Using The Payback Method, IRR, And NPV For Math

Purpose of Assignment
The purpose of this assignment is to allow the student to calculate the project cash flow using net present value (NPV), internal rate of return (IRR), and the payback methods.
Assignment Steps
Resources: Corporate Finance
Create a 350-word memo to management including the following:

Calculate the following time value of money problems:

  1. If you want to accumulate $500,000 in 20 years, how much do you need to deposit today that pays an interest rate of 15%?
  2. What is the future value if you plan to invest $200,000 for 5 years and the interest rate is 5%?
  3. What is the interest rate for an initial investment of $100,000 to grow to $300,000 in 10 years?
  4. If your company purchases an annuity that will pay $50,000/year for 10 years at a 11% discount rate, what is the value of the annuity on the purchase date if the first annuity payment is made on the date of purchase?
  5. What is the rate of return required to accumulate $400,000 if you invest $10,000 per year for 20 years. Assume all payments are made at the end of the period.

Calculate the project cash flow generated for Project A and Project B using the NPV method.

  • Which project would you select, and why?
  • Which project would you select under the payback method? The discount rate is 10% for both projects.
  • Use Microsoft® Excel® to prepare your answer.
  • Note that a similar problem is in the textbook in Section 5.1.

Sample Template for Project A and Project B:

Show all work.
Submit the memo and all calcluations.

Assessing Critical Business Indicators In Healthcare

Assessing Critical Business Indicators In Healthcare

critical Business Indicators
In order to be a sound financial manager, you need to know the fiscal intricacies of your organization or department. Decisions about future expenditures should be based on careful calculations of organizational or departmental needs. By using critical business indicators, you can more effectively balance the fiscal realities of your budget with the functional demands of your department.  In this Discussion, you examine the use of critical business indicators to assist in financial decision making for a health care department or organization.  By Day 1 of this week, your Instructor should assign you a problem from the Zelman, McCue, and Glick online text. If you did not receive an assignment, contact your Instructor.
To prepare: •Review this week’s Learning Resources, focusing on how critical business indicators can be used in financial decision making. •For the problem you were assigned, complete the calculations and then answer the questions included. •Select a different business indicator than you used in your problem. Reflect on how this critical indicator could assist a nurse manager to more effectively balance the demands placed on a department while still meeting budgetary constraints. Find an example. •Assess the ramifications of making a decision without having the types of information these business indicators provide. •If it was imperative for you to make a certain purchase or launch a new initiative, but your break-even point was calculated as higher than the expected revenues, what are your options?
Post your response to the question you were assigned and explain your reasoning. Suggest how nurse managers could use the critical business indicator you selected to both meet the needs of a department or organization and remain within budget. Provide a specific example. Describe potential ramifications of making a financial decision without using business indicators. Specify strategies for addressing a situation where a break-even point is higher than expected revenues.
Required Readings  Baker, J. J., Baker, R. W., & Dworkin, N. R.  (2018). Health care finance: Basic  tools for nonfinancial managers (5th ed.). Burlington, MA: Jones and  Bartlett Learning.     •Chapter 12, “Financial and Operating Ratios as Performance Measures” (pp. 127-134)    Review: This chapter introduces a number of different tools that can be used to measure the performance of an organization. These include liquidity ratios, solvency ratios, and profitability ratios.     •Chapter 15, “Using Comparative Data” (pp. 161-173)    Review: In this chapter, you are introduced to the criteria for identifying other health care organizations that are comparable to your own. Data from these organizations can then be used to evaluate your own organizational performance.  Zelman, W., McCue, M., & Glick, N. (2009). Financial management of health care organizations: An introduction to fundamental tools, concepts, and applications (3rd ed.). Hoboken, NJ: Jossey-Bass.  Retrieved from the Walden Library databases.  •Chapter 7, “The Investment Decision” (pp. 271–328)

