Premium Essay

Volume

In:

Submitted By michaelmasters
Words 3600
Pages 15
Running Head: Strategic Planning in an Era of Health Care Reform

Strategic Planning in an Era
Of Health Care Reform
‘Volume to Value’

Abstract The White House and the current administration of President Obama made the passage of Health Care Reform a top priority and signed the bill into law March 23, 2010. There are two laws that make up the reform package; the first is the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act. Critics both in support and opponents claim the bills do little to alter healthcare inflation or uneven delivery of care (Ferman, 2010). The goal of the bill is to change a volume based model in to a value based business model. A comment by Moody’s Investor services exclaimed that the reform will undoubtedly require healthcare leaders to focus even more on multi-year strategies to ensure long term financial stability (Kim, Majka, & Sussman, 2011). Leaders will have to establish a long range plan that includes financial projections and goals, long range capital expenditure requirements, debt capacity, capital position analysis, capital shortfall analysis and sensitivity and risk analysis (Kim, Majka, & Sussman, 2011). There will be substantial increases in the number of newly insured that will place a tremendous amount of stress and unknown consequences on an already burdened healthcare infrastructure (Tyson, 2010). The objective of this paper will attempt to examine the implications of reform on strategic planning of health care institutions transitioning from a volume based model to a value based one.

The recent passage of Health Care Legislation attempts to address payment and delivery systems currently in place that favor volume driven as opposed to value driven health care (Robert Wood Johnson Foundation, 2009). The current system of fee for service pays a set amount for

Similar Documents

Premium Essay

Water Volume Lab

...In the volume lab, my group and I were to perform four tasks that were all related to the measurement of the volume of fluids and solids. In the first task, we had to guess and count how many drops of water it would take to equate a milliliter. Using an eyedropper, we measured how many drops it took to get a ten milliliter graduated cylinder filled with seven milliliters of water to eight, nine, and ten milliliters, After that, we had to find the average of how many drops of water it took to raise the volume of water by one milliliter. We concluded with an average of 22 drops equating to 1 milliliter of water. The next task that my group had to do was to find the volume of three marbles by using the displacement of water. We had to fill a one...

Words: 999 - Pages: 4

Premium Essay

Cost Volume Analysis

...Lecture 5: Cost-Volume-Profit Analysis In this module, we are going to discuss a simple concept yet a powerful financial planning and decision-making tool for managers. This concept is called CVP analysis or cost volume profit relationship. Profits are the difference between revenues and costs. Both revenue and cost depend on the volume of operations. So, in the short run whether you make a profit or a loss depends upon the volume of sales you make. What is the unknown for a manager when he or she tries to project profits for future? The managers know the costs and the selling price. So the only unknown is the volume of sales. The importance of CVP analysis flows from the fact that it emphasizes the inter-relationship between costs, volume of sales, and selling price, and therefore it represents a unified picture of all financial information in a simple framework. What effect on profit can American Airlines expect when it adds a new flight on the Dallas Chicago route? How many patient days of care must Dallas Children’s hospital provide in order to cover all of its operating costs? How will the profits for Texas Instruments change if it sells 10% more of its DLP chips? Each of the above questions concerns the effect on cost and revenues when an organization’s activity changes. CVP analysis summarizes the effects of changes in organization’s volume of activities on its costs, revenue and therefore profit. Although the word profit appears in CVP analysis, this...

Words: 2923 - Pages: 12

Premium Essay

Cost-Volume-Profit (Cvp) Analysis

...Cost-Volume-Profit (CVP) Analysis Shanica N. Todd-Higgins ACC/561 - ACCOUNTING Instructor: DAVID DUREN Schedule: 06/29/2015 - 08/03/2015 Campus: COLUMBIA SOUTH CAROLINA CAMPUS Group ID: SCMBA0914 CVP - What If Analysis Through research, according to Diane Wicks (2015), “Cost-volume-profit (CVP) analysis is used to assess the impact of potential changes in costs and volume on a company's operating profit and net profit. CVP analysis is also useful in making decisions regarding pricing of products, selection of product lines and utilization of production equipments. Additionally, CVP is at the heart of methods used for calculating the break-even point and sales levels necessary to attain targeted income levels.” The break-even point according to W.D Adkins (2015) is, “the point at which revenues are just enough to cover expenses so there in no profit and no loss.” For instance Calculating Breaking-Even Analysis There are many steps in finding the break even analysis. According to Zari Ballard of Ehow (2015, ), First, calculate the total fixed costs by adding together each of the company's fixed costs. For example, a small company with annual fixed costs of $7,000 in rental payments, $3,000 in equipment leases and $30,000 in administrative salaries would have TFC of $40,000. Next, calculate the contribution margin per unit by subtracting the variable cost per unit from the sales price per unit. For example, if a small company's product sells for $60 per unit with...

