...What are the similarities and difference between counselling and CBT? There are many similarities between counselling and CBT. For example, they are both types of psychological or talking therapies that take place in a private and confidential setting. Counsellors and CBT therapists will treat their clients with respect and refrain from judging or criticising them. Ultimately, counselling and CBT aim to help people to change in some way. CBT is distinct from other counselling approaches insofar as it: Focuses on helping clients to appreciate the link between their thoughts and beliefs about events in their lives and the way they feel. Making this connection raises clients’ awareness of the reasons why they feel and act in self-defeating ways. Prioritises the clients’ present problems and focuses on finding ways in which they can be managed more effectively. Looking at the past can help understand how earlier life experiences have contributed to shaping current beliefs, behaviour and thinking but CBT uses this understanding to change things in client’s lives now rather than dwelling on them. Emphasises the importance of testing out the influence of negative assumptions and predictions against ‘objective evidence in the real world (e.g. helping a client who is anxious about public speaking to test the belief, “I will freeze and forget what I have to say”, by preparing for and doing more public speaking to test out the validity of this prediction. Through this process the client...
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...It is clear that the risk assumption via capitation demands complex business skills for which many practitioners are ill prepared. That also suggests that that loose partnerships of the medical practitioners for reasons of collective contracting, instead of clinical management such as traditional medical groups, has been unsuccessful. If the managed care organizations are to regain their mastery over the health care system, such network models as independent practice associations ought to evolve into stronger medical group institutions that not only accept risk but which can also assume the financial as well as the clinical accountability for administering and managing the care of the population to which they provide their services (Kongstvedt, 2012). The following is a checklist that will be utilized as a tool when organizations review the UMUC Medical Center's Managed Care Contracts • What are the product lines of the MCO? • What medical services are covered by the contract? Include any service...
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...In attempt to counteract this trend that we see with fee for service, the government and other organizations have sought to change the way reimbursement distributed to providers. Value Based Purchasing in hospital and the use of meaningful use and now MACRAs in the outpatient setting strive to reward quality rather than quantity. The initiation of medical home groups and accountable care organizations (ACOs) are means by which providers can focused on quality care and remain profitable by taking advantages of changes made under the Affordable Care Act (ACA). The goal of manage care organizations like ACOs is rewards providers for performing better primary care and avoiding expensive and costly testing and hospitalizations. But a using capitation provider share in the risk with the government and insureres as...
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...• Class 3 Population health managers—large, regional health systems that will become available to provide, either directly or through managed relationships, a full continuum of services, across all service lines and levels of acuity. • Understand the obstacles to change and develop and implement potential mitigating strategies. • Management and government layers will need to peel away, and those left behind could become upset; therefore, physicians who may have an adversarial relationship with the hospital in the past may take on leadership roles. Providers can be prepared by having strong leadership in place that is ready to drive the change required for transformation (Stempniak,...
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...HEALTH FINANCIAL MANAGEMENT The Housekeeping Service department of Ruger Clinic, a multispecialty practice in Toledo, Ohio, had $100,000 in direct costs in 2007. These costs must be allocated to Ruger’s three revenue-producing patient services departments using the direct method. Two cost drivers are under consideration: patient services revenue and hours of housekeeping services used. The patient services departments generated $5million in total revenues in 2007, and to support these clinical activities, they used 5,000 hours of housekeeping services. 1) What is the value of cost pool? Sol)A critical part of cost measurement at the subunit level is the assignment or allocation, of indirect costs. Cost allocation is essentially a pricing process within the organization whereby managers allocate the costs of one department to other departments. To assign costs, two important elements must be identified: a cost pool and a cost driver. A cost pool is a grouping of costs that must be allocated. Hence the value of Cost pool for the above question is $100,000. 2) What is the allocation rate if: a. Patient services revenue is used as the cost driver? Sol) Allocation rate = Cost pool/patient services revenue = $ 100,000/$5,000,000 = $0.02 per dollar of patient services revenue. b. Hours of housekeeping services is used as the cost driver? Sol) Allocation rate = Cost pool/hours of housekeeping services ...
