Capstone Module 2 - SLP EVOLUTION OF THE PROBLEM For this component of the SLP please explain the implications of this problem for the stakeholders of the organization (be sure to compare and contrast the implications for the different stakeholders). Among these, you are asked to give special attention to patients. SLP Assignment Expectations Length: This assignment should be between 2-3 pages (500-750 words) in length, excluding references. References: At least two references should be included from academic sources (e.g. peer-reviewed journal articles). Organization: Subheadings should be used to organize your paper Format: APA format is recommended. While APA formatting of references is not a requirement, the references need to be presented in order using a standard citation style (APA, AMA, MLA etc). When material is copied verbatim from external sources, it MUST be enclosed in quotes. The references should be cited within the text and also listed at the end of the assignment in the References section. See Syllabus page for more information on APA format. Grammar and Spelling: While no points are deducted, assignments are expected to adhere to standards guidelines of grammar, spelling, punctuation, and sentence syntax. Points may be deducted if grammar and spelling impact clarity. Your paper will be evaluated based on the rubric criteria. Capstone Module 2 - Case EVOLUTION OF THE PROBLEM Case Assignment For this case your are asked to identify potential causes for the problem you began addressing in module 1, critically analyze the causes and explain how you would go about assessing these causes in the context of a specific organization. Again, you are asked to refer to practice but also integrate literature that deals with this issue and the knowledge you acquired in the previous courses in the BSHS program. Assignment Expectations Length: This assignment should be between 2-3 pages (500-750 words) in length, excluding references. References: At least two references should be included from academic sources (e.g. peer-reviewed journal articles). Organization: Subheadings should be used to organize your paper Format: APA format is recommended. While APA formatting of references is not a requirement, the references need to be presented in order using a standard citation style (APA, AMA, MLA etc). When material is copied verbatim from external sources, it MUST be enclosed in quotes. The references should be cited within the text and also listed at the end of the assignment in the References section. See Syllabus page for more information on APA format. You will be expected to provide a scholarly basis for your response. Your opinions should be justified with evidence from the literature. References should be cited properly in the text of your essay, as well as at the end. Several scholarly references should be cited for this assignment. Please limit your response to 3 pages maximum. Your paper will be evaluated based on the ru ...

1. Capstone Module 2 - SLP
EVOLUTION OF THE PROBLEM
For this component of the SLP please explain the implications
of this problem for the stakeholders of the organization (be sure
to compare and contrast the implications for the different
stakeholders). Among these, you are asked to give special
attention to patients.
SLP Assignment Expectations
Length: This assignment should be between 2-3 pages (500-750
words) in length, excluding references.
References: At least two references should be included from
academic sources (e.g. peer-reviewed journal articles).
Organization: Subheadings should be used to organize your
paper
Format: APA format is recommended. While APA formatting of
references is not a requirement, the references need to be
presented in order using a standard citation style (APA, AMA,
MLA etc). When material is copied verbatim from external
sources, it MUST be enclosed in quotes. The references should
be cited within the text and also listed at the end of the
assignment in the References section. See Syllabus page for
more information on APA format.
Grammar and Spelling: While no points are deducted,
assignments are expected to adhere to standards guidelines of
grammar, spelling, punctuation, and sentence syntax. Points
may be deducted if grammar and spelling impact clarity.
Your paper will be evaluated based on the rubric criteria.

2. Capstone Module 2 - Case
EVOLUTION OF THE PROBLEM
Case Assignment
For this case your are asked to identify potential causes for the
problem you began addressing in module 1, critically analyze
the causes and explain how you would go about assessing these
causes in the context of a specific organization. Again, you are
asked to refer to practice but also integrate literature that deals
with this issue and the knowledge you acquired in the previous
courses in the BSHS program.
Assignment Expectations
Length: This assignment should be between 2-3 pages (500-750
words) in length, excluding references.
References: At least two references should be included from
academic sources (e.g. peer-reviewed journal articles).
Organization: Subheadings should be used to organize your
paper
Format: APA format is recommended. While APA formatting of
references is not a requirement, the references need to be
presented in order using a standard citation style (APA, AMA,
MLA etc). When material is copied verbatim from external
sources, it MUST be enclosed in quotes. The references should
be cited within the text and also listed at the end of the
assignment in the References section. See Syllabus page for
more information on APA format.
You will be expected to provide a scholarly basis for your
response. Your opinions should be justified with evidence from
the literature. References should be cited properly in the text of
your essay, as well as at the end. Several scholarly references

