Group Medical Practices in the U.S

HAS 546 Week 1 Discussion – Group Medical Practices in the U.S
Q. According to the textbook, a comparison of several countries with different levels of income shows that quality of healthcare and life expectancy among these nations are similar. However, the cost of care in the U.S. is the highest among the nations in the comparison. Analyze the main specific factors that affect the cost of healthcare services in the U.S. and recommend one (1) way that physician practices can help reduce the overall cost of healthcare services in the U.S. Provide a rationale for your response. 
Q. Assess the key different types of physician practices and evaluate three (3) administrative challenges that practice administrators face in providing quality services to the communities they serve. Support your analysis with specific examples.

Monte Carlo Simulation

HRM 517

7-9 Uncertainty in Project Schedules
On some projects, it is easy to estimate durations of activities with confidence. On others, so many uncertainties exist that managers have far less confidence in their ability to accurately estimate. However, project managers still need to tell sponsors and clients how long they believe a project will take and then be held accountable for meeting those dates. One common strategy for handling this potential problem is to construct the best schedule possible and then manage the project very closely. A different strategy is to estimate a range of possible times each individual activity may take and then see what impact that has on the entire schedule. PERT and Monte Carlo are two methods sometimes used for this approach.
7-9a Program Evaluation and Review Technique
Program evaluation and review technique was developed during the 1950s to better understand how variability in the individual activity durations impacts the entire project schedule. To use PERT, a project team starts by sequencing the activities into a network as described above. However, instead of creating one estimate for the time to complete each activity, they would create three estimates: optimistic, most likely, and pessimistic. For example, the first activity, “Determine new product features,” will most likely take five days, but it could take as little as four days if everything works well and as long as 12 days if a variety of things interfere. The person scheduling the project then calculates the estimated time to perform each activity as shown in Exhibit 7.16 using the following equation:
Estimated time =

Optimistic + 4 (Most likely) + Pessimistic
6

Therefore, for the first activity, the estimated time =

4 + 4(5) + 12
6

= 6
The primary advantage of PERT is that it helps everyone realize how much uncertainty exists in the project schedule. When people use single time estimates, sometimes there is a tendency to believe that the estimates foretell exactly what will happen. On many projects, a great deal of uncertainly exists, and PERT helps to make this visible. In addition to making the overall uncertainty more visible, calculations often show that the expected time is actually longer than the most likely time. That is because if many things go very well on an activity, generally only a little time can be saved, but if many things go terribly wrong, a great deal of time can be lost.
EXHIBIT 7.16 PERT TIME ESTIMATE EXAMPLE

ACTIVITY OPTIMISTIC MOST LIKELY PESSIMISTIC EXPECTED
Determine new product features 4 5 12 6
Acquire prototype materials 16 20 30 21
Produce prototype 8 10 12 10
Design marketing campaign 9 10 14 10.5
Design graphics 6 10 20 11
Conduct marketing 28 30 50 33
Perform sales calls 20 25 30 25

