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Recently it was announced that two major hospital systems would be merging their services in to one entity. Both are comprised of multiple hospital units and specialty clinics. While on the surface, this has been touted as an economical move with substantial savings to both parties and the potential to solidify their market share, there are as yet many barriers to overcome. For instance, one system has its roots as a Catholic entity, while the other began with its origins as a Jewish facility. The medical staff is divided on whether the merger is good for patients and their practices. Both groups of employees are understandably unsettled as it is uncertain who of the senior administrative staff will remain. The organizational culture of both institutions is also of major concern. Given these circumstances, what form or model(s) of leadership would you bring to bear? Describe in detail the steps you would take to redirect the mission and vision of this new emerging entity. .
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Revising Organizational CultureRecently it was announced that two .docx
Revising Organizational Culture
Recently it was announced that two major hospital systems would be merging their services in to one entity. Both are comprised of multiple hospital units and specialty clinics. While on the surface, this has been touted as an economical move with substantial savings to both parties and the potential to solidify their market share, there are as yet many barriers to overcome.
For instance, one system has its roots as a Catholic entity, while the other began with its origins as a Jewish facility.
The medical staff is divided on whether the merger is good for patients and their practices. Both groups of employees are understandably unsettled as it is uncertain who of the senior administrative staff will remain. The organizational culture of both institutions is also of major concern.
Given these circumstances, what form or model(s) of leadership would you bring to bear? Describe in detail the steps you would take to redirect the mission and vision of this new emerging entity.
.
Revising Organizational CultureRecently it was announced tha.docx
Revising Organizational Culture
Recently it was announced that two major hospital systems would be merging their services in to one entity. Both are comprised of multiple hospital units and specialty clinics. While on the surface, this has been touted as an economical move with substantial savings to both parties and the potential to solidify their market share, there are as yet many barriers to overcome.
For instance, one system has its roots as a Catholic entity, while the other began with its origins as a Jewish facility.
The medical staff is divided on whether the merger is good for patients and their practices. Both groups of employees are understandably unsettled as it is uncertain who of the senior administrative staff will remain. The organizational culture of both institutions is also of major concern.
Given these circumstances, what form or model(s) of leadership would you bring to bear? Describe in detail the steps you would take to redirect the mission and vision of this new emerging entity.
Use your Journal scenario attached.
.
KAPLAN UNIVERSITY PRESENTS RECENTLY IT WAS ANNO.docx
Two major hospital systems are merging their services into one entity. Both systems are comprised of multiple hospitals and specialty clinics. While the merger is touted as an economical move with savings for both parties and potential to solidify their market share, there are still many barriers to overcome. One challenge is that one system has its roots as a Catholic entity while the other began as a Jewish facility. The medical staff is divided on whether the merger is good for patients and their practices. Both groups of employees are also unsettled as it is uncertain which senior administrative staff will remain, and the different organizational cultures of the two institutions is of major concern.
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The Beth Israel Deaconess Medical Center (BIDMC) was formed in 1996 through the merger of Beth Israel Hospital and New England Deaconess Hospital. The merger proved disastrous, with the organization losing $50-70 million annually and accumulating $611 million in debt over six years due to a lack of communication and an improperly formed business strategy. Paul Levy has now been chosen as the new CEO to address BIDMC's critical issues and guide it to a successful future as a center of excellence in patient care and innovation.
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This is an article I published in 2011. That it is still relevant shows how slowly healthcare evolves.
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Revising Organizational CultureRecently it was announced that two .docx
Revising Organizational Culture
Recently it was announced that two major hospital systems would be merging their services in to one entity. Both are comprised of multiple hospital units and specialty clinics. While on the surface, this has been touted as an economical move with substantial savings to both parties and the potential to solidify their market share, there are as yet many barriers to overcome.
For instance, one system has its roots as a Catholic entity, while the other began with its origins as a Jewish facility.
The medical staff is divided on whether the merger is good for patients and their practices. Both groups of employees are understandably unsettled as it is uncertain who of the senior administrative staff will remain. The organizational culture of both institutions is also of major concern.
Given these circumstances, what form or model(s) of leadership would you bring to bear? Describe in detail the steps you would take to redirect the mission and vision of this new emerging entity.
.
Revising Organizational CultureRecently it was announced tha.docx
Revising Organizational Culture
Recently it was announced that two major hospital systems would be merging their services in to one entity. Both are comprised of multiple hospital units and specialty clinics. While on the surface, this has been touted as an economical move with substantial savings to both parties and the potential to solidify their market share, there are as yet many barriers to overcome.
For instance, one system has its roots as a Catholic entity, while the other began with its origins as a Jewish facility.
The medical staff is divided on whether the merger is good for patients and their practices. Both groups of employees are understandably unsettled as it is uncertain who of the senior administrative staff will remain. The organizational culture of both institutions is also of major concern.
Given these circumstances, what form or model(s) of leadership would you bring to bear? Describe in detail the steps you would take to redirect the mission and vision of this new emerging entity.
Use your Journal scenario attached.
.
KAPLAN UNIVERSITY PRESENTS RECENTLY IT WAS ANNO.docx
Two major hospital systems are merging their services into one entity. Both systems are comprised of multiple hospitals and specialty clinics. While the merger is touted as an economical move with savings for both parties and potential to solidify their market share, there are still many barriers to overcome. One challenge is that one system has its roots as a Catholic entity while the other began as a Jewish facility. The medical staff is divided on whether the merger is good for patients and their practices. Both groups of employees are also unsettled as it is uncertain which senior administrative staff will remain, and the different organizational cultures of the two institutions is of major concern.
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The Beth Israel Deaconess Medical Center (BIDMC) was formed in 1996 through the merger of Beth Israel Hospital and New England Deaconess Hospital. The merger proved disastrous, with the organization losing $50-70 million annually and accumulating $611 million in debt over six years due to a lack of communication and an improperly formed business strategy. Paul Levy has now been chosen as the new CEO to address BIDMC's critical issues and guide it to a successful future as a center of excellence in patient care and innovation.
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This is an article I published in 2011. That it is still relevant shows how slowly healthcare evolves.
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1) The IT systems of CareGroup, a large healthcare provider, completely collapsed for 3.5 days in November 2002. The CIO provided an update to the board on the outage and recovery efforts.
2) While some patient care was delayed, no adverse events occurred. The hospitals reverted to paper-based systems from over a decade ago, which worked well.
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This document discusses trends in health systems and physician-owned real estate monetization. It notes that prior to 1997, most hospitals owned their facilities under cost-based reimbursement, but regulatory changes in the 1980s-1990s incentivized monetizing "non-core" properties to redeploy capital. Between 1997-2008, major health systems monetized billions in medical office buildings. Additionally, concerns over physician self-referral laws led health systems to remove themselves as landlords to referring physicians. The emergence of institutional investors coincided with these regulatory changes, and transaction volume grew steadily through 2008. However, demand for capital to fund new facilities and programs is increasing demand for third-party capital through real estate monet
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HealthLeaders_Nonacute Care The New Frontier_2016 11-1
This document discusses the increasing importance of nonacute care to healthcare organizations' success. It notes that what happens outside the hospital, including primary care, home health, and long-term care, will determine hospitals' and health systems' future. It provides examples of how some organizations are investing in and partnering with nonacute care providers to coordinate care across settings and control costs.
By Thomas C. Ricketts and Erin P. FraherReconfiguring Heal.docx
By Thomas C. Ricketts and Erin P. Fraher
Reconfiguring Health Workforce
Policy So That Education,
Training, And Actual Delivery
Of Care Are Closely Connected
ABSTRACT There is growing consensus that the health care workforce in
the United States needs to be reconfigured to meet the needs of a health
care system that is being rapidly and permanently redesigned.
Accountable care organizations and patient-centered medical homes, for
instance, will greatly alter the mix of caregivers needed and create new
roles for existing health care workers. The focus of health system
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processes, reengineering workflows, and adopting electronic technology
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H
ealth care professionals are be-
ing challenged to find new ways
to organize care and develop
systems that hold providers ac-
countable for the quality, cost,
and patient experience of care.1 The once in-
cremental pace of change is accelerating, and
there is evidence that long-standing paradigms
are dramatically shifting.2 For example, the rela-
tively slow acceptance of prepaid and managed
care systems is being replaced by the rapid adop-
tion of bundled and risk-based payment mod-
els.3,4 Early adopters of accountable care organi-
zations (ACOs) are finding that their workforce
is shifting from acute care to community- and
home-based settings with increasing roles for
physicians, nurses, social workers, patient navi-
gators and outreach coordinators, and other
clinicians in providing enhanced care coordina-
tion, better medication management, and im-
proved care transitions.5
The training of health professionals, however,
lags behind these reforms because it remains
largely insulated from change behind the walls
of schools of medicine, dentistry, pharmacy, and
nursing. Medical training is done primarily in
hospitals, while the greatest challenges are
found in coordinating care in multiple out-
patient settings. This article describes how
health workforce policy was done in the past.
