Assignment 4: Riverview Regional Medical Center: An HMA Facility

Read the ?Riverview Regional Medical Center: an HMA Facility? case.
Write a 4-6 page paper in which you:
1. Identify the six (6) stakeholder groups for Riverview Regional Medical Center (RRMC).
2. Discuss the target markets of existing programs and identify gaps in RRMC?s marketing strategy.
3. Discuss new services or products that could be developed with existing resources.
4. Discuss services that need to be strengthened and promoted to control out migration from the primary service area.
5. Describe what RRMC should do to counter its image problem in the community because of its decision to close the Women?s Pavilion.
6. Describe what Mr. Hayes can do to improve the relationship with the medical staff.

Your assignment must:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format.

Grading Criteria


Health Care Delivery Systems Presentation


Describe the current health care delivery structure of an organization, discussing competition, pricing, legal and regulatory implications, and relevant national economic trends. Refer to the syllabus for additional guidance.

Compare Martin Army Medical Center and St Francis Medical in Columbus Georgia

This assignment is due in Week 5.

Content
60 Percent Points Available
12 Points Earned
X/12 Additional Comments:
The following items are addressed:
? Health care delivery structure
? Compare to competitor
? Profile licensing and regulatory factors
? Changes in economy
? National trends
? Quality indicators
Please
Organization / Development
20 Percent Points Available
4 Points Earned
X/4 Additional Comments:
? The introduction provides sufficient background on the topic and previews major points
? The conclusion is logical, flows, and reviews the major points
Mechanics
20 Percent Points Available
4 Points Earned
X/4 Additional Comments:
? A minimum of three references are used
? The presentation is laid out with effective use of headings, font styles, and white space
? Rules of grammar, usage, and punctuation are followed, and spelling is correct
Total Available Total Earned
20

hi i am attaching montefiore medical centre(mmc) case study i would like you to answer thse questions wrt case study please

1) what are the underlying reasons for the development of new starategy at MMC ?

2) how would you describe the strategic direction which was eventually choosen by MMC and what factors influenced the choosen direction?

3) compare and contrast the new and old organisational structures, with reference to the notions of synergy and responsiveness, analyse the advantages and disadvantages of each?

4)explain what do you understand by term casual ambiguity.consider health centre value map and explain which relationships you think be more or less problamatic.give reasons

5) w.r.t MMC case, compare and contrast activity system view as recently proposed by micheal porter,with resource based view.which do you feel is more appropriate to the performance management process?give reasons

CAN YOU PLEASE ANSWER THESE QUESTIONS.
500/600 WORDS EACH.

THANK YOU

Please writer I would like Gibbs to write this assignment. I am unable to download this case study, but it can be retrieved from the internet. You may use this reference if you like.
swayne, L. E., Duncan, J., & Ginter, P. M. (2009). Strategic management of healthcare organizations (6th ed.). San Francisco: Jossey-Bass.

Riverview Regional Medical Center: An HMA Facility
Please write a 5 page paper in which you:
1) Identify the (6) stakeholder groups for Riverview Regional Medical Center (RRMC).
2) Discuss the target markets of existing programs and identify gaps in RRMC?s marketing strategy.
3) Discuss new services or products that could be developed with existing resources.
4) Discuss services that need to strengthen and promoted and promoted out migration from the primary service area.
5) Describe what RRMC should do to counter its image problem in the community because of its decision to close the Woman?s Pavilion.
6) Describe what Mr. Hays can do to improve the relationship with the medical staff.

Read the ?Riverview Regional Medical Center: an HMA Facility? case.
Write a 4-6 page paper in which you:
1. Identify the six (6) stakeholder groups for Riverview Regional Medical Center (RRMC).
2. Discuss the target markets of existing programs and identify gaps in RRMC?s marketing strategy.
3. Discuss new services or products that could be developed with existing resources.
4. Discuss services that need to be strengthened and promoted to control out migration from the
primary service area.
5. Describe what RRMC should do to counter its image problem in the community because of its
decision to close the Women?s Pavilion.
6. Describe what Mr. Hayes can do to improve the relationship with the medical staff.
Your assignment must:
? Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all
sides; references must follow APA or school-specific format. Check with your professor for any
additional instructions.
? Include a cover page containing the title of the assignment, the student?s name, the professor?s
name, the course title, and the date. The cover page and the reference page are not included in
the required page length.
The specific course learning outcomes associated with this assignment are:
? Apply analytic skills to define strategic problems, generate and evaluate strategic alternatives,
and develop implementation tactics.
? Use technology and information resources to research issues in the strategic management of
health care organizations.
? Write clearly and concisely about management of health care organizations using proper writing
mechanics.
Grading for this assignment will be based on answer quality, logic/organization of the paper, and language and writing skills, using the following rubric.

