...Pay Performance and strategies to encourage adoption of EMR ? Pay for performance in healthcare provides financial incentives for healthcare workers like clinician for better healthcare outcomes. These outcomes are longer for survival, are very difficult to quantified and measure, so pay for performance systems usually are method used to measure the outcomes process, for example measuring blood pressure or counselling for patient to quits smoking. According to Mr. Aaron E. Carroll, a pediatric professor who write for the New York Tines, tell after reviewing the medical literature in year 2014 that pay for the performance in US and UK has created a disappointing mixed results. Sometimes even though large incentives it will not change the way doctor practice medicine. Critics say that pay for performance is a method borrowed from the corporate management which the main results or outcomes is for profit. In the practice of healthcare and medicine, many important outcomes and aspects such as spending time with the patient, can’t be quantified measured. Pay for performance is also known P4P’s or value based purchasing this payment method rewards the doctors, nurses, and other healthcare staffs for meeting a certain criterion for quality and efficiency. It penalized staffs or caregivers for poor outcomes, medical errors, and increases cost. Electronic Medical Record (EMR) and pay performance are one of the methods for health reformers to use for improving patient care. It is...
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...acceptance stage but still we have some current issues that we need to resolve before we move on. In this memo, I will also mention about the actions we should take according to the current situation. Currently, we have cash flow issue, we have fewer budgets for promotion of our new product and on top of this we need to install the new system which will help us to approach to a bigger market and get more financial benefit. Presently, we have some challenges and need to make some strategic plan so that we can achieve our corporate goal in more efficient way. • Our biggest challenges right now is cash flow .We need big amount to commercialize the new product, which is ready to launch as a result of eight years of R & D effort. Once this product is used, the farmers can reduce the use of pesticides by 70% and increase the crop yield by 35%. Due to its environment friendly nature it would have a big impact on the local market on the other hand because it will increase the yield, it will be more popular in the developing countries. • Our system development cost has increase over 50% which is necessary to develop some key functionality in the new system. Lead developers have warned us about the extra expense of $ 25,000 for the new database environment- MS SQL. This is due to the lack of...
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...risks from the disaster threats could significantly affect the health of the population particularly if accessibility to affordable health and medical supplies is difficult. The threats from AIDS/HIV alone could be devastating but the threat could be eased with available protective device such as affordable and easy accessible condom sheaths. The situation in Kava could be a great opportunity for the Teva Pharmaceuticals to expand its mission which is “to play a leading role in the transformation of the U.S. healthcare system through its pre-eminence in the development, manufacture and marketing of generic pharmaceuticals (TEVA USA., 2010, para 2)”. The company can expand that mission to the healthcare system of Kava Island highly vulnerable to many threats particularly storm, tsunami, earthquake, flood, fire, petroleum spills, AIDS/HIV, and avian flu (University of Phoenix, 2010). The condition of Kava may not be highly favorable but the island also has some benefits to offer to Teva...
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...SWOT analysis. This is a tool that helps a company define and look at their Strengths, Weaknesses, Opportunities and Threats on mostly an internal level. A company uses this tool to dissect the areas that they exceed in and the areas of improvement, the areas of opportunity they can take advantage of and where other companies can pose a threat to their business. This is a powerful tool that can, with a little thought, help a company uncover opportunities that are well placed for exploitation by the organization (Manktelow & Carlson, n.d.). This tool also helps a company understand its weaknesses and in turn manage and eliminate threats that could catch the organization unaware. The following are a list of items that could follow under each category: • Strengths: market share, production methods, company reputation, patents • Weaknesses: high material costs, high labor costs, slow delivery times • Opportunities: Growing customer needs, new technology, countries with little government regulation. • Threats: competitors lowering their prices or offering like products in the same market, new government regulations, supply pricing continues to rise. By looking at FFI through the framework of a SWOT analysis, a global strategy can be developed that will help distinguish the organization from its competitors, allowing for it to compete successfully in the market. The next tool that can be used for analysis is the Cost Benefit Analysis. (Repurposed from MGMT640) A cost benefit...
