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1/26/2021 Rubric Assessment - MHA5030-Current Economics
in Healthcare SU01 - South University
https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr
ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=363
100&evalObjectType=1&userId=4901&viewTypeId=3&rubricId
=218312&… 1/3
Criteria
No Submission
0 points
Emerging (F
through D
Range) (1-41)
41 points
Satisfactory (C
Range) (42-48)
48 points
Proficient (B
Range) (49-53)
53 points
Exemplary (A
Range) (54-60)
60 points
Criterion
Score
Includes all
assignment
components and
meets graduate
level critical
thinking. A
purpose
statement is
identified for the
response.
/ 60Student did not
submit
assignment
Work minimally
meets
assignment
expectations. No
purpose
statement is
provided.
Assignment
meets some
expectations
with minimal
depth and
breath. Purpose
statement is
vague.
Assignment meets
most of
expectations with
all components
being addressed in
good depth and
breadth. Purpose
statement is
present and
appropriate for the
assignment.
Assignment meets
all expectations
with exceptional
depth and breath.
A comprehensive
purpose
statement
delineates all
requirements of
the assignment.
Criteria
No Submission
0 points
Emerging (F
through D
Range) (1-38)
38 points
Satisfactory (C
Range) (39-43)
43 points
Proficient (B
Range) (44-49)
49 points
Exemplary (A Range)
(50-55)
55 points
Criterion
Score
Integrates and
understands
assignments
concepts and
topics.
/ 55Student did not
submit
assignment
Shows some
degree of
understanding of
assignment
concepts.
Demonstrates a
clear
understanding of
assignment
concepts.
Demonstrates the
ability to evaluate
and apply key
assignment
concepts.
Demonstrates the
ability to evaluate,
apply and integrate
key assignment
concepts.
Criteria
No Submission
0 points
Emerging (F
through D
Range) (1-34)
34 points
Satisfactory (C
Range) (35-39)
39 points
Proficient (B
Range) (40-44)
44 points
Exemplary (A Range)
(45-50)
50 points
Criterion
Score
1/26/2021 Rubric Assessment - MHA5030-Current Economics
in Healthcare SU01 - South University
https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr
ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=363
100&evalObjectType=1&userId=4901&viewTypeId=3&rubricId
=218312&… 2/3
Total / 175
Overall Score
Synthesizes,
analyses,
and
evaluates
resources
to apply
concepts in
the
assignment.
/ 50Student did not
submit
assignment
Does not
interpret, apply,
and synthesize
concepts, and/or
strategies.
Summarizes
information
gleaned from
sources to support
major points, but
does not
synthesize.
Provides minimal
justification to
support major
topics. Uses 1
credible resource
in the assignment.
Synthesizes and
justifies (defends,
explains, validates,
confirms)
information
gleaned from
sources to support
major points
presented. Uses a
minimum of 2
credible resources
in the assignment.
Synthesizes and
justifies (defends,
explains, validates,
confirms) information
gleaned from sources
to support major
points presented.
Uses 3 credible
resources for the
assignment, including
at least 1 scholarly
peer-reviewed
resource.
Criteria
No Submission
0 points
Emerging (F
through D Range)
(1-6)
6 points
Satisfactory (C
Range)
7 points
Proficient (B
Range)
8 points
Exemplary (A
Range) (9-10)
10 points
Criterion
Score
Uses correct
spelling, grammar,
and professional
vocabulary.
Provides credible
resources using
correct APA
format.
/ 10Student did not
submit
assignment
Contains many (≥
5) grammar,
spelling,
punctuation and
APA errors that
interfere with the
reader’s
understanding
Contains a few
(3–4) grammar,
spelling,
punctuation and
APA errors.
Uses correct
grammar,
spelling, and
punctuation with
no errors.
Contains a few
(1–2) APA
format errors.
Uses correct
grammar,
spelling, and
punctuation with
no errors. Uses
correct APA
format with no
errors.
1/26/2021 Rubric Assessment - MHA5030-Current Economics
in Healthcare SU01 - South University
https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr
ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=363
100&evalObjectType=1&userId=4901&viewTypeId=3&rubricId
=218312&… 3/3
Close
No Submission
0 points
minimum
Emerging (F through D
Range)
1 point minimum
Satisfactory (C
Range)
123 points minimum
Proficient (B
Range)
140 points minimum
Exemplary (A
Range)
157 points minimum
IT for Management: On-Demand Strategies for Performance,
Growth, and Sustainability
Eleventh Edition
Turban, Pollard, Wood
Chapter 2
Information Systems, IT Architecture, Data Governance, and
Cloud Computing
Learning Objectives (1 of 5)
2
Copyright ©2018 John Wiley & Sons, Inc.
Figure 2.2 IPOS Cycle
3
Copyright ©2018 John Wiley & Sons, Inc.
Figure 2.3: Components of an Information System
4
Copyright ©2018 John Wiley & Sons, Inc.
Data, Information, Knowledge, & Wisdom
Raw data describes products, customers, events, activities, and
transactions that are recorded, classified, and stored.
Information is processed, organized, or put into context data
with meaning and value to the recipient.
Knowledge applies understanding, experience, accumulated
learning, and expertise to current problem.
Wisdom applies a moral code and prior experiences to form a
judgement.
5
Copyright ©2018 John Wiley & Sons, Inc.
Figure 2.4: Examples of Data, Information, Knowledge, and
Wisdom
6
Copyright ©2018 John Wiley & Sons, Inc.
Figure 2.5 Input-Processing-Output Model
7
Copyright ©2018 John Wiley & Sons, Inc.
Figure 2.6 Hierarchy of Information Systems, Input/Output and
User Levels
8
Copyright ©2018 John Wiley & Sons, Inc.
Transaction Processing Systems (TPS)
Internal transactions: originate or occur within the organization
(payroll, purchases, etc.)
External transactions: originate outside the organization
(customers, suppliers, etc.)
Improve sales, customer satisfaction, and reduce many other
types of data errors with financial impacts
9
Copyright ©2018 John Wiley & Sons, Inc.
Batch v. Online Real-Time Processing
Batch Processing: collects all transactions for a time period,
then processes the data and updates the data store
OLTP: processes each transaction as it occurs (real -time)
Batch processing costs less than OLTP, but may be inaccurate
from update delays
10
Copyright ©2018 John Wiley & Sons, Inc.
Management Information Systems (MIS)
General-purpose reporting systems that provide reports to
managers for tracking operations, monitoring, and control.
Periodic: reports created or run according to a pre-set schedule.
Exception: generated only when something is outside designated
parameters.
Ad Hoc, or On Demand: unplanned, generated as needed.
11
Copyright ©2018 John Wiley & Sons, Inc.
Decision Support Systems (DSS) (1 of 2)
Interactive, knowledge-based applications that support decision
making
Support unstructured and unstructured decisions with the
following characteristics:
Easy-to-use interactive interface
Models or formulas that enable sensitivity analysis
Data from multiple sources
Can be used for open-ended What-if analysis and more
structured Goal-seeking
12
Copyright ©2018 John Wiley & Sons, Inc.
Executive Information Systems (EIS)
Strategic-level information systems that help executives and
senior managers analyze the environment in which the
organization exists
Used to identify log-term trends and plan appropriate actions
Weakly structured data from both internal and external sources
Designed to be easily operated by executives
13
Copyright ©2018 John Wiley & Sons, Inc.
Information Systems Components and Classification
Name the six components of an IS.
Describe the differences between data, information, knowledge,
and wisdom.
Define TPS and give an example.
Explain why TPSs need to process incoming data before they
are stored.
Define MIS and DSS and give an example of each.
What characteristics distinguish a DSS from an MIS?
What level of personnel typically use an EIS?
What factors determine IS value?
14
Copyright ©2018 John Wiley & Sons, Inc.
Learning Objectives (2 of 5)
15
Copyright ©2018 John Wiley & Sons, Inc.
Figure 2.10
16
Copyright ©2018 John Wiley & Sons, Inc.