Words: 432 - Pages: 2

Premium Essay

Cham Formal Lab Report

...of liquid and a solid by two quantities of mass and the volume of a given quantity of matter.To properly measure density,we need container whose volume is known to a high degree of accuracy. This container is known as a flask and stopper. Introduction: Density is the ratio of the mass of a substance or object to its volume. At any given temperature, the ratio of mass to volume is characteristic for a given substance.Common liquids and solids of various densities are layered in a beaker. The liquids form different layers and the solids float at the interfaces between them. This demonstrates that a solid's ability to float or sink depends on its density relative to the liquid it is in.The physical properties of a pure substance are those that can be measured without changing the composition of the substance. The density of a substance is an intensive property of the substance. The property is independent of the mass of the substance ( intensive ). The density of a substance is a measure of the mass of the substance per volume occupied by the substance. The density of solids and liquids are generally given in units of grams per milliliter, while for gases the units are grams per liter. We will be determining the density of water, the density of an unknown liquid, the density of a regular solid and the density of an irregular solid.The Density of solid, liquid is the amount of mass it has divided by the volume it occupies. Solid has got lots of regular spaces between...

Words: 1252 - Pages: 6

Free Essay

Pancreaitits

...215 mm | 6.00x104 mm2 | 27.9 cm | 21.5 cm | 6.00x102 cm2 | 11.0 in | 8.46 in | 93.1 in2 | V Calculations: (279 mm)(215 mm)= 6.00x104 mm2 (27.9 cm)(21.5 cm)= 6.00x102 cm2 (11.0 in)(8.46 in)= 93.1 in2 VI Results/Summary: The area of the typing paper was found to be 6.00x10^4 mm^2, 6.00x 10^2 cm^2, and 93.1 in^2. Sierra Sisco Lab #3 Measurements & Density Experiment 3B I Purpose: To determine the volume of a rectangular solid and express the answer in mm3, cm3, and in3. II Equipment/Reagents: Rectangular block in lab kit and vernier caliper. III Procedure: Measure the length width and height of of the rectangular solid and express measurements in millimeters rounded to the nearest tenth of a millimeter. Record your answers and calculate the volume of the solid using the formula: Volume= (length)(width)(height) Round your answers to the correct number of significant digits and write the answers in the correct units. Convert your answer to cm3 and in3. IV Data or Observations: Length | Width | Height | Volume | 64.5 mm | 25.0 mm | 25.0 mm | 40300 mm3 | 6.45 cm | 2.50 cm | 2.50 cm | 40.3 cm3 | 2.54 in | 0.984 in | 0.984...

Words: 1391 - Pages: 6

Premium Essay

Nt1320 Unit 6 Lab Questions

...To begin, you would need to be able to find the volume of the sphere in order to find the volume of the quarter sphere tank. Example: 4/3*3.14*(70^3) =1,436,026.67ft. After finding the volume of the quarter sphere tank we would need to find the volume of the main show tank. We would do this by dividing the volume of the sphere by 4. Example: 1436026.67/4=359,006.6675. Reflection pt.2: If you were to take a cross section parallel to the base of one of the holding tanks, how would you describe the shape? Due to the details given along with how it states if you were to take a cross section parallel to the base it would most likely give you a sphere. 8. Samples of the tanks water are taken daily to ensure the salt density is correct to maintain aquatic life....

Words: 590 - Pages: 3

Free Essay

My Work

...of a rectangular prism; C. make use of the formula V = L x W x H in finding the volume of a rectangular prism; D. solve for the volume of a given rectangular prism; and E. perform unity in group discussion. II. SUBJECT MATTER A. Topic: Volume of a Rectangular Prism B. Reference: Geometry III page 34 Mathematics for a Better Life page 236-237 C. Materials: jigsaw puzzle, rectangular prisms, cartolina, manila paper, marker, chalk and blackboard III. PROCEDURE Teacher’s Activity | Students’ Activity | A. Routinary Activities 1. Prayer * Okay everyone let us pray. 2. Greeting * Good morning class! * Kindly arrange your seats and pick up pieces of garbage around. 3. Attendance * Miss Secretary, is there anyone absent today? | * Our Father, Who art in Heaven, hallowed be Thy name; Thy Kingdom come, Thy will be done on earth as it is in Heaven. Give us this day our daily bread; and forgive us our trespasses as we forgive those who trespass against us; and lead us not into temptation, but deliver us from evil. Amen. * Good morning sir. * (Students pick up pieces of trash around them.) * None sir. | B. Preparatory Activities 4. Checking of Assignments * By the way class, I had given you an assignment right? * Bring out your assignments and exchange them with your seatmates. * Anyone of you who can solve for the volume of the cube in your assignment on the board? * Very good! Please explain your work...

