What are some possible strategies an organization can implement to remedy this problem? SLP Assignment Expectations Use information from the modular home and background pages as well as other credible and peer reviewed sources retrieved from a library or an Internet search.

What are some possible strategies an organization can implement to remedy this problem? SLP Assignment Expectations Use information from the modular home and background pages as well as other credible and peer reviewed sources retrieved from a library or an Internet search.

Module 2 – Home
Standards of Evaluation
Modular Learning Outcomes
Upon successful completion of this module, the student will be able to satisfy the following outcomes:
? Case
o Identify and discuss the standards by which a health care system may be evaluated.
o Apply the standards of evaluation in comparing and contrasting the U.S. and English system.
? SLP
o Apply the evaluation standard of quality in the care provided in a primary care setting.
o Identify and discuss strategies to improve the care in certain settings.
? Discussion
o Discuss the impact on the quality of care due to limited access and higher costs.
Module Overview
Accessibility
Access refers to the ability of those in need of health services to obtain appropriate care in a timely manner. Can you get medical care when you need it? If yes, you have access. Note: Access is not the same as health insurance coverage, although insurance coverage is a strong predictor of access. Access has also been defined as the timely use of needed, affordable, convenient, acceptable, and effective personal health services. (Shi and Singh, 2005)
Cost of Care
The term cost can carry different meanings in the delivery of health care services. From the consumers’ perspective, cost generally means price. From the providers’ perspective, cost means the cost of producing health care services (including salaries, capital costs, and supplies). From the national perspective, cost refers to how much a nation spends on health care services. This is commonly known as health care expenditures, and is measured in relation to the Gross Domestic Product.
The United States spends a larger share of the gross domestic product (GDP) on health than any other major industrialized country. In 2002, the U.S. devoted 15% of the GDP to health compared with 11% each in Switzerland and Germany and nearly 10% in Iceland, France, Canada, Norway, and Greece, countries with the next highest shares.
According to Health, United States 2005, the major sources of funds for hospital care in 2003 were Medicare (30%) and private health insurance (34%). Physician services were primarily funded by private health insurance (50%) and Medicare (20%).
In contrast, nursing home care was financed primarily by Medicaid (almost 50%) and out-of-pocket payments (more than 25%). The Medicare share of nursing home expenditures has risen from 3% in 1990 to 12% in 2003.
Health Care Cost Factors
There are several factors associated with the rise in health care spending. These factors are apart from general inflation in the economy. Read this Power Point presentation on Health Care Cost Factors associated with rising health care costs.
Quality of Care
“Quality” has been overshadowed by the emphasis placed on access and costs of health care delivery. One major factor causing this phenomenon is the difficulty associated with defining and measuring “quality.” This difficulty notwithstanding, in recent years “quality” has taken center stage primarily due to the growth of managed care and its emphasis on control of utilization and cost containment. The concern is that managed care’s focus on utilization and costs has and will continue to adversely impact quality of care.
The Institute of Medicine has defined quality as “the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.”
In its report, Crossing the Quality Chasm, the IOM specifies six guiding aims for principles of change in reforming the American healthcare system: Health care should be safe, effective, patient-centered, timely, efficient, and equitable.
Some excellent articles can be found in the IOM web site – click here and input quality as your search word.
Quality Assessment refers to the measurement of quality against an established standard. It includes the processes of defining how quality is to be determined, identification of variables or indicators to be measured, statistical analysis, and interpretation of data. (Shi & Singh, 2005)
Quality Assurance is a step beyond quality assessment, and is defined as the process of institutionalizing quality through ongoing assessment and using the results for continuous quality improvement. Quality Assurance is a system wide commitment to engage in ongoing improvement of quality.
See this Power Point presentation on Quality Implications.
Continuity of Care
Continuity is said to be a multidimensional relationship between the patient and care received. It includes factors such as medical record retention/accuracy, patient tracking, visits with same providers, follow-up appointments – generally everything associated with a continuum of care.
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Module 2 – Background
Standards of Evaluation
If you cannot locate an article in one set of databases (e.g., EBSCO), try to locate it in ProQuest.
Required Reading

