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SWOT Analysis
HCS/499 Version 3
2
University of Phoenix Material
SWOT Analysis
Based on review of the performance analysis of Stevens District
Hospital, consider what you perceive to be the strengths,
weaknesses, opportunities and threats for this hospital.
· Strengths and weaknesses are traits internal to the hospital,
i.e. strong physician loyalty to hospital, aging building, and
availability of financial resources.
· Opportunities and threats are external to the hospital, such as
a mall facility available for lease or a competitor hospital
opening two physician practices in your market.
SWOT Analysis
Review the SWOT Analysis PowerPoint® prior to completing
this assignment.
Based on the review of the Stevens District Hospital strategic
planning scenario, conduct a SWOT analysis to generate a list
of perceived strengths, weaknesses, opportunities, and threats
for the hospital.
· Strengths and weaknesses are traits internal to the hospital
(i.e., strong physician loyalty to hospital, aging building, and
availability of financial resources).
· Opportunities and threats are external to the hospital, such as
a mall facility available for lease or a competitor hospital
opening two physician practices in your market.
Write a 700- to 1,050-word analysis that incorporates the key
components of a SWOT analysis for the scenario described in
Week One to generate a list of perceived strengths, weaknesses,
opportunities, and threats. The analysis will include the
following:
· Analyze the purpose of conducting the analysis in the context
of the scenario.
· Analyze the limitations and advantages of conducting a SWOT
analysis on your own (vs. with a group of stakeholders).
· Use the table provided to record your analysis of the
information from the strategic planning scenario and generate
two factors for each of the SWOT categories (strengths,
weaknesses, opportunities, and threats).
Cite at least 1 peer-reviewed, scholarly, or similar references to
support your assignment.
Click the Assignment Files tab to submit your assignment.
Table 1: SWOT Analysis
Analysis of existing information from Stevens District Hospital
strategic planning scenario
Perceived strength (internal)
Analysis of existing information from Stevens District Hospital
strategic planning scenario
Perceived strength (internal)
Analysis of existing information from Stevens District Hospital
strategic planning scenario
Perceived weakness (internal)
Analysis of existing information from Stevens District Hospital
strategic planning scenario
Perceived weakness (internal)
Analysis of existing information from Stevens District Hospital
strategic planning scenario
Perceived opportunity (external)
Analysis of existing information from Stevens District Hospital
strategic planning scenario
Perceived opportunity (external)
Analysis of existing information from Stevens District Hospital
strategic planning scenario
Perceived threat (external)
Analysis of existing information from Stevens District Hospital
strategic planning scenario
Perceived threat (external)
Copyright © 2017 by University of Phoenix. All rights reserved.
Math 107 Quiz 5
Summer 2017
Professor: Jose R. Martinez Castillo
Name________________________________
By signing my name above, I certify that I have completed this
assignment individually,
working independently and not consulting anyone except the
instructor.
Instructions:
• The quiz is worth 100 points. There are 11 problems, the
value of each is indicated on
the problem. Problem 11 is for Extra Credit, and is optional.
Your score on the quiz will
posted in your assignment folder with comments.
• QUIZ 4 is based on Chapter 3 of the “College Algebra, 3rd
Corrected Edition” text. This quiz
is open book and open notes. You may refer to your textbook,
notes, and online classroom
materials, but you may not consult anyone. You may take as
much time as you wish,
provided you turn in your quiz no later than Sunday, October 8.
• Please type your work in your copy of the quiz, or if you
prefer, create a document
containing your work. Scanned work is also acceptable. Be
sure to include your name in
the document. You can also use your graphing calculator.
• If you have any questions, please contact me by e-mail
([email protected]).
1. (4 pts) Which of these graphs represent a one-to-one
function? Answer(s): ____________
(no explanation required.) (There may be more than one graph
that qualifies.)
(A)
(B)
(C)
(D)
mailto:[email protected]
2. (6 pts) Students in a math class took a final exam (with a
grade scale of 0 to 100) and then
took equivalent forms of the exam at monthly intervals
thereafter. The average grade g after t
(Note that "ln" refers
to the natural log function)
(explanation optional)
Using the model,
(a) What was the average grade when the students initially took
the exam, when t = 0?
(b) What was the average grade on the exam when taken 4
months later, to the nearest
integer?
