Building Patient-Centeredness in the Real World: The Engaged Patient and the ...EngagingPatients
This paper examines the separate but intertwined ethical, economic and clinical concepts of patientcenteredness and how ACOs provide a structure for turning those concepts into a functioning reality.
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docxjuliennehar
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my post. Hope this helps
Ryan,
Inadequate levels of nursing professionals were first discussed more than 80 years ago (Whelan, n.d.). Recently, scholars have opined many reasons for the shortage of nurses. Factors such as work stress, burnout, violence against healthcare professionals, a lack of qualified nursing instructors, and nurses unable to adapt to changing technology or clinical environments have been addressed (Haddad & Toney-Butler, 2019). As many nurses may attest, doing more with less can lead to mistakes and dissatisfaction with a nursing career. Ultimately, patient care suffers.
Organizations employ various tactics to help strengthen nurse retention. Halter et al. (2017) suggest strong nursing leadership and assigning preceptors to new nurses can help minimize nursing resignation rates. At the writer’s employment, hospital administrators use several ways to retain nurses. Each quarter, a nurse is recognized for outstanding achievement by receiving a certificate, gift card, and editorial mention on the hospital’s intranet. Moreover, the hospital caters lunch for all employees, dayside and nighttime staff, twice a year for meeting quality targets. Also, the hospital uses various national celebration days such as ice cream, donuts, coffee, bagels, and candy to reward all employees. Creating a level of goodwill and institutional collaboration can help retain nurses and improve job satisfaction (Kurnat-Thoma et al., 2017).
Reference
Haddad, L.M., & Toney-Butler, T.J. (2019). Nursing shortage. StatPearls Publishing.
Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., Gourlay, S., & Drennan, V. (2017). Interventions to reduce adult nursing turnover: A systematic review of systematic reviews. The Open Nursing Journal, 11, 108-123. https://doi.org/10.2174/1874434601711010108
Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover: A 10-element onboarding program intervention. SAGE Open Nursing, 3. https://doi.org/10.1177/2377960817697712
Whelan, J.C. (n.d.). Where did all the nurses go? Retrieved from https://www.nursing.upenn.edu/nhhc/workforce-issues/where-did-all-the-nurses-go/
By Thomas C. Ricketts and Erin P. Fraher
Reconfiguring Health Workforce
Policy So That Education,
Training, And Actual Delivery
Of Care Are Closely Connected
ABSTRACT There is growing consensus that the health care workforce in
the United States needs to be reconfigured to meet the needs of a health
care system that is being rapidly and permanently redesigned.
Accountable care organizations and patient-centered medical homes, for
instance, will greatly alter the mix of caregivers needed and create new
roles for existing health care workers. The focus of health system
innovation, however, has largely been on reorganizing care delivery
processes, reengineering workflows, and adopting electronic technolo ...
Building Patient-Centeredness in the Real World: The Engaged Patient and the ...EngagingPatients
This paper examines the separate but intertwined ethical, economic and clinical concepts of patientcenteredness and how ACOs provide a structure for turning those concepts into a functioning reality.
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my.docxjuliennehar
THIS IS THE FEEDBACK I RECEEIVED. Only one patient responded to my post. Hope this helps
Ryan,
Inadequate levels of nursing professionals were first discussed more than 80 years ago (Whelan, n.d.). Recently, scholars have opined many reasons for the shortage of nurses. Factors such as work stress, burnout, violence against healthcare professionals, a lack of qualified nursing instructors, and nurses unable to adapt to changing technology or clinical environments have been addressed (Haddad & Toney-Butler, 2019). As many nurses may attest, doing more with less can lead to mistakes and dissatisfaction with a nursing career. Ultimately, patient care suffers.
Organizations employ various tactics to help strengthen nurse retention. Halter et al. (2017) suggest strong nursing leadership and assigning preceptors to new nurses can help minimize nursing resignation rates. At the writer’s employment, hospital administrators use several ways to retain nurses. Each quarter, a nurse is recognized for outstanding achievement by receiving a certificate, gift card, and editorial mention on the hospital’s intranet. Moreover, the hospital caters lunch for all employees, dayside and nighttime staff, twice a year for meeting quality targets. Also, the hospital uses various national celebration days such as ice cream, donuts, coffee, bagels, and candy to reward all employees. Creating a level of goodwill and institutional collaboration can help retain nurses and improve job satisfaction (Kurnat-Thoma et al., 2017).
Reference
Haddad, L.M., & Toney-Butler, T.J. (2019). Nursing shortage. StatPearls Publishing.
Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., Gourlay, S., & Drennan, V. (2017). Interventions to reduce adult nursing turnover: A systematic review of systematic reviews. The Open Nursing Journal, 11, 108-123. https://doi.org/10.2174/1874434601711010108
Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover: A 10-element onboarding program intervention. SAGE Open Nursing, 3. https://doi.org/10.1177/2377960817697712
Whelan, J.C. (n.d.). Where did all the nurses go? Retrieved from https://www.nursing.upenn.edu/nhhc/workforce-issues/where-did-all-the-nurses-go/
By Thomas C. Ricketts and Erin P. Fraher
Reconfiguring Health Workforce
Policy So That Education,
Training, And Actual Delivery
Of Care Are Closely Connected
ABSTRACT There is growing consensus that the health care workforce in
the United States needs to be reconfigured to meet the needs of a health
care system that is being rapidly and permanently redesigned.
Accountable care organizations and patient-centered medical homes, for
instance, will greatly alter the mix of caregivers needed and create new
roles for existing health care workers. The focus of health system
innovation, however, has largely been on reorganizing care delivery
processes, reengineering workflows, and adopting electronic technolo ...
A 58-year-old man needs to have his blood tested on a regular basis .docxjosephinepaterson7611
A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another LabCorp location. LabCorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.
Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.
Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. LabCorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.
In Week 3, you examined the varied services patients may need and researched healthcare organizations that provide those services in your geographic area. In this Discussion, you will examine how integration may affect the delivery of care in your community.
To prepare
for this Discussion:
Review the information related to horizontal and vertical integration in the Resources, including the Shi and Singh (2015) course text, journal articles, and websites.
Research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Week 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion. If you cannot identify integrated systems close to where you live, expand your search to include other areas in your state. If you are an international student, you may examine a specific geographic area in the United States or research two integrated health systems identified in the Resources.
Select
one vertically integrated health system
and
one horizontally integrated health system
on which to focus for this Discussion.
Continue researching these two health systems, noting important information about each health system, including its size, settings/locations, and the services it provides. Investigate how the integration of each system has affected, or is expected to affect, issues related to cost, quality, and access to healthcare se.
Realizing Health Reform’s Potential How the Affordable Care .docxsodhi3
Realizing Health Reform’s Potential
How the Affordable Care Act Will Strengthen Primary
Care and Benefit Patients, Providers, and Payers
JANUARY 2011
Melinda Abrams, Rachel Nuzum, Stephanie Mika,
and Georgette Lawlor
Abstract: Although primary care is fundamental to health system performance, the
United States has undervalued and underinvested in primary care for decades. This brief
describes how the Affordable Care Act will begin to address the neglect of America’s
primary care system and, wherever possible, estimates the potential impact these efforts
will have on patients, providers, and payers. The health reform law includes numerous
provisions for improving primary care: temporary increases in Medicare and Medicaid
payments to primary care providers; support for innovation in the delivery of care, with
an emphasis on achieving better health outcomes and patient care experiences; enhanced
support of primary care providers; and investment in the continued development of the
primary care workforce.
OVERVIEW
Among the Affordable Care Act’s many provisions, perhaps the least discussed
are those reforms directly targeting primary care—the underpinning of efforts
to achieve a high-performing health system. This brief describes how the health
reform law will begin to address the decades-long neglect of America’s primary
care system and, wherever possible, estimates the potential impact these efforts
will have on patients, providers, and payers. The primary care reforms in the
Affordable Care Act include provisions for temporarily increasing Medicare and
Medicaid payments to primary care providers; fostering innovation in the delivery
of care, with an emphasis on care models that lead to better health outcomes and
patient care experiences; enhancing support of primary care providers; and invest-
ing in the continued development of the primary care workforce (Exhibit 1).
Together, these changes, if implemented effectively, will start the United States
on the path to a stronger and more sustainable primary care system, one that pro-
vides expanded access, superior quality, and better health outcomes for millions of
Americans while reducing future health care costs for the nation.
For more information about this study,
please contact:
Melinda Abrams, M.S.
Vice President
Patient-Centered Coordinated Care
The Commonwealth Fund
[email protected]
The mission of The Commonwealth Fund is
to promote a high performance health care
system. The Fund carries out this mandate by
supporting independent research on health
care issues and making grants to improve
health care practice and policy. Support for this
research was provided by The Commonwealth
Fund. The views presented here are those of
the authors and not necessarily those of The
Commonwealth Fund or its directors, officers,
or staff.
