...Case 3 Report 1. Background Rio Grande Medical Center is a full service not-for-profit acute care hospital with 325 beds. Most of the hospital’s facilities are devoted to inpatient care and emergency services, but a 100,000-square-foot section of the hospital is devoted to outpatient (OP) services. Of the 100,000-square-foot OP section, the OP Clinic uses 80%/80,000-square-feet, and the remaining 20%/20,000-square-feet are used by the Dialysis Center. Increased patient volume at the OP Clinic has created a need for 25% more space than it is currently assigned. Due to its large size and patients’ need to access other departments the decision has been made to move the Dialysis Center to another location, and allow the OP Clinic to utilize the now open space. Gaining the Dialysis Center’s 20,000-square-feet now gives the OP Clinic their additional 25% of space needed for expansion. The Chief Financial Officer (CFO) created a Profit and Liability (P&L) Statement for the expansion, in which he utilized a new indirect cost allocation scheme. In his new indirect cost allocation scheme the CFO used actual facilities cost instead of aggregated facilities cost, which has historically been utilized by the Medical Center. Also noteworthy, is the fact that the directors’ annual bonuses are now going to be based upon full costs instead of only direct costs, which has also been historically utilized by the Medical Center. After viewing the CFO’s P&L Statement with the...
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...dialysis center should not suffer all the cost. Moving the dialysis center makes more sense because they can increase their revenue if they could take on more patients. The Outpatient Clinic increased their capacity thus should pay the costs of this consumption of the usage of 25% increase. Question 2 Yes. they should be charged the actual cost of the new facility because they are using the new facility. They were spending $300,000 allocating 20,000 square feet. Now they are spending $100,000 extra for an entire building. The outpatient clinic assumed the additional cost for the expansion of space they will be using as well. All departments’ costs would increase since the dialysis center is out of the building and not sharing the indirect costs for the facility use and other general indirect costs. Question 3 No, this only designates the money for the building and facility itself others costs. This is not including inflation, depreciation, insurance, and other fees. There are also advantages of the new building which includes the parking structure and easy access ability, newer equipment and facility therefore less maintenance required. Even though the building has a useful life over 20 years. On the 21st year it will be mortgage free however there still be other general indirect costs that makes up $270,000 of costs as well, these costs will only increase due to inflation and cost increase. Question 4 The revenue the pharmacy is making from the dialysis center is 100%...
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...Community Assessment and Analysis - Rio Grande Michele Foster, Chelsea Simpson, Cinimol Teju, Ann Brennan, Jessica Ramaley Grand Canyon University Community Assessment and Analysis - Rio Grande The lower Rio Grande Valley is located along the United States and Mexican border. The lower Rio Grande Valley consists of four counties along the southernmost tip of Texas (Migrant Health Promotion, 2012). These counties include metropolitan areas such as Rio Grande City, McAllen, Harlingen, and Brownsville (Migrant Health Promotion, 2012). The Rio Grande Valley is nestled right along the Rio Grande River which is why the area is so abundant in agriculture. In phenomenological communities, place is emphasized more by the sense of belonging among the members (Maurer & Smith, 2009). The lower Rio Grande Valley has over one million people in which 90 percent of the population is Hispanic (Migrant Health Promotion, 2012). The Valley is known to be home to one of the largest concentrations of farm workers in the United States (Migrant Health Promotion, 2012). A considerable amount of farm workers travel from Mexico to work in agriculture in the United States and because of this, the members of this community can relate. Four counties in the southern tip of Texas along the Mexican border make up the Lower Rio Grande Valley. Over 1 million people make up this population with 85 to 98% being Hispanic. It is made up of over 2,000 colonias and most of residents. Colonia is a...
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...Valley Initiative for Development and Advancement D i s t i n gu i sh i n g f e a t u r e s – Rio Grande Valley, Texas Organizational Background – – Substantial financing from local sales tax, bridge receipts and general revenue Regional collaboration and impacts Outcomes measured through Return On Investment The Valley Initiative for Development and Industries Advancement, or VIDA, is a nonprofit organization – Allied Health founded in September 1995 by Valley Interfaith,1 a – Manufacturing grassroots organizing group, working in partnership with community and business leaders in the Rio Grande Valley at the southern most tip of Texas. VIDA’s mission is “to formulate new institutional relationships in the Rio Grande Valley that simultaneously address employers’ needs for skilled workers” and help low-income, unemployed and underemployed residents in the Valley get the skills necessary to secure a high-skilled, high-wage job. VIDA works with employers, education institutions and community-based nonprofit organizations to provide services in six locations, and its work spans four counties. Today, its board of directors consists of five leaders from Valley Interfaith and five local business leaders. The Valley has a diverse economic and employment base, with the mainstay agricultural and livestock sector interspersed with urbanized centers that have developed, along with the manufacturing and assembly industries. Much of the manufacturing...