3. (4 pts) Convert to a logarithmic equation: 4x = 128. (no
explanation required) 3. ______
A. log4 � = 128
B. log� 4 = 128
C. log� 128 = 4
D. log4 128 = �
4. (8 pts) Solve the equation. Check all proposed solutions.
Show work in solving and in
checking, and state your final conclusion.
√� − 3 = � − 5
5. (8 pts)
(a) log3 1 =_______ (fill in the blank)
(b) Let � = log3
1
729
State the exponential form of the equation.
(c) Determine the numerical value of log3
1
729
, in simplest form. Work optional.
6. (10 pts) Let f (x) = 4x2 – 6x – 5 and g(x) = 2 – 3x
(a) Find the composite function (� � �)(�) and simplify the
results. Show work.
(b) Find (� � �)(−1) . Show work.
7. (16 pts) Let �(�) =
6� − 1
2� + 7
(b) What is the domain of f ? What is the domain of the inverse
function?
(c) What is f (– 4) ? f (– 4) = ______
work/explanation optional
n the blank is
your answer from part (c)?
work/explanation optional
8. (18 pts) Let f(x) = 2e – x + 1.
Answers can be stated without additional work/explanation.
(a) Which describes how the graph of f can be obtained from the
graph of y = ex ?
Choice: ________
A. Shift the graph of y = e x to the left by 1 unit and shift
upward by 1 unit.
B. Shift the graph of y = e x to the right by 1 unit, stretch
vertically by a factor of 2, and
shift upward by 1 unit.
C. Reflect the graph of y = e x across the x-axis, stretch
vertically by a factor of 2, and shift
upward by 1 unit.
D. Reflect the graph of y = e x across the y-axis, stretch
vertically by a factor of 2, and shift
by 1 unit.
(b) What is the domain of f ?
(c) What is the range of f ?
(d) What is the y-intercept?
(e) What is the horizontal asymptote?
(f) Which is the graph of f ?
GRAPH A GRAPH B
GRAPH C GRAPH
D
NONLINEAR MODELS - For the latter part of the quiz, we will
explore some nonlinear models.
9. (18 pts) QUADRATIC REGRESSION
Data: On a particular fall day, the outdoor temperature was
recorded at 8 times of the day. The
parabola of best fit was determined using the data.
Quadratic Polynomial of Best Fit:
of day (in hours)
and y =
temperature (in degrees)
REMARKS: The times are the hours since midnight.
For instance, t = 6 means 6 am. t = 22 means 10
pm. t = 18.25 hours means
6:15 pm
(a) Use the quadratic polynomial to estimate the outdoor
temperature at 7:30 am, to the
nearest tenth of a degree. (work optional)
(b) Using algebraic techniques we have learned, find the
maximum temperature predicted by
the quadratic model and find the time when it occurred. Report
the time to the nearest
quarter hour (i.e., __:00 or __:15 or __:30 or __:45). (For
instance, a time of 18.25 hours is
reported as 6:15 pm.) Report the maximum temperature to the
nearest tenth of a degree.
Show algebraic work.
together with algebra to estimate
the time(s) of day when the outdoor temperature y was 60
degrees.
That is, sol
31.63.
Show algebraic work in solving. Round the results to the nearest
tenth. Write a concluding
sentence to report the time(s) to the nearest quarter-hour, in the
usual time notation. (Use
more paper if needed)
10. (8 pts) + (extra credit at the end) EXPONENTIAL
REGRESSION
Data: A cup of hot coffee was placed in a room maintained at a
constant temperature of 73
degrees, and the coffee temperature was recorded periodically,
in Table 1.
TABLE 1
t = Time
Elapsed
(minute
s)
C = Coffee
Temperatu
re (degrees
F.)
0 170.0
10 144.5
20 129.2
30 114.3
40 108.5
50 102.4
60 97.9
REMARKS:
Common sense tells us that the coffee will be cooling
off and its temperature will decrease and approach
the ambient temperature of the room, 73 degrees.
So, the temperature difference between the coffee
temperature and the room temperature will decrease
to 0.
We will fit the temperature difference data (Table 2)
Notice that as t gets large, y will get closer and closer
to 0, which is what the temperature difference will
do.
So, we want to analyze the data where t = time
emperature difference
between the coffee temperature and the room
temperature.
TABLE 2
t =
Time
Elapsed
(minute
s)
Temperatu
re
Difference
(degrees
F.)