It illustrates some of the specific changes under
way and how they are changing the health care
workforce. Further, it suggests that closer links
should be built between the day-to-day caring for
patients and the training of the people who de-
liver that care.
Workforce Policy Center Stage Again
Health workforce policy took center stage in an
earlier Health Affairs thematic issue in 2002.6
Articles in that issue described future efforts to
doi: 10.1377/.
By Thomas C. Ricketts and Erin P. FraherReconfiguring Heal.docx
By Thomas C. Ricketts and Erin P. Fraher
Reconfiguring Health Workforce
Policy So That Education,
Training, And Actual Delivery
Of Care Are Closely Connected
ABSTRACT There is growing consensus that the health care workforce in
the United States needs to be reconfigured to meet the needs of a health
care system that is being rapidly and permanently redesigned.
Accountable care organizations and patient-centered medical homes, for
instance, will greatly alter the mix of caregivers needed and create new
roles for existing health care workers. The focus of health system
innovation, however, has largely been on reorganizing care delivery
processes, reengineering workflows, and adopting electronic technology
to improve outcomes. Little attention has been paid to training workers
to adapt to these systems and deliver patient care in ever more
coordinated systems, such as integrated health care networks that
harmonize primary care with acute inpatient and postacute long-term
care. This article highlights how neither regulatory policies nor market
forces are keeping up with a rapidly changing delivery system and argues
that training and education should be connected more closely to the
actual delivery of care.
H
ealth care professionals are be-
ing challenged to find new ways
to organize care and develop
systems that hold providers ac-
countable for the quality, cost,
and patient experience of care.1 The once in-
cremental pace of change is accelerating, and
there is evidence that long-standing paradigms
are dramatically shifting.2 For example, the rela-
tively slow acceptance of prepaid and managed
care systems is being replaced by the rapid adop-
tion of bundled and risk-based payment mod-
els.3,4 Early adopters of accountable care organi-
zations (ACOs) are finding that their workforce
is shifting from acute care to community- and
home-based settings with increasing roles for
physicians, nurses, social workers, patient navi-
gators and outreach coordinators, and other
clinicians in providing enhanced care coordina-
tion, better medication management, and im-
proved care transitions.5
The training of health professionals, however,
lags behind these reforms because it remains
largely insulated from change behind the walls
of schools of medicine, dentistry, pharmacy, and
nursing. Medical training is done primarily in
hospitals, while the greatest challenges are
found in coordinating care in multiple out-
patient settings. This article describes how
health workforce policy was done in the past.
It illustrates some of the specific changes under
way and how they are changing the health care
workforce. Further, it suggests that closer links
should be built between the day-to-day caring for
patients and the training of the people who de-
liver that care.
Workforce Policy Center Stage Again
Health workforce policy took center stage in an
earlier Health Affairs thematic issue in 2002.6
Articles in that issue described future efforts to
doi: 10.1377/ ...
Surname 1Hospital Budgeting EthicsAtia HansonO.docx
Surname 1
Hospital Budgeting Ethics
Atia Hanson
ORG 6660 Fiscal Administration in Mental Health Care Systems
Instructor: Matthew Geyer
June 16, 2020
Hospital Budgeting Ethics
Ethics, EBM, and hospital management discuss how hospital management should use evidence base medicine (EBM) to solve ethical issues that they face daily. In 2003 when the article was written the authors say that EBM was relatively a new concept and that it would be a powerful tool to use to find solutions for the ethical issues for hospital management in the hospital setting. They also discussed the down side to using EMB. It is not always easy to deal with stake holders being hospital management, and EBM could allow stake holders to have the upper hand. Hospital management will always have ethical issues that will pertain to funding, quality of patient care, staff and issues dealing with the community. In the article it was discussed how Germany was switching over their hospital payment system to disease related group (DRG) and how EBM would be a benefit, and how hospital management would deal with the ethical issues that would arise and try to solve them.
The article clearly states that evidence base medicine would help hospital management with ethical issues in a hospital setting. The hypothesis of this article was the use of EBM was a tool that should be used to develop a more ethical foundation for hospital management. Biller-Andorno, Lenk and Leititis have defined and explained all key terms within the article so that it was easy to understand except for one important term.
Review of Literature
Biller-Andorno, Lenk and Leititis have cited sources for their article that were pertinent to the topic. The articles used were articles on evidence base medicine, ethics and hospital policy with many of these articles being published between 2000 – 2002. There were some that were published in the 1990’s. I did not find this article to broad or too narrow, the authors stayed on the topic presented. I must admit at first, I was lost when the authors presented the fact that Germany was changing their payment system I did not know how this was related to the topic. But as I read over the article again I realized that Germany was going to calculate the hospital budget on only DRGs. This could pose as an ethical issue for the hospital management because Biller-Andorno, Lenk and Leititis stated that this would lead to some hospitals that had high overhead from their emergency an intensive care units’ their resources would need to be cut. This will lead hospital managers to try to take money from other units and staff which has ethical implications cutting funds from one place and using them somewhere else.
The conclusion discussed how hospital management must address ethical issues. Biller-Andorno, Lenk and Leititis implied during the conclusion that the increase of using EBM in hospital management could become a tool used as a power .
Discussion Article Analysis FormThis is only an example of how t.docx
Discussion Article Analysis Form
This is only an example of how to set up your analysis. You may want to write it without following the sections in this form but be sure to include all the necessary parts.
Title of the Analysis /concept being applied
☐ Start with a definition of the concept from the text book and how it applies to the news article. Be sure to include a description of how managers and management is involved.Short Summary of the News Article
☐ Continue with a short summary of the news article. Include what is happening, who is involved and what the impact on the business or organization will be. Look for the 5 W's. These answer Who? What? Where? When? and Why? This is where you provide the background against which the management concept will be applied. Analyze based upon the management concept
☐ Now add the section about how the textbook concept applies to the situation that you described above. Use quotes from the textbook where necessary to expand upon your analysis. Look for the textbook concepts or issues being discussed. Consider if the managers are planning, organizing, leading, or controlling. Ask yourself if the writer is educating you with the facts or if he is trying to get you to think a certain way or follow a given action. Look at both sides of the argument. Consider the solutions proposed if he gives any.
☐ Add your conclusions and opinions. Based upon your readings this week do you agree with the solutions given in the article. Do the concepts for the week conflict with the information in the article? What is the impact to the organization in the short term and the long term? What should managers within the organization do?Identify your sources
☐ identify the source, from the approved list, that you used to prepare this assignment. If you researched other sites to broaden the analysis be sure to include them as well. Remember that other students or the instructor may want to go to your sources to better understand as they prepare their responses, so include the web address and other related information.
THE MG371 CASE
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Background
Mountain States Healthcare (MSH) is a regional system of hospitals located
in several large metropolitan areas of New Mexico, Arizona, Utah, Colorado,
and in Acapulco, Mexico. MHS started as a single hospital in Salt Lake City,
Utah, and, due to the business acumen and experience of its officers and
Board of Directors, was quite successful and profitable.
Over the years, Salt Lake Hospital began purchasing other hospitals and
clinics in the state that were not as profitably operated, and eventually
changed its name to Utah Health Group (UHG). Each facility continued to
operate as an independent entity, except that its name was changed to
include “Utah Health Group” and UHG instilled its own successful
management style in the newly purchased facilities. When a hospital was
bought in Den ...
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This monograph discusses the key role of the health care organization governing board in working with physicians to frame the value exchange between both parties in the context of the organization’s mission, goals and market position. Our findings and recommendations address:• Guiding organizations in moving beyond transactional relationships• Specific opportunities for hospital/physician collaboration• Building an infrastructure to enable collaboration
HOSPITAL DOWNSIZING
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
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This document for communities and hospitals contains examples of successful partnerships, information about new models of care, and tips for making the case to hospitals for funding and support for population health work.
