Category: Essay Writing

Evaluation,measurement and research

| January 21, 2015

On successful completion of this module students will be able to:
1. Critically discuss the importance of evaluation, measurement and research in managing healthcare and/or quality and safety in healthcare.
2. Critically evaluate research reports relevant to your field of study.
3. Critique key approaches to evaluation, measurement and research (such as performance indicators,
audit and quantitative and qualitative research methods).
4. Critically discuss how to evaluate quality improvement/change in a healthcare organisation.
5. Demonstrate an understanding of critical reflection on key concepts around evaluation, measurement and research.

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Quality and Safety Education for Nurses (QSEN)

| January 21, 2015

Quality and Safety Education for Nurses (QSEN)

The event to address:
A 43 years old patient was hospitalized once 15 days ago. He had a transmetatarsal amputation of the left foot secondary to diabetes mellitus type 1 and cellulites six month ago, he is not aware of how complicated his condition is and the possible complications that he could have. The patient also had a transmetatarsal amputation of the right foot six months ago secondary to diabetes. According to the patient history one of the main problems is that he has history of alcohol and drug abuse, he has not complied with the treatment of diabetes and with the post operative care required after the first amputation.
The topic to address is Quality and Safety Education for Nurses (QSEN). Please write about the 6 competencies of QSEN How each of the 6 QSEN competencies were follow or not followed using this patient history and the WRONG DIAGNOSIS that he suffered during his stay in the hospital. During the stay in the hospital the patient developed certain symptoms that were diagnosed with a parasitic infection, while the real problem was kidney failure. To authenticate the symptoms, the practitioner is expected to conduct a series of tests, which will affirm the real issue affecting the patient. In this case, the doctor performed a urine test with the aim of establishing whether the patient had a urinary tract infection. Showing the present of some bacteria, the doctor concluded that the patient was suffering from parasitic infection in the urinary system, specifically the bladder. Since the patient exhibited other symptoms such as fever and pain on the side, the doctor deemed it unnecessary to conduct further diagnosis such as scans. For this reason, the doctor never recommended dialysis but rather offer the patient antibiotics and as a result, the patient’s condition deteriorated.

Quality and Safety Education for Nurses (QSEN)
• The purpose of this assignment is to identify a problem in the clinical area and to utilize evidence-based strategies to improve the quality and safety of patient care. For more information about the QSEN, go to https://www.qsen.org/ksas_prelicensure.php
• In 2008, a committee of healthcare experts proposed 6 competencies to ensure that nursing students develop the knowledge, skills and attitude (KSA) necessary to provide quality and safety patient care.

1. Patient-Centered Care
2. Teamwork and Collaboration
3. Evidence-Based Practice
4. Quality Improvement
5. Safety
6. Informatics
Assignment Criteria:

A. Identify an event that happened in the clinical area during practicum; discuss how this could have caused or did cause a negative patient outcome.

B. Develop a scenario to illustrate the problem. Patient’s identifiers are not to be used.

C. Discuss how each of the 6 QSEN competencies were or were not followed and ultimately caused, or could have caused a negative patient outcome.

D. Discuss the importance of integrating the QSEN competencies into the following areas; clinical practice, nursing education, and nursing research. Each point must be specifically addressed in a separate section.

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Pricing Strategy

| January 21, 2015

Read and cite article listed, supplemented with any other articles related to J.C. Penney, and develop a report addressing following issues.
1. Briefly describe Johnson’s pricing strategy, also providing background on the company and department store industry.
2. Explain why Johnson’s pricing strategy did not work. Support your position in terms of environmental factors such as economy, the competition, and changing consumer behavior.
3. What do you think Johnson could have done better? Take into account J.C. Penney’s segmentation, positioning, and branding strategies to explain this issue.
4. Compare J.C. Penney’s current pricing strategy and Johnson’s pricing strategy, based on your research on the most recent situation of J.C. Penney. How do you think J.C. Penney would perform in the next five years? Take into consideration the relationships between pricing and other aspects of the marketing effort such as a change in merchandising, logo, atmospherics, use of celebrity spokespersons, and so on.

