside each circle on the map. Using a cross-median method, the
optimal location for the retailer is on the map ________
QUESTION 10
The Anderson Palmer Hospital would like to reduce the cost of
its inventory by calculating the optimal order size for
hypodermic needles. On average, the hospital uses 80 needles
per month, the cost of placing an order is $14, and holding cost
is estimated to be $1.20 per needle per year. Using the EOQ
formula, the optimal order size is ______
QUESTION 11
The Anderson Palmer Hospital would like to reduce the cost of
its inventory by calculating the optimal order size for
hypodermic needles. On average, the hospital uses 200 needles
per month. The purchasing staff has calculated that the EOQ for
needles is 160 needles. If they proceed to purchase in EOQ
quantities, how many orders per year will be placed?
QUESTION 12

4. The local distributor for Macho Heavy Beer is reconsidering its
inventory policy now that only kegs will be sold. The sales
forecast for next year is 600 kegs. The cost to store a keg of
Macho in a refrigerated warehouse is approximately $4 per year.
Placing an order with the factory costs about $6. If orders are
placed in pallets of 60 kegs, the brewery is willing to give the
local distributor a discount on the wholesale price of each keg.
Macho beer must determine the exact discount amount before
deciding whether or not to take the discount.
QUESTION 13
In a region with a grid-style road network, the Euclidian metric
would provide the most accurate travel time between facilities
QUESTION 14
Which of the following is true in relation to following EOQ
graph?
QUESTION 15
An individual who opens a franchise of a national chain can
potentially face all of the following conflicts with the franchiser
EXCEPT ________.

5. features November 8, 2004
A good business plan
can pnt yonr practice
in tiie driving seat
WriUng a business plan is iiecoming an important skiii in
tiie new worid of GiVIS2 - Dr Miciiaei ingram and practice
manager Ken Spooner gnide you flirougii tiie basics
Cost of 24 weeks treatment'
Tetralysal 300 I42.7ti f4 66% saving
Minocin MR
* Compared to Minocin MR jn mild to moderate inflammatory
acne
TETRALYSAL 300 Prescribing information
Presenuiion: Capsule containing lymecycline 408mg (equivalent
to
3O0m9 tetracycline base), indications: Acne and treatment of
infections

6. caused by tetracycline-sensitive organisms. Dosage and
administration:
Adults and children over the age of ] 2 years - One capsule
daily for at least
8 weeks for the treatment of acne. For other infections, usual
dose is 1
capsule b.d. Contra-indication5: Renal insufficiency.
Hypersensitfvity.
Children under 12 years. Pregnancy and lactation. Warnings and
precautions: Prolonged use of broad spectrum antibiotics may
result in the
appearance of resistant organisms and superinfection. Exercise
care in
hepatic impairment. Tetracyclines may rarely cause
photosensitivity. May
cause exacerbation of systemic lupus erythematosus. Can cause
weak
neuromuscular blockade so use with caution in Myasthenia
Crauis.
Interactions: The absorption of tetracycltnes may be affected by
the
simultaneous administration of calcium, aluminium, magnesium,
bismuth
and zinc salts, antacids, bismuth containirtg ulcer-healing
drugs, iron
preparations and quinapril. These products should not be taken
within two
hours before or after taking Tetralysal 300. Absorption of
Tetralysal 300 is
not significantly impaired by moderate amounts of milk.
Tetracyclines may
increase the effects of anticoagulants. Concomitant use of
diuretics should
be avoided. Concurrent use of tetfacyclines and oral
contraceptives has
been associated with a few cases of pregnancy or breakthrough

7. bleeding
(not reported for Tetraiysal 300). Undesirable effects: Rarely
anaphylaxis
Tetralysal
lymecycline ' # # • •
& dysphagia. Nausea, vomiting, diarrhoea. A few cases of
oesophagitts,
oesophageal ulceration and pancreatitis have been reported.
Overgrowth of
nonsusceptible organisms may cause candidiasis,
pseudomembranous
colitis (Clostridium difficile overgrowth), glossitis, stomatitis,
vaginitis, or
staphylococcal enterocolitis. Transient increases in liver
function rests,
hepatitis, jaundice and hepatic failure have been reported rarely.
Bulging
fontaneiles in infants and benign intracranial hypertension in
juveniles and
aduks have been reported. Presenting features were headache
and visual
disturbances including blurring of vision, scotomata and
diplopia.
Permanent visual loss has been reported. Skin rashes,
photosensitivity,
erythematous, and maculo-papular rashes, pruritis, bullous
dermatoses,
exfoliative dermatitis. Teeth discoloration - usually only
obvious after
repeated doses. MANumber: PL IOS90/0019. Package quantities
and
cost: Available in packs of 28 capsules £7.16 and packs of S6
capsules
£14.26. Legal category: POM. Date of preparation: March 2004.

