ScenarioYou are the CFO of a rural hospital. During a recent rev.docx
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Scenario You are the CFO of a rural hospital. During a recent review of the organization’s financial status, the hospital was deemed “at risk” for closure. Several factors contribute to the at-risk designation, including the state’s decision to opt-out of the Medicaid expansion program, the aging population which requires more expensive care, and the changes in reimbursement from Medicare. These challenges have resulted in rural facility closures across the country. As part of the strategic management team, you are charged with reviewing various facility units and making recommendations that may avoid closure. You determine that based on the profitability reports, the OB/GYN unit of the facility is underperforming in several key financial areas. Instructions In a written proposal to the hospital CEO, Administrator, and CMO, discuss the following: Identify potential challenges related to the OB/GYN unit’s performance. Explain potential trends in the community impacting health consumer utilization patterns. Explain the potential benefits of reorganization within the unit and how reorganization could improve its financial status. Recommend a course of action and the implications that those actions will have for patients, providers, and investors (i.e., how might closure affect the community or how might new service offerings, such as midwife services, improve profitability). Rubric -Clear and thorough identification of specific challenges related to the OB/GYN unit’s performance. Includes comprehensive descriptions of the specific challenges with multiple examples. - Clear and thorough explanation of potential trends in the community impacting health consumer utilization patterns. - Clear and thorough explanation of the potential benefits of reorganization within the unit and how reorganization could improve its financial status. - Comprehensive recommendations for a course of action and the implications that those actions will have on stakeholders. Includes multiple supporting examples for each recommendation. .
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Scenario You are the CFO of a rural During.docx
The rural hospital is at risk of closure due to state decisions around Medicaid expansion and rising healthcare costs of an aging population. As CFO, you must review underperforming units like the OB/GYN department. Your written proposal to hospital leadership will identify challenges faced by OB/GYN, trends affecting consumer use, and how reorganizing the department could improve finances and avoid closure. Your recommendations aim to benefit patients, providers, and investors in the community.
This is assignment 1 that assignment 2 have to relate to. PLEASE..docx
This is assignment 1 that assignment 2 have to relate to. PLEASE.
Financial Statement Analysis
Student name
University
Professor
October 25, 2016
Financial Statement Analysis
Based on your review of the financial statements, suggest a key insight about the financial health of the company. Speculate on the likely reaction to the financial statements from various stakeholder groups (employee, investors, shareholders). Provide support for your rationale.
Health Management Associates, Inc. (NYSE: HMA) is the operator and owner-general acute care centers in the non-urban communities situated in the US, particularly in the Southwest. The organization was founded in 1977. The hospitals provide services such as oncology, emergency room care, general surgery, internal medicine, radiology, pediatric services, coronary care, and diagnostic care (
www.healthcaremanagement.com
).The company is also providing outpatient services like x-ray, respiratory therapy, one-day surgery, laboratory services, physical therapy as well as cardiology therapy. The mission of the Health Management is to provide America’s best local healthcare. They provide processes, capital finance, expertise, and people that can ensure that the local hospitals can accomplish their mission of delivering compassionate and high-quality healthcare that would substantially improve the lives of patients, the communities they serve, and the physicians providing the care
www.healthcaremanagement.com
)
With regard to the review of the current financial statement, HMA is in a dangerous financial state as a result of the present increasing debts and legal woes. The Office of the Inspector General, Justice Department, and the Department of Health and Human Services served the organization with summons regarding a software program that was used by ED doctors and the records from the emergency department. Some reports suggested that there was pressure from the company’s hospitals management to admit patients from emergency rooms so as to maximize profits. Paul Meyer, former compliance director, claimed that HMA’s fraudulent activities could attract government investigation (Britt, 2012).
The common stock of Health Management Associates was owned by almost 850 shareholders, as per the records of December 31, 2012, with hundreds of institutional investors included. HMA had expanded to include 70 hospitals situated in 15 states, with roughly 10,562 present licensed beds. In 2012, HMA realized about $5.9 billion in net revenue (Britt, 2012).
HMA gets payments for the services it renders from the federal government through the Medicare program, the states in which it functions under each Medicaid program, and commercial insurance, among others; and patients, encompassing deductibles and co-payments. Basically, deductibles and co-payments are part of the bill of patients for the medical services provided, which many government and private payers expect the patient to cater for. ...
Ac Os Bundled Payments
The document discusses opportunities around accountable care organizations (ACOs) and bundled payments under healthcare reform legislation. It outlines proposed ACO pilots that would test payment models to reduce costs and improve outcomes. It also discusses proposals for bundled payment pilots for post-acute care services beginning in 2011. Key questions are raised around which providers can participate in ACOs, what organizational structures and partnerships may look like, and how providers can position themselves for these new models.
Finance and Accounting Management and PlanningChapter O.docx
Finance and Accounting
Management and Planning
Chapter Objectives
After reading this chapter, you should be able to
1. Describe the essence of financial governance and working capital policy.
2. Apply the functions of long-term finance to management in the healthcare industry.
3. Explain the essence of accounting as it applies to healthcare management.
6
© Imagebroker.net/SuperStock
Finance and Accounting Management and Planning Chapter 6
The relationships among the practices of medicine, healthcare management, and finan-
cial management can easily be described as being complex. A physician in an individual
practice, one in a group of specialists, and managers within a larger healthcare facility setting
all encounter myriad challenges associated with setting prices for services; receiving payments
from insurance companies, patients, and the government; paying for medical equipment and
supplies; and covering the costs of operation, including wages for support staff, the price of a
physical office space through a lease or a purchase, and other expenses. Meanwhile, healthcare
managers must also contend with requests for purchases of new equipment, increased space, and
a variety of additional items that may or may not be suited to a healthcare organization’s goals.
Healthcare managers also oversee payroll, billing statements, accounts payable and receivable,
third-party reimbursements, discounting systems, tax statements and bills, and numerous finan-
cial and accounting activities. All of these tasks relate to the process of cash flow management,
or working capital policy.
Working capital policy poses challenges for managers in every type of industry. However, health-
care providers face additional obstacles that most private-sector companies do not. For example,
any physician or pharmacy accepting Medicare and Medicaid patients often encounters diffi-
culties in receiving reimbursements in a
timely fashion. The dilemma follows a com-
mon cycle: A patient receives care or fills
a prescription; reimbursement documents
are filed with the appropriate government
agency; then the wait begins, many times
for months. Meanwhile, supply bills, sala-
ries, utilities, and other expenses come due
and must be paid. Thus, any pharmacy or
medical practice that accepts Medicare or
Medicaid but that does not have a substan-
tial cash reserve has a problem.
Consider the dilemma of Dr. Madalene
Green, a solo practitioner at Potomac
Arthritis and Rheumatism in Bethesda,
Maryland. Medicare covers 50% of her
patients. In a recent government entangle-
ment over budget issues, Medicare stopped
making payments. The net result was that Dr. Green had to forgo her own salary in order to
remain solvent (Washington Business Journal, 2010).
In 2008, physicians in California and other Western states complained that they were owed mil-
lions of dollars in backlogged Medicare reimbursements. This continuing problem has led some
physic ...
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.
· In this assessment, you will propose an economic initiative that.docx
· In this assessment, you will propose an economic initiative that presents an opportunity for improved care quality.
Scenario
As an emerging health care leader, the senior management has requested that you independently research and explore one of the economic opportunities that may be available in your care setting. This may be offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other economic initiative that you believe will be of benefit to your care setting in the short and long term. One example of this is a recently launched partnership with a local bicycle sharing company. Your care setting partners with them to host healthy community events that offer free screenings for early detection of various health issues. This helps fulfill some of your care setting's preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your care setting. You have been asked to submit your proposal in the form of a 2–4-page executive summary that includes your proposed economic initiative, supporting economic data, and an analysis of the proposal's benefits for your department and for the care setting overall.
Directions
You have been asked to ensure that your report addresses the following. Note: The bullet points below correspond to grading criteria in the scoring guide. Be sure your work is, at minimum, addressing each of the bullets below. You may also want to read the scoring guide and the Guiding Questions: Executive Brief: Proposal of New Economic Opportunity document, linked in the Resources, to better understand the performance levels that relate to each grading criterion:
· Propose an economic initiative that presents an opportunity for your care setting at both the micro (departmental, neighborhood) and macro (organizational, community) levels that you believe will provide ethical and culturally equitable improvements to the quality of care.
· Analyze the supply and demand for your proposed economic initiative within contexts relevant to your care setting.
· Explain relevant economic and environmental data that support your proposal and analysis.
· Communicate your economic proposal in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
· Effectively support your proposal with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.
Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
Additional Requirements
Your assessment should meet the following requirements:
· Length: 2–4 double-spaced, typed pages. Your proposal should be succinct yet substantive.
· APA format: Resources and citations are formatted according to c.
Resources available to help.docx
The document provides guidance for an assessment task that involves writing a 3-4 page proposal for billing changes at a physicians clinic. It outlines requirements for the proposal, including developing a revenue cycle process, recommending a pricing structure, explaining insurance contract negotiation factors, and how the changes would benefit physicians, the clinic, and patients. Resources on topics like revenue cycle management, billing, coding, and reimbursement are provided.
Walker Stephanie Week7_HSM543_ Course Project_Walker, Stephanie
This document summarizes a paper on approaching revenue cycle management. The paper introduced the issue of poor performing accounts receivable revenue cycles, defined the problem as being caused by improperly structured securitization, a lack of process improvement methods, varying metrics and poor leadership. It reviewed literature on improving cash flow through benchmarking receivables and redesigning revenue cycles. Recommendations included benchmarking exemplary organizations, implementing a multidisciplinary recovery program, updating financial policies to include patient financing, and properly structuring securitization. An implementation plan with monitoring and control was also outlined.
Recommended
Scenario You are the CFO of a rural During.docx
The rural hospital is at risk of closure due to state decisions around Medicaid expansion and rising healthcare costs of an aging population. As CFO, you must review underperforming units like the OB/GYN department. Your written proposal to hospital leadership will identify challenges faced by OB/GYN, trends affecting consumer use, and how reorganizing the department could improve finances and avoid closure. Your recommendations aim to benefit patients, providers, and investors in the community.
This is assignment 1 that assignment 2 have to relate to. PLEASE..docx
This is assignment 1 that assignment 2 have to relate to. PLEASE.
Financial Statement Analysis
Student name
University
Professor
October 25, 2016
Financial Statement Analysis
Based on your review of the financial statements, suggest a key insight about the financial health of the company. Speculate on the likely reaction to the financial statements from various stakeholder groups (employee, investors, shareholders). Provide support for your rationale.
Health Management Associates, Inc. (NYSE: HMA) is the operator and owner-general acute care centers in the non-urban communities situated in the US, particularly in the Southwest. The organization was founded in 1977. The hospitals provide services such as oncology, emergency room care, general surgery, internal medicine, radiology, pediatric services, coronary care, and diagnostic care (
www.healthcaremanagement.com
).The company is also providing outpatient services like x-ray, respiratory therapy, one-day surgery, laboratory services, physical therapy as well as cardiology therapy. The mission of the Health Management is to provide America’s best local healthcare. They provide processes, capital finance, expertise, and people that can ensure that the local hospitals can accomplish their mission of delivering compassionate and high-quality healthcare that would substantially improve the lives of patients, the communities they serve, and the physicians providing the care
www.healthcaremanagement.com
)
With regard to the review of the current financial statement, HMA is in a dangerous financial state as a result of the present increasing debts and legal woes. The Office of the Inspector General, Justice Department, and the Department of Health and Human Services served the organization with summons regarding a software program that was used by ED doctors and the records from the emergency department. Some reports suggested that there was pressure from the company’s hospitals management to admit patients from emergency rooms so as to maximize profits. Paul Meyer, former compliance director, claimed that HMA’s fraudulent activities could attract government investigation (Britt, 2012).
The common stock of Health Management Associates was owned by almost 850 shareholders, as per the records of December 31, 2012, with hundreds of institutional investors included. HMA had expanded to include 70 hospitals situated in 15 states, with roughly 10,562 present licensed beds. In 2012, HMA realized about $5.9 billion in net revenue (Britt, 2012).
HMA gets payments for the services it renders from the federal government through the Medicare program, the states in which it functions under each Medicaid program, and commercial insurance, among others; and patients, encompassing deductibles and co-payments. Basically, deductibles and co-payments are part of the bill of patients for the medical services provided, which many government and private payers expect the patient to cater for. ...
Ac Os Bundled Payments
The document discusses opportunities around accountable care organizations (ACOs) and bundled payments under healthcare reform legislation. It outlines proposed ACO pilots that would test payment models to reduce costs and improve outcomes. It also discusses proposals for bundled payment pilots for post-acute care services beginning in 2011. Key questions are raised around which providers can participate in ACOs, what organizational structures and partnerships may look like, and how providers can position themselves for these new models.
Finance and Accounting Management and PlanningChapter O.docx
Finance and Accounting
Management and Planning
Chapter Objectives
After reading this chapter, you should be able to
1. Describe the essence of financial governance and working capital policy.
2. Apply the functions of long-term finance to management in the healthcare industry.
3. Explain the essence of accounting as it applies to healthcare management.
6
© Imagebroker.net/SuperStock
Finance and Accounting Management and Planning Chapter 6
The relationships among the practices of medicine, healthcare management, and finan-
cial management can easily be described as being complex. A physician in an individual
practice, one in a group of specialists, and managers within a larger healthcare facility setting
all encounter myriad challenges associated with setting prices for services; receiving payments
from insurance companies, patients, and the government; paying for medical equipment and
supplies; and covering the costs of operation, including wages for support staff, the price of a
physical office space through a lease or a purchase, and other expenses. Meanwhile, healthcare
managers must also contend with requests for purchases of new equipment, increased space, and
a variety of additional items that may or may not be suited to a healthcare organization’s goals.