0 97.0
10 71.5
20 56.2
30 41.3
40 35.5
50 29.4
60 24.9
Exponential Function of Best Fit (using the data in Table 2):
and y = Temperature Difference (in
degrees)
(a) Use the exponential function to estimate the temperature
difference y when 35 minutes
have elapsed. Report your estimated temperature difference to
the nearest tenth of a degree.
(explanation/work optional)
Take your difference estimate from
part (a) and add 73 degrees. Interpret the result by filling in the
blank:
When 35 minutes have elapsed, the estimated coffee
temperature is ________
degrees.
(c) Suppose the coffee temperature C is 140 degrees. Then y =
temperature difference between the coffee and room
temperatures.
the ____ is filled in with your
answer from part (c).
y = 89.976e-0.023t
R² = 0.9848
0
20
40
60
80
100
120
0 10 20 30 40 50 60 70
T
e
m
p
e
ra
tu
re
D
if
fe
re
n
ce
(
d
e
g
re
e
s)
Time Elapsed (minutes)
Temperature Difference between Coffee and Room
EXTRA CREDIT (5 pts):
11. Show algebraic work to solve this part (d) equation for t, to
the nearest tenth. Interpret
your results clearly in the context of the coffee application.
[Use additional paper if needed.
End of quiz: please remember to sign and date the honor
statement in the box on the first
page of the quiz.
HCS 499 Capstone
Strategic Planning Scenario
Background
Stevens District Hospital is a 162-bed acute care hospital that is
qualified as a not for profit facility. The hospital was originally
a county-owned facility and its status was transferred to an
independent facility three years ago. The hospital receives no
external funding from government agencies for operations. The
hospital is accredited by The Joint Commission and received
reaccreditation during their triannual survey last year. The
hospital has an aggressive quality management program and a
low volume of medical malpractice claims. The hospital is
located in Jefferson City, which is a city of 50,000 with 80,000
in the regional market. The hospital provides a general range of
acute care services, including medical/surgical, rehab, and
emergency care. Current Performance Analysis
Mission and Vision
Our mission: To improve health by providing high-quality care,
a comprehensive range of services, and exceptional service.
Our vision: Stevens District Hospital and its affiliates will be
the health care provider of choice for physicians and patients.
Our five year vision is to create a large, multispecialty
physician practice system that would include at least six family
practice physicians and specialists in cardiology, oncology, and
women’s services. Currently, the hospital employs three family
practice physicians, one obstetrician, one medical oncologist,
and one non-invasive cardiologist. Previous Strategic Plan
Review
Goal
Accomplishments
Increase market share by recruiting three family practice
physicians.
The hospital was able to recruit only one family practice
physician to increase primary care market this past year. The
limited number of state medical school graduates makes local
recruitment difficult.
Improve quality HCAPS scores in all six criteria to a baseline of
the 85th percentile.
The hospital improved HCAPS scores in four of six criteria.
Lagging elements in HCAPS scores are inpatient patient
satisfaction and primary care patient satisfaction.Market Forces
Affecting the HospitalVolumes
44582093040563655147262924727284050001000015000200002
500030000AdmissionER visitsDeliveriesSurgeriesVolume
changes last year versus this yearLast yearThis year
Patients
The continued growth of chronic disease will require changes to
the care management model.
Percent of Population by Age
Five Years Ago
Five Years From Now
Under 18
24
18
18 to 44
46
32
45 to 65
26
30
Over 65
4
20
More than 53 percent of residents have at least some college
education, with just over 29 percent having an associate,
bachelor’s, or graduate degree. More than 90 percent of
residents have at least a high school diploma.
The average unemployment rate in the county is 9.9 percent:
Market share distribution percentage with a major competitor.
Five Years Ago
Last Year
Stevens District Hospital
48
35
Competitor
30
43
Out of County Hospitals
22
22
Patient Origin by Zip Code
Increases in the percent of population with chronic disease and
contributing factors will change significantly over the coming
five years.
Payment
There will be continued focus on pay for performance and
increased wellness programs. The Affordable Care Act is
creating more covered lives; however, there are often high
deductibles.
The median household income for county residents is $59,548.
On average, households in the county earn more than the state
median household income of $44,446 and more than the national
average of $53,650. The addition of a new automotive
manufacturing plant to the local market this coming year is
projected to add 1,500 production line jobs and 300
administrative jobs by year end. Median income for the
production positions is estimated at $45,000 and will provide
health, vision, and dental insurance benefits.