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...Due to the ever evolving changes in society healthcare manager face new challenges developing methods to manage healthcare organizations. The postmodern complex adaptive system was developed as a result of these changes. Prior to developing the postmodern complex adaptive system healthcare manager were unable to be productive and manage in a proficient manner. Due to unproductive management healthcare managers faced new task leading to poor organizational choices. In the subsequent subsection’s ten developments are addressed identifying poor management choices and error, and then apply postmodern complex adaptive system theory illustrating healthier solutions. In chapter five, Johnson (2009) identify the initial managerial error of “failing to account for employees’ ability to learn safe machine operation methods by experimenting on their own with ways to speed up production and thereby reduce the effect they are required to use” (page 80). Issues in this illustration indicates limitations placed on the employee performing his or her occupation specifying the perspective of management discerns the best resourceful method of the employee performing the job. An effective resolution for the manager is to allow the employee freedom to make additional and novel proficient methods to accomplish his or her occupation. “CAS theory teaches us that order in a system may well be a result of the properties of the system itself, rather than some intentionality on the part of some...
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... 4/22/2012 Question #1 Describe how you would assess the impact of the health care issue you selected in microeconomic terms. The health care issue I have chosen is the uninsured Americans and the cost effect on the Unites States government. The issue of uninsured Americans has been one issue that keeps coming up from time to time because a large number of the society are losing their medical insurance due to loss of employments and pre-existing conditions that most insurance company don’t accept. Government and the hospital emergency rooms where those that are uninsured end up going are at the losing end on whole situation. I will try and use Cost Benefit Analysis to evaluate the cost of the uninsured on the Government purse. Cost benefit analysis is an important economical tool that can be used in the healthcare industry because it helps in determining what the outcome of a project would be. It looks at both the positive and the negative aspect of the program. It will also show the cost and consequence of being uninsured. According to Jack Hadley, the Principal Research Associate at The Urban Institute, uninsured Americans have cost the Federal government in the three following ways: The Government already spends a substantial amount of money on care to the uninsured According to (Jack Hadley, 2003) it is estimated that in 2001 that the nation spent about $35 billion on uncompensated...
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...A Critical Thinking Analysis of the Penn-Mart Memo Kristin Daniels University of Maryland, University College DMBA 610 Professor Jackson The issue that caused this memo to be written is in regards to the rising cost of employee benefits pertaining to healthcare. The Human Resources department was asked to come up with a solution to the problem of the increase in company spending and to find the root causes of expenditure. They proposed the “Get Well” program that will supposedly cut costs, making the perceived effectiveness of this program the main issue of the memo. The conclusion of this memo is that the Senior Vice President of Human Resources, Mr. Monella, wants Penn-Mart to institute a “Get Well” program that would cut down on costs to the company by means of preventative care and getting the employee population more involved in their healthcare. The employees that don’t abide by the new program features will either pay $1,000 towards costs, will break away from the company in some form or will have to rely on another way to get healthcare coverage. The author uses many indicator words in order to make his conclusion clear: he believes that his research shows that “Get Well” will not only make employees feel better about themselves, but will also have a positive impact on Penn-Well’s situation. By conducting internal research into the matter and causes of the increase in healthcare cost for employees, Mr. Monella is communicating what his department feels...
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...service programs and civic insurance platforms ("Key Issues in Analyzing Major Health Insurance Proposals", 2008). As the country continues in its economic crises, it is crucial for today’s leadership in the government and in management of health care system to meet the needs of the public while maintaining cost in order to avoid economic failure. Healthcare programs will need careful examination to determine if the treatment ordered is necessary for the care of patients. Healthcare program assessments are different from business program assessments. According to "Basic Economy" (207-2012), in typical business, “the demand for a product is the amount that buyers are willing and able to purchase” (Quantity demanded and Supplied). In healthcare, everyone at some point will require medical care. Some will need more than others. Some will need inexpensive versus expensive treatment modalities. But other issues will play into cost. Insurance premiums, co-pays, government restrictions on healthcare, restrictions on what insurance will pay for all factor into the costs of the treatment received. Physicians typically treat patients for what their needs are, not what the cost is or how the patient is going to pay it (Getzen/University of Phoenix, 2007). They want their organization to provide the most up-to-date in medicines and equipment. They do not want to risk...