To learn more about new publications when
they become available, visit the Fund's Web
site and re ...
At the 2014 HFMA National Institute, PYA Principal and Chief Medical Officer of PYA Analytics, Kent Bottles, MD, spoke about the strategies that hospitals and health systems are using to decrease per-capita cost, while increasing quality. In the session, “Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians and Administrators,” Bottles offered tactics for engagement.
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
This monograph provides an assessment of the current hospital-physician landscape and outlines an innovative vehicle for advancing hospital-physician relationships that has the potential to improve care delivery and coordination, clinical quality, and patient cost. Our findings and recommendations address:• Changes in the market place.• The concept of an integrated medical staff model.• The role of operational clinical integration, enabled by an Electronic Medical• Record, toward creating virtual medical staffs.• Benefits to the hospital, physicians, patients and community.• What boards and senior management can do to move toward the model.
Does patient engagement result in more appropriate utilization?Benjamin Littenberg
This presentation reviews what published research has established about how patient engagement improves the overall clinical experience and what that means for providers.
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
3 templates are due based on the focus review. Attached are the temp.docxjesusamckone
3 templates are due based on the focus review. Attached are the templates .
the following need to be completed:
1-system disorder -cardiovascular disorder.
2-basic concept-legal responsibilities -obtaining informed consent for an adolescent.
3-system disorder-skin infection tinea pedis.
.
A 58-year-old man needs to have his blood tested on a regular basis .docxjosephinepaterson7611
A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another LabCorp location. LabCorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.
Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.
Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. LabCorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.
In Week 3, you examined the varied services patients may need and researched healthcare organizations that provide those services in your geographic area. In this Discussion, you will examine how integration may affect the delivery of care in your community.
To prepare
for this Discussion:
Review the information related to horizontal and vertical integration in the Resources, including the Shi and Singh (2015) course text, journal articles, and websites.
Research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Week 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion. If you cannot identify integrated systems close to where you live, expand your search to include other areas in your state. If you are an international student, you may examine a specific geographic area in the United States or research two integrated health systems identified in the Resources.
Select
one vertically integrated health system
and
one horizontally integrated health system
on which to focus for this Discussion.
Continue researching these two health systems, noting important information about each health system, including its size, settings/locations, and the services it provides. Investigate how the integration of each system has affected, or is expected to affect, issues related to cost, quality, and access to healthcare se.
Realizing Health Reform’s Potential How the Affordable Care .docxsodhi3
Realizing Health Reform’s Potential
How the Affordable Care Act Will Strengthen Primary
Care and Benefit Patients, Providers, and Payers
JANUARY 2011
Melinda Abrams, Rachel Nuzum, Stephanie Mika,
and Georgette Lawlor
Abstract: Although primary care is fundamental to health system performance, the
United States has undervalued and underinvested in primary care for decades. This brief
describes how the Affordable Care Act will begin to address the neglect of America’s
primary care system and, wherever possible, estimates the potential impact these efforts
will have on patients, providers, and payers. The health reform law includes numerous
provisions for improving primary care: temporary increases in Medicare and Medicaid
payments to primary care providers; support for innovation in the delivery of care, with
an emphasis on achieving better health outcomes and patient care experiences; enhanced
support of primary care providers; and investment in the continued development of the
primary care workforce.
OVERVIEW
Among the Affordable Care Act’s many provisions, perhaps the least discussed
are those reforms directly targeting primary care—the underpinning of efforts
to achieve a high-performing health system. This brief describes how the health
reform law will begin to address the decades-long neglect of America’s primary
care system and, wherever possible, estimates the potential impact these efforts
will have on patients, providers, and payers. The primary care reforms in the
Affordable Care Act include provisions for temporarily increasing Medicare and
Medicaid payments to primary care providers; fostering innovation in the delivery
of care, with an emphasis on care models that lead to better health outcomes and
patient care experiences; enhancing support of primary care providers; and invest-
ing in the continued development of the primary care workforce (Exhibit 1).
Together, these changes, if implemented effectively, will start the United States
on the path to a stronger and more sustainable primary care system, one that pro-
vides expanded access, superior quality, and better health outcomes for millions of
Americans while reducing future health care costs for the nation.
For more information about this study,
please contact:
Melinda Abrams, M.S.
Vice President
Patient-Centered Coordinated Care
The Commonwealth Fund
[email protected]
The mission of The Commonwealth Fund is
to promote a high performance health care
system. The Fund carries out this mandate by
supporting independent research on health
care issues and making grants to improve
health care practice and policy. Support for this
research was provided by The Commonwealth
Fund. The views presented here are those of
the authors and not necessarily those of The
Commonwealth Fund or its directors, officers,
or staff.
To learn more about new publications when
they become available, visit the Fund's Web
site and re ...
At the 2014 HFMA National Institute, PYA Principal and Chief Medical Officer of PYA Analytics, Kent Bottles, MD, spoke about the strategies that hospitals and health systems are using to decrease per-capita cost, while increasing quality. In the session, “Achieving Rapid Cost Reduction and Revenue Improvement by Engaging Clinicians and Administrators,” Bottles offered tactics for engagement.
Edwina Rogers, executive director of Patient-Centered Primary Care Collaborative, began her presentation by highlighting the movement to advance medical homes.
With the U.S. being the number one in the world for the cost of healthcare and ranked number 37 in the quality category, something needs to change. Rogers discussed the broad stakeholder support and participation for the movement, as well as the incredible volunteer involvement. The four ‘centers’ include: the Center to Promote Public-Payer Implementation, the Center for Multi-Stakeholder Demonstration, the Center for eHealth Information Adoption and Exchange and the Center for Health Benefit Redesign and Implementation. Medical Homes will provide superb access to care, patient engagament in care, clinical information systems, care coordination, team care, patient feedback and publically available information.
Edwards explained that the Obama administration believes the medical homes concept is the best way to approach healthcare reform. The U.S. House of Representatives has showed great support for the movement and is helping develop and allocate funds for a five-year pilot program. She expressed her enthusiasm for the movement and her prediction that the medical home model is certainly the future of health care.
A complete version of Rogers’ presentation on the Patient-Centered Primary Care Collaborative is available online.
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, DioneWang844
MHA6999 SEMINAR IN HEALTHCARE CASES-- WEEK 2 LECTURE, DISCUSSION, AND PROJECT INSTRUCTIONS
Page | 1
Quality
Nearly fifteen years ago, the Institute of Medicine published the “To Err Is Human” report, which exposed the substantial impact of medical errors in the US healthcare system and called for a dramatic system change, including an improved understanding of those errors (McCarthy, Tuiskula, Driscoll, & Davis, 2017). Medical errors are considered to be failure to achieve the original goal or plan of action, and these errors may range from a patient falls to a mistake in the operating room. Not only do medical errors cause harm to the patient and jeopardize the patient’s trust, but they also cause a financial strain for the health system (“To Err is Human,” 1999). One of the contributing factors to medical errors is the lack of effective communication between doctors who are treating the same patient. This results in healthcare providers overprescribing medications for patients as well as increases the possibility of a patient having unnecessary tests or procedures performed. The report’s four-tiered approach includes:
· Focusing on creating a stronger foundation of education on patient safety
· Mandating a nationwide reporting system to encourage timely reporting of errors
· Increasing the standards of performance for healthcare providers
· Taking advantage of the security that safety systems offer (“To Err is Human,” 1999)
Creating a strong educational foundation for patient safety is most important. Healthcare personnel are much more likely to actively participate in reporting systems, encourage one another to perform at a higher level, and take advantage of safety systems when they are well educated on patient safety and the implications of medical errors. The reporting system seems to provide the least amount of impact on patient safety as they can result in losing patient trust in certain healthcare systems. The healthcare system as a whole has made progress in establishing a safe environment for patients when they are in need of care.
Challenges for Patient Safety and Steps for Improvement
Despite continuing evidence of problems in patient safety and gaps between the care that patients receive and the evidence about what they should receive, efforts to improve quality in healthcare show mostly inconsistent and patchy results.
Tap each image to know more.
Data Collection and Monitoring Systems
This always takes much more time and energy than anyone anticipates. It is worth investing heavily in data from the outset. Assess local systems, train people, and have quality assurance.
Tribalism and Lack of Staff Engagement
Overcoming a perceived lack of ownership and professional or disciplinary boundaries can be very difficult. Clarify who owns the problem and solution, agree roles and responsibilities at the outset, work to common goals, and use shared language.
Convince People That There's a Problem
Use hard data to secure emotional e ...
This monograph provides an assessment of the current hospital-physician landscape and outlines an innovative vehicle for advancing hospital-physician relationships that has the potential to improve care delivery and coordination, clinical quality, and patient cost. Our findings and recommendations address:• Changes in the market place.• The concept of an integrated medical staff model.• The role of operational clinical integration, enabled by an Electronic Medical• Record, toward creating virtual medical staffs.• Benefits to the hospital, physicians, patients and community.• What boards and senior management can do to move toward the model.
