...Plan JIT2 Date Create an implementation plan A. Determine the feasibility of one of the proposed service lines. 1. Evaluate the demand for the new service line in the market area defined in the case study. Trinity Community Hospital is in need of a new orthopedic center. The need for an orthopedic unit is expect to increase to 46%, and spine procedures are expected to increase 30%. Outpatient spine and joint procedures are expected to go up by 350%. The five year projection plan for orthopedic unit is as follows: each orthopedic surgical gross charges is projected to be $25,000, physical therapy has a gross charge of $275 per unit. Collections are projected to be around 35%, and the ratio of cost to charges is 31% (Western Governors University, n.d.). The current research indicates the current area is in need of an orthopedic center. The other two hospitals that are close to Trinity represent the biggest competition and have a good orthopedic program. The other hospitals are private, and this increases the demand for Trinity developing a good orthopedic program. Trinity is centrally located within the community, and the population is expected to grow four percent a year, the need for a good orthopedic unit at Trinity will continue to grow. Trinity has performed a needs assessment, and determined Trinity could provide orthopedic services many people within the community. The current resources that Trinity has are not enough to keep up with the rising...
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...Amt Task1 Service Line Development Running head: SERVICE LINE DEVELOPMENT Business Summary for Trinity Community Hospital Orthopedic Service Line Development Background Information Trinity Community Hospital, a 150-bed hospital with 20 operating rooms and an emergency department on a 25-acre campus, is a community-owned hospital located in a growing community in the southeastern U.S. with a population of 400,000 people in the city and 900,000 in the county. The community is made up of high tech business and industry as well as retirees. It is home to several colleges and a university. The hospital is 25 years old and the campus is comprised of the main hospital with four medical office buildings (MOBs). There are two primary competitors within a 10-mile radius of Trinity which are both private, not-for-profit medical centers. Also, there is a nationally recognized medical center approximately 60 miles from Trinity however this facility is not considered a competitive threat. Numerous specialties with a broad range of medical/surgical services are represented on the hospital staff and all physicians are board certificated. Trinity Community Hospital also boosts of its full Joint Commission accreditation, newly remodeled, modern patient rooms, award-winning dietary department, expert nursing staff, and the highest patient satisfaction scores in the region. Trinity Community Hospital is governed by a six-member Board of Trustees. The board members come from diverse backgrounds but...
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...A. Summary As a part of Trinity Community Hospital’s strategic plan, management intendeds on expanding their Orthopedic service line. The hospital is currently licensed at 150 beds and offers no formal orthopedic services although a few orthopedic surgeons maintain privileges at the hospital. Management has identified that its competition offers strong orthopedic services and are 10 miles or less away from Trinity Community. Most of the orthopedic groups are located close to these hospitals, which makes it convenient to perform procedures at the competition's location. Additionally, several orthopedic practices are planning to expand to offices near Trinity Community. The expansion of services requires Trinity Community Hospital to build, purchase, or lease a 5000 square foot facility for physical therapy. This facility would be in support of the orthopedic services and located adjacent to or on the hospital campus. The expansion of services would have the following five-year targeted outcomes: 1) Quality and Safety •CMS orthopedic indicator set >90th percentile •Pre/post procedure class attendance >75% 2) Service Excellence •Likelihood of recommending >90th percentile •Physician satisfaction >90th percentile 3)Staff Achievement •Orthopedic nursing staff certification >75% •Orthopedic staff retention rate >90% 4)Growth and Profitability •Surgical cases—2100 •Physical therapy visits—6,500 •Margin—$2,171,500 It has been...
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...Sentinel Event: Sentinel events are a subset of medical adverse events. Events that require immediate attention are called Sentinel Events. Joint Commission defines a sentinel event as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or the risk thereof” includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome. Sentinel Event identified by Joint Commission also include infant abduction or discharge to the wrong family. Summary of the Sentinel event in the Case Study: Sentinel event presented in the case study involves discharge of a minor to the wrong family. Joint Commission requires immediate attention to such matters so that it may be avoided in the future. The summary of the event is that a 13 year old teenager, Tina, was admitted for day surgery. Tina was accompanied by her mother. After dropping Tina for the surgery at the hospital, her mother left to run some errands. Before leaving, she left her contact phone number with the pre-op nurse. After the surgery, Tina was inappropriately released to her father when her mother was delayed in returning to pick-up the daughter from the hospital. The hospital staff had no awareness of the family situation. Upon arrival at the hospital after the errands, mother was informed that Tina’s father had picked up Tina from the hospital because...
