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N4455 Nursing Leadership and Management Module 3 Assignment 1: Financial Management Case Study v2.3 Name: Date: Overview: Financial Management Case Study One of the important duties of a nurse leader is to manage personnel and personnel budgets. In this assignment, you will assume the role of a nurse manager. You will use given data to make important decisions regarding budgets and staffing. Some nurse managers have computer spreadsheets or software applications to help them make decisions regarding budgets and staffing. You will only need simple mathematical operations* to perform the needed calculations in this assignment because the scenario has been simplified. Furthermore, some data have been provided for you that a nurse leader might need to gather or compute in a real setting. Still, you will get a glimpse of the complexity of responsibilities nurse leaders shoulder regarding financial management. · To calculate the percent of the whole a given number represents, follow these steps: Change the percentage to a decimal number by moving the decimal twice to the left (or dividing by 100). Multiply the new decimal number by the whole. Example: What is 30% of 70? 30%= .30; (.30) × 70 = 21 · To find out what percentage a number represents in relation to the whole, follow these steps: Divide the number by the whole (usually the small number by the large number). Change the decimal answer to percent by moving the decimal twice to the right (or multiplying by 100). Example: What percent of 45 is 10? 10 ÷ 45 = .222; so, 10 is 22% of 45. * You will only need addition, subtraction, multiplication, and division. Case Study You are the manager for 3 West, a medical/surgical unit. You have been given the following data to assist you in preparing your budget for the upcoming fiscal year. Patient Data Average Daily Census (ADC): 58 Budget based on 4.2 Avg. Hours per patient day (HPPD) (4.2 HPPD excludes head nurse and unit secretaries) Staff Data Total FTEs 37.0 Variable FTEs 1.0 Nurse Manager 2.2 Unit Secretaries 40.2 Total FTEs Staffing Mix RN 70% LVN 20% NA 10% Average Salary Scale per Employee Benefits are 35% of salaries Nurse Manager $79,999.00 per year Registered Nurses (RN) $38.00 per hour Licensed Vocational Nurses (LVN) $25.00 per hour Nurse Aides (NA) $13.50 per hour Unit Secretary (US) $12.25 per hourRubric Use this rubric to guide your work on this assignment. Criteria Target Acceptable Unacceptable Question 1 Both % and FTEs column totals within ± 2 of correct answers (13-16 Points) Either % or FTEs column totals within ± 2 of correct answers (5-12 points) Neither % nor FTEs column totals within ± 2 of correct answers (0-4 points) Question 2 All column (except Hours and Salary) totals within ± 2 of correct answers (17-20 Points) At least 3 column totals within ± 2 of correct answers (5-16 points) Less than 3 column totals within ± 2 of correct answer ...
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N4455 Nursing Leadership and ManagementWeek 3 Assignment 1.docx
N4455 Nursing Leadership and Management
Week 3 Assignment 1: Financial Management Case Study v2.2
Name:
Date:
Overview: Financial Management Case Study
One of the important duties of a nurse leader is to manage personnel and personnel budgets. In this assignment, you will assume the role of a nurse manager. You will use given data to make important decisions regarding budgets and staffing.
Some nurse managers have computer spreadsheets or software applications to help them make decisions regarding budgets and staffing. You will only need simple mathematical operations* to perform the needed calculations in this assignment because the scenario has been simplified. Furthermore, some data have been provided for you that a nurse leader might need to gather or compute in a real setting. Still, you will get a glimpse of the complexity of responsibilities nurse leaders shoulder regarding financial management.
· To calculate the percent of the whole a given number represents, follow these steps:
Change the percentage to a decimal number by moving the decimal twice to the left (or dividing by 100).
Multiply the new decimal number by the whole.
Example: What is 30% of 70?
30%= .30; (.30) × 70 = 21
· To find out what percentage a number represents in relation to the whole, follow these steps:
Divide the number by the whole (usually the small number by the large number).
Change the decimal answer to percent by moving the decimal twice to the right (or multiplying by 100).
Example: What percent of 45 is 10?
10 ÷ 45 = .222; so, 10 is 22% of 45.
* You will only need addition, subtraction, multiplication, and division.
Case Study
You are the manager for 3 West, a medical/surgical unit. You have been given the following data to assist you in preparing your budget for the upcoming fiscal year.
Patient Data
ADC: 54
Budget based on 5.4 Avg. HPPD
(5.4 HPPD excludes head nurse and unit secretaries)
Staff Data
Total FTEs
37.0 Variable FTEs
1.0 Nurse Manager
2.2 Unit Secretaries
40.2 Total FTEs
Staffing Mix
RN
65%
LVN
20%
NA
15%
Average Salary Scale per Employee
(Fringe benefits are 35% of salaries)
Nurse Manager
$77,999.00 per year
Registered Nurses (RN)
$36.00 per hour
Licensed Vocational Nurses (LVN)
$24.00 per hour
Nurse Aides (NA)
$13.50 per hour
Unit Secretary (US)
$11.25 per hourRubric
Use this rubric to guide your work on this assignment.
Criteria
Target
Acceptable
Unacceptable
Question 1
Both % and FTEs column totals within ± 2 of correct answers
(13-16 Points)
Either % or FTEs column totals within ± 2 of correct answers
(5-12 points)
Neither % nor FTEs column totals within ± 2 of correct answers
(0-4 points)
Question 2
All column (except Hours and Salary) totals within ± 2 of correct answers
(17-20 Points)
At least 4 column totals within ± 2 of correct answers
(5-16 points)
Less than 4 column totals within ± 2 of correct answers
(0-4 points)
Question 3
A. Table
All ...
Week 4 Staffing BudgetsFTEs Variance AnalysisAssignment Guide.docx
Week 4: Staffing Budgets/FTEs/ Variance Analysis
Assignment Guidelines with Scoring RubricPurpose
This assignment provides learners with the opportunity to apply budgeting knowledge and skills by calculating full-time equivalents for a nursing unit, projecting FTE needs related to census changes, and analyzing a variance scenario.
Due Date: Sunday 11:59 p.m. MT at the end of Week 4Total Points Possible: 150 Requirements
Description of the Assignment
This assignment is in two scenario-based sections each related to staffing budgets. In the first, the student will perform multistep calculations of FTEs and projection of future FTE needs for a selected nursing unit. The second section involves calculation of budget variance and its analysis. Each section requires supported written interpretation of findings.
Criteria for Content
Answer the questions and complete the calculations required for the two sections of the assignment.
Key points related to Calculations:
1. When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 5, round down to the nearest whole number, e.g., 33.4 = 33 If the number to the right of the decimal is 5 or greater, round up to the nearest whole number, e.g. 33.5 =34.
2. Read the question carefully. Pay close attention to the units be asked and keep them consistent. For example, hours vs FTEs; days vs months vs years.
3. Provide ALL formulas with references. Designate which formula associates with which source. It is not sufficient to simply list the source at the beginning of the section. Write out the formula used BEFORE filling in the numbers.
Example: Efficiency Variance + Volume Variance + Cost Variance = Total Variance
Rundio, A. (2016). The nurse manager’s guide to budgeting and finance. 2nd. Ed., Indianapolis, IN: Sigma Theta Tau International.
· Section One: Staffing Budget and FTEs
· Calculations of full-time equivalents (FTEs)
· Project FTE needs related to census changes
· Section Two: Variance Analysis
· Calculating variance
· Variance analysis with explanation
Download the Assignment Word Document and submit your answers directly onto the form. When completed, upload into the assignment portal in your course. For the questions requiring a written response, please adhere to proper grammar and syntax, and provide references. For the questions requiring calculations, show all your work including the formula used. Include the references for formula chosen.
Preparing the Assignment
Section One—Staffing Budget and FTEs
Personnel Budget Case Study
Sandra Chambers has recently accepted the position of assistant administrator for the department of nursing at Potter Regional Medical Center where she will oversee the operations of five medical units. As she evaluates the budgets for the different cost centers, she finds that all are being used at near or full capacity. The activity in four of the five has remained steady over the past 2 years. A fifth unit ...
N5341 Staffing Module AssignmentPreliminary DataDefiniti.docx
N5341 Staffing Module Assignment
Preliminary Data
Definition of Staffing Terms: To build a body of knowledge regarding the development of a staffing budget and later be able to create actual staffing plans, the registered nurse must first be familiar with the following terms and their definitions.
Nursing Hours Per Patient Day (NHPPD): A unit of measure that defines the average number of hours of nursing care delivered to each patient in a 24-hour period.
Hours Per Workload Unit (HPWU): A unit of measure that defines the average number of hours worked per workload unit. The workload unit can be number of visits, number of meals served, number of square feet cleaned, number of operating room minutes, and others, depending on the department worked.
There is a direct relationship between the workload and the amount of resources (RNs, LVNs, Aides, Dietary Aides, OR staff, etc.) needed.
Patient Day (PD): One patient occupying one bed for one day. Typically, counted at midnight. For example, a patient admitted to a nursing care unit at 11:50 p.m. will be counted in the midnight census for that unit; therefore will be counted as one patient day.
Average Daily Census: Patient days in a given time period (daily, weekly, monthly, or annual) divided by the number of days in the time period. It is also used to define the average number of total inpatients on any given day.
Variable Hours of Care: A component of NHPPD that measures the amount, in time, of care directly provided to the patient by a caregiver, e.g. RN, LVN, aide. It does not take into account fixed hours of care. Variable hours of care are also referred to as caregiver hours.
Fixed Hours of Care: A component of NHPPD that reflects the indirect care provided by nursing staff, e.g. unit secretary, nurse manager, clinical nurse specialist. This unit of measure is a constant, meaning that it is not dependent upon the acuity of the patient, or the volume of patients when calculating the staffing pattern.
Full-Time Equivalent (FTE): The equivalent of one full-time employee working for one year. It is calculated based upon 40 hours per week for 52 weeks, or 2080 hours. It includes both productive and nonproductive time. One employee, working full-time for one year (2080 hours) is one FTE. Two employees, each working 20 hours per week for one year (1040 hours each), are the equivalent of one FTE.
Replacement FTE: The number of FTEs required to replace non-worked hours.
Worked Hours: The actual number of hours worked, including both regular and overtime hours, orientation hours, on-call hours, callback hours, and training/education hours. Also known as productive hours.
Non-Worked Hours: The hours for which an employee is paid, but are not worked. Examples include vacation, sick, jury duty, holidays, funeral leave, paid time off, etc. The Fair Labor Standards Act dictates what an institution must include as non-worked hours. Also known as nonproductive hours.
Paid Hours: The total am ...
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Statistics-1 : The Basics of Statistics
This document provides an overview of key concepts in statistics including:
- Descriptive statistics which describe data and inferential statistics which make inferences from samples.
- Measures of central tendency (mean, median, mode) and how to calculate them to summarize data.
- Measures of dispersion like range, variance, standard deviation and coefficient of variation which indicate how spread out data is.
- When to use mean vs median based on the presence of outliers.
- Geometric mean which calculates average percentage change over time.
- Examples of calculating these measures and interpreting the results are provided.
Cost model webinar
This webinar covers how to fill out the input sheet for a residential care cost model. The cost model compares a home's costs to national benchmarks. The input sheet collects information on care needs, staffing levels and costs. It calculates the hourly cost of care and ensures staffing levels provide the required care, including meeting shared care ratios. Filling out the input sheet correctly allows a home's total costs to be modeled and compared to baseline costs.
HealthWaysBudgetTable 1. HealthWays Clinic, Monthly Expense Budge.docx
HealthWaysBudgetTable 1. HealthWays Clinic, Monthly Expense Budget Report, June 2018.ItemJune 2018May 20182018 YTDBudgetActualVarianceActualBudgetActualPhysician FTE1.01.01.01.01.0Nurse PractitionerFTE3.03.03.03.03.0Encounters:Established patients27529128616501671New patients251827150164Total encountersExpenses:Physician Salaries & Benefits$10,500$10,502$10,509$63,000$63,149NP Salaries & Benefits$20,000$20,992$20,191$120,000$122,001Clerical (2 FTE) Salaries & Benefits$6,667$6,771$6,683$40,000$41,978Total personnel expenseMedical supplies$7,500$8,136$7,994$45,000$47,883Office supplies$583$623$508$3,498$3,407Rent$2,917$2,917$2,917$17,502$17,502Depreciation$333$346$346$1,998$2,050Capital Expenses$3,333$3,480$3,480$19,998$20,439Overhead$167$167$167$1,002$1,002Total non-personnel expenseTotal health center expenseInterpretation:Providers:The FTEs have not changed, at least for the first 6 months of 2018.Encounters:The number of encounters, both new and established, is increasing over the year.Personnel expense:Although the FTEs are not changing, the personnel budget is somewhat more than budgeted, particularly the NP and clerical budgets. The management should investigate why this is the case, and better control the personnel budget.Non-personnel expense:Medical supplies are over budget. Office supplies are under budget. Depreciation and capital expenses (new equipment) increased over the budget year. Rent and overhead remain stable, but might be expected to increase next year.Total expenses:The clinic must carefully control expenses as its profitability is very low. Possible strategies might include improving staff productivity, reducing the cost of medical supplies, and postponing further capital purchases.
HealthWaysFinancialsNurse-Run Clinic ScenarioPatient EncountersFY 2018FY 2017Established patients3,3483,204New patients331287Total Encounters3,6793,491 Cash$5,675$12,098Financial Ratios:Expense per Encounter = Total Operating Expenses / Total EncountersTotal Operating Revenue per Encounter = Total Operating Revenue / Total EncountersOperating Margin = Net Income/Total Operating RevenueDays Cash On Hand = (Cash + Cash Equivalents) / (Operating Expenses / Days in Time Period)Table 2. HealthWays Clinic, Income Statement, FY 2018.Table 3. HealthWays Clinic, Balance Sheet, December 31, 2018.FY 2018FY 2017Current AssetsDecember 31, 2018December 31, 2017Current LiabilitiesDecember 31, 2018December 31, 2017Gross Revenue (charges)$558,520$497,221 Cash5,0329,877 Notes Payable27,44950,000Less write-offs & adjustments117,254104,332Short-term Investments40,38934,181 Accounts Payable 78,70269,412Net Patient Revenue (collected)$441,266$392,889 Accounts Receivable63,39259,359 Accrued Expenses:+Other Revenue209,671234,953 Supply Inventories, at Cost16,02914,918 Salaries & Benefits38,26528,274 Prepaid Expenses & Other2,1041,876 Taxes1,4191,398Total Operating Revenue$ 650,937$ 627,842Total Current Assets$ 126,946$ 120 ...