Does patient engagement result in more appropriate utilization?Benjamin Littenberg
This presentation reviews what published research has established about how patient engagement improves the overall clinical experience and what that means for providers.
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
Similar to 23Health Professions Press, Inc.Post Off.docx (20)
3 templates are due based on the focus review. Attached are the temp.docxjesusamckone
3 templates are due based on the focus review. Attached are the templates .
the following need to be completed:
1-system disorder -cardiovascular disorder.
2-basic concept-legal responsibilities -obtaining informed consent for an adolescent.
3-system disorder-skin infection tinea pedis.
.
3-4 page essayInequality of income is greater in the United Sta.docxjesusamckone
3-4 page essay:
Inequality of income is greater in the United States than in other capitalistic countries. Taking this fact into consideration, what moral obligation, if any, do we have individually and as a society to narrow the gap? What role should the business community play? Defend your answer with ethical argumentation.
.
3 Vision Visioning is relatively easy. Casting a shared and clea.docxjesusamckone
3 Vision V
isioning is relatively easy. Casting a shared and clear vision, then holding one another accountable for its pursuit is what’s tough.
A vision is an expression of what a person or an organization cares about.
The insight to see new paths, the courage to try them, and judgment to measure results—these are the qualities of a leader. —MARY PARKER FOLLETT
WHY POLICE MANAGERS GET INTO TROUBLE!
The future isn’t what it used to be. —Yogi Berra Obviously police managers can get into trouble for a lot of reasons. The seven reasons I most often see follow. First, they choose to forfeit their integrity for the slick, fast, questionable shortcuts to success. Second, their vision isn’t shared by others. Third, the vision lacks clarity. Four, the vision may be great, but it is sorely void of a strategy for making it happen. Five, worse yet, it may contain a viable strategy, but there’s no built-in accountability. Six, some managers fail to recognize and deal with the existing culture.
We’ll tackle these issues in the following four sections:
• Vision
• Strategy
• Culture
• Prospection
VISION
If you have built castles in the air, your work need not be lost; that is where they should be. Now put the foundations under them. —Henry David Thoreau
A vision is stable; it doesn’t change often or much. After all, what we truly value does not flip-flop daily. Values are enduring and therefore visions are, too. A vision is a compass for maintaining a steady point toward a destination that we really care about. Strategy serves as a rudder for altering direction, speed, and tactics to successfully navigate the incoming tempest to change. Visions are constant while strategies vary.
The twentieth century began by changing the old constancies, while the twenty-first century began with change as the only constant.
The remainder of this section covers (1) the ingredients or “recipe” for a vision, (2) building a shared vision or not, and (3) accountability. (The foundational need for a clear vision is a part of strategy.)
Recipe
Here are the key characteristics of vision:
Purpose/Mission. Whether you call it a mission or a purpose, a vision statement must articulate the fundamental reason for the organization’s existence. It explains exactly why you exist and why you’re important.
Future. It paints an inspiring future that is not out of sight, but slightly out of reach. It is not an idle dream, but rather a compelling picture of the way it ought to look.
Values. A vision statement is loaded with values. It tells the reader precisely what the organization stands for and is prepared to be measured on.
Principled Decision Making. A shared vision should be judged on its ability to encourage principled decisions. Here’s the question: “Does my vision statement help me to know the wrong path while pointing to the right one?” When you study your shared vision, are you comfortable that it propels you toward moral high ground?
Change Agent. A shared vi.
3 Power points on nutrition while home schooling1 for elementary.docxjesusamckone
3 Power points on nutrition while home schooling
1 for elementary kids
1 for middle school kids
1 for parents
Must be 10 slide minimum
Must have pictures appropriate for school aged kids
Bullet points
Must include (only) one youtube video
.
3 paragraph minimum, in text references, and scholarly references. .docxjesusamckone
3 paragraph minimum, in text references, and scholarly references.
Post an explanation of the differences between the public and private health insurances as well as the difference in access to care based on one’s insurance.
Explain the differences between Medicare and Medicaid in terms of eligibility, cost, benefits, services provided, and limitations in services.
Finally, describe special programs that your state’s Medicaid program offers to increase access to care for vulnerable populations, such as pregnant women, children, single mothers, or immigrants.
.
2HOW THANKSGIVING AND SUPER BOWL TRAFFIC CONTRIBUTE TO FLIGH.docxjesusamckone
2
HOW THANKSGIVING AND SUPER BOWL TRAFFIC CONTRIBUTE TO FLIGHT DELAYS Comment by Jeremy Hodges: You should have a meaningful title that describes what your study is about. Start with a word like “examine” or “explore” to identify the type of study you conducted.
by
XXXXX
A Graduate Capstone Project Submitted to the College of Aeronautics,
Department of Graduate Studies, in Partial Fulfillment
of the Requirements for the Degree of
Master of Science in Aeronautics
Embry-Riddle Aeronautical University
Worldwide Campus
May 2018
HOW THANKSGIVING AND SUPER BOWL TRAFFIC CONTRIBUTE TO FLIGHT DELAYS
by
XXXXX
This Graduate Capstone Project was prepared under the direction of the candidate’s Graduate Capstone Project Chair, XXXXX, Comment by Jeremy Hodges: Dr. Jeremy Hodges
Worldwide Campus, and has been approved. It was submitted to the
Department of Graduate Studies in partial fulfillment
of the requirements for the degree of
Master of Science in Aeronautics
Graduate Capstone Project:
___________________________________________
XXXXXXXX. Comment by Jeremy Hodges: Jeremy Hodges, PhD
Graduate Capstone Project Chair
________________
xxii
Date
xxii
ii
xxii
xxii
ixAcknowledgements Comment by Jeremy Hodges: Add any acknowledgments here. You may use first person in this section, but avoid it everywhere else.
I'd like to thank my legs, for always supporting me; my arms, who are always by my side; and lastly my fingers, I can always count on them.
Abstract
Scholar: XXXXX
Title: How Thanksgiving and Super Bowl Traffic Contribute to Flight Delays
Institution: Embry-Riddle Aeronautical University
Degree: Master of Science in Aeronautics
Year: 2017
This study explores the effects of non-scheduled flights on scheduled flight delays during Thanksgiving and Super Bowl across 5 years. Flight delay data were collected from the Bureau of Transport Statistics and the Federal Aviation Administration. Super Bowl and Thanksgiving were chosen as the special events of interest for this study as they provided complementary datasets. Super Bowl showed an increase in non-scheduled flights whereas Thanksgiving showed greater scheduled flight operations. The results of this study concluded that scheduled flights showed greater delays during Super Bowl when compared to Thanksgiving. A significant interaction was also found to exist between scheduled and non-scheduled flights operating during the two special events. Both scheduled flight delays and non-scheduled flight delays increased during Super Bowl. However, during Thanksgiving this relationship did not exist – scheduled flights had much fewer delays than non-scheduled flights. Due to the increase in the number of non-scheduled flight operations during Super Bowl, delays increased thereby increasing operating costs for flights. The outcomes of this study shed light on another aspect of airspace efficiency that could be researched to reduce costs and improv.
3 page essay In-text scholar references in APA formatI.docxjesusamckone
**3 page essay In-text scholar references in APA format**
Introduction
Briefly explain Corrigan’s model of the stages of stigma and his recommendations and hierarchy about recovery.
Explain whether Delle’s experience follows that model. Use specific examples to argue your perspective. If you agree, identify which stage of recovery Delle is in.
Analyze Delle’s reports about his own experiences with both types of stigma. Provide specific examples, and in your analysis consider the following questions:
Does one type of stigma predominate in his talk?
Which of Delle’s personal values or beliefs were challenged by his internalizations about his own illness and help-seeking?
What strengths does he exhibit?
What was the primary benefit of his diagnosis?
Do you think his experience would be different if his culture was different? Explain why or why not?
Conclusion
.
3 Law peer reviewed references needed.Answer the Discussion Board bo.docxjesusamckone
3 Law peer reviewed references needed.Answer the Discussion Board board questions in paragraph form.
1. A premature infant was delivered at Woman’s Hospital by the plaintiff. The child died shortly after birth, and the plaintiff was assured by the floor nurse that the hospital would take care of the infant’s burial. When the mother went to the obstetrician for an examination six weeks later, she was given her folder to hold while waiting for the physician. She found in it a note from the pathologist about disposal of the baby’s body. When the plaintiff asked the physician about the disposal of the body, he instructed his nurse to take her to the hospital across the street to see someone who would tell her what had been done with the baby. When the woman and the nurse found the person, the plaintiff was handed a large jar with the baby’s body inside. As a result, the plaintiff suffered nightmares, could not sleep, was depressed when she was around children, had surgery for a pseudopregnancy, and required psychiatric treatment. Should a patient–physician relationship include the contract to dispose of a dead body?