Medicaid, 35%Medicare, 30%Commercial, 24%Uninsured,
9%Other, 2%
As part of your review of this data, consider that a portion of
the population will become Medicare eligible, the addition of
manufacturing positions that include benefits will increase
commercial insurance coverage, and changes from the
Affordable Care Act will increase the number of patients in the
market with insurance coverage.Employers
There is expected growth in large employers with the addition
of the automotive factory in the northwest sector of the
county.Physicians
The continued shortage of medical staff, especially in
orthopedics, oncology, and primary care, will require increased
recruitment efforts.Competitors
Hanover County Hospital, which is the other hospital in the
county, has an updated facility that has drawn more market
share to its facility.
Competitor
Key Areas of Competition
New Programs and Facilities
Risk to Market Share
Primary Competitors
Hanover County Hospital
Facility upgrade
Quality scores
Significant renovation of core hospital to update aesthetics
Added new wide-bore MRI machine last year
Reaches the 95th percentile in five of six HCAPS categories
Drawing patients to newer facility
Accommodates heavier patients
Patient perception of higher quality and patient satisfaction
Medical Center in County South of Stevens
Physician clinics
Financial stability
E-visits with specialists
Low debt and high cash on hand
Drawing patients out of primary and specialty care at Stevens
Ability to cash flow projects
Secondary Competitors
Retail Pharmacy Instant Clinic
Low acuity office visits
Pharmacy added instant clinic in north end of county 6 months
ago
Loss of patients from primary care physicians’
practicesTechnology
A competing hospital has added e-visits for physician practices,
which is causing a shift of patients to the competitor hospital's
physician practices.Regulatory Changes
Health care reform through the Affordable Care Act has
increased the number of patients with some form of insurance
payment. These patients are now seeking care in greater
numbers from a primary care physician. Stevens District
Hospital struggles with accommodating patient scheduling
requests to establish care with a primary care
physician.PlanPlanning Components Explanation
Goal
Objective
Actions
Definition
Organization goals that cover broad strategic issues, such as
quality, finances, growth
Broad action items that address organizational goals, such as
increasing market share, increased use of technology, increased
physician satisfaction
Action item that meets an objective, such as implementing
EMR, renovating physician lounge, increasing marketing for
specific products
Examples
- Improve HCAPS scores by 5%
- Improve operating margin by 3%
- Increase market share in 96103 zip code by 5%
- Improve emergency department patient satisfaction survey by
5%
- Grow urgent care visits by 10%
- Implement urgent care center in north zip code
- Purchase tablets for physicians for EMR rounding
Measurement
- % increase in operating margin
- % change in market share
- % change in ED satisfaction survey
- % change in urgent care visits
- Number of patient visits at new urgent care center
- % increased use of EMRFinancial Summary
This year
Last year
Operating Revenues
Net revenues from services to patients
343,737,280
344,726,245
Other operating revenues
16,846,309
20,311,534
Total operating revenues
360,583,589
365,037,779
Operating Expenses
Salaries and benefits
192,053,379
182,853,245
Supplies and other expenses
130,173,477
135,560,131
Depreciation
18,969,799
20,644,157
Interest
2,695,623
2,226,437
Foundation
628,184
1,182,308
Total operating expenses
344,520,462
342,466,278
Income from operations
16,063,127
22,571,501
96101 is Stevens District Hospital zip code
94963 is major competitor hospital zip code
Projected Payer Mix 5-years
Current Payer Mix
Percentage of Population by Insurance
Copyright © 2017 by University of Phoenix. All rights reserved.
_1521445885.xls
Chart19610196101939219392192106921069496394963
Column2
Column2
[], 52%
0.42
0.42
0.12
0.12
0.16
0.16
0.2
0.2
Sheet1Column1Column29610142%9392112%9210616%9496320
%
_1521446193.xls
Chart1AdmissionAdmissionER visitsER
visitsDeliveriesDeliveriesSurgeriesSurgeries
Last year
This year
Volume changes last year versus this year
4458
5147
20930
26292
405
472
6365
7284
Sheet1Last yearThis yearAdmission44585147ER
visits2093026292Deliveries405472Surgeries63657284
_1521447893.xls
Chart1MedicaidMedicareCommercialUninsuredOther
US Age Distribution 2010
0.35
0.3
0.24
0.09
0.02
Sheet1US Age Distribution
2010Medicaid35%Medicare30%Commercial24%Uninsured9%Ot
her2%To resize chart data range, drag lower right corner of
range.