Healthcare managers also oversee payroll, billing statements, accounts payable and receivable,
third-party reimbursements, discounting systems, tax statements and bills, and numerous finan-
cial and accounting activities. All of these tasks relate to the process of cash flow management,
or working capital policy.
Working capital policy poses challenges for managers in every type of industry. However, health-
care providers face additional obstacles that most private-sector companies do not. For example,
any physician or pharmacy accepting Medicare and Medicaid patients often encounters diffi-
culties in receiving reimbursements in a
timely fashion. The dilemma follows a com-
mon cycle: A patient receives care or fills
a prescription; reimbursement documents
are filed with the appropriate government
agency; then the wait begins, many times
for months. Meanwhile, supply bills, sala-
ries, utilities, and other expenses come due
and must be paid. Thus, any pharmacy or
medical practice that accepts Medicare or
Medicaid but that does not have a substan-
tial cash reserve has a problem.
Consider the dilemma of Dr. Madalene
Green, a solo practitioner at Potomac
Arthritis and Rheumatism in Bethesda,
Maryland. Medicare covers 50% of her
patients. In a recent government entangle-
ment over budget issues, Medicare stopped
making payments. The net result was that Dr. Green had to forgo her own salary in order to
remain solvent (Washington Business Journal, 2010).
In 2008, physicians in California and other Western states complained that they were owed mil-
lions of dollars in backlogged Medicare reimbursements. This continuing problem has led some
physic ...
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.
· In this assessment, you will propose an economic initiative that.docx
· In this assessment, you will propose an economic initiative that presents an opportunity for improved care quality.
Scenario
As an emerging health care leader, the senior management has requested that you independently research and explore one of the economic opportunities that may be available in your care setting. This may be offering a new service line, working to improve a service line already offered, retiring an outdated or unprofitable service line, or any other economic initiative that you believe will be of benefit to your care setting in the short and long term. One example of this is a recently launched partnership with a local bicycle sharing company. Your care setting partners with them to host healthy community events that offer free screenings for early detection of various health issues. This helps fulfill some of your care setting's preventive and healthy lifestyle initiatives, while also potentially driving referrals to other services provided by your care setting. You have been asked to submit your proposal in the form of a 2–4-page executive summary that includes your proposed economic initiative, supporting economic data, and an analysis of the proposal's benefits for your department and for the care setting overall.
Directions
You have been asked to ensure that your report addresses the following. Note: The bullet points below correspond to grading criteria in the scoring guide. Be sure your work is, at minimum, addressing each of the bullets below. You may also want to read the scoring guide and the Guiding Questions: Executive Brief: Proposal of New Economic Opportunity document, linked in the Resources, to better understand the performance levels that relate to each grading criterion:
· Propose an economic initiative that presents an opportunity for your care setting at both the micro (departmental, neighborhood) and macro (organizational, community) levels that you believe will provide ethical and culturally equitable improvements to the quality of care.
· Analyze the supply and demand for your proposed economic initiative within contexts relevant to your care setting.
· Explain relevant economic and environmental data that support your proposal and analysis.
· Communicate your economic proposal in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
· Effectively support your proposal with relevant economic data and scholarly sources, correctly formatting citations and references using current APA style.
Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
Additional Requirements
Your assessment should meet the following requirements:
· Length: 2–4 double-spaced, typed pages. Your proposal should be succinct yet substantive.
· APA format: Resources and citations are formatted according to c.
Resources available to help.docx
The document provides guidance for an assessment task that involves writing a 3-4 page proposal for billing changes at a physicians clinic. It outlines requirements for the proposal, including developing a revenue cycle process, recommending a pricing structure, explaining insurance contract negotiation factors, and how the changes would benefit physicians, the clinic, and patients. Resources on topics like revenue cycle management, billing, coding, and reimbursement are provided.
Walker Stephanie Week7_HSM543_ Course Project_Walker, Stephanie
This document summarizes a paper on approaching revenue cycle management. The paper introduced the issue of poor performing accounts receivable revenue cycles, defined the problem as being caused by improperly structured securitization, a lack of process improvement methods, varying metrics and poor leadership. It reviewed literature on improving cash flow through benchmarking receivables and redesigning revenue cycles. Recommendations included benchmarking exemplary organizations, implementing a multidisciplinary recovery program, updating financial policies to include patient financing, and properly structuring securitization. An implementation plan with monitoring and control was also outlined.
I need the follwoing assignmentThe project is the creation of a w.docx
I need the follwoing assignment:
The project is the creation of a white paper.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.
The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five.
In this assignment, you will demonstrate your mastery of the following course outcomes:
†
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle
†
Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements
†
Analyze organizational strategies for negotiating healthcare contracts with managed care organizations
†
Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations
†
Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on
pay for performance incentives
Prompt
You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals vary in size, location, and focus.
Becker’s Hospital Review
has an excellent .
Julie colacurto audit_plan
The audit plan summarizes the key elements of the revenue recognition guidance and provides an overview of the audit risk assessment for New York Presbyterian Hospital for the year ended December 31, 2014. Specifically, it outlines the general revenue recognition standards, industry-specific standards for hospitals and medical practices, describes the material revenue streams and patient mix for NYP, and assesses the inherent risk of NYP's revenue recognition process as relatively low. A preliminary analytical review found that NYP's revenue increased by $109 million from 2013 to 2014, which is likely due to its acquisition of Lawrence Hospital Center in July 2014.
NHS-FP6008 Assessment 1 ContextAssessment 1 ContextHealth Care.docx
NHS-FP6008 Assessment 1 Context
Assessment 1 ContextHealth Care Economics: An Industry Overview
Providers and consumers of health care services have experienced significant changes following the enactment of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act). New terminology, concepts, methods of valuation, reimbursement, and decisions accompanied this landmark legislative change. Health care leaders are responsible for maintaining the financial viability of their organizations, aligning with both the organizational mission statement and directional strategy, and allocating finite resources. This task has become increasingly complex due in part to changes associated with the Affordable Care Act.
Conditions of participation in state- and federally-funded health care programs have generated new requirements, and some represent major challenges with respect to implementation and compliance. An example of this can be seen with the electronic medical records initiative, which has been an ongoing challenge. Leaders must grapple with questions such as:
· What is the actual cost to the organization?
· Are there funding shortfalls for full implementation?
· Are there unexpected additional costs that result from existing software incompatibilities?
· Are there additional security measures to ensure HIPAA compliance, such as staff training?
· What about patient satisfaction scores and how these can affect reimbursement?
The role of the health care executive in exercising sound economic decision making has become increasingly challenging, especially when one considers the potential adverse financial and operational consequences, or civil and criminal penalties, that can result from oversights or errors. Health care executives serve in a fiduciary role within their organizations and communities. To this end, it is helpful for leaders to understand applicable laws that drive economic decision making and its accepted tools from authoritative sources, industry standards, and risk management.
The Provider Organization
How have recent changes in health care affected your current or future desired role within the industry? Do you recognize new concepts and terminology emerging with our changing health care system? To illustrate this point, consider your familiarity with the following economic concepts and their associated implications for providers: accountable care organizations, Readmissions Reduction Program, HCAHPS scores, HAC Reduction Program, never events, value based purchasing, open payments public data, cost shifting, risk sharing, and medical capital equipment (lease versus purchase). These are just a few examples of facets that involve financial, and thus economic, decision making.
It is important to maintain the environmental, larger perspective and to understand what resources are available from the government for economic problem solving and decision making. It is also important to maintain "bifocal vision" as ...
CompetencyEvaluate the role and impact of financial principl.docx
Competency
Evaluate the role and impact of financial principles on healthcare organizations.
Scenario
Metropolitan Memorial is seeking to expand its service offerings into underserved rural communities. The Board of Directors has expressed concerns given the emergence of new payment models, low reimbursement from Medicare and Medicaid, and uncertainty in terms of provider incentives offered through the Affordable Care Act. The Board of Directors has requested an executive summary outlining the organization’s financial viability given the challenges facing health organizations, particularly those operating in rural communities.
Instructions
The CEO has asked you to prepare an executive summary to present to the Board of Trustees, discussing the following information:
Identify the different types of healthcare payment models that could be utilized by Metropolitan Memorial.
Research the Triple AIM and discuss ways the organization can achieve the goals of the Triple AIM (improving the experience of care, improving the health of populations, and reducing per capital costs of health care ).
Discuss possible ways the payer mix may impact hospital revenue.
Explain how value-based healthcare delivery could be utilized to save money.
.
PRIMARY CARE ScenarioType of care providedScenario.docx
PRIMARY CARE Scenario
Type of care provided
Scenario
Question 1
Question 2
Care in this type of setting is delivered by physicians, physician assistants, nurse practitioners, and ad-
vanced practice professionals. This area of health care is the most widely used, and it is a major focus
of the Affordable Care Act of 2010, focusing on primary care providers and decreasing the focus on the
utilization of specialty providers.
As an administrator, you need to assess this situation: How would you determine if there was a true need
for another receptionist? Do you need to reinstate the position or can you retrain the current number of
employees? Why?
As an administrator, describe the effects that labor shortages of key personnel and rising costs of labor
have on profitability. How would you determine how to allocate your money? Be sure to think critically
about the impact that quality outcomes and patient outcomes have on financial resources.
A primary care clinic can be an individual-physician practice or a multiple-physician practice organized
as a nonprofit or a for-profit facility. Multiple-physician practices generally specialize in cardiac, women’s
health, pediatrics, or related services. You are the administrator of a local for-profit, multiple-physician
community clinic owned by five local physicians, specializing in internal medicine, women’s health, pe-
diatrics, orthopedics, and oncology. The clinic sees an average of 50 patients per day. Scheduling is
centralized with two receptionists, and each specialty has four staff members to assist the physicians.
All the physicians have visiting privileges at the area hospitals and frequently speak at local and national
conferences on numerous preventative health care topics. The clinic is noted for its use of technology
and has agreements in place with the local hospitals for web-based exchanges of health information on
shared patients.
Action Required:
Your office just underwent an organizational change and one office receptionist was eliminated, saving
the office $25, 000 per year in labor costs. However, there have been a number of complaints that all
patients cannot be processed due to the increased flow of patients. Two weeks later you begin to hear
that wait times for appointments have increased, and one specific patient was not able to be seen. That
patient now has developed an infection and requires surgery.
Question 3
Based on what you have learned so far in this course, what would be your plan of action for the next 30
days? What types of reports would you use to help support your decisions?
Budget Considerations
Operational Budget – This budget focuses on a broader view of the total operations of the organization in which
all departments are reviewed for both their income potential and the costs associated with the work activities used
to generate projected revenues. Each department will have its own budget for the managers to follow and on
wh.
Community Benefit vs. Organizational BenefitPerhaps you have b.docx
Community Benefit vs. Organizational Benefit
Perhaps you have been to a health fair sponsored by a local hospital in your community. Who benefits from such an effort? When you or your neighbors are screened for signs of illness (hypertension, for instance) or learn about available services, clearly the promotion benefits you, but what about the hospital? Having its name associated with "community service" benefits the institution. Any patients and/or clients the institution attracts may also result in some financial benefit, even if the organization is ostensibly "non-profit."
In this Discussion, you will identify examples of promotion for social change in your community and analyze whether the promotion benefits the community, the organization, or both.
To prepare for this Discussion:
· Review this week's Learning Resources.
· Identify two local health care providers and identify an example of each organization's effort in promoting a service or services as a form of positive social change. One of the organizations should be for-profit, the other, not-for-profit.
Post a brief description of how each organization's promotion fosters social change. Then, evaluate how each organization's marketing promotion benefits the community and how it benefits the organization. Finally, for each example of marketing promotion you have identified, analyze whether the interest of the community and the interest of the organization are in conflict. Briefly comment on how the promotions of the for-profit and non-profit organizations differ and how they are similar.
Support your work with specific citations from this week's Learning Resources and/or additional sources as appropriate.
Fortenberry, J. L., Jr., Elrod, J. K., & McGoldrick, P. J. (2010). Is billboard advertising beneficial for healthcare organizations? An investigation of efficacy and acceptability to patients. Journal of Healthcare Management, 55(2), 81–9 5.
STRATEGY CHALLENGE
Alan M. Zuckerman
What Would You Do?
does the strategic plan require updating because
of healthcare reform?
Metro Health System (MHS) is a successfiil integrated
delivery system (IDS) and the second largest health-
care organization operating in its metropolitan area.
With the passage of healthcare reform into law, how-
ever, MHS s leaders see a need to review and possibly
revise the organization's strategic plan. Although
MHS's relatively recent full plan update still should
be valid, over the past nine months, board members
and executives have raised important questions about
the strategy. The question is, does MHS need to fine-
tune its plan or is a more significant change in strate-
gic direction required?
The Situation
MHS is a $1.3 billion (annual operating revenue),
multifaceted IDS in a medium to large city. Its
performance has been consistently strong for the
past seven years as measured by margin, share,
and other indicators. The organization comprises
two large hospitals, about 300 emplo.
