...HBSP Product Number TCG129 THE CRIMSON PRESS CURRICULUM CENTER THE CRIMSON GROUP, INC. Converse Health System I don’t get it! We switched St. Luke’s from a profit center to a standard expense center, and yet they continue to encourage the PCPs to admit patients that we all know could be treated as outpatients. What’s going on? Maybe we should just switch back to profit centers and be done with it. The speaker was Gus Mahler, Chief Financial Officer of Converse Health System (CHS). He was speaking with Rob Shuman, M.D., CHS’s Senior Vice President for Medical Affairs, about his concern that, despite a change in the control structure and incentive system at one of the system’s hospitals, many primary care physicians (PCPs) were continuing to admit to the hospital patients who could be treated appropriately in a less expensive setting. He wanted to enlist Dr. Shuman’s help with the problem. BACKGROUND Converse Health System began through a merger of St. Luke’s Hospital and Medical Center with HealthGroup. St. Luke’s was a 283 bed tertiary care facility located in downtown Mansfield. HealthGroup consisted of two hospitals: Mansfield Memorial Hospital and Lakeview Medical Center. Mansfield Memorial was a 454 bed tertiary care facility located approximately 2 miles from St. Luke’s. Lakeview was a smaller hospital about 2 miles from Mansfield and St. Luke’s. The merger also involved a large visiting nurse association and several smaller providers, including an occupational...
Words: 4159 - Pages: 17
...From your reading of the case describe the issue(s) or problem(s) which should be the focus of your case analysis. 1. Lack of reasonable and logical financial result: Ignore fixed and variable cost, ignore case mix and thus transfer pricing of $7,906 might not be reliable and accurate which is shown in Exhibit 4. 2. High transfer price of 14% (($1,204-$1,059)/($1,059) x 100%) increases lead to goal incongruence (Exhibit 6): Under the full charge method of transfer pricing, the St. Luke Hospital would charge the HMO $1204 (Case Mix B), the same as for other third party payers. The hospital operation managers would benefit from $1,204,000 in increased revenues as beds are filled by the HMO patient, but the HMO manager would be foolish to accept St Luke Hospital rate when his/her performance appraisal is based on profit. Thus, the corporation (Mansfield Memorial Hospital and Lakeview Medical Centre) may stand to lose the improved occupancy and increase revenue to its hospital from its HMO due to the incongruence in objectives. 3. Bonus incentives: - Two way communication lacking between managers regarding the bonus system. - Budgeting linked to bonus system profiting (inaccurate results has affected transfer prices. - The Chief Financial Officer is reactive to the problems faced by the bonus system. 4. Internal Management: - Lack of accountability and responsibility over profit & expense centers - Lack of control measurement and adequate human resource...
Words: 447 - Pages: 2
...defendant and the Carter's are the plaintiffs. This case is against the defendant's plea for a summary judgment. The plaintiff underwent a neurosurgery at the defendant hospital and it was performed by Dr. Folliss who has medical staff privileges at the hospital. Due to Dr. Folliss's negligence the plaintiff sustained quadri paresis, painful injuries and disfigurement. The plaintiff commenced action against the defendant hospital in granting clinical privileges to Dr.Folliss who was not board certified, in failing to ascertain if he was eligible to perform neurosurgery and in failing to adhere to the standards of JCAHO. Issue: Is the defendant hospital responsible for the harm caused to plaintiff in not adhering to standards of JCAHO. Holding decision: The appellate court reversed and remanded the summary judgment. Analysis/ Reasoning: The defendant hospital was accredited by JCAHO and as per JCAHO regulations anyone having surgical privileges at the hospital should be board certified. But Dr. Folliss had the surgical privileges and it was renewed even though he wasn't board certified and was not eligible for the exams anymore. The hospital did not take any action to ascertain if Dr. Folliss has taken and cleared the exam and hence it did not adhere to the JCAHO regulations Concur/Dissent: I concur with the decision of the court. SOKOL v. AKRON GENERAL MEDICAL CENTER, 173 F.3d 1026 (6th Cir. 1999) Relevant facts: The Medical council at the Akron hospital received information...