California Department of Managed Health Care (2013). Continuity of care. Retrieved from https://www.dmhc.ca.gov/HealthCareinCalifornia/YourHealthCareRights/ContinuityofCare.aspx

Davis, K., et al. (2006). Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient’s Lens. The Commonwealth Fund. Retrieved from http://www.commonwealthfund.org/Publications/Fund-Reports/2006/Apr/Mirror–Mirror-on-the-Wall–An-Update-on-the-Quality-of-American-Health-Care-Through-the-Patients-Le.aspx

Hoeksema, J.. (2011). Taking Steps to Control Costs in the OR. Association of Operating Room Nurses. AORN Journal, 94(6), S79-84; quiz S85-6.

Lasser, K. E., Himmelstein, D. U. and Woodlander, S. (2006). Access to Care, Health Status, and Health Disparities in the United States and Canada: Results of a Cross-National Population-Based Survey. American Journal of Public Health 96 (7); 1300.

Woolhandler, S., Campbell, T., Himmelstein, D. U. (2003). Costs of health care administration in the United States and Canada. The New England Journal of Medicine 349 (8); pg. 768.

Zallman, L., Ma, J., Xiao, L., & Lasser, K. E. (2010). Quality of US primary care delivered by resident and staff physicians. Journal of General Internal Medicine, 25(11), 1193-7.

The overall goal of the Session Long Project is to examine health care delivery in the United States. In Module 1 we studied the economic realities that may ultimately impact the healthcare industry. However despite the impending bursting of the bubble, we must still implement Obamacare. One of the important aspects of the new law is the connecting the evaluation standard of quality to reimbursement. This is a departure for our industry and might have a significant impact on how we do business. Many experts argue that quality of care is subjective but is ultimately based upon those providing the care. This will be the topic of Module 2’s SLP. Please read the article by Zallman, Ma, Xiao, and Lasser entitled ?Quality of US Primary Care Delivered by Resident and Staff Physicians? and respond to the following questions. Briefly summarize the issue being addressed as found in the ?Background section.? Identify and discuss the five categories of quality indicators. Discuss what the researchers found when they analyzed the ?Performance on Quality Indicators.? Where you surprised by their findings? Why are there differences in the quality of outpatient care provided by resident and staff physicians? What are some possible strategies an organization can implement to remedy this problem? SLP Assignment Expectations Use information from the modular home and background pages as well as other credible and peer reviewed sources retrieved from a library or an Internet search. LENGTH: 2-3 pages typed and double-spaced using 12pt Times New Roman font and 1-inch page margins. Please use headers throughout the paper. This will aid you in not overlooking vital elements of the assignment and make the document easier for the reader to follow. Your SLP paper will be further evaluated based on the rubric criteria.


 

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Develop an Income Statement, Cash Flow Statement, and Balance Sheet based on the provided data

Subject: Business    / Finance

1. Financial Statements: Develop an Income Statement, Cash Flow Statement, and Balance Sheet based on the provided data for year 20XX (the previous year) that follows. Explain the purpose of each financial statement.

a. Income Statement Data for 20XX:

· Gross Sales = $33,291

· Coupons and Discounts = $549

· Cost of Goods = $10,276

· Labor = $0 (Mr. and Mr. Lee were the only ones working and did not pay themselves)

· advertising fees =$2000

· bank fees = $120

· phone/internet = $1200

· shipping = $1380

· utilities = $900

· office supplies = $785

· Income tax = 26 %

b. Cash Flow Statement Data for 20XX:

· Cash in bank = $21,120

· Depreciation = $800

· Proceeds from disposal of investment = $3,000

· Capital Expenditure = -$1,600

· Repayment of Bank Loan = -$5,000

· Interest Expense Associated with Bank Loan = -$345

· Consider any data relevant from the income statement.

