Factors that impact health and health care delivery

Factors that impact health and health care delivery Factors that impact health and health care delivery Develop a 6–8 page, APA-formatted article on a global health topic for publication. Describe the factors that impact health and health care delivery, and the interventions that have been implemented. Explain the influence of altruism on global health, and identify evidence-based interventions to address the global health topic. By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: · Competency 1: Explain the factors that affect the health of communities. ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS . Describe the factors that impact health and health care delivery associated with a global health care issue. . Explain the influence of altruistic organizations on health and health care practices associated with a global health care issue. . Explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale. · Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues. . Describe interventions implemented to address a global health care issue. . Identify evidence-based interventions to promote wellness and disease prevention associated with a global health care issue. · Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional. . Provide background information and statistics on a global health care issue. . Write content clearly and logically with correct use of grammar, punctuation, and mechanics. . Correctly format paper, citations, and references, using current APA style. · Toggle Drawer Context The overall wealth of a country often influences the country’s level of accessible health care and, ultimately, the health of the country’s citizens. However, developed countries often face similar public health issues as developing and middle-income countries. For example, HIV and AIDS are major public health concerns in both the United States and in many less developed sub-Saharan African countries. Through collaboration, research, and direct care, community/public health nurses can provide expertise and leadership in international health issues (Maurer & Smith, 2013). Understanding the processes involved in caring for populations provides the foundation for collaborative practices in international nursing care. Reference Maurer, F. A., & Smith, C. M. (2013). Community/Public health nursing practice: Health for families and populations (5th ed.). St. Louis, MO: W. B. Saunders. · Toggle Drawer Questions to Consider To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community. · What health issue do you see as having the greatest impact on the world today? · What is the attitude of the United States towards this health issue? · How might nursing influence the outcome of this health issue? Assessment Instructions Preparation Suppose you have been asked to submit an article for publication in your organization’s newsletter, about a global health topic and how policies and practices at the local level can affect global health. Choose one global health topic from the list (or use another of your choice): · Mental health. · Communicable diseases (HIV/AIDS, influenza, malaria, tuberculosis). · Non-communicable diseases (cancer, lung, and heart disease). · Maternal and child health (prenatal care, midwife education, childhood vaccinations). · LGBT health. · Disabilities. · Global water supply and safety (GlobalHealth.gov, n.d.). Look in the Capella library and on the Internet for very recent peer-reviewed articles, statistics, and professional nursing information on the global health topic you selected. Requirements For this assessment, develop an APA-formatted research review article that covers one global health topic of your choice. In this assessment: · Identify your topic. Provide background information and statistics on the topic, including the global areas most affected by the topic and the types of health care issues most often associated with the topic. · Describe the factors that impact health and health care delivery in the global areas most affected by the topic you selected. These factors may include not only culture and tradition, but also politics, economics, and social attitude. · Explain the influence of altruistic organizations (Peace Corps, Project Hope, religious and non-religious missions, and so on) on health and health care practices in the global area specifically associated with the topic. · Describe the interventions implemented to address the health care issues associated with the topic. Include both conventional and unconventional interventions. · Explain how the health care decisions and practices at the local level (the area most impacted by the topic) relate to health and health care delivery in other global areas. This is not limited only to best practices, but could include poor health care decisions and practices. · Identify evidence-based interventions that are effective, efficient, cost-effective, and equitable for promoting wellness and disease prevention in the specific area and population. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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Discussion: Pituitary Diseases