Required Reading
Reingold, J., Jones, M., & Kramer, S. (2014). How to fail in business while really, really trying. Fortune, 169 (5), 80.
Lublin, J. S., & Mattioli, D. (2013, Apr 09). Penney CEO out, old boss back in. Wall Street Journal (Online). Retrieved from ProQuest.
Glazer, E., Lublin, J. S., & Mattioli, D. (2013, Apr 9). Penney backfires on ackman. Wall Street Journal (Online). Retrieved from ProQuest.
D’Innocenzio, A. (2012, January 27). J.C. Penney slashing prices on all merchandise. USA Today. Retrieved from https://www.usatoday.com/money/industries/retail/story/2012-01-25/penneys-price-overhaul/52787388/1
Reingold, J. (2012, March 19). Retail’s new radical. Fortune. Retrieved from https://management.fortune.cnn.com/2012/03/07/jc-penney-ron-johnson/
Mattioli, D. (2012, January 26). J.C. Penney chief thinks different. Wall Street Journal.
Mattioli, D. (2012, January 25). How J.C. Penney was minted. Wall Street Journal.
There’s a lot going on at J.C. Penney these days. With a new CEO, Penney, confronted with pressing competition up, down, and sideways in the department store wars, is reinventing itself in terms of merchandising, supply, and pricing strategies. Here we will concentrate only on the pricing aspects of these new directions. However, this is ultimately about positioning; trying to find a space that is responsive to potential customers as well as differentiating the Penney brand from Target, Kohl’s, Wal-Mart, and Macy’s.
These articles shed additional light on the implications of Penney’s new direction:
Berfield, S. (2012, May 24), Remaking J.C. Penney Without Coupons. Bloomfield Business Week. Retrieved from https://www.businessweek.com/articles/2012-05-24/remaking-j-dot-c-dot-penney-without-coupons
Conte, C. (2012, March 8). Stein Mart reducing coupon use, lowering prices, Jacksonville Business Journal. Retrieved from https://www.bizjournals.com/jacksonville/blog/2012/03/stein-mart-reducing-coupon-use.html?ana=RSS&s=article_search&utm_source=feedburner&utm_medium=feed&utm_campaign=Feed%3A+bizj_jacksonville+%28Jacksonville+Business+Journal%29
Stein Mart plans to reduce its dependence on coupons and return to the everyday low-pricing strategy it became known for, with plans to cut prices between 5% and 10% on much of its merchandise. “We don’t want our customers to think they have to use a coupon to get a better price at Stein Mart,” said Jay Stein, chairman of the board and interim CEO.

Girard, K. (2012, March 5). Is J.C. Penney’s makeover the future of retailing? Harvard Business School Working Knowledge. Retrieved from https://hbswk.hbs.edu/item/6944.html
Halkias, M. (2011, December 7). J.C. Penney buys stake in Martha Stewart’s company. The Dallas Morning News. Retrieved from https://www.dallasnews.com/business/retail/20111207-j.c.-penney-buys-stake-in-martha-stewarts-company.ece
Should Martha Stewart target markets or mass merchandise?
Talley, K. (2012,, January 27). Penney CEO says profits won’t suffer. Wall Street Journal. Retrieved from https://online.wsj.com/news/articles/SB10001424052970204573704577184951220641144
Timberlake, C., & Townsend, M. (2012, February 28). Macy’s says Martha’s dance card is too full. Business Week. Retrieved from https://www.businessweek.com/articles/2012-02-28/macys-says-martha-stewarts-dance-card-is-too-full

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Finance and Accounting

| January 21, 2015

Finance and Accounting

International Research Journal of Applied Finance (wwwjrjaficom)
Case Studies in Finance and Accounting
Randy Bozarth loosened his. grip on the tiller of his sail boat and let the bow turn slowly into the breeze. Soon the craft nosed into the wind and was virtually dead in the water giving Randy time to think about what had been troubling him for days now. If only he had taken an international finance course rather than wasting his time on “fun” electives when in college.
But that was in the past and if he had learned anything so far in life it was you cannot change the past.
Randy had relocated from the Chesapeake Bay area to the west coast of Mexico a couple of years earlier to be able to sail more and also to experience a different culture. So far he was quite happy with his decision although life ‘south of the border” did present some unique challenges. Most of the challenges came from his housing arrangements. Upon moving south he decided he would forgo living in a single family dwelling and instead opt for a condominium. There were several condo complexes to choose from and most were owned
predominately by Canadians, US. citizens, and Europeans. Randy chose Bahia Mar Condominiums as his home and in general was very satisfied with his choice.
Given Randy’s educational background (BS. in accounting) and years spent as a hospital controller it was no surprise that he was called upon by his neighbors to assist in the governance of the homeowners association (HOA). With scine’ireluetance he had allowed
himself to be elected treasurer of the Bahia Mar HOA’s Board ofpir’ectors last year. This means that he is obligated to review the quarterly financial statements prepared by the management of the HOA. Additionally he is resppnsible for presenting the proposed budget for the upcoming year to the annual meeting of allHleO condo owners. It is the budget that is troubling him.
The HOA is responsible for building and grounds maintenance, security, maid service (if desired), as well as general administration Citile‘ HOA which includes paying taxes, utilities, billing owners, etc. Virtually all costs incilrred “arerlenominated in pesos. The current year’s budgeted expenditures are 5,250,000.,pesosy’i Approximately two-thirds of the budget is comprised of salaries for various HOA employees.
The budgeting process is largely‘driv’en by the expenditures requested by management. Once those have been justifiedfand “agreed upon by the Board of Directors of the HOA, management converts the budget into US. dollars. The budgeted expenditures amount is
then divided by 150, thefnurnber of condominiums, to determine the annual condominium fees. The resulting annual, fee is then divided by four as homeowner fees are paid quarterly on the first day of each quarter. Since most condo owners’ primary residences are in the US.
it was decided that condo fees would be denominated in US. dollars rather than the local currency.
During the last few years management used an exchange rate of 10.5 pesos to the US. dollar to convert the peso denominated budget into dollars. Actual exchange rates fluctuated between 9.9 and 13.9 pesos per US. dollar during that period. The manager of the HOA is insisting on utilizing the same conversion factor as in the past years. His arguments range from “consistency” to “no one can predict the future”. Randy is uncomfortable with this approach. He takes his fiduciary responsibilities seriously and while on his watch as treasurer he wants the budgeting process accomplished in a professional manner.
As the budgeting process moves forward Randy knows he must decide how he wants the currency translation to be handled. He will also need to provide a coherent argument for his position and draft a memo for the HOA’s Board and manager. As Randy contemplates these
exchange rate issues he notices a squall building rapidly a few miles to the west and moving his way. Apparently it’s time to make some decisions both financial and navigational.