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...Topic: Stress in today’s low end service jobs Significant Details: • Difficult relations with customers and often managers • Low pay • Time factors such as being understaffed and lack of manager support • Criticism and favoritism Relate: I am currently working a second job as a cashier in a grocery store. This article describes my stress and the reasoning behind it perfectly. Majority of the shifts that I work are understaffed and I end up with long lines and irate customers. I am often yelled at because they are in a rush and had to wait a long time on line. The managers on shift are usually nowhere to be found and most will not open another register to support me or any other cashier. Being 30 years old, customers often look down on me and assume I am dumb because I am working as a cashier. Little do they know, I have a full time job in the Human Resources field and could easily school them in multiple areas of information. Fortunately for them, thanks to “the customer is always right” I bite my tongue and just smile. React: As at least one other student stated, this is one of the main reasons I have gone back to school. Once I have obtained the degree I am pursuing, my current full time job will give me a pay raise and I will be able to quit my second job. As much as I would love to leave right now, I just keep telling myself, even at a little bit over minimum wage, the extra money at the end of the week...
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...New Service Line Development Plan Feasibility of developing an orthopedic center The needs assessment done previously shows that orthopedic cases are expected to climb by 46%, with a 30% increase in inpatient joint and spine procedures. As well, it is expected that outpatient joint and spine procedures are expected to increase by 350%. These numbers show that within the defined market area, there is a high demand for the orthopedic center. Further research shows that the other 2 hospitals that we are in direct competition with provide strong orthopedic programs; however, both facilities are private hospitals, thereby increasing the demand for a strong orthopedic program at Trinity. We are finding that because of our prime location within the community and with an expected population growth of 4% per year, our demand for a strong orthopedic program will continue to grow. Through our needs assessment, it was determined that with a well-established orthopedic center, we will be able to provide services for a majority of the orthopedic cases within the community. As well, we know that current resources will not allow us to keep up with this increase demand; therefore, it is feasible that we look to develop the orthopedic center now. The development of the orthopedic center could allow us to incorporate the international trend of spending less money and still providing quality healthcare for all citizens within the community. We could look into ways to minimize spending, while...
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...Running head: SERVICE LINE DEVELOPMENT Business Summary for Trinity Community Hospital Orthopedic Service Line Development Background Information Trinity Community Hospital, a 150-bed hospital with 20 operating rooms and an emergency department on a 25-acre campus, is a community-owned hospital located in a growing community in the southeastern U.S. with a population of 400,000 people in the city and 900,000 in the county. The community is made up of high tech business and industry as well as retirees. It is home to several colleges and a university. The hospital is 25 years old and the campus is comprised of the main hospital with four medical office buildings (MOBs). There are two primary competitors within a 10-mile radius of Trinity which are both private, not-for-profit medical centers. Also, there is a nationally recognized medical center approximately 60 miles from Trinity however this facility is not considered a competitive threat. Numerous specialties with a broad range of medical/surgical services are represented on the hospital staff and all physicians are board certificated. Trinity Community Hospital also boosts of its full Joint Commission accreditation, newly remodeled, modern patient rooms, award-winning dietary department, expert nursing staff, and the highest patient satisfaction scores in the region. Trinity Community Hospital is governed by a six-member Board of Trustees. The board members come from diverse backgrounds but each has a vested interest in the...
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...allocated appropriately to ensure a smooth expansion, and most importantly, a decision between building, buying, or leasing must be made. A. Advantages and Disadvantages of Hospital Expansion Project 1. Advantages a. Building space for the new orthopedic service line * Having the new orthopedic service line built will allow the hospital to customize their space; location of imaging machines, therapy, diagnostics, inpatient, and outpatient. * Cost is lower than purchasing an expansion property adjacent to campus: $600k versus $700k. * The hospital will own this property and benefit from any appreciation in value of the property. b. Buying space for the new orthopedic service line * The hospital will not have to wait for construction to be completed. * The hospital will own the property and will gain appreciation (equity) value for the building in the long-run. * Interest can be written off on taxes. * With historic low interest rates, purchasing will allow the hospital to own the property while paying a low interest rate on their loan. c. Leasing space for the new orthopedic service line * Low starting cost. “Leasing generally requires less cash down, and the monthly payments are often smaller” (Newman, 2006.). * “There's usually a tax benefit associated with leasing where you get to deduct the full lease payment immediately”...