Discussion: Pituitary Diseases ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Pituitary Diseases Instructions for the A&P II Research Paper INSTRUCTIONS: 1. Your Topic is (Any Pituitary Disease) 2. Must have a Cover Page (Title, Your Name, Date, Class, and Instructor’s Name). Discussion: Pituitary Diseases 3. Do NOT write your name, course name, date, and professor’s name or the name of your paper on every page (This info goes on the cover page). 4. For the Body of the paper: Write a minimum of 1500 words. (Must Use Microsoft Word (not PDF or txt). Use the word count feature in Microsoft Word to make sure you have at least 1500 words. 5. If you own a MAC, don’t use it. Turnitin is not compatible with MAC computers. 6. When writing your paper, please follow this outline and in this specific order: a. Introduction b. Statistics c. Pathophysiology (Causes) d. Signs and Symptoms Discussion: Pituitary Diseases e. Diagnosis f. Treatment g. Prognosis h. Prevention i. Complications (if any) j. Conclusion page (at least 3). If you use the internet, dates and authors must be listed. 7. Reference DO NOT list your textbook, a dictionary, or wikipedias as references. The reference page and the cover page don’t count as part of the 1500 words. 8. Don’t COPY & PASTE anything directly from your resources. Find the information, read it, and summarize it using your own words. Any plagiarism will result in a zero grade for the paper. Up to 20% matching for quotes and small phrases will be accepted. More than 20% will be considered plagiarism, and it will reduce your paper grade. 40% or more matching will result in a Zero grade for the paper. You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument. ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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CSULB HCA 416 Comparison of Health Care Outcomes

CSULB HCA 416 Comparison of Health Care Outcomes ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON CSULB HCA 416 Comparison of Health Care Outcomes Lab #3: 1. Download the term paper data. CSULB HCA 416 Comparison of Health Care Outcomes 2. Clean up the spreadsheet: a. Keep only the data for your state and year and the national data for the same year. [WHICH IS Year: 2008 State: NH] b. Delete all rows with empty cells in days, discharges and cost fields. c. Create ALOS, cost per discharge, cost per day fields (or you can do it in Access). d. Save the cleaned Excel file. 3. Import your cleaned spreadsheet into MS Access. WHEN USING ACCESS, PROCEED WITH THE FOLLOWING: 4. Create queries to create the first 3 tables in your term paper template (excluding the % difference field, which you do by hand on in excel). Note that you will need queries to aggregate data at State and National levels. 5. Copy the query output to a spreadsheet to create charts (or you can do it in Access). 6. Save your Access database and submit to dropbox folder Lab #3 . attachment_1 You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument. ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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Apple Cloning Organs Press Release Paper

Apple Cloning Organs Press Release Paper ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Apple Cloning Organs Press Release Paper “Creating a Press Release” Please respond to the following: Strayer University BUS 475 Apple Cloning Organs Press Release Paper In a departure from its normal business operations, Apple has recently teamed up with a bio-tech company to investigate the possibility of cloning human organs. You have been tasked with creating a press release to make this decision public and get ahead of any negative press. Compose a statement to the press to explain Apple’s decision and mitigate potential negative reactions. What is one public response to Apple’s news that you would anticipate? A paragraph is NOT a press release. Press releases have distinct elements that are required. If your company wants free publicity, the company must send the editor a genuine press release. To learn how to write a press release, please click on this link: Apple Cloning Organs Press Release Paper http://www.netpreneur.org/news/prmachine/pr/rules.html You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes. Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument. ADDITIONAL INSTRUCTIONS FOR THE CLASS Discussion Questions (DQ) Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses. Weekly Participation Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week. APA Format and Writing Quality Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition. Use of Direct Quotes I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source. LopesWrite Policy For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Late Policy The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. Communication Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours. Strayer University BUS 475 Apple Cloning Organs Press Release Paper Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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Health Care Budget Case Study