Words: 2555 - Pages: 11
...The Apothecary Compounding Center: Global Operations Management 7313 Term Project EXECUTIVE SUMMARY In an attempt to meet the patient demand for compounding services within the Memphis metropolitan population, we will establish the Apothecary Compounding Center on the campus of Baptist Memorial Hospital. Our goal is to cater to patients in this area that need individualized medication regimens and want a close relationship with their pharmacist. As we develop our business, we want to focus on maximizing the safety and efficacy of our compounded products. We will utilize the Professional Compounding Centers of America, or PCCA, in order to help accomplish this goal. This organization offers many important benefits to compounding pharmacies in all stages of their development. Our employees will be trained by PCCA, which will hone their working knowledge of USP <797>, crucial guidelines that every compounding pharmacy must follow. In addition to training, PCCA will serve as our supplier, which will ensure quality products with which to compound. Furthermore, we will have access to numerous formulas that are specific to PCCA, which will greatly benefit our operation. The number of patients needing compounded prescriptions has risen in recent years, and we aim to capitalize on this growing demand. Our patient population will largely consist of patients from the clinics of Baptist, but we hope to expand our patient base to include anyone that could...
Words: 5227 - Pages: 21
...2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study 2006 National Institute of Standards and Technology Technology Administration • Department of Commerce Baldrige National Quality Program Arroyo Fresco Community Health Center Case Study The Arroyo Fresco Community Health Center Case Study was prepared for use in the 2006 Malcolm Baldrige National Quality Award Examiner Preparation Course. The Arroyo Fresco Community Health Center Case Study describes a fictitious nonprofit organization in the health care sector. There is no connection between the fictitious Arroyo Fresco Community Health Center and any other organization, either named Arroyo Fresco Community Health Center or otherwise. Other organizations cited in the case study also are fictitious, except for several national and government organizations. Because the case study is developed to train Baldrige Examiners and others and to provide an example of the possible content of a Baldrige application, there are areas in the case study where Criteria requirements are not addressed. CONTENTS 2006 Eligibility Certification Form ………………………………………………………………… Organization Chart ………………………………………………………………………………… 2006 Application Form …………………………………………………………………………… Glossary of Terms and Abbreviations ……………………………………………………………… Preface: Organizational Profile P.1 P.2 Organizational Description...
Words: 31896 - Pages: 128
...Collaboration to Build Healthier Communities A Report for the Robert Wood Johnson Foundation Commission to Build a Healthier America Wilder Research Wilder Research Wilder Research Report prepared for the RWJF Commission to Build a Healthier America by Paul W. Mattessich, Ph.D. Wilder Research Saint Paul, Minnesota Ela J. Rausch, M.P . .P Federal Reserve Bank of Minneapolis Minneapolis, Minnesota With support from the Robert Wood Johnson Foundation June 2013 Creating Healthy Communities Cross-sector partnerships are sparking widespread action to improve community health COATESVILLE , PA SEATTLE, WA Access to healthy foods Access to preventative care and healthy housing LOS ANGELES , CA Quality early child care and education CHICAGO, IL Data and evidence to build health into all policies and practices MIAMI , FL Opportunities for physical activity and healthy living health community development • community development finance • community planning • early child care/education • human services • housing Introduction “ Building a healthier America is feasible in years, not decades, if we collaborate and act on what is making a difference.” —Robert Wood Johnson Foundation In 2008, the Robert Wood Johnson Foundation convened a commission of nonpartisan leaders to identify opportunities to improve the health of all Americans by creating environments that protect and actively promote health. Their report, Beyond Health Care:...
Words: 10523 - Pages: 43
...11 Issues Chapter of Reporting, Disclosure and Financial Analysis Questions for Review and Discussion 1. The two main adjustment are likely to be the addition of capital assets and longterm obligations. 2. The main adjustments are likely to be: the addition of depreciation expense and gains or losses from the sale of capital assets and the deletion of amounts spent to acquire capital assets and the proceeds from the sale of capital assets the deletion of long-term debt proceeds and amounts spent to repay long-term debts and the addition of any gain or loss on the retirement of debt and the amortization of any debt premium or discount. 3. The key criterion is financial accountability the primary government either appoints a voting majority of the units governing body or a majority of the units governing body is composed of primary government officials and the primary government is able to impose its will upon the potential component unit or there is the potential for the organization to provide specific financial benefits to, or impose specific financial burdens on, the primary government. 4. Discrete presentation is when one or more component units are reported in separate columns, in addition to those pertaining to the primary government. Blending is when the component units transactions and balances are reported as if they were part of the primary government that is, the component units funds are accounted for just as they were funds of the primary government. Blending is...
Words: 8666 - Pages: 35
...General understands the target customers they are looking to attract. Therefore, internally the company must meet government regulations of health care coverage to meet upcoming government standards and expansion of the company globally while being consistent and not straying off its aggressive business growth plan in the United States can increase the company’s share of the market not just locally but globally, while increasing the company sales and awareness thereby increasing its position even more so in the industry. Dollar General serves the mid to lower income households with annual incomes of less than $50,000. (Case) Dollar General has the largest appeal to large families, low income, fixed income, blue collar households, and women ages 55 to 64. (Case) Many of the people in this demographic are extremely cost conscious and are often of limited means. (Case) Dollar General Customers like the convenience of the small location as well as the low price points. Dollar General has recently been adding more perishable goods to their stores to meet those needs. (Appendix 2) Dollar...
