In the final project, students will apply the knowledge gained in this course to a case example.

Each student will select a SPECIFIC real Ambulatory Surgery Center and apply one of the scenarios below and develop a 10-12 slide PowerPoint presentation to discuss the current status of the organization, provide an overview of the organization, and make recommendations on how to manage the selected problem. You must include one or more slides that address the degree to which the Affordable Care Act might impact these services. Use APA formatting references and your reference slides. For this presentation, your title slide does not have to be in APA format.

Info on ASC’s here: 

http://www.ascassociation.org/

SCENARIO OPTIONS. Pick one of the scenarios below. Your role is the manager in charge of an ambulatory surgery center (ASC). Restate the problem you are addressing. Make some logical assumptions. Make brief recommendations as to a reasonable solution to the problem in the scenario.

POINT OF CLARIFICATION:  You will use an established independent ASC for either of the four scenarios listed below.  Your presentation should be drafted as the administrator of the surgery center working to address one of the four scenarios to the CEO or Board of Directors of the ASC.  In your response, please be sure to address all components of the scenario.

• One of the greatest challenges facing ASCs is maintaining and increasing volume. With all the external pressures, i.e. physicians pressured to become employees, mergers, decreasing payments from insurers, etc. – ASCs are challenged to keep physicians motivated to increase the number of cases and keep patients satisfied. What are some strategies you would use to increase referrals to your ASC while maintaining high patient satisfaction scores?
• Another challenge facing ambulatory surgery centers is the recruitment of new physicians. Following a national trend, many local hospitals and health systems are purchasing physician practices, which could eventually lead to doctors referring surgical cases to a hospital’s same day surgery department. Assuming there is ample opportunity to increase surgical volume, how do you intend to recruit physicians to practice via your ASC? What are some strategies/offerings you could employ?
• The ASC you are currently managing is experiencing out of network challenges. Additionally, the proposed reimbursement rates from payers do not match Medicare rates for your market. Most of your ASC contracts are based on the Medicare fee schedule and because many of your surgeries are not on that schedule, you have to negotiate a fee schedule on a case-by-case basis. What strategies could you employ as you work with payors to contract for reasonable rates that could save you both money in the short term?
• In this changing environment, you are required to do more with less. Reimbursement rates are declining; supply and implant costs, taxes, utilities, rent, salaries and benefits and other operating costs are increasing and there are more regulatory requirements i.e., increased standards for accreditation (Joint Commission’s additional requirements as an example), ICD-10, adoption of an EHR, etc. Additionally, your staff is wearing multiple hats; many working to register, bill, code, schedule and assist with back house operations. What strategies and tools can you implement to increase productivity, reallocate resources and boost employee morale?

 

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Using the two countries from Part A, go to globaledge.msu.edu (Links to an external site.) You may also go to cia.gov Factbook (Links to an external site.) pages to research your countries. Please make sure you include tables from your research for each country.

1. Describe the Economy.
   1. Describe the economy (using the CIA Factbook) for Country 1 (5 points) and provide table for the following economic indicators: (5 points)
      1. Current Account Balance
      2. Inflation

• Manufacturing Value Added

1. GDP Growth
2. GDP per capita, PPP
3. Describe the economy (using the CIA Factbook) for Country 2 (5 points) and provide table for the following economic indicators: (5 points)
   1. Current Account Balance
   2. Inflation

• Manufacturing Value Added

1. GDP Growth
2. GDP per capita, PPP

Infrastructure (20 points)

1. For each country, look up the following Infrastructure determinants –
2. mobile cellular subscriptions;
3. Roads, total network;
4. Rail lines;
5. Transport; and
6. Internet Users.

Do not just supply this information in the form of tables, also explain why infrastructure is important to FDI.

1. Country 1 – why is infrastructure important (5 points) and indicators tables and or graphs (5 points)
2. Country 2 why is infrastructure important (5 points) and indicators tables and or graphs (5 points)

HINT: In order to properly compare these numbers, you may want to scale these numbers per capital –  divide each infrastructure indicator by population. The population is on the CIA Factbook.

Investment Potential (30 points)

1. Overall, what is your group’s informed opinion as to how receptive your countries are to FDI?
   1. Which country, of the pair, is the most receptive? Provide a well-reasoned argument using the evidence presented in Projects Part A, Part B, the Economics and the Infrastructure parts of this project.
   2. Country 1 – well-reasoned argument (4 points), and data from Part A (2 points), Part B (2 points), and Part C (2 points)
   3. Country 2 well-reasoned argument (4 points), and data from Part A (2 points), Part B (2 points), and Part C (2 points)
   4. Compare and contrast corruption in both countries and their opportunities for FDI (10 points)

 

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Discussion Question Response: Each reply to a classmate should be 100 words or more. Response stating that “I agree” with a post is inadequate without adding more information. A student will not receive full credit for responses to classmates that are not substantive responses. 

100 Words #1

1) Phoenicians were Semitic people inhabiting ancient Phoenicia and its colonies. The reason of what innovation allowed the Phoenicians, a small population to change the history of the world, is because they had more ready access to valuable resources and trade routes, and the Phoenicians originally established the colonies as trading posts. These trading posts blossomed into full on colonies, and they were established in good harbors to further their duty not only to trade but also to providing rest for Phoenician traders. These posts were closer to the rich Mediterranean and all of its resources. This made it so that they were able to accumulate many resources and have easier trade with the rich trade centers of the west. While the Phoenician homeland was amalgamated into the Assyrian empire and its successor empires, the colonies continued on.

