...1. Does the ACO experiment achieve the dual objectives of cost savings and coordination of care? Why or why not? Identify three reasons supporting your position, grounded in the literature. I believe that the ACO experiment has the potential to provide cost saving methods and coordination of care because of the structured care patient will receive from one managed group of physicians, who can collaborate and share data, the incentives the facilities will be offered for efficient and effective care, and the quality measures that will be in place for the organization to follow. According to NPR.ORG, HHS estimates that ACOs could save Medicare up to 960 million dollars within the first three years of implementation. Also Kaiser Health News stated that all 32 Pioneer ACOs succeeded in improving quality and performed better than Medicare fee for service in 15 quality measures. In 2012, they also generated 87.6 million in the first year of the program (Kaiser). The three ways I feel ACOs will achieve cost savings and coordination of care are by: Cohesive and organized patient care: ACOs will provide better communication in order to streamline procedures and processes across the different HC settings, so the patient can obtain more education and information. These organizations will be able to keep costs down because they can monitor and share information responsibility between one another to ensure the patient is receiving the appropriate care. Healthcare will be more of a unit...
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...INTERACTIVE SESSION: ORGANIZATIONS INFORMATION SYSTEMS HELP KIA SOLVE ITS QUALITY PROBLEMS Korean car manufacturer Kia Motors started selling in the North American market, promising high-quality vehicles at prices well below the competition. In 1994, Kia sold 12,000 cars, and by 2004, Kia had sold 270,000 cars. From a marketing end standpoint, Kia has been a phenomenal success. But until 2002 Kia ranked at the bottom of J. D. Power and Associates’ annual initial-quality survey of new vehicle owners. In 1997 when the average North American car had 1.1 defects per vehicle, Kia had 2.75. In 2002 Kia had improved to 2.12 defects per vehicle, but the industry average was 1.33. Kia had a long way to go, and it was affecting its ability to sell cars, retain customers, and keep operational costs down. Like all manufacturers of vehicles sold in North America, Kia had to create a system by December 1, 2003 to report any defects, accidents, or injuries involving its vehicles to the U.S. National Highway Traffic Safety Administration (NHTSA). Kia Motors uses a manufacturing and production system to help in identifying sources of defects in their automobiles. Kia uses the information from the system to improve its production processes to eliminate or reduce defects. Improving vehicle quality lowers Kia’s costs for warranty repairs while increasing customer satisfaction. CASE STUDY QUESTIONS 1. Why was it so difficult for Kia to identify sources of defects in the cars it...
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...SMART signify for measurement? Why are these characteristics important? As mentioned in the textbook, good data and good measurement system are the basis for the effective quality control as well as for quality improvement. Thus, a good measure is relatively important to quality management. The acronym SMART represents simple, measurable, actionable, related (to customer and optional requirements), and timely. A good measurement should be: 1. cost effective and easy to obtain, 2. have a clear and unambiguous definition of measured objective, 3. clearly related to what is important to both external and internal customer, 4. taken at critical points in a process where value-adding activities occur to provide actionable information for making good decisions, and 5. made available and communicated to workers and managers when they need measurements. Without those characteristics, a measurement can also provide the needed information to the users, but extra cost and time will be charged. Users might not make relative good decision compare with those users with good measurements. 2. List and explain the four major categories of quality costs. Give examples of each. Quality cost can be divided into four major categories as follows: * Prevention costs: investments made to keep nonconforming products from occurring and reaching the customer. Prevention costs could be the salaries of individuals associated with quality planning and problem solving teams...
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...Quality Improvement Report Cynthia Leonard, BSN, RN HCS/588 June 4, 2012 Darlene M. Cantu, RNC-NIC, C-EFM, MSN Quality Improvement report Quality measures and quality improvements are the focus of most health care organization today. Quality has many meanings and consumers, health care organization, regulatory agencies, and professionals have different view of the meaning of quality. Quality has advanced from the ability to give good care to the need to ensure that patient’s expectations are met. Quality in health care encompasses professional quality requirements and patients expectations. This paper will highlight the concepts of QI, including definitions of quality, along with patients, and professional roles in quality improvement. The paper will mention why quality management is requirement in the health care industry and how to monitor quality. The paper will also highlight the roles of accrediting and regulatory organization along with identifying helpful resources for organizations that affect QI. Foundational Frameworks of QI Industrial models have influenced how health care organization approaches quality improvement. Leaders, such as Armand Feigenbaum, who was the originator of total quality control, offered health care organization with “…a system that integrates quality development, quality improvement, and quality maintenance” (Ransom, Joshi, Nash, & Ransom, 2008, p. 67). Kaoru Ishikawa contributed to the quality movement by the...