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...also gone through iterations of different names and a number of different steps (McMurtrey, 2013). The SDLC has been called one of the two dominant system development used today, along with prototyping (Piccoli, 2012). Many SDLC frameworks exist; however, most have four general stages which are planning and analysis, design, implementation, and support and evaluation (Wager & Lee, 2006). Each stage has tasks that need to be performed. The main focus of planning and analysis is the healthcare organizations strategy. Problems are identified and selected as opportunities for business improvement. Within this stage, the organization will determine whether a new system is needed and is the business financially able to invest in the development of this new system. If the business determines that the system is needed, it will need to determine the users of the system need and requirements. The business should get a system that will specifically help meet the goals of the company. The second stage is the design stage where the business considers all options ( (Wager, 2009). In this stage, alternative solutions to different problems are considered, a cost benefit analysis is performed, the actual system is chosen and negotiations with vendors are completed. The third stage is where implementation of the system begins. This stage involves allocation of resources to complete specific tasks. These tasks normally include workflow, installation of the system, testing, training of...
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...MANNING’S SCHOOL AGRICULTURAL SCIENCE DEPARTMENT AGRICULTURE SBA TEMPLATE Guidelines for Cost Analysis of Farm Production Project (Crop Production) Item | Description | KCMarks | Total | (I) Introduction | Name of projectLocationDurationDescription of activities, sketch of layout of plot,materials and equipments Schedule of operation | 3 1 | | (ii) Complete budget | Projected income (output x price)Projected expenditure (itemized)surplus | 1 1 1 | | (iii) Actual income And expenditure | Income (from sale to produce) ExpenditureSurplus or shortfall | 2 2 1 | | (iv) Analysis (v) Language | Comparison of projected and actual income,Expenditure and surplus or shortfallGeneral commentConclusionRecommendationsCommunication of information in a logical manner using correct grammar | 2 2 1 1 2 | | TOTAL | | 20 | | NAME OF PROJECT: Crop Production LOCATION: Manning’s School Farm DURATION: Six –Sixteen Weeks (or you can write the date started and the date when project completed) Description of Activities This will include activities that will be carried out during the production period that are important for growth and development of the chicken. These include: * Site Selection * Land Preparation * Seedling production seed bed Management * Planting and transplanting * Irrigation * Weed control * Fertilizer/Fertilizing ...
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...Utilitarianism is a moral principle that holds that the morally right course of action in any situation is the one that produces the greatest balance of benefits over harms for everyone affected. So long as a course of action produces maximum benefits for everyone, utilitarianism does not care whether the benefits are produced by lies, manipulation, or coercion (Andre,Velazques). Gene G. James in his book Business Ethics:Readings and Cases in Corporate Morality, defines whistle blowing as, “the attempt of an employee or former employee of an organization to disclose what he or she believes to be wrongdoing in or by the organization” (Griffin). How does one choose if wrongdoing has happened in a utilitarianistic view? To present the process of utilitarian theory in a whistleblowing case, I ran across documentation referencing Ford Motor Company’s manufacturing of the Ford Pinto the early 1970’s. Petersen and Farrell discuss the ethical dilemmas faced by engineers highlighted by the 1980 Winamac, Indiana trial of Ford Motor Company (1986, p.3). The Pinto was created as a response to the Japanese competition emerging in the US. Due to competition, Ford was eager to get the subcompact car released in 1971. Changes were made, and Ford was able to reduce the lead time of production by a year and a half to get the car on the road. Frank Capps, a principal design Engineer charged that management’s weight and price goals along with time requirements resulted in engineers having to place...