IT Infrastructure
Inventory of the physical IT devices that an organization owns
and operates
Describes organization’s entire collection of hardware,
software, networks, data centers, facilities and related
equipment
Does not include people or process components of an IS
17
Copyright ©2018 John Wiley & Sons, Inc.
IT Architecture
Guides the process of planning, acquiring, building, modifying,
interfacing and deploying IT resources in a single department
within an organization
Should offer a way to systematically identify technologies that
work together to satisfy the needs of the departments’ users
Blueprint for how future technology acquisitions and
deployment will take place
18
Copyright ©2018 John Wiley & Sons, Inc.
Enterprise architecture (EA)
Reviews all the information systems across all departments in
an organization to develop a strategy to organize and integr ate
the organization’s IT Infrastructures
Helps meet the current and future goals of the enterprise and
maximize the value of technology to the organization.
The way IT systems and processes are structured
Solves two critical challenges: where are we going; how do we
get there?
19
Copyright ©2018 John Wiley & Sons, Inc.
Decision Support Systems (DSS) (2 of 2)
Strategic Focus
IT systems’ complexity
Poor business alignment
Business and IT Benefits of EA
Cuts IT costs; increases productivity with information, insight,
and ideas
Determines competitiveness, flexibility, and IT economics
Aligns IT capabilities with business strategy to grow, innovate,
and respond to market demands
Reduces risk of buying or building systems and enterprise apps
20
Copyright ©2018 John Wiley & Sons, Inc.
Measuring EA Success: KPIs
Key Performance Indicators (KPIs) are measures that
demonstrate the effectiveness of a business process at achieving
organizational goals. They present data in easy-to-comprehend
and comparison-ready formats.
KPIs measure financial, social media, sales and marketing,
operations and supply chain, or environmental data.
KPI examples are current ration; accounts payable turnover; net
profit margin; new followers per week; cost per lead; order
status.
21
Copyright ©2018 John Wiley & Sons, Inc.
EA Components
22
Copyright ©2018 John Wiley & Sons, Inc.
IT Infrastructure, IT Architecture, and Enterprise Architecture
What is the purpose of the IT infrastructure?
How is the IT infrastructure different from the IT architecture?
What is the purpose of an enterprise architecture?
What are the business benefits of EA?
Explain why it is necessary for the EA to maintain alignment
between IT and business strategy?
Explain KPIs and give an example.
23
Copyright ©2018 John Wiley & Sons, Inc.
Learning Objectives (3 of 5)
24
Copyright ©2018 John Wiley & Sons, Inc.
Information Management
The use of IT tools and methods to collect, process, consolidate,
store, and secure data from sources that are often fragmented
and inconsistent
Why a continuous plan is needed to guide, control, and govern
IT growth
Information management is critical to data security and
compliance with continually evolving regulatory requirements,
such as the Sarbanes-Oxley Act, Basel III, the Computer Fraud
and Abuse Act (CFAA), the USA PATRIOT Act, and the Health
Insurance Portability and Accountability Act (HIPAA)
25
Copyright ©2018 John Wiley & Sons, Inc.
Reasons for Information Deficiencies
Information deficiencies are still a problem, caused by:
Data Silos, trapping information in stand alone data stores not
accessible by other information systems
Lost or bypassed data, due to flaws in the data collection
process
Poorly designed interfaces
Nonstandardized data formats, impeding efficient analysis
Cannot hit moving targets, because data tracking requirements
keep changing
26
Copyright ©2018 John Wiley & Sons, Inc.
Reasons for Information Deficiencies: Data Silos
Figure 2.14 Data (or information) silos are ISs that do not have
the capability to exchange data with other ISs, making timely
coordination and communication across functions or
departments difficult.
27
Copyright ©2018 John Wiley & Sons, Inc.
27
Information Management Benefits
Business benefits of information management
Improves decision quality
Improves the accuracy and reliability of management
predictions
Reduces the risk of noncompliance
Reduces time and cost
28
Copyright ©2018 John Wiley & Sons, Inc.
Enterprise Data Governance
Data governance is the control of enterprise data through formal
policies and procedures to help ensure data can be trusted and
are accessible.
Enterprise-wide Data Governance
Crosses boundaries and used by people through the enterprise.
Reduces legal risks associated with unmanaged or inconsistently
managed information.
Copyright ©2018 John Wiley & Sons, Inc.
29
Data Governance: Master Data & Management
Master Data & Management (MDM)
Synchronizes critical data from disparate systems into one
master file
Creates high-quality trustworthy data:
Running the business with transactional or operational use
Improving the business with analytic use
Requires strong data governance to manage availability,
usability, integrity, and security
30
Copyright ©2018 John Wiley & Sons, Inc.
Information Management and Data Governance
What is information management?
What is a the “silo effect” and how does it affect business
performance?
What three factors are driving collaboration and information
sharing?
What are the business benefits of information management?
Explain why it is important to develop an effective data
governance program?
Explain the purposes of master data management.
Why has interest in data governance and MDM increased?
31
Copyright ©2018 John Wiley & Sons, Inc.
Learning Objectives (4 of 5)
32
Copyright ©2018 John Wiley & Sons, Inc.
Data Centers and Cloud Computing
Data Centers and Cloud Computing are types of IT
infrastructures or computing systems.
Data Center also refers to a physical facility.
Houses large numbers of network servers used for the storage,
processing, management, distribution, and archiving of data,
systems, Web traffic, services, and enterprise applications.
National Climatic Data Center U.S. Nation Security Agency
Apple
33
Copyright ©2018 John Wiley & Sons, Inc.
When a Data Center Goes Down, So Does Business
Business is Reliant Upon data
Uber (car-hailing service)
Users flooded social media with complaints when they
experienced an hour-long outage
WhatsApp (smartphone text-messaging service)
Competition added 2 million new registered users within 24
hours of WhatsApp outage (a record)
34
Copyright ©2018 John Wiley & Sons, Inc.
Data Virtualization
Data Virtualization
Cisco’s single solution integrating computing, storage,
networking, virtualization, and management into a single
(unified) platform
Virtualization gives greater IT flexibility and cutting costs:
Instant access to data any time in any format
Respond faster to changing data analytic needs
Cut complexity and cost
35
Copyright ©2018 John Wiley & Sons, Inc.
Data Virtualization Benefits
Data Virtualization compared to traditional data integration and
replication methods:
36
Copyright ©2018 John Wiley & Sons, Inc.
36
The Software–Defined Data Center (SDDC)
An SDDC facilitates the integration of the various infrastructure
silos within organizations.
Optimizes the use of resources, balances workloads
Maximizes operational efficiency by dynamically distributing
workloads and provisioning networks
SDDC Goals: decrease costs and increase agility, policy
compliance and security by deploying, operating, managing and
maintaining applications.
37
Copyright ©2018 John Wiley & Sons, Inc.
Figure 2.18 SDDC Infrastructure
38
Copyright ©2018 John Wiley & Sons, Inc.
Cloud Computing
What is “The Cloud”?
A general term for infrastructure that uses the Internet and
private networks to access, share, and deliver computing
resources
Scalable delivery as a service to end-users over a network
Should be approached with greater diligence than other IT
decisions as a new technology including Vendor Management
and Cloud Service Agreements (CSAs)
39
Copyright ©2018 John Wiley & Sons, Inc.
Cloud Computing Types
Private Cloud: Single-tenant environments with stronger
security and control (retained) for regulated industries and
critical data.
Public Cloud: Multiple-tenant virtualized services utilizing the
same pool of servers across a public network (distributed).
40
Copyright ©2018 John Wiley & Sons, Inc.
Cloud Computing CSAs
Cloud Service Agreements
A negotiated agreement between a company and service
provider that can be a legally binding contract or an informal
contract.
The goal is not building the best CSA terms, but getting the
terms that are most meaningful to the business needs.
41
Copyright ©2018 John Wiley & Sons, Inc.
Cloud Infrastructure
The Value of the Cloud Infrastructure:
Dynamic, not static
Provides a way to make apps and computing power available on
demand because they are provided as a service
Referred to as Software As A Service, or SaaS. (examples:
Google Apps and Salesforce.com)
Helps companies become more agile and responsive while
significantly reducing IT costs and complexity
Large organizations are moving to Enterprise Clouds.