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...Quality Data Collection Grace C. Turne HCS/588 March 26, 2012 Ismael Caicedo Quality Data Collection Quality data collection plays an integral part in quality improvement. In order to measure performance, quality data must be gathered by the use of data collection tools that must be implemented. Nurses Just for Kids a pediatric specific home care agency specializing in the care of medically fragile children must develop a QI plan that best suits them by choosing data collection tools that based on potential improvement areas that they plan to tackle. The paper will discuss potential improvements, data needed to monitor for improvement in performance areas, data collection tools used, comparing and contrasting the tools and measurements as well as its importance in healthcare. Potential Areas for Improvement for Nurses Just for Kids There are many different areas that have the potential for improvement for Nurse Just for Kids but only two areas have been in need of quality improvement efforts the most. The two areas are back injuries and ventilator associated pneumonia. Two of the five clients that are being serviced from the home care agency has seen an increase in back injuries that are seen from their employees. The second area in need of improvement is in the area of ventilator associated pneumonia which there has been two pediatric clients with hospitalization due to pneumonia in the same month in 2011. This is a significant amount considering how small...
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...opinion on what will happen in the future. Therefore, the quality of his answer depends on the justifications provided. Good answers should address the following: * Database technology does permit abandonment of double entry, but there will likely be great resistance to such a radical change. Thus, students choosing this option need to present reasons why they think such a radical change would succeed. * The use of a schema for accountants seems quite plausible. It does eliminate the redundancy of double entry from the database system, yet it still provides a framework familiar and useful to accountants and financial analysts. * There is a good possibility that double entry will remain, even in databases, due to inertia. Indeed, many modern AIS, such as ERP systems, use databases but also retain the principles of double entry. Relational DBMS query languages provide easy access to information about the organization’s activities. Does this mean that online, real-time processing should be used for all transactions? Does an organization need real-time financial reports? Why or why not?</para></question></general-problem></problemset> On-line real-time processing is not necessary for every business transaction. For example, batch processing is adequate for payroll: there is little need for the data to be current except on payday. Real-time financial...
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...Chapter 1 Cost Accounting: Information for Decision Making Solutions to Review Questions Financial accounting is designed to provide information about the firm to external users. External users include investors, creditors, government authorities, regulators, customers, competitors, suppliers, labor unions, and so on. Cost accounting systems are designed to provide information to internal users (managers). This difference is important, because it affects the design of the systems. Financial accounting systems are based on standards or rules. This allows the user to compare the results of different firms. Managerial accounting systems do not require rules. Each firm is free to develop managerial accounting systems that best serve the needs of the decision makers (managers). B Providing cost information for financial reporting A Identifying the best store in a chain C Determining which plant to use for production The value chain is the set of activities that transforms raw resources into the goods and services end users purchase and consume. The supply chain includes the set of firms and individuals that sells goods and services to the firm. The distribution chain is the set of firms and individuals that buys and distributes goods and services from the firm. The customers of cost accounting are managers, from plant managers to the CEO. Value-added activities are activities that customers perceive as adding utility to the goods or services they purchase. Nonvalue-added...
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...Addressed to kluck, from consultants If someone can find a sample cover letter for case analysis then I can make it longer Dear Mr. Kluck; We are a 5 member consulting team from University of Calgary, Haykayne Business School and we did a very comprehensive study on Deutsche Allgemeinversicherung's PMV project and its problems, including the problem's background, the competition the company is facing, the firm's current state, Suitability of SPC use in the service industry, Measurement Issues faced at DAV and specific recommendations, the following is our analysis. Cheers Group 4 TABLE OF CONTENTS SYNOPSIS Deutsche Synpnosis Deutsche Allgegeinversicherung, the second largest insurance firm in Germany, had decided to adopt a new quality improvement initiative: PMV in order...
