Health Care Operation And Quality Assessment Paper

Unit outcomes addressed in this Assignment:

  • Assess quality and techniques for improving quality and safety.

Course outcome addressed in this Assignment:
HA540-3: Research methods of assessing quality and techniques for improving quality and safety
Instructions:
In this assignment, you will be researching dimensions of quality and safety in healthcare, specifically long- term care, and how various industries can apply these concepts to improve operations.

  • Using the Medicare Nursing Home Compare website, research one nursing home that displays a low level of quality as indicated by their Five Star Rating*
    • The nursing home should display a low level of quality (-2 star rating)
    • The nursing home should display a low level of safety
  • Provide a general overview of the nursing home (e.g., name, location, bed size, ownership, etc.)
  • Discuss the quality performance of the nursing home as evident by its most recent health care inspection (e.g., deficiencies, citations, financial penalties, etc.). This can be accomplished by thoroughly reading the nursing home’s statement of deficiencies and plan of action to correct quality deficiencies (CMS Form 2567).
  • Discuss the safety performance of the nursing home as evident by its most recent life safety inspection (e.g., life safety citations, financial penalties, etc.). This can be accomplished by thoroughly reading the nursing home’s life safety code statement of deficiencies and plan of action.
  • Discuss appropriate techniques that you would use to improve quality in the nursing home.
  • Discuss appropriate techniques that you would use to improve safety in the nursing home.
  • Be sure to include details about the deficiencies that you found.
  • Report your findings by using the methods below:
    • 3-4 page paper excluding front and back matter (APA standards apply).
  • This paper is worth 250 points!

PLAGIARISM IS HIGHLY UNACCEPTABLE!

Rate Of Return For Stocks And Bonds

Purpose of Assignment
The purpose of this assignment is to allow the student an opportunity to calculate the rate of return of equity and debt instruments. It allows the student to understand the effects of dividends; capital gains; inflation rates; and how the nominal rate of return affects valuation and pricing. The assignment also allows the student to apply concepts related to CAPM, WACC, and Flotation Costs to understand the influence of debt and equity on the company’s capital structure.
Assignment Steps
Resources: Corporate Finance
Calculate the following problems and provide an overall summary of how companies make financial decisions in no more than 700 words, based on your answers:

  1. Stock Valuation: A stock has an initial price of $100 per share, paid a dividend of $2.00 per share during the year, and had an ending share price of $125. Compute the percentage total return, capital gains yield, and dividend yield.
  2. Total Return: You bought a share of 4% preferred stock for $100 last year. The market price for your stock is now $120. What was your total return for last year?
  3. CAPM: A stock has a beta of 1.20, the expected market rate of return is 12%, and a risk-free rate of 5 percent. What is the expected rate of return of the stock?
  4. WACC: The Corporation has a targeted capital structure of 80% common stock and 20% debt. The cost of equity is 12% and the cost of debt is 7%. The tax rate is 30%. What is the company’s weighted average cost of capital (WACC)?
  5. Flotation Costs: Medina Corp. has a debt-equity ratio of .75. The company is considering a new plant that will cost $125 million to build. When the company issues new equity, it incurs a flotation cost of 10%. The flotation cost on new debt is 4%. What is the initial cost of the plant if the company raises all equity externally?

Submit your summary and all calcluations.

Describe a real-life team scenario related to quality

a. Describe a real-life team scenario related to quality. Describe the type of team it was, its purpose, and the team roles. Describe the functioning of the team, the results, and how the functioning and/or results might have been improved.
b. Summarize the Kirkpatrick Model.
c. Identify a real training need related to quality (remember the industrial-technical focus if you can) and outline the training plan to meet that need.

Corporate Finance, Ch. 20: Raising Capital

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Corporate Finance, Ch. 20: Raising Capital
1. Describe the stages in venture capital financing.
2. Explain the methods used to issue new securities.
3. Explain the role of investment banks in the underwriting process.

Corporate Finance, Ch. 26: Short-Term Finance and Planning
1. Describe the uses and sources of cash.
2. Describe the characteristics of the operating cycle and the cash cycle.
3. Explain how the cash budget is used in short-term financial planning.
Corporate Finance, Ch. 28: Credit and Inventory Management
1. Identify the three elements which make up the terms of sale.
2. What factors influence when credit should be granted and the length of the credit period offered to customers?