ANA 2018 Quality and Innovation Conference

P4,P5 and P6

 
For my EBP project I feel that the conference best suited to present this research information would be the ANA 2018 Quality and Innovation Conference happening here in Florida in the city of Orlando in March. “The American Nurses Association (ANA) is the premier organization representing the interests of the nation’s 3.6 million registered nurses. ANA advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public. ANA is at the forefront of improving the quality of health care for all.”(About ANA, n.d.). This would also be the professional journal I would use. ANA is the gold standard of nursing information and is the ideal location to share this EBP research with the massive fellowship of nurses who use this site and journal.
The ANA has such a far reach in this profession for my country and I really feel that this is a perfect venue to share this information with the nurses of this great nation. They serve as an advocate for our profession and are seen as the innovators for the future of nursing.
References
About ANA. (n.d.). Retrieved from http://www.nursingworld.org/FunctionalMenuCategories/AboutANA

Summary of Organization’s Capabilities and Requisite Employee Competencies

Assignment One: MS PowerPoint Presentation (20%)
Instructions
Using the SHRM case study (an organization named Reyes) provided, students will apply their knowledge about business and the function of Human Resources. In addition the use of a common business tool, a Strengths, Weaknesses, Opportunities and Threats (SWOT) assessment is used to assess both the HR domains and the role the HR function is performing in the organization.
 
SPECIFICS
 
It is anticipated that the presentation will be approximately seven to ten slides, written in bullet points with additional notes, if needed, included in the notes section of the presentation, and demonstrate good academic writing style. In text citations and references will be presented in APA format and are in addition to the approximately seven to ten slides. At least one scholarly source is to be included on the reference page along with corresponding in text citations in the content of the presentation. Students are to use the UMUC writing center or Owl Purdue online writing center for tutoring on APA format for in text citations and reference lists.
 
1. Title Page (Title of the paper, Your Name, Course Number, University, Professor’s Name & Date)
2.
3. Introduction and Purpose of the Presentation (what the paper is intended to achieve) DONE
4.
5. Summary of Organization’s Capabilities and Requisite Employee Competencies (what is Reyes in business to do and what competencies or knowledge, skills or abilities are needed of the employees in the entire organization in order to sustain success?) The course module/commentary gives examples of capabilities and competencies.
6.
7. Challenges the Organization Needs to Address (There are many in this study, find at least three that you think are key issues)
8.
9. Summary of the Findings of the SWOT Assessment for the HR function (using the following chart)
10.
11. Summary or Conclusions (Based on the challenges you identified and the SWOT, what are your findings? Go back to your purpose statement for the paper and reiterate what you have achieved)
12.
I only want to see short bullet points.  I do not want to see whole sentences on the slides.
Your explanation of your short bullet points goes into the notes section of the slide.    Each slide needs to have notes explaining what the slide is all about.
USE THE SUMMARIES IN THE INSTRUCTIONS TO LABEL THE SLIDES, YOU NEED TO FOLLOW THE INSTRUCTIONS
 
SWOT Assessment
 

HR Domains and Roles Strength, Weakness, Opportunity or Threat? Comments/Description on Your Finding of the Strength, Weakness, Opportunity or Threat
Human resource development and succession planning    
Risk management, safety and security    
Talent acquisition    
Total rewards    
Employee and labor relations    
Strategic leaders    
Credible activists    
Business expert    
Culture and change champion    
HR innovators and integrators    
Proponents in HR and organizational technology  

EBP as a good practice

Deactivated
Kelie Hein
2 posts
Re:Topic 10 DQ 2
Simply stated, EBP is an essential part of the BSN-prepared nurse because EBP is best practice, and it ensures the most positive outcomes for patients.  Nurses are leaders, and as education level increases, credibility and responsibility also increase.  Each degree obtained causes people to look at the nurse as more of a leader, and leads patients to have more trust.  The ANA agrees with those concepts, calling all nurses to further their education, and posits that EBP improves “care processes and patient outcomes” (Stevens, 2013, para. 3).

The first way I will integrate and encourage EBP is to continue to learn.  As I increase my knowledge regarding EBP, I will be more prepared to utilize it.  I will attend conferences and read the journals I subsribe to in order to stay abreast of new technology and advnaces, and the most current evidence.  The other way I will integrate and encourage EBP is to set the example.  We often get nursing students on our unit, and I will guide them in utilizing EBP, and encourage their spirit of inquiry.  I will also be involved on my unit, presenting knowledge as I learn it, and perhaps even being a preceptor.  At some point in my nursing career, I would like to be a clinical instructor.