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...“Ruger Clinic” Healthcare Finance – HSA525: An Introduction to Accounting and Financial Management May 1, 2011 Instructor Feedback Grade: 320 out of 320; Comments: Hi, Excellent job on the Ruger Clinic assignment. Abstract This paper discusses the following topics: value of the cost pool; The Housekeeping Service department of Ruger Clinic scenario; cost-volume-profit (CVP) analysis; capitation rates: fee-for-service approach; cost approach, and demographic approach, and conventional versus zero-based budgeting. Key words: cost pool value, cost-volume-profit (CVP) analysis; capitation rates: fee-for-service; cost, and demographic approaches, and conventional versus zero-based budgeting. Ruger Clinic 1. What is the value of the cost pool? A cost pool is “a grouping of costs that must be allocated” (Gapenski, pg 165) but “it may be beneficial to separate the costs of that support department into multiple pools” (Gapenski, pg 166) if services of the support department differ substantially. For our scenario the value of the cost pool is $100,000 in direct total costs of the Housekeeping Services department. 2. What is the allocation rate if: a) Patient services revenue is used as the cost driver? The formula for the allocation rate when patient services is used as the cost driver looks like this: Patient Services Revenue: $100,000 (direct costs) / $ 5,000,000 (patient revenue) = $0.02 per revenue dollar (allocation...
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...MAHATMA GANDHI UNIVERSITY KOTTAYAM REGULATION 1. COURSE OBJECTIVES The MG University MBA program is designed with the following objectives: 1. To develop young men and women in to professional managers to manage all sectors of the organized economic activity. 2. To equip the youngsters with conceptual and interpersonal skills and social purpose for managerial decision-making and its execution in real situations. 3. To develop and encourage the entrepreneurial capabilities of young generation to make them effective change agents. 4. To meet the demand for trained and professional people in the country at the top level management of business and industrial organizations in the light of the new economic and industrial policy of the country. 2. COURSE DURATION The MBA (Full Time) programme of Mahatma Gandhi University shall be spread in two years duration with 4 Semesters. Each semester shall comprise of a minimum of 16 instructional weeks of 5 days each of 5 hours a day (total contact hours 400). Continuous Internal Evaluation during the course period and University examination at the end of each semester shall be conducted. There shall be a semester break of 15 days each in addition to the usual Onam, Christmas and summer holidays. 3. ELIGIBILTY FOR ADMISSION 1. A pass in any Bachelor’s Degree Examination of Mahatma Gandhi University or an equivalent degree of any other universities duly recognized by M.G.University with not less than 50% marks in the aggregate for all parts of...
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...This page intentionally left blank Business Performance Measurement Drawing together contributions from leading thinkers around the world, this book reviews recent developments in the theory and practice of performance measurement and management. Significantly updated and modified from the first edition, the book includes ten new chapters that provide a comprehensive review of performance measurement from the perspectives of accounting, marketing, operations, public services and supply chain management. In addition to these functional analyses the book explores performance measurement frameworks and methodologies, practicalities and challenges, and enduring questions and issues. Edited by one of the world’s leading experts on performance measurement and management, Business Performance Measurement will be of interest to graduate students, managers and researchers who wish to understand more about the latest developments in this rapidly changing field. Andy Neely is Deputy Director of the ESRC/EPSRC AIM Research initiative, Professor of Operations Strategy and Performance at Cranfield School of Management, and Visiting Professor of Operations Management at London Business School. Business Performance Measurement Unifying theories and integrating practice Second edition Edited by Andy Neely CAMBRIDGE UNIVERSITY PRESS Cambridge, New York, Melbourne, Madrid, Cape Town, Singapore, São Paulo Cambridge University Press The Edinburgh Building, Cambridge...