Rubric: 90-100%

Thoroughly
identified the six (6)
stakeholder groups
for Riverview
Regional Medical
Center (RRMC).

Thoroughly
discussed the target
markets of existing programs and
identified gaps in
RRMC?s marketing
strategy.

Thoroughly
discussed new
services or products
that could be
developed with
existing resources

Thoroughly
discussed services
that need to be
strengthened and
promoted to control
out migration from
the primary service
area.

Thoroughly
described what
RRMC should do to
counter its image
problem in the
community because
of its decision to
close the Women?s
Pavilion.

Thoroughly
described what Mr.
Hayes can do to
improve the
relationship with the
medical staff.

0-2 errors present

hi I would like you to answer a few questions on a case study please.

there are 5 questions I want you to answer each question with minimum of 550-650 words please.

All questions are based on the ?Montefiore Medical Centre? (MMC) case study.

ITS FOR STRATEGY IMPLEMENTATION MODULE.

1. What were the underlying reasons for the development of a new strategy at Montefiore Medical centre (MMC)?

2. How would you describe the strategic direction which was eventually chosen by MMC, and what factors do you feel influenced the chosen direction?

3. Compare and contrast the old and the new organisational structures. With reference to the notions of synergy and responsiveness, analyse the advantages and disadvantages of each.

4. Explain what you understand by the term ?causal ambiguity?. Consider the Heart Centre Value Map (exhibit 4) and explain which relationships you feel to be more or less problematic. Give reasons for your answer.

5. With reference to the MMC case, compare and contrast the activity-system view of the organisation, as recently proposed by Michael Porter, with the resource-based view (RBV). Which do you feel to be more appropriate to the performance management process? Give reasons for your answer.

An analysis of the planning and marketing strategy of Providence portland medical Center
Research corporate actions as advertising, community outreach, recent or planned expansion, niche in the market place, fund raising/capital development, reputation, etc. (2) Evaluate the success of the organizations marketing strategy based on profitability, market share, evaluations by the state in which the headquarters is based, and reputation with consumers.
discuss the planning and marketing strategy of the Providence Portland medical Center. Evaluate how effective the strategy has been.

Choose the healthcare organization of one of your team members. Develop a plan to improve performance based on one of that organization?s objectives for quality improvement. Be sure to get approval from your instructor for your selection.

?Identify an area where performance needs to improve.
?Research and identify an agency or organization that has improved performance in this same area. Indicate what process was used and why that process can or cannot be applied to your agency. You can include your research strategies or performance benchmarks used by other health care organizations, or any organization that has used the same process.

The organization choosen is the Philadelphia VA Medical Center


The faster this can be done the better. I only need 1 page.........

I am doing a college proposal writing paper. This course is a senior level undergrad course.My topic/issue is: Terrible roads in the Houston Medical Center. Throughout the semester have been working on different portions of the proposal writing assignment. Ive completed the MEMO business letter,Ive completed the LITERATURE REVIEW, and the next assignment to be complete is the INTRODUCTION portion of the proposal writing assignment. I will send the instructions and extra material that is needed to complete the assignment.

On the reference/biblography page you can extract it from my literature review page

Using the financial statement that will be provided, write an executive summary for Nassau University Medical Center and A. Holly Extended Care Facility. These are two separate summaries approximately one page each.
There are faxes for this order.

Sylvester,


Sharp Medical Center San Diego Ca

(1) briefly discuss how your organization applies each of the Institute of Medicine's 10 rules for redesigning the 21st Century healthcare system. Be sure to comment on each rule;

(2) Within your organization, where are there gaps and room for improvement?

(3) How does your organization involve stakeholders and collaborate with other health agencies and organizations? Be specific.

(4) Within your organization, where are there gaps and room for improvement?

(3) How does your organization involve stakeholders and collaborate with other health agencies and organizations? Please include keywords such as ?gaps and room for improvement? and ?stakeholders.?