_1521445882.xls
Chart1ObesityObesityDiabetesDiabetesHeart DiseaseHeart
Disease
5 yrs ago
5 yrs ahead
Chronic Disease Predictions
0.15
0.26
0.05
0.12
0.12
0.22
Sheet15 yrs ago5 yrs
aheadObesity15%26%Diabetes5%12%Heart Disease12%22%
SWOT AnalysisHCS499 Version 32University of Phoenix Mater.docx

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  • 1. SWOT Analysis HCS/499 Version 3 2 University of Phoenix Material SWOT Analysis Based on review of the performance analysis of Stevens District Hospital, consider what you perceive to be the strengths, weaknesses, opportunities and threats for this hospital. · Strengths and weaknesses are traits internal to the hospital, i.e. strong physician loyalty to hospital, aging building, and availability of financial resources. · Opportunities and threats are external to the hospital, such as a mall facility available for lease or a competitor hospital opening two physician practices in your market. SWOT Analysis Review the SWOT Analysis PowerPoint® prior to completing this assignment. Based on the review of the Stevens District Hospital strategic planning scenario, conduct a SWOT analysis to generate a list of perceived strengths, weaknesses, opportunities, and threats for the hospital. · Strengths and weaknesses are traits internal to the hospital (i.e., strong physician loyalty to hospital, aging building, and availability of financial resources). · Opportunities and threats are external to the hospital, such as a mall facility available for lease or a competitor hospital
  • 2. opening two physician practices in your market. Write a 700- to 1,050-word analysis that incorporates the key components of a SWOT analysis for the scenario described in Week One to generate a list of perceived strengths, weaknesses, opportunities, and threats. The analysis will include the following: · Analyze the purpose of conducting the analysis in the context of the scenario. · Analyze the limitations and advantages of conducting a SWOT analysis on your own (vs. with a group of stakeholders). · Use the table provided to record your analysis of the information from the strategic planning scenario and generate two factors for each of the SWOT categories (strengths, weaknesses, opportunities, and threats). Cite at least 1 peer-reviewed, scholarly, or similar references to support your assignment. Click the Assignment Files tab to submit your assignment. Table 1: SWOT Analysis Analysis of existing information from Stevens District Hospital strategic planning scenario Perceived strength (internal) Analysis of existing information from Stevens District Hospital strategic planning scenario Perceived strength (internal) Analysis of existing information from Stevens District Hospital strategic planning scenario Perceived weakness (internal)
  • 3. Analysis of existing information from Stevens District Hospital strategic planning scenario Perceived weakness (internal) Analysis of existing information from Stevens District Hospital strategic planning scenario Perceived opportunity (external) Analysis of existing information from Stevens District Hospital strategic planning scenario Perceived opportunity (external) Analysis of existing information from Stevens District Hospital strategic planning scenario Perceived threat (external) Analysis of existing information from Stevens District Hospital strategic planning scenario Perceived threat (external) Copyright © 2017 by University of Phoenix. All rights reserved. Math 107 Quiz 5 Summer 2017
  • 4. Professor: Jose R. Martinez Castillo Name________________________________ By signing my name above, I certify that I have completed this assignment individually, working independently and not consulting anyone except the instructor. Instructions: • The quiz is worth 100 points. There are 11 problems, the value of each is indicated on the problem. Problem 11 is for Extra Credit, and is optional. Your score on the quiz will posted in your assignment folder with comments. • QUIZ 4 is based on Chapter 3 of the “College Algebra, 3rd Corrected Edition” text. This quiz is open book and open notes. You may refer to your textbook, notes, and online classroom materials, but you may not consult anyone. You may take as much time as you wish, provided you turn in your quiz no later than Sunday, October 8. • Please type your work in your copy of the quiz, or if you prefer, create a document containing your work. Scanned work is also acceptable. Be sure to include your name in the document. You can also use your graphing calculator. • If you have any questions, please contact me by e-mail ([email protected]).