2. The plaintiff’s 18-year-old son died suddenly at home. His body was taken to the hospital, where the cause of death could not be found without an autopsy. The deputy medical examiner ordered a postmortem examination. The plaintiff was a member of the Jewish Orthodox faith and refused the postmortem examination of his son on the basis that religious conviction prohibited any molestation of the body after death. Is freedom of religion curtailed by a law that has a compelling state interest?
.
2To ADD names From ADD name Date ADD date Subject ADD ti.docxjesusamckone
2
To: ADD names From: ADD name Date: ADD date Subject: ADD title
Introduction
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Sed pellentesque sagittis diam, sit amet faucibus diam lobortis quis. Sed mattis turpis ligula, in accumsan ante pellentesque eu. Quisque ut nisl leo. Nullam ipsum odio, eleifend non orcinon, volutpat sollicitudin lacus (Cuddy, 2002). Identify Changes
Donec tincidunt ligula eget sollicitudin vehicula. Proin pharetra tellus id lectus mollis sollicitudin. Etiam auctor ligula a nulla posuere, consequat feugiat ex lobortis. Duis eu cursus arcu, congue luctus turpis. Sed dapibus turpis ac diam viverra consectetur. Aliquam placerat molestie eros vel posuere.
This Photo by Unknown Author is licensed under CC BY-SA
Figure 1. Title (Source: www.source-of-graphic.edu )Product Offerings
Sed facilisis, lacus vel accumsan convallis, massa est ullamcorper mauris, quis feugiat eros ligula eget est. Vivamus nunc turpis, lobortis et magna a, convallis aliquam diam. Lorem ipsum dolor sit amet, consectetur adipiscing elit.
Figure 2. Title (Source of data citation)
Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vestibulum et nisl ante. Etiam pulvinar fringilla ipsum facilisis efficitur. Maecenas volutpat risus dignissim dui euismod auctor. Nulla facilisi. Mauris euismod tellus malesuada dolor egestas, ac vulputate odio suscipit. Capabilities
Donec tincidunt ligula eget sollicitudin vehicula. Proin pharetra tellus id lectus mollis sollicitudin. Etiam auctor ligula a nulla posuere, consequat feugiat ex lobortis. Duis eu cursus arcu, congue luctus turpis. Sed dapibus turpis ac diam viverra consectetur.
References
Basu, K. K. (2015). The Leader's Role in Managing Change: Five Cases of Technology-Enabled Business Transformation. Global Business & Organizational Excellence, 34(3), 28-42. doi:10.1002/joe.21602.
Connelly, B., Dalton, T., Murphy, D., Rosales, D., Sudlow, D., & Havelka, D. (2016). Too Much of a Good Thing: User Leadership at TPAC. Information Systems Education Journal, 14(2), 34-42.
Rouse, M. (2018). Changed Block Tracking. Retrieved from Techtarget Network: https://searchvmware.techtarget.com/definition/Changed-Block-Tracking-CBT
Change the Chart Title to Fit Your Needs
Series 1 Category 1 Category 2 Category 3 Category 4 4.3 2.5 3.5 4.5 Series 2 Category 1 Category 2 Category 3 Category 4 2.4 4.4000000000000004 1.8 2.8 Series 3 Category 1 Category 2 Category 3 Category 4 2 2 3 5
Assessing Similarities and Differences in Self-Control
between Police Officers and Offenders
Ryan C. Meldrum1 & Christopher M. Donner2 & Shawna Cleary3 &
Andy Hochstetler4 & Matt DeLisi4
Received: 2 August 2019 /Accepted: 21 October 2019 /
Published online: 2 December 2019
# Southern Criminal.
3 page essay regarding civil liberties, civil rights, and the presid.docxjesusamckone
3 page essay regarding civil liberties, civil rights, and the presidency.
(intro) Must briefly discuss each topic then make a statement about a contemporary political problem related to one of the topics.
(Body) identify, discuss and describe a contemporary problem related to one of the topics.
(conclusion) construct and communicate a solution to the problem.
.
2TITLE OF PAPERDavid B. JonesColumbia Southe.docxjesusamckone
2
TITLE OF PAPER
David B. Jones
Columbia Southern University
BBA: 3201 Principles of Marketing
Nancy Ely Mount
Month/Date/ 2020
Marketing is
Four Elements of Marketing:
Creating
Communicating
Delivering
Exchanging
Holistic Marketing Concept is a people oriented approach utilizing the four principles of :
Relationship
Integrated
Internal
Performance marketing
.
2Running head THE JONES ACTThe Jones Act 2.docxjesusamckone
2
Running head: THE JONES ACT
The Jones Act 2
The Jones Act of the Merchant Marine Act of 1920
Latissa Butler
American Public University
Dr. Wallace Burns
February 23, 2020
The Jones Act of the Merchant Marine Act of 1920
The century-old Merchant Marine law of 1920, also known as "Jones Act" has been part of a contentious topic in the U.S for a long time. Jones Act has seen an excessive strain in the economy with prices of goods in many states hiking due to the restriction of foreign ships into U.S water territorials. There has also been a tremendous impact on the environment and internal revenue. The limits have impacted heavily on people living in the coasts of Hawaii, Alaska the island of Puerto Rico and Guam as a result of the Section 27 act which only allows "cabotage".
Conversely, the federal law has fostered domestic shipbuilding leading to increased employment and a boost to national security. Jones Act also allows the compensation of sailors who might experience accidents in the line of duty. If this were to happen, I am in support of the repealing part of the law that acts as a burden to the American citizen.
Since its enactment to law, the Jones Act, has hit hardest on the economy of U.S. despite the reforms done on Section 28. The restrictions on vessels made and operated by Americans has led to the variability in the shipping rates. The cost of transporting commodities has risen drastically due to the lack of competition from foreign markets, ultimately leading to an increase in prices of goods (Washington Post, 2010). Shipping industries locally, on the other hand, have increased the costs of the services they offer. The move to raise the prices of the available commodities has seen many citizens seeking for alternative means of importing and transporting their produce from the neighboring countries. The lack of a free market that has move to the states, must settle for higher prices than others due to the difference in the shipping cost. According to The International Trade Commission's 1995 Analysis, the cost incurred during the transportation of goods by these means apart from the sea is also high and impact on the economy of the country. The amount of fuel consumption during transporting goods through road is too expensive when evaluated.
The effect of the Jones Act on the environment has also been felt across the state. The smoke and gases released as a result of traffic have led to the rise in temperatures in a different part of America. Carbon emission has, in the past, contributed to high cost incurred when managing. Additionally, the restriction has led to a loss in the amount of foreign revenue in the U.S. Due to this fact, a lot of bilateral agreements have failed as a result of the Jones Act law which has consequently had an effect on the economy of the U.S (Hoxie, Phillip, Smith & Vincent, 2019). In my opinion, based on the impact the law has on the economy of the co.
2958 IEEE TRANSACTIONS ON INFORMATION FORENSICS AND SECURITY, .docxjesusamckone
2958 IEEE TRANSACTIONS ON INFORMATION FORENSICS AND SECURITY, VOL. 14, NO. 11, NOVEMBER 2019
Interdependent Strategic Security Risk Management
With Bounded Rationality in the Internet of Things
Juntao Chen , Student Member, IEEE, and Quanyan Zhu, Member, IEEE
Abstract— With the increasing connectivity enabled by the
Internet of Things (IoT), security becomes a critical concern,
and users should invest to secure their IoT applications. Due to
the massive devices in the IoT network, users cannot be aware
of the security policies taken by all its connected neighbors.
Instead, a user makes security decisions based on the cyber
risks that he perceives by observing a selected number of
nodes. To this end, we propose a model which incorporates
the limited attention or bounded rationality nature of players
in the IoT. Specifically, each individual builds a sparse cognitive
network of nodes to respond to. Based on this simplified cognitive
network representation, each user then determines his security
management policy by minimizing his own real-world security
cost. The bounded rational decision-makings of players and their
cognitive network formations are interdependent and thus should
be addressed in a holistic manner. We establish a games-in-
games framework and propose a Gestalt Nash equilibrium (GNE)
solution concept to characterize the decisions of agents and
quantify their risk of bounded perception due to the limited
attention. In addition, we design a proximal-based iterative
algorithm to compute the GNE. With case studies of smart
communities, the designed algorithm can successfully identify
the critical users whose decisions need to be taken into account
by the other users during the security management.
Index Terms— Risk management, bounded rationality, cogni-
tive networks, Internet of Things, smart community.
