Author: Custom Essay

An equipment acquisition proposal was being considered by a large health care organization, XYZ Health Care. The array machine will enable the hospital to perform autoimmunity tests (for immunoglobulins G, M, and A and complements C3 and C4) in-house rather than sending them to a reference laboratory. Test turnaround time is expected to decrease by 2 days. The array machine costs $50,000, with a useful life of 5 years. The depreciation schedule will be $10,000/year. The expected volume for tests is one of each of the five autoimmunity tests per day. Having the tests done by the reference laboratory costs the hospital an average of $10/test. The hospital’s average charge to patients is $20/test. If the array machine is acquired and the tests done in-house, the costs of reagents would average $2/test. The array machine can run a maximum of 40 patient samples and perform 20 different tests on each sample every 2 hours. Except in extraordinary circumstances, tests would be run Monday thorough Saturday. The machine requires approximately 1 hour of technician time (valued at $15/hour) each day to calibrate it, to conduct a test run for control purposes and to perform general maintenance. This is a fixed cost because it does not vary by volume. Technician setup time to run tests is negligible. Beyond the five autoimmunity tests the laboratory wants to perform in-house, the machine can also perform apolipoprotein cardiac profiles that are currently done on equipment in the clinical chemistry department. The array machine can provide a quantitative measure and not just the positive or negative indicator that the clinical chemistry department’s current equipment gives. The CEO of XYZ Health Care has hired your team as consultants to answer the following questions:  1. How many autoimmunity tests per year will have to be performed on the array machine to break even? 2. Given the present volume of tests, would there be an annual net contribution and, if so, how much? 3. If half of the patients have Medicare coverage (DRG reimbursement includes all tests), would the laboratory break even on the equipment? If not, should the equipment be acquired anyway? Please create a professional written document including an executive summary that addresses the questions above. Also provide one paragraph to recommend or not recommend the purchase. If using a written Word Document: -An executive summary is a great way to communicate in an efficient and concise manner what you’ve found out. Keep in mind, most people reading your work will be in a time crunch and will need a quick, one-page document to review. -8-10 pages including charts. -Use headings through-out -The response should provide a rationale and discussion regarding each step you take. Charts should be fully explained in the text. If using PowerPoint: If you prefer, you may create a narrated PowerPoint presentation (be sure to include a transcript of the narrated portion – or you may include the transcript of the narrative on the notes page of the slide). Be sure to let me know where the transcript is located if you decide to create a narrated presentation. Outside references- This is for both formats: Make sure to include references that support your decision to purchase the machine or to continue using the outside laboratory. *Longest, B.B., Rakich, J.S., & Darr, K. (2000). Managing health services organizations and system. Baltimore: Health Professions Press.—You don’t need this book to do the project. This is where the original idea was conceived.

Review the ER Dilemma case. Review The Ethical Framework documentation. You are the President of Central Medical Center hospital who was turned down by the Mayor and the City Council and other hospitals for financial support. When leading discussions to find solutions to this complex dilemma, five questions were raised. You will provide insightful answers to the following five questions which will be reviewed and discussed by the hospital staff assisting in decision making: Question 1: What is/are the ethical/moral issue(s) presented in the ER Dilemma case? What are the reasons that make it an ethical/moral issue or issues? Question 2: Who are the direct and indirect stakeholders? For each stakeholder group, what is at stake, what are their interests, who will be hurt, and who will benefit? Question 3: Provide two options to address the issue(s) and support your options with reasoning applying the Objective Ethical Framework. Make sure that the broader consequences of ethical decisions and the resultant harms and benefits to stakeholders are taken into consideration. Question 4: Re-evaluate available options. What are alternative options besides the one(s) you have chosen? Please name at least two alternative options. Question 5: Rank all the options you have mentioned above in order of importance. Provide reasoning on the ranking, especially on your top option. Paste the above questions and your answers in a Word document. You should follow APA guidelines for references and title page formatting.