3. should be cited for this assignment. Please limit your response
to 3 pages maximum.
Your paper will be evaluated based on the rubric criteria.
Capstone Module 2 - Background
EVOLUTION OF THE PROBLEM
Gillian Fairfield, David J Hunter, David Mechanic, & Flemming
Rosleff. (1997). Managed care: Implications of managed care
for health systems, clinicians, and patients. British Medical
Journal, 314(7098), 1895-8.
Maciosek, Michael V. (1994). Causes of rising health care costs
and the implications of r. Illinois Business Review, 51(3), 6.
Foy A, Stransky B (2009). Understanding the Cause of Health
Care Inflation. American Thinker. Retrieved 3/2/2013 from
http://www.americanthinker.com/2009/09/understanding_the_ca
use_of_hea.html
Capston Module 1 - SLP
PROBLEM IDENTIFICATION
For this module's SLP you are asked to further discuss the
extent and the impact of this problem. How often is it
encountered? What are its negative consequences? Who is
affected by the problem? What could be its implications for the
mission and vision of the healthcare organization where the
problem occurs?
SLP Assignment Expectations
The objective of the capstone is to conduct research on a
relevant issue in health care management, to identify the issues

4. and implications, and to develop a plan to address this issue.
Please draw from your exposure to the various issues discussed
in the previous courses and from your professional experience.
The capstone will give you the opportunity to apply information
and skills gained from previous courses (and work experience)
and to develop a plan to address a "real world" healthcare issue.
You will be expected to provide a scholarly basis for your
response. Your opinions should be justified with evidence from
the literature. References should be cited properly in the text of
your essay, as well as at the end. Several scholarly references
should be cited for this assignment. Please limit your response
to 3 pages maximum.
Length: This assignment should be between 2-3 pages (500-750
words) in length, excluding references.
References: At least two references should be included from
academic sources (e.g. peer-reviewed journal articles).
Organization: Subheadings should be used to organize your
paper.
Format: APA format is recommended. While APA formatting of
references is not a requirement, the references need to be
presented in order using a standard citation style (APA, AMA,
MLA etc). When material is copied verbatim from external
sources, it MUST be enclosed in quotes. The references should
be cited within the text and also listed at the end of the
assignment in the References section. See Syllabus page for
more information on APA format.
You will be expected to provide a scholarly basis for your
response. Your opinions should be justified with evidence from
the literature. References should be cited properly in the text of
your essay, as well as at the end. Several scholarly references
should be cited for this assignment. Please limit your response

5. to 3 pages maximum.
Your paper will be evaluated based on the rubric criteria.
4
Mod 1 Case
Mod 1 Case: Problem Identification
William S. Gates
TUI
Professor: Robert Grice
For this assignment you are to select a hospital for which you
are familiar or have access to the needed information. This
hospital will be the focus of the case and SLP assignments. For
the module 1 case please submit a paper that:
1. Identifies a problem in hospital administration.
2. Describes the problem and discusses its importance.
I have been working for San Antonio Military Medical
Center for the Past four years, and in that time frame I have
noticed many flaws. This facility is considered to be the

6. Flagship facility for the Department of Defense’s Health Care,
but administratively speaking it could run smoother. The next
few paragraphs will elaborate on how administrative practices
with in the facility hinders care, morale, and patient
perspective.
SAMMC is an integrated facility meaning that multiple
services branches man this facility along with its contractor and
civilian counterparts. Formerly known as Brooke Army
Medical Center, San Antonio Military Medical Center is
primarily manned by the United States Air Force Medical
Services. The United States Army has since reduced its manning
in the facility and has supplemented with contractor and civilian
personnel. This all Came about in 2012 when the Base
Realignment and Closure (BRAC) Merger took place; moving
inpatient units at Wilford Hall Medical Center, now known as
Wilford Hall Ambulatory Surgical Center to BAMC, now known
as SAMMC. All inpatient units along with the staff both
military and civilian were forced to move from Lackland AFB
to Ft Sam Houston TX. SAMMC then took over inpatient care
for Joint Base San Antonio and WHASC became a super clinic
only utilizing outpatient care facilities.
Now on paper this was the best decision for the DoD
financially, however the clash of culture would soon result in
numerous complaints and morale issues within the facility that
caused a riff throughout the hospital. Administratively the
hospitals commanding officers were all Army initially, since
2012 only 3 Air Force Colonels have made their way into the
Hospitals administrative command. One of the biggest issues
facing the chain of command is its culture. The Army has
harsher way of dealing with issues, and since they are in control
of the day to day operations they have bumped heads with many
of its Air Force counter parts.
There are 3 administrative commands that make up
SAMMC, Troop Command (Army), 959 Medical group (Air
Force), and Medical Command (Army). The hospitals
administrative piece operates from Medical Command and there