c. Balance Sheet Data for 20XX:

· Cash = $21,120

· Accounts Receivable = $496

· Accounts Payable = $200

· Inventory = $10,507

· Accumulated Depreciation = -$1,000

· Common Stock = $0

2. Financial Ratios: Calculate the following financial ratios and explain the meaning of the results.

a. Net Profit Margin

b. Quick Ratio

c. Debt-to-Equity Ratio

3. Cost Classification: The Lee’s have provided you with the following costs and relevant information that are assumed for year 20XY. Classify the costs as variable costs or fixed costs. Explain the importance of distinguishing between variable and fixed costs. If business is expected to be steady from month to month, provide a monthly budget based on these figures.

a. Advertising Fees = $4,000

b. Labor = $400/month

· One part-time employee will be hired to take care of packaging and shipping. This employee will be paid $10 per hour. He or she is estimated to work 40 hours total per month.

c. Packaging Supplies = $3,000

d. Office Supplies = $800

e. Phone and Internet Service = $115/month

f. Product Supplies = $9,000

g. Shipping Fees = $1,000/month

h. Conference Exhibitor Fee = $3,000

i. Travel Expenses for Conference (e.g. airfare, meals, taxi) = $1,200

j. Utilities for the Home Workshop = $105/month


 

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A description of the steps in the critical-thinking process •An explanation of how you can use critical-thinking when solving problems and the benefits of doing so

Include the following in your paper: •A definition of critical thinking •A description of the steps in the critical-thinking process •An explanation of how you can use critical-thinking when solving problems and the benefits of doing so •A summary of your blind spot and preferred ethical lens from the Ethical Lens Inventory •An explanation of how your personal ethics influences your decision making •An explanation of how ethics apply to professional and societal responsibilities

Format your assignment according to appropriate course-level APA guidelines.

Submit your assignment to the Assignment Files tab.


 

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Many accounting academics argue that the current financial accounting and reporting framework is inadequate to deal with sustainable development as espoused by the Brundtland Commission. Critically evaluate this view.

Many accounting academics argue that the current financial accounting and
reporting framework is inadequate to deal with sustainable development as
espoused by the Brundtland Commission. Critically evaluate this view.

 

Question 4 (Total: 25 marks)
(a) On 1 April 2012, Jaya Berhad increased the operating capacity of its
manufacturing plant. However, due to lack of liquid funds it was unable to buy
outright the required machinery for the expansion. The cost of the machinery was
RM350,000. Jaya Berhad entered into an agreement to lease the machinery from
the supplier. The lease required four annual payments in advance of RM100,000
commencing 1 April 2012. The machinery had a useful life of four years and was
to be scrapped at the end of this period.
The Finance Director was of the opinion that the lease agreement would improve
the company’s return on capital compared with an outright purchase of the
machine. The implicit rate of interest in the lease is 10%.
Required:
(i) Critically discuss the validity of the Finance Director’s opinion and explain how
MFRS 117 would ensure that this lease is faithfully represented in the financial
statements of Jaya Berhad.
(5 marks)
(ii) Prepare the extracts of Jaya Berhad’s income statement and statement of financial
position for the year ended 30 September 2012 assuming the lease is :
a. an operating lease (3 marks)
b. a finance lease (4 marks)
AND
Sunway University Business School Sample ACC3054 Final Examination
6
(b) Madoff Bhd borrows funds generally and uses them to finance the development of
housing projects. On 1 July 2011, the carrying amount of the qualifying asset,
including borrowing costs capitalised previously is nil. Expenditures incurred for
the construction of the qualifying asset during 2011 and 2012 are as follows:
RM million
1 September 2011 40
1 February 2012 60
The capitalisation rate for interest on general borrowings is 6.5%.
Required:
i. Explain what is meant by a ‘qualifying asset’ and determine the carrying
amount of the qualifying asset as at 30 June 2012.
(5 marks)
AND
(c) Many accounting academics argue that the current financial accounting and
reporting framework is inadequate to deal with sustainable development as
espoused by the Brundtland Commission. Critically evaluate this view.
(8 marks)


 

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Determine the total profit that would be generated by the production levels determined in parts C1 and C2 showing all of your work.