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...Financial Management • •STRUCTURE • Management Information Systems • SUSTAINABLE • Impact • Assessment • Career Development • Strategic Planning • SYSTEMS • Supervision • Objectives • Program DEVELOPMENT Series 2 ORGANIZATIONAL MANAGEMENT Monitoring and Evaluation • SUSTAINABILITY • Module 4 Monitoring and Evaluation and Management Information Systems (MIS) 2/ MIS, Monitoring & Evaluation Introduction Monitoring and Evaluation Process points: Types and levels of monitoring and evaluation activities Some monitoring and evaluation definitions What are indicators? Methods and tools for monitoring and evaluation Steps in planning and conducting monitoring and evaluation ❐ Tools and techniques: How to write your evaluation report Tips for improving monitoring and evaluation of your project Management Information Systems (MIS) ❐ What is on MIS? ❐ Why is an MIS important? Sources for decision making, monitoring, and evaluation ❐ Targets Designing an MIS Using data to inform your MIS: conducting a baseline study Performance information Key questions in designing an MIS Institutionalizing an MIS in an organization MIS: step-by-step Using MIS outputs for decision-making How is information used in the organization? ❐ How does information flow in your organization? A word about reporting ❐ Tips and Tools: Report preparation checklist A final word about evaluation ❐ Process evaluation ❐ Output evaluation ❐ Effects evaluation ...
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...Variables Attributes – data which count (ex. # of complaints) Variables – data which measure (ex. cm, kg, ml, etc.) X Chart Control Limits [pic] Range [pic] Establishing Control Limits or Re-calculating the control limits Process Capability Index Just Capable Industry Standard (min) Excellent Process Capability Where Z (min) is the smaller of: Or: When Cpk=Cp, the process is centered. P Charts (Attributes) Maximum p: UCL*n Minimum p: LCL*n C Charts U Charts Maximum u: UCL*n Minimum u: LCL*n Chapter 1 Quality Perspectives Garvin’s Product Quality Dimensions 1. Conformance 2. Reliability 3. Features 4. Performance 5. Durability 6. Serviceability 7. Aesthetics 8. Perceived Quality PZ&B’s Service Quality Dimensions Tangibles(Physical appearance of facility Service Reliability(Dependable and accurate Responsiveness(Helpful and prompt Assurance(Knowledge and courtesy Empathy(Caring attention Viewpoint depends on function Core Processes • Value Stream Mapping| FlowChart • Six Sigma| value added • DMAIC – Define, Measure, Analyze, Improve, Control Downstream • Shipping and Logistics “Right product, right place, right time, right quantity” • Reliability of delivery • Customer support including after sales service In concurrent engineering, work is done as a multi-functional team. Three Spheres of Quality Quality Management(responsibility of all)...
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...NORTH SOUTH UNIVERSITY MGT 314 (OPERATIONS MANAGEMENT) 2012 SECTION: 03 GROUP NAME: INCREDIBLES FINAL PROJECT OPERATIONS MANAGEMENT SUBMITTED TO ADEYL KHAN (Ayn) LECTURER, SCHOOL OF BUSINESS NORTH SOUTH UNIVERSITY SUBMITTED BY HASAN MONJURUR RAHMAN 092 0429 030 IMROJ AMAN 092 0521 030 USSAMA ABU SAYEED 091 0519 030 NAZIA HOSSAIN 091 0232 030 PRANTAR DAS ANOY 092 0227 030 4/13/2012 Letter of Transmittal 13 April, 2012. Adeyl Khan Faculty, School of Business, North South University. Dear faculty, We are pleased to present you this Group Assignment on “identifying operational problems of Lyric Group”. It includes the overall operational problem of Lyric Group Pvt. ltd. and solution of a problem. In order to prepare this paper, a lot of obstacles have come in our path but we tried to gather information as much as possible through different sources. In the end, it can be said that the experience that we have gathered to prepare this paper was extraordinary. We personally thank you for giving us the opportunity to prepare this assignment which has brought to us a lot of nice experiences. Thank You! Your Sincerely HASAN MONJURUR RAHMAN 092 0429 030 IMROJ AMAN 092 0521 030 USSAMA ABU SAYEED 091 0519 030 NAZIA HOSSAIN 091 0232 030 PRANTAR DAS ANOY 092 0227 030 2 Acknowledgement I would like to pay my sincere gratitude to almighty Allah for giving us adequate patience and knowledge...