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The document discusses the rise of private sector participation in healthcare in India and the need for professionally trained hospital administrators. It notes an increasing demand for healthcare services, willingness to pay for services, and an entrepreneurial spirit has led to growth in the healthcare industry. However, there is currently not a large enough pool of trained hospital administrators. The document proposes strategies for developing this new type of skilled professional, including promotion programs and creating administrator positions and acceptance of their roles in hospitals.
project on hospital industry
The document discusses the rise of private sector participation in healthcare in India and the need for professionally trained hospital administrators. It notes an increasing demand for healthcare services, willingness to pay for services, and an entrepreneurial spirit has led to growth in the healthcare industry. However, there is currently not a large enough pool of trained hospital administrators. The document proposes strategies for developing this skills market, including promotion programs and creating administrator positions and acceptance of their roles in hospitals.
Case Organizational Climate nursing assignment tutor.docx
This document summarizes the differences in organizational culture between two hospitals - Eastern Baptist Medical Center (EBMC) and St. Rupert Hospital (SR) - that are merging. EBMC had a culture of strong physician dominance and control, weak management, and rigid adherence to past practices. In contrast, SR emphasized shared power, respect for employees, continual learning and improvement. The document notes these vastly different cultures will clash and cause problems once the two organizations begin integrating their people and resources.
New Challenges Facing the Hospital C Suite
Recent health care reform has paved the way for the industry to move from a traditional fee-for-services model to a value-based services model. emphasis is shifting from the volume of patients and services toward investing payer funds into care that adds value and improves health outcomes. With these reforms has come closer attention to physician incentives, initiatives to make the system more transparent, and attempts to openly engage patients. this has changed the landscape of the hospital at all levels, which poses new challenges for the hospital c-suite.
How to Start, Run and Manage a Hospital Successfully by Dr.Mahboob ali khan Phd
How to Start, Run and Manage a Hospital Successfully by Dr.Mahboob ali khan Phd Healthcare consultant
The purpose of this paper is to give a brief outline of the pre-planning and strategic thinking in which an entrepreneur might consider before investing in or starting up a new hospital in the developing world.
There are numerous examples of hospital startups that were ill-conceived or poorly planned and have resulted in either a hospital that was partially constructed and abandoned or were completed and within two years failed in profitability and now sit idle. Other examples exist of underperforming assets. What went wrong? What could the investors have done to decrease their investment risk and increase the chances of the hospital being successful?Globalization of Healthcare.
Review the Southeast Medical Center case study found on page 92 of.docx
The document provides instructions for students to analyze a United States Supreme Court case on the First Amendment using the FIRAC framework. It defines FIRAC as Facts, Issue, Rule(s), Analyze, and Conclusion. Students are asked to select a relevant Supreme Court case, and for each element of FIRAC write a 200-300 word response summarizing the case facts, legal issue, applicable First Amendment rule, analysis applying the law to facts, and conclusion.
Implementing A Certified Electronic Health Record System
The document discusses implementing a certified electronic health record system in a healthcare organization to improve patient safety, ensure privacy and security of patient data, and improve patient outcomes. It addresses the progress many health systems have made in meeting meaningful use regulations through using electronic health records and systems like Epic. Barriers to successful implementation are also discussed.
HospitalM&ApaperAmeliaMohabir
- Hospital mergers increased dramatically in the 1990s but had a 25% failure rate due to lack of due diligence and financial risk assessment.
- Healthcare reform under the ACA is increasing demand for healthcare and regulatory changes are decreasing reimbursements, triggering another wave of hospital mergers seeking scale and cost efficiencies.
- A successful hospital merger requires thorough evaluation and compatibility between partners, a clear shared vision, and a methodical process to fully integrate operations.
Review the Southeast Medical Center case study found on page 92 of.docx
Review the Southeast Medical Center case study found on page 92 of the course text. Of the recommendations found on pages 100-101, select the three which you consider to be the highest priority/most important to the case. Justify your reasoning. Support your opinion with a minimum of two outside scholarly resources. Write a three- to five-page paper (excluding title and reference pages) with your selected recommendations and justifications. The paper must be in APA format.
Southeast Medical Center Case Study
Review the Southeast Medical Center case study found on page 92 of the course text. Of the recommendations found on pages 100-101, select the three which you consider to be the highest priority/most important to the case. Justify your reasoning. Support your opinion with a minimum of two outside scholarly resources
In-Depth Case Study: Southeast Medical Center
The following case study involving a large organized delivery system exemplifies many of the issues described earlier in this chapter.
History and Evolution
Southeast Medical Center (SMC; a pseudonym) was established as a public hospital in the 1920s, just before the Depression. Located in the Southeast, a $1 million bond financed the 250-bed facility. Major expansion projects in the 1950s increased the hospital’s size to 600 beds. Formal affiliation with the local university’s College of Medicine residency program in the 1970s further expanded capacity. Thus, SMC became a public academic health center and subsequently assumed multiple missions of patient care, teaching, and research. Capital improvement programs were conducted during the 1970s, and in 1982, a massive renovation and construction project ($160 million) added 550 beds to the facility. In the 1980s, a 59-bed freestanding rehabilitation center was opened adjacent to the hospital, and a physicians’ office building was constructed next to the hospital. Medical helicopters were also acquired in 1989, expanding SMC’s trauma services. In addition to serving as a regional provider for trauma, SMC also furnishes burn, neonatal, and transplant care for the region.
Responsibility for governance of SMC has shifted over the years. In the early years of operation, a hospital board ran SMC. In the 1940s, the city was given direct control over the hospital. In the 1980s, the state legislature created a public hospital authority (to be appointed by the county commission) to govern the hospital. In the 1990s, the hospital’s board of trustees voted to turn operations of the hospital over to a private, not-for-profit corporation (501c-3), the SMC Corporation. However, oversight for charity care remained with the county’s hospital authority. The SMC Corporation is directed by a 15-member board of directors and essentially manages the organized delivery system through a lease arrangement with the county hospital authority.
Today, SMC is a private, not-for-profit academic health center that is accredited by JCAHO. It also serves as the ...
Complete a feasibility study based on the renovation of your inpat.docx
Complete a feasibility study based on the renovation of your
inpatient acute rehab facility where patients can obtain physical therapy while in a hospital setting and be medical managed. The facility will have new private rooms with state of the art equipment. A mobility garden for training and transitioning back into the community.
Using the feasibility study outlined in the Daniels and Dickson (1990) article as a model, and including a
minimum of four other scholarly sources, create a 6-8-page feasibility study that includes the following headings and supporting information:
Evaluating Feasibility
The concept of a feasibility study is central to viability, the “worth to the effort” ratio, and return on investment (ROI). What needs to be taken into consideration to create a feasibility study (e.g., human resources, community needs, and technological advances, federal and state regulatory issues)? Within this section, you will research and design an economical health care service that is responsive to a given market. This research stems from understanding your target population and present need in health services. Furthermore, as you have seen from the Daniels and Dickson (1990) article, you must appraise your human resources, capital investment, and how your effort will yield a return on investment from a facilities perspective as well as the tangible greater good of providing healthcare to a community.
Strategic Effect
Analyze the role of public policy with regard to your project. What policies and processes should be in place to create an effective program? How will you measure the effectiveness of your program and your provision of health care services? Develop a microeconomic model that is responsive to the specific health care service demands of your target population. For example, the current trend of the medical home model, which allows for the coordination of care, allows for better communication among service providers as well as convenience for patients. Is the population a market priority? How does your program serve a need for your target population?
Market Analysis
Within this section you will identify the population demographics, who your competitors are, and whether or not a real need for the services you are proposing exists in the community. As you examine the demographic and population needs using Census data and other reliable sources, you must also consider what competitors, if any, exist in the present climate. This requires an evaluation of the present socioeconomic and cultural trends influencing how people make decisions in health care. In addition, in this analysis you will need to compare and contrast economic challenges and incentives among health care’s organization models. This comparison requires an understanding of past challenges and incentives that other organizations have implemented.
Financial Analysis
This section includes the revenue, expenses, and net income. Compare and contra.
Case Study - The Merger of Two Competing Hospitals This case hig.docx
Case Study - The Merger of Two Competing Hospitals
This case highlights the process of merging two fully accredited hospitals, both of which have a full complement of state-of-the-art diagnostic technology, including MRI and CAT scanners, 24-hour physician-staffed emergency care centers, and specialized women’s centers. Both of these facilities are located in a community of 60,000 in the southeastern part of Idaho.
The success of the merger hinges on the timely resolution of several issues that the executive staff implemented, mutually enhancing solutions in the areas of: (1) leadership, (2) culture adaptation, (3) human resource management, (4) staffing, and (5) benefit issues.