However, using PERT involves difficulties. First, it is often hard enough to create one estimate of how long an activity will take, so it takes even more effort (and therefore money) to create three estimates. Second, there is no guarantee on how good any of the three estimates are. Third, PERT can underestimate the risk of a schedule running long because it does not accurately address when two or more activities both need to be accomplished before a third one can begin.27
Since PERT highlights uncertainty in project duration, its logic is useful to project managers. However, since it has some problems, only a few project managers actually use it to fully calculate and monitor project schedules. Some project managers informally use three time estimates for a few key activities on the critical path to get a sense for the amount of uncertainty and to better understand the activities that need close monitoring. Other project managers who want to understand the potential variation use Monte Carlo simulation. Students of project management need to be aware that both PERT and Monte Carlo simulations are sometimes used to help understand uncertainly in project schedules.
7-9b Monte Carlo Simulation
Monte Carlo simulation is “a process which generates hundreds of thousands of probable performance outcomes based on probability distributions for cost and schedule on individual tasks. The outcomes are then used to generate a probability distribution for the project as a whole.“28 Monte Carlo is more flexible than PERT, in that an entire range of possible time estimates can be used for any activity. The project schedule is calculated many times (perhaps 1,000 or more), and each time the estimate for a particular activity is generated based upon the likelihood of that time as determined by the project manager. For example, suppose a project manager estimated that for a particular activity there was a 10 percent chance of taking five days, a 30 percent chance of taking six days, a 40 percent chance of taking seven days, and the remaining 20 percent chance of taking eight days. Then for each 100 times the computer generated a project schedule, when it came to that activity, 10 times it would choose five days, 30 times it would choose six days, 40 times it would choose seven days, and 20 times it would choose eight days. The output from the computer would include a distribution of how often the project would be expected to take each possible length of time. Many other possible outputs can also be generated from Monte Carlo simulations.
One advantage of Monte Carlo analysis is the flexibility it provides. This allows more realistic estimates. Another advantage is the extent of information it can provide regarding individual activities, the overall project, and different paths through the project that may become critical.
A disadvantage of Monte Carlo is the amount of time necessary to estimate not just a most likely duration for each activity, but an entire range of possible outcomes. Another disadvantage is that special software and skill are necessary to effectively use Monte Carlo. This disadvantage is not as large as it once was because more software is available and most students are learning at least the fundamentals of simulation in statistics or operations classes.
A project manager needs to decide when some of the more specialized techniques are worth the extra effort for a project. The old saying that a person should spend $100 to save $1,000, but should not spend $1,000 to save $100 applies. If the savings on a project from using techniques such as learning curves, PERT, or Monte Carlo are significant, project managers should consider using one of them. If not, they should create the best estimates possible without the specialized techniques, incorporate risk management by carefully identifying and planning for specific risks as discussed in Chapter 10, and manage the project schedule very carefully as discussed in Chapter 14.
EXHIBIT 7.17 NEW PRODUCT DEVELOPMENT SCHEDULE IN CHINA EXAMPLE
Week one—Request is received from the customer for a product that is darker than anything we have in our current offering. Our sales manager forwards the request to our VP sales and our R&D department. A quick review of the potential price versus cost of materials is completed by the VP sales (with finance input), and the product is deemed saleable at an acceptable margin.
Week two—A trial cook in our “baby cooker” is conducted by our R&D department. Within two attempts, a product that is within the customer-requested specs is produced. An additional trial is conducted to quickly check repeatability. The trial product is express shipped to the customer and to our China facility for comparison purposes.
Week three—The formulation and related instructions for cooking are communicated to our China operations with a “red sheet” process. China has anticipated the receipt of this red sheet, and is able to schedule time in production within a week.
Week four—The initial red sheet production is successful and passes the specification tests in China and in Louisville.
Week five—Customer confirms purchase order, and the first shipment is sent. The product contributes significantly to the revenues and profitability of the China facility. Success!
Key factors—Strong communication between all the players and a clear understanding of the customer expectations up front.
Source: Elaine Gravatte, D. D. Williamson.
These specialized techniques are sometimes used in research and development (R&D) projects. However, some R&D projects do not need this level of sophistication. Exhibit 7.17 shows an actual R&D project schedule used by D. D. Williamson of Louisville, Kentucky, when a Chinese customer asked it to develop a new product somewhat different from any it had previously developed. Once D. D. Williamson decided to take the job, it developed and communicated the project schedule to all stakeholders both in its company and the customer’s company within the first week.
Australian researchers have discovered that two primary causes of late delivery of IT projects are variance in time to complete individual work activities and multiple dependencies for some activities. Suggestions for overcoming these two problems are shown in Exhibit 7.18.

strategies to implement problem solutions

WKLY DQs

DQ1 – Identify the three most important factors to consider when selecting the strategies you will use to implement problem solutions. Justify your selections by providing specific business examples that support your ideas.
DQ2 – Using what you have learned in the Topic Materials, discuss what you believe to be the most important aspect of change management. Provide specific examples to justify your opinion and illustrate your ideas.
DQ3 – Explain why it is important to evaluate the effectiveness of proposed solutions using both qualitative and quantitative data. Justify your opinion with specific reasons and examples.

communications policy

In this assignment, you will prepare a communications policy for a company that you are familiar with or a fictitious company you create. The communications policy will map the type of communications messages (e.g., organizational or strategic changes, procedural changes, information important to organizational subgroups, confidential information, unwelcome information, etc.). Using the module readings and the Argosy University online library resources, research requirements of and methods of creating communications policy documents.Create a communications policy document that covers the following:Identify the audience Describe the media (including social media) to be used List and explain the appropriate approvals required Explain the tools and tactics to be used In developing your plan, you should utilize at least five peer-reviewed articles in addition to the readings from the textbook and online resources.Write a 6 page paper in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M3_A2.doc.