Appendix A
Depending on the extent of guidance the faculty member desires to provide to students, the following information regarding the current situation (as of Sept. 2oXo) may be provided:
The expected interest rate in the US for 2oXl is approximately 0.25%
The expected interest rate in Mexico for 2oX1 is approximately 4.50%
The current spot rate is 13.03 pesos/US$.
A chart of the forward prices offered by a local bank is:
Date Futures Price: $/pesc I
Sept. 2oXo 0.076925
Oct. 2oXo 0.076400
Nov. 2oxo 0.076100
Dec. 2oXo 0.076275
Jan. 2ox1 ‘ 0.075775 H
Feb. 2oX1 ‘ 0.075475
Mar, 2ox1 0.075125
Apr. 2oX1 0.074975 V; 5
May 2ox1 0.oi4025
June 2ox1 05074400
July 2oX]
Aug. 2ox1 1″ 0.075025
Scpt. 2ox1 “‘“-5.,_..”0.’073’600
Dec. 2ox1 “i ‘ 0.072800
Questions
1. Assuming Mr. Bozai’tlr{youldiprefer to use external sources for an. exchange rate, how would you suggest a ratefor converting next year’s budget from pesos to US. dollars be determined?
2. What alternate methods might Mr. Bozarth propose to the Board for dealing with foreign currency fluctuations?
3. How might Mr. Bozarth go about formulating an estimate of the exchange rate for the upcoming year rather than relying on external quotes?
4. What are the implications for the owners and the HOA manager of using the actual foreign exchange rate as compared to the lo.5 pesos per US. dollar rate used in prior years’ budgeting process? How might this influence the owners’ and managers preferences regarding the choice of exchange rate for next year’s budget?

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Finance for Healthcare

| January 21, 2015

David Jones, the new administrator for a surgical clinic, was trying to determine how to allocate his indirect expenses. His staff was complaining that the current method of taking a percentage of revenues was unfair. He decided to try to allocate utilities based on square footage of each department, administration based on direct costs, and laboratory based on tests. Use the information in the chart below to answer problems 1, 2, and 3.

Square Footage    Direct
Expenses    Lab Tests
Utilities        $200,000
Administration    2,000    500,000
Laboratory    2,000    625,000
Day-op Suite    3,000    1,400,000    4,000
Cystoscopy    1,500    300,000    500
Endoscopy    1,500    600,000    500
Total    10,000    $    3,375,000    5,000

1.    What are the Day Op Suite’s total expenses?

2.    What are the Cystoscopy Department’s total expenses?

3.    What are the Endoscopy Department’s total expenses?

Use the following information for questions 4, 5, and 6.

Your hospital has been approached by a major HMO to perform all their MS-DRG 470 cases (major joint procedures). They have offered a flat price of $10,000 per case. You have reviewed your charges for MS-DRG 470 during the last year and found the following profile:

Average Charge    $15,000
Average LOS     5 Days
Cost/Charge    Variable Cost %
Routine Charge    $3,600    0.80    60

Operating Room    2,657    0.80    80
Anesthesiology    293    0.80    80
Lab    1,035    0.70    30
Radiology    345    0.75    50
Medical Supplies    4,524    0.50    90
Pharmacy    1,230    0.50    90
Other Ancillary    1,316    0.80    60
Total Ancillary    $11,400    0.75    50

4.    In the above data set, assume that the hospital’s cost to charge ratio is 0.80 for routine services and 0.75 for all other ancillary services. Using this information, what would the average cost of MS-DRG 470 be?