Overview
Hospital A: Porter Regional Medical Center (PRMC)
Located on the east side of town, Porter Regional Medical Center (PRMC) was a for-profit hospital, consisting of 110 hospital beds, 8 of which were reserved for transitional care. PRMC was a privately owned facility. Mountain Health Care (MHC), a large healthcare organization in the Rocky Mountain region, owned the facility. Built in 1990, the facility was designed to efficiently handle patient flow from the emergency room to the pharmacy and to be a point of referral for more complicated patient conditions. PRMC services consisted of general and same-day surgery and full-service rehabilitation and radiology departments. Other services included a kidney dialysis center, on-site retail pharmacy, a regional Red Cross blood bank, 24-hour laboratory, home health, Infusion/Home IV, and a women’s center, including obstetrics and numerous other amenities.
Other assets owned by PRMC were the adjacent medical office buildings, a day care center, the land on which an assisted living center was located adjacent to the hospital, and the sports medicine complex adjacent to the state university’s arena. These assets represented 188,000 square feet of facility space housed on 63 acres. The hospital employed 450 personnel.
Last year, the hospital’s operating budget was $34 million. However, in the same year, the hospital experienced a $1 million loss, and a projected $500,000 loss was anticipated for the following year. After three years of red ink, PRMC decided to liquidate.
Hospital B: Banner Regional Medical Center (BRMC) and Turner Geriatric Center
Built in 1951, Banner Regional Medical Center (BRMC), a county-owned hospital, was located on the west side of town. The hospital structure included 154 inpatient beds and a geriatric healthcare center that consisted of 100-106 beds, 15 transitional care beds, and 7 rehabilitation beds. A medical office building with a parking structure was located adjacent to the hospital. The campus consisted of 561,366 square feet of building space, housed on 6 acres. The hospital’s operating budget for last year was $79 million. BRMC had a reserve fund of $20 million earmarked for major renovations to the existing facility’s emergency room and intensive care unit. BRMC’s servi ...
Academic Medical Center Integration - 5 Points of Alignment
The document discusses five opportunities for greater alignment within academic medical centers (AMCs) to improve their strategic and financial positions. These include updating long-standing affiliation agreements between medical schools and hospitals; better aligning clinical enterprises between practice plans and hospitals; aligning community physician practices with hospitals; integrating academic programs; and integrating faculty practice plans. However, political risks and culture often inhibit bold changes, while community health systems face fewer barriers to consolidation.
Reproduction Explain why asexually reproducing organisms are genera.docx
Reproduction: Explain why asexually reproducing organisms are generally found in environments that do not change very much through time, while sexually reproducing organisms are very successful in environments that change dramatically through time.
Animal Behavior: How does an animal’s behavior aid survival and reproduction? Provide an example to illustrate your comments. In your response, be sure to include information from the reading to support your answer.
Assignment should be 75-150 words long.
.
Req#1Children who watch Television spend less time reading or draw.docx
Req#1
Children who watch Television spend less time reading or drawing than children who don’t.
Paper of Minimum 1500 words of Language Development Hypotheses: ' Children who watch Television spend less time reading or drawing than children who don’t.'
. The Paper is to include a discussion, based on a minimum of three articles, books or chapters in a book (excluding the class Textbook), which describe, discuss, support and/or refute the hypothesis. A minimum of three citations with references in APA format will be included at the end of the paper.
Also at the end of the paper will be included a short Appendix which will answer three questions:
1. What were the databases used to find each article. (For example in the Communicative Disorders Multisearch example shown below we searched ten Data Bases but found most of our articles inPubMed.)
2. What was the search strategy which was used, i.e., the search words used in each database to find the articles. (In the example below, we used the terms “Television and (Language Development). We put the last two terms in brackets so that the computer would link Television to both terms and not just “Language.”)
3. Was each article cited an example of Primary or Secondary research? As defined by the Library at UC Berkley, “Primary sources were either created during the time period being studied, or were created at a later date by a participant in the events being studied (as in the case of memoirs) and they reflect the individual viewpoint of a participant or observer. Primary sources enable the researcher to get as close as possible to what actually happened during an historical event or time period.”
“ A secondary source is a work that interprets or analyzes an historical event or phenomenon. It is generally at least one step removed from the event. Examples include scholarly or popular books and articles, reference books, and textbooks.”
Req# 2--TECHNOLOGY APPLICATION AND PRACTICE:
An Annotated Bibliography will be developed including Five (100 word minimum) Annotated Citations. With the exception of the first, these will be based on topics obtained from the Language Development Hypotheses in the list provided at the end.
The First annotated citation will be on the Topic of the “Legal and Ethical Dimensions of the Use of Information.” This information can be obtained from the Internet using a search engine such as Google Scholar. The annotated citation should be in APA format and should include the URL (address) of the of the internet site. The annotation should provide an overview of the discussion and/or list the most critical points.
The second two of these citations will be obtained through Databases of professional books and journals available online through the CSUN Library. For more information on how to find these databases please see the discussion in the Class Requirements Section Online. These citations will be reported in APA format. Included in the annot.
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This document discusses the increasing importance of nonacute care to healthcare organizations' success. It notes that what happens outside the hospital, including primary care, home health, and long-term care, will determine hospitals' and health systems' future. It provides examples of how some organizations are investing in and partnering with nonacute care providers to coordinate care across settings and control costs.
By Thomas C. Ricketts and Erin P. FraherReconfiguring Heal.docx
By Thomas C. Ricketts and Erin P. Fraher
Reconfiguring Health Workforce
Policy So That Education,
Training, And Actual Delivery
Of Care Are Closely Connected
ABSTRACT There is growing consensus that the health care workforce in
the United States needs to be reconfigured to meet the needs of a health
care system that is being rapidly and permanently redesigned.
Accountable care organizations and patient-centered medical homes, for
instance, will greatly alter the mix of caregivers needed and create new
roles for existing health care workers. The focus of health system
innovation, however, has largely been on reorganizing care delivery
processes, reengineering workflows, and adopting electronic technology
to improve outcomes. Little attention has been paid to training workers
to adapt to these systems and deliver patient care in ever more
coordinated systems, such as integrated health care networks that
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H
ealth care professionals are be-
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systems that hold providers ac-
countable for the quality, cost,
and patient experience of care.1 The once in-
cremental pace of change is accelerating, and
there is evidence that long-standing paradigms
are dramatically shifting.2 For example, the rela-
tively slow acceptance of prepaid and managed
care systems is being replaced by the rapid adop-
tion of bundled and risk-based payment mod-
els.3,4 Early adopters of accountable care organi-
zations (ACOs) are finding that their workforce
is shifting from acute care to community- and
home-based settings with increasing roles for
physicians, nurses, social workers, patient navi-
gators and outreach coordinators, and other
clinicians in providing enhanced care coordina-
tion, better medication management, and im-
proved care transitions.5
The training of health professionals, however,
lags behind these reforms because it remains
largely insulated from change behind the walls
of schools of medicine, dentistry, pharmacy, and
nursing. Medical training is done primarily in
hospitals, while the greatest challenges are
found in coordinating care in multiple out-
patient settings. This article describes how
health workforce policy was done in the past.
It illustrates some of the specific changes under
way and how they are changing the health care
workforce. Further, it suggests that closer links
should be built between the day-to-day caring for
patients and the training of the people who de-
liver that care.
Workforce Policy Center Stage Again
Health workforce policy took center stage in an
earlier Health Affairs thematic issue in 2002.6
Articles in that issue described future efforts to
doi: 10.1377/.
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By Thomas C. Ricketts and Erin P. Fraher
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Policy So That Education,
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H
ealth care professionals are be-
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gators and outreach coordinators, and other
clinicians in providing enhanced care coordina-
tion, better medication management, and im-
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The training of health professionals, however,
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largely insulated from change behind the walls
of schools of medicine, dentistry, pharmacy, and
nursing. Medical training is done primarily in
hospitals, while the greatest challenges are
found in coordinating care in multiple out-
patient settings. This article describes how
health workforce policy was done in the past.
It illustrates some of the specific changes under
way and how they are changing the health care
workforce. Further, it suggests that closer links
should be built between the day-to-day caring for
patients and the training of the people who de-
liver that care.
Workforce Policy Center Stage Again
Health workforce policy took center stage in an
earlier Health Affairs thematic issue in 2002.6
Articles in that issue described future efforts to
doi: 10.1377/ ...