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N4455 Nursing Leadership and ManagementWeek 3 Assignment 1.docx
N4455 Nursing Leadership and Management
Week 3 Assignment 1: Financial Management Case Study v2.2
Name:
Date:
Overview: Financial Management Case Study
One of the important duties of a nurse leader is to manage personnel and personnel budgets. In this assignment, you will assume the role of a nurse manager. You will use given data to make important decisions regarding budgets and staffing.
Some nurse managers have computer spreadsheets or software applications to help them make decisions regarding budgets and staffing. You will only need simple mathematical operations* to perform the needed calculations in this assignment because the scenario has been simplified. Furthermore, some data have been provided for you that a nurse leader might need to gather or compute in a real setting. Still, you will get a glimpse of the complexity of responsibilities nurse leaders shoulder regarding financial management.
· To calculate the percent of the whole a given number represents, follow these steps:
Change the percentage to a decimal number by moving the decimal twice to the left (or dividing by 100).
Multiply the new decimal number by the whole.
Example: What is 30% of 70?
30%= .30; (.30) × 70 = 21
· To find out what percentage a number represents in relation to the whole, follow these steps:
Divide the number by the whole (usually the small number by the large number).
Change the decimal answer to percent by moving the decimal twice to the right (or multiplying by 100).
Example: What percent of 45 is 10?
10 ÷ 45 = .222; so, 10 is 22% of 45.
* You will only need addition, subtraction, multiplication, and division.
Case Study
You are the manager for 3 West, a medical/surgical unit. You have been given the following data to assist you in preparing your budget for the upcoming fiscal year.
Patient Data
ADC: 54
Budget based on 5.4 Avg. HPPD
(5.4 HPPD excludes head nurse and unit secretaries)
Staff Data
Total FTEs
37.0 Variable FTEs
1.0 Nurse Manager
2.2 Unit Secretaries
40.2 Total FTEs
Staffing Mix
RN
65%
LVN
20%
NA
15%
Average Salary Scale per Employee
(Fringe benefits are 35% of salaries)
Nurse Manager
$77,999.00 per year
Registered Nurses (RN)
$36.00 per hour
Licensed Vocational Nurses (LVN)
$24.00 per hour
Nurse Aides (NA)
$13.50 per hour
Unit Secretary (US)
$11.25 per hourRubric
Use this rubric to guide your work on this assignment.
Criteria
Target
Acceptable
Unacceptable
Question 1
Both % and FTEs column totals within ± 2 of correct answers
(13-16 Points)
Either % or FTEs column totals within ± 2 of correct answers
(5-12 points)
Neither % nor FTEs column totals within ± 2 of correct answers
(0-4 points)
Question 2
All column (except Hours and Salary) totals within ± 2 of correct answers
(17-20 Points)
At least 4 column totals within ± 2 of correct answers
(5-16 points)
Less than 4 column totals within ± 2 of correct answers
(0-4 points)
Question 3
A. Table
All ...
Week 4 Staffing BudgetsFTEs Variance AnalysisAssignment Guide.docx
Week 4: Staffing Budgets/FTEs/ Variance Analysis
Assignment Guidelines with Scoring RubricPurpose
This assignment provides learners with the opportunity to apply budgeting knowledge and skills by calculating full-time equivalents for a nursing unit, projecting FTE needs related to census changes, and analyzing a variance scenario.
Due Date: Sunday 11:59 p.m. MT at the end of Week 4Total Points Possible: 150 Requirements
Description of the Assignment
This assignment is in two scenario-based sections each related to staffing budgets. In the first, the student will perform multistep calculations of FTEs and projection of future FTE needs for a selected nursing unit. The second section involves calculation of budget variance and its analysis. Each section requires supported written interpretation of findings.
Criteria for Content
Answer the questions and complete the calculations required for the two sections of the assignment.
Key points related to Calculations:
1. When performing calculations, standard rounding rules apply. If the number to the right of the decimal is less than 5, round down to the nearest whole number, e.g., 33.4 = 33 If the number to the right of the decimal is 5 or greater, round up to the nearest whole number, e.g. 33.5 =34.
2. Read the question carefully. Pay close attention to the units be asked and keep them consistent. For example, hours vs FTEs; days vs months vs years.
3. Provide ALL formulas with references. Designate which formula associates with which source. It is not sufficient to simply list the source at the beginning of the section. Write out the formula used BEFORE filling in the numbers.
Example: Efficiency Variance + Volume Variance + Cost Variance = Total Variance
Rundio, A. (2016). The nurse manager’s guide to budgeting and finance. 2nd. Ed., Indianapolis, IN: Sigma Theta Tau International.
· Section One: Staffing Budget and FTEs
· Calculations of full-time equivalents (FTEs)
· Project FTE needs related to census changes
· Section Two: Variance Analysis
· Calculating variance
· Variance analysis with explanation
Download the Assignment Word Document and submit your answers directly onto the form. When completed, upload into the assignment portal in your course. For the questions requiring a written response, please adhere to proper grammar and syntax, and provide references. For the questions requiring calculations, show all your work including the formula used. Include the references for formula chosen.
Preparing the Assignment
Section One—Staffing Budget and FTEs
Personnel Budget Case Study
Sandra Chambers has recently accepted the position of assistant administrator for the department of nursing at Potter Regional Medical Center where she will oversee the operations of five medical units. As she evaluates the budgets for the different cost centers, she finds that all are being used at near or full capacity. The activity in four of the five has remained steady over the past 2 years. A fifth unit ...
N5341 Staffing Module AssignmentPreliminary DataDefiniti.docx
N5341 Staffing Module Assignment
Preliminary Data
Definition of Staffing Terms: To build a body of knowledge regarding the development of a staffing budget and later be able to create actual staffing plans, the registered nurse must first be familiar with the following terms and their definitions.
Nursing Hours Per Patient Day (NHPPD): A unit of measure that defines the average number of hours of nursing care delivered to each patient in a 24-hour period.
Hours Per Workload Unit (HPWU): A unit of measure that defines the average number of hours worked per workload unit. The workload unit can be number of visits, number of meals served, number of square feet cleaned, number of operating room minutes, and others, depending on the department worked.
There is a direct relationship between the workload and the amount of resources (RNs, LVNs, Aides, Dietary Aides, OR staff, etc.) needed.
Patient Day (PD): One patient occupying one bed for one day. Typically, counted at midnight. For example, a patient admitted to a nursing care unit at 11:50 p.m. will be counted in the midnight census for that unit; therefore will be counted as one patient day.
Average Daily Census: Patient days in a given time period (daily, weekly, monthly, or annual) divided by the number of days in the time period. It is also used to define the average number of total inpatients on any given day.
Variable Hours of Care: A component of NHPPD that measures the amount, in time, of care directly provided to the patient by a caregiver, e.g. RN, LVN, aide. It does not take into account fixed hours of care. Variable hours of care are also referred to as caregiver hours.
Fixed Hours of Care: A component of NHPPD that reflects the indirect care provided by nursing staff, e.g. unit secretary, nurse manager, clinical nurse specialist. This unit of measure is a constant, meaning that it is not dependent upon the acuity of the patient, or the volume of patients when calculating the staffing pattern.
Full-Time Equivalent (FTE): The equivalent of one full-time employee working for one year. It is calculated based upon 40 hours per week for 52 weeks, or 2080 hours. It includes both productive and nonproductive time. One employee, working full-time for one year (2080 hours) is one FTE. Two employees, each working 20 hours per week for one year (1040 hours each), are the equivalent of one FTE.
Replacement FTE: The number of FTEs required to replace non-worked hours.
Worked Hours: The actual number of hours worked, including both regular and overtime hours, orientation hours, on-call hours, callback hours, and training/education hours. Also known as productive hours.
Non-Worked Hours: The hours for which an employee is paid, but are not worked. Examples include vacation, sick, jury duty, holidays, funeral leave, paid time off, etc. The Fair Labor Standards Act dictates what an institution must include as non-worked hours. Also known as nonproductive hours.
Paid Hours: The total am ...
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Statistics-1 : The Basics of Statistics
This document provides an overview of key concepts in statistics including:
- Descriptive statistics which describe data and inferential statistics which make inferences from samples.
- Measures of central tendency (mean, median, mode) and how to calculate them to summarize data.
- Measures of dispersion like range, variance, standard deviation and coefficient of variation which indicate how spread out data is.
- When to use mean vs median based on the presence of outliers.
- Geometric mean which calculates average percentage change over time.
- Examples of calculating these measures and interpreting the results are provided.
Cost model webinar
This webinar covers how to fill out the input sheet for a residential care cost model. The cost model compares a home's costs to national benchmarks. The input sheet collects information on care needs, staffing levels and costs. It calculates the hourly cost of care and ensures staffing levels provide the required care, including meeting shared care ratios. Filling out the input sheet correctly allows a home's total costs to be modeled and compared to baseline costs.
HealthWaysBudgetTable 1. HealthWays Clinic, Monthly Expense Budge.docx
HealthWaysBudgetTable 1. HealthWays Clinic, Monthly Expense Budget Report, June 2018.ItemJune 2018May 20182018 YTDBudgetActualVarianceActualBudgetActualPhysician FTE1.01.01.01.01.0Nurse PractitionerFTE3.03.03.03.03.0Encounters:Established patients27529128616501671New patients251827150164Total encountersExpenses:Physician Salaries & Benefits$10,500$10,502$10,509$63,000$63,149NP Salaries & Benefits$20,000$20,992$20,191$120,000$122,001Clerical (2 FTE) Salaries & Benefits$6,667$6,771$6,683$40,000$41,978Total personnel expenseMedical supplies$7,500$8,136$7,994$45,000$47,883Office supplies$583$623$508$3,498$3,407Rent$2,917$2,917$2,917$17,502$17,502Depreciation$333$346$346$1,998$2,050Capital Expenses$3,333$3,480$3,480$19,998$20,439Overhead$167$167$167$1,002$1,002Total non-personnel expenseTotal health center expenseInterpretation:Providers:The FTEs have not changed, at least for the first 6 months of 2018.Encounters:The number of encounters, both new and established, is increasing over the year.Personnel expense:Although the FTEs are not changing, the personnel budget is somewhat more than budgeted, particularly the NP and clerical budgets. The management should investigate why this is the case, and better control the personnel budget.Non-personnel expense:Medical supplies are over budget. Office supplies are under budget. Depreciation and capital expenses (new equipment) increased over the budget year. Rent and overhead remain stable, but might be expected to increase next year.Total expenses:The clinic must carefully control expenses as its profitability is very low. Possible strategies might include improving staff productivity, reducing the cost of medical supplies, and postponing further capital purchases.
HealthWaysFinancialsNurse-Run Clinic ScenarioPatient EncountersFY 2018FY 2017Established patients3,3483,204New patients331287Total Encounters3,6793,491 Cash$5,675$12,098Financial Ratios:Expense per Encounter = Total Operating Expenses / Total EncountersTotal Operating Revenue per Encounter = Total Operating Revenue / Total EncountersOperating Margin = Net Income/Total Operating RevenueDays Cash On Hand = (Cash + Cash Equivalents) / (Operating Expenses / Days in Time Period)Table 2. HealthWays Clinic, Income Statement, FY 2018.Table 3. HealthWays Clinic, Balance Sheet, December 31, 2018.FY 2018FY 2017Current AssetsDecember 31, 2018December 31, 2017Current LiabilitiesDecember 31, 2018December 31, 2017Gross Revenue (charges)$558,520$497,221 Cash5,0329,877 Notes Payable27,44950,000Less write-offs & adjustments117,254104,332Short-term Investments40,38934,181 Accounts Payable 78,70269,412Net Patient Revenue (collected)$441,266$392,889 Accounts Receivable63,39259,359 Accrued Expenses:+Other Revenue209,671234,953 Supply Inventories, at Cost16,02914,918 Salaries & Benefits38,26528,274 Prepaid Expenses & Other2,1041,876 Taxes1,4191,398Total Operating Revenue$ 650,937$ 627,842Total Current Assets$ 126,946$ 120 ...
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Cost Classifications
HCA/270 Version 3
1
Associate Level Material
Cost Classifications
Consult Ch. 6 & 7 of Health Care Finance and other sources to complete the form. This worksheet requires you to match the definitions and examples of types of cost, and the types of centers where costs occur.
Part 1: For each term in Column A, select the correct definition from Column B on the right. Write the corresponding letter of the definition next to the term.
Column A
1. Indirect costs
2. Direct costs
3. Fixed costs
4. Variable costs
5. Step-fixed costs
6. Responsibility centers
7. Revenue centers
8. Cost centers
9. Shadow cost centers
Column B – Definitions
A. Costs incurred directly as a result of providing a specific service or good
B. Centers charged with controlling costs and generate revenue
C. Have no revenue budget and no obligation to earn revenue
D. Costs that do not vary as service volume varies
E. Fixed over some range of service volume, but rise to a new level for a higher range of service volume
F. Costs that cannot be tied directly to the patient’s stay in the bed
G. Exist as budgets on paper only
H. The places where costs occur and have budgets
I. Costs that change as volume changes
Part II: For each real-world example, select the correct term from the list on the left. Write the corresponding letter of the real-world example next to the term.
Column A
1. Indirect costs
2. Direct costs
3. Fixed costs
4. Variable costs
5. Step-fixed costs
6. Responsibility centers
7. Revenue centers
8. Cost centers
9. Shadow cost centers
Column B – Real-World Examples
J. A subunit of a larger organization that is responsible for some type of budget, such as the payroll department or courier service
K. Shares of depreciation, administration division, or laundry service
L. Administration, human resources, or housekeeping
M. Utility bill, supplies, or maintenance
N. Nursing care, food consumed, drugs administered
O. Hospital cafeteria, gift shop, or parking ramp
P. Depreciation of hospital equipment
Q. Building loan payment, building insurance, or cable or internet service
R. The nurse-to-patient ratio on the cardiac unit is one to three patients. There are four nurses scheduled for 12 patients. During the second shift, three more patients are admitted. The nurse manager calls in a fifth nurse.
Part III: Selecttwo choices from Part II and explain why they meet that cost classification.
95
S t a ffing:
The Manager’s
Responsibili ty 9
C H A P T E R
STAFFING REQUIREMENTS
In most businesses, a position is filled if the employee
works five days a week, generally Monday through Friday.
But in health care, many positions must be filled, or cov-
ered, all seven days of the week. Furthermore, in most
businesses, a position is filled for that day if the employee
works an eight-hour day—from 9:00 to 5:00, for example.
But in health care, many positions must also be filled, or
covered, 24 hours a day. The patient.
I need these questions answered completely. Tables are included. I n.docx
I need these questions answered completely. Tables are included. I need how you got the answer and an explanation included. Not just the answers.
·
8-3
Durham Health Clinic is considering signing a contract to perform 50 pre-employment physicals per week for a specific corporation. In terms of staff time, a pre-employment physical requires 0.20 hours in Reception/Discharge, 0.45 hours in Nursing and Testing, and 0.20 hours in Medical Examination. By work-station, determine how many work hours per week will be needed to perform these physicals.