Business Analytics
Graphical models enable a manager to visualize the objective function (profit line) constraints and possible solutions to a given problem and to make more informed decisions based on that information. In this task you will be using your knowledge of graphical models the given scenario and the attached spreadsheet to complete the assessment.
Scenario:
Company A produces and sells a popular pet food product packaged under two brand names with formulas that contain different proportions of the same ingredients. Company A made this decision so that their national branded product would be differentiated from the private label product. Some product is sold under the companys nationally advertised brand (Brand Y) while the re-proportioned formula is packaged under a private label (Brand X) and is sold to chain stores. Because of volume discounts and other stipulations in the sales agreements the contribution to profit from the Brand Y product sold to distributors under the companys national brand is only $12.50 per case compared to $100 per case for private label product Brand X. There are four ingredients involved in the two products. The recipes specifying the use of each ingredient in the two product brands are given in the QAT1 Task 2 Spreadsheet. Also note that an ingredient may either be in limited supply or may have government regulations requiring a minimum or maximum amount.
Tasks:
A. Identify the objective function.
1. Determine the total profit to be made if the company produces a combination of cases of Brand X and Brand Y that lies on the black-dashed objective function line (profit line) as shown on the graph in the attached spreadsheet.
B. Write the four constraints that are described in the scenario given in the attached Spreadsheet.
1. Describe why each of the four written constraints from part B is a minimum or a maximum constraint.
C. Analyze the optimum production yielding the greatest amount of profit by doing the following:
1. Determine the number of cases of Brand X that should be produced showing all of your work.
2. Determine the number of cases of Brand Y that should be produced showing all of your work.
3. Discuss how the feasible region was used to arrive at your calculations for parts C1 and C2.
4. Determine the total profit that would be generated by the production levels determined in parts C1 and C2 showing all of your work.
D. When you use sources include all in-text citations and references in APA format.


 

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explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes.

Question
Assignment: Adaptive Response
As an advanced practice nurse, you will examine patients presenting with a variety of disorders. You must, therefore, understand how the body normally functions so that you can identify when it is reacting to changes. Often, when changes occur in body systems, the body reacts with compensatory mechanisms. These compensatory mechanisms, such as adaptive responses, might be signs and symptoms of alterations or underlying disorders. In the clinical setting, you use these responses, along with other patient factors, to lead you to a diagnosis.

Consider the following scenarios:

Scenario 1:

Jennifer is a 2-year-old female who presents with her mother. Mom is concerned because Jennifer has been “running a temperature” for the last 3 days. Mom says that Jennifer is usually healthy and has no significant medical history. She was in her usual state of good health until 3 days ago when she started to get fussy, would not eat her breakfast, and would not sit still for her favorite television cartoon. Since then she has had a fever off and on, anywhere between 101oF and today’s high of 103.2oF. Mom has been giving her ibuprofen, but when the fever went up to 103.2oF today, she felt that she should come in for evaluation. A physical examination reveals a height and weight appropriate 2-year-old female who appears acutely unwell. Her skin is hot and dry. The tympanic membranes are slightly reddened on the periphery, but otherwise normal in appearance. The throat is erythematous with 4+ tonsils and diffuse exudates. Anterior cervical nodes are readily palpable and clearly tender to touch on the left side. The child indicates that her throat hurts “a lot” and it is painful to swallow. Vital signs reveal a temperature of 102.8oF, a pulse of 128 beats per minute, and a respiratory rate of 24 beats per minute.