42
Copyright ©2018 John Wiley & Sons, Inc.
Data Centers, Cloud Computing, and Virtualization (1 of 2)
What is a data center?
What is the difference between on premise data centers and
cloud computing?
What is an SDDC?
What are the advantages of using an SDDC?
How can cloud computing solve the problems of managing
software licenses?
What factors should be considered when selecting a cloud
vendor or provider?
When are private clouds used instead of public clouds?
Explain three issues that need to be addressed when moving to
cloud computing or services.
43
Copyright ©2018 John Wiley & Sons, Inc.
Learning Objectives (5 of 5)
44
Copyright ©2018 John Wiley & Sons, Inc.
Cloud Services and Virtualization
Sustaining performance requires new business apps and
analytics capabilities, which comprise the front end,― and the
data stores and digital infrastructure, or back end, to support
them.
The back end is where the data reside.
Data may have to navigate through a congested IT infrastructure
that was first designed decades ago.
Cloud Services are services made available to users on demand
via the Internet from a cloud computing provider's servers
instead of being accessed through an organization’s on-premises
servers.
45
Copyright ©2018 John Wiley & Sons, Inc.
Anything-As-A-Service Models
There are different types of Cloud Service Model
Software as a Service (SaaS)
End-user apps, like SalesForce
Platform as a Service (PaaS)
Tools and services making coding and deployment faster and
more efficient, like Google App Engine
Infrastructure as a Service (IaaS)
Hardware and software that power computing resources, like
EC2 & S3 (Amazon Web Services)
Data as a Service (DaaS)
Data shared among clouds, systems, apps, regardless the data
source or storage location
46
Copyright ©2018 John Wiley & Sons, Inc.
Data Centers, Cloud Computing, and Virtualization
Figure 2.17 Virtual machines running on a simple computer
hardware layer. Virtualization: created by a software layer
(virtualization layer) containing its own operating system and
applications as a physical computer.
47
Copyright ©2018 John Wiley & Sons, Inc.
47
Virtualization Concepts
A virtual machine is a software-created computer. Technically,
a virtual machine (VM) is created by a software layer, called
the virtualization layer.
That layer has its own Windows or other OS and apps, such as
Microsoft Office, as if it were an actual physical computer.
A VM behaves exactly like a physical computer and contains its
own virtual―that is, software-based―CPU, RAM (random
access memory), hard drive, and network interface card (NIC).
48
Copyright ©2018 John Wiley & Sons, Inc.
Virtualization Benefits
Characteristics & Benefits
Memory-intensive
Huge amounts of RAM due to massive processing requirements
Energy-efficient
Up to 95% reduction in energy use per server through less
physical hardware
Scalability and load balancing
Handles dynamic demand requests like during the Super Bowl
or World Series
49
Copyright ©2018 John Wiley & Sons, Inc.
Data Centers, Cloud Computing, and Virtualization Questions
(2 of 2)
What is SaaS?
What is PaaS?
What is IaaS?
How might companies risk violating regulation or compliance
requirements with cloud services?
In what ways is a virtualized information system different from
a traditional information system?
Describe the different types of Virtualization.
What is load balancing and why is it important?
50
Copyright ©2018 John Wiley & Sons, Inc.
Copyright
Copyright © 2018 John Wiley & Sons, Inc.
All rights reserved. Reproduction or translation of this work
beyond that permitted in Section 117 of the 1976 United States
Act without the express written permission of the copyright
owner is unlawful. Request for further information should be
addressed to the Permissions Department, John Wiley & Sons,
Inc. The purchaser may make back-up copies for his/her own
use only and not for distribution or resale. The Publisher
assumes no responsibility for errors, omissions, or damages,
caused by the use of these programs or from the use of the
information contained herein.
51
Copyright ©2018 John Wiley & Sons, Inc.
51
1/26/2021 Rubric Assessment - MHA5030-Current Economics
in Healthcare SU01 - South University
https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr
ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=359
329&evalObjectType=5&userId=4901&groupId=0&rubricId=29
&d2l_bod… 1/3
Criteria
Unacceptable
0 points
Emerging (F
through D
Range)
27 points
Satisfactory (C Range)
31 points
Above Average (B
Range)
35 points
Exemplary (A
Range)
40 points
Criterion
Score
Quality
of
Initial
Posting
/ 40No initial posting to
evaluate
The information
provided is
inaccurate, not
focused on the
assignment’s topic,
and/or does not
answer the
question(s) fully.
Response
demonstrates
incomplete
understanding of the
topic and/or
inadequate
preparation.
The information provided is
accurate, giving a basic
understanding of the
topic(s) covered. A basic
understanding is when you
are able to describe the
terms and concepts
covered. Despite this basic
understanding, initial
posting may not include
complete development of
all aspects of the
assignment.
The information provided is
accurate, displaying a good
understanding of the topic(s)
covered. A good
understanding is when you
are able to explain the terms
and topics covered. Initial
posting demonstrates sincere
reflection and addresses
most aspects of the
assignment, although all
concepts may not be fully
developed.
The information
provided is accurate,
providing an in-depth,
well thought-out
understanding of the
topic(s) covered. An in-
depth understanding
provides an analysis of
the information,
synthesizing what is
learned from the
course/assigned
readings.
Criteria
Unacceptable
0 points
Emerging (F
through D
Range)
13 points
Satisfactory (C
Range)
15 points
Satisfactory (C
Range)
17 points
Exemplary (A
Range)
20 points
Criterion
Score
Participation
in
Discussion
/ 20No responses to
other classmates in
this discussion forum
May include one or
more of the
following:
*Comments to only
one other student's
post.
*Comments are not
substantive, such as
Comments to two or
more classmates’ initial
posts but only on one
day of the week.
Comments are
substantive, meaning
they reflect and expand
Comments to two or
more classmates’ initial
posts on more than one
day. Comments are
substantive, meaning
they reflect and expand
on what the other
student wrote.
Comments to two or
more classmates’ initial
posts and to the
instructor's comment (if
applicable) on two or
more days. Responses
demonstrate an analysis
of peers’ comments,
1/26/2021 Rubric Assessment - MHA5030-Current Economics
in Healthcare SU01 - South University
https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr
ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=359
329&evalObjectType=5&userId=4901&groupId=0&rubricId=29
&d2l_bod… 2/3
Total / 80
Overall Score
Writing
Mechanics
(Spelling,
Grammar,
APA) and
Information
Literacy
/ 20
just one line or
saying, “Good job” or
“I agree.
*Comments are off
topic.
on what the other
student wrote.
building on previous
posts. Comments extend
and deepen meaningful
conversation and may
include a follow-up
question.
No postings for
which to evaluate
language and
grammar
Numerous issues in
any of the following:
grammar, mechanics,
spelling, use of slang,
and incomplete or
missing APA
citations and
references. If
required for the
assignment, did not
use course, text,
and/or outside
readings (where
relevant) to support
work.
Some spelling,
grammatical, and/or
structural errors. Some
errors in APA
formatting (citations
and references). If
required for the
assignment, utilizes
sources to support
work for initial post but
not comments to other
students. Sources
include course/text
readings but outside
sources (when relevant)
include non-
academic/authoritative,
such as Wikis and .com
resources.
Minor errors in grammar,
mechanics, or spelling in
the initial posting. Minor
errors in APA formatting
(citations and references).
If required for the
assignment, utilizes
sources to support work
for both the initial post
and some of the
comments to other
students. Sources include
course and text readings
as well as outside sources
(when relevant) that are
academic and
authoritative (e.g., journal
articles, other text books,
.gov web sites,
professional organization
web sites).
Minor to no errors in
grammar, mechanics, or
spelling in both the initial
post and comments to
others. APA formatting is
correct. If required for
the assignment, utilizes
sources to support work
for both the initial post
and the comments to
other students. Sources
include course and text
readings as well as
outside sources (when
relevant) that are
academic and
authoritative (e.g.,
journal articles, other
text books, .gov web
sites, professional
organization web sites).