·
8-4
Currently the clinic does 250 visits per week, with 50% of all visits as return visits. Each employee (physician, nurse, and receptionist) is scheduled to work 35 hours per week.
a.
How many employees by type does the clinic currently need?
b.
How many employees by type will the clinic need if it signs the contract for pre-employment physicals?
c.
If return visits shift to 10% of all regular visits, how many employees by type will the clinic need with and without the contract for pre-employment physicals?
d.
How will the answers to “b” and “c” change if the number of physicals is modified to 35 pre-employment physicals per week?
Throughout these analyses, specify all assumptions, including assumptions concerning worker productivity.
8-5
How would your answers change for problem 8-1 if nursing and testing time was increased to 0.50 hours for both first and repeat visits, and medical exam and treatment time was reduced to 0.30 hours for a first visit and 0.20 hours for a return visit?
9-1 Alpha Walk-in Clinic operates as a single channel single server system. On Tuesdays, its average arrival rate (μ) per hour is 7.0. Analysis indicates that its service rate (λ) is 8.5 patients per hour. Using queuing theory, describe this service system. What is:
a. The probability that the clinic is idle—no patients waiting or being served?
b. The average number of patients in the system?
c. The average time (hours) a patient spends in the system (waiting + service time)?
d. The average number of patients in the queue waiting for service?
e. The average time (hours) a patient spends in the queue waiting?
f. The probability that the patient, upon arrival, must wait?
9-2 The following data have been collected from a hospital pharmacy. This service system operates as a single server, single channel system.
7–3 pm
3–11 pm
11–7 am
Service rate per hour
200
100
50
Arrival rate per hour
60
50
40
The service rate can be increased or decreased in increments of 50 prescriptions per hour. The expense associated with each 50-prescription increment is $100. In other words, to be able to process 50 additional prescriptions will cost an additional $100 per hour. If the current rate of processing or service is lowered by 50 prescriptions per hour, the savings are $100 per hour. Using queuing theory, describe this service system. What is:
a. The probability that the clinic is idle—no patients waiting or being serve.
Qnt 275 final exam new 2016
This document contains a practice exam for a statistics course (QNT 275). It includes 15 multiple choice questions covering topics like normal distributions, sampling, descriptive statistics, correlation, and regression analysis. The questions assess understanding of key statistical concepts and calculations.
Qnt 275 final exam new 2016
This document contains a practice exam for a statistics course (QNT 275). It includes 15 multiple choice questions covering topics like normal distributions, sampling, descriptive statistics, correlation, and regression analysis. The questions assess understanding of key statistical concepts and calculations.
Budget Performance and Profitability_Slyter_2016
The study tested the relationship between budget variances and operating margin for 115 acute care hospitals in Washington state over 27 years. The results showed that smaller unfavorable budget variances are associated with greater operating margins, while greater favorable budget variances also lead to greater operating margins. Specifically, a single standard deviation reduction in unfavorable expense budget variances increased operating margins by 6.3%, while an equivalent favorable variance increased operating margins by 2.7%. The study concludes that budgets do matter for hospital profitability, and managers can improve margins by reducing unfavorable variances and increasing favorable ones.
Final Exam Due Friday, Week EightInstructions Each response is.docx
Final Exam Due Friday, Week Eight
Instructions: Each response is worth a maximum of 50 points. Number and state the question. Space and then give your response. Each response will be a minimum 175 and maximum 225 words. Utilize the book, at least one resource beyond the course book and your personal examples in each response. This means that beyond the course text you should have a minimum of 4 references for this midterm exam. Create appropriate headings/subheading for each response and then give your detailed answer to the question.
Use Word doc. or docx only. Times New Roman, 12 font and double-space everything. Include a cover page and reference page. Return exam via email attachment NLT. Follow APA 6th ed. formatting requirements.
NO LATE EXAMS WILL BE ACCEPTED!
1. In determining rates of pay, how are the decisions made as to who gets paid $7.00 per hour and who will receive $1 million for a years work?
2. How can team effort result in improved organizational profitability?
3. What is reverse discrimination and how does it influence the design of an executive compensation plan?
4. With benefits consuming approximately 40 percent of the compensation dollar of most organizations, among many managers the “fringe benefit” concept still exists. Develop a detailed outline of the various components of a typically benefits program, indicating their importance and scope. Develop the outline so that it can be used for a presentation. (This response length may vary, so ensure you meet the requirements as stated.)
DataSee comments at the right of the data set.IDSalaryCompaMidpointAgePerformance RatingServiceGenderRaiseDegreeGender1Grade8231.000233290915.80FAThe ongoing question that the weekly assignments will focus on is: Are males and females paid the same for equal work (under the Equal Pay Act)? 10220.956233080714.70FANote: to simplfy the analysis, we will assume that jobs within each grade comprise equal work.11231.00023411001914.80FA14241.04323329012160FAThe column labels in the table mean:15241.043233280814.90FAID – Employee sample number Salary – Salary in thousands 23231.000233665613.31FAAge – Age in yearsPerformance Rating – Appraisal rating (Employee evaluation score)26241.043232295216.21FAService – Years of service (rounded)Gender: 0 = male, 1 = female 31241.043232960413.90FAMidpoint – salary grade midpoint Raise – percent of last raise35241.043232390415.31FAGrade – job/pay gradeDegree (0= BS\BA 1 = MS)36231.000232775314.31FAGender1 (Male or Female)Compa - salary divided by midpoint37220.956232295216.21FA42241.0432332100815.70FA3341.096313075513.60FB18361.1613131801115.61FB20341.0963144701614.81FB39351.129312790615.51FB7411.0254032100815.70FC13421.0504030100214.71FC22571.187484865613.80FD24501.041483075913.81FD45551.145483695815.20FD17691.2105727553130FE48651.1405734901115.31FE28751.119674495914.41FF43771.1496742952015.51FF19241.043233285104.61MA25241.0432341704040MA40251.086232490206.30MA2270.87 ...
Compensation Under NSPS
Explains the basics of the National Security Personnel System (NSPS), a pay-for-performance system of the U.S. Federal government.
Hire verses Overtime Analysis
This report analyzes whether it is more cost effective for a company to hire new employees or authorize overtime for current employees over a one-year period. It finds that the total annual cost of current employees through salary, insurance, taxes and other expenses is $1.7 million. Authorizing 1 hour of overtime per day would cost $200,000 annually. Hiring a new employee involves additional headhunter, training and miscellaneous costs. For adjusting staff, hiring 1.8 new employees would be cheaper than authorizing overtime, but hiring management would not be as cost effective as overtime.
ScoreWeek 5 Correlation and Regressio.docx
Score:
Week 5
Correlation and Regression
<1 point>
1.
Create a correlation table for the variables in our data set. (Use analysis ToolPak or StatPlus:mac LE function Correlation.)
a.
Reviewing the data levels from week 1, what variables can be used in a Pearson's Correlation table (which is what Excel produces)?
b. Place table here (C8):
c.
Using r = approximately .28 as the signicant r value (at p = 0.05) for a correlation between 50 values, what variables are
significantly related to Salary?
To compa?
d.
Looking at the above correlations - both significant or not - are there any surprises -by that I
mean any relationships you expected to be meaningful and are not and vice-versa?
e.
Does this help us answer our equal pay for equal work question?
<1 point>
2
Below is a regression analysis for salary being predicted/explained by the other variables in our sample (Midpoint,
age, performance rating, service, gender, and degree variables. (Note: since salary and compa are different ways of
expressing an employee’s salary, we do not want to have both used in the same regression.)
Plase interpret the findings.
Ho: The regression equation is not significant.
Ha: The regression equation is significant.
Ho: The regression coefficient for each variable is not significant
Note: technically we have one for each input variable.
Ha: The regression coefficient for each variable is significant
Listing it this way to save space.
Sal
SUMMARY OUTPUT
Regression Statistics
Multiple R
0.9915591
R Square
0.9831894
Adjusted R Square
0.9808437
Standard Error
2.6575926
Observations
50
ANOVA
df
SS
MS
F
Significance F
Regression
6
17762.3
2960.38
419.1516
1.812E-36
Residual
43
303.7003
7.0628
Total
49
18066
Coefficients
Standard Error
t Stat
P-value
Lower 95%
Upper 95%
Lower 95.0%
Upper 95.0%
Intercept
-1.749621
3.618368
-0.4835
0.631166
-9.046755
5.5475126
-9.04675504
5.54751262
Midpoint
1.2167011
0.031902
38.1383
8.66E-35
1.1523638
1.2810383
1.152363828
1.28103827
Age
-0.004628
0.065197
-0.071
0.943739
-0.136111
0.1268547
-0.13611072
0.1268547
Performace Rating
-0.056596
0.034495
-1.6407
0.108153
-0.126162
0.0129695
-0.12616237
0.01296949
Service
-0.0425
0.084337
-0.5039
0.616879
-0.212582
0.1275814
-0.2125.
Name 1. The table shows the number of days per week, x, that 100.docx
Name
1. The table shows the number of days per week, x, that 100 students use the gym at a local high school.
x
frequency
Relative
frequency
Cumulative
frequency
0
3
1
12
2
33
3
28
4
11
5
9
6
4
1. The table shows the number of days per week, x, that 100 students use the gym at a local high school.
a. Complete the table
b. Display the information as either a pie chart, a horizontal bar chart, or a vertical bar chart.
c. Determine the mean, median, minimum frequency, maximum frequency, range, Q1, Q3 and the standard deviation, Sx
d. Based on the information and chart, what can you say about the distribution.a. Complete the table
b. Display the information as either a pie chart, a horizontal bar chart, or a vertical bar chart.
c. Determine the mean, median, minimum frequency, maximum frequency, range, Q1, Q3 and the standard deviation, Sx
d. Based on the information and chart, what can you say about the distribution.
Theme one is to identify the types of cultures or models of cultures and how they work or fit within an organization
Learning Activity #1
Using your reading material create a chart that describes the type, characteristics of the culture, associated values that would be important to keep the culture alive, and kinds of organizations structures that work best for culture. Compare and contrast them in your explanation of the chart. For instance what culture might work for Joe at the new sawmill and then which one might work at Purvis' shoe company.
Theme two: How to Create, Change, and Align Culture to the Structure and Vision.
Organizational Structure
Preface:
A leader’s job is to create the direction for the company to move forward. The leader does this in steps. Here are the steps of the process:
First, the leader designs the vision and mission for the company and second, the leader must establish an organizational structure which promotes the vision, mission and empowers the employees to keep the forward movement in the organization.
In creating the structure various factors must be considered.
· First and foremost is the purpose of the company or organization. What type of structure will best accomplish that goal? Certainly a company like UPS needs a somewhat rigid structure that is set up to focus on procedure and time sensitivity. Since UPS has as its goal to get the correct parcels to the right customers in the fastest way possible, variance in procedures or ways of accomplishing the tasks would never work. A tight delineated structure is imperative.
· Along with the purpose the leader must look at the vision of the organization. Where does the leader want the organization to go? How best can the structure provide for the future? Will the vision call for expansion into other countries or simply call for product development changes? Do you plan a struct ...
Name _____________________Date ________________________ESL.docx
Name _____________________ Date ________________________
ESL 408 Remembered Event Worksheet
1) What is the most memorable, significant event in your life?
2) What important lesson(s) or applications are there from this event?
3) Complete the chart below. Add at least 5 details to each part of the storyline.
Story Element
Details
Exposition
Rising Action
Climax
Falling Action
Resloution
...
Name Bijapur Fort Year 1599 Location Bijapur city.docx
Name: Bijapur Fort
Year: 1599
Location: Bijapur city in Bijapur District of the Indian state of Karnataka
The fort precinct is studded with the historical fort, palaces, mosques, tombs and
gardens.
Built by Yusuf Adil Shah, during the rule of Adil Shahidynasty.
https://en.wikipedia.org/wiki/Bijapur,_Karnataka
https://en.wikipedia.org/wiki/Bijapur_district,_Karnataka
https://en.wikipedia.org/wiki/States_and_territories_of_India
https://en.wikipedia.org/wiki/Karnataka
https://en.wikipedia.org/wiki/Adil_Shahi
Name: Adham Khan's Tomb
Year: 1561
Location : Qutub Minar, Mehrauli, Delhi,
Built for 16th-century tomb of Adham Khan, a general of the Mughal Emperor Akbar.
It consists of a domed octagonal chamber in the Lodhi Dynasty style and Sayyid
dynasty early in the 14th century.
https://en.wikipedia.org/wiki/Qutub_Minar
https://en.wikipedia.org/wiki/Mehrauli
https://en.wikipedia.org/wiki/Delhi
https://en.wikipedia.org/wiki/Adham_Khan
https://en.wikipedia.org/wiki/Mughal_Emperor
https://en.wikipedia.org/wiki/Akbar
https://en.wikipedia.org/wiki/Lodhi_Dynasty
https://en.wikipedia.org/wiki/Sayyid_dynasty
https://en.wikipedia.org/wiki/Sayyid_dynasty
These two objects are both tomb and have it’s own style form certain dynasty.
I chose these two objects is because they are both architecture and I can talk more about
how different dynasty influences the design of the architecture.s
Week 10 Assignments – XBRL
DUE DATE: Sunday midnight of Week 6, submitted in a MS Word (or Excel if
computations required) document with filename format:
Last First_Week X hwk.doc or .xls Make sure your name appears on each page of the
homework using the header function.
Homework questions:
1. Why do you think it took from 1999, when the XBRL concept was invented, until 2009
for the SEC require that public filers adopt?
2. From the PWC Webcast on XBRL, what are the differences between the “bolt-on” and
“embedded” approach to XBRL?
3. If you worked in the Finance and Accounting department of a company, how could you
use XBRL tags to help in your job? Could XBRL tagging help other functions in a
company do their jobs?
4. US public filers are required to begin tagging and reporting financial data using XBRL
beginning in 2009. From earlier in this course, they also have many major projects that
are required now or in the coming years (IFRS, Fair Value, etc.). Aside from the obvious
benefit of job creation for CPA’s and the companies which provide these
services/software ☺, what impact do you think these requirements are going to have on
companies? Will this divert attention and resources from their core business or will this
be like all other changes they go through (e.g. SOX), an intense implementation then
business as usual?
...