Teams and training

 
If I provide a lecture or essay associated with a topic or assignment, I like to discuss nuances or angles not apparent in the reading materials. You probably know that in the real world things are almost always more complicated than in a book or in school. What you may not realize is that what you know about the real world is not nearly as complicated as it really is. In providing insights about the complexities of things I am not trying to wow you or bury you trivia. I am trying to prepare you for when things are not, or do not work out, as expected. My favorite Yogi Berra quote is in theory, theory and practice are the same, in practice they are not.
Teams
The word team is overused, i.e., saying something is a team doesn’t make it so. A work gang may or may not be a team. A mere collection of persons does not make a team any more than a collection of coins makes a team. A team implies a certain level of necessary interpersonal cooperation and interaction. Sports teams provide very good examples. Note that the players on a basketball team have different talents and roles and all those roles are needed. A team of five centers is not a very good team. The coaches, locker room attendants, etc. associated with a team are really not part of the playing team; they are support (and may or may not be a support team). Five workers stripping shingles of a house are not a team if they are all doing the same job (or if adding or subtracting a couple of workers doesn’t alter what the other workers do). Neither a mere aggregate of rocks nor people are a team. Roles within a team can be repeated but if there are not identifiable roles, there is no team. To be a team, there must be a certain amount of team member autonomy. If you are playing with dolls or toy soldiers, those toys are not a team. If employees only do what they are told, when they are told, how they are told, they are probably not a team. Even when there are various roles and individuals have some autonomy and fulfilling their roles, there is not team without a certain level of shared purpose and action. A team is like a system. Think of the human circulatory system. The heart, lungs (two team members with the same role), and other parts work in concert. The members of the basketball team cannot merely have their individual roles and make individual decisions. Lastly, turn work or piece work is not team work. Let’s assume student A does this bit of a project and student B does that bit of a project, then student C puts the bits together, then student D presents the bits in class. That is not team work.
Training
For the most part, training and education are interchangeable. People make differences between training and education based on the purpose, who is getting trained/educated, and other factors. Usually, training is said to be more specific and of immediate use. Whereas, education has a lifelong focus is applicable to many situations. I think that these are spurious distinctions. For training or education, there is going to be some mix of generalizable theory (that will pretty much stay the same throughout your life and be applicable to different situations) and specific tools (techniques, behaviors) that can be use immediately for a specific task.
Basic problem solving describes the major steps of training. These steps can be stated in dozens of flowcharted nodes or in as little as three.
1. Decide what training needs to be done. This implies some sort of needs assessment and problem statement to identify the gap between what the person knows (or can do, etc.) and what they should know.
2. Deliver the training. This includes designing the training and all the steps of delivering it.
3. Evaluate the training to see if it closed the problem gap, i.e., the person now knows what they need to, can do what they need to.
Kirkpatrick’s Model focuses on the evaluation and includes the following.
· Reaction. The trainee’s change in the affective domain, i.e., their attitude and perceptions.
· Learning. The trainee’s change in cognitive domain, i.e., their knowledge.
· Behavior. The trainee’s change in psychomotor domain, i.e., their behavior.
· Results. The change in organizational output. For me, this is the most important. If the person changed a lot (in a good way, as intended) but the origination didn’t change (quality, efficiency, safety, whatever), the training was a waste of organization resources.

Note that without change, no learning took place. Training/teaching (as an activity by a trainer) may have taken place, but no one was trained/learned. Working backwards, what change was needed? #1 above; the identified problem gap. To not first specify the problem that training hopefully can cure is like deciding everyone needs insulin injections without a diagnosis. All too often, managers jump to the medication (the training) conclusion without a proper diagnosis. Often they are talked into the training by someone selling it (or by peer pressure, or conventional wisdom, e.g., everyone else is doing it). Like any project and plan, there needs to be a problem statement, rationale, needs analysis, cost-benefit analysis, etc. for the training. Then the training needs delivered. If you do not evaluate the results of the training, you cannot know if problem was solved. In case you thought of it, yes, as a problem solving process, training can follow the DMAIC steps.

Initial Post

See the general assignment instructions for information about the quality and quantity expectations and evaluation criteria.

III. Teams and training.

a. Describe a real-life team scenario related to quality. Describe the type of team it was, its purpose, and the team roles. Describe the functioning of the team, the results, and how the functioning and/or results might have been improved.

b. Summarize the Kirkpatrick Model.

c. Identify a real training need related to quality (remember the industrial-technical focus if you can) and outline the training plan to meet that need.

Do not copy anything from the internet or any other source to complete the assignment. Use information from your life and experiences.

If you have never personally been on a team that had something to do with quality you can use a team that you were not personally on but knew about. Note that the team might have had something to do with quality, e.g., a basketball team, but not focused only on quality. Note that the group might not have been labeled a team.

Similar to the preceding paragraph, the training need must be something you have witnessed and experienced. You might or might not be someone who needs the training, e.g., you might have received or witnessed poor service that could be corrected with training.

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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