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...Case Study: Rio Grande Medical Center Domonique Chapman HCM 733 F1WW Professor Edward Schaffer July 13, 2014 Justification of Additional Space Based on my interpretation of the allocation costs for the Outpatient Clinic Advantages & Disadvantages Facility Allocation Recommendation for Final Allocation References Case Study: Rio Grande, Week 2 Learning Outcome: Justify an indirect cost allocation scheme for outpatient services for a healthcare organization. | Score | | Below Expectations0 – 15 | Approaches Expectations16 - 17 | Meets Expectations18 - 20 | | 1. Justification of additional space for Outpatient Clinic | Justification of additional space for Outpatient Clinic is insufficient. | Justification of additional space for Outpatient Clinic is sufficient. | Justification of additional space for Outpatient Clinic is comprehensive. | | | Below Expectations0 – 11 | Approaches Expectations12 - 13 | Meets Expectations14 - 15 | | 2. Discussion of advantages and disadvantages of new methodology and justification | Discussion of advantages and disadvantages of new methodology and justification is insufficient. | Discussion of advantages and disadvantages of new methodology and justification is sufficient. | Discussion of advantages and disadvantages of new methodology and justification is comprehensive. | | | Below Expectations0 – 11 | Approaches Expectations12 - 13 | Meets Expectations14 - 15 | | 3. Facility allocation...
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...Jorge Garcia is a 60 year old, Hispanic male, who was admitted at Rio Grande State Center in April 22, 1974. Jorge has history of forceps delivery at birth with severe IDD, left sided hemiparesis and contractures with left wrist splint, gait apraxia with left foot drop, childhood onset seizure disorder, chronic constipation, gastritis/esophagitis, oropharyngeal dysphagia, hypertension, hyponatremia, overweight, hypoproteinemia, onychomycosis, macrocytic anemia, eosinophilia, periodontal disease, myopia/presbyopia, cataracts, sensorineural hearing loss, benign prostate hypertrophy, drug induced gynecomastia, hypothyroidism, osteoporosis/osteopenia of the hips, vitamin D deficiency, hypocalcemia, and microcephaly. Jorge is able to convey his...
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...Geographic and Trade Patterns Analysis paper of the Continent South America, in the Country of Brazil I. Introduction II. Continent of South America/Brazil • Population • Culture • Demographics • Economy III. Country located in South America: Brazil • Population • Culture • Demographics IV. Regions of Brazil • North • Northeast • Center-West • South • Southeast V. Political Culture • Traditional Rural Society during the colonial and independence periods • Rural Urban Migration • Political Culture in different Regions • Public health & Security • Quality Control VI. Economic Growth • Retesting • Treatment • Gross Domestic Product • Monetary Policy • Financial System • Employment VII. Trade Patterns • Trade Regulations • Imports • Exports • Labor VIII. VII. Conclusion Introduction South America was named in 1580 by cartographers Martin Waldseemüller and Matthias Ringmann after Amerigo Vespucci, who was the first European to suggest that the Americas were not the East Indies, but a New World unknown to Europeans. Continent of South America/Brazil South America is the 4th largest continent. It connects to North America by the Isthmus[1] of Panama. The country of Brazil accounts for more almost half of the continent and contains about half of the people. The countries that make...
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...consisted of four campaigns as follows, the Texas, California, Pacific Coast and Mexico campaigns. President James K. Polk, who was elected in 1844, believed the United States had a “manifest destiny” to spread across the continent to the Pacific Ocean (Frazier, 1998). At first, the United States declined to incorporate Texas into the union, because northern political interests were against the addition of a new slave state. The Mexican government encouraged border raids and warnings that if any attempt to annex Texas it would lead to a war. As time went by Polk had his eyes on the southwest territory and wanted to occupy Texas and New Mexico. When offers to purchase the land were denied, he instigated a fight by moving troops in the Rio Grande and Nueces that both countries recognized as part of the Mexican state of Coahuila, causing the start of the Mexican-American War (Frazier, 1998). Throughout the two-year period, the Mexican-American war covered more than...