The major obstacles to this plan are time and finances.  School is extremely expensive and time-consuming.  My facility is Magnet designated and very encouraging of education.  I will utilize their tuition reimbursement program to minimize the financial impact.  In order to minimize time impact, I will be sure to engage in self-care and balance my work, school, life time.  I will also continue to strive and motivate myself based on making myself better, and making my patients’ lives better.  I am also blessed to have God’s love and guidance, as well as that of my family.

PROBLEMS OF HYPERTENSION

 
Details:
Throughout the RN-to-BSN program, students are required to participate in scholarly activities outside of clinical practice or professional practice. Examples of scholarly activities include attending conferences, seminars, journal club, grand rounds, morbidity and mortality meetings, interdisciplinary committees, quality improvement committees, and any other opportunities available at your site, within your community, or nationally.
You are required to post one scholarly activity while you are in the BSN program, which should be documented by the end of this course. In addition to this submission, you are required to be involved and contribute to interdisciplinary initiatives on a regular basis.
Submit, as the assignment, a summary report of the scholarly activity, including who, what, where, when and any relevant take-home points. Include the appropriate program competencies associated with the scholarly activity as well as future professional goals related to this activity.
You may use the “Scholarly Activity Summary” resource to help guide this assignment.
While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
You are not required to submit this assignment to Turnitin.

infant development Assignment

Assignment 4

Assignment 4
Highlight the correct answer, and explain why.
1) The mother of an infant child asks the nurse what the right feeding schedule is for an infant. Of the following responses, which would be the best response for the nurse to make?

a. Feed the infant every 2 hours. c. Feed the infant every 4 hours
b. Feed the infant every 3 hours d. Feed the infant when the infant is hungry.

2) A concerned parent asks the nurse how much fiber a 4 year old child should have each day. Of the following responses, which best answers the parents question?

a. As much as the child will eat. c. Fourteen grams per day.
b. Between 9 and 14 grams per day. d. Nine grams per day.

3) A client tells the nurse when discharged from the hospital that the client is going to do whatever is necessary to lose some weight. What is the most appropriate response for the nurse to make?

a. Be sure to contact your physician before embarking on a weight reduction plan. c. I’ll have the registered dietitian put together a meal plan for you.
b. Good luck with your effort. d. Just follow a MyPyramid plan for 1,000 calories less a day than you think you need.

4) The nurse is caring for a client in long term care who has been prescribed tetracycline. What, if any, dietary issues related to the tetracycline must the nurse be concerned with?

a. Dairy products should not be consumed within 2 hours of taking tetracycline. c. There are no food-drug interactions associated with tetracycline.
b. The tetracycline should be taken with milk 2 hours before eating. d. This patient cannot have any dairy products until the course of antibiotic treatment is complete.

5) The nurse is completing the initial assessment of a hospitalized client who has arthritis. The client uses aspirin daily for pain relief. The nurse makes a note to look at the patient’s labs when they come in to see if the patient may need supplementation of what nutrient?

a. calcium c. magnesium
b. iron d. vitamin E

analysis, synthesis and evaluation of nursing theory

Smith, Turkel & Wolf (2013) Chapter 4
Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011).  Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).
Directions: Complete the Reflective Journal questions presented in your Smith, Turkel, & Wolf (2013) text as defined in the course outline.  Post the responses to the questions in the D2L dropbox.
book: https://books.google.com/books?id=x8jOEKojWRQC&printsec=frontcover&source=gbs_ge_summary_r&cad=0#v=onepage&q&f=false

application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions

This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.
To prepare:
Read: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535 (see attached pdf)
Read: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15. (see attached pdf)
We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to you, and which would ultimately contribute to an evidence based practice.
The discussion assignment:
ANSWER the following discussion questions. Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.
Discussion questions:
1) What was the purpose of the research?
2) Identify the independent and dependent variables in the study.
3) Briefly describe the research design, data collection method(s), and instruments used to measure the variables under study.
4) Briefly summarize study findings, conclusions and recommendations. Do you agree with these?
5) As a DNP prepared nurse, would you recommend a change in nursing practice based on the study? Defend and/or justify your decision based on research evaluation principles. In other words, does the evidence generated by this research article signify a need to change nursing practice? If not, why not; if so, why?
Post by tomorrow Wednesday January 31, 2018 by 10 pm America New/York time
Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.