1/26/2021 Rubric Assessment - MHA5030-Current Economics
in Healthcare SU01 - South University
https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr
ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=359
329&evalObjectType=5&userId=4901&groupId=0&rubricId=29
&d2l_bod… 3/3
Close
Unacceptable
0 points
minimum
Emerging (F through D
Range)
1 point minimum
Satisfactory (C
Range)
54 points minimum
Above Average (B
Range)
62 points minimum
Exemplary (A
Range)
70 points minimum
2
MHA5030 WEEK 3 LECTURE NOTES
The Importance of Supply in Healthcare
In a traditional economic model, demand is important for supply
as supply tends to create a supporting role and reacts only to
changes in demand. Demand changes may come from price, but
unless demand is changed, supply does not change. In order for
policymakers to make a change in the consumption of an item in
the free market, their main tool is price. They can control the
price or tax the good to suppress the amount of the good that is
desired. As an alternative, they can add a subsidy, for instance,
in agriculture, to encourage greater supply. In healthcare, it is
possible for policymakers to add copayments or deductibles
against insured individuals in order to decrease consumption.
Suppliers, also in healthcare, have additional tools to use to
control consumption in the form of capitation, diagnosis-related
groups, or evidence-based practice guidelines. These tools
commonly used in managed care can be very effective in
controlling excessive use of health services.
In your study and this unit, you will examine assumptions of the
free market, which are supply and demand are independently
determined, firms do not have any market power, and there are
no increasing returns of scale or economies. It is incumbent
upon you to examine how these assumptions of the free market
hold true in healthcare.
If a physician acts as an agent for a patient, then the physician
must know what is best for the patient as well as what the
patient would choose as best for himself or herself. Granting
that a physician generally knows more about what’s good for a
patient, due to variation in education and physicians, the chosen
treatment may or may not be best for the patient. In addition, if
the patient has as much information as the physician, the patient
might choose differently.
In addition, you will examine factors such as induced demand,
which may come from a pharmaceutical company that wants the
physician to prescribe a certain drug. It is difficult to determine
when there is induced demand, which supply reacts to, but there
is evidence that it does occur.
Additional Materials
From your course textbook, The Economics of Health
Reconsidered, read the following chapter:
· How Competitive Is the Supply of Healthcare?
From the South University Online Library, read the following
article:
· Unnecessary Care: Is Profit-Driven Healthcare to Blame?
From the Internet, read the following article:
· Mitchell, J. (2010). Effect of physician ownership of specialty
hospitals and ambulatory surgery centers on frequency of use of
outpatient orthopedic surgery. Archives of Surgery, 145(8):
732–738. Retrieved from
http://jamanetwork.com/journals/jamasurgery/article-
abstract/406180
The Profit Motive
In the free market, the profit motive generally leads to
production of goods and services in an efficient way.
Consumers want high-quality products and services at low
prices, and sellers compete in the marketplace to provide them.
Prices are determined in the marketplace by what the market
will bear. This is true if we have several assumptions from
which the consumer can make informed choices. The seller is
not a monopoly, and there are no significant externalities
present that the government might control. So looking at the
profit motive, you will look at two assumptions: firms maximize
profits, and this profit maximization results in efficient
production, leading to the highest consumer welfare.
As mentioned earlier, nonprofit organizations do not necessarily
follow these assumptions, and nonprofit organizations make up
a large part of the healthcare marketplace. So it is impor tant
that we look at the differences in behavior of the two ownership
types in order to understand how healthcare reacts to the profit
motive.
Another complication that we encounter while looking at the
healthcare marketplace in regard to the profit motive is the fact
that nonprofit ownership is strong in a hospital ownership; less
dominant in other areas such as hospice care, health insurance,
nursing home care, and dialysis; has very little influence in
ambulatory surgical care specialty hospitals and physician
services, which are mostly for profit; and in the case of
companies that supply products for healthcare, such as
pharmaceuticals, there are generally no nonprofit influences.
From a policy perspective, because nonprofit organizations
generally perform better in terms of quality and community
service, for areas such as surgical centers in the pharmaceutical
industry, it might make sense for the government to add further
regulations to optimize these industries in terms of price.
Additional Materials
From your course textbook, The Economics of Health
Reconsidered, read the following chapter:
· The Profit Motive in Healthcare
From the South University Online Library, read the following
article:
· Competition in Health Care: Its Evolution over the Past
Decade opens in new window
From the Internet, read the following article:
· Mitchell, J. (2010). Effect of physician ownership of specialty
hospitals and ambulatory surgery centers on frequency of use of
outpatient orthopedic surgery. Archives of Surgery, 145(8):
732–738. Retrieved from
http://jamanetwork.com/journals/jamasurgery/article-
abstract/406180
The Healthcare Workforce
It may seem obvious that without physicians and nurses, there
would be no healthcare, and this makes the segment of the
workforce absolutely critical to understand.
Complications of meeting the supply requirements of these two
human resources certainly include, in both cases, long
educational requirements and high financial costs to achieve the
necessary levels of expertise required. The current and future
requirements for the healthcare workforce become an important
issue for economists and managers in healthcare administration.
One issue concerns the inelasticity of demand, where the
demand for labor is less than the change in wages and working
conditions for nurses or physicians. With government
reimbursement from Medicare and Medicaid controlling
reimbursement, it is difficult for organizations to find
additional funds to help increase supply. Even with insurance
coverage, organizations cannot change prices until the next
contract period, so demand remains inelastic.
In many areas of the country, hospitals have a monopoly and
can control wages and prices, making supply inelastic.
The population of this country is growing at a fairly rapid rate,
so the need for healthcare services continues to expand, maybe
at an even higher rate when the immigrant population comes
from an area with poor healthcare and requires abnormally high
levels of service to make the population healthy. With this and
other factors in mind, there is a serious question of whether we
have an adequate supply of trained medical personnel to support
the population. There is a substantial debate in this country over
whether we have adequate personnel now or for the future.
Clearly, healthcare is complex, and with technology, it becomes
more complex; thus, forecasting the future needs of the country
in healthcare is very difficult. In 1960, physicians made house
calls and worked very long hours, whereas today, physicians
and nurses work a fairly regular work week. Changes such as
the working hours have occurred over time, but this has
complicated the ability to forecast workforce requirements
greatly.
In looking at the labor market in healthcare versus the
assumptions of a perfectly competitive market, it seems clear
that there are challenges to be overcome through policy.
Policies that intervene can be developed, but there is risk, and
tampering with this market and can create unintended
consequences. The ability to forecast accurately will be vital to
this effort.
Additional Materials
From your course textbook, The Economics of Health
Reconsidered, read the following chapter:
· The Healthcare Workforce
From the South University Online Library, read the following
articles:
· Could U.S. Hospitals Go the Way of U.S. Airlines?
· Changes in Hospital Competitive Strategy: A New Medical
Arms Race?
· The Nursing Workforce in an Era of Health Care Reform
MHA5030 Week 3 Discussion Instructions
Discussion Questions
Before beginning work on this discussion forum, please review
the link Doing Discussion Questions Right, the expanded
grading rubric for the forum below, and any specific
instructions for this topic.
Tasks:
· Discuss three methods of forecasting the future requirements
for demand.
· Discuss measures to meet demand for access to medical care
in the future.
· Analyze policy proposals to meet the demands identified.
To support your work, use your course and textbook readings
and also use the South University Online Library. As in all
assignments, cite your sources in your work and provide
references for the citations in APA format.
Provide a substantive 300-500 words) initial discussion posting
addressing each of the components in the discussion question.
Justify your answers with research, examples, and reasoning.
Before the end of the unit, begin commenting on at least two of
your peers' responses. At a minimum, your responses to other
initial posts must be 100 to 200 words each. You can ask
technical questions or generally respond to the overall
experience. Be objective, clear, and concise. Always use
constructive language, even in criticism, to work toward the
goal of positive progress. Submit your responses to the
appropriate topic in this Discussion Area.
MHA5030 Week 3 Project Instructions
Instructions
Introduction
Until the early 1960s, healthcare was largely a not-for-profit
business dominated by foundations that employed physicians.