Health Care Budget Case Study Health Care Budget Case Study Finalize your Healthcare Budget Request by completing the following: Part 1: Financial Statement Calculations and Analysis: Open your Excel Assignment Workbook and navigate to the “W10/11A6 Financials” worksheet. You have 2 Options for completing this Assignment as noted in the Excel Assignment Workbook. Using the Healthcare Budget Request Guide for guidance, conduct analyses as directed on either your organization’s financial statements or those provided in the HealthWays Financial Statements worksheet. Your analysis will include spreadsheet calculation of financial statement ratios. Health Care Budget Case Study ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Part 2: Summary of Analyses and Interpretation of Results: Create a brief (1- to 2-page) description of your analyses. Be sure to address the following in your summary: Describe the results of each statement analysis. What do the results of each analysis mean? What does your complete financial statement analysis suggest about the financial health of the organization? If using your current organization’s data, does your analysis help describe any observed organizational behaviors or actions? Explain. What assumptions have you made in your analyses? What implications do these analyses have for your proposed healthcare product or service? Part 3: Summary of Work and Final Healthcare Budget Request Compile and summarize your work in previous assignments. Place your final work on the Healthcare Budget Request template. Your final Healthcare Budget Request should include: A final version of your Executive Summary. NURS 6211 Walden University Health Care Budget Case Study A final version of your projected expenses and revenues A product/service budget for the launch and the first 5 years A summary of financial and SWOT analyses that you conducted, including your interpretation of the results week_10_assignment.xlsx nurs6211.docx Health Care Budget Case Study. Table 1. HealthWays Clinic, Monthly Expense Budget Report, June 2018. Item June 2018 May 2018 Budget Actual Difference Actual 1.0 1.0 0 1.0 3.0 3.0 0 3.0 Physician FTE Nurse PractitionerFTE Encounters: Established patients 275 291 New patients 25 18 Total encounters 300 309 Expenses: Physician Salaries & Benefits $10,500 $10,502 NP Salaries & Benefits $20,000 $20,992 Clerical (2 FTE) Salaries & Benefits $6,667 $6,771 Total personnel expense 37167 38264 Medical supplies $7,500 $8,136 Office supplies $623 $583 Rent $2,917 $2,917 Depreciation $333 $346 Capital Expenses $3,333 $3,480 Overhead $167 $167 Total non-personnel expense 14873 15628 Total health center expense 52040 53892 (16) 7 (9) (2) (992) (104) (1098) (636) 40 0 (13) (147) 0 (755) (1852) 286 27 313 $10,509 $20,191 $6,683 37383 $7,994 $508 $2,917 $346 $3,480 $167 15412 52795 2018 YTD Budget 1.0 3.0 1650 150 1800 $63,000 $120,000 $40,000 223000 $45,000 $3,498 $17,502 $1,998 $19,998 $1,002 88998 311998 Interpretation: I. Answer the following question related to the results of your calculations: . What interpretations can you make based 1. The full-time equivalents (FTE) for HealthWay employees: 1. Answer: FTE equals employee’s scheduled hours divided by the employer’s hours for a full-time workweek. Based the projected FTE for both physicians and nursing practitioners. 2. The number of encounters, both new and established: 2. Answer: The number of encounters for new patients is 291 and 18 for the stablished patients which add up to 309 – 3. Non-personnel expenses: 3. Answer: The total actual non-personnel expenses amount to 15628 above the budgeted amount by 755 which creat the non-personnel expense budget and further adjustments are critical. 4.Total expenses: 4. Answer: The total health center expenses amount to 53892 which is significantly above the budget of 52040. As su funding for effective operation of the center. II. If these trends continue, what could it mean for HealthWays? What strategies might they employ to address any iss Answer: The persistence of these trends might plunge HealthWays into critical budget deficits and poor revenues tha profits or losses. Applying the zero budgeting approach will allow the business to contain cost containment through a budget adjiustment. Then, it becomes obviously crucial to assess the best budgeting approach, best cost-effective exp 2018 YTD Actual 1.0 3.0 1671 164 1835 . All blue shaded cells require your answers. $63,149 $122,001 $41,978 227128 $47,883 $3,407 $17,502 $2,050 $20,439 $1,002 92283 319411 erpretations can you make based on the data? What is happening in regard to such measurables as: for a full-time workweek. Based on the above data, Healthway employees FTE sums up to 4.0 which is at par to ed patients which add up to 309 – suppassing the projections by 9. geted amount by 755 which creates unfavorable deficit for the facility. This implies that there is a budget deficit in above the