Name _______________________________ (Ex2 rework) CHM 33.docx
Name: _______________________________ (Ex2 rework)
CHM 3372, Winter 2016
Exam #2 Re-work
Due Wed, 3/2/16
1. Make the ketone below from 13C-labeled formaldehyde and propane. Make certain to keep
track of your labels throughout your synthesis. (27 points)
O
Name: _______________________________ (Ex2 rework)
2. (a) The reaction below can form two possible diastereomeric products. Draw the structures of
both products, and the mechanism of the formation of either one. (4 points)
O
1. LiAlH4
2. NH4Cl, H2O
(b) What characterizes a thermodynamic product of a reaction (any reaction)? What
characterizes a kinetic product of reaction? (2 points)
(c) Which product from part (a) would you expect to be the thermodynamic product? Why? (2
points)
(d) Which product would you expect to be the kinetic product? Why? (Note that this is not
necessarily the "non-thermodynamic" product.) (2 points)
(e) When this reaction is performed, regardless of what the temperature is, only one of the two
possible products is ever formed. Which one? (1 points)
(f) Why is the other diastereomer never formed? What must occur in order for it to be formed,
which will never occur with this particular reagent? Why? (3 points)
(g) Although the other diastereomer is never formed directly in this reaction, gentle heating with
aqueous acid will isomerize the initial product into the other diastereomer. Draw the mechanism
of the isomerization, and comment on why this isomerization occurs -- why one diastereomer
will react completely to form the other. (5 points)
Name: _______________________________ (Ex2 rework)
3. This page seems like it was tough on Q#3. Let’s see if you do better the second time around.
From the three alcohols shown, provide syntheses for the molecules below. For any SN2 or E2
reactions, use only non-halogen leaving groups – use a different leaving group which was
covered in Ch. 11. (12 points)
From: Make:
OH
OH
CH3 OH
O
O
CH3
O
O
O
Name: _______________________________ (Ex2 rework)
4. (a) Once again, write the oxidation state of the metal (each complex is neutral, Nickel is
Group 10; OTf is triflate, CF3SO3-), number of d electrons, and total valence electrons for the
metal in each complex, and indicate what type of reaction is occurring. (8 points)
H Ni
OTf
PPh3
Ni
OTf
PPh3H
Ni
OTf
PPh3
Ni
OTf
PPh3
Ni
OTf
PPh3
H
(b) What are the reactant(s) and product(s) of the reaction? (This time, they are not drawn for
you.) (2 points)
(c) If the ethylene molecule were deuterated completely (CD2=CD2), where would the deuterium
atoms end up in the product? Draw the structure, showing the position(s) of the deuterium
atoms. Assume the catalytic cycle has run several times already. (2 points)
Name: _______________________________ (Ex2 rework)
5. (a) I defined a conjugated system gener ...
Name 1 Should Transportation Security Officers Be A.docx
Name:
1
Should Transportation Security Officers Be Armed?
It is the opinion of this writer that Transportation Security Officers (TSOs) should not be
armed. It is my intent to illustrate that point in this paper. During my research I will weigh the
advantages and disadvantages of arming TSOs, examining each side of the argument. I will also
offer a potential solution that while costly will still prove to be less costly than arming TSOs.
What has led to this discussion? For a majority of our society it takes years and certain
events to take place in our lives for change to occur. Those events include graduating High
School/College, getting married, or having children. In a matter of only five short minutes on
the morning of November 1st, 2013, some individual’s lives changed forever. On that morning
Paul Anthony Ciancia, age 23, opened fire in Terminal 3 of the Los Angeles International
Airport (LAX). His senseless acts killed a TSO, while injuring six other individuals. The
shooting has been debated over and over again on whether it is a terrorist act or not. The
activities before, during, and after the shooting will show the acts were certainly a terrorist
attack. But more importantly could any deaths or injuries have been avoided if the TSOs were
armed? These is the question that will continue to be debated and one that will be addressed in
this paper.
Synopsis of the event that led up to this argument:
Shortly after being dropped off at the airport by his roommate, Paul Ciancia pulled out a
rifle and began opening fire. He was carrying luggage that was filled with a semiautomatic .223
caliber Smith & Wesson M&P-15 rifle, five 30-round magazines, and hundreds of additional
rounds of ammunition ("Lax shooting suspect," 2013). Walking up to the TSA checkpoint,
Ciancia pulled out a rifle and opened fire hitting TSO Gerardo Hernandez in the chest. Ciancia
Name:
2
then apparently moved into the screening area where he continued to fire striking two other
TSOs and a male citizen. According to eye witnesses, Ciancia continually asked civilians if they
were TSA officers, when they said “no” he moved on without shooting them ("Lax shooting:
Latest," 2013). Ciancia made it as far as the food court some five minutes after the first shots
were fired. He was then surrounded by LAX police officers who engaged him in a gunfight.
Shortly after the gunfight ended Ciancia was taken into custody where he had to be transported
to a nearby trauma hospital for gunshot wounds (Abdollah, 2013).
In total eight individuals had to be treated at the scene. Four victims were treated for
gunshot wounds, while the others were treated for other injuries ("6 hospitalized after," 2013).
The sole suspect Paul Ciancia was carrying a note on him that stated he “wanted to kill TSA”
and describe them as “pigs”, the note also mentioned “fiat currency” and “NWO” ("Lax shooting
...
Name Don’t ForgetDate UNIT 3 TEST(The direct.docx
Name: Don’t Forget
Date:
UNIT 3 TEST
(The directions and procedures for this test are the same as for the previous Unit test.)
Save this test on your computer, and complete the questions by marking correct answers with the “text color” function in WORD ( ) located on the “home” toolbar.Please attach your completed test to the assignment submission page.
Section I
Please identify problems of vagueness, overgenerality and ambiguity (double meaning) in the following passages. Then explain briefly how/why the passage exemplifies that problem. (Some examples may contain more than one problem.)
1. Who was Hitler? He was an Austrian.
__vague
__overgeneral
__ambiguous
Explanation:
2. The judge sanctioned the firm's criminal conduct.
__vague
__overgeneral
__ambiguous
Explanation:
3. "Turn right here!"
__vague
__overgeneral
__ambiguous
Explanation:
4. (From a Student Code of Conduct- Sexual impropriety in the dorms after 6:00 pm is forbidden.
__vague
__overgeneral
__ambiguous
Explanation:
5. Did Donald win the election? Well, he did get quite a few votes!
__vague
__overgeneral
__ambiguous
Explanation:
6. How are Henry’s finances? Oh, he’s really quite well off!
__vague
__overgeneral
__ambiguous
7. Bertha Belch, as missionary from Africa, will be speaking tonight at the Calvary Chapel. Come and hear Bertha Belch all the way from Africa.
__vague
__overgeneral
__ambiguous
Explanation:
8. Lower Slobovia can’t be a very well-run country. I mean, it’s not particularly democratic!
[Careful: Think about the various aspects of these claims before answering.]
__vague
__overgeneral
__ambiguous
Section II. Definitions
Please indicate whether the following are stipulative, persuasive, lexical or precising definitions.
9. Postmodern means a chaotic and confusing mishmash of images and references that leaves readers and viewers longing for the days of a good, well-told story.
__ stipulative
__ persuasive
__ lexical
__ précising
10. A triangle is a plane figure enclosed by 3 straight lines.
__ stipulative
__ persuasive
__ lexical
__ precising
11. An arid region, for purposes of this study, is any region that receives an average of less than 15 inches of rain per year
__ stipulative
__ persuasive
__ lexical
__ precising
14. A Blanker is someone who sends holiday cards without signatures or personalized messages
__ stipulative
__ persuasive
__ lexical
__ precising
15. Tragedy, in literary terms, means a serious drama that usually ends in disaster nd that focuses on a single character who experiences unexpected reversals in fat, often falling from a position of authority and power because of an unrecognized flaw or misguided action
__ stipulative
__ persuasive
__ lexical
__ précising
Section III. Strategies for Defining
Please indicate whether the following lexical definitions are ostensive definitions, enumerative definitions, definitions by s ...
Name Add name hereConcept Matching From Disease to Treatmen.docx
Name: Add name here
Concept Matching: From Disease to Treatment
Using your textbooks, complete the empty squares on the table below to match specific diseases with their pathology, pathophysiology and pharmacological treatment. Be sure to use appropriate medical terminology when adding information. You should review two different sources at a minimum to develop your brief synopses.
Example of completed row:
Disease
Body system
Signs/Symptoms
Pathophysiology
Treatment(s) (Pharm & Other)
Acne vulgaris
Integumentary system
Non-inflammatory comedones or inflammatory papules, pustules or modules. Symptoms can include pain, erythema and tenderness
Release of inflammatory mediators into the skin, with follicle hyperkeratinization, Propionibacterium acne colonization, and excess production of sebum
Depending on severity, topical mediations include benzyol peroxide or retinoid drugs. Hormonal drugs (such as oral contraceptives), and in some cases antibiotics may be used for severe inflammatory acne. Nonpharmacological treatments include dermabrasion or phototherapy
Disease
Body System
Signs/Symptoms
Pathophysiology
Treatment(s)
Atopic Dermatitis
Multiple Sclerosis
Squamous cell carcinoma
Osteoporosis
Osteosarcoma
Rheumatoid arthritis
Epilepsy
Psoriasis
Alzheimer’s Disease
...
Name Abdulla AlsuwaidiITA 160Uncle VanyaMan has been en.docx
Name Abdulla Alsuwaidi
I
TA 160
"Uncle Vanya"
“Man has been endowed with reason,
with the power to create, so that he can add to what he's been given.
But up to now, he hasn't been a creator, only a destroyer.
Forests keep disappearing, rivers dry up,
wild life's become extinct, the climate's ruined,
and the land grows poorer and uglier”
The play “Uncle Vanya” written by Anton Chekhov is a pearl of the classics of Russian literature. Anton Chekhov left a great legacy in a form of his plays and short stories for the classics of world literature. Without a shadow of doubt, this masterpiece, written by one of the most prominent the Russian playwrights of his time, should be read with further analysis and discussion. “Uncle Vanya” is a realist play and Chekhov tried to make its scenes as true-to-life as possible. Chekhov spent one year writing “Uncle Vanya” and introduced a number of changes between the years 1896 – 1897. The final version of his play is famous worldwide. The plot of the play narrates a heartbreaking story of how the main hero, Ivan Petrovich Voynitsky or Uncle Vanya that was a rather calm and quiet man undergoes a moral “rebirth” developing a spirit of a rebellion. Uncle Vanya, the main hero of the play, can be characterized as a bitter aging man who spent his life in toil working for his brother-in-law. Chekhov depicted the character of uncle Vanya as a misanthrope who recognized the miserable nature of other characters.
Moreover, Chekhov’s play also involves a number of other important issues that are experienced by the play’s characters. These issues include the feeling of pointless life lacking meaning, missed opportunities, and the most touching feeling of blind admiration. It should be admitted that Chekhov used to create hidden meaning in his plays to make the readers think critically not only of his work but of their lives either. Therefore, in the play, Chekhov made every character individualistic. For instance, the central character in the play, Uncle Vanya, cares about patrimony and the Serebryakov’s family’s property. Throughout the play, uncle Vanya finds himself dismissed and rejected without the right for an opinion. Chekhov also pointed out the suffering of other characters who struggle to change their lives for better. The play consists of a number of personal dramas that are interconnected.
It can be stated that Chekhov included a number of opposite lines in his play such as the choice between obedience or riot, feeling of admiration and disrespect. The following lines from the play demonstrate the feeling of disappointment and understanding the pointlessness of a situation: “”I’m mad — but people who conceal their utter lack of talent, their dullness, their complete heartlessness under the guise of the professor, the purveyor of learned magic — they aren’t mad” (Uncle Vanya). Uncle Vanya is concerned about the wasted years and the thought of how his life could look like in case he used the opportun ...
Name Add name hereHIM 2214 Module 6 Medical Record Abstractin.docx
Name: Add name here
HIM 2214 Module 6: Medical Record Abstracting
Instructions: In this medical record abstracting assignment you will first need to download and the records (history & physical, surgery consultation, operative report, pathology report and discharge summary) for a patient with digestive system problems. (Recommend reading them in the order listed).
Save your answers to the following related questions in this document and submit them for this module's assignment.
1. Define the terms diverticulosis and diverticulitis.
2. What is the pathophysiology of diverticulitis?
3. What is a hiatal hernia?
4. Describe some of the signs or symptoms a person with a hiatal hernia might have.
5. What is a pulmonary embolus?
6. What was the etiology (cause) of the pulmonary embolus for this patient?
7. What is gastritis?
8. Which problem is likely a contributor to the patient’s Type II diabetes mellitus?
9. What was the purpose of the barium enema?
10. What does the abbreviation HEENT stand for?
11. What is thrombophlebitis?
12. What is a surgical resection?
13. Define anastomosis.
14. What is ferrous gluconate and what is it used to treat?
15. What condition is the drug Darvocet used to treat?
16. What are electrolytes?
17. What is exogenous obesity?
18. Where is the femoral pulse found/taken?
19. Where is the popliteal pulse found/taken?
20. What is hepatosplenomegaly?
21. Which condition(s) is/are the drug Humulin used to treat?
22. What is an adenocarcinoma?
23. Which condition(s) is/are the drug Lanoxin used to treat?
24. What is the purpose of ordering the blood test PTT?
25. What is a colon stricture?
26. What is/are the etiologies associated with colorectal cancer?
27. What is the medical term for gallstones?
28. Which condition(s) is the drug Zantac used to treat?
29. What does the pathology report indicate about the spread of the carcinoma in this patient?
30. What is the etiology of Type II diabetes mellitus?
· Academic arguments are designed to get someone to agree with the author, who may use pathos (emotion), logos (logic and facts) and ethos (authority and expertise) to persuade.
Academic arguments are not about ranting, screaming or otherwise increasing conflict, but in fact are the opposite: They attempt to help the other person understand what the author believes to be right (opinion) based on the evidence presented (authority, logic, facts).
For your topic for your final paper, what kinds of arguments can you develop for your claim (thesis, main idea)?
Health Record Face Sheet
Record Number:
005
Age:
67
Gender:
Male
Length of Stay:
3 days
Service:
Inpatient Hospital Admission
Disposition:
Home
Discharge Summary
Patient is a 67-year-old male. He saw the doctor recently with abdominal pain and constipation. A barium enema showed diverticulosis and perhaps a stricture near the sigmoid and rectal junction. He was scoped by the doctor, who saw a stricture at that point and sa ...
Name Sophocles, AntigoneMain Characters Antigone, Cre.docx
Name:
Sophocles, Antigone
Main Characters: Antigone, Creon (the King), Ismene (Antigone’s sister), the Chorus, the Guard, Haimon (Creon’s and Euridike’s son), Euridike (Creon’s wife/Haimon’s mother), Teiresias (the prophet), the messenger.
1. Aristotle writes that the tragic hero suffers from a harmartia or error. Who is the tragic hero of the play? Why do you think so?
2. Who is in the right? Antigone? Creon? Both? Neither? Why?
3. What makes this play tragic?
4. What is the role of the chorus in this production? How do they fit into the play?
5. What do you think about the way the production differentiates between divine law and human law? Which characters do you think are more closely linked to what (kind of) law?