I. INTRODUCTION
RECENT years have witnessed a significant growthof urban population. As the growth continues, cities
need to become more efficient to serve the surging pop-
ulation. To achieve this objective, cities need to become
smarter with the integration of information and communication
techniques (ICTs) and urban infrastructures. Driven by the
advances in sensing, computing, storage and cloud technolo-
gies, the Internet of Things (IoT) plays a central role in
supporting the development of smart city. Though IoT enables
a highly connected world, the security of IoT becomes a
critical concern. There are 5.5 million new things connected
Manuscript received May 21, 2018; revised March 4, 2019; accepted
April 9, 2019. Date of publication April 15, 2019; date of current ver-
sion July 2, 2019. This work was supported in part by the National Sci-
ence Foundation under Award SES-1541164 and Award ECCS-1847056,
in part by the Army Research Office (ARO) under Grant W911NF1910041,
and in part by a grant through the Critical Infrastructure Resilience
Institute (CIRI). The associate editor coordinating the review of this
manuscript.
2
BUS 503 JOURNAL
BUS 503 SAMPLE Journal
Student NAME
Professor Name
1
Running head: BUS 503 JOURNAL
Due Date: May 12, 2019
Course Quotes
“What does it mean for our writing productivity and writing quality? Simply put, it means this: if we commit to practice our academic writing, and obtain continual feedback, our writing and productivity levels will improve” (Goodson, 2017, p. 9).
Example of a Comment:
I have found that writing requires practice. Technology such as texting and social media has hindered my academic writing, so I must be deliberate in practicing academic writing.
“Every dimension of their future success as academics (grades, promotions, presentations, to professional groups, funding for research projects) will depend on how well and how much they write” (Goodson, 2017, p. 22).
Example of an Aha Moment:
This quote reminded of an inspirational leader who is able to eloquently present information based on research and facts. Research indicates that academic writing is part of our personal and professional daily life, yet, we do not align with the concept.
“Even if you don’t see yourself as a writer, yet, practicing new habits and strategies will help you develop this new perspective…” (Goodson, 2017, p. 23).
Example of a questions:
What steps do I need take to develop new habits and strategies? Goodson (2017) outlines steps that I will need to learn and embrace to embark on my academic writing development.
References:
In this area add ALL references you are using for your journal – for example you could immediately add our two course texts. The advantage of having this added is when you compose your paper/project – you will already have your reference page completed per APA formatting:
Goodson, P. (2017). Becoming an academic writer: 50 exercises for paced, productive, and powerful writing. Sage Publications.
REFLECTIVE JOURNAL
1
REFLECTIVE JOURNAL
Reflective Journal
Edina Purser
University of Mary Business Research and Writing
Karmen P. Sorenson
01 Jun 2020
Reflective Journal
Exercise 7
"I have, therefore, learned to keep writing diaries as a mechanism and a place for documenting my progress" (Goodson, 2013, p.36). Goodson's advice of constant writing of diaries reminds me of Project Diaries' (2011, p.1) quote that "Keeping project records, including the preparation, assembly, and preservation of such records is considered one of the most important duties and responsibilities that the Engineer delegates to the Inspector." Thus, I am aware that diaries are evaluation tools for recording data over a particular period. Diaries depend on adequate documentation of a continuing process. Therefore, I ensure that I complete with my entries when I am close to a specific event since logs are not suitable for evaluation after the implementation of any event.
However, I still have the option of using journals to reconstruct events. I ensure that I writ.
26.5Albert Beveridge, Defense of Imperialism”Albert Beveridge (.docxjesusamckone
26.5Albert Beveridge, “Defense of Imperialism”
Albert Beveridge (1862-1927) was a Republican Senator from Indiana, historian, and imperialist. A supporter of President Theodore Roosevelt (in office from 1901-1909), Beveridge supported American expansion in the Philippines, Cuba, and Puerto Rico after the American victory in the Spanish-American War (1898). In “Defense of Imperialism,” Beveridge portrays Americans as a people favored by God who are destined to rule over additional lands and achieve commercial supremacy. He did not believe that the people of the Philippines, Cuba, and Puerto Rico were mature or capable of self-government, which justified American rule. In addition, Beveridge acknowledges the importance of imperial adventures to justifying national greatness in the early twentieth-century. Beveridge’s ideas represent, in sum, two primary justifications for the New Imperialism of the late nineteenth and early twentieth-centuries. On the one hand, imperialists argued that foreign control was necessary for peoples not yet ready to govern themselves. On the other hand, they recognized that imperialism served the interests of the metropole insofar as it justified “Great Power” status among the community of nations.
It is a noble land that God has given us; a land that can feed and clothe the world; a land whose coastlines would enclose half the countries of Europe; a land set like a sentinel between the two imperial oceans of the globe, a greater England with a nobler destiny.
It is a mighty people that He has planted on this soil; a people sprung from the most masterful blood of history, a people perpetually revitalized by the virile, man-producing working-folk of all the earth; a people imperial by virtue of their power, by right of their institutions, by authority of their Heaven-directed purposes— the propagandists and not the misers of liberty.
It is a glorious history our God has bestowed upon His chosen people; a history heroic with faith in our mission and our future; a history of statesmen who flung the boundaries of the Republic out into unexplored lands and savage wilderness; a history of soldiers who carried the flag across blazing deserts and through the ranks of hostile mountains, even to the gates of sunset; a history of a multiplying people who overran a continent in half a century; a history of prophets who saw the consequences of evils inherited from the past and of martyrs who died to save us from them; a history divinely logical, in the process of whose tremendous reasoning we find ourselves today.
Therefore, in this campaign, the question is larger than a party question. It is an American question. It is a world question. Shall the American people continue their march toward the commercial supremacy of the world? Shall free institutions broaden their blessed reign as the children of liberty wax in strength, until the empire of our principles is established over the hearts of all mankind?
Have we no mission to per.
2Evaluating StocksEvaluating StocksLearning Team BFIN402.docxjesusamckone
2
Evaluating Stocks
Evaluating Stocks
Learning Team B
FIN/402
03/16/2020
Troy Mahone
The stocks in this portfolio are the following: PepsiCo, Apple, Microsoft, Aritzia, and Amazon. An assessment was conducted to establish if the stocks should remain in the portfolio.
Stock Reviews and Discussion
If I review the investment in PepsiCo., the business has reflected a slight decrease in the stock price, as being traded daily on the floor, the reason which we can assume is the over all market turbulence, being caused by the Oil market, and it is directly impacting US economy, and hence reflecting the same on the stocks trade in the market.
Apple Inc., stock has also reflected a bit decline as directly related to activities being performed in the market, more over the share is constantly moving the range of $30 up/down, being range bound, hence reflects that the business is performing well, and keeping at the place in the market. Citing Chinese government data, Reuters recently reported that Apple sold just 494,000 iPhones in the country in February. That was a steep decline from the 1.27 million units the company had shipped in the prior-year period and the two million units sold in January. The situation was bad across the board, as overall smartphone shipments fell 54.7% annually during the month, according to the China Academy of Information and Communications Technology.
Microsoft has reflected a steady decline, although it is not much material, and market expectancy is to correct it, I believe the more effect on Microsoft stock price down fall is related to news spread in the market, that Bill Gates is resigning himself, from the position of the President and leaving the board, market sentiments are attached to this news, but I believe in coming few months, business is going to show tremendous growth in the shares value. I feel that Microsoft offers many types of shares like mutual funds holders, individuals, stakeholders and other institutional shares. With these shares they are often bought and sold. The rates of shares range 42.14% to 6.18%.
Aritizia has shown some of the great moment during the last tenure, touching up the higher side and then again the lower side, is a mixed up reaction, as it moved between range of $200-250 in few days, the reason of such movement is overall market performance, the oil war, and the Corona virus worldwide economic impact. The current state of our society has resulted in a very volatile market. In times like these investors may be cautious towards putting their savings into stocks. However, this is also a good time to buy at low prices. ATZAF has seen a decline in market price over the past month, however a significant amount of that decline can be attributed to nation-wide panic. Most of the clothing inventory held by Aritzia comes from Vietnam. Countries in Asia are being hit especially hard by the virus and as a result North American companies are seeing experiencing breaks in their sup.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
2. Professions Press (see website and address above or call 1-888-
337-8808 or 1-410-
337-9585). Cases in Health Services Management can also be
used in conjunction
with the textbook, Managing Health Services Organizations and
Systems, also
published by Health Professions Press.
The cases presented in this volume are based on the case
authors’ field research in
a specific organization or are composite cases based on
experiences with several
organizations. In most instances, the names of organizations and
individuals and
identifying details have been changed. Cases are intended to
stimulate discussion
and analysis and are not meant to reflect positively or
negatively on actual persons
or organizations.
Library of Congress Cataloging-in-Publication Data
Names: Darr, Kurt, editor. | Farnsworth, Tracy J., editor. |
Myrtle, Robert C.,
editor.
Title: Cases in health services management / edited by Kurt
Darr, Tracy J.