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...state of Oncology Services. With physicians practices already at capacity there is no room to handle the current and future demand for these services. With an aging population new cancer cases are expected to increase by 34 % in five years. Higher smoking rates also contribute to new cancer diagnosis. Another risk is the equipment to diagnose and treat cancer is not keeping up with patient volume. This could be due to antiquated equipment that takes longer to scan patients therefore delaying results and sometimes requiring additional scanning. Additionally, poorly coordination of services by the staff is a risk factor. When test are not schedule timely it could be detrimental to the patient. A timely diagnosis could be the difference between life and death. Also, at Trinity there is little emphasis on cancer prevention and control is yet another risk. Early diagnosis leads to a more positive outcome. In addition, the sporadic use of educational programs focused on healthy living is a risk factor. Once people learn better they tend to do better. Knowledge is power. There are also some risks associated with current condition of Orthopedic Services. The main risk is the lack of physicians. With orthopedic cases expecting to increase by 46% and outpatient joint and spine procedures increasing by 350%, recruitment is top priority. The timely development of additional space could propose a risk if not available in time to handle the growth of the service line. Another risk...
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...A1. Considering all the facts, the most feasible option is to develop oncology services and building space for it within Trinity Community Hospital. The facts are as follows: Currently, Trinity Community Hospital (TCH) does not offer any formal oncology, orthopedic, or cardiology programs. There are no cancer specialists at TCH; however, there are a few cardiologists and orthopedic surgeons that maintain privileges at the hospital. Little work is done at TCH for orthopedic services, as the specialty groups are located to a competing facility. There are also several orthopedic groups interested in opening practices near the hospital. Several cardiology services around the hospital offer more sophisticated services than at TCH, drawing most of the cardiology patients away from the hospital. There is no oncology services mentioned. In terms of competition, there are two hospitals within close proximity. One has strong orthopedic and cardiology programs, but a poorly organized oncology program. The second hospital also has a strong orthopedic program and existing cardiology program. This hospital also has a poorly organized oncology program. Building space for oncology service will allow patients to easily coordinate with services already within the hospital and make use of the newly improved and more developed resources within Trinity Community Hospital. The Community Health Needs Assessment identified that the orthopedic cases are expected to rise by over 46%, inpatient joint...
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...order quantity (E.O.Q.) is a balance of ____________ and __________. Question 3. Which of the following statements are true about independent or random demand? Question 4. The supply chain does not need an order to operate. Question 5. Which of the following is a technique to reduce demand lead time variability (L.T.V.)? Question 6. The relationship between cost and service is always a straight line. MGT 496 WEEK 1 QUIZ To purchase this visit following link: http://www.activitymode.com/product/mgt-496-week-1-quiz/ Contact us at: SUPPORT@ACTIVITYMODE.COM MGT 496 WEEK 1 QUIZ MGT 496 Week 1 Quiz 1.Question : Which of the following is NOT an example of independent demand? Question 2. Economic order quantity (E.O.Q.) is a balance of ____________ and __________. Question 3. Which of the following statements are true about independent or random demand? Question 4. The supply chain does not need an order to operate. Question 5. Which of the following is a technique to reduce demand lead time variability (L.T.V.)? Question 6. The relationship between cost and service is always a straight line. MGT 496 WEEK 1 QUIZ To purchase this visit following link: http://www.activitymode.com/product/mgt-496-week-1-quiz/ Contact us at: SUPPORT@ACTIVITYMODE.COM MGT 496 WEEK 1 QUIZ MGT 496 Week 1 Quiz 1.Question : Which of the following is NOT an example of independent demand? Question 2. Economic order quantity (E.O.Q.) is a balance of ____________ and __________...