Warehouse Move project

1.Using the District4WarehouseMove WBS.xls provided, create a project plan for the District 4 Warehouse Move project. Use the PDF document, Project Plan Check – District4Move, to check your work to be sure you have created your starting project plan correctly. ProjectLibre is required for this task. If you have not yet downloaded ProjectLibre, please click here and follow the directions to do so now.   Note: you will need to insert a column to include your WBS codes, then you will need to sequence the tasks to show tasks by work package. 2.Based upon the details in the WBS and the project case, determine which tasks need to be completed first and which tasks are dependent upon other tasks to be completed prior to starting. Using this information identify predecessors in your project plan’s predecessor column. Complete the predecessor column by entering the line number of tasks that must be completed in order for each task to start. This will create your project timeline. 3.Using ProjectLibre’s Network or flow diagram view, determine the critical path for this project. In a MS Word document, list the activities that are on the critical path. Considering the risks identified in the risk table below, identify which risks would be most likely to increase your project timeline. Justify your responses. 4.Submit both your completed project plan and your MS Word document.  District 4 Production Warehouse Move Project – Risk Table
1     Permits are not received per the  schedule
2     Finish work contractors walk off  the job half     way through
3     Framing and drywall contractors  are running     behind schedule and  can only produce half       their crew  as scheduled
4     Work benches are poor quality  and 1/3 will     have to be rebuilt    Submit your plan to the Submissions Area by the due date assigned.
Assignment 2 Grading Criteria   Maximum Points   Correctly developed a project plan from the WBS provided  60   Completed the predecessor column correctly in the project plan based upon information in the case.  40   Correctly identified critical path activities  16   Correctly identified risks that would impact the project schedule  40   Used proper writing components such as, correct grammar, spelling, and word choice and cited all sources using correct APA style, etc.  44   Total:  200
I have Copy and Pasted the  link, https://sourceforge.net/projects/projectlibre/

Structure, Change, and Stress— Cameron Mechanical & Automation, Inc. (CMA)

Assignment Overview
Type: Master’s Level Individual Project
Unit:  Structure, Change, and Stress
Due Date:  Wed, 2/7/18
Grading Type: Numeric
Points Possible:  250
Points Earned:  0
Deliverable Length:  1,200 words, APA formatted (with minimum of 3 references)
View objectives for this assignment
 
Cameron Mechanical & Automation, Inc. (CMA) is a fictional company that has been in business and operating in the Silicon Valley since 1998. The company began as a successful Internet-based company (dot-com) and experienced great success with the introduction of high technology. The company also experienced decline with other dot-coms in 2001. As a result, CMA restructured and focused on its primary products; that is, computer components. The early changes in the company were done quickly to downsize. Although many other companies failed during this time, CMA managed to move forward.
CMA rebounded and continued to manufacture and sell its components to computer manufacturers worldwide. The company structure was divided into product divisions, with each division focused on specific components. For the company, this structure was meant to streamline sales and delivery worldwide.
In 2008, the economy had an effect on company profits, but the chief executive officer (CEO), Jared Smith, was in a position to focus on several internal strategic areas, including structure, work design, motivation, conflict, and company culture as a whole. To stay profitable, the company had to eliminate several management positions in an effort to flatten the organizational chart. Many of the responsibilities fell to the employees, and many people resisted the change.
As the economy recovers, CMA continues to rebuild. Since 2012, the company has been divided into a functional structure that includes four departments: Research and development (R&D), marketing, production, and finance. Each department is headed by a vice president who has responsibility over each of the functional areas. The company currently sells components to computer manufacturers. As technology continues to advance, the CMA R&D department and its vice president, Kevin Adams, are feeling pressure to keep up with the competition. However, because of the differentiation and separation between the departments, the CEO is concerned that communication is hampered.
Because of the current structure and culture, the vice presidents who run each division of the company have autonomy and are able to use different leadership styles. For example, the vice president of marketing, Jim Stevens, uses a more democratic leadership style, while the vice president of production, Melissa Simons, is adamant that her autocratic or transactional style is the only way to get results. Each leadership style has advantages, but the lack of consistency between divisions may be causing problems for the company as a whole. Further, the CEO is concerned that the workforce may not be as diverse as it should be, but he is not sure how to address the issue.
It is the end of the day, and you are meeting in Jared’s office to talk about his conference with the vice presidents.

Jared, the CEO, says: “We talked about how we can change the infrastructure so that it helps organizational culture run efficiently and consistently. Everyone is getting the same message now about how structure and culture need to work in a healthy company.”
“You know, it would help if I had something that explained the link between culture and structure. I need to talk to the board about the changes we’re making, and I will be talking to staff about what they can expect to happen over the next 6 months. You’re a better writer than I am, and I could use a well-written explanation for my discussions.”
Jared also says, “Besides explaining the link between culture and structure in this assignment, and based on the problems that CMA has had, what additional changes would you suggest for the company? I want to include your recommendations in the agenda for the next quarterly meeting with the board.”

team-based performance management and individual-based performance management

“Team-Based Performance Management”  Please respond to the following:

Professional Communication

  1. Locate an article, video, or other resource that relates to using PowerPoint or effective slide design. Using the saved PPT slide on your desktop, provide a summary of this resource on the provided body slide (slide 2). This should be a brief summary (much like Professional Experience #2). Include a link to the resource/information on the slide. Do not alter or delete any other students’ slides.
  2. Save the Your_Name_Wk5_PPT.pptx file. Upload your completed PowerPoint file to OneDrive by clicking “Upload” in the menu bar at the top of the OneDrive webpage.