Resources

Cuellar, A. & Gertler, P. (2005). How the expansion of hospital systems has affected consumers. Health Affairs, 24, 213. Retrieved from http://content.healthaffairs.org/cgi/content/abstract/24/1/213



Institute of Medicine [IOM]. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press. Retrieved from http://www.iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx



Merger Watch (2005). Religious Health Restrictions. Retrieved from http://mergerwatch.org/religious_restrictions.html

Sidorov, J. (2003). Case Study of a Failed Merger of Hospital Systems. Retrieved from http://www.managedcaremag.com/archives/0311/0311.peer_merger.pdf

Identify one threat for each of the six external environment factors:

Technological
Political
Competitive
Regulatory
Social
Economic


Explain the effect of the external environment on strategic management.


Target Organization: Coffee Regional Medical Center Web Address: http://coffeeregional.org/

There are faxes for this order.

this is a 500 word essay i have to write for the opportunity to to work at Delray Medical Center in Delray Beach Fl. i have to submit this essay along with my resume on why i want to work at this facility and be accepted into thier new graduate Registered Nursing training program. this facility is a level one trauma center and is voted in america's top 50 hospitals. within this essay it should include how i would be compatible with thier mission statement and vision statement. Their mission "is to be the leading provider of primary and specialized tertiary care, accompanied by an appropriate array of inpatient, outpatient, and outreach services which meet community needs and improve health". They exhibit leadership in setting ethical standards. Their vision statement as being part of a Tenet hospital "is to distinguish itself as a leader in redefining health care delivery and will be recognized for the passion of its people and partners in providing quality, innovative care to the patients in each community it serves."
Patient care is extremely important and is very important to hold integrity and honesty among employees here. This hospital believes to strive for improvement day in and day out in everything they do. for me being a bartender/store trainer with the same company for the last 10 years and graduating from an accredited registered nursing program with a 4.0 GPA shows that i have a very good work ethic and am dedicated to doing my job. i care most about people and want to help them and do everything i can for them. i love the fact this is a level one trauma center and can hold myself together in a fast paced environment and multi task. i could see myself working and striving under this facility's mission and vision statements and strive to perform at the top with very high standards. I would love to committ myself to this facility and further my knowledge and career with them.
please email me with any questions . this essay should have at least four defined paragraphs and be appropriate for a graduate registered nurse application essay for a job at a level one trauma hospital.

(Financial Management)

You have been hired by Sunnyview Medical Center (SMC) as a financial manager.

Upon assuming your new position at SMC you notice that the organization has accumulated excess cash. SMC currently has a target cash balance of $125,000 but has accumulated $231,000 in its cash account. You remember from your courses at TUI that the goal of investing is to accumulate excess funds for future use so you make a suggestion to the board of directors to invest the excess $106,000. There are two banks offering a Certificate of Deposit (CD). Metro Bank is offering a CD with a interest rate of 6%. A competitor, Westside Savings is also offering a 5 year CD with a interest rate of 6.25%. However, in order to earn the full interest rate both banks require that you leave the money in for five years and only withdraw the money after the five year period. If you withdraw the money before the 5 year period there is an early withdrawal penalty that reduces the interest rate at both banks by 0.75% for every year that the money is withdrawn early. Therefore the rate would be as follows if the money was withdrawn at the following years.

Metro Bank Westside Savings

1 year 3% 3.25%

2 year 3.75% 4%

3 year 4.5% 4.75%

4 year 5.25% 5.5%

5 year 6% 6.25%

The board of directors also wishes to compare the returns on each CD. Because they are not certain when the organization will need the money you will have to calculate the future value of the each CD at every year up to the end of the fifth year. (Be sure to show all formulas and calculations in your presentation)

As an integrated delivery system, SMC has concerns about its Risk Contract arrangements with managed care organizations. In particular incentives for performance under risk contracts needs to be discussed.

The 1st annual meeting is quickly approaching and at this meeting you will be introduced to all SMC stockholders. You decide to prepare a presentation for the annual meeting. Your presentation should contain the following topics:

1. Lay the foundation for your presentation by first explaining your role in general terms as a financial manager at SMC;

2. Calculate the future value of the CD for every year up to the fifth year (you will need to show all formulas and calculations in your presentation). You need to calculate the potential returns from both banks under the following four scenarios: (a) 6% and 6.25% as compound interest rate for Metro and Westside, respectively; (b) 6% and 6.25% as simple interest rate for Metro and Westside, respectively; (c) withdrawn early from Metro and Westside under compoind interest rates; (d) withdrawn early under simple interest rate.