8. Fuil
prescribing information is availabie from the marketing
authorisation bolder: Calderma (UK) Limited, Calderma House,
Church Lane, Kings Langley, Herts. WD4 8JP. Telephone:
01923 291033.
Fax: 01923 291060. Tetralysal and Calderma ^ H
are registered trademarks of Calderma (UK) Ltd. GAIDERMA
WM
Reference: I, MIMS June 2004, 56 pack size, HNHHJ K.rii:,uu"
| 3
TfT/l 05/0604 Bfl
I he new GMS contract may well have its
I advantages and disadvantages but there is
^ ^ ^ one theme that seems to be running
I through it., namely that the pro ision of
I primary care services is no longer tlie
^ p j exclusive right of GPs. A competitive
environment will start to emerge where
practices will find that to retain contracts
and, more importantly, income for services
tliey will have to bid again.st other providers.
Though there are many inherent
advantages that GPs will bring with them
into this new order, there is one major area
where inexperience could cause problems in
the bidding process and that is the writing
and submission of a business plan.
Private providers are skilled at writing
convincing, soimd business plans that
impress and persuade PCTs, especially
when compared with some of the poorly

9. written unconvincing efforts submitted
by some practices.
Practices will need to acquire skills of content
and presentation of these plans if they are to thrive
in the new competitive world.
A few guiding principles, coupled with
thorough preparation, can produce a high-quality
document that will boost the fortunes and
prospects of practices in convincing the PCTs that
they are worthy of investment resources and
selection for service provision.
What exactly is the plan? What are you setting
out to achieve and w hat are your aims in
submitting the plan? These need to be defined to
give the plan focus and incorporated in the
opening of the plan or even its title.
Start off with an executive suinmary
This should contain:
• Details of what you are actually asking for or
proposing.
• Business reasons for this. For example, these can
highlight that the new service will be better, have
a shorter waiting time, cost less or offer increased
patient services.
• Outline of the costs involved.
• The risks that need to be considered.
The summary should be concise and compact.
Look at the guidelines that have been given.
Most requests for business plans fi-om the PCT
will be relating to the provision of services or
bidding for extra resources, and guidelines for

10. these will be supplied. These guidelines are the
nub of the issue and they need to be incorporated
Rilly in any plan.
The flindamentals of exam technique is to
answer tlie question asked; however much you
write, if it is not relevant to the question you will
get no marks. The same applies in a business plan;
it can contain the most well-argued proposals but
if it does not focus on the issues contained in the
guidelines it will be a waste of effort.
Better still, use the guidelines as headings to
make sure that all points have been considered
and dealt with.
If no guidelines are given and you are writing
the plan from scratch, then you will need to take a
broad approach. Make sure the objectives of the
plan are clearly stated and
then look carefully at all the
parties likely to be affected
and consider how they will
view the proposed projects.
Also ensure all the key players
are mentioned and tlieir
anticipated view s addressed,
If you are submitting your
plan to the PCT make sure it
reflects its issues and
concerns. Who will be
reading it.> What is their
function within the PCT and what is their political

11. direction?
For example, if the PCT's main thrust is to
tackle waiting lists, highlight those areas of your
plan that can help it. PCTs will allocate resources
into high priority areas, so illustrate how your
proposal will help them meet those targets.
If you are trying to get finance for new
premises, for example, show how the services that
you will provide there will mean a reduction in
demand for secondary care and thus ease waiting
list pressure.
As well as personnel, look at performance
targets. Many PCTs will be looking at their star
ratings and anything you can highlight in your
You need
content and
presentation
skills for the
nev competitive
worldtttt
November 8, 2004
and description of
proposal
Executive summary
A few sentences only
summing up the case

12. Business objectives
Describe what you are setting
out to achieve and hew this
will be done
Resources Look at the cost
benefits and resource issues
involved
Risks Highlight the risks
involved in the project and
how these oan be minimised
or planned for
Where guidelines are pubiished
these can be used as tities for
sections instead of 3-5
proposals that arc likely to help tlicm achieve that
will be of great interest to them.
In adopting this strategy remember those on
the board might have different priorities. The
finance director may be foeiising on the costs and
savings oftcred wliile other members may be
looking more towards a patient-oriented service
or 3chieing the targets that have been set for them.
Highlight all the benefits
II you are going to be able ro offer financial
benefits to the PCT then say so and describe the
way that your proposals viill achieve these. But if
your proposal does not have obvious financial
advantages then it is important
to highlight the other benefits
and be convincing in the