  • 5. 1. (4 pts) Which of these graphs represent a one-to-one function? Answer(s): ____________ (no explanation required.) (There may be more than one graph that qualifies.) (A) (B) (C) (D) mailto:[email protected] 2. (6 pts) Students in a math class took a final exam (with a grade scale of 0 to 100) and then took equivalent forms of the exam at monthly intervals thereafter. The average grade g after t (Note that "ln" refers to the natural log function)
  • 6. (explanation optional) Using the model, (a) What was the average grade when the students initially took the exam, when t = 0? (b) What was the average grade on the exam when taken 4 months later, to the nearest integer? 3. (4 pts) Convert to a logarithmic equation: 4x = 128. (no explanation required) 3. ______ A. log4 � = 128 B. log� 4 = 128 C. log� 128 = 4 D. log4 128 = �
  • 7. 4. (8 pts) Solve the equation. Check all proposed solutions. Show work in solving and in checking, and state your final conclusion. √� − 3 = � − 5 5. (8 pts) (a) log3 1 =_______ (fill in the blank) (b) Let � = log3 1 729 State the exponential form of the equation. (c) Determine the numerical value of log3 1 729 , in simplest form. Work optional.
  • 8. 6. (10 pts) Let f (x) = 4x2 – 6x – 5 and g(x) = 2 – 3x (a) Find the composite function (� � �)(�) and simplify the results. Show work. (b) Find (� � �)(−1) . Show work. 7. (16 pts) Let �(�) = 6� − 1 2� + 7
  • 9. (b) What is the domain of f ? What is the domain of the inverse function? (c) What is f (– 4) ? f (– 4) = ______ work/explanation optional n the blank is your answer from part (c)? work/explanation optional 8. (18 pts) Let f(x) = 2e – x + 1.
  • 10. Answers can be stated without additional work/explanation. (a) Which describes how the graph of f can be obtained from the graph of y = ex ? Choice: ________ A. Shift the graph of y = e x to the left by 1 unit and shift upward by 1 unit. B. Shift the graph of y = e x to the right by 1 unit, stretch vertically by a factor of 2, and shift upward by 1 unit. C. Reflect the graph of y = e x across the x-axis, stretch vertically by a factor of 2, and shift upward by 1 unit. D. Reflect the graph of y = e x across the y-axis, stretch vertically by a factor of 2, and shift by 1 unit. (b) What is the domain of f ? (c) What is the range of f ? (d) What is the y-intercept?
  • 11. (e) What is the horizontal asymptote? (f) Which is the graph of f ? GRAPH A GRAPH B GRAPH C GRAPH D NONLINEAR MODELS - For the latter part of the quiz, we will explore some nonlinear models. 9. (18 pts) QUADRATIC REGRESSION Data: On a particular fall day, the outdoor temperature was recorded at 8 times of the day. The parabola of best fit was determined using the data. Quadratic Polynomial of Best Fit: of day (in hours) and y = temperature (in degrees)
  • 12. REMARKS: The times are the hours since midnight. For instance, t = 6 means 6 am. t = 22 means 10 pm. t = 18.25 hours means 6:15 pm (a) Use the quadratic polynomial to estimate the outdoor temperature at 7:30 am, to the nearest tenth of a degree. (work optional) (b) Using algebraic techniques we have learned, find the maximum temperature predicted by the quadratic model and find the time when it occurred. Report the time to the nearest quarter hour (i.e., __:00 or __:15 or __:30 or __:45). (For instance, a time of 18.25 hours is reported as 6:15 pm.) Report the maximum temperature to the nearest tenth of a degree. Show algebraic work.
  • 13. together with algebra to estimate the time(s) of day when the outdoor temperature y was 60 degrees. That is, sol 31.63. Show algebraic work in solving. Round the results to the nearest tenth. Write a concluding sentence to report the time(s) to the nearest quarter-hour, in the usual time notation. (Use more paper if needed) 10. (8 pts) + (extra credit at the end) EXPONENTIAL REGRESSION Data: A cup of hot coffee was placed in a room maintained at a constant temperature of 73 degrees, and the coffee temperature was recorded periodically,
  • 14. in Table 1. TABLE 1 t = Time Elapsed (minute s) C = Coffee Temperatu re (degrees F.) 0 170.0 10 144.5 20 129.2 30 114.3 40 108.5 50 102.4 60 97.9 REMARKS: Common sense tells us that the coffee will be cooling off and its temperature will decrease and approach the ambient temperature of the room, 73 degrees. So, the temperature difference between the coffee temperature and the room temperature will decrease to 0.