7. mission. They own the staffing portion or manning document
for the makeup of the hospitals personnel. But since more than
half of its staff is Air Force, and the 959 Medical group handles
all administrative action for the members, the army has a hard
time getting its mission done on paper by its Air Force
Counterparts. For the most part like I have stated prior, this is
all a clash of culture that has escalated into numerous negative
climate survey’s indicating negative work atmosphere with poor
leadership on all organizations involved. This administrative
issues between the different organizations has stifled the morale
of all units within the facility that it has raised the military
separation rate fifty percent. In 2015, a whole page of
information from climate surverys conducted by Air Force
personnel found itself on the Chief of staff of the Air Forces
desk.
Another issues that seems to hold up the hospital
administratively is the amount of computer illiterate staff. The
majority of the civilian personnel working in the facility is over
the age of 40 and prior service that didn’t have computers when
they initially came into military service. The rate that
technology advances is greater than the rate the average baby
boomer or 40 year old gets better at using a computer. The
entire hospital runs on computers, from the machines that keep
the patients alive to the programs that help order the supplies
for the facility. If the government would just hire some
younger staff with new fresh ideas, and get rid of old fat
civilians who think they own the place the place would run a lot
smoother. For example the Lt Col I sit in an office with ask me
constantly how to do things in excel, outlook, and word.
San Antonio Military Medical Center will always be
plagued with administrative challenges, mostly because of the
high turnover rate of leadership. The average military member
that is charged with administrative command only stays in the
leadership position for 3 years then rotates to another
assignment either. The member are given bright individuals
with not so sharp tools to work with and they make the mission

8. work every day.
the most optimal approach a manger might want to pursue when
faced with a problem in need of timely solution would be to see
out the subject matter expert for that particular situation and
utilize the analytical obsession to identify some root causes
then utilize the fire fighter method and act quickly to ensure a
positive change.
Capstone Module 1 - Background
PROBLEM IDENTIFICATION
The American College of Health Care Executives, Top Issues
Confronting Hospitals: 2006. Retrieved 3/2/2013 from
http://www.ache.org/PUBS/research/ceoissues.cfm
Baker, R. (2000). Managing quality: strategic issues in health
care management. Family Practice, 17 (2). Retrieved 3/2/2013
from http://fampra.oxfordjournals.org/cgi/content/full/17/2/212
Daily News fro HealthCare executives, Retrieved 3/2/2013 from
http://www.fiercehealthcare.com/
Health care leadership Council, What is happening in
healthcare. Retrieved 3/2/2013 from http://www.hlc.org/
Health Care Management Review. Retrieved 3/2/2013 from
http://journals.lww.com/hcmrjournal/pages/currenttoc.aspx
Modern Health Care. Retrieved 3/2/2013 from
http://www.modernhealthcare.com/
National Institute for Health Care Management. Retrieved
3/2/2013 from http://www.nihcm.org/

9. The national Center for HealthCare Leadership. Retrieved
3/2/2013 from http://www.nchl.org/ns/resources/links2sites.asp
California State University at Chico. (2007, June 19). What is a
Scholarly Journal? Retrieved 3/2/2013 from
http://www.csuchico.edu/lins/handouts/scholarly.pdf
Citation styles. Retrieved 3/2/2013 from
http://www.bedfordstmartins.com/online/citex.html
Ethics Module 2 - SLP
PROVIDER-PATIENT RELATIONSHIP
The goal of the Session Long Project is to identify and evaluate
the ethical principles used in resolving ethical dilemmas, and to
apply the principles to specific ethical issues that may have
professional, sociological, economic, and legal or political
implications.
Tasks for Module 2:
Compare and contrast the Codes of Ethics* applicable in your
professional practice to that of the Code of Ethics for health
educators. What are the similarities? What are possible
differences?
If currently not employed in the health profession then choose
any code of ethics for a health profession and compare the
Codes of Ethics to that of health educators.
SLP Assignment Expectations
Please note that an Oath is different than a Code of Ethics
Limit your response to a maximum of three pages, not including
title and reference pages.
Please support your discussions with scholarly support (3-5
references). Be sure to properly cite all references.
Apply critical thinking skills to the assignment components,