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...1. Organisation is analysed using the PESTLE framework. The impact of the macro - environment is evaluated. 2.1 The PESTLE is a management tool that involves identification of the political, economic, sociological, technological, legal, environmental factors that had an impact on an organisation in the past, and could affect organisation in the future. Carry out PESTLE along with SWOT analysis, assist in strategic decision- making, and setting realistic objectives. 2.2 The PESTLE analysis is attached as Appendix 1. 2.3 The SWOT analysis is attached as Appendix 2. 2.4 The evaluation of high impact environmental factors based on PESTLE analysis. 2.5.1 The Department of Health is making provisions to a number of changes to the NHS dental contract, based on capitation, quality and registration, rather than UDA system. The two prototype contracts will begin operating in 2015-2016 for a two year trial, before a general new contract is introduced for everyone, in consequence it is difficult to predict a full impact on our organisation until the trial is finished. This requires contract monitoring for the time being. 2.5.2 Due to providing assurance and reporting to the commissionaires in line with CQC and GDC requirements, our practice has been forced to invest over £100000 to meet mandatory standards by the end of 2012. This involved building of an extension and allocation of separate decontamination room, along with a staff training...
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...PART A SWOT Analysis As Director of Information Management, I have been task to implement a new clinical information system for the pharmacy at this hospital. The hospital wants a pharmacy that will enable the physicians to have the capability of doing an automatic order through Computerized Physicians Order Entry (CPOE) in hope of reducing order delays, improving the legibility of orders, streamline operations, and ultimately improve patient safety by reducing medical errors. STRENGTH • Strong leadership and executive support • Focus on improved clinical practiced • Physician support • Leading technological hospital in the metropolitan area • Current hospital focus on patient safety • Wide-ranging: various professional groups will be impacted • Highly knowledgeable information system staff • Currently a pleasant and comfortable work environment for staff WEAKNESSES • Rising cost of resources • Limited budget constraints due to previous commitments • Lack of time for user training • New technology and staff attitude towards changes • Physician and clinical staff level of comfort with technology • Some hospitals already have CPOE OPPORTUNITIES • Desire to significantly reduce medication errors • Interest in standardizing medication ordering processes • Concerns of adequate training and assistance available for all involved clinical staff • Need for improved workflow processes in pharmacy services • Must have a positive impact on hospital efficiency ...
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...Unit VIII Article Critique Columbia Southern University DBA 7553 1. Introduction of the Article This article is found in the Directors and Boards magazine. It is written by Donald P. Delves who “is president of the Delves Group, a compensation and corporate governance consulting firm that advises boards of directors” (Delves, 2012). The article is titled “What about everyone else? The problem may not be that executives are paid too much, but that employees are paid too little.” 2. Statement of the Problem Studied In this article, Mr. Delves examined why people complain about executive pay, how companies used to inflate employee earnings, and how companies can increase employee wages now. 3. Significance of the Problem Studied With sky rocketing pay for many executives over the last few decades, many employees have wondered why their pay has not also increased. In the past companies have used stock options to provide incentive for employees and to use these as a pathway to increase employee pay. However with the economic recession and many of the changes in accounting practices, companies could no longer use this incentive to increase wages for employees. Thus Mr. Delves presents the question, “what do we do about [increasing employee incentives]?” (Delves, 2012). If this question can be answered, it has the potential to not only increase employee productivity but also to provide them with increased opportunities. ...
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...1. At what levels does control takes place in this organization? Control can take place at the corporate, divisional, functional, and individual levels. 2. Which output performance standards (such as financial measures and organizational goals) do Managers use most often to evaluate performance at each level? Performance standards include financial measures (such as ratios), organizational goals, and Operating budgets. 3. Does the organization have a management by objectives system in place? If it does, Describe it. If it does not, speculate about why not. Management by objectives (MBO) is a system of evaluating subordinates by their ability to Achieve specific organizational goals or performance standards and to meet operating budgets. Without measuring whether goals or standards are met. A management by objectives system involves the following steps: • Specific goals and objectives are established at each level of the organization. • All levels of employees participate in the goal setting is a process. • Periodic reviews are made of progress toward meeting goals. 4. How important is behavior control in this organization? For example, how much of managers’ time is spent directly supervising employees? How formalized is the organization? Do employees receive a book of rules to instruct them about how to perform their jobs? Behavior control systems are used to enable managers to keep their subordinates on track and make their organizational structures work...