Over time, for-profit organizations have flourished, and in the
case of some sectors, notably pharmaceuticals, organizations are
almost entirely for-profit. There remain differences in the two
organization types, though they both serve the same population.
A number of behaviors are similar, but there are significant
differences. Understanding these differences and the theories
behind the behaviors they create is an important subject for all
healthcare leaders.
Tasks:
· The nonprofit remains an outlier in the healthcare marketplace
as it does not follow the traditional market model in several
respects. Discuss the differences between the two types of
organizations in terms of quality, service cost, and price.
· Discuss the type of service provider and the type of
organization in view of the price of service.
· Analyze the need for more policies that support nonprofit
models in the healthcare market.
Submission Details:
· Cover this topic in a 5- to 10-page Microsoft Word document.
Use APA standards for citations and references.
· Cite a minimum of three outside peer-reviewed sources to
support your assertions and save it as Week
3_Project_LastName_FirstInitial. Submit the report to
the Submissions Area by the due date assigned.
· Cite any sources using correct APA format on a separate page.

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1262021 Rubric Assessment - MHA5030-Current Economics in Hea

  • 1. 1/26/2021 Rubric Assessment - MHA5030-Current Economics in Healthcare SU01 - South University https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=363 100&evalObjectType=1&userId=4901&viewTypeId=3&rubricId =218312&… 1/3 Criteria No Submission 0 points Emerging (F through D Range) (1-41) 41 points Satisfactory (C Range) (42-48) 48 points Proficient (B Range) (49-53) 53 points Exemplary (A Range) (54-60) 60 points Criterion Score
  • 2. Includes all assignment components and meets graduate level critical thinking. A purpose statement is identified for the response. / 60Student did not submit assignment Work minimally meets assignment expectations. No purpose statement is
  • 3. provided. Assignment meets some expectations with minimal depth and breath. Purpose statement is vague. Assignment meets most of expectations with all components being addressed in good depth and breadth. Purpose statement is present and
  • 4. appropriate for the assignment. Assignment meets all expectations with exceptional depth and breath. A comprehensive purpose statement delineates all requirements of the assignment. Criteria No Submission 0 points Emerging (F through D Range) (1-38) 38 points Satisfactory (C Range) (39-43)
  • 5. 43 points Proficient (B Range) (44-49) 49 points Exemplary (A Range) (50-55) 55 points Criterion Score Integrates and understands assignments concepts and topics. / 55Student did not submit assignment Shows some degree of understanding of assignment
  • 6. concepts. Demonstrates a clear understanding of assignment concepts. Demonstrates the ability to evaluate and apply key assignment concepts. Demonstrates the ability to evaluate, apply and integrate key assignment concepts. Criteria No Submission 0 points
  • 7. Emerging (F through D Range) (1-34) 34 points Satisfactory (C Range) (35-39) 39 points Proficient (B Range) (40-44) 44 points Exemplary (A Range) (45-50) 50 points Criterion Score 1/26/2021 Rubric Assessment - MHA5030-Current Economics in Healthcare SU01 - South University https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=363 100&evalObjectType=1&userId=4901&viewTypeId=3&rubricId =218312&… 2/3 Total / 175 Overall Score Synthesizes,
  • 8. analyses, and evaluates resources to apply concepts in the assignment. / 50Student did not submit assignment Does not interpret, apply, and synthesize concepts, and/or strategies. Summarizes information gleaned from
  • 9. sources to support major points, but does not synthesize. Provides minimal justification to support major topics. Uses 1 credible resource in the assignment. Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points
  • 10. presented. Uses a minimum of 2 credible resources in the assignment. Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Uses 3 credible resources for the assignment, including at least 1 scholarly peer-reviewed resource. Criteria
  • 11. No Submission 0 points Emerging (F through D Range) (1-6) 6 points Satisfactory (C Range) 7 points Proficient (B Range) 8 points Exemplary (A Range) (9-10) 10 points Criterion Score Uses correct spelling, grammar, and professional vocabulary. Provides credible resources using correct APA
  • 12. format. / 10Student did not submit assignment Contains many (≥ 5) grammar, spelling, punctuation and APA errors that interfere with the reader’s understanding Contains a few (3–4) grammar, spelling, punctuation and APA errors. Uses correct
  • 13. grammar, spelling, and punctuation with no errors. Contains a few (1–2) APA format errors. Uses correct grammar, spelling, and punctuation with no errors. Uses correct APA format with no errors. 1/26/2021 Rubric Assessment - MHA5030-Current Economics in Healthcare SU01 - South University https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr
  • 14. ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=363 100&evalObjectType=1&userId=4901&viewTypeId=3&rubricId =218312&… 3/3 Close No Submission 0 points minimum Emerging (F through D Range) 1 point minimum Satisfactory (C Range) 123 points minimum Proficient (B Range) 140 points minimum Exemplary (A Range) 157 points minimum IT for Management: On-Demand Strategies for Performance, Growth, and Sustainability Eleventh Edition
  • 15. Turban, Pollard, Wood Chapter 2 Information Systems, IT Architecture, Data Governance, and Cloud Computing Learning Objectives (1 of 5) 2 Copyright ©2018 John Wiley & Sons, Inc. Figure 2.2 IPOS Cycle 3 Copyright ©2018 John Wiley & Sons, Inc. Figure 2.3: Components of an Information System 4 Copyright ©2018 John Wiley & Sons, Inc. Data, Information, Knowledge, & Wisdom Raw data describes products, customers, events, activities, and transactions that are recorded, classified, and stored. Information is processed, organized, or put into context data with meaning and value to the recipient. Knowledge applies understanding, experience, accumulated learning, and expertise to current problem. Wisdom applies a moral code and prior experiences to form a
  • 16. judgement. 5 Copyright ©2018 John Wiley & Sons, Inc. Figure 2.4: Examples of Data, Information, Knowledge, and Wisdom 6 Copyright ©2018 John Wiley & Sons, Inc. Figure 2.5 Input-Processing-Output Model 7 Copyright ©2018 John Wiley & Sons, Inc. Figure 2.6 Hierarchy of Information Systems, Input/Output and User Levels 8 Copyright ©2018 John Wiley & Sons, Inc. Transaction Processing Systems (TPS) Internal transactions: originate or occur within the organization (payroll, purchases, etc.) External transactions: originate outside the organization (customers, suppliers, etc.) Improve sales, customer satisfaction, and reduce many other types of data errors with financial impacts
  • 17. 9 Copyright ©2018 John Wiley & Sons, Inc. Batch v. Online Real-Time Processing Batch Processing: collects all transactions for a time period, then processes the data and updates the data store OLTP: processes each transaction as it occurs (real -time) Batch processing costs less than OLTP, but may be inaccurate from update delays 10 Copyright ©2018 John Wiley & Sons, Inc. Management Information Systems (MIS) General-purpose reporting systems that provide reports to managers for tracking operations, monitoring, and control. Periodic: reports created or run according to a pre-set schedule. Exception: generated only when something is outside designated parameters. Ad Hoc, or On Demand: unplanned, generated as needed. 11 Copyright ©2018 John Wiley & Sons, Inc. Decision Support Systems (DSS) (1 of 2) Interactive, knowledge-based applications that support decision making Support unstructured and unstructured decisions with the following characteristics: Easy-to-use interactive interface
  • 18. Models or formulas that enable sensitivity analysis Data from multiple sources Can be used for open-ended What-if analysis and more structured Goal-seeking 12 Copyright ©2018 John Wiley & Sons, Inc. Executive Information Systems (EIS) Strategic-level information systems that help executives and senior managers analyze the environment in which the organization exists Used to identify log-term trends and plan appropriate actions Weakly structured data from both internal and external sources Designed to be easily operated by executives 13 Copyright ©2018 John Wiley & Sons, Inc. Information Systems Components and Classification Name the six components of an IS. Describe the differences between data, information, knowledge, and wisdom. Define TPS and give an example. Explain why TPSs need to process incoming data before they are stored. Define MIS and DSS and give an example of each. What characteristics distinguish a DSS from an MIS? What level of personnel typically use an EIS? What factors determine IS value? 14 Copyright ©2018 John Wiley & Sons, Inc.