6. Why is this art? What is the relationship between Antigone and a painting or a statue, such that we can call them both art?
...
Name Habitable Zones – Student GuideExercisesPlease r.docx
Name:
Habitable Zones – Student Guide
Exercises
Please read through the background pages entitled Life, Circumstellar Habitable Zones, and The Galactic Habitable Zone before working on the exercises using simulations below.
Circumstellar Zones
Open the Circumstellar Zone Simulator. There are four main panels:
· The top panel simulation displays a visualization of a star and its planets looking down onto the plane of the solar system. The habitable zone is displayed for the particular star being simulated. One can click and drag either toward the star or away from it to change the scale being displayed.
· The General Settings panel provides two options for creating standards of reference in the top panel.
· The Star and Planets Setting and Properties panel allows one to display our own star system, several known star systems, or create your own star-planet combinations in the none-selected mode.
· The Timeline and Simulation Controls allows one to demonstrate the time evolution of the star system being displayed.
The simulation begins with our Sun being displayed as it was when it formed and a terrestrial planet at the position of Earth. One can change the planet’s distance from the Sun either by dragging it or using the planet distance slider.
Note that the appearance of the planet changes depending upon its location. It appears quite earth-like when inside the circumstellar habitable zone (hereafter CHZ). However, when it is dragged inside of the CHZ it becomes “desert-like” while outside it appears “frozen”.
Question 1: Drag the planet to the inner boundary of the CHZ and note this distance from the Sun. Then drag it to the outer boundary and note this value. Lastly, take the difference of these two figures to calculate the “width” of the sun’s primordial CHZ.
CHZ Inner Boundary
CHZ Outer Boundary
Width of CHZ
NAAP – Habitable Zones 1/7
Question 2: Let’s explore the width of the CHZ for other stars. Complete the table below for stars with a variety of masses.
Star Mass (M )
Star Luminosity (L )
CHZ Inner Boundary (AU)
CHZ Outer Boundary (AU)
Width of CHZ (AU)
0.3
0.7
1.0
2.0
4.0
8.0
15.0
Question 3: Using the table above, what general conclusion can be made regarding the location of the CHZ for different types of stars?
Question 4: Using the table above, what general conclusion can be made regarding the width of the CHZ for different types of stars?
Exploring Other Systems
Begin by selecting the system 51 Pegasi. This was the first planet discovered around a star using the radial velocity technique. This technique detects systematic shifts in the wavelengths of absorption lines in the star’s spectra over time due to the motion of the star around the star-planet center of mass. The planet orbiting 51 Pegasi has a mass of at least half Jupiter’s mass.
Question 5: Zoom out so that you can compare this planet to those in our solar system (you can click-hold-drag to change t ...
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Staffing and Scheduling
This document summarizes research on the relationship between nurse staffing levels and patient outcomes. It identifies several influential studies that found associations between higher nurse staffing levels and lower mortality rates, failure to rescue rates, and nosocomial infection rates. The document also discusses different approaches to establishing minimum nurse staffing standards and ratios. It concludes that simply requiring more nurses may not improve patient care without also enhancing working conditions and support for nurses.
Pascack Valley Hospital
The document summarizes a productivity review of Pascack Valley Hospital that identified opportunities to reduce staffing levels and costs. The global review found potential savings of $3.6-10.6 million through a staffing reduction of 49-140 FTEs. The departmental review identified savings of $6.9-12.9 million through reducing staffing by 122-224 FTEs. Specific recommendations were made regarding reducing overtime usage, on-call costs, implementing productivity monitoring tools, and conducting further analysis of outlier departments.
Cost Classifications HCA270 Version 31Associate Level M.docx
Cost Classifications
HCA/270 Version 3
1
Associate Level Material
Cost Classifications
Consult Ch. 6 & 7 of Health Care Finance and other sources to complete the form. This worksheet requires you to match the definitions and examples of types of cost, and the types of centers where costs occur.
Part 1: For each term in Column A, select the correct definition from Column B on the right. Write the corresponding letter of the definition next to the term.
Column A
1. Indirect costs
2. Direct costs
3. Fixed costs
4. Variable costs
5. Step-fixed costs
6. Responsibility centers
7. Revenue centers
8. Cost centers
9. Shadow cost centers
Column B – Definitions
A. Costs incurred directly as a result of providing a specific service or good
B. Centers charged with controlling costs and generate revenue
C. Have no revenue budget and no obligation to earn revenue
D. Costs that do not vary as service volume varies
E. Fixed over some range of service volume, but rise to a new level for a higher range of service volume
F. Costs that cannot be tied directly to the patient’s stay in the bed
G. Exist as budgets on paper only
H. The places where costs occur and have budgets
I. Costs that change as volume changes
Part II: For each real-world example, select the correct term from the list on the left. Write the corresponding letter of the real-world example next to the term.
Column A
1. Indirect costs
2. Direct costs
3. Fixed costs
4. Variable costs
5. Step-fixed costs
6. Responsibility centers
7. Revenue centers
8. Cost centers
9. Shadow cost centers
Column B – Real-World Examples
J. A subunit of a larger organization that is responsible for some type of budget, such as the payroll department or courier service
K. Shares of depreciation, administration division, or laundry service
L. Administration, human resources, or housekeeping
M. Utility bill, supplies, or maintenance
N. Nursing care, food consumed, drugs administered
O. Hospital cafeteria, gift shop, or parking ramp
P. Depreciation of hospital equipment
Q. Building loan payment, building insurance, or cable or internet service
R. The nurse-to-patient ratio on the cardiac unit is one to three patients. There are four nurses scheduled for 12 patients. During the second shift, three more patients are admitted. The nurse manager calls in a fifth nurse.
Part III: Selecttwo choices from Part II and explain why they meet that cost classification.
95
S t a ffing:
The Manager’s
Responsibili ty 9
C H A P T E R
STAFFING REQUIREMENTS
In most businesses, a position is filled if the employee
works five days a week, generally Monday through Friday.
But in health care, many positions must be filled, or cov-
ered, all seven days of the week. Furthermore, in most
businesses, a position is filled for that day if the employee
works an eight-hour day—from 9:00 to 5:00, for example.
But in health care, many positions must also be filled, or
covered, 24 hours a day. The patient.
I need these questions answered completely. Tables are included. I n.docx
I need these questions answered completely. Tables are included. I need how you got the answer and an explanation included. Not just the answers.
·
8-3
Durham Health Clinic is considering signing a contract to perform 50 pre-employment physicals per week for a specific corporation. In terms of staff time, a pre-employment physical requires 0.20 hours in Reception/Discharge, 0.45 hours in Nursing and Testing, and 0.20 hours in Medical Examination. By work-station, determine how many work hours per week will be needed to perform these physicals.
·
8-4
Currently the clinic does 250 visits per week, with 50% of all visits as return visits. Each employee (physician, nurse, and receptionist) is scheduled to work 35 hours per week.
a.
How many employees by type does the clinic currently need?
b.
How many employees by type will the clinic need if it signs the contract for pre-employment physicals?
c.
If return visits shift to 10% of all regular visits, how many employees by type will the clinic need with and without the contract for pre-employment physicals?
d.
How will the answers to “b” and “c” change if the number of physicals is modified to 35 pre-employment physicals per week?
Throughout these analyses, specify all assumptions, including assumptions concerning worker productivity.
8-5
How would your answers change for problem 8-1 if nursing and testing time was increased to 0.50 hours for both first and repeat visits, and medical exam and treatment time was reduced to 0.30 hours for a first visit and 0.20 hours for a return visit?
9-1 Alpha Walk-in Clinic operates as a single channel single server system. On Tuesdays, its average arrival rate (μ) per hour is 7.0. Analysis indicates that its service rate (λ) is 8.5 patients per hour. Using queuing theory, describe this service system. What is:
a. The probability that the clinic is idle—no patients waiting or being served?
b. The average number of patients in the system?
c. The average time (hours) a patient spends in the system (waiting + service time)?
d. The average number of patients in the queue waiting for service?
e. The average time (hours) a patient spends in the queue waiting?
f. The probability that the patient, upon arrival, must wait?
9-2 The following data have been collected from a hospital pharmacy. This service system operates as a single server, single channel system.
7–3 pm
3–11 pm
11–7 am
Service rate per hour
200
100
50
Arrival rate per hour
60
50
40
The service rate can be increased or decreased in increments of 50 prescriptions per hour. The expense associated with each 50-prescription increment is $100. In other words, to be able to process 50 additional prescriptions will cost an additional $100 per hour. If the current rate of processing or service is lowered by 50 prescriptions per hour, the savings are $100 per hour. Using queuing theory, describe this service system. What is:
a. The probability that the clinic is idle—no patients waiting or being serve.
Qnt 275 final exam new 2016
This document contains a practice exam for a statistics course (QNT 275). It includes 15 multiple choice questions covering topics like normal distributions, sampling, descriptive statistics, correlation, and regression analysis. The questions assess understanding of key statistical concepts and calculations.
Qnt 275 final exam new 2016
This document contains a practice exam for a statistics course (QNT 275). It includes 15 multiple choice questions covering topics like normal distributions, sampling, descriptive statistics, correlation, and regression analysis. The questions assess understanding of key statistical concepts and calculations.
Budget Performance and Profitability_Slyter_2016
The study tested the relationship between budget variances and operating margin for 115 acute care hospitals in Washington state over 27 years. The results showed that smaller unfavorable budget variances are associated with greater operating margins, while greater favorable budget variances also lead to greater operating margins. Specifically, a single standard deviation reduction in unfavorable expense budget variances increased operating margins by 6.3%, while an equivalent favorable variance increased operating margins by 2.7%. The study concludes that budgets do matter for hospital profitability, and managers can improve margins by reducing unfavorable variances and increasing favorable ones.
Final Exam Due Friday, Week EightInstructions Each response is.docx
Final Exam Due Friday, Week Eight
Instructions: Each response is worth a maximum of 50 points. Number and state the question. Space and then give your response. Each response will be a minimum 175 and maximum 225 words. Utilize the book, at least one resource beyond the course book and your personal examples in each response. This means that beyond the course text you should have a minimum of 4 references for this midterm exam. Create appropriate headings/subheading for each response and then give your detailed answer to the question.
Use Word doc. or docx only. Times New Roman, 12 font and double-space everything. Include a cover page and reference page. Return exam via email attachment NLT. Follow APA 6th ed. formatting requirements.
NO LATE EXAMS WILL BE ACCEPTED!
1. In determining rates of pay, how are the decisions made as to who gets paid $7.00 per hour and who will receive $1 million for a years work?
2. How can team effort result in improved organizational profitability?
3. What is reverse discrimination and how does it influence the design of an executive compensation plan?
4. With benefits consuming approximately 40 percent of the compensation dollar of most organizations, among many managers the “fringe benefit” concept still exists. Develop a detailed outline of the various components of a typically benefits program, indicating their importance and scope. Develop the outline so that it can be used for a presentation. (This response length may vary, so ensure you meet the requirements as stated.)
DataSee comments at the right of the data set.IDSalaryCompaMidpointAgePerformance RatingServiceGenderRaiseDegreeGender1Grade8231.000233290915.80FAThe ongoing question that the weekly assignments will focus on is: Are males and females paid the same for equal work (under the Equal Pay Act)? 10220.956233080714.70FANote: to simplfy the analysis, we will assume that jobs within each grade comprise equal work.11231.00023411001914.80FA14241.04323329012160FAThe column labels in the table mean:15241.043233280814.90FAID – Employee sample number Salary – Salary in thousands 23231.000233665613.31FAAge – Age in yearsPerformance Rating – Appraisal rating (Employee evaluation score)26241.043232295216.21FAService – Years of service (rounded)Gender: 0 = male, 1 = female 31241.043232960413.90FAMidpoint – salary grade midpoint Raise – percent of last raise35241.043232390415.31FAGrade – job/pay gradeDegree (0= BS\BA 1 = MS)36231.000232775314.31FAGender1 (Male or Female)Compa - salary divided by midpoint37220.956232295216.21FA42241.0432332100815.70FA3341.096313075513.60FB18361.1613131801115.61FB20341.0963144701614.81FB39351.129312790615.51FB7411.0254032100815.70FC13421.0504030100214.71FC22571.187484865613.80FD24501.041483075913.81FD45551.145483695815.20FD17691.2105727553130FE48651.1405734901115.31FE28751.119674495914.41FF43771.1496742952015.51FF19241.043233285104.61MA25241.0432341704040MA40251.086232490206.30MA2270.87 ...
Compensation Under NSPS
Explains the basics of the National Security Personnel System (NSPS), a pay-for-performance system of the U.S. Federal government.
Hire verses Overtime Analysis
This report analyzes whether it is more cost effective for a company to hire new employees or authorize overtime for current employees over a one-year period. It finds that the total annual cost of current employees through salary, insurance, taxes and other expenses is $1.7 million. Authorizing 1 hour of overtime per day would cost $200,000 annually. Hiring a new employee involves additional headhunter, training and miscellaneous costs. For adjusting staff, hiring 1.8 new employees would be cheaper than authorizing overtime, but hiring management would not be as cost effective as overtime.
ScoreWeek 5 Correlation and Regressio.docx
Score:
Week 5
Correlation and Regression
<1 point>
1.
Create a correlation table for the variables in our data set. (Use analysis ToolPak or StatPlus:mac LE function Correlation.)
a.
Reviewing the data levels from week 1, what variables can be used in a Pearson's Correlation table (which is what Excel produces)?
b. Place table here (C8):
c.
Using r = approximately .28 as the signicant r value (at p = 0.05) for a correlation between 50 values, what variables are
significantly related to Salary?
To compa?
d.
Looking at the above correlations - both significant or not - are there any surprises -by that I
mean any relationships you expected to be meaningful and are not and vice-versa?
e.
Does this help us answer our equal pay for equal work question?
<1 point>
2
Below is a regression analysis for salary being predicted/explained by the other variables in our sample (Midpoint,
age, performance rating, service, gender, and degree variables. (Note: since salary and compa are different ways of
expressing an employee’s salary, we do not want to have both used in the same regression.)
Plase interpret the findings.
Ho: The regression equation is not significant.
Ha: The regression equation is significant.
Ho: The regression coefficient for each variable is not significant
Note: technically we have one for each input variable.
Ha: The regression coefficient for each variable is significant
Listing it this way to save space.