Hello, I need assistance with the following I need assistance.docx
Hello, I need assistance with the following:
I need assistance with the following, would you be able to assist?
The project is the creation of a white paper.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.
The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five.
In this assignment, you will demonstrate your mastery of the following course outcomes:
†
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle
†
Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements
†
Analyze organizational strategies for negotiating healthcare contracts with managed care organizations
†
Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations
†
Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on
pay for performance incentives
Prompt
You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals var.
Health Reform - Opportunities in Payer & Health Services - March 2017
(Deck created and provided by Ari Gottlieb, Strategy& / pwc.) Strategy and data analysis showing overview of healthcare dollars in US including funding and spending breakdowns with payers and providers, as well as government share of dollars spent. Also highlights opportunities for growth.
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.
Healthcare ReimbursementI need help on the following assignment C.docx
Healthcare Reimbursement
I need help on the following assignment: Create a white paper. I have coompleted the first part and can provide it to you for help on the second part of the paper.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.
The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five.
In this assignment, you will demonstrate your mastery of the following course outcomes:
†
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle
†
Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements
†
Analyze organizational strategies for negotiating healthcare contracts with managed care organizations
†
Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations
†
Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on
pay for performance incentives
Prompt
You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an i.
ScenarioHealth organizations continue to face challenges relativ.docx
Scenario
Health organizations continue to face challenges relative to costs and revenue. Changes in reimbursement structure is most often cited as one of the biggest challenges for providers. As a result, leaders are developing new approaches aimed at creating additional revenue streams.
Traditionally, hospitals have operated on profit margins that are often described as challenging. As a result of increased labor costs and a shift in payer mix, hospitals are being forced to do more with fewer resources. Consequently, hospitals are seeking new ways to improve their margins. Increasing patient volume is no longer effective in improving margins given the focus on value-driven care. As the CEO of XYZ hospital, you are asked to make a presentation to the board regarding ways to identify new streams of revenue.
Your hospital operates in a low-income community with a significantly large population of residents enrolled in Medicare and Medicaid coverage. Critical issues such as length of stay (LOS) requirements and other financial threats are creating an urgent need for your organization to consider new revenue sources. After conducting research into the development of alternate revenue streams implemented by hospitals, you propose a new state of the art wellness center. Your task is to gain support for the wellness center.
Instructions
Create a PowerPoint presentation in which you highlight the following:
Describe, in detail, the service offerings that you would include in your new wellness center.
Discuss any potential barriers to implementing the wellness center.
Explain how the new wellness center can potentially affect overall costs.
Explain how the new wellness center can potentially affect overall quality of care.
Describe the potential impact of the new wellness center on the underserved.
Discuss the potential implications of the proposed revenue stream on payers, patients, and providers.
Your presentation should include either speaker notes or voiceover narration.
Research the concept of developing wellness centers, using credible sources to create your presentation.
Rubric
- Clear and thorough description of the service offerings of the new wellness center, including multiple credible sources.
- Clear and thorough discussion of potential barriers to implementing the wellness center, including multiple credible sources.
- Clear and thorough explanation of how the new wellness center can potentially affect overall costs, including multiple credible sources.
- Clear and thorough explanation of how the new wellness center can potentially affect overall quality of care, including multiple credible sources.
- Clear and thorough description of the potential impact of the new revenue stream on underserved, including multiple credible sources.
- Comprehensive discussion of the implications of the proposed revenue stream on payers, patients, and providers, including multiple credible sources.
- Presentation included co.
1 3. Compare and contrast the external financing options t.docx
1
3. Compare and contrast the external financing options that are available for healthcare organizations
today.
Reading Assignment
Chapter 4:
Understanding Costs
Unit Lesson
This unit will introduce you to the concept of costs in healthcare. For public service organizations and
healthcare organizations of all kinds, an understanding of costs is absolutely essential. The better that
healthcare managers understand costs, the more accurate their planning will be, and the better they will be
able to control spending for the organization within their areas of responsibility. A solid understanding of costs
will also improve a manager’s ability to make effective decisions on a day-to-day basis for his or her
department. Thus, for many reasons, you need to get a solid understanding of costs. That is what we will
seek to provide in Unit III.
First let us face reality, costs in healthcare are complicated. They are considerably more complicated than
costs in industries such as manufacturing, construction, or retail. One important emphasis of this unit is on
providing a clear understanding of key definitions for widely used cost terms. Such terms include direct costs,
indirect costs, average costs, fixed costs, variable costs, and marginal costs.
In this unit, you will come to realize that finance has its own language, and in order to be effective as a
healthcare manager, you must be able to speak that language. Otherwise you will find yourself in foreign
territory at management team meetings and board of directors meetings. You will also be at great
disadvantage when budget time rolls around each year. Accordingly, in this course, we will teach you the
language of finance so that you can communicate clearly with the chief financial officer (CFO) and other
members of management.
Another focus for Unit III is on understanding how costs change as service volumes change. The relationship
between costs and volume has a dramatic impact on the profits or losses incurred by an organization, and
this relationship is critical to effective decision making. Healthcare organizations must generate black ink on
the income statement in order to survive. That is true for both for-profit and not-for-profit entities, so you must
understand the impact of service volumes on costs.
The old story about the Long Island Tailor comes to mind here. It was said that the tailor lost money on every
single suit that he produced for clients, but he made it up in volume. Well, clearly that will never work. Losing
money on every healthcare service we provide, and then getting busier losing money, will close down the
hospital or clinic in a very short time. In healthcare, we need to find a way to provide services for our patients
at cost levels which allow some margin of revenues over expenses. This may not be true for every patient that
we treat, but it must be true for our patient population overall. Otherwise we could be in a lot of troubl ...
this is assignment 1Financial Stateme.docx
this is assignment 1
Financial Statement Analysis
Student name
University
Professor
October 25, 2016
Financial Statement Analysis
Based on your review of the financial statements, suggest a key insight about the financial health of the company. Speculate on the likely reaction to the financial statements from various stakeholder groups (employee, investors, shareholders). Provide support for your rationale.
Health Management Associates, Inc. (NYSE: HMA) is the operator and owner-general acute care centers in the non-urban communities situated in the US, particularly in the Southwest. The organization was founded in 1977. The hospitals provide services such as oncology, emergency room care, general surgery, internal medicine, radiology, pediatric services, coronary care, and diagnostic care (
www.healthcaremanagement.com
).The company is also providing outpatient services like x-ray, respiratory therapy, one-day surgery, laboratory services, physical therapy as well as cardiology therapy. The mission of the Health Management is to provide America’s best local healthcare. They provide processes, capital finance, expertise, and people that can ensure that the local hospitals can accomplish their mission of delivering compassionate and high-quality healthcare that would substantially improve the lives of patients, the communities they serve, and the physicians providing the care
www.healthcaremanagement.com
)
With regard to the review of the current financial statement, HMA is in a dangerous financial state as a result of the present increasing debts and legal woes. The Office of the Inspector General, Justice Department, and the Department of Health and Human Services served the organization with summons regarding a software program that was used by ED doctors and the records from the emergency department. Some reports suggested that there was pressure from the company’s hospitals management to admit patients from emergency rooms so as to maximize profits. Paul Meyer, former compliance director, claimed that HMA’s fraudulent activities could attract government investigation (Britt, 2012).
The common stock of Health Management Associates was owned by almost 850 shareholders, as per the records of December 31, 2012, with hundreds of institutional investors included. HMA had expanded to include 70 hospitals situated in 15 states, with roughly 10,562 present licensed beds. In 2012, HMA realized about $5.9 billion in net revenue (Britt, 2012).
HMA gets payments for the services it renders from the federal government through the Medicare program, the states in which it functions under each Medicaid program, and commercial insurance, among others; and patients, encompassing deductibles and co-payments. Basically, deductibles and co-payments are part of the bill of patients for the medical services provided, which many government and private payers expect the patient to cater for. The amount of deductibles and co-payments v.
In this assignment, you will demonstrate your mastery of the followi.docx
In this assignment, you will demonstrate your mastery of the following course outcomes:
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements Analyze organizational strategies for negotiating healthcare contracts with managed care organizations Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on pay for performance incentives
Prompt You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals vary in size, location, and focus. Becker’s Hospital Review has an excellent list of things to know about the hospital industry. Once you have determined the hospital, you will need to think about the way a patient visit works at the hospital you chose so you can review the processes and departments involved. There are several ways to accomplish this. Choose one of the following:
If you have been a patient in a hospital or if you know someone who has, you can use that experience as the basis for your responses. Conduct research through articles or get information from professional organizations.
Below is an example of how to begin framing your analysis.
A patient comes in through the emergency department. In this case, the patient would be triaged and seen in the emergency department. Think about what happens in an emergency area. The patient could be asked to change into a hospital gown (think about the costs of the gown and other supplies provided). If the patient is displaying signs of vomiting, plastic bags will be provided and possibly antinausea medication. Lab work and possibly x-rays would be done. The patient could be sent to surgery, sent home, or admitted as an inpatient. If he or she is admitted as an inpatient, meals will be provided and more tests will be ordered by the physician—again, more costs and charges for the patient bill. Throughout the course, you will be gathering additional information th.
HCAD 600 Introduction to Healthcare Administration5.docx
This document provides instructions for an administrator to complete a strategic planning report for an executive leadership team. It outlines several sections for the administrator to address, including describing their facility and patient population, and identifying factors influencing the facility related to economics, finances, culture/workforce, regulations, and quality initiatives. The administrator is asked to discuss two factors in each area, how they impact operations, and provide a recommendation. They should then summarize the importance of these factors and provide their top three recommendations to be considered as priorities for the strategic plan.
HCAD 600 Introduction to Healthcare Administration5.docx
This document provides guidance for developing a strategic plan report for an executive leadership team. It outlines several key factors that should be considered when making recommendations, including economic, financial, cultural, regulatory, quality initiatives, and changes due to COVID-19. The administrator is asked to identify and discuss factors influencing the facility in each area, how they impact operations, and provide recommendations. The top three recommendations should be prioritized.
Atan M. ZuckermanMetro Mercy Hospital (MMH) has been in a .docx
Atan M. Zuckerman
Metro Mercy Hospital (MMH) has been in a down-
wardspiral, resulting in losses in tbe past few years
anda tenuous casb position. Altbougb a new CEO
bas recently been biredanda turnaround begun, tbe
board is unclear as to wbetber tbe bospital can and
sbould remain independent now and in tbe future.
Wbat sbould tbe board do?
The Siiiuiatiioini
MMH is a Catholic-sponsored, freestanding,
?oo-bed hospital with annual operating revenues
of $125 million, located in the western end of a
city in a large metropolitan area. The hospital is a
relatively undifferentiated, general acute care
hospital with the typical range of medical, surgi-
cal, ob/gyn, and pédiatrie services. The hospital
does not provide any tertiary or even near tertiary
services. It has a very busy emergency depart-
ment and a network of owned physician practices
in the area it serves; these practices provide
mainly primary care services and constitute a
significant portion of the primary care medical
staff of the hospital.
MMH is located in a rapidly changing community.
The population it has historically served, primarily
second- and third-generation Italian- and
Polish-Americans, has moved to the suburbs
and/or aged. These groups have been replaced
by African-Americans, and more recently
Hispanics, particularly immigrants from
Mexico. Although the service area population
was expected to decrease from 1990 to ?ooo,
Census Bureau data indicate that the population—
especially Hispanic—actually grew. Recent
estimates suggest continued slow growth and
transformation of service area demographics.
MMH faces veiy stiff competition due in part to
the number of competitors in and around its
service area and the general overbeddedness in
the region. Its main competitors include St.
Luke's Hospital, the 600-bed flagship of a veiy
successful multihospital system, located a few
miles west of MMH in an affluent suburban area;
a nationally recognized teaching hospital located
within five miles of MMH; a number of other ter-
tiary teaching hospitals located in and around the
downtown area of the city; and one large for-
profit community hospital and two large system-
affiliated community hospitals all located within
three to five miles of MMH.
MMH has experienced downward trends in uti-
lization and financial performance since 2004.
In 2006, the hospital had an operating loss of
$10.9 million (total loss of $10.6 million) after
an operating loss of $10 million (total loss of
$10.2 million) in 2005. The financial situation
led to the resignation of the previous CEO and an
interim management arrangement for about
12 months until a new CEO was named and began
work early in 2007. The board was also reorgan-
ized and a new lay board chair and other board
members with strong business skills were added
in 2006-07.
The CEO's first priority was to restore the
organization to financial health. By fall 2007,
118 AUGUST 2008 healthcare financial management
METRO MERCY HOSPITA ...
Smart Hospitals Round Table Meet, Pune - Newsletter
SMART HOSPITALS has organized a Round Table Meet at Pune recently which was well attended.
Session was about empowering Small Hospitals to pick up early warning signals of Business Stress.
We are sharing the News Letter for your information.
We spent lot of efforts to conduct the Market Survey and to organise a program to educate the industry.
Hope you will like it.....
All we need is - FEEDBACK , after all that liking business...
Happy Reading !!!
Addressing the Oncoming Paradigm Shift in American Healthcare
As I write this blog, I find myself frustrated with by the never-ending hand-wringing about the health care affordability crisis and the unsustainability of the cur rent benefit models for both employers and their employees. The time for action is now. It is my fervent belief that the opportunity for a paradigm change does exist and that we are rapidly approaching the tipping point; that valuable analogs exist and can guide us, and that there are offerings and platforms in the marketplace that can be repositioned or refined to enable the needed re-anchoring of the benefit commitment to a more stable care delivery model.