  • 19. Learning Objectives (2 of 5) 15 Copyright ©2018 John Wiley & Sons, Inc. Figure 2.10 16 Copyright ©2018 John Wiley & Sons, Inc. IT Infrastructure Inventory of the physical IT devices that an organization owns and operates Describes organization’s entire collection of hardware, software, networks, data centers, facilities and related equipment Does not include people or process components of an IS 17 Copyright ©2018 John Wiley & Sons, Inc. IT Architecture Guides the process of planning, acquiring, building, modifying, interfacing and deploying IT resources in a single department within an organization Should offer a way to systematically identify technologies that work together to satisfy the needs of the departments’ users
  • 20. Blueprint for how future technology acquisitions and deployment will take place 18 Copyright ©2018 John Wiley & Sons, Inc. Enterprise architecture (EA) Reviews all the information systems across all departments in an organization to develop a strategy to organize and integr ate the organization’s IT Infrastructures Helps meet the current and future goals of the enterprise and maximize the value of technology to the organization. The way IT systems and processes are structured Solves two critical challenges: where are we going; how do we get there? 19 Copyright ©2018 John Wiley & Sons, Inc. Decision Support Systems (DSS) (2 of 2) Strategic Focus IT systems’ complexity Poor business alignment Business and IT Benefits of EA Cuts IT costs; increases productivity with information, insight, and ideas Determines competitiveness, flexibility, and IT economics Aligns IT capabilities with business strategy to grow, innovate, and respond to market demands Reduces risk of buying or building systems and enterprise apps 20 Copyright ©2018 John Wiley & Sons, Inc.
  • 21. Measuring EA Success: KPIs Key Performance Indicators (KPIs) are measures that demonstrate the effectiveness of a business process at achieving organizational goals. They present data in easy-to-comprehend and comparison-ready formats. KPIs measure financial, social media, sales and marketing, operations and supply chain, or environmental data. KPI examples are current ration; accounts payable turnover; net profit margin; new followers per week; cost per lead; order status. 21 Copyright ©2018 John Wiley & Sons, Inc. EA Components 22 Copyright ©2018 John Wiley & Sons, Inc. IT Infrastructure, IT Architecture, and Enterprise Architecture What is the purpose of the IT infrastructure? How is the IT infrastructure different from the IT architecture? What is the purpose of an enterprise architecture? What are the business benefits of EA? Explain why it is necessary for the EA to maintain alignment between IT and business strategy? Explain KPIs and give an example. 23 Copyright ©2018 John Wiley & Sons, Inc.
  • 22. Learning Objectives (3 of 5) 24 Copyright ©2018 John Wiley & Sons, Inc. Information Management The use of IT tools and methods to collect, process, consolidate, store, and secure data from sources that are often fragmented and inconsistent Why a continuous plan is needed to guide, control, and govern IT growth Information management is critical to data security and compliance with continually evolving regulatory requirements, such as the Sarbanes-Oxley Act, Basel III, the Computer Fraud and Abuse Act (CFAA), the USA PATRIOT Act, and the Health Insurance Portability and Accountability Act (HIPAA) 25 Copyright ©2018 John Wiley & Sons, Inc. Reasons for Information Deficiencies Information deficiencies are still a problem, caused by: Data Silos, trapping information in stand alone data stores not accessible by other information systems Lost or bypassed data, due to flaws in the data collection process Poorly designed interfaces Nonstandardized data formats, impeding efficient analysis Cannot hit moving targets, because data tracking requirements keep changing 26
  • 23. Copyright ©2018 John Wiley & Sons, Inc. Reasons for Information Deficiencies: Data Silos Figure 2.14 Data (or information) silos are ISs that do not have the capability to exchange data with other ISs, making timely coordination and communication across functions or departments difficult. 27 Copyright ©2018 John Wiley & Sons, Inc. 27 Information Management Benefits Business benefits of information management Improves decision quality Improves the accuracy and reliability of management predictions Reduces the risk of noncompliance Reduces time and cost 28 Copyright ©2018 John Wiley & Sons, Inc. Enterprise Data Governance Data governance is the control of enterprise data through formal policies and procedures to help ensure data can be trusted and are accessible. Enterprise-wide Data Governance Crosses boundaries and used by people through the enterprise.
  • 24. Reduces legal risks associated with unmanaged or inconsistently managed information. Copyright ©2018 John Wiley & Sons, Inc. 29 Data Governance: Master Data & Management Master Data & Management (MDM) Synchronizes critical data from disparate systems into one master file Creates high-quality trustworthy data: Running the business with transactional or operational use Improving the business with analytic use Requires strong data governance to manage availability, usability, integrity, and security 30 Copyright ©2018 John Wiley & Sons, Inc. Information Management and Data Governance What is information management? What is a the “silo effect” and how does it affect business performance? What three factors are driving collaboration and information sharing? What are the business benefits of information management? Explain why it is important to develop an effective data governance program? Explain the purposes of master data management. Why has interest in data governance and MDM increased? 31
  • 25. Copyright ©2018 John Wiley & Sons, Inc. Learning Objectives (4 of 5) 32 Copyright ©2018 John Wiley & Sons, Inc. Data Centers and Cloud Computing Data Centers and Cloud Computing are types of IT infrastructures or computing systems. Data Center also refers to a physical facility. Houses large numbers of network servers used for the storage, processing, management, distribution, and archiving of data, systems, Web traffic, services, and enterprise applications. National Climatic Data Center U.S. Nation Security Agency Apple 33 Copyright ©2018 John Wiley & Sons, Inc. When a Data Center Goes Down, So Does Business Business is Reliant Upon data Uber (car-hailing service) Users flooded social media with complaints when they experienced an hour-long outage WhatsApp (smartphone text-messaging service) Competition added 2 million new registered users within 24
  • 26. hours of WhatsApp outage (a record) 34 Copyright ©2018 John Wiley & Sons, Inc. Data Virtualization Data Virtualization Cisco’s single solution integrating computing, storage, networking, virtualization, and management into a single (unified) platform Virtualization gives greater IT flexibility and cutting costs: Instant access to data any time in any format Respond faster to changing data analytic needs Cut complexity and cost 35 Copyright ©2018 John Wiley & Sons, Inc. Data Virtualization Benefits Data Virtualization compared to traditional data integration and replication methods: 36 Copyright ©2018 John Wiley & Sons, Inc. 36 The Software–Defined Data Center (SDDC) An SDDC facilitates the integration of the various infrastructure
  • 27. silos within organizations. Optimizes the use of resources, balances workloads Maximizes operational efficiency by dynamically distributing workloads and provisioning networks SDDC Goals: decrease costs and increase agility, policy compliance and security by deploying, operating, managing and maintaining applications. 37 Copyright ©2018 John Wiley & Sons, Inc. Figure 2.18 SDDC Infrastructure 38 Copyright ©2018 John Wiley & Sons, Inc. Cloud Computing What is “The Cloud”? A general term for infrastructure that uses the Internet and private networks to access, share, and deliver computing resources Scalable delivery as a service to end-users over a network Should be approached with greater diligence than other IT decisions as a new technology including Vendor Management and Cloud Service Agreements (CSAs) 39 Copyright ©2018 John Wiley & Sons, Inc. Cloud Computing Types
  • 28. Private Cloud: Single-tenant environments with stronger security and control (retained) for regulated industries and critical data. Public Cloud: Multiple-tenant virtualized services utilizing the same pool of servers across a public network (distributed). 40 Copyright ©2018 John Wiley & Sons, Inc. Cloud Computing CSAs Cloud Service Agreements A negotiated agreement between a company and service provider that can be a legally binding contract or an informal contract. The goal is not building the best CSA terms, but getting the terms that are most meaningful to the business needs. 41 Copyright ©2018 John Wiley & Sons, Inc. Cloud Infrastructure The Value of the Cloud Infrastructure: Dynamic, not static Provides a way to make apps and computing power available on demand because they are provided as a service Referred to as Software As A Service, or SaaS. (examples: Google Apps and Salesforce.com) Helps companies become more agile and responsive while significantly reducing IT costs and complexity Large organizations are moving to Enterprise Clouds.