Surname 1Hospital Budgeting EthicsAtia HansonO.docx
Surname 1
Hospital Budgeting Ethics
Atia Hanson
ORG 6660 Fiscal Administration in Mental Health Care Systems
Instructor: Matthew Geyer
June 16, 2020
Hospital Budgeting Ethics
Ethics, EBM, and hospital management discuss how hospital management should use evidence base medicine (EBM) to solve ethical issues that they face daily. In 2003 when the article was written the authors say that EBM was relatively a new concept and that it would be a powerful tool to use to find solutions for the ethical issues for hospital management in the hospital setting. They also discussed the down side to using EMB. It is not always easy to deal with stake holders being hospital management, and EBM could allow stake holders to have the upper hand. Hospital management will always have ethical issues that will pertain to funding, quality of patient care, staff and issues dealing with the community. In the article it was discussed how Germany was switching over their hospital payment system to disease related group (DRG) and how EBM would be a benefit, and how hospital management would deal with the ethical issues that would arise and try to solve them.
The article clearly states that evidence base medicine would help hospital management with ethical issues in a hospital setting. The hypothesis of this article was the use of EBM was a tool that should be used to develop a more ethical foundation for hospital management. Biller-Andorno, Lenk and Leititis have defined and explained all key terms within the article so that it was easy to understand except for one important term.
Review of Literature
Biller-Andorno, Lenk and Leititis have cited sources for their article that were pertinent to the topic. The articles used were articles on evidence base medicine, ethics and hospital policy with many of these articles being published between 2000 – 2002. There were some that were published in the 1990’s. I did not find this article to broad or too narrow, the authors stayed on the topic presented. I must admit at first, I was lost when the authors presented the fact that Germany was changing their payment system I did not know how this was related to the topic. But as I read over the article again I realized that Germany was going to calculate the hospital budget on only DRGs. This could pose as an ethical issue for the hospital management because Biller-Andorno, Lenk and Leititis stated that this would lead to some hospitals that had high overhead from their emergency an intensive care units’ their resources would need to be cut. This will lead hospital managers to try to take money from other units and staff which has ethical implications cutting funds from one place and using them somewhere else.
The conclusion discussed how hospital management must address ethical issues. Biller-Andorno, Lenk and Leititis implied during the conclusion that the increase of using EBM in hospital management could become a tool used as a power .
Discussion Article Analysis FormThis is only an example of how t.docx
Discussion Article Analysis Form
This is only an example of how to set up your analysis. You may want to write it without following the sections in this form but be sure to include all the necessary parts.
Title of the Analysis /concept being applied
☐ Start with a definition of the concept from the text book and how it applies to the news article. Be sure to include a description of how managers and management is involved.Short Summary of the News Article
☐ Continue with a short summary of the news article. Include what is happening, who is involved and what the impact on the business or organization will be. Look for the 5 W's. These answer Who? What? Where? When? and Why? This is where you provide the background against which the management concept will be applied. Analyze based upon the management concept
☐ Now add the section about how the textbook concept applies to the situation that you described above. Use quotes from the textbook where necessary to expand upon your analysis. Look for the textbook concepts or issues being discussed. Consider if the managers are planning, organizing, leading, or controlling. Ask yourself if the writer is educating you with the facts or if he is trying to get you to think a certain way or follow a given action. Look at both sides of the argument. Consider the solutions proposed if he gives any.
☐ Add your conclusions and opinions. Based upon your readings this week do you agree with the solutions given in the article. Do the concepts for the week conflict with the information in the article? What is the impact to the organization in the short term and the long term? What should managers within the organization do?Identify your sources
☐ identify the source, from the approved list, that you used to prepare this assignment. If you researched other sites to broaden the analysis be sure to include them as well. Remember that other students or the instructor may want to go to your sources to better understand as they prepare their responses, so include the web address and other related information.
THE MG371 CASE
Growth Pains at Mountain States Healthcare
Background
Mountain States Healthcare (MSH) is a regional system of hospitals located
in several large metropolitan areas of New Mexico, Arizona, Utah, Colorado,
and in Acapulco, Mexico. MHS started as a single hospital in Salt Lake City,
Utah, and, due to the business acumen and experience of its officers and
Board of Directors, was quite successful and profitable.
Over the years, Salt Lake Hospital began purchasing other hospitals and
clinics in the state that were not as profitably operated, and eventually
changed its name to Utah Health Group (UHG). Each facility continued to
operate as an independent entity, except that its name was changed to
include “Utah Health Group” and UHG instilled its own successful
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Exploring Hospital-Physician Business Relationships: What Trustees Need to Know
This monograph discusses the key role of the health care organization governing board in working with physicians to frame the value exchange between both parties in the context of the organization’s mission, goals and market position. Our findings and recommendations address:• Guiding organizations in moving beyond transactional relationships• Specific opportunities for hospital/physician collaboration• Building an infrastructure to enable collaboration
HOSPITAL DOWNSIZING
In the coming years the United States will find themselves going through a number of changes within the Social Security Administration which will affect the Health Care Industry as we know it “Hospital size has long been an area of discussion and debate in the U.S. healthcare industry. Questions have consistently focused on cost management or efficiency in large versus small hospitals. A persistent question among researchers is whether efficiencies are associated with larger facilities through economies of scale, or if there are alternate scenarios that play a significant part in hospital cost and efficiency” (2009, JHM). Since the Affordable Health Care Act was established it made obtaining health care much more affordable and accessible, but at the same time there has to be some cut back.
Hospital/Community Partnership resource list
This document for communities and hospitals contains examples of successful partnerships, information about new models of care, and tips for making the case to hospitals for funding and support for population health work.
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The document discusses the rise of private sector participation in healthcare in India and the need for professionally trained hospital administrators. It notes an increasing demand for healthcare services, willingness to pay for services, and an entrepreneurial spirit has led to growth in the healthcare industry. However, there is currently not a large enough pool of trained hospital administrators. The document proposes strategies for developing this new type of skilled professional, including promotion programs and creating administrator positions and acceptance of their roles in hospitals.
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The document discusses the rise of private sector participation in healthcare in India and the need for professionally trained hospital administrators. It notes an increasing demand for healthcare services, willingness to pay for services, and an entrepreneurial spirit has led to growth in the healthcare industry. However, there is currently not a large enough pool of trained hospital administrators. The document proposes strategies for developing this skills market, including promotion programs and creating administrator positions and acceptance of their roles in hospitals.
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New Challenges Facing the Hospital C Suite
Recent health care reform has paved the way for the industry to move from a traditional fee-for-services model to a value-based services model. emphasis is shifting from the volume of patients and services toward investing payer funds into care that adds value and improves health outcomes. With these reforms has come closer attention to physician incentives, initiatives to make the system more transparent, and attempts to openly engage patients. this has changed the landscape of the hospital at all levels, which poses new challenges for the hospital c-suite.
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HospitalM&ApaperAmeliaMohabir
- Hospital mergers increased dramatically in the 1990s but had a 25% failure rate due to lack of due diligence and financial risk assessment.
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Review the Southeast Medical Center case study found on page 92 of.docx
Review the Southeast Medical Center case study found on page 92 of the course text. Of the recommendations found on pages 100-101, select the three which you consider to be the highest priority/most important to the case. Justify your reasoning. Support your opinion with a minimum of two outside scholarly resources. Write a three- to five-page paper (excluding title and reference pages) with your selected recommendations and justifications. The paper must be in APA format.
Southeast Medical Center Case Study
Review the Southeast Medical Center case study found on page 92 of the course text. Of the recommendations found on pages 100-101, select the three which you consider to be the highest priority/most important to the case. Justify your reasoning. Support your opinion with a minimum of two outside scholarly resources
In-Depth Case Study: Southeast Medical Center
The following case study involving a large organized delivery system exemplifies many of the issues described earlier in this chapter.
History and Evolution
Southeast Medical Center (SMC; a pseudonym) was established as a public hospital in the 1920s, just before the Depression. Located in the Southeast, a $1 million bond financed the 250-bed facility. Major expansion projects in the 1950s increased the hospital’s size to 600 beds. Formal affiliation with the local university’s College of Medicine residency program in the 1970s further expanded capacity. Thus, SMC became a public academic health center and subsequently assumed multiple missions of patient care, teaching, and research. Capital improvement programs were conducted during the 1970s, and in 1982, a massive renovation and construction project ($160 million) added 550 beds to the facility. In the 1980s, a 59-bed freestanding rehabilitation center was opened adjacent to the hospital, and a physicians’ office building was constructed next to the hospital. Medical helicopters were also acquired in 1989, expanding SMC’s trauma services. In addition to serving as a regional provider for trauma, SMC also furnishes burn, neonatal, and transplant care for the region.