Words: 1327 - Pages: 6

Premium Essay

Density Measurement And Error Lab Report

...Identify the Unknown Object (Density, Measurement and Error) By: Meena Roberts Discussion Section: Wednesday at 8:30am Objective: The purpose of this lab is to identify what the unknown object is made of. Procedure: Object was placed on digital scale to measure its mass in grams(g). -Mass 1:23.7g Water was poured into graduated cylinder and initial volume was recorded by looking at meniscus in milliliter(mL) -Volume measurement 1: Initial Volume-31.0mL Object was placed into graduated cylinder carefully and final volume was recorded by looking at meniscus in milliliter(mL). -Volume measurement 1: Final Volume-34.0mL The measured volume was calculated by subtracting the final volume from the initial volume in milliliter(mL). Measured...

Words: 363 - Pages: 2

Premium Essay

Lab Techniques and Measurements

...Data Table 3: Mass measurements. | Object | Estimated Mass (g) | Actual Mass (g) | Actual Mass (kg) | Pen or pencil | 5g | 5g | 0.005kg | 3 Pennies | 2.5g | 7.5g | 0.0075kg | 1 Quarter | 2.5g | 5.7g | 0.0057kg | 2 Quarters, 3 Dimes | 17.5g | 18.1g | 0.0181kg | 4 Dimes, 5 Pennies | 16g | 21.6g | 0.0216kg | 3 Quarters, 1 Dime, 5 Pennies | 27.5g | 31.7g | 0.0317kg | Key | 5.5g | 8.3g | 0.0083kg | Key, 1 Quarter, 4 Pennies | 21g | 24g | 0.0024kg | Data Table 4: Liquid measurements. | | | Mass A | Mass B | Mass B - A | | | Liquid | Volume (mL) | Graduated Cylinder (g) | Graduated Cylinder with liquid (g) | Liquid (g) |...

Words: 1066 - Pages: 5

Free Essay

Mensuration

...SURFACE AREAS AND VOLUMES 239 SURFACE AREAS AND VOLUMES 13 13.1 Introduction From Class IX, you are familiar with some of the solids like cuboid, cone, cylinder, and sphere (see Fig. 13.1). You have also learnt how to find their surface areas and volumes. Fig. 13.1 In our day-to-day life, we come across a number of solids made up of combinations of two or more of the basic solids as shown above. You must have seen a truck with a container fitted on its back (see Fig. 13.2), carrying oil or water from one place to another. Is it in the shape of any of the four basic solids mentioned above? You may guess that it is made of a cylinder with two hemispheres as its ends. Fig. 13.2 File Name : C:\Computer Station\Class - X (Maths)/Final/Chap-13/Chap-13 (28th Nov. 2006) 240 MATHEMATICS Again, you may have seen an object like the one in Fig. 13.3. Can you name it? A test tube, right! You would have used one in your science laboratory. This tube is also a combination of a cylinder and a hemisphere. Similarly, while travelling, you may have seen some big and beautiful buildings or monuments made up of a combination of solids mentioned above. If for some reason you wanted to find the surface areas, or volumes, or capacities of such objects, how would you do it? We cannot classify these under any of the solids you have already studied. Fig. 13.3 In this chapter, you will see how to find surface areas and volumes of such objects. ...

Words: 6835 - Pages: 28

Premium Essay

Algebra Portfolio

...maximum volume of a box. The problem I had to solve was to take a 11x17 ½ piece of paper and turn it into a box. In order to do this, a square needs to be cut out of each corner. I had to figure out how big of a square needed to be cut out in order to create a box with the maximum volume possible. I did this by narrowing down the possibilities of the dimensions to the nearest ten thousands. (See tables attached) In order to find the maximum volume possible, I made tables using the graphing calculator. In the first column of the first table (L1), I put the size of the square that would be cut out from each corner. In L1, I started with a 1 inch square and went up to a 5.5 inch square. In the second column of the first table (L2), I put the width of the piece of paper subtracting 2 (1 for each corner) and multiplied it by L1 (11-2*L1). In the third column of the first table (L3), I did the same thing as I did in L2 using the length of the paper instead (17.5-2*L1). I used the last column (L4) of the first table to find the volumes (L1*L2*L3). (refer to the tables for widths, lengths and volumes) Using the first table, I was able to narrow down the size of the square to 2 in. Using what I found in table one, I then took the 2 in. square, went down .1 five times and up .1 five times and put that into L1 to try and narrow the size down even more. For L2, L3, and L4 of the 2nd table I repeated what I did in the 1st table to find the widths, lengths and volumes using the...