  • 29. 42 Copyright ©2018 John Wiley & Sons, Inc. Data Centers, Cloud Computing, and Virtualization (1 of 2) What is a data center? What is the difference between on premise data centers and cloud computing? What is an SDDC? What are the advantages of using an SDDC? How can cloud computing solve the problems of managing software licenses? What factors should be considered when selecting a cloud vendor or provider? When are private clouds used instead of public clouds? Explain three issues that need to be addressed when moving to cloud computing or services. 43 Copyright ©2018 John Wiley & Sons, Inc. Learning Objectives (5 of 5) 44 Copyright ©2018 John Wiley & Sons, Inc. Cloud Services and Virtualization Sustaining performance requires new business apps and analytics capabilities, which comprise the front end,― and the data stores and digital infrastructure, or back end, to support them. The back end is where the data reside.
  • 30. Data may have to navigate through a congested IT infrastructure that was first designed decades ago. Cloud Services are services made available to users on demand via the Internet from a cloud computing provider's servers instead of being accessed through an organization’s on-premises servers. 45 Copyright ©2018 John Wiley & Sons, Inc. Anything-As-A-Service Models There are different types of Cloud Service Model Software as a Service (SaaS) End-user apps, like SalesForce Platform as a Service (PaaS) Tools and services making coding and deployment faster and more efficient, like Google App Engine Infrastructure as a Service (IaaS) Hardware and software that power computing resources, like EC2 & S3 (Amazon Web Services) Data as a Service (DaaS) Data shared among clouds, systems, apps, regardless the data source or storage location 46 Copyright ©2018 John Wiley & Sons, Inc. Data Centers, Cloud Computing, and Virtualization Figure 2.17 Virtual machines running on a simple computer hardware layer. Virtualization: created by a software layer (virtualization layer) containing its own operating system and
  • 31. applications as a physical computer. 47 Copyright ©2018 John Wiley & Sons, Inc. 47 Virtualization Concepts A virtual machine is a software-created computer. Technically, a virtual machine (VM) is created by a software layer, called the virtualization layer. That layer has its own Windows or other OS and apps, such as Microsoft Office, as if it were an actual physical computer. A VM behaves exactly like a physical computer and contains its own virtual―that is, software-based―CPU, RAM (random access memory), hard drive, and network interface card (NIC). 48 Copyright ©2018 John Wiley & Sons, Inc. Virtualization Benefits Characteristics & Benefits Memory-intensive Huge amounts of RAM due to massive processing requirements Energy-efficient Up to 95% reduction in energy use per server through less physical hardware Scalability and load balancing Handles dynamic demand requests like during the Super Bowl or World Series 49
  • 32. Copyright ©2018 John Wiley & Sons, Inc. Data Centers, Cloud Computing, and Virtualization Questions (2 of 2) What is SaaS? What is PaaS? What is IaaS? How might companies risk violating regulation or compliance requirements with cloud services? In what ways is a virtualized information system different from a traditional information system? Describe the different types of Virtualization. What is load balancing and why is it important? 50 Copyright ©2018 John Wiley & Sons, Inc. Copyright Copyright © 2018 John Wiley & Sons, Inc. All rights reserved. Reproduction or translation of this work beyond that permitted in Section 117 of the 1976 United States Act without the express written permission of the copyright owner is unlawful. Request for further information should be addressed to the Permissions Department, John Wiley & Sons, Inc. The purchaser may make back-up copies for his/her own use only and not for distribution or resale. The Publisher assumes no responsibility for errors, omissions, or damages, caused by the use of these programs or from the use of the information contained herein. 51 Copyright ©2018 John Wiley & Sons, Inc.
  • 33. 51 1/26/2021 Rubric Assessment - MHA5030-Current Economics in Healthcare SU01 - South University https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=359 329&evalObjectType=5&userId=4901&groupId=0&rubricId=29 &d2l_bod… 1/3 Criteria Unacceptable 0 points Emerging (F through D Range) 27 points Satisfactory (C Range) 31 points Above Average (B Range) 35 points Exemplary (A Range) 40 points Criterion
  • 34. Score Quality of Initial Posting / 40No initial posting to evaluate The information provided is inaccurate, not focused on the assignment’s topic, and/or does not answer the question(s) fully. Response demonstrates incomplete understanding of the
  • 35. topic and/or inadequate preparation. The information provided is accurate, giving a basic understanding of the topic(s) covered. A basic understanding is when you are able to describe the terms and concepts covered. Despite this basic understanding, initial posting may not include complete development of all aspects of the assignment. The information provided is accurate, displaying a good
  • 36. understanding of the topic(s) covered. A good understanding is when you are able to explain the terms and topics covered. Initial posting demonstrates sincere reflection and addresses most aspects of the assignment, although all concepts may not be fully developed. The information provided is accurate, providing an in-depth, well thought-out understanding of the topic(s) covered. An in- depth understanding
  • 37. provides an analysis of the information, synthesizing what is learned from the course/assigned readings. Criteria Unacceptable 0 points Emerging (F through D Range) 13 points Satisfactory (C Range) 15 points Satisfactory (C Range) 17 points Exemplary (A Range) 20 points Criterion Score
  • 38. Participation in Discussion / 20No responses to other classmates in this discussion forum May include one or more of the following: *Comments to only one other student's post. *Comments are not substantive, such as Comments to two or more classmates’ initial posts but only on one day of the week.
  • 39. Comments are substantive, meaning they reflect and expand Comments to two or more classmates’ initial posts on more than one day. Comments are substantive, meaning they reflect and expand on what the other student wrote. Comments to two or more classmates’ initial posts and to the instructor's comment (if applicable) on two or more days. Responses demonstrate an analysis
  • 40. of peers’ comments, 1/26/2021 Rubric Assessment - MHA5030-Current Economics in Healthcare SU01 - South University https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=359 329&evalObjectType=5&userId=4901&groupId=0&rubricId=29 &d2l_bod… 2/3 Total / 80 Overall Score Writing Mechanics (Spelling, Grammar, APA) and Information Literacy / 20 just one line or saying, “Good job” or
  • 41. “I agree. *Comments are off topic. on what the other student wrote. building on previous posts. Comments extend and deepen meaningful conversation and may include a follow-up question. No postings for which to evaluate language and grammar Numerous issues in any of the following: grammar, mechanics,
  • 42. spelling, use of slang, and incomplete or missing APA citations and references. If required for the assignment, did not use course, text, and/or outside readings (where relevant) to support work. Some spelling, grammatical, and/or structural errors. Some errors in APA formatting (citations and references). If
  • 43. required for the assignment, utilizes sources to support work for initial post but not comments to other students. Sources include course/text readings but outside sources (when relevant) include non- academic/authoritative, such as Wikis and .com resources. Minor errors in grammar, mechanics, or spelling in the initial posting. Minor errors in APA formatting (citations and references).