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...Summary of Qualifications Advocate for patients rights; strive to understand a patient’s needs and concerns; Hardworking and energetic; flexible; adapt easily to change of environment and work schedule; Maintain critical thinking skills essential to providing competent and dignified patient care; Personable with a positive attitude; interface well with patients, families, and nursing staff; Team leader able to create a positive working environment that uplifts patients’ spirits; Able to make sound decisions under arduous conditions; Physically able to perform strenuous duties, in a highly professional manner; Treated Marines injuries while in combat in Ar-Ramadi, Iraq. Education The University of Phoenix 12400 Coit Rd, Dallas, TX 75251 Bachelor of Science in Nursing 2014-Present The University of Texas at Brownsville and 80 Fort Brown Texas Southmost College Brownsville, Texas 78520 Associate in Arts Degree in Nursing 2005-2008 Central Texas College 6200 West Central Texas Exp, Killeen, Texas 78549 Business Management 2001-2005 Spartan School of Aeronautics Aviation Maintenance Technician Diploma 1998-2001 License & Certification Register Nurse License Number: 805858 Basic Life Support: May 2015 Expires Advanced Cardiac Life Support: December 2015 Expires Pediatric Advanced...
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...Rosemont East U.S. 192 / St. Cloud S. Orange Avenue / Orlando International Airport University of Central Florida Calvary Towers / Winter Park Village Curry Ford Road / Valencia Community College East North U.S. 441 / Apopka S. Orange Avenue / Kissimmee Malibu Universal Studios Winter Park / Forest City Millenia Mercy Drive Pleasant Hill Road / Poinciana E. Colonial Drive / Azalea Park E. Colonial Drive / Goldenrod Colonial Drive Crosstown Sanford / Goldsboro Lake Richmond Park Promenade Plaza / Florida Mall Downtown Orlando / International Drive Americana Boulevard / Universal Orlando S.R. 436 Crosstown International Drive / Orlando International Airport Clarcona / Zellwood Lake Mary West SR 46 / Seminole Towne Center Central FL Regional Hospital / Downtown Sanford W. Colonial Drive / Park Promenade Plaza W. Colonial Drive / Pine Hills Road Downtown Orlando / Magic Kingdom Conway / Orlando International Airport Old Winter Garden Road West U.S. 192 / Four Corners West U.S. 192 / Magic Kingdom John Young Parkway...
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...in Illinois, Mr. Garcia got a draft notice during the Vietnam War. Once he got drafted he didn’t want to go into the infantry because of the death rate, so he agreed to enlist for an extra year to get some schooling for future purposes. Mr. Garcia was put to study in the medical laboratory for three years and says “It was a wonderful and educational experience” (Garcia 2.) The day he Mr. Garcia out of the army he went straight home. The very next day he applied at Valley Baptist Medical Center in Harlingen, Texas. A week later, Mr. Garcia received notice that he had got the job and started working in the laboratory of Valley Baptist. After just one month of working at Valley Baptist he learned all the different departments in the hospital. What made this job so special for Mr. Garcia was that a friend that got drafted into the army at the same time he was also working with him at Valley Baptist. They both worked from 7:00 P.M. to 7 A.M. Then go home and get ready for college classes that same morning as they had just got out of work. Robert Garcia attended college at the University of Texas- Pan American, now known as the University of Texas Rio Grande Valley. He initially went in to get a degree in Medical Technology which required a degree in Biology. However, after completing a series of course he felt that the course of study he chose was not for him. He decided that biology and chemistry were going to take up too much time and he would not have time to study., settled a...