budget of 52040. As such, the budget variance is unfavourable with a deficit of 1852 that requires ht they employ to address any issues your analysis suggests? et deficits and poor revenues that work to offset the poorly projected expenses that eventually result into low ntain cost containment through a financial restructuring or a major economic or market downturn that necessitates approach, best cost-effective expenses and budget variance analysis to ensure the process is excellent.NURS 6211 Walden University Health Care Budget Case Study . Health Care Budget Case Study. W2A2 Practice Design Refer to the Healthcare Budget Guide for an example of what to include and how it should look. W4A3 Estimated Expenses Refer to the Healthcare Budget Guide for an example of what to include and how it should look. W6A4 Budget Development Bring forward your work from W4A3 and add ratios as directed in the Healthcare Budget Guide W8A5 Estimated Expenses Refer to the Healthcare Budget Guide for directions on completing this Expense Forecasting scenario Expense Forecasting Based on the information provided, prepare an expense forecast for 20X1 using the template below Spending during January- June 20X1 (6 months) • Fixed expense items: $210,000 • Variable expense items: $1,200,000 • One time expense: $50,000 of fixed expense money was spent on preparing for a Joint Commiss Procedures preformed during January- June 20X1 (6 months) • Your department has performed 20,000 procedures during the first six months On November 1,20X1, two new procedure technicians will begin work. The salary and fringe benef Description Year to Date Expense Adjustments Add back “One Time” credits Deduct “one Time” expenses Adjusted total for year to date expense Annualization Divide by months (fixed) Multiple by months (fixed) Divide by volume Multiply by volume Annualized Amounts Adjustments Add back “One Time” expenses Deduct “One Time” credits Expense two new technicians . Expense Forecast as of 12/31/X1 Fixed 6 12 recasting scenario 0X1 using the template below: preparing for a Joint Commission survey six months The salary and fringe benefit costs for each is: Variable 20,000 40,000 TOTAL $ 96,000.00 yearly W8A5 Breakeven Analysis Refer to the Healthcare Budget Guide for directions on completing this Breakeven Analysis Break-Even Analysis Scenario You can charge $1,075 for a new service. Demand is anticipated to be 8,000 units a year. Your bus handle up to 16,500 units annually, so capacity should not be a problem. The average collection ra Price to be Charged Collection Rate Average Collection per Service Variable cost per unit of service Fixed Operating Costs Break-Even Point =Fixed Cost/(Net Revenue per UnitVariable Cost per Unit) Capacity: Demand: Breakeven: Question: Use break-even analysis to determine if this new service is financially viable. If the business is not financially viable, what steps could you take to make a case to proceed with implementation? Explain your decision. Answer: on completing this Breakeven Analysis mand is anticipated to be 8,000 units a year. Your business is able to ity should not be a problem. The average collection rate is 80%. The mine if this new service is financially viable. If the s could you take to make a case to proceed with W8A5 Marginal Profit and Loss Refer to the Healthcare Budget Guide for directions on completing this Marginal Profit and Loss scenario Marginal Profit and Loss Statement Scenario You are examining a proposal for a new business opportunity – a new procedure for which deman the first year, growing by 600 units each year thereafter. The price charged per procedure is $1,000 anticipated to be 80%. Each procedure consumes $300 of supplies. Salary cost is estimated to cos benefits are 25% of salaries, rent for the facility is $55,000/yr and operating cost are $120,000/yr. NURS 6211 Walden University Health Care Budget Case Study Year One Year Two Marginal Revenue: Units of Volume Price Procedure Collection Rate Marginal Net Revenue Marginal Costs: Variable Costs Units of Volume Variable Cost Supplies per Unit/procedure Marginal Variable Cost Fixed Costs: Salary Costs Fringe Benefits Rent Operating Cost Marginal Fixed Costs Total Marginal Costs Annual Marginal Profit Cumulative Profit Margin Question: Below is a marginal P&L for this business opportunity. Based on that analysis, should th Explain your decision. Answer: inal Profit and Loss scenario a new procedure for which demand is expected to be 1,400 units e charged per procedure is $1,000. The collection rate is es. Salary cost is estimated to cost $540,000 each year, fringe operating cost are $120,000/yr. Year Three Year Four Year Five . Based on that analysis, should this opportunity be pursued. Option 1 Healthways Finacials * The cells where you complete these calcu You have 2 data options for completing the Week10/11A6 analysis. If you cannot obtain the finacial documents for y Nurse-Run Clinic Scenario Patient Encounters Established patients New patients Total Encounters FY 2018 3,348 331 3,679 Cash FY 2017 3,204 287 3,491 $5,675 $12,098 . Financial Ratios: Expense per Encounter = Total Operating Expenses / Total Encounters Total Operating Revenue per Encounter = Total Operating Revenue / Total Encounters Operating Margin = Net Income/Total Operating Revenue Days Cash On Hand = (Cash + Cash Equivalents) / (Operating Expenses / Days in Time Period) Table 2. HealthWays Clinic, Income Statement, FY 2018. Gross Revenue (charges) Less write-offs & adjustments Net Patient Revenue (collected) +Other Revenue Total Operating Revenue FY 2018 $558,520 117,254 $441,266 209,671 FY 2017 Horizontal Analysis $497,221 104,332 $392,889 234,953 $ 650,937 $ 627,842 459,171 97,627 7,471 39,148 43,762 445,396 92,418 7,302 37,023 47,009 Operating Expenses Salaries & Benefits Medical Supplies Office Supplies Rent & Depreciation Other Percentage change Total Operating Expenses $ 647,179 $ 629,148 Net Income $ ($1,307) Return on Assets 3,758 Financial Reports: Quick Tips for Interpretation •income statement: positive net income indicates profitability •balance sheet: positive equity indicates that there is a positive net worth, representing the amount remaining if a •compare changes in reports from prior year(s) to identify trends in financial performance, and with industry stand Financial Ratios FY 2018 FY 2017 Expense per Encounter $ 175.91 $ 180.22 Total Operating Revenue per Encounter $ 176.93 $ 179.85 Operating Margin 0.58% -0.21% Days Cash On Hand 3.2 7.0 ou complete these calculations are highlighted in blue. he finacial documents for your organization (your project) use this Healthways Financials option. Table 3. HealthWays Clinic, Balance Sheet, December 31, 2018. December 31, December 31, Current Assets 2018 2017 Cash 5,032 9,877 Short-term Investments 40,389 34,181 Accounts Receivable 63,392 59,359 Supply Inventories, at Cost 16,029 14,918 Prepaid Expenses & Other 2,104 1,876 Total Current Assets $ 126,946 $ 120,211. NURS 6211 Walden University Health Care Budget Case Study . Health Care Budget Case Study. Property, Plant & Equipment (Fixed Assets) Cost of PP&E Less Accumulated Depreciation Net PP&E (Net Fixed Assets) $ Other Assets $ Total Assets $ 56,047 4,194 51,853 $ 1,289 180,088 $ 55,701 3,943 51,758 1289 173,258 Interpretation/Analyses In your narrative analysis that you will write in the Healthcare Budget Request T Income Statement Balances Expense per Encounter Total Operating Revenue per Encounter Operating Margin Days Cash On Hand Current Liabilities Notes Payable Accounts Payable Accrued Expenses: Salaries & Benefits Taxes Interest Payable Total Current Liabilities December 31, December 2018 31, 2017 27,449 50,000 78,702 69,412 $ Long-Term Liabilities Net Assets Unrestricted Restricted Total Net Assets $ Total Liabilities & Net Assets $ 38,265 28,274 1,419 1,398 3,294 500 149,129 $ 149,584 $0 $0 28,541 2,418 20,569 3,105 30,959 $ 23,674 180,088 $ 173,258 the Healthcare Budget Request Template, you should address: Option 2 Your project data You have 2 data options for completing the Week10/11A6 analysis. Assuming you have access to your organization’s from W6A4 and add any new data and calculations needed. ccess to your organization’s financial statements, you my use it. Bring forward your work Healthcare Budget Request Prepared by: Submitted: <06/14/2020> W2A2 Executive Summary In the Georgetown community, a new medical building was developed, and there is a need for an electronic medical record (EMR). There is some shortfalls within the healthcare system and hence the need to establish a system that can improve the flow of information. This new implementation of the EMR system is going to be a significant change to the organization. Successful implementation of this change involves not only new technology but also about the people. . Digital innovation has transferred the world drastically; hence the information plays a significant role in healthcare delivery and helps address the health problems and challenges faced by clinicians and healthcare professionals. The perioperative service is critical to Modern Medical. This department is challenging that provides complex clinical care involving several teams, with high cost, sophisticated technologies, and a large array of supplies, instruments, and implants. These variables create a complex environment and have been a source of some patient safetyrelated adverse incidence in the past. Systems are needed to solve this gap in traditional reimbursement systems. The proposed solution will allow the staff to manage Operating rooms, capture clinical data, track the use of equipment and instrument, and produce reports to aid in reimbursements. Also, OR managers and directors will have access to a wealth of information that will enable them to make informed decisions that directly impact patient safety satisfaction, operational efficiencies, improved OR utilization, and financial performance. The stakeholder groups that will be impacted by the implementation of EMR are physicians, staff, patients, scheduling department, super-user/trainers, IT department, billing department, laboratory department