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.
Senior Seminar in Business Administration BUS 499Coope.docx
Senior Seminar in Business Administration
BUS 499
Cooperative Strategy
Hitt, M.A., Ireland, R.D., & Hoskisson, R.E. (2009). BUS499: Strategic management: Competitiveness and globalization, concepts and cases: 2009 custom edition (8th ed.). Mason, OH: South-Western Cengage Learning.
Welcome to Senior Seminar in Business Administration.
In this lesson we will discuss Cooperative Strategy.
Please go to the next slide.
ObjectivesUpon completion of this lesson, you will be able to:Identify various levels and types of strategy in a firm
Upon completion of this lesson, you will be able to:
Identify various levels and types of strategy in a firm.
Please go to the next slide.
Supporting TopicsStrategic alliancesCooperative strategiesCompetitive risks
In order to achieve this objective, the following supporting topics will be covered:
Strategic alliances;
Cooperative strategies; and
Competitive risks.
Please go to the next slide.
Strategic AlliancesCooperative strategyStrategic allianceCombination of resources and capabilitiesExchange and sharing of resourcesFirms leverage existing resourcesCornerstone of many firms’ competitive strategy
Recognized as a viable engine of firm growth, cooperative strategy is a strategy in which firms work together to achieve a shared objective. Thus, cooperating with other firms is another strategy firms use to create value for a customer that exceeds the cost of providing that value and to establish a favorable position relative to competition.
A strategic alliance is a cooperative strategy in which firms combine some of their resources and capabilities to create a competitive advantage. Thus, strategic alliances involve firms with some degree of exchange and sharing of resources and capabilities to co-develop, sell, and service goods or services. Strategic alliances allow firms to leverage their existing resources and capabilities while working with partners to develop additional resources and capabilities as the foundation for new competitive advantages. To be certain, the reality today is that strategic alliances have become a cornerstone of many firms’ competitive strategy.
Please go to the next slide.
Strategic Alliances, continuedJoint ventureEquity strategic allianceNonequity strategic alliance
The three major types of strategic alliances include joint venture, equity strategic alliance, and nonequity strategic alliance.
A joint venture is a strategic alliance in which two or more firms create a legally independent company to share some of their resources and capabilities to develop a competitive advantage. Joint ventures, which are often formed to improve firms’ abilities to compete in uncertain competitive environments, are effective in establishing long-term relationships and in transferring tacit knowledge. Because it can’t be codified, tacit, or implied, knowledge is learned through experiences such as those taking place when people from partner firms work together in a join.
Select two countries that have been or currently are in confli.docx
Select two countries that have been or currently are in conflict.
Compare the two countries using the cultural dimensions interactive index.
Briefly describe the two countries that you selected and the conflict in which they are engaged. Explain why you selected them.
Compare the two countries on the following dimensions: collectivism-individualism, masculinity-femininity, power distance, long-term orientation, and uncertainty avoidance.
Explain what insights you had or conclusions that you might now draw about the countries and/or the conflict between them based on your comparison.
Explain the role that culture plays in this conflict and how dimensions of culture might influence the resolution of the conflict.
"Hofstede's Cultural Dimensions: Understanding Workplace Values Around the World." Notice the differences between each dimension of culture.
.
More Related Content
Similar to ScenarioYou are the CFO of a rural hospital. During a recent rev.docx
I need the follwoing assignmentThe project is the creation of a w.docx
I need the follwoing assignment:
The project is the creation of a white paper.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.
The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five.
In this assignment, you will demonstrate your mastery of the following course outcomes:
†
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle
†
Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements
†
Analyze organizational strategies for negotiating healthcare contracts with managed care organizations
†
Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations
†
Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on
pay for performance incentives
Prompt
You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals vary in size, location, and focus.
Becker’s Hospital Review
has an excellent .
Julie colacurto audit_plan
The audit plan summarizes the key elements of the revenue recognition guidance and provides an overview of the audit risk assessment for New York Presbyterian Hospital for the year ended December 31, 2014. Specifically, it outlines the general revenue recognition standards, industry-specific standards for hospitals and medical practices, describes the material revenue streams and patient mix for NYP, and assesses the inherent risk of NYP's revenue recognition process as relatively low. A preliminary analytical review found that NYP's revenue increased by $109 million from 2013 to 2014, which is likely due to its acquisition of Lawrence Hospital Center in July 2014.
NHS-FP6008 Assessment 1 ContextAssessment 1 ContextHealth Care.docx
NHS-FP6008 Assessment 1 Context
Assessment 1 ContextHealth Care Economics: An Industry Overview
Providers and consumers of health care services have experienced significant changes following the enactment of the Patient Protection and Affordable Care Act of 2010 (Affordable Care Act). New terminology, concepts, methods of valuation, reimbursement, and decisions accompanied this landmark legislative change. Health care leaders are responsible for maintaining the financial viability of their organizations, aligning with both the organizational mission statement and directional strategy, and allocating finite resources. This task has become increasingly complex due in part to changes associated with the Affordable Care Act.
Conditions of participation in state- and federally-funded health care programs have generated new requirements, and some represent major challenges with respect to implementation and compliance. An example of this can be seen with the electronic medical records initiative, which has been an ongoing challenge. Leaders must grapple with questions such as:
· What is the actual cost to the organization?
· Are there funding shortfalls for full implementation?
· Are there unexpected additional costs that result from existing software incompatibilities?
· Are there additional security measures to ensure HIPAA compliance, such as staff training?
· What about patient satisfaction scores and how these can affect reimbursement?
The role of the health care executive in exercising sound economic decision making has become increasingly challenging, especially when one considers the potential adverse financial and operational consequences, or civil and criminal penalties, that can result from oversights or errors. Health care executives serve in a fiduciary role within their organizations and communities. To this end, it is helpful for leaders to understand applicable laws that drive economic decision making and its accepted tools from authoritative sources, industry standards, and risk management.
The Provider Organization
How have recent changes in health care affected your current or future desired role within the industry? Do you recognize new concepts and terminology emerging with our changing health care system? To illustrate this point, consider your familiarity with the following economic concepts and their associated implications for providers: accountable care organizations, Readmissions Reduction Program, HCAHPS scores, HAC Reduction Program, never events, value based purchasing, open payments public data, cost shifting, risk sharing, and medical capital equipment (lease versus purchase). These are just a few examples of facets that involve financial, and thus economic, decision making.
It is important to maintain the environmental, larger perspective and to understand what resources are available from the government for economic problem solving and decision making. It is also important to maintain "bifocal vision" as ...
CompetencyEvaluate the role and impact of financial principl.docx
Competency
Evaluate the role and impact of financial principles on healthcare organizations.
Scenario
Metropolitan Memorial is seeking to expand its service offerings into underserved rural communities. The Board of Directors has expressed concerns given the emergence of new payment models, low reimbursement from Medicare and Medicaid, and uncertainty in terms of provider incentives offered through the Affordable Care Act. The Board of Directors has requested an executive summary outlining the organization’s financial viability given the challenges facing health organizations, particularly those operating in rural communities.
Instructions
The CEO has asked you to prepare an executive summary to present to the Board of Trustees, discussing the following information:
Identify the different types of healthcare payment models that could be utilized by Metropolitan Memorial.
Research the Triple AIM and discuss ways the organization can achieve the goals of the Triple AIM (improving the experience of care, improving the health of populations, and reducing per capital costs of health care ).
Discuss possible ways the payer mix may impact hospital revenue.
Explain how value-based healthcare delivery could be utilized to save money.
.
PRIMARY CARE ScenarioType of care providedScenario.docx
PRIMARY CARE Scenario
Type of care provided
Scenario
Question 1
Question 2
Care in this type of setting is delivered by physicians, physician assistants, nurse practitioners, and ad-
vanced practice professionals. This area of health care is the most widely used, and it is a major focus
of the Affordable Care Act of 2010, focusing on primary care providers and decreasing the focus on the
utilization of specialty providers.
As an administrator, you need to assess this situation: How would you determine if there was a true need
for another receptionist? Do you need to reinstate the position or can you retrain the current number of
employees? Why?
As an administrator, describe the effects that labor shortages of key personnel and rising costs of labor
have on profitability. How would you determine how to allocate your money? Be sure to think critically
about the impact that quality outcomes and patient outcomes have on financial resources.
A primary care clinic can be an individual-physician practice or a multiple-physician practice organized
as a nonprofit or a for-profit facility. Multiple-physician practices generally specialize in cardiac, women’s
health, pediatrics, or related services. You are the administrator of a local for-profit, multiple-physician
community clinic owned by five local physicians, specializing in internal medicine, women’s health, pe-
diatrics, orthopedics, and oncology. The clinic sees an average of 50 patients per day. Scheduling is
centralized with two receptionists, and each specialty has four staff members to assist the physicians.
All the physicians have visiting privileges at the area hospitals and frequently speak at local and national
conferences on numerous preventative health care topics. The clinic is noted for its use of technology
and has agreements in place with the local hospitals for web-based exchanges of health information on
shared patients.
Action Required:
Your office just underwent an organizational change and one office receptionist was eliminated, saving
the office $25, 000 per year in labor costs. However, there have been a number of complaints that all
patients cannot be processed due to the increased flow of patients. Two weeks later you begin to hear
that wait times for appointments have increased, and one specific patient was not able to be seen. That
patient now has developed an infection and requires surgery.
Question 3
Based on what you have learned so far in this course, what would be your plan of action for the next 30
days? What types of reports would you use to help support your decisions?
Budget Considerations
Operational Budget – This budget focuses on a broader view of the total operations of the organization in which
all departments are reviewed for both their income potential and the costs associated with the work activities used
to generate projected revenues. Each department will have its own budget for the managers to follow and on
wh.
Community Benefit vs. Organizational BenefitPerhaps you have b.docx
Community Benefit vs. Organizational Benefit
Perhaps you have been to a health fair sponsored by a local hospital in your community. Who benefits from such an effort? When you or your neighbors are screened for signs of illness (hypertension, for instance) or learn about available services, clearly the promotion benefits you, but what about the hospital? Having its name associated with "community service" benefits the institution. Any patients and/or clients the institution attracts may also result in some financial benefit, even if the organization is ostensibly "non-profit."
In this Discussion, you will identify examples of promotion for social change in your community and analyze whether the promotion benefits the community, the organization, or both.
To prepare for this Discussion:
· Review this week's Learning Resources.
· Identify two local health care providers and identify an example of each organization's effort in promoting a service or services as a form of positive social change. One of the organizations should be for-profit, the other, not-for-profit.
Post a brief description of how each organization's promotion fosters social change. Then, evaluate how each organization's marketing promotion benefits the community and how it benefits the organization. Finally, for each example of marketing promotion you have identified, analyze whether the interest of the community and the interest of the organization are in conflict. Briefly comment on how the promotions of the for-profit and non-profit organizations differ and how they are similar.
Support your work with specific citations from this week's Learning Resources and/or additional sources as appropriate.
Fortenberry, J. L., Jr., Elrod, J. K., & McGoldrick, P. J. (2010). Is billboard advertising beneficial for healthcare organizations? An investigation of efficacy and acceptability to patients. Journal of Healthcare Management, 55(2), 81–9 5.
STRATEGY CHALLENGE
Alan M. Zuckerman
What Would You Do?
does the strategic plan require updating because
of healthcare reform?
Metro Health System (MHS) is a successfiil integrated
delivery system (IDS) and the second largest health-
care organization operating in its metropolitan area.
With the passage of healthcare reform into law, how-
ever, MHS s leaders see a need to review and possibly
revise the organization's strategic plan. Although
MHS's relatively recent full plan update still should
be valid, over the past nine months, board members
and executives have raised important questions about
the strategy. The question is, does MHS need to fine-
tune its plan or is a more significant change in strate-
gic direction required?
The Situation
MHS is a $1.3 billion (annual operating revenue),
multifaceted IDS in a medium to large city. Its
performance has been consistently strong for the
past seven years as measured by margin, share,
and other indicators. The organization comprises
two large hospitals, about 300 emplo.
Hello, I need assistance with the following I need assistance.docx
Hello, I need assistance with the following:
I need assistance with the following, would you be able to assist?
The project is the creation of a white paper.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.
The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five.
In this assignment, you will demonstrate your mastery of the following course outcomes:
†
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle
†
Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements
†
Analyze organizational strategies for negotiating healthcare contracts with managed care organizations
†
Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations
†
Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on
pay for performance incentives
Prompt
You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals var.
Health Reform - Opportunities in Payer & Health Services - March 2017
(Deck created and provided by Ari Gottlieb, Strategy& / pwc.) Strategy and data analysis showing overview of healthcare dollars in US including funding and spending breakdowns with payers and providers, as well as government share of dollars spent. Also highlights opportunities for growth.
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.
Healthcare ReimbursementI need help on the following assignment C.docx
Healthcare Reimbursement
I need help on the following assignment: Create a white paper. I have coompleted the first part and can provide it to you for help on the second part of the paper.
Much of what happens in healthcare is about understanding the expectations of the many departments and personnel within the organization. Reimbursement drives the financial operations of healthcare organizations; each department affects the reimbursement process regarding timelines and the amount of money put into and taken out of the system. However, if departments do not follow the guidelines put into place or do not capture the necessary information, it can be detrimental to the reimbursement system.
