Assignment 1: LASA 2: Implementing Six Sigma at Wishmewell Hospital Emergency departments (ED) at many hospitals have been overwhelmed in the past year, as more patients without health insurance use the ED as a primary care solution. Wait times in the ED are increasing as more and more Americans are using the Emergency Department for their general health concerns. Across the country, the average ED wait time is now 222 minutes (approximately 3 hours, 42 minutes). Wishmewell Hospital's average wait time in the ED is more than five hours, and the board of directors is concerned about this long wait time. The danger is that a patient's condition may escalate during his/her waiting time in Wishmewell's ED. The board has tasked you to take on a new quality improvement initiative to decrease wait time in the ED using the Six Sigma approach. Develop a quality improvement program using the Six Sigma approach to decrease waiting time in Wishmewell's emergency department. The quality improvement program must include the following elements in an approximately 10-page MS Word document: · Describe the goals and objectives of your plan to decrease ER wait times at Wishmewell. · Describe each step of the Six Sigma (DMAIC) process: · Define the problem · Measure the process; what Six Sigma tools will you use? · Analyze the data; what tools will you use to analyze the data? · Improve the process; explain your improvement plan · Control; how will you continue to monitor the results and adjust as necessary? · Describe the key players (stakeholders) who should be members of your implementation team and explain why teamwork is an important factor in implementing a quality improvement program. · Explain at least three factors that might inhibit the implementation of your decreased wait time program. Submit the quality improvement program plan to the M5: Assignment 1 Dropbox by Saturday, November 2, 2013. Assignment 1 Grading Criteria Maximum Points Described the goals and objectives of the plan to decrease ED wait times at Wishmewell Hospital. 48 Described each step of the Six Sigma (DMAIC) process. 88 Described the key players (stakeholders) who should be members of your implementation team and explained the importance of implementing a quality improvement program. 52 Explain at least three factors that might inhibit the implementation of your decreased wait time program. 48 Style (8 points): Tone, audience, and word choice Organization (16 points): Introduction, transitions, and conclusion Usage and Mechanics (16 points): Grammar, spelling, and sentence structure APA Elements (24 points): In-text citations and references, paraphrasing, and appropriate use of quotations and other elements of style 64 Total: 300 Sample Exam Questions NOTE: THE STYLE OF QUESTIONS APEARING IN YOUR EXAMINATION WILL BE SIMILAR TO THOSE GIVEN BELOW. THIS, HOWEVER, DOES NOT IMPLY THAT THESE QUESTIONS ARE IN THE EXAMINATION. 1. Introduction to AIS 1.1 De ...

1. Assignment 1: LASA 2: Implementing Six Sigma at
Wishmewell Hospital
Emergency departments (ED) at many hospitals have been
overwhelmed in the past year, as more patients without health
insurance use the ED as a primary care solution. Wait times in
the ED are increasing as more and more Americans are using
the Emergency Department for their general health concerns.
Across the country, the average ED wait time is now 222
minutes (approximately 3 hours, 42 minutes).
Wishmewell Hospital's average wait time in the ED is more than
five hours, and the board of directors is concerned about this
long wait time. The danger is that a patient's condition may
escalate during his/her waiting time in Wishmewell's ED.
The board has tasked you to take on a new quality improvement
initiative to decrease wait time in the ED using the Six Sigma
approach.
Develop a quality improvement program using the Six Sigma
approach to decrease waiting time in Wishmewell's emergency
department.
The quality improvement program must include the following
elements in an approximately 10-page MS Word document:
· Describe the goals and objectives of your plan to decrease ER
wait times at Wishmewell.
· Describe each step of the Six Sigma (DMAIC) process:
· Define the problem
· Measure the process; what Six Sigma tools will you use?
· Analyze the data; what tools will you use to analyze the data?

2. · Improve the process; explain your improvement plan
· Control; how will you continue to monitor the results and
adjust as necessary?
· Describe the key players (stakeholders) who should be
members of your implementation team and explain why
teamwork is an important factor in implementing a quality
improvement program.
· Explain at least three factors that might inhibit the
implementation of your decreased wait time program.
Submit the quality improvement program plan to the M5:
Assignment 1 Dropbox by Saturday, November 2, 2013.
Assignment 1 Grading Criteria
Maximum Points
Described the goals and objectives of the plan to decrease ED
wait times at Wishmewell Hospital.
48
Described each step of the Six Sigma (DMAIC) process.
88
Described the key players (stakeholders) who should be
members of your implementation team and explained the
importance of implementing a quality improvement program.
52
Explain at least three factors that might inhibit the
implementation of your decreased wait time program.
48
Style (8 points): Tone, audience, and word choice
Organization (16 points): Introduction, transitions, and
conclusion
Usage and Mechanics (16 points): Grammar, spelling, and
sentence structure
APA Elements (24 points): In-text citations and references,
paraphrasing, and appropriate use of quotations and other

3. elements of style
64
Total:
300
Sample Exam Questions
NOTE: THE STYLE OF QUESTIONS APEARING IN YOUR
EXAMINATION
WILL BE SIMILAR TO THOSE GIVEN BELOW. THIS,
HOWEVER, DOES NOT IMPLY
THAT THESE QUESTIONS ARE IN THE EXAMINATION.
1. Introduction to AIS
1.1 Define a management information system. (2)
1.2 Do you agree with the statement “Not every company needs
an AIS system.”? Please explain. (2)
1.3 Why is it important for accounting students to gain