3. Discuss risk contracting in particular discuss the various financial incentive structures and how they could be used to improve efficiency of care in risk contracts.

SETTING: ATLANTA MEDICAL CENTER EMERGENCY ROOM DISCHARGE

BASED ON THE SUMMARY PROVIDED BELOW

Provide support that the problem or issue is an important one to solve.
State a project objective that is specific, realistic, and measurable.
Describe briefly the proposed solution and the way in which it will solve the problem or issue.

Describe the proposed solution.
Describe the way(s) in which the proposed solution is consistent with current research knowledge.
Discuss the feasibility of implementing the proposed solution in the work setting.
Discuss the way(s) in which the proposed solution is consistent with organization or community culture and resources.


Health literacy plays a huge role in the outcome of many patients today. The number of people returning to their primary care providers and emergency room due to the fact that they did not understand discharge instruction on how to manager their own care or take medications properly is over whelming and increasing at an alarming rate due to poor health care literacy. (The Health and Human Department of Health, 2011). defines Health literacy as the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions. Nearly 9 out of 10 adults have difficulty using the everyday health information that is routinely available in health care facilities, retail outlets, media, and communities. Limited health literacy is associated with poorer health outcomes and higher health care costs (Department of Health and Human Services, 2011). Health literacy includes the ability to understand instructions on prescription drug bottles, appointment slips, medical education brochures, doctor's directions and consent forms, and the ability to negotiate complex health care systems. Health literacy is not simply the ability to read. It requires a complex group of reading, listening, analytical, and decision-making skills, and the ability to apply these skills to health situations (National Network of Libraries, 2011). The purpose of this research utilization proposal is to evaluate how health care workers put to use the methods demonstrated and assess the outcomes through follow up phones calls to recent patients to obtain feedback on their understanding of their discharge instructions received and if the communication was satisfactory. This will help determine if health care workers are utilizing the provided methods to help increase health literacy and decrease the amount of patients returning to their primary care and emergency. According to Healthy People 2020 (2011) effective use of communication and technology by health care and public health professionals can bring about an age of patient- and public-centered health information and services. The use of proven and effective methods to increase health literacy in both patients and health care workers will aid in health care quality and safety, increase the efficiency of health care and public health service delivery, improve the public health information infrastructure, support care in the community and at home, facilitate clinical and consumer decision-making, build health skills and knowledge (Healthy People 2020, (2011).
A proposed solution would be to incorporate a continuous training class to include all members of the health care team that are directly involved with patients starting from the receptionist to the discharge team. The program will include methods and the use of plain language, free of medical jargon sitting face-to-face with the patient, use of simple diagrams or pictograms to illustrate explanations and the use of educational materials geared to low health literacy individuals. A review of publications from The Agency of Health Research and Quality, Institute of Medicine, Healthy People 2020 as well as various research article supports need to implement a continuous training course to address health literacy. To evaluate the methods used and ensure the effectiveness of the course through direct observation, follow-up phones calls to patients to gauge whether the methods employed by the health care workers assisted in their health care management, and follow up interviews with staff to find out preferred methods and the manner in which they were implemented.

For this assignment, you will apply the S.W.O.T. Situational Planning Strategy introduced in Chapter 5 of your course text, based upon the following:

Situation: You are the C.E.O. of Community South Medical Center, a large, urban for-profit healthcare facility. This institution has comprehensive health services including acute care, residential care, independent living, in-home nursing, hospice, neonatal, and pediatric services, advanced cardiac services, a major trauma center, a center of excellence for pulmonary services, and a neurosurgery center.

Community South Medical Center has a positive bottom line and is striving to enhance health services for the population it serves. The patient care mix has shifted in the last three years and its reimbursement source is currently: 25% Medicaid (up 20%); 35% Medicare (down 12 %); 25% employer sponsored health insurance (unchanged), 8% managed care (down 20 percent), 4% private pay (unchanged) and 4% no-pay (up 25%).

The Medical Center is in an older urban area. Businesses with well paying jobs have gradually been replaced by smaller shops and other small businesses. Overall, the community is trending towards a predominantly elderly population.

The Medical Center has an excellent reputation and has been recognized in the past by receiving a Baldrige Center of Excellence evaluation and a The Joint Commission (T.J.C.) approval for their quality of services; however, recent self-inspections indicated a slight decline in compliance with T.J.C. standards. Patient satisfaction survey results have an overall mean of 95 percent. The medical staff strongly supports new program development and there is an abundant supply of physicians.