An important role for patient financial services (PFS) personnel is to monitor the reimbursement process, analyze the reimbursement process, and suggest changes to help maximize the reimbursement. One way to make this process more efficient is by ensuring that the various departments and personnel are exposed to the necessary knowledge.
For your final project, you will assume the role of a supervisor within a PFS department and develop a white paper in which the necessary healthcare reimbursement knowledge is outlined.
The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules One, Three, and Five.
In this assignment, you will demonstrate your mastery of the following course outcomes:
†
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle
†
Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements
†
Analyze organizational strategies for negotiating healthcare contracts with managed care organizations
†
Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations
†
Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on
pay for performance incentives
Prompt
You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an i.
ScenarioHealth organizations continue to face challenges relativ.docx
Scenario
Health organizations continue to face challenges relative to costs and revenue. Changes in reimbursement structure is most often cited as one of the biggest challenges for providers. As a result, leaders are developing new approaches aimed at creating additional revenue streams.
Traditionally, hospitals have operated on profit margins that are often described as challenging. As a result of increased labor costs and a shift in payer mix, hospitals are being forced to do more with fewer resources. Consequently, hospitals are seeking new ways to improve their margins. Increasing patient volume is no longer effective in improving margins given the focus on value-driven care. As the CEO of XYZ hospital, you are asked to make a presentation to the board regarding ways to identify new streams of revenue.
Your hospital operates in a low-income community with a significantly large population of residents enrolled in Medicare and Medicaid coverage. Critical issues such as length of stay (LOS) requirements and other financial threats are creating an urgent need for your organization to consider new revenue sources. After conducting research into the development of alternate revenue streams implemented by hospitals, you propose a new state of the art wellness center. Your task is to gain support for the wellness center.
Instructions
Create a PowerPoint presentation in which you highlight the following:
Describe, in detail, the service offerings that you would include in your new wellness center.
Discuss any potential barriers to implementing the wellness center.
Explain how the new wellness center can potentially affect overall costs.
Explain how the new wellness center can potentially affect overall quality of care.
Describe the potential impact of the new wellness center on the underserved.
Discuss the potential implications of the proposed revenue stream on payers, patients, and providers.
Your presentation should include either speaker notes or voiceover narration.
Research the concept of developing wellness centers, using credible sources to create your presentation.
Rubric
- Clear and thorough description of the service offerings of the new wellness center, including multiple credible sources.
- Clear and thorough discussion of potential barriers to implementing the wellness center, including multiple credible sources.
- Clear and thorough explanation of how the new wellness center can potentially affect overall costs, including multiple credible sources.
- Clear and thorough explanation of how the new wellness center can potentially affect overall quality of care, including multiple credible sources.
- Clear and thorough description of the potential impact of the new revenue stream on underserved, including multiple credible sources.
- Comprehensive discussion of the implications of the proposed revenue stream on payers, patients, and providers, including multiple credible sources.
- Presentation included co.
1 3. Compare and contrast the external financing options t.docx
1
3. Compare and contrast the external financing options that are available for healthcare organizations
today.
Reading Assignment
Chapter 4:
Understanding Costs
Unit Lesson
This unit will introduce you to the concept of costs in healthcare. For public service organizations and
healthcare organizations of all kinds, an understanding of costs is absolutely essential. The better that
healthcare managers understand costs, the more accurate their planning will be, and the better they will be
able to control spending for the organization within their areas of responsibility. A solid understanding of costs
will also improve a manager’s ability to make effective decisions on a day-to-day basis for his or her
department. Thus, for many reasons, you need to get a solid understanding of costs. That is what we will
seek to provide in Unit III.
First let us face reality, costs in healthcare are complicated. They are considerably more complicated than
costs in industries such as manufacturing, construction, or retail. One important emphasis of this unit is on
providing a clear understanding of key definitions for widely used cost terms. Such terms include direct costs,
indirect costs, average costs, fixed costs, variable costs, and marginal costs.
In this unit, you will come to realize that finance has its own language, and in order to be effective as a
healthcare manager, you must be able to speak that language. Otherwise you will find yourself in foreign
territory at management team meetings and board of directors meetings. You will also be at great
disadvantage when budget time rolls around each year. Accordingly, in this course, we will teach you the
language of finance so that you can communicate clearly with the chief financial officer (CFO) and other
members of management.
Another focus for Unit III is on understanding how costs change as service volumes change. The relationship
between costs and volume has a dramatic impact on the profits or losses incurred by an organization, and
this relationship is critical to effective decision making. Healthcare organizations must generate black ink on
the income statement in order to survive. That is true for both for-profit and not-for-profit entities, so you must
understand the impact of service volumes on costs.
The old story about the Long Island Tailor comes to mind here. It was said that the tailor lost money on every
single suit that he produced for clients, but he made it up in volume. Well, clearly that will never work. Losing
money on every healthcare service we provide, and then getting busier losing money, will close down the
hospital or clinic in a very short time. In healthcare, we need to find a way to provide services for our patients
at cost levels which allow some margin of revenues over expenses. This may not be true for every patient that
we treat, but it must be true for our patient population overall. Otherwise we could be in a lot of troubl ...
this is assignment 1Financial Stateme.docx
this is assignment 1
Financial Statement Analysis
Student name
University
Professor
October 25, 2016
Financial Statement Analysis
Based on your review of the financial statements, suggest a key insight about the financial health of the company. Speculate on the likely reaction to the financial statements from various stakeholder groups (employee, investors, shareholders). Provide support for your rationale.
Health Management Associates, Inc. (NYSE: HMA) is the operator and owner-general acute care centers in the non-urban communities situated in the US, particularly in the Southwest. The organization was founded in 1977. The hospitals provide services such as oncology, emergency room care, general surgery, internal medicine, radiology, pediatric services, coronary care, and diagnostic care (
www.healthcaremanagement.com
).The company is also providing outpatient services like x-ray, respiratory therapy, one-day surgery, laboratory services, physical therapy as well as cardiology therapy. The mission of the Health Management is to provide America’s best local healthcare. They provide processes, capital finance, expertise, and people that can ensure that the local hospitals can accomplish their mission of delivering compassionate and high-quality healthcare that would substantially improve the lives of patients, the communities they serve, and the physicians providing the care
www.healthcaremanagement.com
)
With regard to the review of the current financial statement, HMA is in a dangerous financial state as a result of the present increasing debts and legal woes. The Office of the Inspector General, Justice Department, and the Department of Health and Human Services served the organization with summons regarding a software program that was used by ED doctors and the records from the emergency department. Some reports suggested that there was pressure from the company’s hospitals management to admit patients from emergency rooms so as to maximize profits. Paul Meyer, former compliance director, claimed that HMA’s fraudulent activities could attract government investigation (Britt, 2012).
The common stock of Health Management Associates was owned by almost 850 shareholders, as per the records of December 31, 2012, with hundreds of institutional investors included. HMA had expanded to include 70 hospitals situated in 15 states, with roughly 10,562 present licensed beds. In 2012, HMA realized about $5.9 billion in net revenue (Britt, 2012).
HMA gets payments for the services it renders from the federal government through the Medicare program, the states in which it functions under each Medicaid program, and commercial insurance, among others; and patients, encompassing deductibles and co-payments. Basically, deductibles and co-payments are part of the bill of patients for the medical services provided, which many government and private payers expect the patient to cater for. The amount of deductibles and co-payments v.
In this assignment, you will demonstrate your mastery of the followi.docx
In this assignment, you will demonstrate your mastery of the following course outcomes:
Analyze the impacts of various healthcare departments and their interrelationships on the revenue cycle Compare third-party payer policies through analysis of reimbursement guidelines for achieving timely and maximum reimbursements Analyze organizational strategies for negotiating healthcare contracts with managed care organizations Critique legal and ethical standards and policies in healthcare coding and billing for ensuring compliance with rules and regulations Evaluate the use of reimbursement data for its purpose in case and utilization management and healthcare quality improvement as well as its impact on pay for performance incentives
Prompt You are now a supervisor within the patient financial services (PFS) department of a healthcare system. It has been assigned to you to write a white paper to educate other department managers about reimbursement. This includes how each specific department impacts reimbursement for services, which in turn impacts the healthcare organization as a whole. The healthcare system may include hospitals, clinics, long-term care facilities, and more. For now, your boss has asked you to develop a draft of this paper for the hospital personnel only; in the future, there may be the potential to expand this for other facilities.
In order to complete the white paper, you will need to choose a hospital. You can choose one that you are familiar with or create an imaginary one. Hospitals vary in size, location, and focus. Becker’s Hospital Review has an excellent list of things to know about the hospital industry. Once you have determined the hospital, you will need to think about the way a patient visit works at the hospital you chose so you can review the processes and departments involved. There are several ways to accomplish this. Choose one of the following:
If you have been a patient in a hospital or if you know someone who has, you can use that experience as the basis for your responses. Conduct research through articles or get information from professional organizations.
Below is an example of how to begin framing your analysis.
A patient comes in through the emergency department. In this case, the patient would be triaged and seen in the emergency department. Think about what happens in an emergency area. The patient could be asked to change into a hospital gown (think about the costs of the gown and other supplies provided). If the patient is displaying signs of vomiting, plastic bags will be provided and possibly antinausea medication. Lab work and possibly x-rays would be done. The patient could be sent to surgery, sent home, or admitted as an inpatient. If he or she is admitted as an inpatient, meals will be provided and more tests will be ordered by the physician—again, more costs and charges for the patient bill. Throughout the course, you will be gathering additional information th.
HCAD 600 Introduction to Healthcare Administration5.docx
This document provides instructions for an administrator to complete a strategic planning report for an executive leadership team. It outlines several sections for the administrator to address, including describing their facility and patient population, and identifying factors influencing the facility related to economics, finances, culture/workforce, regulations, and quality initiatives. The administrator is asked to discuss two factors in each area, how they impact operations, and provide a recommendation. They should then summarize the importance of these factors and provide their top three recommendations to be considered as priorities for the strategic plan.
HCAD 600 Introduction to Healthcare Administration5.docx
This document provides guidance for developing a strategic plan report for an executive leadership team. It outlines several key factors that should be considered when making recommendations, including economic, financial, cultural, regulatory, quality initiatives, and changes due to COVID-19. The administrator is asked to identify and discuss factors influencing the facility in each area, how they impact operations, and provide recommendations. The top three recommendations should be prioritized.
Atan M. ZuckermanMetro Mercy Hospital (MMH) has been in a .docx
Atan M. Zuckerman
Metro Mercy Hospital (MMH) has been in a down-
wardspiral, resulting in losses in tbe past few years
anda tenuous casb position. Altbougb a new CEO
bas recently been biredanda turnaround begun, tbe
board is unclear as to wbetber tbe bospital can and
sbould remain independent now and in tbe future.
Wbat sbould tbe board do?
The Siiiuiatiioini
MMH is a Catholic-sponsored, freestanding,
?oo-bed hospital with annual operating revenues
of $125 million, located in the western end of a
city in a large metropolitan area. The hospital is a
relatively undifferentiated, general acute care
hospital with the typical range of medical, surgi-
cal, ob/gyn, and pédiatrie services. The hospital
does not provide any tertiary or even near tertiary
services. It has a very busy emergency depart-
ment and a network of owned physician practices
in the area it serves; these practices provide
mainly primary care services and constitute a
significant portion of the primary care medical
staff of the hospital.
MMH is located in a rapidly changing community.
The population it has historically served, primarily
second- and third-generation Italian- and
Polish-Americans, has moved to the suburbs
and/or aged. These groups have been replaced
by African-Americans, and more recently
Hispanics, particularly immigrants from
Mexico. Although the service area population
was expected to decrease from 1990 to ?ooo,
Census Bureau data indicate that the population—
especially Hispanic—actually grew. Recent
estimates suggest continued slow growth and
transformation of service area demographics.
MMH faces veiy stiff competition due in part to
the number of competitors in and around its
service area and the general overbeddedness in
the region. Its main competitors include St.
Luke's Hospital, the 600-bed flagship of a veiy
successful multihospital system, located a few
miles west of MMH in an affluent suburban area;
a nationally recognized teaching hospital located
within five miles of MMH; a number of other ter-
tiary teaching hospitals located in and around the
downtown area of the city; and one large for-
profit community hospital and two large system-
affiliated community hospitals all located within
three to five miles of MMH.
MMH has experienced downward trends in uti-
lization and financial performance since 2004.
In 2006, the hospital had an operating loss of
$10.9 million (total loss of $10.6 million) after
an operating loss of $10 million (total loss of
$10.2 million) in 2005. The financial situation
led to the resignation of the previous CEO and an
interim management arrangement for about
12 months until a new CEO was named and began
work early in 2007. The board was also reorgan-
ized and a new lay board chair and other board
members with strong business skills were added
in 2006-07.
The CEO's first priority was to restore the
organization to financial health. By fall 2007,
118 AUGUST 2008 healthcare financial management
METRO MERCY HOSPITA ...
Smart Hospitals Round Table Meet, Pune - Newsletter
SMART HOSPITALS has organized a Round Table Meet at Pune recently which was well attended.
Session was about empowering Small Hospitals to pick up early warning signals of Business Stress.
We are sharing the News Letter for your information.
We spent lot of efforts to conduct the Market Survey and to organise a program to educate the industry.
Hope you will like it.....
All we need is - FEEDBACK , after all that liking business...