and insurance company (Health.gov, 2019). These stakeholders can make or break the implementation process, their perspectives, knowledge, ability, and willingness is 2 vital to this implementation. Stakeholders should be involved in each phase of the implementation process, to give support, provide suggestions for design, and participate in the evaluation and continuous quality improvement activities. The stakeholders responsible for assisting to address this health gap are; clinicians, finance department, Information Technology department, OR manager, and staff members. They play a crucial component in the selection, buy-in, and decision-making process. NURS 6211 Walden University Health Care Budget Case Study . Electronic medical records (EMR) shows to be promising for facilitating healthcare improvement. Hence, the opportunity has presented itself for implementing such a system. EMR is a computerized medical information system that replaces paper-based medical practice. According to Abdekhoda (2016), patient clinical information is collected and shared by EMR, as it is the tool to create legible and structured patient information records. The primary use of the EMR is for digital storage system for patient records. This system provides healthcare organizations with services such as decrease medical errors, increase the effectiveness of healthcare services, and reduce healthcare costs. EMR implementation can be expensive and can take time and energy for staff members to fully integrate the system into healthcare (Roussel et al., 2020). The technology makes it easier to report quality data and has the potential to improve quality, permanence, and safety and effective healthcare services. In conclusion, EMR implementation is timely, complete, and provides accurate information about patient healthcare delivery. As such implementing this system can yield a positive return on investments to the healthcare organization. 3 References Abdekhoda, M., Ahmadi, M., Dehnad, A., Noruzi, A., & Gohari, M. (2016). Applying electronic medical records in health care: Physicians’ perspective. Applied Clinical Informatics, 7(2), 341-354. doi:10.4338/ACI-2015-11-RA-0165 Hartzler, A., McCarty, C. A., Rasmussen, L. V., Williams, M. S., Brilliant, M., Bowton, E. A., Clayton, E. W., Faucett, W. A., Ferryman, K., Field, J. R., Fullerton, S. M., Horowitz, C. R., Koenig, B. A., McCormick, J. B., Ralston, J. D., Sanderson, S. C., Smith, M. E., & Trinidad, S. B. (2013). Stakeholder engagement: a key component of integrating genomic information into electronic health records. Genetics in medicine: official journal of the American College of Medical Genetics, 15(10), 792–801. doi.org/10.1038/gim.2013.127 HealthIT.Gov. (2019) Who are key stakeholders during electronic health record (EMR) implementation? https://www.healthit.gov/faq/who-are-key-stakeholders-duringelectronic-health-record-ehr-implementation Roussell, L., Thomas, P., & Harris, J. (2020). Management and Leadership for Nurse Administrators (8th ed). James and Bartlett Learning. 4 W4A3 Projected Expenses and Revenues (Five Year) When evaluating the profitability of a project, it is crucial to assess the returns that the company or investment project generates against the costs of producing these incomes. The Projected Expenses and Revenues (Five Year) shows a total expenditure amounting to $1,509,867 compared to total revenues or benefits of $1,631,436. Interestingly, the expenditures are during the start of the project, over the second year, and during the fifth Year with other years recording zero costs. This implies that the project requires a minimal interval of sustenance costs over the project’s economic life. The estimates then project a $1,631,436 gain, which means that the project is profitable and generates revenue over the five periods. The estimated financial impact of this proposal is a projection of benefits realizable within the time frame. However, further analysis of ROI could provide a better indication. Investment Return (ROI) is an investment efficiency measure used to assess or compare the performance of investments. There are crucial aspects that need to be sighted when interpreting the calculated ROI – total returns and total costs. NURS 6211 Walden University Health Care Budget Case Study ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Health Care Budget Case Study. This percentage metric is intuitively easy to comprehend and incorporates the net return (numerator) because investment returns can be a gain (positive) or loss (negative). The project’s ROI yields a positive figure of 8.05% to imply that the health care should anticipate net returns worth 8.05% of their initial investment outlays and additional investments throughout 5-years. These results for the organization indicate that if the project is successfully implemented, the company will expect the estimated percentage gain on its investment. However, this measure is favorable for a company intending to choose between two investment projects so that it becomes possible to select a project with a higher return on investment ratio that promises more efficiency in income generation. 