Scenario 2:

Jack is a 27-year-old male who presents with redness and irritation of his hands. He reports that he has never had a problem like this before, but about 2 weeks ago he noticed that both his hands seemed to be really red and flaky. He denies any discomfort, stating that sometimes they feel “a little bit hot,” but otherwise they feel fine. He does not understand why they are so red. His wife told him that he might have an allergy and he should get some steroid cream. Jack has no known allergies and no significant medical history except for recurrent ear infections as a child. He denies any traumatic injury or known exposure to irritants. He is a maintenance engineer in a newspaper building and admits that he often works with abrasive solvents and chemicals. Normally he wears protective gloves, but lately they seem to be in short supply so sometimes he does not use them. He has exposed his hands to some of these cleaning fluids, but says that it never hurt and he always washed his hands when he was finished.

Scenario 3:

Martha is a 65-year-old woman who recently retired from her job as an administrative assistant at a local hospital. Her medical history is significant for hypertension, which has been controlled for years with hydrochlorothiazide. She reports that lately she is having a lot of trouble sleeping, she occasionally feels like she has a “racing heartbeat,” and she is losing her appetite. She emphasizes that she is not hungry like she used to be. The only significant change that has occurred lately in her life is that her 87-year-old mother moved into her home a few years ago. Mom had always been healthy, but she fell down a flight of stairs and broke her hip. Her recovery was a difficult one, as she has lost a lot of mobility and independence and needs to rely on her daughter for assistance with activities of daily living. Martha says it is not the retirement she dreamed about, but she is an only child and is happy to care for her mother. Mom wakes up early in the morning, likes to bathe every day, and has always eaten 5 small meals daily. Martha has to put a lot of time into caring for her mother, so it is almost a “blessing” that Martha is sleeping and eating less. She is worried about her own health though and wants to know why, at her age, she suddenly needs less sleep.

To Prepare

Review the three scenarios, as well as Chapter 6 in the Huether and McCance text.
Identify the pathophysiology of the disorders presented in each of the three scenarios, including their associated alterations. Consider the adaptive responses to the alterations.
Review the examples of “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in this week’s Learning Resources. Then select one of the disorders you identified from the scenarios. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.
Review the Application Assignment Rubric found under Course Information
To Complete

Write a 2- to 3-page paper excluding the title page, reference page and Mind Map that addresses the following:

For each of the three scenarios explain the pathophysiology, associated alterations and the patients’ adaptive responses to the alterations caused by the disease processes. You are required to discuss all three scenarios within the paper component of this assignment.
Construct one mind map on a selected disorder presented in one of the scenarios. Your Mind Map must include the epidemiology, pathophysiology, risk factors, clinical presentation, and diagnosis of the disorder, as well as any adaptive responses to alterations.


 

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Describe the life of a sperm and the life of an egg from start to finish in a 700- to 1,050- word story based on this week’s reading

Assignment: The Sperm and the Egg
· Due Date: Day 7 [post to the Individual forum]
· Describe the life of a sperm and the life of an egg from start to finish in a 700- to 1,050-
word story based on this week’s reading and formatted according to APA guidelines.
Cover the following points in your story


 

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Explain how your biggest influence aligns with the research. Incorporate information from at least two academic sources to support your statements and ideas.

explore your own experience and reaction to some of these areas of influence. It is very common for our own experiences as a child to significantly impact our interactions with children, if we are not first aware of our beliefs and reactions.

Based on your review of the influences of family, peers, schools, and community, respond to the following:

Looking back at your own experiences and influences, analyze which of these influences had the biggest impact on your own development when you were a child or adolescent. Give reasons for your answer.
How has this impact (for example, family or peer situation, community influence, or school environment) been influenced by the various adults in your life (parents, teachers, coaches)?
Using the module readings, Argosy University online library resources, and the Internet, research your findings further. Respond to the following:
Explain how your biggest influence aligns with the research. Incorporate information from at least two academic sources to support your statements and ideas. Academic sources could include your textbook, required readings for this module, or academic journal articles found in the Argosy University online library.
Who are the major proponents (theorists past or current) of your chosen influence and how did they reach these conclusions?
Ask two adults what or who had the most impact on them. Compare this self-report data with your experience and your research about prominent influences.
Write a 2–3-page paper in Word format. Be sure to include separate title and reference pages. Apply APA standards to citation of sources, including use of in-text citations and full references.