  • 15. We will fit the temperature difference data (Table 2) Notice that as t gets large, y will get closer and closer to 0, which is what the temperature difference will do. So, we want to analyze the data where t = time emperature difference between the coffee temperature and the room temperature. TABLE 2 t = Time Elapsed (minute s) Temperatu re Difference (degrees F.) 0 97.0 10 71.5 20 56.2
  • 16. 30 41.3 40 35.5 50 29.4 60 24.9 Exponential Function of Best Fit (using the data in Table 2): and y = Temperature Difference (in degrees) (a) Use the exponential function to estimate the temperature difference y when 35 minutes have elapsed. Report your estimated temperature difference to the nearest tenth of a degree. (explanation/work optional) Take your difference estimate from part (a) and add 73 degrees. Interpret the result by filling in the blank: When 35 minutes have elapsed, the estimated coffee temperature is ________
  • 17. degrees. (c) Suppose the coffee temperature C is 140 degrees. Then y = temperature difference between the coffee and room temperatures. the ____ is filled in with your answer from part (c). y = 89.976e-0.023t R² = 0.9848 0 20 40 60 80 100 120 0 10 20 30 40 50 60 70 T e
  • 19. EXTRA CREDIT (5 pts): 11. Show algebraic work to solve this part (d) equation for t, to the nearest tenth. Interpret your results clearly in the context of the coffee application. [Use additional paper if needed. End of quiz: please remember to sign and date the honor statement in the box on the first page of the quiz. HCS 499 Capstone Strategic Planning Scenario Background Stevens District Hospital is a 162-bed acute care hospital that is qualified as a not for profit facility. The hospital was originally a county-owned facility and its status was transferred to an independent facility three years ago. The hospital receives no external funding from government agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Jefferson City, which is a city of 50,000 with 80,000
  • 20. in the regional market. The hospital provides a general range of acute care services, including medical/surgical, rehab, and emergency care. Current Performance Analysis Mission and Vision Our mission: To improve health by providing high-quality care, a comprehensive range of services, and exceptional service. Our vision: Stevens District Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women’s services. Currently, the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist. Previous Strategic Plan Review Goal Accomplishments Increase market share by recruiting three family practice physicians. The hospital was able to recruit only one family practice physician to increase primary care market this past year. The limited number of state medical school graduates makes local recruitment difficult. Improve quality HCAPS scores in all six criteria to a baseline of the 85th percentile. The hospital improved HCAPS scores in four of six criteria. Lagging elements in HCAPS scores are inpatient patient satisfaction and primary care patient satisfaction.Market Forces Affecting the HospitalVolumes
  • 21. 44582093040563655147262924727284050001000015000200002 500030000AdmissionER visitsDeliveriesSurgeriesVolume changes last year versus this yearLast yearThis year Patients The continued growth of chronic disease will require changes to the care management model. Percent of Population by Age Five Years Ago Five Years From Now Under 18 24 18 18 to 44 46 32 45 to 65 26 30 Over 65 4 20 More than 53 percent of residents have at least some college education, with just over 29 percent having an associate, bachelor’s, or graduate degree. More than 90 percent of residents have at least a high school diploma. The average unemployment rate in the county is 9.9 percent: Market share distribution percentage with a major competitor. Five Years Ago Last Year Stevens District Hospital 48 35
  • 22. Competitor 30 43 Out of County Hospitals 22 22 Patient Origin by Zip Code Increases in the percent of population with chronic disease and contributing factors will change significantly over the coming five years. Payment There will be continued focus on pay for performance and increased wellness programs. The Affordable Care Act is creating more covered lives; however, there are often high deductibles. The median household income for county residents is $59,548. On average, households in the county earn more than the state median household income of $44,446 and more than the national average of $53,650. The addition of a new automotive manufacturing plant to the local market this coming year is projected to add 1,500 production line jobs and 300 administrative jobs by year end. Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits. Medicaid, 35%Medicare, 30%Commercial, 24%Uninsured, 9%Other, 2%