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...Project Management Office Summit Measures and Metrics for PMO Success 0011 0010 1010 1101 0001 0100 1011 Jim Kendrick, PMP, CMC President and Practice Leader © 2009 P2C2 Group, Inc. kendrick@p2c2group.com 301-942-7985 Also See Related Blog Articles http://jimkendrick.blogspot.com Web www.p2c2group.com Blog http://jimkendrick.blogspot.com Phone 301‐942‐7985 Email kendrick@p2c2group.com LinkedIn http://www.linkedin.com/in/jimkendrick Location Washington, DC Metro Area Measures & Metrics (c) 2009 kendrick@p2c2group.com Managing projects and portfolios without metrics is like sailing a ship without a compass! 0011 0010 1010 1101 0001 0100 1011 Measures & Metrics (c) 2009 kendrick@p2c2group.com 2 Why PMOs need measurement and metrics You already know … 0011 0010 1010 1101 0001 0100 1011 • 63% of projects have schedule delays • 49% of projects exceed budget or do not meet business objectives • 45% of projects face cost overruns • 23% of all projects FAIL Data published by Standish Group International, Inc., as reported in Computer World, February 17, 2003 http://www.computerworld.com/printthis/2003/0,4814,78517,00.html Measures & Metrics (c) 2009 kendrick@p2c2group.com 3 Most organizations have problems with their measures and metrics 0011 0010 1010 1101 0001 0100 1011 • • • • • • • • • Too much data Measures aren’t useful Too much time to collect and report data Data...
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...Quality Management Systems – An Overview TQM ISO 9000 QS 9000 Lecture Objectives Total Quality Management defined Cost of Quality ISO 9000 and QS 9000 Tools of TQM Evolution of Quality Management Six Sigma Quality Mgmt Systems Taguchi DOE SPC Inspection 1930 1950 1975 1985 1990 1995 2000 What does the term Quality really mean? Quality is the ability of a product or service to consistently meet or exceed customer expectations Historical Summary Artisanship • Closeness of producer and consumer • One person/common purpose among tasks Industrial revolution • Long supply chains • Unskilled labour • Mass production • Uniform quality • Loss of understanding of purpose Eli Whitney and Henry Ford Consumerism a response Quality has emerged now as a business strategy Total Quality Management What does total mean? Entire organization; All products and processes; All aspects (management, design, control) Not a flavor of the month (i.e. typical management fad) – Long-term perspectives, Consider the Japanese The Quality Challenge Today's economic reality: Intense global competition for sales, profits, contracts and jobs. Competition equally challenging in manufacturing and service organisations. Emphasis on controlling people has not worked. The emerging strategy: Augment TQM with Six Sigma Why is quality so difficult to deliver? Ambient temperature, vibration, humidity, supply, voltage, etc. Labor Training level Control variables Points for temperature...
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...increase changeover times, lower effective capacity - Human – Training, Skills, Experience - Planning & Operational - # of shifts per day, bottlenecks, inventory decisions, quality control, procedures, late deliveries, defective purchased material - External – Products standards (Quality & Performance), pollution standards, paper work required by government agencies Strategic Capacity Planning – deals with long term overall capacity levels - Process: Forecast demand 1-5 years ahead -> Determine capacity requirements -> Measure the capacity now and decide how to bridge the gap: (A) Generate feasible alternatives (b) Evaluate alternatives considering economic and non-economic aspects (c) choose best alternative & implement - Growth Patterns: Growth, Decline, Cyclical, Stable - Math – Calculate Annual Capacity, Total Processing Time needed/ Annual Capacity Break Even Analysis - P=TR-TC=Q*r-(FC+Q*v) - Q = (P+FC)/(R-v) – BEP is when P=0 Choosing Between Two Systems - Q(BEP) = [FC(1)-FC(2)] / [v(2)-v(1)], less = 1, greater = 2 Management of Quality Quality – the ability of a good or service to consistently meet or exceed customer expectations Quality Control – Monitoring, testing, and correcting quality problems after they occur Quality Assurance – Providing confidence that a product’s quality will be good by...
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...initiate. You will need to describe and define the project in context. Explain why such a project would be beneficial. What procedures might you use to ensure that the project was sponsored and supported by the organisation? Define the project, write a project narrative and develop a project plan, including the processes that would be used to manage financial, technical, human and physical resources. In developing your project plan, consider: 1. Who are your project’s stakeholders? 2. What would your role be in planning and delivering the project? 3. How would you ensure that your project met organisational objectives? 4. What resources would you need and how would you source them? 5. Why should you and how would you consult with team members in the planning stage of the project and throughout the project’s implementation? 6. How would you monitor the quality of outcomes? 7. How would you ensure that you met project timelines? 8. What project management tools would you use and why would they be most useful? 9. How and why would you delegate roles and tasks? 10. How would you design and develop risk management and contingency plans and cater for any health and safety issues? 11. What methods would you use to clarify roles, responsibilities and lines of authority? 12. Describe in detail how the budget would be prepared and used as a communication and monitoring tool. 13. Explain the data collection, recordkeeping and reporting processes that would apply to the project...
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