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...The Braceros Program and the immigration process Immigration plays a big role in the world’s economy and the United States is one of the top countries in relation to the immigrants traffic, both incoming and outgoing. Nowadays, the American government has come up with a large number of strict laws in order to control such transit and prevent undocumented entries, but it has not always been like this. In fact, during World War II and the years beyond that, the American government was in need of immigrants in order to get the economy going and to provide enough labor for the demand. Mexico was a neighbor country with lower wages, therefore an easier task for the government to deal with. The solution was to make a series of laws and political bilateral agreements with Mexico to import workers. But the Mexican Government was expected to lay down certain conditions for its approval of the American plan. Unregulated hiring of its citizens for employment abroad had been prohibited by Article 123 of the Constitution of 1917, which provided that such employment must be validated by local municipal authorities and by the employer’s consular representative, and on the basis of a formal contract, since American government had kicked out over 50,000 immigrants to Mexico due to the great depression. The demands for Mexican farm workers that were rejected by the United States Department of Agriculture and the Department of Justice in 1941 were happily established in the spring of the subsequent...
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...Le Moyne College Renea Scott Sociology: Immigration 12 December 2012 President Barack Obama once stated “"We are the first nation to be founded for the sake of an idea—the idea that each of us deserves the chance to shape our own destiny. That’s why centuries of pioneers and immigrants have risked everything to come here .The future is ours to win. But to get there, we cannot stand still." This quote literally and symbolically embodies the dream that America has sold and many have bought. America’s democratic ideals for centuries have placed an emphasis on the unalienable right of every individual to life, liberty and the pursuit of happiness. However, this dream has led to mass immigration, which is at the center of many of America’s political, social and economic problems. Similar to the past, Legislators have failed in creating a policy that would not only accommodate immigrants but provides stability and security to its citizens. Congress’s inability to provide tangible paths to legalization is an issue that paves the way for the increase in illegal immigrants. The immigration process serves as a detriment for many foreigners that seek to attain legal entry and status. It violates America’s valued premises by preventing foreigners from pursuing happiness. The process of attaining legal status in the United States has proven to be harsh and extremely bureaucratic, which makes access illegal more viable. The legal status process requires a petition, which is submitted...
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...GEO 210 – CULTURAL GEOGRAPHY – 40H “People & the Land: Introduction to Cultural Geography” TNCC – FALL 2012 Instructor: Larry Snider – Phone: (757) 850-4912 E-mail: sniderl@tncc.edu (school); Skimmerva@aol.com (home) Office Hours: 4:30-5:30 p.m. M (Rm 947 Templin Hall), 6-7 p.m. T (Rm 131A Diggs Hall), 5:00-5:30 p.m. W (Rm 947 Templin Hall) and by appointment INTRODUCTION COURSE DESCRIPTION: (from VCCS Master Course file): Focuses on the relationship between culture and geography. Presents a survey of modern demographics, landscape modification, material and non-material culture, language, race and ethnicity, religion, politics, and economic activities. Introduces the student to types and uses of maps. COURSE CONTENT: Cultural geography entails the study of spatial variations among cultural groups and the spatial functioning of society. The course provides an introduction to the manner in which humans have modified the world, emphasizing patterns of migration, livelihoods of man, and environments in which these modifications have taken place and continue to occur. It focuses on describing and analyzing the ways population, religion, language, ethnicity and race, political factors, economy, agriculture, industry, the urban setting, and other cultural phenomena vary or remain constant from one place to another. The framework of geographic location of significant countries, regions, and physical features is also addressed in order to provide the necessary...
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...* Caucasian 69.9% * Hispanic 17% * Black 5.8% Predominant spiritual beliefs in the community that may influence health. * Christian (several mega churches in the community) * Catholic * New Age, Wiccan ( Predominantly in the Old Colorado City and Manitou areas) Availability of spiritual resources within or near the community (churches/chapels, synagogues, chaplains, Bible studies, sacraments, self-help groups, support groups, etc.). * New Life Church (Mega Church) * Focus on the Family ( church and Christian Publishing company) * St. Mary’s (Parish and school) * Corpus Christi (Catholic church and school) * Colorado Christian School and Church * Temple Shalom (Jewish Synagogue and Community Center) * MADD * Al-Anon * AA * Penrose- St. Francis Health System offers health clinics, support group for cancer pt’s and family, breastfeeding and anti-natal education. Do the community members value health promotion measures? What is the evidence that they do or do not (e.g., involvement in education, fundraising events, etc.)? * Colorado Springs is a very health conscious community. There are lots of hiking groups, running clubs, cycling clubs. They are constantly having fundraisers for various community health projects....
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