Farnsworth, Robert C. Myrtle.
Description: Sixth edition. | Baltimore : Health Professions
Press, Inc., [2017] |
Preceded by: Cases in health services management / edited by
Jonathon S.
Rakich, Beaufort B. Longest, Kurt Darr. 5th ed. c2010. |
Includes bibliographical
3. 4
http://www.healthpropress.com
references. | Description based on print version record and CIP
data provided by
publisher; resource not viewed.
Identifiers: LCCN 2017008811 (print) | LCCN 2017010156
(ebook) | ISBN
9781938870736 (epub) | ISBN 9781938870620 (pbk.)
Subjects: | MESH: Hospital Administration | Health Services
Administration |
Total Quality Management | Organizational Case Studies |
United States
Classification: LCC RA971 (ebook) | LCC RA971 (print) | NLM
WX 150 | DDC
362.10973—dc23
LC record available at https://lccn.loc.gov/2017008811
British Library Cataloguing-in-Publication data are available
from the British
Library.
5
https://www.lccn.loc.gov/2017008811
To the Alumni of the GWU MHA Program
(Dedication of Dr. Darr)
4. To my wife, Michelle;
parents Karl and Jackie;
and children, Lindsey (Dan), Taylor (Jill), Rachel (Steven), and
Dallin
(Dedication of Dr. Farnsworth)
To my students, who made this work possible
(Dedication of Dr. Myrtle)
6
Additional titles on healthcare management and
administration
Managing Health Services Organizations and Systems (Sixth
Edition)
Ethics in Health Services Management (Sixth Edition)
Climbing the Healthcare Management Ladder: Career Advice
from
the Top on How to Succeed
Superior Productivity in Healthcare Organizations: How to Get
It,
How to Keep It (Second Edition)
Becoming an Effective Leader in Healthcare Management: The
12
Essential Skills (Second Edition)
6. result in allegations of antitrust, excessive healthcare costs,
disruption
of physician referral patterns, and use of harsh collection
practices,
all of which cause a negative reaction in its service area.
2 Flu Vaccine
Mary K. Feeney and Abigail Peterman
Flu vaccine shortages in 2004–2005 caused by a major
manufacturer’s problems with quality control result in federal
and
state efforts to secure supplies of the vaccine and raise public
policy
and resource-allocation issues that users can role-play in three
scenarios.
3 Merck’s Crixivan
Kimberly A. Rucker, Nora G. Albert, and Kurt Darr
A pharmaceutical manufacturer encounters significant negative
stakeholder reaction to its introduction of a new medication for
the
human immunodeficiency virus despite having met expectations
for
clinical rigor and carefully assessing stakeholders and the
external
environment.
8
4 Pineridge Quality Alliance: A Case Study in Clinical
Integration
and Population Health
Tracy J. Farnsworth
A new CEO urges his board to move toward becoming an
7. accountable care organization and promoting regional
population
health, which demands choosing among three common
approaches to
navigating the challenges and opportunities of developing a
clinically
integrated network.
5 Hawaii Health Systems Corporation: The Politics of Public
Health Systems Governance
Earl G. Greenia
A healthcare executive facing continual public policy
restructuring of
Hawaii’s Health Systems Corporation must develop strategic
options
for his board to consider in response to this environmental
uncertainty.
PART II STRATEGIC MANAGEMENT
6 Riviera Medical Center
Michael J. King and Robert C. Myrtle
The CEO of a 350-bed hospital explores strategic alternatives to
enhance its financial situation and reputation by asking the
hospital
board to approve a worksite wellness program to be marketed to
area
companies to improve workers’ health and decrease employers’
healthcare costs.
7 Edgewood Lake Hospital: Leadership in a Rural Healthcare
Facility During Challenging Economic Times
Brent C. Pottenger, Douglas Archer, Stephen Cheung, and
Robert C.
Myrtle
The new CEO of a 30-bed, not-for-profit rural hospital faces a
8. turnaround situation to make the hospital profitable after 3
years of
losses. Problems include challenging payer mix, employee
overstaffing, and difficulty recruiting physicians.
8 Klamath Care: Targeting and Managing Growth and
Company-
Wide Development
Tracy J. Farnsworth, Leigh W. Cellucci, and Carla Wiggins
9
The CEO of a growing system of urgent care centers recounts
the
organization’s development over a decade while considering
strategies and options for future growth in an increasingly
crowded
marketplace with an analysis that uses financial, market share,
and
demographic data.
9 Hospital Consolidation
Tracy J. Farnsworth
This case focuses on the relationship healthcare providers have
with
their local and regional markets and the need to balance
organization
and community interests when making decisions that affect the
healthcare marketplace.
10 Service Area Management
Tracy J. Farnsworth
Users are challenged to analyze, prioritize, and use disparate
information common to a dynamic and competitive healthcare
9. marketplace as part of an organization’s strategic planning and
marketing processes.
11 Western Healthcare Systems: A Healthcare Delivery
Continuum
Robert C. Myrtle
Western Healthcare Systems was creating an integrated delivery
system when an opportunity to acquire a large multispecialty
group
arose, but it may be imprudent to proceed because of hospital
and
multispecialty group physician resistance.
PART III ORGANIZATIONAL MANAGEMENT
12 Hartland Memorial Hospital: Part 1, In-Box and
Prioritization
Exercise
Kent V. Rondeau, John E. Paul, and Jonathon S. Rakich
The VP for nursing services of a 285-bed for-profit hospital
must
decide what actions to take regarding her in-box, which
includes e-
mail, correspondence, and phone messages that communicate
various
challenges, such as two angry nurses, a wandering patient, staff
shortages, and increasing numbers of OR infections.
Emphasizes
priority setting, decision making, and delegation.
13 Bad Image Radiology Department
10
10. Kurt Darr
Management of a community hospital is unwilling to recognize
and
address major problems in its radiology department, which is
directed
by a radiologist whose disruptive behavior and preoccupation
with
income and stock market speculation have diminished the
quality of
radiograph readings with tragic results.
14 Westmount Nursing Homes: Implementing a Continuous
Quality
Improvement Initiative
Kent V. Rondeau
The future of a total quality management initiative is threatened
when
the CEO has to overcome more than the expected barriers and
pitfalls
in a chain of seven nursing homes and the initiative becomes
entangled in negotiations with the union representing nurses.
15 District Hospital: A Lesson in Governance
Cynthia Mahood Levin and Kurt Darr
A tax district community hospital has major problems with its
governance structure because of historical animosities among
internal
stakeholders, medical staff politics, weak and ambivalent senior
management, and a disruptive member of the medical staff who
has
ambitions to attain major power in the hospital.
16 Restructuring Decision Making at Holy Family Hospital:
Overcoming Resistance to a Shared Governance Program
Kent V. Rondeau
A change initiative introduced to democratize decision making
11. and
improve clinical care in a healthcare organization is met with
staff
suspicion, derision, and resistance.
PART IV ORGANIZATIONAL EFFECTIVENESS
17 Attica Memorial Hospital: The Ingelson Burn Center
Bonnie Eng-Suess and Robert C. Myrtle
After the merger of two hospitals, planning must include how to
consolidate duplicated services and realign units, including a
burn
center, while considering the center’s financing and community
and
organizational impact.
11
18 Pediatric Dental Care Center
Eleanor Lin
A not-for-profit pediatric dental care center that has struggled
financially for years as it serves a Medicaid population is
offered the
opportunity to become part of a federally qualified health
center, but
to do so requires expanding services and significantly changing
its
governance structure.
19 Radical Innovation on the Idaho Frontier: Bengal
Telepharmacy
Julie Frischmann, Neil Tocher, and Alexander R. Bolinger
Efforts to provide pharmacy services in a rural community are
successful because of creative thinking, perseverance, political
12. deal
making, and using telepharmacy in a unique and effective way.
20 Structure and Funding of Hospitalist Programs
John E. Paul and Gillian Gilson Watson
An academic medical center must decide how to structure and
fund
hospitalist services in the context of its relationship with an
affiliated
school of medicine; the history and content of hospitalist
functions;
and other revenue that might be derived from hospitalist
services,
even while considering several alternate strategies.
21 Appian Health Systems
Robert C. Myrtle
A negotiation simulation allows participants to assume union
and
hospital roles to work toward an acceptable collective
bargaining
agreement.
22 Evolution of the Healthy Communities Initiatives
Barry Ross
Several years after initiating healthcare services for diverse,
underserved communities, hospital leadership is planning how
to take
its activities to a level with greater impact and sustainability.
PART V LEADERSHIP CHALLENGES
23 Hospital Software
13. Solution
s (A)
Elizabeth M. A. Grasby and Jason Stornelli
A software company supplying information technology services
to
12
Ontario (CN) hospitals has an ill-defined structure and controls
that
frustrate a new employee with conflicting demands from the
firm’s
managers, including expectations inconsistent with her job
description.