Happy Reading !!!
Addressing the Oncoming Paradigm Shift in American Healthcare
As I write this blog, I find myself frustrated with by the never-ending hand-wringing about the health care affordability crisis and the unsustainability of the cur rent benefit models for both employers and their employees. The time for action is now. It is my fervent belief that the opportunity for a paradigm change does exist and that we are rapidly approaching the tipping point; that valuable analogs exist and can guide us, and that there are offerings and platforms in the marketplace that can be repositioned or refined to enable the needed re-anchoring of the benefit commitment to a more stable care delivery model.
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.
Similar to ScenarioYou are the CFO of a rural hospital. During a recent rev.docx (20)
I need the follwoing assignmentThe project is the creation of a w.docx
I need the follwoing assignmentThe project is the creation of a w.docx
NHS-FP6008 Assessment 1 ContextAssessment 1 ContextHealth Care.docx
NHS-FP6008 Assessment 1 ContextAssessment 1 ContextHealth Care.docx
CompetencyEvaluate the role and impact of financial principl.docx
CompetencyEvaluate the role and impact of financial principl.docx
PRIMARY CARE ScenarioType of care providedScenario.docx
PRIMARY CARE ScenarioType of care providedScenario.docx
Community Benefit vs. Organizational BenefitPerhaps you have b.docx
Community Benefit vs. Organizational BenefitPerhaps you have b.docx
Hello, I need assistance with the following I need assistance.docx
Hello, I need assistance with the following I need assistance.docx
Health Reform - Opportunities in Payer & Health Services - March 2017
Health Reform - Opportunities in Payer & Health Services - March 2017
Healthcare ReimbursementI need help on the following assignment C.docx
Healthcare ReimbursementI need help on the following assignment C.docx
ScenarioHealth organizations continue to face challenges relativ.docx
ScenarioHealth organizations continue to face challenges relativ.docx
1 3. Compare and contrast the external financing options t.docx
1 3. Compare and contrast the external financing options t.docx
In this assignment, you will demonstrate your mastery of the followi.docx
In this assignment, you will demonstrate your mastery of the followi.docx
HCAD 600 Introduction to Healthcare Administration5.docx
HCAD 600 Introduction to Healthcare Administration5.docx
HCAD 600 Introduction to Healthcare Administration5.docx
HCAD 600 Introduction to Healthcare Administration5.docx
Atan M. ZuckermanMetro Mercy Hospital (MMH) has been in a .docx
Atan M. ZuckermanMetro Mercy Hospital (MMH) has been in a .docx
Smart Hospitals Round Table Meet, Pune - Newsletter
Smart Hospitals Round Table Meet, Pune - Newsletter
Addressing the Oncoming Paradigm Shift in American Healthcare
Addressing the Oncoming Paradigm Shift in American Healthcare
More from WilheminaRossi174
Senior Seminar in Business Administration BUS 499Coope.docx
Senior Seminar in Business Administration
BUS 499
Cooperative Strategy
Hitt, M.A., Ireland, R.D., & Hoskisson, R.E. (2009). BUS499: Strategic management: Competitiveness and globalization, concepts and cases: 2009 custom edition (8th ed.). Mason, OH: South-Western Cengage Learning.
Welcome to Senior Seminar in Business Administration.
In this lesson we will discuss Cooperative Strategy.
Please go to the next slide.
ObjectivesUpon completion of this lesson, you will be able to:Identify various levels and types of strategy in a firm
Upon completion of this lesson, you will be able to:
Identify various levels and types of strategy in a firm.
Please go to the next slide.
Supporting TopicsStrategic alliancesCooperative strategiesCompetitive risks
In order to achieve this objective, the following supporting topics will be covered:
Strategic alliances;
Cooperative strategies; and
Competitive risks.
Please go to the next slide.
Strategic AlliancesCooperative strategyStrategic allianceCombination of resources and capabilitiesExchange and sharing of resourcesFirms leverage existing resourcesCornerstone of many firms’ competitive strategy
Recognized as a viable engine of firm growth, cooperative strategy is a strategy in which firms work together to achieve a shared objective. Thus, cooperating with other firms is another strategy firms use to create value for a customer that exceeds the cost of providing that value and to establish a favorable position relative to competition.
A strategic alliance is a cooperative strategy in which firms combine some of their resources and capabilities to create a competitive advantage. Thus, strategic alliances involve firms with some degree of exchange and sharing of resources and capabilities to co-develop, sell, and service goods or services. Strategic alliances allow firms to leverage their existing resources and capabilities while working with partners to develop additional resources and capabilities as the foundation for new competitive advantages. To be certain, the reality today is that strategic alliances have become a cornerstone of many firms’ competitive strategy.
Please go to the next slide.
Strategic Alliances, continuedJoint ventureEquity strategic allianceNonequity strategic alliance
The three major types of strategic alliances include joint venture, equity strategic alliance, and nonequity strategic alliance.
A joint venture is a strategic alliance in which two or more firms create a legally independent company to share some of their resources and capabilities to develop a competitive advantage. Joint ventures, which are often formed to improve firms’ abilities to compete in uncertain competitive environments, are effective in establishing long-term relationships and in transferring tacit knowledge. Because it can’t be codified, tacit, or implied, knowledge is learned through experiences such as those taking place when people from partner firms work together in a join.
Select two countries that have been or currently are in confli.docx
Select two countries that have been or currently are in conflict.
Compare the two countries using the cultural dimensions interactive index.
Briefly describe the two countries that you selected and the conflict in which they are engaged. Explain why you selected them.
Compare the two countries on the following dimensions: collectivism-individualism, masculinity-femininity, power distance, long-term orientation, and uncertainty avoidance.
Explain what insights you had or conclusions that you might now draw about the countries and/or the conflict between them based on your comparison.
Explain the role that culture plays in this conflict and how dimensions of culture might influence the resolution of the conflict.
"Hofstede's Cultural Dimensions: Understanding Workplace Values Around the World." Notice the differences between each dimension of culture.
.
Serial KillersFor this assignment you will review a serial kille.docx
Serial Killers
For this assignment you will review a serial killer's case in depth. The killer you choose to review will also be the subject of your Week 5 final assignment, so keep your research material handy.
First, choose
one
of the following serial killers:
David Berkowitz ("Son of Sam") taunted police over a year and shot 15 people (6 died) in New York City. The movie "Summer of Sam" was about this time.
Gary Ridgway (the "Green River Killer") holds the American record for most victims. He confessed to killing 48 over a 16-year period but is suspected of having killed many more!
Wayne B. Williams is believed to be the killer of 24 children and young men in Atlanta, though there is still some doubt.
John Allen Muhammad and Lee Boyd Malvo were the "DC snipers" who shot 13 people (ten died) over three weeks in the Washington DC area in 2002.
Ted Bundy: Confessed to almost 30 murders (there may have been more). He was known for being smart and good-looking, and acted as his own lawyer.
Jeffrey Dahmer: His case captured worldwide attention after his capture, mostly due to his habit of keeping parts of his victims long after their deaths, as well as cannibalism and necrophilia.
Kristen Gilbert: An example of a female serial killer, she was a nurse who killed hospital patients in her care.
For this assignment, create a report in Microsoft Word that covers the following points:
Summarize the case: time period, location, number of victims, etc.
Describe the killer's background, methods, and area of operation.
How did the killer select his or her victims? Was there anything that the victims did to provoke the killer?
By analyzing all of the above information, you should now be able to propose a
three-part typology
and explain your analysis. Your typology should describe the killer's
motivation, location, and organized or disorganized factors. For instance, John Wayne Gacy might be described as a
Power/Control, local, organized killer.
.
SESSION 1Michael Delarosa, Department ManagerWhat sugg.docx
SESSION 1
Michael Delarosa, Department Manager
What suggestions do you have for improvement in regards to training new supervisors?
Make sure there are opportunities for hands on problem solving. Too much of our training is theory
and supervisors need to be focused on the real-world problems that come up.
What challenges do supervisors in our plants encounter that training would help them resolve?
I'd say that a lot of the challenges we see relate to the diversity on the line. There are a lot of different
types of people working at CapraTek and they don't always play well together.
What are the most important abilities for supervisors in our plants?
Well… the first thing that comes to mind is the ability to find information. Whether it's technical
information or answers for the people who report to you. Another key ability though is the ability to
acquire technical expertise. No one comes in knowing it all, but the ability to gain necessary
knowledge is very important.
What knowledge does a new supervisor need?
A solid understanding of the job itself. Supervisors provide a lot of training to new employees, so they
need to know our systems and processes inside and out.
Should training be conducted face to face, online, or a combination of both?
I'd say a combination. There are some topics that don't really need a classroom experience, but
others where the face-to-face interaction provides as much as the actual training materials. If it had to
be one or the other, I'd definitely say face to face.
Leland Butler, Shift Supervisor
What suggestions do you have for improvement in regards to training new supervisors?
Don't think you can cover this stuff once and be done with it. I went through supervisor training when I
was promoted, but I've gotta admit, I don't remember much of it. That kind of stuff doesn't always
stick unless you're doing it. Having an opportunity to be in the job and then get training on what you're
actually dealing with is better than sitting in a training room listening to someone talk about theories
and policies.
What challenges do supervisors in our plants encounter that training would help them resolve?
Well… like I said, being able to apply the leadership and supervisory ideas in realistic situations. I'm a
hands-on kind of person and it's always better if I can do something, so maybe like getting training on
performance reviews or some of the paperwork we're all dealing with. That would be helpful.
What are the most important abilities for supervisors in our plants?
Communication and flexibility. Hands down. You need to be able to shift gears decisively and
communicate with your team.
What knowledge does a new supervisor need?
He or she needs to know what the role of their team is to the division. How it all fits together. A good
supervisor needs to be able to communicate to the people who report to him what's going on and why
things are the way they are. So, he's got to be in .
Sheet11a & 1b.RESDETAILRes NumCheck InCheck OutCust IDCustFNameCus.docx
Sheet11a & 1b.RESDETAILRes NumCheck InCheck OutCust IDCustFNameCustLNameCust PhoneCust TypeCust DescLoyalty IDAgent IDAgentFNameAgentLNameAgent TypeAgent DescGuest CountRoom NumRoom TypeRoom DescRate TypeRate DescRate Amt10019/5/209/7/2085WesleyTanner(817)555-1193CCorporate32320Megan SmithFDFront Desk2224KKing BedCCorporate$12010019/5/209/7/2085WesleyTanner(817)555-1193CCorporate32320Megan SmithFDFront Desk2225D2 Double BedsCCorporate$12510029/1/209/10/20100Breanna Rhodes(214)555-9191IIndividual1295Janice MayTTelephone4305D2 Double BedsSStandard$14910039/9/209/11/2015JeffMinerIIndividual14John KingRCOnline Res Center3409D2 Double BedsWWeekend$9910049/12/209/14/2077KimJackson(817)555-4911CCorporate21028Ray SchultzTTelephone4320D2 Double BedsCCorporate$11010049/12/209/14/2077KimJackson(817)555-4911CCorporate21028Ray SchultzTTelephone4409D2 Double BedsCCorporate$10510049/12/209/14/2077KimJackson(817)555-4911CCorporate21028Ray SchultzTTelephone4321KKing BedCCorporate$11210059/15/209/18/20119Mary Vaughn(817)555-2334IIndividual11820MeganSmithFDFront Desk1302KKing BedSStandard$13910069/24/209/26/2097Chris Mancha(469)555-3440IIndividual15314John KingRCOnline Res Center2501KSKing SuiteWWeekend$11910069/24/209/26/2097Chris Mancha(469)555-3440IIndividual15314John KingRCOnline Res Center2502KSKing SuiteWWeekend$11910079/20/209/25/20100Breanna Rhodes(214)555-9191IIndividual12920MeganSmithFDFront Desk2302KKing BedSStandard$139100810/1/2010/3/2085Wesley Tanner(817)555-1193CCorporate3235Janice MayTTelephone3320D2 Double BedsWWeekend$89100810/1/2010/3/2085Wesley Tanner(817)555-1193CCorporate3235Janice MayTTelephone3321KKing BedWWeekend$99100910/1/2010/4/2028Renee Walker(214)555-9285IIndividual13514John KingRCOnline Res Center2502KSKing SuiteWWeekend$129100910/1/2010/4/2028Renee Walker(214)555-9285IIndividual13514John KingRCOnline Res Center2409D2 Double BedsWWeekend$129101010/1/2010/9/2023Shelby DayIIndividual28Ray SchultzTTelephone4225D2 Double BedsWWeekend$1091c.RESDETAIL (ResNum, RoomNum, CheckIn, CheckOut, CustID, CustFName, CustLName, CustPh, CustType, LoyaltyID, AgentID, AgentFName, AgentLName, AgentDesc, GuestCt, RoomType, RoomDesc, RateType, RateDesc, RateAmt)1d. Dependency Diagram for 1NF2a. Table Structure Format for 2NFRESDETAIL (ResNum, RoomNum, RateAmt)ROOM (RoomNum, RoomType, RoomDesc)RESERVATION (ResNum, CheckIn, CheckOut, CustID, CustFName, CustLName, CustPh, CustType, LoyaltyID, AgentID, AgentFName, AgentLName, AgentDesc, GuestCt, RateType, RateDesc)2b. Dependency Diagrams3a. Table Structure Format for 3NFRESDETAIL (ResNum, RoomNum, RateAmt)ROOM (RoomNum, RoomType)ROOMTYPE (RoomType, RoomDesc)RESERVATION (ResNum, CheckIn, CheckOut, CustID, AgentID, GuestCt, RateType)CUSTOMER (CustID, CustFName, CustLName, CustPh, LoyaltyID)CUSTTYPE (CustType, CustTypeDesc)AGENT (AgentID, AgentFName, AgentLName, AgentType)AGENTTYPE (AgentType, AgentDesc)RATETYPE (RateType, RateDesc)3b. Dependency Diagrams for 3NF4. Relational Schema4b. ERD
Sheet2
ima.