Negligence Negligence is a tort – a civil or personal wrong distinguished from criminal conduct. It is the unintentional commission or omission of an act that a reasonably prudent person would not do under given circumstances. All medical professional liability claims are classified in one of the following ways/types: Malfeasance – execution of an unlawful or improper act (e.g., administering contraindicated medications). Misfeasance – improper performance of an act, resulting in injury to another (e.g., administering the wrong medication or wrong dose). Nonfeasance – failure to act, when there is a duty to act, as a reasonably prudent person would in similar circumstances (e.g., failure to order diagnostic tests or prescribe medications that should have been ordered or prescribed under the circumstances). Malpractice – negligence or carelessness of a professional person (e.g., a nurse, pharmacist, physician, accountant). Criminal negligence – reckless disregard for the safety of another (e.g., willful indifference to an injury that could follow an act). There are four elements that must be present in a given situation to be able to prove that a healthcare provider is guilty of negligence. These four elements include: Duty of Care – Obligation to conform to a recognized standard of care Breach of Duty – Deviation from the recognized standard of care Failure to adhere to the obligation Injury – Actual damages required No injury, no damages Causation – The act or conduct in departing from the recognized standard of care caused the plaintiff’s injury; injury caused by breach of duty; injury must be foreseeable APA Requirements Your paper must be written according to the following guidelines: Follow all applicable APA Guidelines regarding in-text citations, the list of cited references, and document formatting for this paper. Failure to properly cite and reference sources constitutes plagiarism. The title page and reference list are not included in the page count for this paper. Use the HCM Writing Assignment Template to write your paper. Action Items Complete all required assigned readings prior to working on this assignment. After reviewing the Overview and the assigned preparation readings, write a four-page paper that relates different types of negligence to your organization. Specifically, Summarize different types of negligence How is each type addressed by your organization Format your paper according to APA guidelines.

Review the following scenario: As the newly appointed head of a new department at a healthcare institution, you have the responsibility of creating a new healthcare management team. You must negotiate with the heads of HR and Finance in order to create the best team of healthcare professionals for your department. You need to hire 75-150 employees. You may consider three different types of employees: Type of Employee Cost Productivity % Time to Hire Turnover A $40,000 30% 30 days 40% B $60,000 60% 90 days 20% C $80,000 90% 180 days 10% The heads of the Human Resources and Finance Departments have given you the following limitations for hiring personnel for your team: Total annual healthcare employee cost must not exceed $6 million. Total average healthcare employee productivity must be a minimum of 55%. Average time to hire for new employees must not exceed 75 days. Total average healthcare employee turnover must not exceed 25%. The head of HR is known for her direct, no-nonsense approach to hiring and managing employees. She can be difficult to talk to, especially when performance is on the line. She expects the best of everyone and dislikes “slackers.” However, she will listen to reason if presented with a compelling argument and data to back it up. The head of Finance is easygoing, but no pushover. His goal is keep to the institution in the black. At the same time, however, he is not averse to spending the money to move the institution toward the future. However, he is not a “people person”. The bottom line is his domain and he needs to be convinced that expenditures make sense and that they are fiscally sound. In recent meetings, both the heads of HR and Finance have expressed reservations about expanding the institution with the formation of your department. Review the following tips for successful negotiation: Be strategic, think ahead – not just your current move but two to three negotiation moves ahead. Say no with a smile… Keep the negotiation door open. Maintain competitive leverage; have several negotiable alternatives. Know in advance what you consider a good deal; think clearly about what you aspire to achieve from negotiations. Keep your bottom line in view, that is, what must you achieve at a minimum from negotiations, or there will be no deal. Put yourself in the shoes of what your negotiation counterpart is trying to achieve; look for common ground. Provide a negotiated solution that makes both parties better off – work toward the so called “win-win” solution. Negotiate multiple issues together; do not negotiate issue by issue. Do not negotiate simply to negotiate; what is it that the negotiating parties really “have to have”? Never negotiate against yourself and never disclose your bottom line. Never accept the first offer, and never make the first offer if you can help it. Listen more, talk less. Do not rush negotiations and never make a quick deal just to get it done. Tell the truth; do not lie during negotiations or you will destroy your credibility for the future. Write a two-page paper in which you: Use the information from the scenario to determine the ideal number and type of employees that you can hire to build the most effective team for your department. Write a rationale to the heads of HR and Finance to explain how you arrived at your decision. Specifically, note any deviations from the limitations that you were given and defend your decisions. Note the specific negotiation strategies that you will use in dealing with both the head of HR and the head of finance.