24 The Case of Tim’s Last Years
Kurt Darr and Carla Jackie Sampson
Declining physical health forces an accomplished retired
professor to
enter a life care community in which his diminished
14. independence
leads to conflicts with management and staff even as further
health
problems result in an apparently willed death.
25 Autumn Park
Cara Thomason Embry and Robert C. Myrtle
The executive director and the director of assisted living in a
community for independent and assisted living must resolve a
disagreement as to the appropriate level of care for a difficult
resident.
26 Appalachian Home Health Services
Kathryn H. Dansky
A not-for-profit home health agency faces a controversial
choice after
learning its best applicant for a nursing position is a convicted
felon,
and a review by management shows more widespread problems
with
recruitment and staffing.
27 Suburban Health Center
Bruce D. Evans and George S. Cooley
The supervisor of the suburban branch of a city health
15. department
faces problems with an insubordinate and possibly incompetent
nurse, even as the lack of authority and inadequate support from
superiors are complicated by the absence of employee
performance
evaluations.
28 Team Building: From Success to Failure in 24 Hours
Cherie A. Hudson Whittlesey
What starts as a highly successful team-building exercise
becomes
problematic when one physician challenges the process and
forces
the facilitator to consider underlying issues and then devise
responses
13
that will preserve team cooperation.
PART VI ETHICS INCIDENTS
29 Ethics Incidents
16. Kurt Darr
Twelve mini-case studies cover the spectrum of administrative
and
clinical ethical issues, from conflicts of interest to dishonest
contractors and from infection control to advance medical
directives.
14
Administrative Ethics
Incident 1: Borrowed Time
Incident 2: ED Repeat Admissions: A Question of Resource Use
Incident 3: The Administrative Institutional Ethics Committee
Incident 4: Bits and Pieces
Incident 5: A Potentially Shocking Revelation
Incident 6: Intensive Care Unit Dysfunction
Clinical Ethics
Incident 7: Protecting the Community
Incident 8: Decisions
Incident 9: The Missing Needle Protector
Incident 10: To Vaccinate, or Not
Incident 11: Demarketing to Avoid Bankruptcy
17. Incident 12: Something Must Be Done, But What?
15
About the Editors
Kurt Darr, JD, ScD, LFACHE, is Professor Emeritus of Hospital
Administration, and of Health Services Management and
Leadership,
Department of Health Services Policy and Management, School
of
Public Health, The George Washington University. Dr. Darr
holds the
Doctor of Science from The Johns Hopkins University and the
Master of
Hospital Administration and Juris Doctor from the University of
Minnesota. His baccalaureate degree was awarded by Concordia
College,
Moorhead, MN.
Dr. Darr completed an administrative residency at the Rochester
(MN)
Methodist Hospital and subsequently worked as an
18. administrative
associate at the Mayo Clinic. After being commissioned in the
U.S. Navy
during the Vietnam War, he served in administrative and
educational
assignments at St. Albans Naval Hospital (NY) and Bethesda
Naval
Hospital (MD). He completed postdoctoral fellowships with the
U.S.
Department of Health and Human Services, the World Health
Organization, and the Accrediting Commission on Education for
Health
Services Administration.
Dr. Darr is admitted to practice before the Supreme Court of the
state
of Minnesota and the Court of Appeals of the District of
Columbia. He
was a mediator for the Civil Division of the Superior Court of
the District
of Columbia and has served as a hearing officer for the
American
Arbitration Association. Dr. Darr is a member of hospital
committees on
quality improvement and on ethics in the District of Columbia
19. metropolitan area. He is a Life Fellow of the American College
of
Healthcare Executives.
Dr. Darr’s teaching and research interests include health
services
management, administrative and clinical ethics, hospital
organization and
management, quality improvement, and applying the Deming
method in
health services. Dr. Darr is the editor and author of numerous
books,
articles, and cases used for graduate education and professional
development in health services.
Tracy J. Farnsworth, EdD, MHSA, MBA, FACHE, is President
and
16
Chief Executive Officer of the Proposed Idaho College of
Osteopathic
Medicine Dr. Farnsworth has served as Director and Associate
20. Dean of
the School of Health Professions, Division of Health Sciences,
Idaho State
University (ISU [Pocatello]) since 2010. He is Associate
Professor in the
Health Care Administration Program at ISU and has served as
Program
Director.
Dr. Farnsworth is a graduate of Brigham Young University. He
received master’s degrees in Business and Health Services
Administration
from Arizona State University and the Doctor of Education in
Educational
Leadership from ISU. In 2014, Dr. Farnsworth was awarded the
Kole-
McGuffey Prize for excellence in education research, and in
2016 he
received the J. Warren Perry Distinguished Author Award from
the
Association of Schools of Allied Health Professions.
Prior to becoming an educator, Dr. Farnsworth had executive-
level
appointments with Intermountain Healthcare, Catholic
21. Healthcare West,
the City of Hope National Medical Center, and other public and
private
healthcare systems.
A Fellow of the American College of Healthcare Executives,
Dr.
Farnsworth has written and spoken widely on subjects related to
hospital
and health systems performance improvement, healthcare
reform, medical
education, healthcare leadership and governance, and
interprofessional
education/collaboration.
Robert C. Myrtle, DPA, is Professor Emeritus of Health
Services
Administration, Sol Price School of Public Policy, University of
Southern California. Dr. Myrtle received a bachelor’s degree in
business
administration from the California State University, Long
Beach, and a
master’s and doctoral degree in public administration from the
University
of Southern California. During 41 years at the University of
22. Southern
California (USC), Dr. Myrtle co-authored two books on
management; 18
book chapters; 51 articles in journals, including Health Care
Management
Review, Health Policy and Planning, Public Administration
Review, Social
Science and Medicine, and The Gerontologist; and 70
conference papers
and professional reports. He has academic appointments in the
Leonard
Davis School of Gerontology and the Marshall School of
Business and is a
Visiting Professor in the Institute of Health Policy and
Management at the
National Taiwan University.
Dr. Myrtle’s key research interests are leadership, executive
development, and organizational and management effectiveness.
Current
research includes the influence of managers’ behavior on
perceptions of
17
23. overall leadership effectiveness; examining factors influencing
the
performance of surgical teams; and assessing factors
influencing
organizational legitimacy during and following major natural
disasters.
Dr. Myrtle is the recipient of the Academy of Management’s
Health
Care Division’s Teaching Excellence Award and the American
Society for
Public Administration’s Los Angeles Chapter Harry Scoville
Award for
Academic Excellence. He was named Professor of the Year at
USC and
has three times been named Most Inspirational Business
Professor. He is
the recipient of the American College of Healthcare Executives
Regents
Award, and the Hubert H. Humphrey Award for best article of
the year
appearing in the Journal of Health and Human Services
Administration.
24. Dr. Myrtle was chair of the Los Angeles County Hospitals and
Health
Services Commission. He was board chair for SCAN Health
Plan and was
a member of the board of directors for the Huntington Medical
Foundation. He has served as board chair of Health and Human
Services
for the City of Long Beach (CA).
Professor Emeritus Darr coauthored the textbook, Managing
Health
Services Organizations and Systems, Sixth Edition (2014), with
Beaufort
B. Longest, Jr., published by Health Professions Press. This
health services
management textbook should be used as a complement to Cases
in Health
Services Management.
18
Contributors
25. Nora G Albert, MHA
Project Manager
Children’s National Health System
111 Michigan Ave, NW
Washington, DC 20010
Douglas Archer, MHA
Hospital Administrator
Sutter Health-Memorial Hospital–Los Banos
520 West I St.
Los Banos, CA 93635
Alexander R Bolinger, PhD, MBA
Associate Professor of Management
Idaho State University
921 S. 8th Ave.
Pocatello, ID 83209–8020
Leigh W Cellucci, PhD, MBA
Professor and Program Director
Department of Health Services and Information Management
East Carolina University
Greenville, NC 27858–668
26. Stephen Cheung, MHA, DDS
School of Dentistry
State Capital Center
School of Policy, Planning, and Development
University of Southern California
Sacramento, CA 95811
19
George S Cooley
Long Green Associates, Inc.