Sal
SUMMARY OUTPUT
Regression Statistics
Multiple R
0.9915591
R Square
0.9831894
Adjusted R Square
0.9808437
Standard Error
2.6575926
Observations
50
ANOVA
df
SS
MS
F
Significance F
Regression
6
17762.3
2960.38
419.1516
1.812E-36
Residual
43
303.7003
7.0628
Total
49
18066
Coefficients
Standard Error
t Stat
P-value
Lower 95%
Upper 95%
Lower 95.0%
Upper 95.0%
Intercept
-1.749621
3.618368
-0.4835
0.631166
-9.046755
5.5475126
-9.04675504
5.54751262
Midpoint
1.2167011
0.031902
38.1383
8.66E-35
1.1523638
1.2810383
1.152363828
1.28103827
Age
-0.004628
0.065197
-0.071
0.943739
-0.136111
0.1268547
-0.13611072
0.1268547
Performace Rating
-0.056596
0.034495
-1.6407
0.108153
-0.126162
0.0129695
-0.12616237
0.01296949
Service
-0.0425
0.084337
-0.5039
0.616879
-0.212582
0.1275814
-0.2125.
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Cost Classifications HCA270 Version 31Associate Level M.docx
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Name 1. The table shows the number of days per week, x, that 100.docx
Name
1. The table shows the number of days per week, x, that 100 students use the gym at a local high school.
x
frequency
Relative
frequency
Cumulative
frequency
0
3
1
12
2
33
3
28
4
11
5
9
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1. The table shows the number of days per week, x, that 100 students use the gym at a local high school.
a. Complete the table
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c. Determine the mean, median, minimum frequency, maximum frequency, range, Q1, Q3 and the standard deviation, Sx
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Theme one is to identify the types of cultures or models of cultures and how they work or fit within an organization
Learning Activity #1
Using your reading material create a chart that describes the type, characteristics of the culture, associated values that would be important to keep the culture alive, and kinds of organizations structures that work best for culture. Compare and contrast them in your explanation of the chart. For instance what culture might work for Joe at the new sawmill and then which one might work at Purvis' shoe company.
Theme two: How to Create, Change, and Align Culture to the Structure and Vision.
Organizational Structure
Preface:
A leader’s job is to create the direction for the company to move forward. The leader does this in steps. Here are the steps of the process:
First, the leader designs the vision and mission for the company and second, the leader must establish an organizational structure which promotes the vision, mission and empowers the employees to keep the forward movement in the organization.
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ESL 408 Remembered Event Worksheet
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Story Element
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Exposition
Rising Action
Climax
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Name Bijapur Fort Year 1599 Location Bijapur city.docx
Name: Bijapur Fort
Year: 1599
Location: Bijapur city in Bijapur District of the Indian state of Karnataka
The fort precinct is studded with the historical fort, palaces, mosques, tombs and
gardens.
Built by Yusuf Adil Shah, during the rule of Adil Shahidynasty.
https://en.wikipedia.org/wiki/Bijapur,_Karnataka
https://en.wikipedia.org/wiki/Bijapur_district,_Karnataka
https://en.wikipedia.org/wiki/States_and_territories_of_India
https://en.wikipedia.org/wiki/Karnataka
https://en.wikipedia.org/wiki/Adil_Shahi
Name: Adham Khan's Tomb
Year: 1561
Location : Qutub Minar, Mehrauli, Delhi,
Built for 16th-century tomb of Adham Khan, a general of the Mughal Emperor Akbar.
It consists of a domed octagonal chamber in the Lodhi Dynasty style and Sayyid
dynasty early in the 14th century.
https://en.wikipedia.org/wiki/Qutub_Minar
https://en.wikipedia.org/wiki/Mehrauli
https://en.wikipedia.org/wiki/Delhi
https://en.wikipedia.org/wiki/Adham_Khan
https://en.wikipedia.org/wiki/Mughal_Emperor
https://en.wikipedia.org/wiki/Akbar
https://en.wikipedia.org/wiki/Lodhi_Dynasty
https://en.wikipedia.org/wiki/Sayyid_dynasty
https://en.wikipedia.org/wiki/Sayyid_dynasty
These two objects are both tomb and have it’s own style form certain dynasty.
I chose these two objects is because they are both architecture and I can talk more about
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Week 10 Assignments – XBRL
DUE DATE: Sunday midnight of Week 6, submitted in a MS Word (or Excel if
computations required) document with filename format:
Last First_Week X hwk.doc or .xls Make sure your name appears on each page of the
homework using the header function.
Homework questions:
1. Why do you think it took from 1999, when the XBRL concept was invented, until 2009
for the SEC require that public filers adopt?
2. From the PWC Webcast on XBRL, what are the differences between the “bolt-on” and
“embedded” approach to XBRL?
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4. US public filers are required to begin tagging and reporting financial data using XBRL
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CHM 3372, Winter 2016
Exam #2 Re-work
Due Wed, 3/2/16
1. Make the ketone below from 13C-labeled formaldehyde and propane. Make certain to keep
track of your labels throughout your synthesis. (27 points)
O
Name: _______________________________ (Ex2 rework)
2. (a) The reaction below can form two possible diastereomeric products. Draw the structures of
both products, and the mechanism of the formation of either one. (4 points)
O
1. LiAlH4
2. NH4Cl, H2O
(b) What characterizes a thermodynamic product of a reaction (any reaction)? What
characterizes a kinetic product of reaction? (2 points)
(c) Which product from part (a) would you expect to be the thermodynamic product? Why? (2
points)
(d) Which product would you expect to be the kinetic product? Why? (Note that this is not
necessarily the "non-thermodynamic" product.) (2 points)
(e) When this reaction is performed, regardless of what the temperature is, only one of the two
possible products is ever formed. Which one? (1 points)
(f) Why is the other diastereomer never formed? What must occur in order for it to be formed,
which will never occur with this particular reagent? Why? (3 points)
(g) Although the other diastereomer is never formed directly in this reaction, gentle heating with
aqueous acid will isomerize the initial product into the other diastereomer. Draw the mechanism
of the isomerization, and comment on why this isomerization occurs -- why one diastereomer
will react completely to form the other. (5 points)
Name: _______________________________ (Ex2 rework)
3. This page seems like it was tough on Q#3. Let’s see if you do better the second time around.
From the three alcohols shown, provide syntheses for the molecules below. For any SN2 or E2
reactions, use only non-halogen leaving groups – use a different leaving group which was
covered in Ch. 11. (12 points)
From: Make:
OH
OH
CH3 OH
O
O
CH3
O
O
O
Name: _______________________________ (Ex2 rework)
4. (a) Once again, write the oxidation state of the metal (each complex is neutral, Nickel is
Group 10; OTf is triflate, CF3SO3-), number of d electrons, and total valence electrons for the
metal in each complex, and indicate what type of reaction is occurring. (8 points)
H Ni
OTf
PPh3
Ni
OTf
PPh3H
Ni
OTf
PPh3
Ni
OTf
PPh3
Ni
OTf
PPh3
H
(b) What are the reactant(s) and product(s) of the reaction? (This time, they are not drawn for
you.) (2 points)
(c) If the ethylene molecule were deuterated completely (CD2=CD2), where would the deuterium
atoms end up in the product? Draw the structure, showing the position(s) of the deuterium
atoms. Assume the catalytic cycle has run several times already. (2 points)
Name: _______________________________ (Ex2 rework)
5. (a) I defined a conjugated system gener ...
Name 1 Should Transportation Security Officers Be A.docx
Name:
1
Should Transportation Security Officers Be Armed?
It is the opinion of this writer that Transportation Security Officers (TSOs) should not be
armed. It is my intent to illustrate that point in this paper. During my research I will weigh the
advantages and disadvantages of arming TSOs, examining each side of the argument. I will also
offer a potential solution that while costly will still prove to be less costly than arming TSOs.
What has led to this discussion? For a majority of our society it takes years and certain
events to take place in our lives for change to occur. Those events include graduating High
School/College, getting married, or having children. In a matter of only five short minutes on
the morning of November 1st, 2013, some individual’s lives changed forever. On that morning
Paul Anthony Ciancia, age 23, opened fire in Terminal 3 of the Los Angeles International
Airport (LAX). His senseless acts killed a TSO, while injuring six other individuals. The
shooting has been debated over and over again on whether it is a terrorist act or not. The
activities before, during, and after the shooting will show the acts were certainly a terrorist
attack. But more importantly could any deaths or injuries have been avoided if the TSOs were
armed? These is the question that will continue to be debated and one that will be addressed in
this paper.
Synopsis of the event that led up to this argument:
Shortly after being dropped off at the airport by his roommate, Paul Ciancia pulled out a
rifle and began opening fire. He was carrying luggage that was filled with a semiautomatic .223
caliber Smith & Wesson M&P-15 rifle, five 30-round magazines, and hundreds of additional
rounds of ammunition ("Lax shooting suspect," 2013). Walking up to the TSA checkpoint,
Ciancia pulled out a rifle and opened fire hitting TSO Gerardo Hernandez in the chest. Ciancia
Name:
2
then apparently moved into the screening area where he continued to fire striking two other
TSOs and a male citizen. According to eye witnesses, Ciancia continually asked civilians if they
were TSA officers, when they said “no” he moved on without shooting them ("Lax shooting:
Latest," 2013). Ciancia made it as far as the food court some five minutes after the first shots
were fired. He was then surrounded by LAX police officers who engaged him in a gunfight.
Shortly after the gunfight ended Ciancia was taken into custody where he had to be transported
to a nearby trauma hospital for gunshot wounds (Abdollah, 2013).
In total eight individuals had to be treated at the scene. Four victims were treated for
gunshot wounds, while the others were treated for other injuries ("6 hospitalized after," 2013).
The sole suspect Paul Ciancia was carrying a note on him that stated he “wanted to kill TSA”
and describe them as “pigs”, the note also mentioned “fiat currency” and “NWO” ("Lax shooting
...
Name Don’t ForgetDate UNIT 3 TEST(The direct.docx
Name: Don’t Forget
Date:
UNIT 3 TEST
(The directions and procedures for this test are the same as for the previous Unit test.)
Save this test on your computer, and complete the questions by marking correct answers with the “text color” function in WORD ( ) located on the “home” toolbar.Please attach your completed test to the assignment submission page.
Section I
Please identify problems of vagueness, overgenerality and ambiguity (double meaning) in the following passages. Then explain briefly how/why the passage exemplifies that problem. (Some examples may contain more than one problem.)
1. Who was Hitler? He was an Austrian.
__vague
__overgeneral
__ambiguous
Explanation:
2. The judge sanctioned the firm's criminal conduct.
__vague
__overgeneral
__ambiguous
Explanation:
3. "Turn right here!"
__vague
__overgeneral
__ambiguous
Explanation:
4. (From a Student Code of Conduct- Sexual impropriety in the dorms after 6:00 pm is forbidden.
__vague
__overgeneral
__ambiguous
Explanation:
5. Did Donald win the election? Well, he did get quite a few votes!
__vague
__overgeneral
__ambiguous
Explanation:
6. How are Henry’s finances? Oh, he’s really quite well off!
__vague
__overgeneral
__ambiguous
7. Bertha Belch, as missionary from Africa, will be speaking tonight at the Calvary Chapel. Come and hear Bertha Belch all the way from Africa.
__vague
__overgeneral
__ambiguous
Explanation:
8. Lower Slobovia can’t be a very well-run country. I mean, it’s not particularly democratic!
[Careful: Think about the various aspects of these claims before answering.]
__vague
__overgeneral
__ambiguous
Section II. Definitions
Please indicate whether the following are stipulative, persuasive, lexical or precising definitions.
9. Postmodern means a chaotic and confusing mishmash of images and references that leaves readers and viewers longing for the days of a good, well-told story.
__ stipulative
__ persuasive
__ lexical
__ précising
10. A triangle is a plane figure enclosed by 3 straight lines.
__ stipulative
__ persuasive
__ lexical
__ precising
11. An arid region, for purposes of this study, is any region that receives an average of less than 15 inches of rain per year
__ stipulative
__ persuasive
__ lexical
__ precising
14. A Blanker is someone who sends holiday cards without signatures or personalized messages
__ stipulative
__ persuasive
__ lexical
__ precising
15. Tragedy, in literary terms, means a serious drama that usually ends in disaster nd that focuses on a single character who experiences unexpected reversals in fat, often falling from a position of authority and power because of an unrecognized flaw or misguided action
__ stipulative
__ persuasive
__ lexical
__ précising
Section III. Strategies for Defining
Please indicate whether the following lexical definitions are ostensive definitions, enumerative definitions, definitions by s ...
Name Add name hereConcept Matching From Disease to Treatmen.docx
Name: Add name here
Concept Matching: From Disease to Treatment
Using your textbooks, complete the empty squares on the table below to match specific diseases with their pathology, pathophysiology and pharmacological treatment. Be sure to use appropriate medical terminology when adding information. You should review two different sources at a minimum to develop your brief synopses.
Example of completed row:
Disease
Body system
Signs/Symptoms
Pathophysiology
Treatment(s) (Pharm & Other)
Acne vulgaris
Integumentary system
Non-inflammatory comedones or inflammatory papules, pustules or modules. Symptoms can include pain, erythema and tenderness
Release of inflammatory mediators into the skin, with follicle hyperkeratinization, Propionibacterium acne colonization, and excess production of sebum
Depending on severity, topical mediations include benzyol peroxide or retinoid drugs. Hormonal drugs (such as oral contraceptives), and in some cases antibiotics may be used for severe inflammatory acne. Nonpharmacological treatments include dermabrasion or phototherapy
Disease
Body System
Signs/Symptoms
Pathophysiology
Treatment(s)
Atopic Dermatitis
Multiple Sclerosis
Squamous cell carcinoma
Osteoporosis
Osteosarcoma
Rheumatoid arthritis
Epilepsy
Psoriasis
Alzheimer’s Disease
...
Name Abdulla AlsuwaidiITA 160Uncle VanyaMan has been en.docx
Name Abdulla Alsuwaidi
I
TA 160
"Uncle Vanya"
“Man has been endowed with reason,
with the power to create, so that he can add to what he's been given.
But up to now, he hasn't been a creator, only a destroyer.
Forests keep disappearing, rivers dry up,
wild life's become extinct, the climate's ruined,
and the land grows poorer and uglier”
The play “Uncle Vanya” written by Anton Chekhov is a pearl of the classics of Russian literature. Anton Chekhov left a great legacy in a form of his plays and short stories for the classics of world literature. Without a shadow of doubt, this masterpiece, written by one of the most prominent the Russian playwrights of his time, should be read with further analysis and discussion. “Uncle Vanya” is a realist play and Chekhov tried to make its scenes as true-to-life as possible. Chekhov spent one year writing “Uncle Vanya” and introduced a number of changes between the years 1896 – 1897. The final version of his play is famous worldwide. The plot of the play narrates a heartbreaking story of how the main hero, Ivan Petrovich Voynitsky or Uncle Vanya that was a rather calm and quiet man undergoes a moral “rebirth” developing a spirit of a rebellion. Uncle Vanya, the main hero of the play, can be characterized as a bitter aging man who spent his life in toil working for his brother-in-law. Chekhov depicted the character of uncle Vanya as a misanthrope who recognized the miserable nature of other characters.