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...The Concept of Program Reengineering J. Olivia Prince-Griffin PAD 500 Modern Public Administration Professor Popejoy May 19, 2012 Abstract This assignment will cover 4 specific areas as it relates to Mayor Schell’s unique initiative to eliminate homeless in Seattle. This report will cover Mayor Schell’s policies choices and their practical outcome. It will cover restructuring Mayor Schell’s program to fit new objectives. Lastly, the report will analyze the importance of conducting assessments prior to new program implementation. Introduction On June 2, 1998, Mayor Schell made a daunting pledge to the community regarding Seattle’s homeless population. He pledged that by Christmas of that year, there would be no more homeless on the streets of Seattle. During the following months Mayor Schell and his Director of the Community Services Division of the Department of Housing and Human Services, Alan Painter, diligently strategized on how to successfully meet this pledge while weighing all the applicable factors. Four Policy Choices of Mayor Schell At the time of Mayor Schell’s pledge, there was an estimated 5,500 homeless on the streets of Seattle nightly (Draft, 2010 pg.1). Of those, 1,300 were homeless while 4,200 had temporary housing (Draft, 2010, pg.1). At that point in time, Seattle had several local programs, such Operation Nightwatch, that assisted such ones with transitional living. One of the first policy choices Schell had make was to insure...
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...ventory planning Chapter 12: Inventory planning and... Study guide | This chapter is relatively unusual in so much as it takes more of a quantitative approach to its topic. While not avoiding quantitative models where they are appropriate, the general approach of this book is to deal with operations management from a ‘general management’ point of view. Here we include some quantitative models of how inventory is managed mainly to demonstrate that some parts of the inventory decision can be quantified. In practice, most of these decision models will be embedded within an operation’s routine stock control computer system. However, whilst working through them remember that it is the underlying principles behind the models which are more important than the mathematics on which the models are based.Your learning objectivesThis is what you should be able to do after reading Chapter 12 and working through this study guide. * Understand what is meant by an inventory and why they exist. * Identify some of the advantages and disadvantages of keeping inventory in an operation. * Understand the basic principles behind the quantitative approaches to deciding how much inventory to keep. * Be able to describe the limitations of traditional quantitative models of inventory decision making. * Identify the two main approaches to managing inventory on an on-going basis.What do we mean by inventory?The chapter discusses inventory (we use the word interchangeably with the word ‘stock’)...
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...Outsourcing: What’s the true Impact? Cameron D. Rafford MGT 580: Intro to Organizational Behavior University of New Hampshire INTRODUCTION Outsourcing has quickly become one of the most controversial business tactics in the United States. Nowadays, if you call the customer service line of a major business or corporation, there’s a good chance you’ll end up talking to someone thousands of miles away. If you go shopping for new clothes, it’s likely that some of the shirts and pants you try on were manufactured by people from foreign countries, in shops far less glamorous than the ones the finished products end up in. Outsourcing is so commonplace in certain industries, we don’t even think twice about it anymore. But over the past few years, the trend has spread to practices far beyond call centers and apparel manufacturing. In fact, you might be surprised at the industries that rely on outsourcing now (Divine, 2010). This paper will examine the effects that outsourcing has already had on business, as well as look a little bit into the future to see what it holds for us down the road. It will focus on how it has affected our economy and society as a whole, as well as the individual organizations and their employees. There are both positive and negative impacts of this way of doing business that need to be realized and accounted for in order for the economy and American business to remain strong. We will reflect...
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