Responsibility for governance of SMC has shifted over the years. In the early years of operation, a hospital board ran SMC. In the 1940s, the city was given direct control over the hospital. In the 1980s, the state legislature created a public hospital authority (to be appointed by the county commission) to govern the hospital. In the 1990s, the hospital’s board of trustees voted to turn operations of the hospital over to a private, not-for-profit corporation (501c-3), the SMC Corporation. However, oversight for charity care remained with the county’s hospital authority. The SMC Corporation is directed by a 15-member board of directors and essentially manages the organized delivery system through a lease arrangement with the county hospital authority.
Today, SMC is a private, not-for-profit academic health center that is accredited by JCAHO. It also serves as the ...
Complete a feasibility study based on the renovation of your inpat.docx
Complete a feasibility study based on the renovation of your
inpatient acute rehab facility where patients can obtain physical therapy while in a hospital setting and be medical managed. The facility will have new private rooms with state of the art equipment. A mobility garden for training and transitioning back into the community.
Using the feasibility study outlined in the Daniels and Dickson (1990) article as a model, and including a
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Evaluating Feasibility
The concept of a feasibility study is central to viability, the “worth to the effort” ratio, and return on investment (ROI). What needs to be taken into consideration to create a feasibility study (e.g., human resources, community needs, and technological advances, federal and state regulatory issues)? Within this section, you will research and design an economical health care service that is responsive to a given market. This research stems from understanding your target population and present need in health services. Furthermore, as you have seen from the Daniels and Dickson (1990) article, you must appraise your human resources, capital investment, and how your effort will yield a return on investment from a facilities perspective as well as the tangible greater good of providing healthcare to a community.
Strategic Effect
Analyze the role of public policy with regard to your project. What policies and processes should be in place to create an effective program? How will you measure the effectiveness of your program and your provision of health care services? Develop a microeconomic model that is responsive to the specific health care service demands of your target population. For example, the current trend of the medical home model, which allows for the coordination of care, allows for better communication among service providers as well as convenience for patients. Is the population a market priority? How does your program serve a need for your target population?
Market Analysis
Within this section you will identify the population demographics, who your competitors are, and whether or not a real need for the services you are proposing exists in the community. As you examine the demographic and population needs using Census data and other reliable sources, you must also consider what competitors, if any, exist in the present climate. This requires an evaluation of the present socioeconomic and cultural trends influencing how people make decisions in health care. In addition, in this analysis you will need to compare and contrast economic challenges and incentives among health care’s organization models. This comparison requires an understanding of past challenges and incentives that other organizations have implemented.
Financial Analysis
This section includes the revenue, expenses, and net income. Compare and contra.
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This case highlights the process of merging two fully accredited hospitals, both of which have a full complement of state-of-the-art diagnostic technology, including MRI and CAT scanners, 24-hour physician-staffed emergency care centers, and specialized women’s centers. Both of these facilities are located in a community of 60,000 in the southeastern part of Idaho.
The success of the merger hinges on the timely resolution of several issues that the executive staff implemented, mutually enhancing solutions in the areas of: (1) leadership, (2) culture adaptation, (3) human resource management, (4) staffing, and (5) benefit issues.
Overview
Hospital A: Porter Regional Medical Center (PRMC)
Located on the east side of town, Porter Regional Medical Center (PRMC) was a for-profit hospital, consisting of 110 hospital beds, 8 of which were reserved for transitional care. PRMC was a privately owned facility. Mountain Health Care (MHC), a large healthcare organization in the Rocky Mountain region, owned the facility. Built in 1990, the facility was designed to efficiently handle patient flow from the emergency room to the pharmacy and to be a point of referral for more complicated patient conditions. PRMC services consisted of general and same-day surgery and full-service rehabilitation and radiology departments. Other services included a kidney dialysis center, on-site retail pharmacy, a regional Red Cross blood bank, 24-hour laboratory, home health, Infusion/Home IV, and a women’s center, including obstetrics and numerous other amenities.
Other assets owned by PRMC were the adjacent medical office buildings, a day care center, the land on which an assisted living center was located adjacent to the hospital, and the sports medicine complex adjacent to the state university’s arena. These assets represented 188,000 square feet of facility space housed on 63 acres. The hospital employed 450 personnel.
Last year, the hospital’s operating budget was $34 million. However, in the same year, the hospital experienced a $1 million loss, and a projected $500,000 loss was anticipated for the following year. After three years of red ink, PRMC decided to liquidate.
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The document discusses five opportunities for greater alignment within academic medical centers (AMCs) to improve their strategic and financial positions. These include updating long-standing affiliation agreements between medical schools and hospitals; better aligning clinical enterprises between practice plans and hospitals; aligning community physician practices with hospitals; integrating academic programs; and integrating faculty practice plans. However, political risks and culture often inhibit bold changes, while community health systems face fewer barriers to consolidation.
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By Thomas C. Ricketts and Erin P. FraherReconfiguring Heal.docx
By Thomas C. Ricketts and Erin P. FraherReconfiguring Heal.docx
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Discussion Article Analysis FormThis is only an example of how t.docx
Exploring Hospital-Physician Business Relationships: What Trustees Need to Know
Exploring Hospital-Physician Business Relationships: What Trustees Need to Know
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Case Organizational Climate nursing assignment tutor.docx
How to Start, Run and Manage a Hospital Successfully by Dr.Mahboob ali khan Phd
How to Start, Run and Manage a Hospital Successfully by Dr.Mahboob ali khan Phd
Review the Southeast Medical Center case study found on page 92 of.docx
Review the Southeast Medical Center case study found on page 92 of.docx
Implementing A Certified Electronic Health Record System
Implementing A Certified Electronic Health Record System
Review the Southeast Medical Center case study found on page 92 of.docx
Review the Southeast Medical Center case study found on page 92 of.docx
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Case Study - The Merger of Two Competing Hospitals This case hig.docx
Academic Medical Center Integration - 5 Points of Alignment
Academic Medical Center Integration - 5 Points of Alignment
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Assignment should be 75-150 words long.
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Children who watch Television spend less time reading or drawing than children who don’t.
Paper of Minimum 1500 words of Language Development Hypotheses: ' Children who watch Television spend less time reading or drawing than children who don’t.'
. The Paper is to include a discussion, based on a minimum of three articles, books or chapters in a book (excluding the class Textbook), which describe, discuss, support and/or refute the hypothesis. A minimum of three citations with references in APA format will be included at the end of the paper.
Also at the end of the paper will be included a short Appendix which will answer three questions:
1. What were the databases used to find each article. (For example in the Communicative Disorders Multisearch example shown below we searched ten Data Bases but found most of our articles inPubMed.)
2. What was the search strategy which was used, i.e., the search words used in each database to find the articles. (In the example below, we used the terms “Television and (Language Development). We put the last two terms in brackets so that the computer would link Television to both terms and not just “Language.”)
3. Was each article cited an example of Primary or Secondary research? As defined by the Library at UC Berkley, “Primary sources were either created during the time period being studied, or were created at a later date by a participant in the events being studied (as in the case of memoirs) and they reflect the individual viewpoint of a participant or observer. Primary sources enable the researcher to get as close as possible to what actually happened during an historical event or time period.”
“ A secondary source is a work that interprets or analyzes an historical event or phenomenon. It is generally at least one step removed from the event. Examples include scholarly or popular books and articles, reference books, and textbooks.”
Req# 2--TECHNOLOGY APPLICATION AND PRACTICE:
An Annotated Bibliography will be developed including Five (100 word minimum) Annotated Citations. With the exception of the first, these will be based on topics obtained from the Language Development Hypotheses in the list provided at the end.
The First annotated citation will be on the Topic of the “Legal and Ethical Dimensions of the Use of Information.” This information can be obtained from the Internet using a search engine such as Google Scholar. The annotated citation should be in APA format and should include the URL (address) of the of the internet site. The annotation should provide an overview of the discussion and/or list the most critical points.
The second two of these citations will be obtained through Databases of professional books and journals available online through the CSUN Library. For more information on how to find these databases please see the discussion in the Class Requirements Section Online. These citations will be reported in APA format. Included in the annot.