Currently, the major issues confronting the Community South Medical Center are: an identified shortage of clinical staff including registered nurses, respiratory therapists, and medical technologists; non-interfacing information technology systems; antiquated facilities and infrastructure; decline in T.J.C. compliance on internal audits; and a shift to its financial mix.

Action: As the C.E.O., it is time to embark on the annual updating of the organization's strategic plan. The last major revision to the strategic direction was completed three years ago.

In a four to six page (excluding title and reference pages), double-spaced paper, respond to the following questions:

1. Select one of the needs of Community South Medical Center and identify at least one strength, one weakness, one opportunity, and one threat (S.W.O.T.) for that need. How do each of these correlate to the overarching issues confronting Community South Medical Center?

2. Is it time to revise the strategic mission and plan of the organization from three years ago or continue as originally planned with a yearly assessment? Should the C.E.O. address the issues confronting Community South Medical Center or wait another year? If so, what should the strategic plan be? If not, why?

3. What leadership positions would be in your strategic management team? Why? What would their responsibilities be?

4. What are some of the market trends you can identify in this area? How might they affect Community South Medical Center? How would you prepare for them?


You must use a minimum of four scholarly sources,

We will pay $75.00 for the completion of this order!!

CAPSTONE ASSIGNMENT: INTEGRATIVE DVANCED GENERALIST PRACTICE IN THE RURAL CONTEXT.

This is my final semester of graduate level Master Social Work Advanced Generalist.

This paper will be done in 4 sections with the last section to combine the other sections for the final paper.

I am doing my internship at Good Shepherd Medical Center as a Master Social Work Student. My capstone project will be to develop a support group for the inpatient rehab unit of the hospital. The target population will consists of the following patients: Back surgery, stroke, traumatic brain injury, traumatic spinal cord injury, non-traumatic spinal cord injury, neurological, fracture of lower extremity (hip), etc.

I will need to complete a comprehensive integrative paper based on my advanced generalist practice at Good Shepherd Medical Center representative of people with rural lifestyles or rural communities.

This capstone assignment is requiring me to demonstrate understanding, organization, integration, and application of advanced social work knowledge, values and skills acquired in previous course work in my advanced practice in the agency setting. I am expected to integrate knowledge of advanced practice methodologies, including theoretical frameworks, rurality, diversity, values and ethics and social and economic justice in their analysis and recommendations. This paper will be written in APA style and a minimal of 5 pages.

The professor is looking to see that the following areas are cover.

Capstone Assignment Section 1: Brief Organization Assessment:

Agency Mission (both GSMC and rehab department)
Goals
Objectives
Target population (both medical center and rehab department)
Eligibility criteria
Service delivery components
Significant legislation/social welfare policy and analyzed for strengths and weaknesses (rehab do not accept Medicaid; Medicare can be too strict; Medicare was proposing a 75% compliance to 25 non-compliance of qualified patients to inpatient rehab, that did not go through and it is still now at 60% compliance to 40 non-compliance.

Will fax other documents.

There are faxes for this order.

(Budgeting & Capital Projects )

You are the chair of the budgeting team at Health Care Medical Center and are in the process of approving the budget for the next few years. The following proposals have been made by department/unit heads.

Proposal #1

A psychiatric facility to operate in the medical center. The facility will provide services to patients on an outpatient basis. The facility will operate Saturday and Sunday 8:00 am to 6:00 pm. The labor requirements will be one salaried physician per day; two nurses for each day and one medical assistant/front office staff member per day. The goal is to provide needed mental health services within the community. The proposal will require an initial outlay of $15,000 plus $75,000 per year fixed costs and an additional $40 in variable costs per patient seen at the clinic.

The financial projections for the clinic are as follows:

Initial investment/outlay $15,000

Variable costs mp;nbsp; $40/patient

Fixed costs $75,000/year

Price charged per visit $120/patient fixed for three years

# of patients projected in 1st year 500

Increase in # of patients 500/year for fours years

Anticipated cash flow [Y1:-35,000] [Y2:5,000] [Y3:45,000] [Y4:85,000]

Proposal #2

Lease of a computed tomography (CT) scanning machine for operation 24 hours a day 7 days a week. The lease of the CT will obviate the need to purchase CT services from outside mobile CT units. This proposal will require a monthly lease, service and insurance payment of $50,000, and an additional variable cost of $500 per case. The medical center will have to pay for CT training and continuing education of its radiology staff of 8. There will also be a $26,000 cost in preparing a room for the CT scanner. This translates to a total initial outlay of 50,000.