Words: 11820 - Pages: 48
...www.pwc.com/ro The Romanian Tax Pocket Book 2011 Edition TaxOnline.ro is the online solution that brings PwC professional tax services to the internet. We invite you to visit the website (www.taxonline.ro) and to enrol for a FREE 30-day trial to We invite you to visit the website (www.taxonline.ro) and to enrol for a FREE 30-day trial to our PREMIUM our PREMIUM subscription. After the expiry of the free trial period, access can be available for subscription. After the expiry of the free trial period, access can be available for the following types of the following types of subscriptions: subscriptions: STANDARD subscription - FREE STANDARD subscription - FREE TaxOnline.ro is the online solution that brings PwC professional tax services to the internet. • Daily Tax Update & Tax and Legal Alerts Daily Tax Update & Tax and Legal Alerts • Romanian, EUEU and Intl taxation regulatory section Romanian, and Intl taxation - - regulatory section Read only access to the TaxOnline Forum • Read only access to the TaxOnline Forum PREMIUM subscription Access to analysis and opinions of of our consultants on hot taxissues Access to analysis and opinions our consultants on hot tax issues Ability to a question online and receive a a response from our PwC consultants Ability to askask a question online and receive response from our PwC tax consultants FullFull participation our TaxOnline Forum participation in in our TaxOnline Forum Daily Tax Update & Tax and Legal Alerts Daily Tax...
Words: 25399 - Pages: 102
...Master of Arts Environmental characteristics and staff ratings of newer and older special care units for dementia in British Columbia Examining Committee: Chair: Dr. Barbara Mitchell _______________________________________________ Dr. Gloria Gutman, Senior Supervisor _______________________________________________ Dr. Kate Oakley, Supervisor _______________________________________________ Dr. Robert Horsfall, External Examiner Date Approved: _______________________________________________ iii Abstract Due to the greater availability of community resources as well as changes in admission policies, seniors are entering care facilities at an older average age and with higher levels of health needs than was the case twenty years ago. The number of dementia cases has also increased dramatically as well as Special Care Units (SCUs) to house persons with dementia. The purpose of this study was twofold. First it described the physical and operational characteristics of a sample of SCUs for dementia currently in operation in the Lower Mainland area of British Columbia (n=29) and compared those built prior to and after 1995. Second, this study determined the extent to which Directors of Care and Head Nurses believed their SCU operationalized the nine therapeutic goals identified in the Professional Environmental...
Words: 29369 - Pages: 118
...GENERAL GROWTH PROPERTIES: TO THE BRINK AND BACK December 6, 2011 Students: Yu (Cherry) Chen, Kevin Connolly, Bill Davis, Stephen Duncan, James Faello, Michael Hazinski, Noah Johnson Faculty Supervisor: Joseph L. Pagliari, Jr. Copyright © 2011 The Real Estate Group at The University of Chicago Booth School of Business All Rights Reserved This case study has been prepared solely for academic purposes. It should not be construed as a judgment about or an endorsement of any particular business matter. Moreover, the information contained herein has been obtained from sources we believe to be reliable; however, we make no representation or warranty as to its accuracy. TABLE OF CONTENTS EXECUTIVE SUMMARY ...................................................................................................... - 1 GENERAL GROWTH BACKGROUND ............................................................................ - 7 2004: A Historic Year for General Growth........................................................................ - 9 2005-2006: Secured Mortgages and Increasing Debt ..................................................... - 16 Simon vs. GGP - Capital Markets Strategy ..................................................................... - 24 IMPACT OF THE CREDIT CRISIS .................................................................................. - 31 GGP Faces Liquidity Challenge .................................................................................
Words: 37589 - Pages: 151
...Business Plans Handbook Business Plans A COMPILATION OF BUSINESS PLANS DEVELOPED BY INDIVIDUALS NORTH THROUGHOUT AMERICA Handbook VOLUME 16 Lynn M. Pearce, Project Editor Business Plans Handbook, Volume 16 Project Editor: Lynn M. Pearce Product Manager: Jenai Drouillard Product Design: Jennifer Wahi Composition and Electronic Prepress: Evi Seoud Manufacturing: Rita Wimberley Editorial: Erin Braun ª 2010 Gale, Cengage Learning ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored, or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission of the publisher. This publication is a creative work fully protected by all applicable copyright laws, as well as by misappropriation, trade secret, unfair competition, and other applicable laws. The authors and editors of this work have added value to the underlying factual material herein through one or more of the following: unique and original selection, coordination, expression, arrangement, and classification of the information. For product information and technology assistance, contact us at Gale Customer Support, 1-800-877-4253. For permission to use material...