This was my professors feedback : Overall pretty good. To strengthen the work, a bit of an explanation of the ‘Sue Dewhurst’s BARROW framework’ and why it is the best framework to meet the needs is needed. Secondly, how will your methods in Part 1 improve the product documentation in Part 2? I need help adding to the feedback.

Negligence Negligence is a tort – a civil or personal wrong distinguished from criminal conduct. It is the unintentional commission or omission of an act that a reasonably prudent person would not do under given circumstances. All medical professional liability claims are classified in one of the following ways/types: Malfeasance – execution of an unlawful or improper act (e.g., administering contraindicated medications). Misfeasance – improper performance of an act, resulting in injury to another (e.g., administering the wrong medication or wrong dose). Nonfeasance – failure to act, when there is a duty to act, as a reasonably prudent person would in similar circumstances (e.g., failure to order diagnostic tests or prescribe medications that should have been ordered or prescribed under the circumstances). Malpractice – negligence or carelessness of a professional person (e.g., a nurse, pharmacist, physician, accountant). Criminal negligence – reckless disregard for the safety of another (e.g., willful indifference to an injury that could follow an act). There are four elements that must be present in a given situation to be able to prove that a healthcare provider is guilty of negligence. These four elements include: Duty of Care – Obligation to conform to a recognized standard of care Breach of Duty – Deviation from the recognized standard of care Failure to adhere to the obligation Injury – Actual damages required No injury, no damages Causation – The act or conduct in departing from the recognized standard of care caused the plaintiff’s injury; injury caused by breach of duty; injury must be foreseeable APA Requirements Your paper must be written according to the following guidelines: Follow all applicable APA Guidelines regarding in-text citations, the list of cited references, and document formatting for this paper. Failure to properly cite and reference sources constitutes plagiarism. The title page and reference list are not included in the page count for this paper. Use the HCM Writing Assignment Template to write your paper. Action Items Complete all required assigned readings prior to working on this assignment. After reviewing the Overview and the assigned preparation readings, write a four-page paper that relates different types of negligence to your organization. Specifically, Summarize different types of negligence How is each type addressed by your organization Format your paper according to APA guidelines.

Using the Assessment tools we have discussed in your Interim Assessment paper (McKinsey 7-S framework, Balanced Scorecard, SWOT Analysis etc) provide a complete assessment of the company you are currently working for. If you were CEO what would you change and why – provide your recommendation for change. Please provide a “Before” and “After” Organizational charts showing the current management structure and how you propose to change it and why . If you are not working at this time – use a past employer. If you work for a multi-national Company use the business unit you are working for to provide this assessment. The Final Assessment paper should be 4,500 words (+ or – 10%). You are allowed to use the Interim paper as part of this assessment. ***Please use all three tools (McKinsey 7-S/ SWOT analysis/ Balanced Scorecard **Please use the Harvard system **You can base the paper on Ipsos MORI company which is a marketing and polling research organisation based in London (IPSOS is the parent company based in France but operates in over 80 countries) Please let me know which files do you want me to upload if any?

Compare and contrast Plato’s and Aristotle’s critiques of democracy. How does each conceptualize the nature of democracy (which is to say, how does each define democracy)? Why do both thinkers consider it an inferior political constitution?

Correct errors from this paper. zero plagiarism. Articles are uploaded. It is missing a hook and a conclusion. Thesis is not adapted to purpose. Evaluation should be centered around criteria set forth in thesis statement. Need a proper thesis adapted to purpose.

Review key findings from split-brain research in the past 50 years. Choose one of the significant findings and write a paper about it. In your paper, areas that should be included are a description of the finding, its location in the brain (e.g., right or left side, and a particular location if stated), and a description of the method or tests used by researchers to identify the ability. Include your thoughts on what this appears to tell us about the workings of the brain. Finally, think about what we don’t know with respect to this finding and write a paragraph about some questions that still remain. (You are welcome to include how this might be researched further, but this is not required). This paper should be written following APA formatting. It should be 4 – 5 pages in length Grading will focus on quality more than quantity. You should use the textbook as well as 2-4 other resources. You can use quotes, but generally no more than 10% of the paper should bec composed of quotes. Be sure to quote and cite the resources accurately.