13. argument tliat tliese extra
benefits justify the financial
resources ou seek.
VVMake sure
youfplan
reflects the
issues and
concerns of
the
Costs
Wlien presendng costs these
must be legidmate costs and
must be both realistic and
accurate. If it is difficult to be
exact about dicse costs then say
so, and explain what the various factors are that
have to be taken into account.
Get your facts right
Make sure you are certain of what you state and
ensure you have done your homework properly. If
you are inaccurate with the fects that you use you
will sooner or later get found out and the whole
plan will be discredited,
It is essendai to use the business plan as die
foundation of the project, proposal and
presentation. Wridng a plan is a developmental
process. Start with a draft plan and dien re-read it.
Consider die quesdons that you would ask If
you were reading the plan or on die panel
assessing it and then formulate the answers to
those questions. These can then be incorporated

14. into the next working of the plan. Discuss the plaji
looking for other questions that are likely to arise
from it and how these can be addressed.
The end result of this process will be a business
plan has been developed into a document that not
only contains proposals but also seeks to answer
the points most likely to be raised as a result of
what is being suggested in the plan.
Business plans need a great deal of dme and
effort to make diem effccdve.
They should relate your proposals to the main
local issues and priorides of the PCT, demonstrate
how resources will be used more effecdvely, and
seek to identify and answer quesdotis that are
likely to arise.
As with many areas of pracdce thorough
preparadon is the key to success.
Michael Ingram isaGPin Radtett, Herts and
Ken SDOOner is his practice manager
Prescribing Information; Unguentum M is an
amoipliik toprcal preparation wild emollient
properties, whicd contains the high (ipifl content
ct an oiniment but also has the water mscible
chaMctensties of a cream. Contains: Punded
water, white solt paraffin, cetostearyi alcohol,
polyscrbate 40, propylene gtycol, glycefoi
(Tionostearate 40-55. liquid paraffin, rnedium-
chain triglycerdes, S(xt»c acid, colloidal aiViydicus
silica, sodium hydroxide. Uses: Unguantum U

15. has emolliem properties and is recotiimer>ded (or
tfte symptomatFC treatment of dermatitis, nappy
rasti. ichttiyosis, eczema, proiection of raw and
abraded skin areas, pruriius and related skjn
conditions where dry scaly skin is a problem, and
as a pre-ba!hing emollient for dry/ eczematous
skin, to alleviate drying effects II ts also used as
3 diluent for various topical corticostemid
formulatioos where a lowe* strength preparation
Is r e q u i f E d and as a general base for
eKtemporaneous dispensing Dosage and
adrninistration: A ihin application of c e a m should
be gently massaged mW the skin three limes
daily or at appropriate intwvals When used as a
protective cream Unguentum M should be
applied spanngiy to the affected areas of Ihe skm
beioFe, or immsdiately after, eiposije lo a potentially
harrTTful factor. Contia-indications, warnings etc:
Unguenlum M should l o t be used m patients
sensitive to any of the ingredients Undesirable
effects: None known Package quantities: SOg
and lOOg lubes SOOg tub ana ^OOmi pump pack
Basic NHS cost: 50g C1 59. lOOg E3.13. 500g
C9.55.200nil e6.19. l ^ calegCHV: GSL Poduct
licence number PL 00327/0115. PtodDct licence
holder. Crootes Heaircare Ud. Notmgrem NG2 3AA.
Unpronounceable
You may have difficulties saying it, but for patients who need
an ointment yet prefer a cream, it's well worth the effort.
Unguentum M is a moisturising, lipid-based emollient with
water-miscible

16. characteristics which make it ambiphilic.
C KOIJKKS IIFALTHCAKE
CHCSK04-96-C
Date of preparaiion: September 2004
Because of this it's easy to apply for the symptomatic relief of
eczema,
dermatitis and other conditions that can leave skin dry and
scaly.
Unguentum M. Works like an ointment, feels like a cream.
www.crool(es.co.uWhcpsefvices
Question 1
Search the Library on the following topic: Evidence-Based
Research (EBR). What background (if any) do you have with
EBR? Share with the class any challenges you face with your
evidence-based capstone project. Choose a classmate's entry and
note how you would approach the challenges. Question 2
Search the Library on the following topic: Change Model.
Which change model do you think will work best for your
evidence-based capstone project? Explain
Question 3
Search the Library on the following topic: Marketing Analysis.
What information did you find that can be used in your CLC
Business Plan as the best approach to marketing the plan, both
internally and externally?
Question 4
Read "A Good Business Plan Can Put Your Practice in the
Driving Seat." The article mentions the competitive nature of
the general practice. How can a well-written business plan

17. provide a competitive edge? (check attachments for articles)