Selecting & Implementing Interventions – Assignment #4.docx
Selecting & Implementing Interventions – Assignment #4
image1.png
image2.png
image3.png
Behavioral Interventions
Behav. Intervent. 19: 205–228 (2004)
Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/bin.161
MODIFICATIONS TOBASIC FUNCTIONAL
ANALYSIS PROCEDURES IN SCHOOL
SETTINGS: A SELECTIVE REVIEW
Janet Ellis* and Sandy Magee
University of North Texas, Denton, TX, USA
This review describes applied behavioral research involving functional analyses conducted in public
school settings. Functional analyses in public school settings often require added conditions. The
modified conditions described herein include changes to experimental designs, antecedent changes that
include task variation, tasks included, idiosyncratic variables, physiological conditions, and modified
escape conditions. Finally, consequent modifications cover peer attention, tangibles, varied attention,
and altered escape. Copyright # 2004 John Wiley & Sons, Ltd.
INTRODUCTION
The primary body of functional analysis (FA) literature has historically focused on
persons with developmental disabilities in institutional/residential settings who
engaged in severe self-injurious behavior (SIB). Mace and Lalli (1991) noted that
interventions based on FAs conducted in experimental settings under highly
controlled analog conditions may be effective only to the extent that those analog
conditions match the subject’s natural environment. Johnston (1993) recommended
that, once a procedure has been experimentally developed, its value and applicability
should be assessed under practical/natural conditions. Further, passage of Public Law
105-17, Individuals with Disabilities Education Act (IDEA), in 1997 mandated that a
‘functional behavioral assessment’ be conducted on students who exhibit significant
behavior and adjustment problems. For at least these reasons, FA research has moved
beyond the tightly controlled laboratory setting and into more natural environments
involving more diverse populations. Development of behavioral assessments of
problem behavior in school settings had empirical roots—for example, 36 years ago
Thomas, Becker, and Armstrong (1968) noted that classroom teacher’s disapproval
increased rates of student’s disruptive behavior. These assessments allowed effective
Copyright # 2004 John Wiley & Sons, Ltd.
*Correspondence to: Janet Ellis, Department of Behavior Analysis, University of North Texas, P.O. Box 310919,
Denton, TX 76203-0919, USA. E-mail: [email protected]
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iley.com
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onditions (https://onlinelibrary.w
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behavior change procedures to be implemented in t.
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A Case Study of Global Leadership Development
Best Practice
Article · April 2016
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Some of the authors of this publication are also working on these related projects:
Refreshing leadership development for the 21st century View project
Sebastian Salicru
University of Technology Sydney
13 PUBLICATIONS 4 CITATIONS
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A Case Study of Global
Leadership Development
Best Practice
“GLD is a challenging task that has become more imp.
Shared Reading FrameworkFollow this framework when viewing the v.docx
Shared Reading Framework
Follow this framework when viewing the video lessons for Days 1,2, & 3 from Ms. Chan’s class. Compare and contrast Ms. Chan’s teaching to what is listed on this page.
(Whole)
Read aloud a shared or big book to the students. Label each step and clearly state how you will accomplish this.
·
Introduce the book: Explain what you will say to the students to introduce the book to them, if you choose to point out concepts of book, concepts of print, predicting, etc.
·
Picture Walk: Explain what you will do to provide a Picture Walk for the students, telling all that you will say to the students.
·
Read the book aloud: Explain how you will read the book aloud to the students, will you stop, on what pages, what will you say.
·
Students’ Responses: Develop a set of both literal and higher-order thinking questions to elicit student responses, use Bloom’s or Webb’s as a guide to questions.
(PART)
Direct Instruction (Name the reading skill and explain what it means)
· Explain:
(I do) Explain to the students what they will be learning and why they should learn it. Explain the skill they will be learning and explain “how it works” Summarize the skill in your own words. Teacher tells students everything you want them to learn
(objectives).
· Demonstrate
: (I do) Show the students what you would like them to do. Demonstrate to them what they will be doing to help them learn the skill. You must explain what you will do to demonstrate the skill you will be teaching. PROVIDE EXAMPLES and link to your explain step.
· Guide:
(We do, more teacher responsibility, some student responsibility) Guide the students to discuss and/or attempt the skill you just demonstrated. Explain how you will guide the students to allow them opportunities to try to apply the skill. Give support and feedback. Teacher brings students into discussion about objective and gives guidance and feedback
. (Feedback must be accurate, positive and encouraging, but also firm.)
· Practice:
(We do, more student responsibility) Explain specifically how you will guide the students to practice applying the skill by allowing them to work together with less teacher support but still feedback.
(WHOLE)
· Application:
(You do) (Read the book again and this time ask the students to apply what they learned about the reading skill to the book you are rereading.) Explain what you will have the students do to apply the skill to the text. The students should demonstrate that they can meet objective in this step.
· Students Reflect:
(You do) Develop a set of 6 – 8 questions you would ask the students to reflect on what they learned about the reading skill and what they learned from the book you read to them. This is a good time to ask questions that would meet.
Self-disclosureDepth of reflectionResponse demonstrates an in.docx
Self-disclosure/Depth of reflection
Response demonstrates an in-depth reflection on, and personalization of, the theories, concepts, and/or strategies presented in the course materials to date. Viewpoints and interpretations are insightful and well supported. Clear, detailed examples are provided, as applicable. Demonstrates an open, non-defensive ability to self-appraise, discussing both growth and frustrations as they related to learning in class, as well as implications for future learning.
Analysis/Connection to reading and outside experiences
In-depth synthesis of thoughtfully selected aspects of experiences related to the course topics. Makes clear connections between what is learned from readings, outside experiences and the topics. The reflection is an in-depth analysis of the learning experience, the value of the derived learning to self or others, and the enhancement of the student’s appreciation for the discipline. Demonstrate further analysis and insight resulting from what you have learned from readings, includes reference to at least two readings other than those assigned for class.
Connection to course objectives and BSN outcomes
Synthesize, analyze and evaluate thoughtfully selected aspects of ideas or issues from the class discussion as they relate to the course learning outcomes and the BSN program outcome. (Review your syllabus and students handbook to help make connections)
Structure, organization and grammar
Writing is clear, concise, and well organized with excellent sentence/paragraph construction. Thoughts are expressed in a coherent and logical manner. There are no more than three spelling, grammar, or syntax errors per page of writing.
APA format, page limitations and spelling
Follows APA professional writing style of using 12 point Times New Roman
font, 1inch margins all around, correct
APA headings, and correct format of title page.
.
Sheet1Excel for Finance Majorsweek 1week 2week 3week 4week 5week 6.docx
Sheet1Excel for Finance Majorsweek 1week 2week 3week 4week 5week 6week 7week 8week 9week 10week 11week 12week 13week 14week 15week 16TTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTuesday, August 30, 20168/30/169/1/169/6/169/8/169/13/169/15/169/20/169/22/169/27/169/29/1610/4/1610/6/1610/11/1610/13/1610/18/1610/20/1610/25/1610/27/1611/1/1611/3/1611/8/1611/10/1611/15/1611/17/1611/22/1611/24/1611/29/1612/1/1612/6/1612/8/1612/13/1612/15/16Sign here to indicate attendanceStudent NameStudent ID#Amaya, Brick1235678Bergstrom, Elise1458678Byard, Victoria1681678Costa, Tatyana1904678Derevyanchuk, Dimitri1127678Deshon, Anne1350678Dijkstra, Keith1573678Hail, Adam1796678Harston, Steven2019678Lee, Derek2242678Mcelhannon, Steven2465678Mcquade, Arthur2688678Moskalenko, Tanner2911678Parry, Justin3134678Prasad, Kritnesha3357678Simmons, Benjamin William3580678Soderman, Julia3803678Tverdokhlebova, Julia4026678Wade, Victoria4249678Weiss, Rene4472678Wilson, Jay4695678
Sheet2Student NameStudent ID#Ama, Mary1235783Brown, Victoria1681783Craft Tanya1904783Davy, Miller1127783Dillon, Troy1350783Dijkstra, Karpreet1573783Holmn, Allen1796783Happ, Steven2019783Levi, Dave2242783Maden, Steven2465783McArthur, King2688783Moska, Smith2911783Parson, Jay3134783Simmon, William3580783Sodeir, Jason3803783Tekhleboka, Matt4026783Wahl, Mary4249783Wise, Wilma4472783Woomson, Missy4695783
Sheet1Excel for Finance Majorsweek 1week 2week 3week 4week 5week 6week 7week 8week 9week 10week 11week 12week 13week 14week 15week 16TTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTTHTuesday, August 30, 20168/30/169/1/169/6/169/8/169/13/169/15/169/20/169/22/169/27/169/29/1610/4/1610/6/1610/11/1610/13/1610/18/1610/20/1610/25/1610/27/1611/1/1611/3/1611/8/1611/10/1611/15/1611/17/1611/22/1611/24/1611/29/1612/1/1612/6/1612/8/1612/13/1612/15/16Sign here to indicate attendanceStudent NameStudent ID#Amaya, Brick1235678Bergstrom, Elise1458678Byard, Victoria1681678Costa, Tatyana1904678Derevyanchuk, Dimitri1127678Deshon, Anne1350678Dijkstra, Keith1573678Hail, Adam1796678Harston, Steven2019678Lee, Derek2242678Mcelhannon, Steven2465678Mcquade, Arthur2688678Moskalenko, Tanner2911678Parry, Justin3134678Prasad, Kritnesha3357678Simmons, Benjamin William3580678Soderman, Julia3803678Tverdokhlebova, Julia4026678Wade, Victoria4249678Weiss, Rene4472678Wilson, Jay4695678
Sheet2Student NameStudent ID#Ama, Mary1235783Brown, Victoria1681783Craft Tanya1904783Davy, Miller1127783Dillon, Troy1350783Dijkstra, Karpreet1573783Holmn, Allen1796783Happ, Steven2019783Levi, Dave2242783Maden, Steven2465783McArthur, King2688783Moska, Smith2911783Parson, Jay3134783Simmon, William3580783Sodeir, Jason3803783Tekhleboka, Matt4026783Wahl, Mary4249783Wise, Wilma4472783Woomson, Missy4695783
.
Seemingly riding on the coattails of SARS-CoV-2, the alarming sp.docx
Seemingly riding on the coattails of SARS-CoV-2, the alarming spread of monkeypox across western Europe and the United States has filled the news cycle through the summer of 2022. Monkeypox is an orthopoxvirus, similar in presentation to smallpox and chickenpox (Varicella zoster). In contrast to the related poxviruses, monkeypox has been reported to spread by sexual contact and direct skin-to-skin contact, as well as through the traditional respiratory droplet route. While there is currently no effective treatment for infected individuals, two vaccines with good efficacy are available to help stem the spread of the disease. Likewise, individuals that have been vaccinated against smallpox with vaccinia virus have some protection against contracting monkeypox. While changes in sexual behavior among vulnerable populations has so far limited the outbreak, the disease is still spreading throughout the country and has caused a handful of deaths.
What is the life cycle of monkeypox, and how exactly is it spread? What does the fact that vaccination against smallpox provides some protection against monkeypox indicate about this virus? Also, what does the spread of monkeypox reveal about the susceptibility of the population to smallpox, a disease that has been considered eradicated worldwide since the late 1980s?
In addition to your original response, you will need to respond to at least two other students’ original posts. Responses should be substantive in nature instead of just reiterating what the original poster stated, or a “good job explaining” or “me too” type of post.
Please note that in your response, plagiarism is not allowed. Please do NOT simply cut and paste information from books, journals, websites, or other sources. In addition, direct quotation of sources, regardless of whether or not the source is cited, is not allowed. Please summarize the material and what you have learned in your own words.
.
See the attachment of 1 Article belowPlease answer all the que.docx
See the attachment of 1 Article below
Please answer all the questions below in 1-2 pages (in MLA)
1) the important concepts and terms of the readings
2) the most important arguments of the readings
3) the parts of the readings they found confusing or unclear
4) how this reading relates to previous class readings, lectures, and discussions
You do not need to have a work cited page unless you have outside materials. Please let me know if you have questions.
.
SHAPING SCHOOL CULTURE BY LIVING THE VISION AND MISSIONNameI.docx
SHAPING SCHOOL CULTURE BY LIVING THE VISION AND MISSION
Name
Institution
Date
School
Hello everyone and welcome to today’s presentation. The school in focus is Highland High School which has 9 to 12th grade.