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...phones etc. 2. Intermediary devices: Devices that give network access to the attached end devices and transport the messages between hosts. Usually, transparent to the end users. Also, these devices accomplish communication functions in order to ensure the success of the communication process. Examples: Hubs, switches, routers, modems, firewalls, etc. 3. Transmission media: The physical media that connects the devices, enabling the exchange of messages between them. It may be wired or wireless. 4. Services: Network-aware software applications (e.g., a web browser) that request network resources (e.g., data) in order to enjoy the end user of the application some provided service (e.g., World Wide Web). 5. Processes: Software that runs on network devices in order to support the communication functions - in accordance with the established, also in software, communication rules or protocols - and facilitate the provision of services to the end users. In contrast with the services, processes are transparent to the end users. 6. Messages: Well-known applications. Includes...
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...vehicles are required to service the destinations, and developing a route and schedule for each one. Because there are many variations of the problem, it can be very dillicult to solve. TransCAD provides a rich set of vehicle routing tools that solve various types of routing problerns,These tools are used to prepare input data, solve the routing problem, and provide tabular and graphical output of the resulting routes and vehicle schedules. The starting points for each route (such as the warehouse in the above example) are known as depots, and the points to be visited are known as stops. A vehicle route starts at a depot, visits one ormore stops, and may or may not return to the depot. The goal of the procedure is to obtain a set of routes that minimizes the total time or discance traveled by the entire fleet of vehicles. The travel times or distances are stored in the vehicle routing matrix.You can use a network to calculate the network driving time or distance, or you can use straight line distances to create your vehicle routing matrix. You must use a network-based vehicle routing matrix if you want to display the routes on a map as a route system layer.Time window- There are time restrictions on when deliveries can be made to some or all of the stores Each stop requires a certain amount of time to service. The service time can have a fixed component and a variable component that is demand dependent (time per unit). In most cases, each stop has a fixed service time that is independent...
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...p q q = number of units sold; p = price e. Linear Profit Functions, π(q) = R(q) – C(q) q = quantity of a product FORMING LINEAR EQUATIONS I. Standard form of Linear equation Ax + By = C where A,B, and C are constants (A & B not both 0) ===> is a straight line It is a first-degree equation – each variable in the equation is raised to the first power. e.g.: 2x + 5y = -5 2s – 4t = -1/2 FORMING LINEAR EQUATIONS II. Slope-Intercept form of Linear equation y = mx + b Example: y = 2x + 1 y = -3x + 2 FORMING LINEAR EQUATIONS III. Point-Slope form of Linear equation y – y1 = m (x – x1) Is an equation of a line with slope m that passes through (x1, y1) It enables us to find an equation for a line if given a) its slope and the coordinates of a point b) two coordinates of two points on the line SLOPE -Slope of two points (x1,y1) & (x2, y2) is given by y2 y1 m x2 x1 y where x2 x1 (x2,y2) Slope = Rise/Run Rise (y2-y1) x (x1,y1) Run (x2-x1) (x2,y1) Example 1 Graph 3x – 4y = 12 Example 2 Find the slope of the line through each pair of points: a) (-2,5), (4,-7) b) (-3,-1), (-3,5) Solution Example 3 Find an equation for the line that has slope -2/3 and passes through (6,-1). Solution...
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...MA 170 Final Exam Answers All Possible Questions http://www.devryguiders.com/downloads/ma-170-final-exam-answers-all-possible-questions/ Points Awarded 100.00 Points Missed 0.00 Percentage 100% Determine whether the system of linear equations has one and only one solution, infinitely many solutions, or no solution. Find all solutions whenever they exist. 1. A) one and only one solution 1. B) one and only one solution 1. C) one and only one solution 1. D) infinitely many solutions 1. E) no solution Points Earned: 4.0/4.0 Solve the linear system of equations 1. A) Unique solution: 1. B) Unique solution: 1. C) Infinitely many solutions: 1. D) No solution Points Earned: 4.0/4.0 Find the simple interest on a $400 investment made for 5 years at an interest rate of 7%/year. What is the accumulated amount? 540. A) The simple interest is $140, the accumulated amount is $540. B) The simple interest is $115, the accumulated amount is $515. C) The simple interest is $120, the accumulated amount is $520. D) The simple interest is $125, the accumulated amount is $555. Points Earned: 4.0/4.0 Find the present value of $40,000 due in 4 years at the given rate of interest 8%/year compounded monthly. 948. A) The present value is $28,948.67. B) The present value is $29,433.94. C) The present value is $29,076.82. D) The present value is $29,748.06. Points Earned: 4.0/4.0 Solve the system of linear equations using the Gauss-Jordan...
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