 

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Create a PowerPoint deck for a narrative PowerPoint presentation to facilitate mission/vision and strategic planning efforts at the board meeting.

Leadership for Board of Directors Strategic Planning  Need 1st and 3rd parts within 6 hrs from now

For this assignment, assume you are charged with working with a hypothetical board of directors for a hypothetical health care organization. The organization is a not-for-profit community outpatient clinic. Members of the board should be from several walks of life, professions, ethnicities, cultures, and disciplines. The organization has formed recently as a result of a grant, and it needs to develop its mission and vision. Board members each have differing viewpoints about whether health care consumers still should be referred to as patients, as is the traditional philosophy, or if they should be identified as health care consumers, who should be included in their own care plan of treatment delivery. You must develop a mission/vision strategic planning agenda and lead the activity to reach a conensus on delivering care with a consumer-driven, team-centered health care delivery philosophy. Analyze what you will recommend to the board about transforming to this philosophy as part of the proposal for the grant funding.
This assignment has three parts.
Part 1
Create a PowerPoint deck for a narrative PowerPoint presentation to facilitate mission/vision and strategic planning efforts at the board meeting.
In your PowerPoint deck, include the following:

An agenda for the mission and vision development and strategic planning at the board meeting.
Background on the differing philosophies of referring to consumers as patients or as health care consumers.
Your recommendation (supported by citations from peer-reviewed literature) for a strategic vision for the organization and your reasons for recommending it.
Steps to guide the board through the strategic planning process.

Part 2
Use Adobe Connect to record yourself presenting the PowerPoint deck you created. This should be the presentation you would make for the board of directors.
Part 3
Write a separate, short paper in which you summarize how you will lead the mission and vision development effort at the board meeting. In your summary:

Analyze how you will use communication methods to make sure all board members feel heard and included.
Analyze how you will apply concepts of emotional intelligence in conducting the meeting.
Explain how you will apply leadership competencies in conducting the meeting.
Explain how you will build consensus and cultivate creativity in the meeting.

Use Turnitin on your Part 3 paper. This paper should be approximately 3 pages in length.

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Describe specific incidents that illustrate each component.

If you have access to ESPN or Netflix, you will watch the ESPN 30 for 30: Brian and the Boz. How did the “30 for 30: the Boz” relate to brand image and living the brand promise? What are your thoughts on the Boz and other athletes who self-brand themselves? What are the benefits, limitations, and consequences of this? Do you feel that a team should take on an athlete’s brand as their own? Or how can they incorporate it? What other take always do you have from this? choose 2 of the 4 following discussion questions. Examine the traits of the Tampa Bay Rays listed in Figure 12.2. If you were asked to prioritize these traits in terms of marketing to the Tampa community, which would be at the top of your list? Why? Assume the Rays have a limited marketing budget; rank the traits from highest to lowest. Explain your rankings. Access www.stubhub.com, www.ticketsnow.com, and www.vividseats.com. Compare these secondary ticket market websites in terms of ease of use from the perspective of the seller, and of the buyer. Which site do you prefer? Why? How do mascots add to the experience of attending a sporting event? in your view, are there any drawbacks to using mascots as part of a strategy to increase the tangibility of sports service delivery? Think about the last sporting event you attended. Go through the five components of service quality (intangibility, reliability, responsiveness, assurance, and empathy). Describe specific incidents that illustrate each component. Did each incident contribute to a positive or negative experience with the sporting event? (If you cannot think of incidents in the last event, then discuss other events that illustrate each concept.)


 

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