10. especially for #2 and #3 above.
Your paper will be evaluated based on the rubric criteria.
Ethics Module 2 - Case
PROVIDER-PATIENT RELATIONSHIP
Case Assignment
Privacy & Confidentiality
Privacy and Confidentiality issues arise in a wide range of
contexts and scenarios. After reading the background materials
and conducting individual research of the literature, discuss
how health care workers can best reconcile their obligation to
protect patient privacy and maintain confidentiality in light of
criminal activity by the patient.
You may use the following as a springboard to further research:
Merril Pauls, Andrew McRae, Sam G Campbell, Paul Dungey.
(2004). Ethics in the trenches: Part 2. Case studies of ethical
challenges in emergency medicine. CJEM : Journal of the
Canadian Association of Emergency Physicians, 6(5), 363-6.
Assignment Expectations
Tasks:
Define the debate over the ethical issue of patient privacy and
confidentiality including the role of competing rights held by
the patient and by the community.
Discuss applicable ethical theories and principles
Limit your response to a maximum of three pages, not including
title and reference pages.
Please support your discussions with scholarly support (3-5
references). Be sure to properly cite all references.
Be sure to apply citical thinking skills within your discussions

11. and response to the case study assignment. I will grade your
paper on your ability to address the assignment criteria listed
above with depth and breadth of discussion. I will also critique
your writing format (i.e. proper reference citations, spacing,
etc.).
Your paper will be evaluated based on the rubric criteria.
INTRODUCTION TO ETHICS IN THE HEALTHCARE
SETTING
The goal of the Session Long Project is to identify and evaluate
the ethical principles used in resolving ethical dilemmas, and to
apply the principles to specific ethical issues that may have
professional, sociological, economic, legal, and possible
political implications.
Tasks for Module 1: (Critical thinking Assignment)
Identify and clarify an ethical dilemma facing your chosen
discipline (i.e., health education, health care management, or
environmental health). To achieve this, you will be expected to
gather and evaluate relevant information (e.g., peer reviewed
and credible sources) pertaining to the dilemma you’ve chosen
to make the focus of your case assignment.
Identify and briefly discuss the competing ethical positions that
accompany the issue and the applicable ethical theories and
principles.
SLP Assignment Expectations
Limit your responses to three pages, not including title and
reference pages, and be sure to properly cite all references
within the text of your assignment and listed at the end.
Please support your discussions with scholarly support (3-5
references). Be sure to properly cite all references.
Apply critical thinking skills to your response- specifically to

12. #2 above.
Your paper will be evaluated based on the rubric criteria.
Ethics Module 1 - Background
INTRODUCTION TO ETHICS IN THE HEALTHCARE
SETTING
Required Reading
American Nursing Association (2014). Short Ethics Definitions.
Retrieved from
http://nursingworld.org/MainMenuCategories/EthicsStandards/R
esources
Carnevale, F. (2009, Mar.). A Conceptual and Moral Analysis of
Suffering, Nursing Ethics. 16(2), 173.
Deshpande, S.P. (2009, Dec.). A Study of Ethical Decision
Making by Physicians and Nurses in Hospitals. Journal of
Business Ethics. (90)3, 387-397.
Foster, C., Herring, J., Melham, K., & Hope, T. (2011). The
double effect effect. Cambridge Quarterly of Healthcare Ethics,
20(1), 56-72.
Goldworth, A. (2008, Oct.). Deception and the Principle of
Double Effect. Cambridge Quarterly of Healthcare Ethics,
17(4), 471-473.
Lippert-Rasmussen, K. (2010). Scanlon on the doctrine of
double effect. Social Theory and Practice, 36(4), 541-564.
Murray, John S, PhD, RN, U.S.A.F., N.C. (2010). Moral
courage in healthcare: Acting ethically even in the presence of
risk. Online Journal of Issues in Nursing, 15(3), 9-
1G,2G,3G,4G,5G,6G,7G,8G,9G.

13. Websites
Kellog Library (2003). Bioethics - Introduction and Definition.
Retrieved from
http://www.library.dal.ca/kellogg/Bioethics/definition.htm.