2
Name
Highland High School
Grade levels
9 to 12
Mission
The mssion of the school is to “Empower students to use knowledge, skills, and strategies to become productive members of society who use higher level thinking”. The vision of the school is Students will “Own Their learning”
3
Mission statement
“Empower students to use knowledge, skills, and strategies to become productive members of society who use higher level thinking”
Vision statement
Students will “Own Their learning”
Strategies that embed the mission and vision
It is possible for a school to convey its ethos, mission, goals, and values to its students, staff, and parents in a variety of different methods. A school's prospectus or handbook should present information in a way that is clear and easy to comprehend, taking into account the diverse ethnic group in the area and maybe translating the text into many languages. The website of the school is the spot that makes the most sense to transmit any sort of information regarding the institution as a whole, including its ethos and so on. The internet is the first place that people search for information in this day and age since it can be accessed from anywhere in the world and every school now has its own personal website. Again, in order to experience the true environment of the school, it is necessary to combine this mode of communication with a trip to the location itself.
4
Strategy 1
Communication
Repetitive communication of the mission and vision ensures it is embedded (Jensen et al., 2018)
Communications will target all stakeholders
Technology tools will be used to facilitate communication to all stakeholders
Strategies that embed the mission and vision cont…
A well-defined statement that provides an explanation of the line of work that an individual plans to pursue over the entirety of his career is an example of a career objective. It is essential for each and every student to articulate their aspirations for their future careers. They are able to devise more efficient action plans as a result of this.
5
Strategy 2
Helping students establish career goals
Students will be encouraged to work hard to actualize the goals
Successful careers enable students to become productive members of the society (Şenol & Lesinger, 2018)
Strategies that embed the mission and vision cont…
Finding and employing the appropriate faculty members is possibly the single most significant factor that will determine the institution's long-term success. Even though conducting interviews and making hires is seen by many as an art form, there are tried-and-true strategies that the school may employ to boost its chances of finding the proper people to work there. These approaches are suppo.
Select a healthcare legislature of interest. Discuss the historica.docx
Select a healthcare legislature of interest. Discuss the historical background of the legislation. For example, the person(s) who presented the bill. The committees the bill went through, and revision of the bill until it was passed into law. For example, health insurance is a problem within the USA. The ACA bill was created and pass into law.
.
See discussions, stats, and author profiles for this publicati.docx
See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/13998136
Self-management within a token economy for students with
learning disabilities
Article in Research in Developmental Disabilities · May 1997
DOI: 10.1016/S0891-4222(96)00045-5 · Source: PubMed
CITATIONS
17
READS
1,084
3 authors, including:
Some of the authors of this publication are also working on these related projects:
Self-regulation View project
Animal Assisted Physical Activity View project
Al Cavalier
University of Delaware
29 PUBLICATIONS 491 CITATIONS
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Ralph P Ferretti
University of Delaware
46 PUBLICATIONS 1,276 CITATIONS
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https://www.researchgate.net/?enrichId=rgreq-db53aece611d16c3ef6017901d8bec29-XXX&enrichSource=Y292ZXJQYWdlOzEzOTk4MTM2O0FTOjY0MzI5NDUxNDEyNjg0OEAxNTMwMzg0NzcyNTky&el=1_x_1&_esc=publicationCoverPdf
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https://www.researchgate.net/profile/Al_Cavalier?enrichId=rgreq-db53aece611d16c3ef6017901d8bec29-XXX&enrichSource=Y292ZXJQYWdlOzEzOTk4MTM2O0FTOjY0MzI5NDUxNDEyNjg0OEAxNTMwMzg0NzcyNTky&el=1_x_5&_esc=publicationCoverPdf
https://www.researchgate.net/institution/University_of_Delaware?enrichId=rgreq-db53aece611d16c3ef6017901d8bec29-XXX&enrichSource=Y292ZXJQYWdlOzEzOTk4MTM2O0FTOjY0MzI5NDUxNDEyNjg0OEAxNTMwMzg0NzcyNTky&el=1_x_6&_esc=publicationCoverPdf
https://www.researchgate.net/profile/Al_Cavalier?enrichId=rgreq-db53aece611d16c3ef6017901d8bec29-XXX&enrichSource=Y292ZXJQYWdlOzEzOTk4MTM2O0FTOjY0MzI5NDUxNDEyNjg0OEAxNTMwMzg0NzcyNTky&el=1_x_7&_esc=publicationCoverPdf
https://ww.
Segmented Assimilation Theory and theLife Model An Integrat.docx
Segmented Assimilation Theory and the
Life Model: An Integrated Approach to
Understanding Immigrants and Their Children
Lissette M. Piedra and David W Engstrom
The life model offers social workers a promising framework to use in assisting immigrant
families. However, the complexities of adaptation to a new country may make it difficult
for social workers to operate from a purely ecological approach. The authors use segmented
assimilation theory to better account for the specificities of the immigrant experience. They
argue that by adding concepts from segmented assimilation theory to the life model, social
workers can better understand the environmental Stressors that increase the vulnerabilities
of immigrants to the potentially harsh experience of adapting to a new country. With these
concepts, social workers who work with immigrant families will be better positioned to
achieve their central goal: enhancing person and environment fit.
KEY WORDS: acculturation; assimilation; immigrants; life model; second generation
Nearly a century ago,Jane Addams (1910)
observed that immigrants needed help
integrating their European and American
experiences to give them meaning and a sense of
relation:
Power to see life as a whole is more needed in
the immigrant quarter of the city than anywhere
else Why should the chasm between fathers
and sons, yawning at the feet of each generation,
be made so unnecessarily cruel and impassable
to these bewildered immigrants? (p. 172)
The inability of some immigrant families to
integrate the cultural capital from the world left
behind with the demands of the new society creates
a gulf of experience between immigrants and their
children that can undermine the parental relation-
ship. Today, the issue of family cohesion in the face
of acculturative Stressors remains central to the im-
migrant experience and creates a sense of urgency
because it is so linked with the success of the second
generation. The size of the immigrant population
and the role their children \vill play in future labor
markets (Morales & Bonilla, 1993; Sullivan, 2006)
moves the problem from the realm of the person
to the status of a larger public concern.
Immigrant families are rapidly becoming the
"typical" American family. More than one in seven
families in the United States is headed by a foreign-
born adult. Children of immigrant parents are the
fastest growing segment of the nation's child popula-
tion (Capps, Fix, Ost, Reardon-Anderson, & Passel,
2004).The U.S. Census Bureau (2003) reported that
slightly more than 14 million children (approxi-
mately one in five) live in immigrant families; the
percentage is even higher (22 percent) for children
under the age of six (U.S. Census Bureau, 2001).
At a structural level, these changing demographics
create large-scale and long-range effects that bear
on many social services and many issues of social
pohcy (Sullivan, 2006). Specifically, the population
growth of native-born children in nonwhite.
Select a local, state, or national public policy that is relev.docx
Select a local, state, or national public policy that is relevant today in the local, regional, or national news
Examples:
Local: community or urban growth (examples: results of rezoning, reuse of public structures, closed down school/public buildings that will convert to private business enterprise).
State: Private land converted to public spaces (examples: airports, road, or highway usage).
Federal: Gun policy, drug policy, immigration (examples: effects on jobs, background checks, cultural changes in communities).
Identify how the policy was formulated from a historical standpoint and identify which stakeholders were involved in the process.
Appraise the position whether the policy creates a benefit for one group (or stakeholder) while other groups experience disadvantages or negative challenges because of public policy implementation.
.
School of Community and Environmental HealthMPH Program .docx
School of Community and Environmental Health
MPH Program
Epidemiology: MPH 746
(
Second
Assignment
)
(
Type in you name here as
First Name , Last Name
)
Read the Paper below and answer the following questions. Your answer should be typed in below; and the submitted document should be in Microsoft Word document. The answer for any question should not exceed one paragraph (5-6 lines). The deadline for submission is 11:59 pm EST Nov. 9th, 2022.
(
Ellison LF, Morrison HI:
Low serum cholesterol concentration and risk of suicide
.
Epidemiology
2001,
12
(2):168-172.
)
Question1 (Max. 0.5 point)
What is the purpose of the study?
Question2 (Max. 0.5 point)
What is the study design? What is the exposure? What is the outcome?
Question3 (Max. 2 points)
How the exposure was measured? How the outcome was measured?
Question4 (Max. 1.5 points)
From Table II, calculate the Crude Rate Ratio for serum total cholesterol <4.27 mmol/l compared to >5.77 mmol/l. (must show the details of calculation)
Question5 (Max. 1.5 points)
What is the meaning of this crude Rate Ratio?
Question6 (Max. 1.5 points)
In Table 3, what is the meaning of age and sex adjusted RR of serum total cholesterol <4.27 mmol/l compared to serum total cholesterol >5.77 mmol/l. Was there confounding by age and sex, why or why not? Is the RR statistically significant? What is the meaning of the 95%CI for the RR?
Question7 (Max. 0.5 points)
Was the ascertainment of the outcome as complete as possible? Was there a follow chart?
Question8 (Max. 0.5 points)
The authors stated in the discussion “The possibility of under-ascertainment of suicide deaths is always a concern, although it is probably unlikely that ascertainment varied by serum total cholesterol level”
Explain what the authors meant by their statement.
Question9 (Max. 0.5 points)
Were those who measured the outcome blinded from the exposure status?
Question10 (Max. 0.5 points)
Have the exposures been well measured, or is there any random or systematic misclassification?
Question11 (Max. 5 points)
Do the “exposed” differ from the “unexposed” with respect to other factors? Have these differences taken into account in the design or analysis? i.e. How the authors dealt with confounding?
1
image1.png
Students will synthesize the information they have gathered during the course to formulate a presentation advocating for a practice change in relation to an area of interest to NP practice.
Creating a Professional PowerPoint PresentationDownload Creating a Professional PowerPoint Presentation
In a PowerPoint Presentation, address the following.
1.
Title Slide
2.
Introduction (1 slide): Slide should identify concepts to be addressed and sections of the presentation. Include speaker’s notes that explain, in more detail, what will be covered.
.
School Effects on Psychological Outcomes During Adolescence.docx
School Effects on Psychological Outcomes During Adolescence
Eric M. Anderman
University of Kentucky
Data from the National Longitudinal Study of Adolescent Health were used to examine school-level
differences in the relations between school belonging and various outcomes. In Study 1, predictors of
belonging were examined. Results indicated that belonging was lower in urban schools than in suburban
schools, and lower in schools that used busing practices than those that did not. In Study 2, the relations
between belonging and psychological outcomes were examined. The relations varied depending on the
unit of analysis (individual vs. aggregated measures of belonging). Whereas individual students’
perceptions of belonging were inversely related to depression, social rejection, and school problems,
aggregated belonging was related to greater reports of social rejection and school problems and to higher
grade point average.
Research on school-level differences during adolescence often
has focused on nonpsychological outcomes, such as academic
achievement and behavioral issues, instead of on psychological
outcomes (Roeser, 1998). Indeed, research on school-level differ-
ences in nonacademic variables is quite rare. The purpose of the
present research was to examine school-level differences in a
variety of psychological outcomes, using a large nationally repre-
sentative sample of adolescents.
School Effects on Student Outcomes
Although there is an abundant literature on effective schools,
most of the research in this literature has focused on academic
variables, such as achievement, dropping out, and grade point
average (GPA; e.g., Edmonds, 1979; Miller, 1985; Murphy, Weil,
Hallinger, & Mitman, 1985). This literature generally indicates
that schools that are academically effective have certain recogniz-
able characteristics.
Some of these studies have examined differences between pub-
lic schools and other types of schools. For example, some research
indicates that students who attend public schools achieve more
academically than do students who attend other types of schools
(e.g., Coleman & Hoffer, 1987). Other research suggests that there
may be a benefit in terms of academic achievement for students
who attend Catholic schools compared with non-Catholic schools
(Bryk, Lee, & Holland, 1993). Lee and her colleagues (Lee,
Chow-Hoy, Burkam, Geverdt, & Smerdon, 1998) found that stu-
dents who attended private schools took more advanced math
courses than did students who attended public schools. However,
they also found specific benefits for Catholic schools: Specifically,
in Catholic schools, there was greater school influence on the
courses that students took, and the social distribution of course
enrollment was found to be particularly equitable.
In recent years, psychologists have started to become interested
in the effects of schooling on mental health outcomes (e.g., Boe-
kaerts, 1993; Cowen, 1991; Roeser, Eccles, & Strobel, 1998;
Rutter,.
Search the gene belonging to the accession id you selected in week 2.docx
Search the gene belonging to the accession id you selected in week 2. Use both Ensembl
https://useast.ensembl.org/index.html
and UCSC
https://genome.ucsc.edu/cgi-bin/hgGateway
genomic browsers to get these genomic/sequence features.
For transcript information including UTRs. provide:
Chromosome
Gene location
Coordinates (exons and introns) these are positions in the sequence
Total exon count -> state if this was the same as what you retrieved from NCBI. Note it could be different because it is a different organism.
ORF Strand: some tools present with signs such as -/+, others will state positive/negative or forward/reverse
promoter region
Coding Region
Coordinates (start and end sequence positions)
coding exon count (this may differ from the total count).
positions for coding exons
Compare and contrast the level of information provided by the two genomic browsers against each other and against the information you were able to get from NCBI resources
.
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Chapter 2
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Chapter 3
Surveying: Object Principles & Types of Surveying; Site Plans, Plans & Maps; Scales & Unit of different Measurements.
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Chapter 4
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Chapter 5
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Chapter 6
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2. Satheesh Gopi, Basic Civil Engineering, Pearson Publishers.
3. Ketki Rangwala Dalal, Essentials of Civil Engineering, Charotar Publishing House.
4. BCP, Surveying volume 1
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