Long Green, MD 21092
Kathryn H Dansky, PhD
Associate Professor Emerita
Department of Health Policy and Administration
College of Health and Human Development
Pennsylvania State University
201 Main
University Park, PA 16802
Kurt Darr, JD, ScD, LFACHE
Professor Emeritus, Hospital Administration
27. Dept. of Health Services Management & Leadership
The George Washington University
2175 K Street, NW
Suite 320
Washington, DC 20037
Cara Thomason Embry, MSG, MHA, RN
Sol Price School of Public Health
University of Southern California
Los Angeles, CA 90089–0626
Bonnie Eng-Suess, MHA
Director of Hospital Risk Contracting and Operations
Dignity Health
251 S. Lake Ave., Ste 700
Pasadena, CA 91101
Bruce D Evans, MBA
Professor of Management
University of Dallas
Satish & Yasmin Gupta College of Business
1845 E. Northgate Dr.
Irving, TX 75062
Tracy J Farnsworth, EdD, MHSA, MBA, FACHE
28. 20
Associate Dean and Director
Kasiska School of Health Professions
Division of Health Sciences
Idaho State University
921 South 8th Ave.
Pocatello, ID 83209–8090
Mary K Feeney, PhD
Associate Professor and Lincoln Professor of Ethics in Public
Affairs
School of Public Affairs
Arizona State University
411 N. Central Ave., Suite 450
Phoenix, AZ 85004
Julie Frischmann
Instructor/Academic Coach
Student Success Center
Idaho State University
921 S. 8th Ave.
29. Pocatello, ID 83209–8010
Elizabeth M A Grasby, PhD
c/o Richard Ivey School of Business
The University of Western Ontario
1151 Richmond Street North
London, Ontario N6A 3K7
CANADA
Earl G Greenia, PhD, FACHE
Professor, Healthcare Administration & Management
Colorado State University–Global Campus
7800 E. Orchard Road
Greenwood Village, CO 80111
Michael J King, MHA
Chief Financial Officer, Shared Services Division
Tenet Healthcare Corporation
1445 Ross Ave., Suite 1400
21
Dallas, TX 75202
30. Eleanor Lin, MHA, DDS
Children’s Dental Health Clinic
455 E. Columbia St.
Long Beach, CA 90806
Cynthia Mahood Levin, MHSA
Healthcare Consultant
Palo Alto, CA
Nova Ashanti Monteiro, MD
Children’s National Medical Center
111 Michigan Avenue NW
Washington, DC 20010
Robert C Myrtle, DPA
Professor Emeritus, Health Services Administration
Sol Price School of Public Policy
University of Southern California
105 Siena Drive
Long Beach, CA 90803
John E Paul, PhD, MSPH
Clinical Professor and Associate Chair for Academics
Department of Health Policy and Management
31. Gillings School of Global Public Health
University of North Carolina at Chapel Hill
135 Dauer Drive.
Chapel Hill, NC 27599
Abigail Peterman
Center for Science, Technology and Environmental Policy
Studies
Arizona State University
University Center
411 N. Central Ave.
Phoenix, AZ 85004
Alexandra Piriz Mookerjee, MHSA
22
Administrator
Westminster Communities of Florida
Magnolia Towers
100 E. Anderson St.
Orlando, FL 32801
32. Brent C Pottenger, MD, MHA
Dept. of Physical Medicine & Rehabilitation
Johns Hopkins Medicine
707 North Broadway
Baltimore, MD 21205
Jonathon S Rakich
Professor Emeritus
Indiana University Southeast
4201 Grant Line Road
New Albany, IN 47150
Kent Rondeau, PhD
Associate Professor
School of Public Health
University of Alberta
Faculty of Extension, Enterprise Square
10230 Jasper Ave., Room 2–216
Edmonton, Alberta T5J 4P6
CANADA
Barry Ross, MPH, MBA
Vice President, Healthy Communities
St. Jude Medical Center
101 E. Valencia Mesa Dr.
33. Fullerton, CA 92835
Kimberly A Rucker
Healthcare Consultant
Washington, DC
Carla Jackie Sampson, MBA, FACHE
Graduate Research Associate
23
Florida Center for Nursing
12424 Research Pkwy, #220
Orlando, FL 32826
Jessica Silcox, RN, MSN
Staff Development Educator & Stroke Coordinator
Sentara Northern Virginia Medical Center
2300 Opitz Blvd.
Woodbridge, VA 22191
Jason Stornelli
c/o Richard Ivey School of Business
34. The University of Western Ontario
1151 Richmond Street North
London, Ontario N6A 3K7
CANADA
Neil Tocher, PhD
Professor of Management
Idaho State University
921 S. 8th Ave.
Pocatello, ID 83209–8020
Gillian Gilson Watson, MHA
Department of Hospital Medicine
University of North Carolina Hospitals
101 Manning Dr.
Chapel Hill, NC 27599–7085
Cherie A Hudson Whittlesey, ML
Director, Organizational Learning and Effectiveness
St. Jude Medical Center
101 E. Valencia Mesa Dr.
Fullerton, CA 92835
Carla Wiggins, PhD
Professor and MHA Program Director
35. Weber State University
24
3875 Stadium Way, Dept. 3911
Ogden, UT 84408
25
Preface
Like its predecessors, the sixth edition of Cases in Health
Services
Management describes management problems and issues in
various
healthcare settings. The primary criterion to select a case was
that it had to
be rich in applied lessons. Case selection was tempered by the
editors’ 90
years of combined experience in teaching and using the case
method. The
36. result is a comprehensive set of health services management
cases in one
volume.
Cases vary in length and complexity and are grouped into six
parts. Of
the 28 cases in this edition, 14 are new. There are two new
ethics
incidents. Cases and ethics incidents that have stood the test of
time and
use were retained in this edition. All have been updated and
edited to make
them as streamlined as possible. Consistent with the evolving
healthcare
delivery system, half the cases are set outside of acute care
hospitals.
Those include a long-term care facility, a health network, a
continuing care
retirement community, an emergency department, a hospital
burn unit, a
dental clinic, a pharmaceutical company, a city health
department, a home
health agency, and a software company.
Acute care hospital cases include a range of sizes, types,
37. ownerships,
and geographic locations, including rural and inner-city
settings. One
hospital case is set in a multi-institutional system; another
applies the
principles of continuous quality improvement. An in-box
exercise set in a
hospital simulates the time pressures that confront managers
and the
importance of prioritizing the issues, and a labor relations role-
play case
creates a powerful learning experience that emphasizes the
challenges and
dynamics of any negotiated relationship.
Depending on depth of analysis and time available for out-of-
class
preparation, most cases can be analyzed in two hours, or less. A
few cases
are short and have one issue. Most, however, are integrative and
complex
and involve multiple problems and issues. As a result, analyses
will often
require applying concepts from different disciplinary fields and
knowledge
38. areas. This may require users to synthesize and apply
knowledge, skills,
and experience from the social and health sciences in their
analyses and
26
discussions.
The primary use of this book of cases is the education of health
services managers. Case analysis bridges theory and practice. In
this
regard, students studying health services management, as well
as
experienced managers, will find the cases informative as they
hone
analytical and problem-solving skills. These cases can also be
used in
continuing professional development for practicing managers.
By their nature, cases present events, situations, problems, and
issues.
The dynamics of the analysis, including the group discussion,
39. make the
case method a powerful and rich tool for learning. Users are
urged to
review the Introduction, which describes the case method and
case
analysis.
The cases included in this volume are intended to stimulate
discussion
and analysis. In most instances, the names of organizations and
individuals
are disguised. In all instances, authors of the cases have
prepared well-
written, factual situations that are based on field research in a
specific
organization, or a composite case based on experience with
several
organizations. No case is meant to reflect positively or
negatively on actual
persons or organizations, or to depict either effective or
ineffective
handling of administrative situations.
The 28 cases and 12 ethics incidents are organized into six
parts:
40. Part I: Policy Environment of Health Services Delivery (five
cases)
Part II: Strategic Management (six cases)
Part III: Organizational Management (five cases)
Part IV: Organizational Effectiveness (six cases)
Part V: Leadership Challenges (six cases)
Part VI: Ethics Incidents (12 statements of fact that show ethics
issues)
The case synopses in the table of contents …
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42. The Eight Step Basadur Simplex® Problem Solving Process
The Eight Step Basadur Simplex® Problem Solving Process
Developed by:
Min Basadur
What is it?
The Simplex Model is an eight-step creative problem solving
model.
Step 1Problem finding (SWOT Analysis: Strengths,
Weaknesses, Opportunities, and Threats)means sensing,
anticipating and seeking out problems, changes, trends, needs
and opportunities for improvement, inside and outside the
organization.
Step 2 Fact finding (eight facts)involves gathering information
43. about a fuzzy situation without prematurely judging its
relevance.
Step 3Problem defining means composing clear, insightful
challenges from a few key facts. These challenges reveal
directions for solutions.
Step 4Idea finding (three ideas)means creating a variety of ways
to solve a defined problem.
Step 5Evaluating and selecting involves converting selected
ideas into practical solutions.
Step 6 Action planning means creating specific steps that will
lead to successful implementation of a solution.
44. Step 7Gaining acceptance means understanding that even the
best ideas and plans can be scuttled by resistance to change.
Showing someone how this solution benefits them.
Step 8 Taking action means "doing" the steps in the action
plan, and continually revising and adapting the plan as things
change in order to ensure that the solution is successfully
implemented.