Required ASAP 6 hoursUniversity of Phoenix MaterialMan.docx
Required ASAP 6 hours
University of Phoenix Material
Managing Access to an Active Directory Environment
Assume
for this assignment that Kudler Fine Foods is running Windows Server
®
2008 R2. The company has three locations
, each
overseen by a store manager. Each store manager has access to a desktop, a laptop
,
and a printer/scanner/fax machine. This equipment is authorized for use
according to the following
rules:
·
The d
esktop and laptop
are
authorized for use by the store manager, President Kathy Kudler
,
and the president’s administrative assistant
.
·
The p
rinter/scanner/fax machine is authorized for use by the store employees where it is located
,
as well as President Kathy Kudler and the president’s administrative assistant
.
·
The
d
irector of
s
tore
o
perations can use any equipment in any location
.
Design
group objects to implement group policies to manage access to these resources. Document the group design using
the following
table:
Name
Membership
Type
Scope
Permissions
During your work on the network operating system
,
you become concerned about threats such as disk failures, administrative errors, natural disasters
,
and the impact of unauthorized changes to data.
·
How do you plan to recover from these types of loss of current AD DS and other critical information?
·
What utilities might you investigate to help accomplish your plan?
.
Reply to Taylors CaseChoice and respond to one of the following.docx
Reply to Taylor's Case
Choice and respond to one of the following question
A
1. Imagibe stanley and steinhard had the opportunity to reply to taylor's case. Compose that reply. Note: the promt requires that you are able to summarize Taylor's reasoning and point to particular disagreements, then articulate reasons to reject some of taylor's support.
Quesyion B
We see both benefetis and deletenous effects of development in these readings. Talk one examples discussed try the authors and, using the moral concepts last week, provide an agremment concerning our interacting with or restricting use of a particular technology.
Use a least two of the weeks readings or resources in your = Initial post
Please put the question that is answer for example Question A or B 100-150 words
.
Requesting help with the following discussion topics.Please have.docx
Requesting help with the following discussion topics.
Please have at least 10 sentences, or 150 words. Citation is not needed, but preferred.
Rigoletto: La donna e mobile and Quartet from Act III
Polonaise in A-flat, Op. 53"
Die Walkure, Act I: excerpt
Transcendental Etude No. 10 in F Minor
Symphonie Fantastique: V Witches Sabbath
Romance in E Flat Minor, Op. 11, No. 1
.
Report on a bill which is currently under consideration in Congress..docx
This document outlines the requirements for a report on a bill currently under consideration in Congress. The report must identify the current law and proposed changes, discuss the primary sponsors and their reasons for changing the law, and track the bill's progress through the legislative process. It must be written following formatting guidelines and cite at least 3 sources, discussing political factors that may influence the bill's chance of becoming law.
Report Format The following shows the pattern that should be used .docx
This document outlines the recommended format for a term report, including a cover page, title page, summary, table of contents, introduction, discussion, and conclusions sections, with optional sections for methods, recommendations, references, and appendices.
Report 9 (Huapango Song) CD 3. Select ONE of the followinga) Tra.docx
Report 9 (Huapango Song): CD 3. Select ONE of the following:
a) Track 4, El Pastor (Ixya Herrera)
b) Track 6, Rogaciano/Rogaciano El Huapanguero (Los Hermanos Luna)
Instructions:
Include the title, the name of the composer (if known) and of the performer. Describe the singing style. Comment on the vocalist’s breath control and vowel placement. Was there use of chest voice or falsete? Comment on the lyrics (see translations in course reader) . Is the song defiant, tender, passionate, remorseful, detached? Is there any imagery used? Is there any message? Identify the type of instrumental accompaniment. Comment on the strumming. Is it the same as what you heard in the other types of Mexican songs?
A. Length: One (1) page, double-spaced, Times New Roman, size 12 font.
B. Points: You will receive a maximum of ten (10) points for each report.
C. Grading: Your reports will be evaluated as follows:
1. Content (3 points)
a) Accuracy: Did you identify the musical genre, title and composer of the selection), instruments and performance technique (including vocal and dance styles) correctly?
b) Completeness: Did you provide all of the required information that was identified in the track instructions?
c) Supporting Detail: Did you support your statements with actual examples from the track or the readings?
2. Paragraph Construction (2 points)
a) Unity: Are your paragraphs focused? Are all the sentences in the paragraph related to the main point?
b) Coherence: Do your paragraphs flow logically? Do they make sense?
3. Conventional Academic Grammar (3 pts.)
a) Sentence Construction: Have you been careful to avoid incomplete sentences, misplaced modifiers?
b) Verbs: Do you have correct verb and subject agreement? Use of correct verb forms?
4. Vocabulary (2 pts.)
a) Usage: Have you used words with the correct meaning?
b) Spelling: Have you spelled your words correctly?
.
Report 6 (Nationalistic Song) CD 2. Select ONE of the followinga.docx
The document provides instructions for a report analyzing a selected track from a CD of nationalistic songs. Students must choose between two song options, and their report should be one double-spaced page describing the title, composer, vocal style, lyrics, instrumentation, and message of the song. The report will be graded based on the accuracy and completeness of content, the logical flow and structure of paragraphs, proper grammar, and correct vocabulary and spelling.
reposting due to tutor not being able to complete.,This term .docx
*reposting due to tutor not being able to complete.
,
This term paper involves putting together the various concepts learned throughout this course. You are tasked with designing the most secure network possible, keeping in mind your goal of supporting three (3) IT services: email, file transfer (centralized), and VPN. Your first step is to design a single network capable of supporting there three (3) different services. Once you have fully designed your network, you will need to provide three (3) workflow diagrams explaining how your designed network handles the three (3) different transactions. The first is an internal user sending an email using his / her corporate email address to a user on the Yahoo domain with an arbitrary address of
[email protected]
The second workflow diagram should show a user initiating an FTP session from inside your network to the arbitrary site of ftp.netneering.com. The third workflow is an externally located employee initiating a VPN session to corporate in order to access files on the Windows desktop computer, DT-Corp534-HellenS, at work.
Write a ten to fifteen (10-15) page paper in which you complete the following three (3) Parts. Note: Please use the following page breakdown to complete your assignment:
Overall network diagram: One (1) page
Datapath diagrams: Three (3) pages (one for each diagram)
Write-up: six to ten (6-10) pages
Part 1
Using Microsoft Visio or its open source alternative, create a diagram showing the overall network you’ve designed from the user or endpoint device to the Internet cloud, and everything in between, in which you:
Follow the access, core, distribution layer model.
Include at a minimum:
Authentication server (i.e. Microsoft Active Directory)
Routers
Switches (and / or hubs)
Local users
Remote users
Workstations
Files share (i.e. CIFS)
Mail server
Web servers (both internal and external)
Firewalls
Internet cloud
Web proxy
Email proxy
FTP server (for internal-to-external transport)
Explain each network device’s function and your specific configuration of each networking device.
Design and label the bandwidth availability or capacity for each wired connection.
Part 2
Using Microsoft Visio or its open source alternative, create a Datapath Diagram for the following scenario:
Local user sends email to a Yahoo recipient. Local (corporate) user having email address
[email protected]
sends an email to
[email protected]
Document and label the diagram showing protocols and path of the data flow as data traverses through your network from source to destination.
Include path lines with arrows showing directions and layer 1, 2, 3, 4, 5, 6, and 7 (OSI) protocols that are used for each flow.
Show user authentication when necessary.
Using Microsoft Visio or its open source alternative, create a Datapath Diagram for the following scenario:
Local user, Jonny Hill, transfers file using ftp through the Internet to another company’s site (
ftp.netneering.com
). He has to access the se.
Replies to Discussion Board Questions Must be at least 450-600.docx
Replies to Discussion Board Questions
Must be at least 450-600 words, in current APA format, must use at least 2 scholarly articles as references, and one biblical scripture
for each reply.
13.15
If you were working for a national survey organization doing a general public survey of young adults and older adults, what topics and questions would you design into your survey to elaborate on this finding?
The number of fully employed adults working in the United States is one of the most important economic indicators. The rate of employment affects the federal government, as well as local and state government. Beyond the economic implications, the work one does is one of the primary ways people view and define their identity. The Preacher, in the book of Ecclesiastes, writes, “there is nothing better for a person than that he should eat and drink and find enjoyment in his toil” (Ecclesiastes 2:24, ESV Study Bible).
Business Research Methods
, 12
th
edition, states that survey questions contain three categories of questions: administrative questions, classification questions, and target questions (Cooper & Schindler, 2014, p. 302). The right questions will assist the survey organization create a clearer picture of the survey topic. To assist a national survey organization in understanding unemployment rates, the first step is to define the nature of the unemployment. In Gatzia’s exploration, “The Problem of Unemployment”, the author explains that there are three types of unemployment in a capitalist system, cyclical, structural, and frictional.