The financial projections for the CT scanner are as follows:

Initial investment/outlay $50,000

Variable costs $500/patient

Fixed costs $50,000/month

Price charged per visit $950/patient fixed for three years

# of patients projected in 1st year 1,000

Increase in # of patients 500/year for fours years

Anticipated cash flow [Y1:-150,000] [Y2:75,000] [Y3:300,000] [Y4:525,000]

Your assignment:

Evaluate the two proposals shown above and render a decision as to which proposal should be accepted. In evaluating the proposals you should apply the processes including break-even analysis, payback and any other applicable processes. Be sure to show all formulas and calculations in your paper. Where you identify processes for which additional information is required, briefly describe the process and identify the information you would need. In your response you should:

1. Calculate and identify the point at which both proposals will break-even;

2. Calculate and identify the point at which the cash flows of both proposals will payback all of the investments and losses and actually become profitable; and

3. Discuss which proposal would return a net profit first, and which will be more profitable long-term.

Course: Healthcare Administration
Book:
Swayne, L. E., Duncan, W. J., & Ginter, P. M. (2005).Strategic management of health care organizations.
(5th Edition)
Assignment 4: Riverview Regional Medical Center: An HMA Facility
Due Week 8 and worth 320 points
Read the ?Riverview Regional Medical Center: an HMA Facility? case.

Write a 4-6 page paper in which you:

1. Identify the six (6) stakeholder groups for Riverview Regional Medical Center (RRMC).
2. Discuss the target markets of existing programs and identify gaps in RRMC?s marketing strategy.
3. Discuss new services or products that could be developed with existing resources.
4. Discuss services that need to be strengthened and promoted to control out migration from the primary service area.
5. Describe what RRMC should do to counter its image problem in the community because of its decision to close the Women?s Pavilion.
6. Describe what Mr. Hayes can do to improve the relationship with the medical staff.

Please include each question followed by the answer. Also please include intext cites as well as cites/references with actual web sites.

Thanks in advance!

You are a junior staff member assigned to the chief information security officer?s (CISO) team in a major medical center. The medical center?s senior leadership recently reviewed plans for changes to the center?s facilities and found that risks associated with the adoption of several new or emerging technologies had not been addressed. To address this planning gap, the hospital?s chief operating officer (COO) has given the CISO two weeks to provide a quick-look evaluation of the risks associated with one of the planned expansion areas that may pose technology problems:

- Moving one or more clinical IT support functions (including both fixed and mobile devices for end users) into a grid and/or cloud computing environment

Write a short case study (three pages) using the provoded Emerging Technologies Reading List. Discuss the listed technology problems (above) and include a discussion of the potential risks associated with the technologies discussed in your chosen article. Your case study must also answer the question, how can these technologies be secured?

This is for a Scholarship Application

Background
Essay should reflect knowledge of current clinical priorities in healthcare for Veterans and it will use academic program to impact quality of nursing care provided to Veterans.

Academic program is DNP in Executive Nursing Leadership. My medical center recently designated as a 1A facility, which means all services must be provided for evening and weekend hours. We are in process of ensuring mental health services are available during these hours . I will work the evening hours of 12:30 to 11:00 p.m. This tour will include working every other weekend. Change management skills and strategic planning are essential components that will be required to ensure a smooth transition. Marketing and effective collaboration will also be required. I am currently employed as Program Coordinator for Mental Health Intensive Case Management (MHICM) Programs, which is an Executive Career Field (ECF) position. ECF employees responsible to ensure the T21 initiatives are successfully implemented.

1. Describe the current specific priorities for clinical care for veterans and nursings role in your facility in providing healthcare to meet those clinical needs. Examples of clinical priorities include but are not limited to mental health, traumatic brain injury, homelessness, PTSD, virtual care, diabetes care, rehabilitation, long term care, womens health, and rural health.


Providing mental health services in the home, in the community, and rural areas. Close liaison with homeless program staff, primary care clinics to assist with meeting goals for T21 Initiatives, which includes missed opportunities, clinical video telehealth (CVT), and no shows.
350 word limit


2. Describe your role in the following key issues for Veterans:

A. Access to care

Liaison for Veterans who present to ER for mental health related issues for evening hours until 11:00 p.m.