5.    Estimate the variable cost per MS-DRG 470 using the departmental cost/charge ratios and variable cost percentages.

6.    The HMO in the above example has indicated that their doctors use less expensive joint implants. If this less expensive implant is used, your medical supply charges would be reduced by $2,000. What is the estimated reduction in variable cost?

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impact of IT on medicine and/or healthcare

| January 21, 2015

impact of IT on medicine and/or healthcare

Discuss the impact of IT on medicine and/or healthcare.

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Cultural Competence

| January 21, 2015

Define culturally competent nursing care. Support the definition with a professional literature citation.
Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. At least one example must address care of patient(s) not occurring in an acute care hospital.
Describe how the registered professional nurse evaluates if the patient’s cultural needs have been met?
Describe whether cultural practices must be accommodated in all aspects of health care? Provide a specific example and rationale to support your response.
Select one of the following cultures:
Asian
Native American
Hispanic
Select four (4) cultural features, associated with the selected cultures that influence the provision of nursing care for patients with chronic illness and at the end of their lives. Describe how the four (4) cultural features influence the provision of care to the patients.
Provide two (2) examples that demonstrate nursing care, which reflects the respect for the dignity and uniqueness of those cultural features for patients experiencing chronic illness and at the end of their lives.

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Cultural Competence

Define culturally competent nursing care. Support the definition with a professional literature citation.
Identify four (4) guidelines the registered professional nurse may use to enhance the ability to provide culturally competent nursing care. Provide one example the culturally competent nurse applies to each of the four (4) selected guidelines. At least one example must address care of patient(s) not occurring in an acute care hospital.
Describe how the registered professional nurse evaluates if the patient’s cultural needs have been met?
Describe whether cultural practices must be accommodated in all aspects of health care? Provide a specific example and rationale to support your response.
Select one of the following cultures:
Asian
Native American
Hispanic
Select four (4) cultural features, associated with the selected cultures that influence the provision of nursing care for patients with chronic illness and at the end of their lives. Describe how the four (4) cultural features influence the provision of care to the patients.
Provide two (2) examples that demonstrate nursing care, which reflects the respect for the dignity and uniqueness of those cultural features for patients experiencing chronic illness and at the end of their lives.

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Coleman, DuMond & Lynch MDE 2010

| January 21, 2015

Read the article.
Coleman, B. Jay, J. Michael DuMond & Allen K. Lynch. 2010. “Evidence of Bias in NCAA Tournament Selection and Seeding”, Managerial and Decision Economics. 31: 431-452.
1.    Interpret the empirical results for each specification for both the logit and the odds ratio estimates from Table 4. (50 points)
2.    Interpret the empirical results for each specification for both the cumulative probit and the OLS estimates from Table 5. (30 points)
3.    The authors find bias in the selection and seeding of NCAA basketball teams. Explain how their conclusions are supported by the data. (20 points)

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Debunk the conventional idea ” Seeking Outside capital is necessary for business “

| January 21, 2015

Debunk the conventional business wisdom that ” Seeking outside capital is necessary for business “. Explain why the belief is so pervasive, BUT, ARGUE WHY IT IS WRONG. Describe exceptions and limitations to the theory. Tell us when the theory breaks down. Offer vivid, persuasive examples from your experience and research. Include a counterargument and refutation. Use at least 12 sources from the Harvard Library website: library.harvard.edu Cite all sources.

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Robber Baron or Captain of Industry

| January 21, 2015

Robber Baron or Captain of Industry

Write a 1-2 page response (12 point font, double spaced) to the prompt: The industrialists of the late nineteenth century and early twentieth centuries are best characterized as (ROBBER BARONS OR CAPTAINS OF INDUSTRY). Defend your choice.

Include AT LEAST TWO QUOTATIONS OR PARAPHRASES (using parenthetical citations for any quotes/information used). If you use any sources other than ones provided to you, please include full bibliographic citations. You must use at least two of the men below as examples. Vanderbilt http://www.biography.com/people/cornelius-vanderbilt-9515195
Carnegie http://www.pbs.org/wgbh/amex/carnegie/peopleevents/pande01.html
Rockefeller

http://www.pbs.org/wgbh/americanexperience/features/biography/rockefellers-john/

Morgan

http://spartacus-educational.com/USAmorgan.htm

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