Cyclical unemployment corresponds to business cycles – it typically results from recessions. Structural unemployment occurs when the jobs that are available do not match with the skill sets of the unemployed workers – it typically results from international competition or technological changes. Frictional unemployment corresponds to the turnover of labor – it typically results either from job loss or increases in the number of people entering the workforce (Gatzia, 2012, p. 37).
Based upon this expanded understanding of unemployment, among the topics to address in the survey should include:
·
Geographic location
·
Previous employment
·
Race / Ethnic identity
Previous salary / average pay
Additionally, the survey should investigate the circumstances that surround the severing of unemployment. For younger workers, it is more likely that the end of employment is mutual; the work may be seasonal or school-related. The job may be entry-level, unskilled work that is not central to the worker’s life, or is not highly valued. According to Popescu, “youth unemployment is heavily concentrated among the least educated” (Popescu, 2014, p. 36). To fully understand unemployment, any survey of the subject must include in-depth questions about the respondent’s educational background and skill level. The survey should ask:
·
Does the respondent have a high school .
Reorganizing a company can be very difficult and time consuming. It .docx
Reorganizing a company can be very difficult and time consuming. It involves various resources including human interactions as well as monetary investments. Reorganization can deal with adding to present knowledge as well as utilizing and creating new methods and techniques. It can also involve changes in the communication flow and responsibilities.
With this in mind, create a 2-3 page analysis containing the following:
Through an internet search, identify a multinational company and present its current organizational chart
Select a method of reorganization and create the new organizational chart.
Provide your rationale for the changes made including why it is efficient, how is this better financially and for human resources.
Your final assignment should be proofread for correct spelling, grammar, and punctuation.
.
Requesting a Microsoft word doc of a scene for 13-18 years old. Furt.docx
Requesting a Microsoft word doc of a scene for 13-18 years old. Further instructions inside attachments below. Assignment due 7pm EST. 8hrs from post time.
A “scene” would be about two pages of text, taking place in one location, where characters are present in that scene and interacting in some way. Some scenes may further character, most will probably further plot, some may further theme or emotion -- the crucial part is just to have dialogue and description and be sure to show rather than tell when appropriate.
.
Report 3 (Son Huasteco) CD 1.Select ONE of the following.docx
Report 3 (Son Huasteco): CD 1.
Select
ONE
of the following:
Track 10, La Huasanga (Los Hermanos Calderón)
Track 11,
El Caballito (El Ballet Folkórico de México)
Track 12, El Caimán (
Trio Chicontepec)
Instructions:
Include the title, the name of the composer (if known) and of the performer. Identify the instrument or instruments that stand out and mention anything that you noticed about how they were played (
mánicos,
plucking, bowing). Describe the singing style. Provide a summary of the lyrics (see the translations in the course reader) and point out any significant details.
.
Republicans were responsible for the passage of the Thirteenth Amend.docx
Republicans were responsible for the passage of the Thirteenth Amendment, which effectively nullified the Three-fifths Compromise. Why was this an issue of concern for Republicans?
A) because it meant that former Confederates were eligible to hold federal office
B) because it meant that the four million freed people in the South would now be counted in each Southern state's congressional appointment
C) because it "threw down the gauntlet" and threatened southern Democrats
D) because Lincoln opposed it
.
Remember to include references and the SLU core values that would a.docx
*Remember to include references and the SLU core values that would apply
to this discussion
Chapter 11
#Define an ecologically sustainable organization.
#List and explain the
stages
through which firms progress as they become more sustainable and the
motives
to become more sustainable.
This is a discussion question -250 to 300 words
Core Values
Excellence
Saint Leo University is an educational enterprise. All of us, individually and collectively, work hard to ensure that our students develop the character, learn the skills, and assimilate the knowledge essential to become morally responsible leaders. The success of our University depends upon a conscientious commitment to our mission, vision, and goals.
Community
Saint Leo University develops hospitable Christian learning communities everywhere we serve. We foster a spirit of belonging, unity, and interdependence based on mutual trust and respect to create socially responsible environments that challenge all of us to listen, to learn, to change, and to serve.
Respect
Animated in the spirit of Jesus Christ, we value all individuals’ unique talents, respect their dignity, and strive to foster their commitment to excellence in our work. Our community’s strength depends on the unity and diversity of our people, on the free exchange of ideas, and on learning, living, and working harmoniously.
Personal Development
Saint Leo University stresses the development of every person’s mind, spirit, and body for a balanced life. All members of the Saint Leo University community must demonstrate their commitment to personal development to help strengthen the character of our community.
Responsible Stewardship
Our Creator blesses us with an abundance of resources. We foster a spirit of service to employ our resources for University and community development. We must be resourceful. We must optimize and apply all of the resources of our community to fulfill Saint Leo University’s mission and goals.
Integrity
The commitment of Saint Leo University to excellence demands that its members live its mission and deliver on its promise. The faculty, staff, and students pledge to be honest, just, and consistent in word and deed.
.
Report 4 (Son Jarocho) CD 1. Select ONE of the followingTra.docx
Report 4 (Son Jarocho): CD 1. Select
ONE
of the following:
Track 18, El Siquisirí ( Los Pregoneros del Puerto)
Track 19, El Zapateado ( El Ballet Folklorico del Seguro Social)
Track 20, El Toro Abajeño (Conjunto Hueyapan)
Instructions:
Include the title, the name of the composer (if known) and of the performer. Identify the instrument or instruments that stand out and mention anything that you noticed about how they were played (
mánicos,
plucking, bowing). Describe the singing style. Provide a summary of the lyrics (see the translations in the course reader) and point out any significant details.
.
Report 3 (Son Huasteco) Each 1 page for of the followinga).docx
Report 3 (Son Huasteco): Each 1 page for of the following:
a)
La Huasanga (Los Camperos de Valles)
b)
El Caballito (El Ballet Folkórico de México)
c)
El Zacamandú (Antonio Maciel)
Instructions:
Include the title, the name of the composer (if known) and of the performer. Identify the instrument or instruments that stand out and mention anything that you noticed about how they were played (
mánicos,
plucking, bowing). Describe the singing style. Provide a summary of the lyrics (see the translations in the course reader) and point out any significant details.
.
Remember to include SLU core values that apply to this discussion an.docx
Remember to include SLU core values that apply to this discussion and references.
Respond to two of your fellow classmates.
Answer each question fully.
Chapter 14
Who are the stockholders of a corporation?
What are their responsibilities and objectives
?
Chapter 15
Name the major consumer protection agencies, explain their responsibilities and the Goals of Consumer Laws
Chapter 17
Explain how
business handles diversity policies and practices?
Core Values
Excellence
Saint Leo University is an educational enterprise. All of us, individually and collectively, work hard to ensure that our students develop the character, learn the skills, and assimilate the knowledge essential to become morally responsible leaders. The success of our University depends upon a conscientious commitment to our mission, vision, and goals.
Community
Saint Leo University develops hospitable Christian learning communities everywhere we serve. We foster a spirit of belonging, unity, and interdependence based on mutual trust and respect to create socially responsible environments that challenge all of us to listen, to learn, to change, and to serve.
Respect
Animated in the spirit of Jesus Christ, we value all individuals’ unique talents, respect their dignity, and strive to foster their commitment to excellence in our work. Our community’s strength depends on the unity and diversity of our people, on the free exchange of ideas, and on learning, living, and working harmoniously.
Personal Development
Saint Leo University stresses the development of every person’s mind, spirit, and body for a balanced life. All members of the Saint Leo University community must demonstrate their commitment to personal development to help strengthen the character of our community.
Responsible Stewardship
Our Creator blesses us with an abundance of resources. We foster a spirit of service to employ our resources for University and community development. We must be resourceful. We must optimize and apply all of the resources of our community to fulfill Saint Leo University’s mission and goals.
Integrity
The commitment of Saint Leo University to excellence demands that its members live its mission and deliver on its promise. The faculty, staff, and students pledge to be honest, just, and consistent in word and deed.
.
Remember to include references and the SLU core values that would ap.docx
Remember to include references and the SLU core values that would apply.
All written assignments will be graded on the writing process, content presentation as well as your understanding of the content.
Chapters 6 and 7
Define corporate citizenship, global corporate citizenship and the stages to become global citizens.
Define corporate citizenship among various countries and regions of the world.
.
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