4. knowledge about Accounting Information Systems? (2)
2. Enterprise Systems, Transaction Processing and Systems
Documentation
2.1 Define enterprise resource planning (ERP) systems and
give two examples of common ERP add-on modules. (3)
2.2 Describe five advantages of an enterprise system. (2.5)
i.
ii.
iii.
iv.
v.
2.3 Lexington Company sells a broad range of fashion
products to end users. The company is considering taking

5. customer’s orders on their Web site. (6)
a) What information should Lexington collect from the customer
during this process?
b) What information would need to come from Lexington’s
system to complete the order?
3. System Documentation
3.1 Why should you develop both logical and physical DFDs for
systems? What is the advantage of drawing a logical DFD
before a physical DFD for a new information system? (4)

6. 3.2 EspressoCoffee customers place an online order.
EspressoCoffee processes the customer order by sending a
request to the credit card company to verify the customer’s
good credit standing. The items are verified for availability. The
shipment is processed and sent to the warehouse. An invoice is
generated from the sales information and emailed to the
customers. The corresponding database tables are updated.
Draw the related logical level 0 DFD. (8)

7. 4. General Ledger and Reporting System
4.1 “Defining the codes for a chart of accounts is no big deal –
nothing is permanent –I can change it at any time in the future.”
Why do you agree (or disagree) with this statement? (3)
4.2 Explain the functions of the general ledger and reporting
system. (4)
5. Revenue cycle
5.1 Explain the logical sequence of data flows in the Sales
Order Entry process (4)

8. 5.2 Explain the purpose of a Customer Relationship
Management system. (2)
6. Expenditure Cycle
6.1 Explain why ambiguities and conflicts exist among
operations process goals of the purchase process. (4)

9. 6.2 Explain two possible scenarios of fraudulent behaviour
related to the Expenditure Cycle. (4)
7. Controls
7.1 If it were not for the potential of computer crime, the
emphasis on controlling computer systems would decline
significantly in importance. Do you agree? Discuss in detail. (2)

10. 7.3 If input data are entered into the system completely and
accurately, then the information system control goals of
ensuring update completeness and of ensuring update accuracy
will be automatically achieved. Discuss. (2)
7.4 In small companies with few employees, it is virtually
impossible to implement the segregation of duties control plan.
Do you agree or disagree with this statement? Discuss your
answer. (2)
7.5 No matter how sophisticated a system of internal control
is, its success ultimately requires that you place your trust in
certain key personnel. Do you agree? Discuss in detail. (2)

11. 5.1 Public Key Cryptography is an important facilitator of
secure electronic commerce over the Internet. Describe, with
the aid of a labelled diagram, how credit-card information is
shared with an ecommerce vendor for payment of goods
purchased over the Internet. (5)
Diagram (2)
Explanation (3)

12. 8. SAP Concepts (GL, AR, AP, Auditing)
8.1 Distinguish client, company code, chart of accounts and
business area. (2)
8.2 What is the difference between a fiscal year variant and a
posting period variant? How are they used? (2)
8.3 What are internal and external number ranges? Why is
internal numbering preferred? (2)

13. 8.4. Design a year-independent fiscal year variant for a business
with quarterly reporting. The fiscal year runs from 16 May in
year 0 to 15 May in year 1. (4)

14. 9. Database Theory and SQL
9.1 A University uses a relational database. The ‘Course Table’
contains information about all courses the University provides,
including the assigned convenor. The ‘Course Schedule Table’
lists the course timetable and the allocated lecture theatre. The
‘Theatre Table’ has information on theatre capacity (venue size)
etc.
[Sample table data would be provided]
The University is planning to use the following SQL statements
to query the tables mentioned above. What would be the
expected outcome of the statement?
SELECT CourseName, Convenor, Venue
FROM [Course Table], [Course Schedule]
WHERE [Course Table].Course = [Course Schedule].Course ;
a. Enter your answer in the blank table. (2)
b. Write a SQL statement that lists the Course Number,
CourseName, Convenor and Venue Size. The venue sizes should
appear in ascending order. (2)

15. 9.2 Given the following relations
Master (ProdNo, Location, Description, UnitCost, QOH,
Reorder, Book, DeptID)
Dept (DepartmentID, DepartmentName)
Write a SQL Query to display all Department Names for all
Products in MASTER
9.3 Why is normalization important for relational databases?
Provide three arguments. (3)
i.
ii.
iii.
10. AIS Acquisition and Implementation
10.1 What is a Gantt chart and how can it support the

16. implementation of an AIS? (2)
10.2 A vendor would never propose a system that would not
meet an organiization’s needs. Therefore, external validation of
vendor proposals is not really needed. Do you agree? Justify
your answer. (2)
10.3 Explain the concept of a ‘direct conversion’ strategy. What
are the risks of such an approach? (2)
10.4 List and describe four ways that an accountant may be
involved in the AIS acquisition process? (4s)

17. ADDITIONAL REVIEW MATERIAL
1 Answer ALL SAP Self Study Questions
2 Answer ALL SQL Questions from Workshop Week 13
3 Review ALL Questions listed in the weekly Topic Outline
(Review Questions for Self Study)
4 Review ANY Questions listed in the weekly Workshop
document (if provided)