  • 23. As part of your review of this data, consider that a portion of the population will become Medicare eligible, the addition of manufacturing positions that include benefits will increase commercial insurance coverage, and changes from the Affordable Care Act will increase the number of patients in the market with insurance coverage.Employers There is expected growth in large employers with the addition of the automotive factory in the northwest sector of the county.Physicians The continued shortage of medical staff, especially in orthopedics, oncology, and primary care, will require increased recruitment efforts.Competitors Hanover County Hospital, which is the other hospital in the county, has an updated facility that has drawn more market share to its facility. Competitor Key Areas of Competition New Programs and Facilities Risk to Market Share Primary Competitors Hanover County Hospital Facility upgrade Quality scores Significant renovation of core hospital to update aesthetics Added new wide-bore MRI machine last year Reaches the 95th percentile in five of six HCAPS categories Drawing patients to newer facility Accommodates heavier patients Patient perception of higher quality and patient satisfaction Medical Center in County South of Stevens Physician clinics Financial stability E-visits with specialists
  • 24. Low debt and high cash on hand Drawing patients out of primary and specialty care at Stevens Ability to cash flow projects Secondary Competitors Retail Pharmacy Instant Clinic Low acuity office visits Pharmacy added instant clinic in north end of county 6 months ago Loss of patients from primary care physicians’ practicesTechnology A competing hospital has added e-visits for physician practices, which is causing a shift of patients to the competitor hospital's physician practices.Regulatory Changes Health care reform through the Affordable Care Act has increased the number of patients with some form of insurance payment. These patients are now seeking care in greater numbers from a primary care physician. Stevens District Hospital struggles with accommodating patient scheduling requests to establish care with a primary care physician.PlanPlanning Components Explanation Goal Objective Actions Definition Organization goals that cover broad strategic issues, such as quality, finances, growth Broad action items that address organizational goals, such as increasing market share, increased use of technology, increased physician satisfaction Action item that meets an objective, such as implementing EMR, renovating physician lounge, increasing marketing for specific products Examples
  • 25. - Improve HCAPS scores by 5% - Improve operating margin by 3% - Increase market share in 96103 zip code by 5% - Improve emergency department patient satisfaction survey by 5% - Grow urgent care visits by 10% - Implement urgent care center in north zip code - Purchase tablets for physicians for EMR rounding Measurement - % increase in operating margin - % change in market share - % change in ED satisfaction survey - % change in urgent care visits - Number of patient visits at new urgent care center - % increased use of EMRFinancial Summary This year Last year Operating Revenues Net revenues from services to patients 343,737,280 344,726,245 Other operating revenues 16,846,309 20,311,534 Total operating revenues 360,583,589 365,037,779
  • 26. Operating Expenses Salaries and benefits 192,053,379 182,853,245 Supplies and other expenses 130,173,477 135,560,131 Depreciation 18,969,799 20,644,157 Interest 2,695,623 2,226,437 Foundation 628,184 1,182,308 Total operating expenses 344,520,462 342,466,278 Income from operations 16,063,127 22,571,501 96101 is Stevens District Hospital zip code 94963 is major competitor hospital zip code
  • 27. Projected Payer Mix 5-years Current Payer Mix Percentage of Population by Insurance Copyright © 2017 by University of Phoenix. All rights reserved. _1521445885.xls Chart19610196101939219392192106921069496394963 Column2 Column2 [], 52% 0.42 0.42 0.12 0.12 0.16 0.16 0.2 0.2 Sheet1Column1Column29610142%9392112%9210616%9496320 % _1521446193.xls Chart1AdmissionAdmissionER visitsER visitsDeliveriesDeliveriesSurgeriesSurgeries Last year This year Volume changes last year versus this year
  • 28. 4458 5147 20930 26292 405 472 6365 7284 Sheet1Last yearThis yearAdmission44585147ER visits2093026292Deliveries405472Surgeries63657284 _1521447893.xls Chart1MedicaidMedicareCommercialUninsuredOther US Age Distribution 2010 0.35 0.3 0.24 0.09 0.02 Sheet1US Age Distribution 2010Medicaid35%Medicare30%Commercial24%Uninsured9%Ot her2%To resize chart data range, drag lower right corner of range. _1521445882.xls Chart1ObesityObesityDiabetesDiabetesHeart DiseaseHeart Disease 5 yrs ago 5 yrs ahead Chronic Disease Predictions 0.15 0.26 0.05 0.12 0.12 0.22 Sheet15 yrs ago5 yrs aheadObesity15%26%Diabetes5%12%Heart Disease12%22%