Moreover, Chekhov’s play also involves a number of other important issues that are experienced by the play’s characters. These issues include the feeling of pointless life lacking meaning, missed opportunities, and the most touching feeling of blind admiration. It should be admitted that Chekhov used to create hidden meaning in his plays to make the readers think critically not only of his work but of their lives either. Therefore, in the play, Chekhov made every character individualistic. For instance, the central character in the play, Uncle Vanya, cares about patrimony and the Serebryakov’s family’s property. Throughout the play, uncle Vanya finds himself dismissed and rejected without the right for an opinion. Chekhov also pointed out the suffering of other characters who struggle to change their lives for better. The play consists of a number of personal dramas that are interconnected.
It can be stated that Chekhov included a number of opposite lines in his play such as the choice between obedience or riot, feeling of admiration and disrespect. The following lines from the play demonstrate the feeling of disappointment and understanding the pointlessness of a situation: “”I’m mad — but people who conceal their utter lack of talent, their dullness, their complete heartlessness under the guise of the professor, the purveyor of learned magic — they aren’t mad” (Uncle Vanya). Uncle Vanya is concerned about the wasted years and the thought of how his life could look like in case he used the opportun ...
Name Add name hereHIM 2214 Module 6 Medical Record Abstractin.docx
Name: Add name here
HIM 2214 Module 6: Medical Record Abstracting
Instructions: In this medical record abstracting assignment you will first need to download and the records (history & physical, surgery consultation, operative report, pathology report and discharge summary) for a patient with digestive system problems. (Recommend reading them in the order listed).
Save your answers to the following related questions in this document and submit them for this module's assignment.
1. Define the terms diverticulosis and diverticulitis.
2. What is the pathophysiology of diverticulitis?
3. What is a hiatal hernia?
4. Describe some of the signs or symptoms a person with a hiatal hernia might have.
5. What is a pulmonary embolus?
6. What was the etiology (cause) of the pulmonary embolus for this patient?
7. What is gastritis?
8. Which problem is likely a contributor to the patient’s Type II diabetes mellitus?
9. What was the purpose of the barium enema?
10. What does the abbreviation HEENT stand for?
11. What is thrombophlebitis?
12. What is a surgical resection?
13. Define anastomosis.
14. What is ferrous gluconate and what is it used to treat?
15. What condition is the drug Darvocet used to treat?
16. What are electrolytes?
17. What is exogenous obesity?
18. Where is the femoral pulse found/taken?
19. Where is the popliteal pulse found/taken?
20. What is hepatosplenomegaly?
21. Which condition(s) is/are the drug Humulin used to treat?
22. What is an adenocarcinoma?
23. Which condition(s) is/are the drug Lanoxin used to treat?
24. What is the purpose of ordering the blood test PTT?
25. What is a colon stricture?
26. What is/are the etiologies associated with colorectal cancer?
27. What is the medical term for gallstones?
28. Which condition(s) is the drug Zantac used to treat?
29. What does the pathology report indicate about the spread of the carcinoma in this patient?
30. What is the etiology of Type II diabetes mellitus?
· Academic arguments are designed to get someone to agree with the author, who may use pathos (emotion), logos (logic and facts) and ethos (authority and expertise) to persuade.
Academic arguments are not about ranting, screaming or otherwise increasing conflict, but in fact are the opposite: They attempt to help the other person understand what the author believes to be right (opinion) based on the evidence presented (authority, logic, facts).
For your topic for your final paper, what kinds of arguments can you develop for your claim (thesis, main idea)?
Health Record Face Sheet
Record Number:
005
Age:
67
Gender:
Male
Length of Stay:
3 days
Service:
Inpatient Hospital Admission
Disposition:
Home
Discharge Summary
Patient is a 67-year-old male. He saw the doctor recently with abdominal pain and constipation. A barium enema showed diverticulosis and perhaps a stricture near the sigmoid and rectal junction. He was scoped by the doctor, who saw a stricture at that point and sa ...
Name Sophocles, AntigoneMain Characters Antigone, Cre.docx
Name:
Sophocles, Antigone
Main Characters: Antigone, Creon (the King), Ismene (Antigone’s sister), the Chorus, the Guard, Haimon (Creon’s and Euridike’s son), Euridike (Creon’s wife/Haimon’s mother), Teiresias (the prophet), the messenger.
1. Aristotle writes that the tragic hero suffers from a harmartia or error. Who is the tragic hero of the play? Why do you think so?
2. Who is in the right? Antigone? Creon? Both? Neither? Why?
3. What makes this play tragic?
4. What is the role of the chorus in this production? How do they fit into the play?
5. What do you think about the way the production differentiates between divine law and human law? Which characters do you think are more closely linked to what (kind of) law?
6. Why is this art? What is the relationship between Antigone and a painting or a statue, such that we can call them both art?
...
Name Habitable Zones – Student GuideExercisesPlease r.docx
Name:
Habitable Zones – Student Guide
Exercises
Please read through the background pages entitled Life, Circumstellar Habitable Zones, and The Galactic Habitable Zone before working on the exercises using simulations below.
Circumstellar Zones
Open the Circumstellar Zone Simulator. There are four main panels:
· The top panel simulation displays a visualization of a star and its planets looking down onto the plane of the solar system. The habitable zone is displayed for the particular star being simulated. One can click and drag either toward the star or away from it to change the scale being displayed.
· The General Settings panel provides two options for creating standards of reference in the top panel.
· The Star and Planets Setting and Properties panel allows one to display our own star system, several known star systems, or create your own star-planet combinations in the none-selected mode.
· The Timeline and Simulation Controls allows one to demonstrate the time evolution of the star system being displayed.
The simulation begins with our Sun being displayed as it was when it formed and a terrestrial planet at the position of Earth. One can change the planet’s distance from the Sun either by dragging it or using the planet distance slider.
Note that the appearance of the planet changes depending upon its location. It appears quite earth-like when inside the circumstellar habitable zone (hereafter CHZ). However, when it is dragged inside of the CHZ it becomes “desert-like” while outside it appears “frozen”.
Question 1: Drag the planet to the inner boundary of the CHZ and note this distance from the Sun. Then drag it to the outer boundary and note this value. Lastly, take the difference of these two figures to calculate the “width” of the sun’s primordial CHZ.
CHZ Inner Boundary
CHZ Outer Boundary
Width of CHZ
NAAP – Habitable Zones 1/7
Question 2: Let’s explore the width of the CHZ for other stars. Complete the table below for stars with a variety of masses.
Star Mass (M )
Star Luminosity (L )
CHZ Inner Boundary (AU)
CHZ Outer Boundary (AU)
Width of CHZ (AU)
0.3
0.7
1.0
2.0
4.0
8.0
15.0
Question 3: Using the table above, what general conclusion can be made regarding the location of the CHZ for different types of stars?
Question 4: Using the table above, what general conclusion can be made regarding the width of the CHZ for different types of stars?
Exploring Other Systems
Begin by selecting the system 51 Pegasi. This was the first planet discovered around a star using the radial velocity technique. This technique detects systematic shifts in the wavelengths of absorption lines in the star’s spectra over time due to the motion of the star around the star-planet center of mass. The planet orbiting 51 Pegasi has a mass of at least half Jupiter’s mass.
Question 5: Zoom out so that you can compare this planet to those in our solar system (you can click-hold-drag to change t ...
Name Class Date SKILL ACTIVITY Giving an Eff.docx
Name Class Date
SKILL ACTIVITY
Giving an Effective Presentation
Directions: Read the information about oral presentations. Then
complete an outline for your own presentation.
One kind of oral presentation is a speech in which you explain
a position, or opinion, about an issue. After your speech, the
audience asks questions and you answer them. Preparing is the
first step. Use the following list as a guide to prepare.
• Decide what opinion you will take—for or against—and why.
• Write a short opening statement that gives your opinion.
• Gather facts and examples that support your opinion.
• Write a short conclusion that restates your opinion.
• Brainstorm a list of questions that your audience might ask.
Write down answers to the questions.
• Practice your presentation. Keep track of how long your
speech takes.
When you make the presentation, follow these steps:
• Begin with your opening statement.
• Give facts and examples that support your opinion.
• Conclude by stating your opinion again in different words.
• Answer questions from the audience. Listen carefully to make
sure you understand each question.
• While you are speaking, remember to look at your audience.
• Speak loudly and clearly so they can hear you.
Directions: Prepare and give a presentation on the following
topic: Is the increase in temporary employment a good thing for
American workers? Copy the following outline onto your own
paper to begin organizing your ideas.
I. Your opening statement:
II. Facts and examples that support your opinion:
1–5.
III. Your conclusion:
IV. Questions the audience may ask:
1–5.
V. Answers to these questions:
1–5.
BODY%RITUAL%AMONG%THE%NACIREMA%%
Horace%Miner%
%
From%Horace%Miner,%"Body%Ritual%among%the%Nacirema."%Reproduced%by%permission%of%the%
American%Anthropological%Association%from%The%American%Anthropologist,%vol.%58%(1956),%pp.%
503S507.%
%
Most%cultures%exhibit%a%particular%configuration%or%style.%A%single%value%or%pattern%of%perceiving%
the%world%often%leaves%its%stamp%on%several%institutions%in%the%society.%Examples%are%"machismo"%
in%Spanish>influenced%cultures,%"face"%in%Japanese%culture,%and%"pollution%by%females"%in%some%
highland%New%Guinea%cultures.%Here%Horace%Miner%demonstrates%that%"attitudes%about%the%
body"%have%a%pervasive%influence%on%many%institutions%in%Nacireman%society.%
The%anthropologist%has%become%so%familiar%with%the%diversity%of%ways%in%which%different%peoples%
behave%in%similar%situations%that%he%is%not%apt%to%be%surprised%by%even%the%most%exotic%customs.%
In%fact,%if%all%of%the%logically%possible%combinations%of%behavior%have%not%been%found%somewhere%
in%the%world,%he%is%apt%to%suspect%that%they%must%be%present%in%some%yet%undescribed%tribe.%%This%
point%has,%in%fact,%been%expressed%with%respect%to%clan%organization%by%Murdock.%In%this%light,%
the%magical%beliefs%and%practices%of%the%Nacirema%present%such%unusual%aspect ...
Name Speech Title I. Intro A) Atten.docx
Name:
Speech Title
I. Intro:
A) Attention getter --
B) Purpose Statement --
C) Thesis --
II. BODY
A) Main Point Number 1:
a)
b)
c)
transition --
B) Main Point Number 2:
a)
b)
c)
transition --
C) Main Point Number 3:
a)
b)
c)
transition –
III. CONCLUSION:
A) Summary statement --
B) Memorable conclusion --
References
List all references on a separate page with the word “References” centered at the top.
Name: Suepin Nguyen
Hygiene Saves Lives
I. Intro: To give an informational speech about Ignaz Philipp Semmelweis
A) Attention getter – On each square centimeter of your skin, there are about 1,500
bacteria. That’s a lot of germs. According to a study conducted by Michigan State
University researchers, 95% of people do not properly wash their hands long enough to
kill the infection causing germs and bacteria (Jaslow, “95 Percent of People Wash Their
Hands Improperly: Are You One of Them?”).
B) Purpose Statement - That’s gross. While I can’t force you to wash your hands, perhaps
today I can help you realize just how much history and evidence is behind this crucial
bathroom ritual.
C) Thesis – Today, I will inform you all about Ignaz Philipp Semmelweis by discussing first
about his practice and studies, second about his scientific methods that saved a lot of
lives, and third about the germ theory we all take for granted.
II. BODY:
A) Main Point Number 1: To begin, I want to introduce Ignaz Philipp Semmelweis.
a) Ignaz Semmelweis became a physician and earned his doctorate degree in medicine
in 1844. This time period was known as the start of the golden age of the physician
scientist” (NPR.org). This means that doctors were expected to have scientific
training. Doctors were more interested in numbers and collecting data (Justin Lessler,
an assistant professor at Johns Hopkins School of Public Health).
b) In 1846, Dr. Semmelweis showed up for his new job in the maternity clinic at the
General Hospital in Vienna. Due to the time period, Dr. Semmelweis thought like a
physician scientist and wanted to figure out why so many women in maternity wards
were dying from childbed fever (Davis, “The Doctor Who Championed
Hand-Washing and Briefly Saved Lives”).
c) So what did he do? He collected data of his own. He studied two maternity wards in
the hospital. One was staffed by all male doctors and medical students, and the other
by female midwives. He tallied up the number of deaths in each ward and found that
women in the clinic staffed by doctors and medical students died at a rate 5 times ...
n engl j med 352;16www.nejm.org april 21, .docx
The document discusses the case of Terri Schiavo, who was in a persistent vegetative state for 15 years. It summarizes the key facts of her medical condition and diagnosis, the disagreement between her husband and parents about continuing life-sustaining treatment, and the multiple legal appeals involved in the case. It concludes that while both sides wanted what was right for Terri, the central issue is determining what the patient herself would have wanted, which the courts found clear evidence for in Terri's case based on prior statements to her husband.
Name Class Date HUMR 211 Spr.docx
Name:
Class:
Date:
HUMR 211 Spring 2018 - Midterm
Copyright Cengage Learning. Powered by Cognero. Page 1
Indicate the answer choice that best completes the statement or answers the question.
1. Each of the following is considered the business of social welfare except:
a. telling people how to live their lives.
b. ending all types of discrimination and oppression.
c. providing child-care services for parents who work outside the home.
d. rehabilitating people who are addicted to alcohol or drugs.
2. Which of the following statements is consistent with the residual view of social welfare?
a. Recipients are viewed as being entitled to social services and financial help.
b. Social services and financial help should be provided to an individual on a short-term basis, primarily during
emergencies.
c. It is associated with the belief that an individual’s difficulties are due to causes largely beyond his or her
control.
d. There is no stigma attached to receiving funds or services. In this view, when difficulties arise, causes are
sought in the society, and efforts are focused on improving the social institutions within which the individual
functions.
3. Which of the following is consistent with an institutional view of social welfare?
a. Social services and financial aid should be provided only when other measures or efforts have been exhausted.
b. Causes for client’s difficulties are sought in the society.
c. Clients are to blame for their predicaments because of personal inadequacies.
d. Recipients are required to perform certain low-grade work assignments to receive financial aid.
4. The Elizabethan Poor Law of 1601 established three categories of relief recipients:
a. the insane, the poor, and the disabled.
b. the insane, dependent children, and the poor.
c. the able-bodied poor, the impotent poor, and dependent children.
d. the disabled, wives of prisoners, and the poor.