B. Veteran centered care

Assist with providing alternatives to inpatient care for mental health related issues
CVT available for evening and weekend hours
Patient preference for providers and appointments

C. Performance Measures
Ensure screenings are completed at encounters to ensure that ECF Measures are met. Includes Suicide Risk, Depression, PTSD, Tobacco Use, Alcohol Use, and HUD-VASH Vouchers if homeless

D. Transition Care (DOD to VA).
Schedule for appropriate providers, clinics, and follow-up

350 word limit

3. Identify and describe at least one measurable outcome related to providing healthcare for

Veterans that will result from your completion of your academic program.
Outcome: Decrease in ER visits for mental health issues.
Outcome: Decrease hospital admissions for mental health related issues.

350 word limit


There are faxes for this order.

http://www.ssa.gov/OP_Home/ssact/title18/1867.htm#ft532#ft532

Here is the site to the article we have to read.

Here are the assignment instructions, my advice would be to look at options for policy analysis at some hospital websites. Here's the assignment instructions and I will explain more in the seminar tonight. Here's a website for value policy analysis for example: http://www.healtheast.org/for-vendors/value-analysis-program.html also here's a helpful article on policy analysis for specialty hospitals: http://heartland.org/sites/all/modules/custom/heartland_migration/files/pdfs/17229.pdf
Review the following piece of legislation and follow the directions below:

Examination and Treatment for Emergency Medical Conditions and Women in Labor

You are a consultant specializing in policy analyst. Based on the Examination and Treatment for Emergency Medical Conditions and Women in Labor legislation above you will complete a policy analysis with 3-5 options for a client, Representative Moody, to consider.

Representative Moody is in Congress and up for re election in the next year. She seeks another term in office. Representative Moody?s constituency consists of three private regional medical centers with a trauma unit that receives referrals from 5 or more small facilities nearby with minimal trauma status for their Emergency Department.

In the past, 2 of the 3 medical centers supported Representative Moody with campaign funds at the allowable limits. Her constituency has many uninsured citizens due to high unemployment in the area. She is vocal about the need for health reform and the health care to all citizens. She also adheres to fiscal restraint and the absence of bail outs for private facilities. She knows that Medicaid dollars and unemployment dollars to support the unemployed and uninsured is at a minimal for the state. Also, the largest health care corporation that owns two of the three medical centers in his/her catchment area is threatening to refuse Medicare and Medicaid patients to ensure survival in the bad economy. An increase in unfunded mandates for urgent care may push the corporation into private payer only. There are very affluent families in the area that could support the health care services offered by two facilities catering to designer medicine and concierge services.

All options must:

be within the power of Representative Moody to do
be consistent with the Representative Moody?s values and
address the issue identified in the problem statement
You will:

Identify 3-5 options
Identify criteria that will be used to evaluate the options
Identify pros and cons for each option.
Use a side-by-side table (MS Excel would be appropriate for this) to assist in analyzing the options.

Description: Develop a 1,750 to 2,100-word lesson plan for an education program that is intended for a particular target audience.

Target Audience: RN's, LPN's, and Nursing Assistants at Samaritan
Medical Center.

Include the following:

Identification of the educational need and rationale

See highlighted section of Learning Needs Assessment paper

Goals and learner outcomes for the lesson


Learning objectives

Identification of the instructional design model, learner characteristics,
and learning theory:

Instructional Design Model: ADDIE Model (Analysis, Design, Develop,
Implement, and evaluate)

Learner Characteristics: See chapter 3 in De Young, Teaching Strategies
for Nurse educators.

Learning Theory: Adult Education Theory

Completion of content outline

Instructional methods to be used for delivery:

Lecture, Brainstorming, Role Playing

Instructional materials and resources to be used, such as articles, videos,
or handouts:

Handouts, YouTube Video on Bedside Reporting, PowerPoint presentation

Identification of evaluation methods with Rationale for each

Background Knowledge Probe, Standard Evaluation Based on Lickert
Scale, Minute Paper

Format your paper consistent with APA guidelines.
There are faxes for this order.

I need a written report outlining the project was I did for Vanguard Health Systems which owns metro west medical Center.

The directions are as follow what the aims or objectives for the project were, what research, methods and efforts were utilized and what the outcome was.