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...Alternative “C” Economic Analysis * Contains: 1. Tangible Benefits Worksheet 2. One Time Cost Worksheet 3. Recurring Cost Worksheet 4. Discount rates * Used to create Cost/Benefit Analysis Spreadsheets for possible alternative solutions. Cost/Benefit Analysis spreadsheet is located in doc sharing. * Description of Alternative C – Nova Corporation. (see page 151 in the book) 1. Industry Leader in CRM solutions 2. Large and complex 3. Pricing only based on modules purchased 4. License for the use of the system is middle of the row 1. Tangible Benefits Worksheet - Nova Nova - Alternative “C” Tangible Benefits Worksheet | A. | Cost reduction or avoidance | $12,500 | B. | Error reduction | $ 3,500 | C. | Increased Flexibility | $ 5,500 | D. | Increased speed of activity | $ 7,500 | E. | Improvement management/planning control | $15,000 | F. | Ease of interfacing with business partners | $16,000 | Total Tangible Benefits | $60,000 | 2. One Time Cost Worksheet – Nova Nova - Alternative “C” One Time Costs Worksheet | A. | Development Costs | $ 2,000 | B. | New Hardware | $ 1,000 | C. | Software License or Purchase cost | $19,500 | D. | User Training | $ 3,500 | E. | Site Preparation | $ 4,000 | Total One Time Costs | $30,000 | 3. Recurring Cost Worksheet – Nova Nova – Alternative “ C” Recurring Cost Costs Worksheet | A. | Software Maintenance | $ 2,500 | B. | Incremental Data Storage...
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...the materiality thresholds used on individual audit engagements? Would it be feasible for auditors to conceal this information from their audit clients? Absolutely, auditors should do their utmost in concealing such critical audit aspects as that of materiality thresholds because they can very well jeopardize the genuinity and conclusion of the audit engagement as was evident in the case. Of course, it is nearly impossible to eliminate such doubt because of the fact there is so much interaction between the client and the auditors, whether it be handle inquiries or prepare documents. Clients can very use such interaction to their advantage and develop a sense as to how the auditors work and what accounts they will look into. The cost benefit analysis would come into play...
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...Cost/Benefit analysis of Employee Training programs University of Phoenix HRM/531 Training is a process that can provide significant value and rewards that far outweigh its financial costs. The effects of training touches the lives of employees from the first day of a new job through retirement The purpose of this paper is to show how employee training benefits not only the organization but also the environment as well. The reader will be introduced to an oil distribution company undergoing costly problems because of poorly trained employees. These problems have resulted in repeated environmental violations. An analysis of the company was conducted to weigh the cost/benefits of incorporating an effective employee-training program to address the problem. The outcome of the analysis will determine whether the training is financially feasible, or if another project should be pursued. In addition, the effect of management behavior on productivity, the definition and use of behavior costing, effects of high performance work policies on business financial performanceas that relate to the company; along with recommendations based on researched data gathered will be given in this paper. Training is defined as an activity leading to skilled behavior. Employee training involves a set of planned activities that organization will have their employees complete in order to increase their job knowledge, skills, and abilities. In practice, training gets employees accustomed...
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...the company and come up with two alternatives, which will help determine the best choice to maximize labor productivity for Taylor Inc. The cost-benefit matrix below will show which alternative management technique will maximize productivity with less worker’s compensation claims. Cost Benefit Matrix Current Alternative One Alternative Two Number of employees 17 6 9 Payroll costs per 8 hour day $5,848.00 $2,064.00 $3,096.00 Payroll costs per week $29,240.00 $10,320.00 $15,480.00 Payroll savings per week 0 $18,920.00 $13,760.00 Payroll costs per year (52 weeks) $1,520,480.00 $536,640.00 $804,960.00 Claims per year 4 0.3 1.9 Claims costs per year $436,000.00 $32,700.00 $207,100.00 Claims costs savings 0 $403,300.00 $228,900.00 Wages and claims per year $1,956,480.00 $569,340.00 $1,012,060.00 Wage and claims savings per year $0.00 $1,387,140.00 $944,420.00 Physical lifting in pounds 42 12 23 Capital expenditures $0.00 $1,300,000.00 $967,000.00 Cost difference in capital expenditures $1,300,000.00 0 $333,000.00 Outputs of finished widgets 208 392 288 Life in equipment 0 7 5 Wasted motion in % 27% 1% 7% Effect of Alternative on Productivity Based on the above cost-benefit matrix, the best option for Taylor Inc. would be Alternative One. Although Alternative One is the more expensive management technique, it is more cost-effective over the course of seven years. Alternative One requires a capital investment of $1,300,000.00, which is $333,000.00 more than...
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