5. Before 1930 social services and financial assistance for people in need were provided primarily by _____.
a. churches and voluntary organizations
b. federal and state institutions
c. richer European countries
d. the military
6. President Clinton and the Republican-controlled Congress abolished Aid to Families with Dependent Children (AFDC)
in 1996 and replaced it with:
a. Welfare Services for Single Mothers.
b. Temporary Assistance to Needy Families.
c. Conditional Aid to Single Parents.
d. Assistance for Poor Families.
Indicate whether the statement is true or false.
Name:
Class:
Date:
HUMR 211 Spring 2018 - Midterm
Copyright Cengage Learning. Powered by Cognero. Page 2
7. One of the businesses of social welfare is to provide adequate housing for the homeless.
a. True
b. False
8. In the past, social welfare has been more of a pure sci ...
NAME ----------------------------------- CLASS -------------- .docx
The document discusses foreign companies establishing manufacturing operations in the United States. It notes that while some US jobs have moved overseas, many foreign companies are also creating new jobs in the US for reasons like proximity to consumers, business incentives from local communities, and generally better business conditions. The article provides examples of Mexican, Japanese, and European companies that have expanded manufacturing in the US and employed thousands of American workers.
NAHQ Code of Ethics and Standards of Practice ©Copyright 2011 .docx
NAHQ Code of Ethics and Standards of Practice ©Copyright 2011 NAHQ All rights reserved.
Appendix 3
Code of Ethics and Standards of Practice
for Healthcare Quality Professionals
Copyright © 2011 National Association for Healthcare Quality
All rights reserved. No part of this white paper may be modified, reproduced, or used in any form or by
any means, electronic or mechanical, including photocopying, recording, or by any means of information
storage and retrieval system, without written permission from the copyright holder.
NAHQ Code of Ethics and Standards of Practice ©Copyright 2011 NAHQ All rights reserved.
Code of Ethics for Healthcare Quality Professionals1
Healthcare Quality Professionals are defined by a standard of conduct deep-rooted in
commitment, confidentiality, and relationships. Committed to performance improvement
and maintaining integrity, the Healthcare Quality Professional recognizes personal
accountability and moral obligation to all customers served—clients, employees,
employers, physicians, organizations, and the public.
Healthcare Quality Professionals promote the dignity of the profession and are
committed to practicing the profession with honesty, integrity, and
accountability…respecting all laws and refusing to participate in or conceal any
unethical2, false, fraudulent, or deceptive activity…
• practicing the profession with honesty, integrity, and accountability
• maintaining the level of competency as outlined in the Standards of Practice for
Healthcare Quality Professionals
• seeking the trust and confidence of all customers
• supporting the Standards of Practice for Healthcare Quality Professionals
• respecting all laws and avoiding involvement in any false, fraudulent, or
deceptive activity
• promoting the right of privacy for all individuals and protecting the maintenance of
confidential information to the fullest extent permitted by law
• using expertise to inform employers or clients of possible positive and negative
outcomes of management decisions in an effort to facilitate informed decision
making
• giving credit for the work of others to whom it is due
• aiding the professional development and advancement of colleagues
• using the Certified Professional in Healthcare Quality (CPHQ) designation only
after passing the written examination, adhering to standards established by the
Healthcare Quality Certification Board (HQCB), and continuing to maintain those
standards through the recertification process
• maintaining membership in professional organizations as a means of promoting
quality and professional growth and avoiding the use of such membership for the
sole purpose of solicitation of business or for personal financial gain.
• Healthcare Quality Professionals’ primary commitment is to the health, well
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Name Understanding by Design (UbD) TemplateStage 1—Desir.docx
This document summarizes a proposed change by a Little League commission to eliminate scoring in games. The commission believes this will reduce stress in children, but the summary argues that:
1) There is no evidence scoring causes stress, and children face stress from many sources unrelated to baseball.
2) Removing scoring upends decades of tradition and takes away important lessons about effort and reward for children.
3) Parents will likely oppose the change as it diminishes their experiences supporting and bonding with their children over the game.
Name MUS108 Music Cultures of the World .docx
Name MUS108 Music Cultures of the World Points /40
Winter 2018 Exam 2
(Take Home, open notes – NOT open book)
Matching – (1 point each, 8 points total)
Match each term with one of the following cultures by writing the corresponding letter in the blank space:
A. India
B. Bali
C. Ireland
1. _______sitar
2._______kilitan telu
3._______kecak
4._______gamelan
5._______Sean-nós
6._______beleganjur
7._______alap
8._______céilí
9. Describe Irish music. Please include information from each of the 3 different “eras” discussed in the book. (4 points)
10. Describe a raga in detail, with much attention paid to form, instruments, and development/barhat. (4 points)
11. What effect did the potato famine have on the culture and music of Ireland? (6 points)
12. What is ombak? Please explain it in detail, including how it is achieved. (4 points)
13. What is the difference between ceili and session? (2 points)
5. Listening Exercise – 12 points ( 4 points each) Sound Files are on Moodle!!!
Listen to the sound clips. See if you can guess what culture/tradition they come from. You may even be able to guess the type/form of music. Please write down your thought process. What are the clues? Why might it be from one particular culture? Listen to instruments, form, texture. The right answer is not the goal. What I need to see is your reasoning. You could get full credit even if you guess the wrong culture, provided your reasoning is sound. Complete sentences are not needed; lists are fine.
Clip 1.
Clip 2.
Clip 3.
...
Name Date Test 6(Units 6 and 7)Save this test on yo.docx
Name:
Date:
Test 6
(Units 6 and 7)
Save this test on your computer, and complete the questions by marking correct answers with the “text color” function ( ) located on the “home” toolbar
Section I.Multiple Choice/True and False
1.
One of the central tenets of homeopathy is the (unfounded) assertion that water retains a "memory" of substances dissolved in it, even when the solution becomes so weak that no trace of the original substance is present. However, if we accept this hypothesis, then any quantity of tap water would have already acquired all the beneficial chemicals, and all the harmful ones too. This . . . scenario weakens the hypothesis of water memory.
This refutation is a(n)
a. reduction to the absurd
b. counterexample
c. appeal to countervailing evidence
d. post hoc
e. suppressio veri
The premises of this argument are dependent: “Dogs make better pets than cats. They’re smarter, more sociable, more loyal, and easier to train.”
True
False
2.
If we can show that any premise of an argument is false, that argument has been successfully refuted.
True
False
3.
We may have good reason to question the credibility of a source if
a. the source was not in a good position to judge accurately
b. the source has proven unreliable in the past
c. the issue is not one that can be settled by expert opinion
d. all of the above
4.
Showing that one of its crucial* premises is in principle unverifiable refutes (defeats) the argument
True
False
*Note: What Bassham titles a “critical” premise I am referring to as a “crucial premise”, because I want to avoid the ambiguity involved in the former expression (between “critical” as essential and “critical” as criticizing.)
5.
The premises of this argument are dependent: “Dogs make better pets than cats. They’re smarter, more sociable, more loyal, and easier to train.”
True
False
6.
The circumstance that a crucial premise is unsupported always renders an argument bad. (careful)
True
False
7.
The principle of rational acceptance is a crucial technique for evaluating any claim. (careful)
True
False
8
There are legitimate and important ways of criticizing an argument that still don’t contribute to refuting it.
True
False
A fuzzy argument can still be a good argument due to its intrinsic merits.
True
False
9.
A fuzzy argument can still be a good argument due to its intrinsic merits.
True
False
Section II.Short Answers
10.
Please indicate any two of the characteristics that might serve to justify accepting a claim as a legitimate premise.
11.
Name any three of the conditions that might lead to question a claim based on your own sensory experience?
12.
Please indicate any 2 of the methods for showing a premise to be dubious or false:
13.
What is the principle of rational acceptance?
14.
Glenn Beck: “The Federal Government threatening to take over the State Parks if the State Government decides to privatize its parks! That's sh ...
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- 1. N4455 Nursing Leadership and Management Module 3 Assignment 1: Financial Management Case Study v2.3 Name: Date: Overview: Financial Management Case Study One of the important duties of a nurse leader is to manage personnel and personnel budgets. In this assignment, you will assume the role of a nurse manager. You will use given data to make important decisions regarding budgets and staffing. Some nurse managers have computer spreadsheets or software applications to help them make decisions regarding budgets and staffing. You will only need simple mathematical operations* to perform the needed calculations in this assignment because the scenario has been simplified. Furthermore, some data have been provided for you that a nurse leader might need to gather or compute in a real setting. Still, you will get a glimpse of the complexity of responsibilities nurse leaders shoulder regarding financial management. · To calculate the percent of the whole a given number represents, follow these steps: Change the percentage to a decimal number by moving the decimal twice to the left (or dividing by 100). Multiply the new decimal number by the whole.
- 2. Example: What is 30% of 70? 30%= .30; (.30) × 70 = 21 · To find out what percentage a number represents in relation to the whole, follow these steps: Divide the number by the whole (usually the small number by the large number). Change the decimal answer to percent by moving the decimal twice to the right (or multiplying by 100). Example: What percent of 45 is 10? 10 ÷ 45 = .222; so, 10 is 22% of 45. * You will only need addition, subtraction, multiplication, and division. Case Study You are the manager for 3 West, a medical/surgical unit. You have been given the following data to assist you in preparing your budget for the upcoming fiscal year. Patient Data Average Daily Census (ADC): 58 Budget based on 4.2 Avg. Hours per patient day (HPPD) (4.2 HPPD excludes head nurse and unit secretaries) Staff Data Total FTEs 37.0 Variable FTEs 1.0 Nurse Manager
- 3. 2.2 Unit Secretaries 40.2 Total FTEs Staffing Mix RN 70% LVN 20% NA 10% Average Salary Scale per Employee Benefits are 35% of salaries Nurse Manager $79,999.00 per year Registered Nurses (RN)
- 4. $38.00 per hour Licensed Vocational Nurses (LVN) $25.00 per hour Nurse Aides (NA) $13.50 per hour Unit Secretary (US) $12.25 per hourRubric Use this rubric to guide your work on this assignment. Criteria Target Acceptable Unacceptable Question 1 Both % and FTEs column totals within ± 2 of correct answers (13-16 Points) Either % or FTEs column totals within ± 2 of correct answers (5-12 points) Neither % nor FTEs column totals within ± 2 of correct answers (0-4 points) Question 2 All column (except Hours and Salary) totals within ± 2 of correct answers (17-20 Points) At least 3 column totals within ± 2 of correct answers (5-16 points) Less than 3 column totals within ± 2 of correct answers (0-4 points) Question 3 A. Table All six values within ± 2 of correct answers (6-8 points) At least five values within ± 2 of correct answers (1-7 points)
- 5. Less than five values within ± 2 of correct answers (0-1 point) B. Significance of variance in HPPD Response is clearly stated and explains some potential details, ramifications, and/or solutions (6-8 points) Response states some potential details or ramifications (2–7 points) Response is unclear or lacks potential details or ramifications (0-2 points) C. Implications for nurse leader Response shows keen understanding of responsibilities of the nurse leader regarding staff budgets (6-8 points) Response shows some knowledge of responsibilities of the nurse leader (2-7 points) Response fails to demonstrate knowledge of responsibilities of the nurse leader (0-1 point) Question 4 All columns (except Hours and Salary) totals within ± 2 of correct answers (17-20 Points) At least 3 column totals within ± 2 of correct answers (5-16 points) Less than 3 column totals within ± 2 of correct answers (0-4 points) Question 5 All columns (except Hours and Salary) totals within ± 2 of correct answers
- 6. (17-20 points) At least 3 column totals within ± 2 of correct answers (5-16 points) Less than 3 column totals within ± 2 of correct answers (0-4 points) Questions 1. How many RNs, LVNs, and NAs, by category, are on the staff of 3 West? (Round FTEs to the nearest tenth.) Compute totals for each column. Positions Variable FTEs % by Position FTEs by Position RN 37.0 0.7 25.9 LVN 37.0 0.2 NA 37.0 0.1 Totals 2. Compute the annual salary budget for 3 West. (Round to the nearest tenth.) Compute totals for appropriate columns. Positions FTEs Salary
- 7. Hours Salary Subtotals Amount of Benefits Total MANAGER 1.0 79,999 XXXX 79,999 27,999.70 RN 25.9 $38 2080 2,047,136 LVN 2080 NA 2080 Sec 2080
- 8. Totals XXXXX XXXXXX 3. Your hospital unit, 3 West, is a 60-bed general medical- surgical unit. Over the past year, the ADC (Ave. Daily Census) was 58 patients. Use the following data on 3 West during the last year to perform these calculations and answer these questions. A. Complete this table to calculate the actual average hours of care required per patient day (HPPD) for the patients in 3 West. Round to the nearest tenth Acuity Mix Average Hours of Care Required Average Daily Census (ADC) Total Hours of Care Per Day I 1.4 9 12.6 II 3.9 24 III 5.6 16
- 9. IV 8.8 9 Totals Hours per patient day (HPPD) B. Remember that your established personnel budget for 3 West assumes a HPPD of 4.2. If your calculated HPPD is different, explain the significance of the variance. (If your calculated HPPD is different than 4.2, you must write more than, “We need more/less nurses.”) What is the Significance of the variance? If you believe you need more staff, what will be your rationale for making this requires? If you have too much staff, what would your proposal be for bringing your staffing into a better balance? C. What are the implications for the Nurse Manager? As an example, based on your conclusions in Section B, what other observations would you make as you review your total budget and what would you expect to see as a result? (HINT: supply costs; overtime hours, average census of 43 on a 45 bed unit, etc.) 4. You have set two new goals for your unit for the next year related to personnel: · Provide stronger unit management support on evening and night shifts and in the absence of the manager. · Correct unfavorable efficiency variances due to overtime. To accomplish these goals, you plan to make these changes: · Add 1.0 RN FTE position
- 10. · Eliminate 2.5 LVN positions · Add 1.5 FTEs NA positions · Add 1.0 Assistant HN position at $68,000/year Calculate ONLY the cost of the proposed recommendations for 3 West. Compute totals for each column. If the change represents a reduction in the budget for that category, record the total as a negative number. If it represents an increase in the budget for that category, record the total as a positive number. Round to the nearest tenth Positions FTEs Salary Hours Salary Subtotals Benefits Total RN 1.0 LVN -2.5 NA 1.5
- 11. AHN 1.0 68,000 XXXXX Totals 1 XXXXX XXXXX 5. Assume your proposal was approved. Calculate the new personnel budget. Compute totals for each column. (ADJUST Question 2 TO INCLUDE RECOMMENDED CHANGES and round to the nearest tenth) Positions FTEs Salary Hours Salary Subtotals Benefits Total Manager 1 79,999 XXXXX AHN
- 13. XXXXX XXXXX ©2017 University of Texas at Arlington Page 7 of 7