Words: 121839 - Pages: 488
...CPA QUESTIONS CHAPTER 3 1. For “qualifying widow(er)” filing status, which of the following requirements must be met? I. The surviving spouse does not remarry before the end of the current year II. The surviving spouse was eligible to file a joint tax return in the year of the spouse’s death III. The surviving spouse maintains the cost of the principal residence for six months. A. I, II, and III B. I and II, but not III C. I and III, but not II D. I only A. Incorrect. A taxpayer may file a tax return as a qualifying widow or widower for 2 tax years after the year in which a spouse dies provided the couple qualified to file a joint return for the year of death; that the taxpayer provided over 50% of the cost of maintaining the principal residence of a dependent child or stepchild; and that the taxpayer has not remarried as of the end of the current year. Maintaining the cost of the taxpayer’s principal residence for six months is not sufficient. B. Correct! A taxpayer may file a tax return as a qualifying widow or widower for 2 tax years after the year in which a spouse dies provided the couple qualified to file a joint return for the year of death; that the taxpayer provided over 50% of the cost of maintaining the principal residence of a dependent child or stepchild; and that the taxpayer has not remarried as of the end of the current year. Maintaining the cost of the taxpayer’s principal residence for six months...
Words: 139931 - Pages: 560
...CORE CONCEPTS OF Accounting Information Systems Twelfth Edition Mark G. Simkin, Ph.D. Professor Department of Accounting and Information Systems University of Nevada Jacob M. Rose, Ph.D. Professor Department of Accounting and Finance University of New Hampshire Carolyn Strand Norman, Ph.D., CPA Professor Department of Accounting Virginia Commonwealth University JOHN WILEY & SONS, INC. VICE PRESIDENT & PUBLISHER SENIOR ACQUISITIONS EDITOR PROJECT EDITOR ASSOCIATE EDITOR SENIOR EDITORIAL ASSISTANT PRODUCTION MANAGER PRODUCTION EDITOR MARKETING MANAGER CREATIVE DIRECTOR SENIOR DESIGNER PRODUCTION MANAGEMENT SERVICES SENIOR ILLUSTRATION EDITOR PHOTO EDITOR MEDIA EDITOR COVER PHOTO George Hoffman Michael McDonald Brian Kamins Sarah Vernon Jacqueline Kepping Dorothy Sinclair Erin Bascom Karolina Zarychta Harry Nolan Wendy Lai Laserwords Maine Anna Melhorn Elle Wagner Greg Chaput Maciej Frolow/Brand X/Getty Images, Inc. This book was set in 10/12pt Garamond by Laserwords Private Limited, and printed and bound by RR Donnelley/Jefferson City. The cover was printed by RR Donnelley/Jefferson City. This book is printed on acid free paper. Founded in 1807, John Wiley & Sons, Inc. has been a valued source of knowledge and understanding for more than 200 years, helping people around the world meet their needs and fulfill their aspirations. Our company is built on a foundation of principles that include responsibility to the...
Words: 241803 - Pages: 968
...Probability & Statistics for Engineers & Scientists This page intentionally left blank Probability & Statistics for Engineers & Scientists NINTH EDITION Ronald E. Walpole Roanoke College Raymond H. Myers Virginia Tech Sharon L. Myers Radford University Keying Ye University of Texas at San Antonio Prentice Hall Editor in Chief: Deirdre Lynch Acquisitions Editor: Christopher Cummings Executive Content Editor: Christine O’Brien Associate Editor: Christina Lepre Senior Managing Editor: Karen Wernholm Senior Production Project Manager: Tracy Patruno Design Manager: Andrea Nix Cover Designer: Heather Scott Digital Assets Manager: Marianne Groth Associate Media Producer: Vicki Dreyfus Marketing Manager: Alex Gay Marketing Assistant: Kathleen DeChavez Senior Author Support/Technology Specialist: Joe Vetere Rights and Permissions Advisor: Michael Joyce Senior Manufacturing Buyer: Carol Melville Production Coordination: Lifland et al. Bookmakers Composition: Keying Ye Cover photo: Marjory Dressler/Dressler Photo-Graphics Many of the designations used by manufacturers and sellers to distinguish their products are claimed as trademarks. Where those designations appear in this book, and Pearson was aware of a trademark claim, the designations have been printed in initial caps or all caps. Library of Congress Cataloging-in-Publication Data Probability & statistics for engineers & scientists/Ronald E. Walpole . . . [et al.] — 9th ed. p. cm. ISBN 978-0-321-62911-1...
Words: 201669 - Pages: 807