Words: 769 - Pages: 4

Free Essay

Stack Measurement

...Timber Stack Measurement It is important to estimate timber volumes accurately either in the forest or when leaving. A number of methods can be used:  Crop inventory carried out by a qualified professional in the forest prior to felling  It can be calculated by modern thinning machines as harvesting takes place  The timber can be measured in the stacks at roadside (see method described below)  Weighing of the timber as it passes though the mill gate Timber Stack Measurement Advantages It is useful to estimate timber that is stacked at roadside:  It can be done quickly by the forest owner  It is useful to know how much timber is leaving the forest  It is useful to calculate the volume of different individual stacks, which is important if different timber products are being sold separately from the one harvesting operation Disadvantages All logs in a stack must be of uniform length and the stack should be built neatly and tidy for easy measurement and accuracy. Large stacking space is required to ensure that all harvested material can be stacked at roadside before any removal is carried out by timber trucks. Length * Width * Height = Volume (unit = m3) Some definitions  Stack width The width is the specified length of the timber product in the stack. A number of sample lengths (billets) should be checked to verify the stack width.  Stack length Stack length is the average length of the front and back face of the stack. The stack should be measured...

Words: 622 - Pages: 3

Premium Essay

Density Lab Report

...object its often measured in grams per milliliter (g/ml). To find the density of an object you measure the number of grams it is (mass) then divide by amount of space it takes up ( volume). The final equation should look something like this, v/m=d. To find the density of the 25 objects I will use the formula volume/mass=density. Mass Mass is the quantity of matter in an object regardless of the volume or forces acting upon it. mass is a measurement of the amount of matter in an object Mass is always constant for an object no matter where the object is located The formula for mass is density X volume = mass Mass is measured in kilograms (kg), Grams (g) and milligrams (mg) Mass can be measured using scale, for example if you use an electronic scale. Put the object on the measuring scale then wit until the number stop changing and the number shown is...

Words: 676 - Pages: 3

Free Essay

Pool Calculator User Manual

...Swimming Pool Volume Calculator June 20, 2014 CIS355A Course Project Swimming Pool Volume Calculator The Swimming Pool Volume Calculator (SPVC) is a simple and easy to use application that calculates the volume of a swimming pool or hot tub. The SPVC also includes a Temperature Calculator that converts Fahrenheit to Celsius or vice versa, a Length Calculator that coverts various measurements both metric and standard, holds customer information and contractor information. This extremely lightweight application that is portable and flexible that can run on any Operating System that has Java platform installed. General Tab The General Tab is the first tab you see when you first start the program. It show the current date and gives the user the opportunity to exit the application. Options Tab The Options Tab gives you the ability to customize your application with your company name at the top of the window. You just put your company name in the text field and click the Set New Name button, but you have to restart the program for the changes to take effect. This tab also gives the user the opportunity to exit the program. Customer Tab The Customer Tab allows you to keep track of your customer information and keeps it only a click away. To add a customer simply click the Add Customer button, a popup window will appear with a simple form to fill out. Fill in all fields and press the Add Customer button. Once Customer...

Words: 482 - Pages: 2

Premium Essay

Chemistry

...this study is to identify the density, the degree of compression which resides in a substance through the relationship between the mass the substance and its volume, of solid and liquid samples. The materials used for the liquid samples include: water, isopropyl alcohol, coconut oil and an unknown liquid. In order to determine the mass, volume and density the group measured the different samples as accurate as possible. The experimental density values were measured at 1.01 g/ml, 0.800 g/ml, 0.940 g/ml, and 0.800 g/ml respectively at room temperature. As the group calculated for the percent error, using the given formula, the result was below 3.00% for all the samples. The unknown liquid, kerosene, was identified by comparing the measured density with its theoretical value. As for the solid samples a wooden cube, rectangular plywood, a marble, and a pebble was used in the said activity. The experimental density values of the solid samples were measured at 0.500 g/cm3, 1.99 g/cm3, and 2.61 g/cm3 respectively. Finally, after accomplishing the study, the accuracy of measuring, the needed quantities and the mentioned results proved that such a great success was achieved. INTRODUCTION Density is the measurement of compactness of a substance which is mathematically expressed as the ratio of mass and volume. Density is an intensive property of a pure substance which means that...

Words: 1474 - Pages: 6