I also need a powerpoint with 5 slides reflecting the paper. Let me know if I have to order the powerpoint separately.

Attached are some files that I attached that you add to the paper and powerpoint

Case Study IV - Envisioning the Future
Instructions: The final assignment for our course in physician practice management builds on the readings this week. Working from the readings and other relevant material. This assignment asks you to place yourself in the role of physician leader of a medical group practice. You may continue to use the example of the group presented in the last two case studies, or describe another group of your choosing. The assignment is to prepare a memo for your fellow group practice physicians that articulates a vision of what the near future will bring for the medical group practice in terms of the organization and the environment the group will be facing. The memo builds on this vision to argue a direction for the strategic planning of the group moving forward.
Case Study IV ? Envisioning the Future
The final assignment for Physician Practice Management is your opportunity to think about the future of medical group practice. The readings for this week (along with last week?s hospital-physician relations article) present contrasting scenarios of what might become the dominant organizational model for the practice of medicine. Coupled with the incentives and projects included in the Patient Protection and Affordable Care Act (H.R. 3590) that was signed into law by President Obama on March 23, 2010, it is clear that there will be substantial changes in the organization of medical care in the near future in the United States.
However, less clear is what those changes might be, and what model of organization for medical groups will be dominant in the future. There are numerous frameworks of organization currently in the field, including single-specialty groups, multi-specialty groups, academic medical centers, community health care centers, risk-bearing comprehensive care organizations (such as Kaiser-Permanente), and government-based medical organizations such as the VA system or the Indian Health Service.
And your vision what the future of medical group practice will (or should) resemble can depend in large part on your perspective of the health care industry. Health policy specialists write and research regarding organizational structures such as the Patient Centered Medical Home and/or the creation of Accountable Care Organizations. Patients may view the former as reminiscent of the gate-keeper HMO models that dominated the early 1990?s, and perhaps the latter as government-inspired creations on the passage to a national health system. The insurance industry could be seen as supporting large regionally integrated systems that compete on efficiency and outcome as a method to reduce premium costs. Or alternately, they could favor the highly fragmented, cottage-industry status that currently exists as a means of retaining maximum leverage in the negotiation of covered services and payment rates.

As you begin to move into (or further into) positions of management leadership in the health care industry, being able to shape and articulate a future state will be a key component of your skill set. For this assignment, you should use the literature available (and other relevant material that you have reviewed) to draft a memo for a medical group practice in which you are a physician. Your role in the organization is as the physician leader, either Chair of a Board of Directors, managing partner, or similar position. Your memo is being developed to provide a vision of the strategic direction the group should pursue, based on your presentation of the anticipated future of medical group practice. For example, if you are a single specialty surgery group in a major metropolitan area, and the information you review convinces you that accountable care organizations are the future of health care in your region, then you might present a case for a strategic alignment with (or acquisition by) the dominant integrated health system in your area.

The focus of your memo should be on the argument you create regarding the future you envision for medical group practice medicine in your region, and based on the nature of the your organization, what should be the plan going forward. The assignment clearly makes the assumption that there will not be (in the foreseeable future) one model for the delivery of care in the United States. (Not even Dr. Donald Berwick could hope to achieve that in his wildest dreams). But by the same token, the organized delivery of care will not maintain a status quo. The pressure of changes in our mechanisms of delivery insures that new organizational structures and alignments will evolve. The challenge is to determine what will occur on a local or regional level, and position the organization to continue to achieve its mission. This is healthcare management leadership.
One final note for this assignment: As you are probably even more aware than I, your physician group practice collogues are very busy, and therefore your memo should be succinct and pertinent to both capture their attention and make your case convincingly. This assignment should be completed in a maximum of five pages, not including any references or endnotes.

Related reading (See attached files):
1. Hospital-Physician Relations: Two Tracks ?.Page 1305.
2. ?Focused Factories? ?? Page 56-67
3. ?Growth Of Single-Specialty Medical Groups?? Page 82-90.
4. ?Higher Health Care Quality ?? page 991-997.
--------------------------------------------------------------------------------------
General Instructions:
Length: Each case analysis should be a maximum of 5 double-spaced pages, using a 12-point font and one-inch margins.
Grading Criteria: The primary criterion is meeting the elements listed above in Methods. In addition, thoroughness of analysis, organization, clarity of presentation, comprehensiveness, and in particular the use of proper English will be considered in grading.
-----------------------------------------------------------------------------------------------