5 W6A4 Projected Budget (Five Year) In healthcare just like in all segments of the economy, budget is very important. A clearly and well defined budget is essential as it helps a healthcare organization to better comprehend the funds that can be spend on various sections of the project and how much spending should be selected to each. Every project has some startup expenses which are incurred before the project commences and starts getting revenues. In this project we have four startup expenses. These are expenses for training staff, server, and hardware and software setup and software license. . The table below shows the costs for each of the expenses and also its percentages. Expenses/ Cost Year 0 Percentage $ 160,000 23% Startup expenses Software License Hardware & software setup Server $ 217,000.00 $ 115,000.00 Training (Staff) $ 217,000.00 31% Total startup expenses $ 709,000.00 100% 31% 16% Training of staff and hardware and software setup have the highest costs as they both have 31% of the startup expenses. The server is the least with 16%. 6 Surplus or deficit is a figure that shows if a business is making positive cash flows or negative ones. It shows if the firm is making profits or not. We have deficits from year one to year 4. In year 5, the healthcare business will have a surplus. Thus it will have made its profits. Year Year 1 Year 2 Year 3 Year 4 Year 5 Deficit/ Surplus $ (688,206.00) $ (382,983.00) $ (142,760.00) $ (71,630.00) $ 168,593.00 The table below shows the estimated budget together with the Return on Investment for the years from 1 to 5. We can see that from year 1 to year 4, the ROI is negative. This means that the company is not efficient enough on the revenues compared with the cost. In year 5, the ROI is positive which is equal to 0.16. This means that the money that was invested is real … Option 1 Healthways Finacials * The cells where you complete these calculations are highlighted in blue. You have 2 data options for completing the Week10/11A6 analysis. If you cannot obtain the finacial documents for your organization (your project) use this Healthways Financials option. Nurse-Run Clinic Scenario Patient Encounters FY 2018 FY 2017 Established patients 3,348 3,204 New patients 331 287 Total Encounters 3,679 3,491 Cash $5,675 $12,098 Financial Ratios: Expense per Encounter = Total Operating Expenses / Total Encounters Total Operating Revenue per Encounter = Total Operating Revenue / Total Encounters Operating Margin = Net Income/Total Operating Revenue Days Cash On Hand = (Cash + Cash Equivalents) / (Operating Expenses / Days in Time Period) Table 2. HealthWays Clinic, Income Statement, FY 2018. Table 3. HealthWays Clinic, Balance Sheet, December 31, 2018. FY 2018 FY 2017 Horizontal Analysis Current Assets December 31, 2018 December 31, 2017 Current Liabilities December 31, 2018 December 31, 2017 Gross Revenue (charges) $558,520 $497,221 Cash 5,032 9,877 Notes Payable 27,449 50,000 Less write-offs & adjustments 117,254 104,332 Short-term Investments 40,389 34,181 Accounts Payable 78,702 69,412 Net Patient Revenue (collected) $441,266 $392,889 Accounts Receivable 63,392 59,359 Accrued Expenses: +Other Revenue 209,671 234,953 Supply Inventories, at Cost 16,029 14,918 Salaries & Benefits 38,265 28,274 Prepaid Expenses & Other 2,104 1,876 Taxes 1,419 1,398 Total Operating Revenue $ 650,937 $ 627,842 Total Current Assets $ 126,946 $ 120,211 Interest Payable 3,294 500 Total Current Liabilities $ 149,129 $ 149,584 Operating Expenses Salaries & Benefits 459,171 445,396 Property, Plant & Equipment (Fixed Assets) Long-Term Liabilities $0 $0 Medical Supplies 97,627 92,418 Cost of PP&E 56,047 55,701 Office Supplies 7,471 7,302 Less Accumulated Depreciation 4,194 3,943 Net Assets Rent & Depreciation 39,148 37,023 Net PP&E (Net Fixed Assets) $ 51,853 $ 51,758 Unrestricted 28,541 20,569 Other 43,762 47,009 Other Assets $ 1,289 1289 Restricted 2,418 3,105 Percentage change Total Operating Expenses $ 647,179 $ 629,148 Total Assets $ 180,088 $ 173,258 Total Net Assets $ 30,959 $ 23,674 Net Income $ 3,758 ($1,307) Total Liabilities & Net Assets $ 180,088 $ 173,258 Return on Assets Financial Reports: Quick Tips for Interpretation •income statement: positive net income indicates profitability •balance sheet: positive equity indicates that there is a positive net worth, representing the amount remaining if an institution went bankrupt and had to liquidate •compare changes in reports from prior year(s) to identify trends in financial performance, and with industry standards or internal benchmarks. Financial Ratios FY 2018 FY 2017 Expense per Encounter $ 175.91 $ 180.22 Total Operating Revenue per Encounter $ 176.93 $ 179.85 Operating Margin 0.58% -0.21% Days Cash On Hand 3.2 7.0 Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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Categorize situations where tables are a preferred visualization technique

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