  • Chapter 14: “Leadership      for Quality”
  • Chapter 16: “Implementing Quality as the Core      Organizational Strategy”

Baur, C. (2011). Calling the nation to act: Implementing the national action plan to improve health literacy. Nursing Outlook, 59(2), 63–69.
Note: You will access this article from the Walden Library databases.
This article describes the aspects of the National Action Plan to Improve Health Literacy. It starts by covering the background and objectives of the plan and then moves to its vision and goals.
Ferrara, L. R. (2010). Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: Bridging the theory practice gap. Research & Theory for Nursing Practice, 24(4), 213–216.
Note: You will access this article from the Walden Library databases.
The author of this article discusses using constructivist theory to teach nurse practitioner students to use evidenced-based practice. She focuses on introducing the student’s theoretical knowledge into real-life practice.
Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326–331. doi:10.1111/j.1365-2834.2010.01076.x
Note: You will access this article from the Walden Library databases.
Health care organizations have implemented the Magnet Model as a way to successfully implement practice change. This article examines the aspects of this process.
Lavoie-Tremblay, M., Bonin, J.-P., Lesage, A., Farand, L., Lavigne, G. L., & Trudel, J. (2011). Implementation of diagnosis-related mental health problems: Impact on health care providers. Health Care Manager, 30(1), 30(1): 4-14 (50 ref). doi:10.1097/HCM.0b013e3182078a95
Note: You will access this article from the Walden Library databases.
The study within this article analyzes two cases related to the implementation of diagnosis-related mental health programs.
Mark, D. D., Latimer, R. W., & Hardy, M. D. (2010). “Stars” aligned for evidence-based practice: a TriService initiative in the Pacific. Nursing Research, 59(1), S48–S57. doi:10.1097/01.NNR.0000313506.22722.53
Note: You will access this article from the Walden Library databases.
Nurses from a military health care system in Hawaii established ways to use and evaluate evidence-based practices. This article details the process and results of this collaborative effort between the Army, Air Force, and Navy.
Scobbie, L., Dixon, D., & Wyke, S. (2011). Goal setting and action planning in the rehabilitation setting: Development of a theoretically informed practice framework. Clinical Rehabilitation, 25(5), 468–482. doi:10.1177/0269215510389198
Note: You will access this article from the Walden Library databases.
In order to develop a theory-based framework for setting goals, the authors of this article use casual modeling to determine effective patient outcomes. They identify four major components of the framework that can be used to set effective goals.
Optional Resources
Schifalacqua, M. M., Mamula, J., & Mason, A. R. (2011). Return on investment imperative: the cost of care calculator for an evidence-based practice program. Nursing Administration Quarterly, 35(1), 15–20.

reading response

By the due date assigned, post your response of at least 150-200 words to the Discussion Area. By the end of the week, comment on at least two of your classmates’ submissions.
IMPORTANT NOTE: Your instructor will assign a play for the class to read and will post the information as a Week 3 Announcement (i.e., The Glass Menagerie, Trifles, or A Doll’s House).
Prompt: The setting (space, place, and time) forms the backdrop and defines the atmosphere for a play. Settings sometimes symbolically present plot and character issues. For example, a locked door could represent an obstacle within a character’s life. At other times, the setting can limit or permit the characters’ actions. 
 Think about the setting in the play you read. Consider these aspects:

  • Physical space in which the story is placed (confined or open, small or large, limited to one place or not)
  • Cultural and social landscape in which the story is situated
  • Time in which the action takes place (time of day, year, era, or century)
  • Stage directions, including lighting, music, and placement of props

Discuss the setting and stage directions in the play you read. Does the setting produce certain responses from the audience? In what ways does the setting influence the events? Does the setting constrain or liberate the characters? How does the setting reflect the central ideas of the play? 
Tips: Remember to provide evidence for your claims in the form of quoted passages from the play. Quotations, paraphrases, and summaries should be cited according to APA rules of style, including in-text and reference citations. Quoted material should not exceed 25% of the document.
Check grammar and spelling before posting.
Williams, The Glass Menagerie is the play.