  • 44. If required for the assignment, utilizes sources to support work for both the initial post and some of the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov web sites, professional organization web sites). Minor to no errors in grammar, mechanics, or
  • 45. spelling in both the initial post and comments to others. APA formatting is correct. If required for the assignment, utilizes sources to support work for both the initial post and the comments to other students. Sources include course and text readings as well as outside sources (when relevant) that are academic and authoritative (e.g., journal articles, other text books, .gov web sites, professional
  • 46. organization web sites). 1/26/2021 Rubric Assessment - MHA5030-Current Economics in Healthcare SU01 - South University https://myclasses.southuniversity.edu/d2l/lms/competencies/rubr ic/rubrics_assessment_results.d2l?ou=74312&evalObjectId=359 329&evalObjectType=5&userId=4901&groupId=0&rubricId=29 &d2l_bod… 3/3 Close Unacceptable 0 points minimum Emerging (F through D Range) 1 point minimum Satisfactory (C Range) 54 points minimum Above Average (B Range) 62 points minimum Exemplary (A
  • 47. Range) 70 points minimum 2 MHA5030 WEEK 3 LECTURE NOTES The Importance of Supply in Healthcare In a traditional economic model, demand is important for supply as supply tends to create a supporting role and reacts only to changes in demand. Demand changes may come from price, but unless demand is changed, supply does not change. In order for policymakers to make a change in the consumption of an item in the free market, their main tool is price. They can control the price or tax the good to suppress the amount of the good that is desired. As an alternative, they can add a subsidy, for instance, in agriculture, to encourage greater supply. In healthcare, it is possible for policymakers to add copayments or deductibles against insured individuals in order to decrease consumption. Suppliers, also in healthcare, have additional tools to use to control consumption in the form of capitation, diagnosis-related groups, or evidence-based practice guidelines. These tools commonly used in managed care can be very effective in controlling excessive use of health services. In your study and this unit, you will examine assumptions of the free market, which are supply and demand are independently determined, firms do not have any market power, and there are no increasing returns of scale or economies. It is incumbent upon you to examine how these assumptions of the free market hold true in healthcare. If a physician acts as an agent for a patient, then the physician must know what is best for the patient as well as what the patient would choose as best for himself or herself. Granting that a physician generally knows more about what’s good for a patient, due to variation in education and physicians, the chosen
  • 48. treatment may or may not be best for the patient. In addition, if the patient has as much information as the physician, the patient might choose differently. In addition, you will examine factors such as induced demand, which may come from a pharmaceutical company that wants the physician to prescribe a certain drug. It is difficult to determine when there is induced demand, which supply reacts to, but there is evidence that it does occur. Additional Materials From your course textbook, The Economics of Health Reconsidered, read the following chapter: · How Competitive Is the Supply of Healthcare? From the South University Online Library, read the following article: · Unnecessary Care: Is Profit-Driven Healthcare to Blame? From the Internet, read the following article: · Mitchell, J. (2010). Effect of physician ownership of specialty hospitals and ambulatory surgery centers on frequency of use of outpatient orthopedic surgery. Archives of Surgery, 145(8): 732–738. Retrieved from http://jamanetwork.com/journals/jamasurgery/article- abstract/406180 The Profit Motive In the free market, the profit motive generally leads to production of goods and services in an efficient way. Consumers want high-quality products and services at low prices, and sellers compete in the marketplace to provide them. Prices are determined in the marketplace by what the market will bear. This is true if we have several assumptions from which the consumer can make informed choices. The seller is not a monopoly, and there are no significant externalities present that the government might control. So looking at the profit motive, you will look at two assumptions: firms maximize
  • 49. profits, and this profit maximization results in efficient production, leading to the highest consumer welfare. As mentioned earlier, nonprofit organizations do not necessarily follow these assumptions, and nonprofit organizations make up a large part of the healthcare marketplace. So it is impor tant that we look at the differences in behavior of the two ownership types in order to understand how healthcare reacts to the profit motive. Another complication that we encounter while looking at the healthcare marketplace in regard to the profit motive is the fact that nonprofit ownership is strong in a hospital ownership; less dominant in other areas such as hospice care, health insurance, nursing home care, and dialysis; has very little influence in ambulatory surgical care specialty hospitals and physician services, which are mostly for profit; and in the case of companies that supply products for healthcare, such as pharmaceuticals, there are generally no nonprofit influences. From a policy perspective, because nonprofit organizations generally perform better in terms of quality and community service, for areas such as surgical centers in the pharmaceutical industry, it might make sense for the government to add further regulations to optimize these industries in terms of price. Additional Materials From your course textbook, The Economics of Health Reconsidered, read the following chapter: · The Profit Motive in Healthcare From the South University Online Library, read the following article: · Competition in Health Care: Its Evolution over the Past Decade opens in new window From the Internet, read the following article: · Mitchell, J. (2010). Effect of physician ownership of specialty hospitals and ambulatory surgery centers on frequency of use of outpatient orthopedic surgery. Archives of Surgery, 145(8): 732–738. Retrieved from
  • 50. http://jamanetwork.com/journals/jamasurgery/article- abstract/406180 The Healthcare Workforce It may seem obvious that without physicians and nurses, there would be no healthcare, and this makes the segment of the workforce absolutely critical to understand. Complications of meeting the supply requirements of these two human resources certainly include, in both cases, long educational requirements and high financial costs to achieve the necessary levels of expertise required. The current and future requirements for the healthcare workforce become an important issue for economists and managers in healthcare administration. One issue concerns the inelasticity of demand, where the demand for labor is less than the change in wages and working conditions for nurses or physicians. With government reimbursement from Medicare and Medicaid controlling reimbursement, it is difficult for organizations to find additional funds to help increase supply. Even with insurance coverage, organizations cannot change prices until the next contract period, so demand remains inelastic. In many areas of the country, hospitals have a monopoly and can control wages and prices, making supply inelastic. The population of this country is growing at a fairly rapid rate, so the need for healthcare services continues to expand, maybe at an even higher rate when the immigrant population comes from an area with poor healthcare and requires abnormally high levels of service to make the population healthy. With this and other factors in mind, there is a serious question of whether we have an adequate supply of trained medical personnel to support the population. There is a substantial debate in this country over whether we have adequate personnel now or for the future. Clearly, healthcare is complex, and with technology, it becomes more complex; thus, forecasting the future needs of the country in healthcare is very difficult. In 1960, physicians made house calls and worked very long hours, whereas today, physicians and nurses work a fairly regular work week. Changes such as
  • 51. the working hours have occurred over time, but this has complicated the ability to forecast workforce requirements greatly. In looking at the labor market in healthcare versus the assumptions of a perfectly competitive market, it seems clear that there are challenges to be overcome through policy. Policies that intervene can be developed, but there is risk, and tampering with this market and can create unintended consequences. The ability to forecast accurately will be vital to this effort. Additional Materials From your course textbook, The Economics of Health Reconsidered, read the following chapter: · The Healthcare Workforce From the South University Online Library, read the following articles: · Could U.S. Hospitals Go the Way of U.S. Airlines? · Changes in Hospital Competitive Strategy: A New Medical Arms Race? · The Nursing Workforce in an Era of Health Care Reform MHA5030 Week 3 Discussion Instructions Discussion Questions Before beginning work on this discussion forum, please review the link Doing Discussion Questions Right, the expanded grading rubric for the forum below, and any specific instructions for this topic. Tasks: · Discuss three methods of forecasting the future requirements for demand. · Discuss measures to meet demand for access to medical care in the future.
  • 52. · Analyze policy proposals to meet the demands identified. To support your work, use your course and textbook readings and also use the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Provide a substantive 300-500 words) initial discussion posting addressing each of the components in the discussion question. Justify your answers with research, examples, and reasoning. Before the end of the unit, begin commenting on at least two of your peers' responses. At a minimum, your responses to other initial posts must be 100 to 200 words each. You can ask technical questions or generally respond to the overall experience. Be objective, clear, and concise. Always use constructive language, even in criticism, to work toward the goal of positive progress. Submit your responses to the appropriate topic in this Discussion Area. MHA5030 Week 3 Project Instructions Instructions Introduction Until the early 1960s, healthcare was largely a not-for-profit business dominated by foundations that employed physicians. Over time, for-profit organizations have flourished, and in the case of some sectors, notably pharmaceuticals, organizations are almost entirely for-profit. There remain differences in the two organization types, though they both serve the same population. A number of behaviors are similar, but there are significant differences. Understanding these differences and the theories behind the behaviors they create is an important subject for all healthcare leaders. Tasks: · The nonprofit remains an outlier in the healthcare marketplace as it does not follow the traditional market model in several respects. Discuss the differences between the two types of
  • 53. organizations in terms of quality, service cost, and price. · Discuss the type of service provider and the type of organization in view of the price of service. · Analyze the need for more policies that support nonprofit models in the healthcare market. Submission Details: · Cover this topic in a 5- to 10-page Microsoft Word document. Use APA standards for citations and references. · Cite a minimum of three outside peer-reviewed sources to support your assertions and save it as Week 3_Project_LastName_FirstInitial. Submit the report to the Submissions Area by the due date assigned. · Cite any sources using correct APA format on a separate page.