2) The reasons why Daoism and Confucianism reflect the diverse attitudes of the time is because, Confucianism is rites, righteousness, relationships and benevolence towards others. Also very important is keeping order in relationships and in the state. This is more of what you are controlling in you life. Daoism is the most mystical of the major schools. As the name suggests, the focus on the Dao, or the Way. Now, what is the Dao? There are several complicated answers to this, but most simply, the Dao is the natural flow of the cosmos. Nature follows the Dao, humans with their conscious wills go against the Dao. The goal of the Daoist is to harmonize with the Dao and thereby become one with the cosmos, with nature, with all things, which is for letting everything naturally flow. 

100 words response #2

The Phoenicians, who were described as a small group of unwarlike Semitic people, had several accomplishments such as becoming the greatest maritime traders and colonizers from their ports of Tyre and Sidon. They also specialized in trades of copper and dyes that took them as far as the coast of Britain where they were able to form bronze which was the main metallic resource before 1000 B.C.E. However, their most notable contribution of their time was inventing a phonetic alphabet consisting of 22 letters. They used their alphabet while operating their trade network and it spread throughout the Mediterranean. Once it spread to Greece, the Greeks added letters for the vowels and thereby created the same alphabet that we use today. 

The Warring States Period was an era in China’s history that was filled with turmoil and led to many political and social changes. During the Warring States period, many innocent people were being killed due to the battles taking place and there seemed to be no real value for human life. Confucianism and Daoism both came at a time when the people of China needed something to believe in, something to help guide them in their life choices and something to help them feel connected to others. Confucianism was a more practical philosophy and focused on family and relations to other people in their life. It has a lot of the same ideals of older-day, Leave-It-To-Beaver style American families in the sense that the father is head of household, the wife never talks back and the children and grandchildren show absolute obedience. His philosophy offered a very harmonious family style.  Daoism was described as a more skeptical philosophy focused on nature and meditation. It teaches it’s followers to live in the moment and not to fight anyone or force an outcome of any kind. 

 

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Due Sunday,

Health in the News

This assignment is designed to encourage you to think about the ways health issues are conveyed in the public domain, as well as provide an opportunity for me to get to know your interests in the field of health.

Choose a health issue that interests you and identify an article in a newspaper related to it. The article can be from a printed or electronic version of the newspaper, but keep in mind that electronic papers usually require a free or paid registration. Include a link to the article or scan the article and attach it as well.

Write a brief essay on the article, covering the following:

PLEASE LABEL SUBTITLES ON PAPER, Thanks!

1) Why is this topic of interest to you?

2) Did the article cover the aspects of the health issue that concern you most?

3) Were any psychological issues covered?

4) What research was reported in the news article to support their approach to the health issue?

5) How would you evaluate the article’s level of coverage of the health issue (find a peer-reviewed citation to assess accuracy)?

This paper is to be 5 pages (not including title page and references). Provide references for the newspaper article and peer-reviewed journal article in APA format

 

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In this homework assignment, you will be working through two crashing problems and four earned value problems. All the information you need is included within this Homework packet. Make sure you answer all parts of the questions in their entirety.

Once you have worked through the problems, please post your responses to the Dropbox. Please refer to the course Syllabus for the due date.

PROBLEM 1

Use the network diagram below and the additional information provided to answer the corresponding questions. (15 points)

a) Give the crash cost per day per activity. (10 points)

b) Which activities should be crashed to meet a project deadline of 10 days at minimum cost? What is the cost impact of crashing these activities? (3 points)

c) Find the new budget (or cost of the project). (2 points)

PROBLEM 2

Use the network diagram below and the additional information provided to answer the corresponding questions. (13 points)

a) Give the crash cost per day per activity. (10 points)

b) Which activities should be crashed to meet a project deadline of 13 days at minimum cost? What is the cost impact of crashing these activities? (3 points)

PROBLEM 3 (8 points)

Month	AC	PV	EV
22	$540	$523	$535

a)         Calculate the cost variance (CV). (2 points)

b)         Is the CV over or under budget? (2 points)

c)         Calculate the schedule variance (SV). (2 points)

d)         Is the SV ahead of or behind schedule? (2 points)

PROBLEM 4 (8 points)

Month	AC	PV	EV
5	$34	$42	$39

a)         Calculate the cost performance index (CPI). (2 points)

b)         Is the project cost efficient or not efficient? (2 points)

c)         Calculate the schedule performance index (SPI). (2 points)

d)         Is the schedule efficient or not efficient? (2 points)

PROBLEM 5 (8 points)

Day	AC	PV	EV
65	$550	$735	$678

a)         Calculate the cost variance (CV). (2 points)

b)         Calculate the cost performance index (CPI). (2 points)

c)         Calculate the schedule variance (SV). (2 points)

d)         Calculate the schedule performance index (SPI). (2 points)

e)         Given these data, what should a project manager do with respect to this project?

PROBLEM 6 (8 points)

Day	AC	PV	EV
65	$760	$735	$678

a)         Calculate the cost variance (CV). (1 point)

b)         Calculate the cost performance index (CPI). (1 point)

c)         Calculate the schedule variance (SV). (1 point)

d)         Calculate the schedule performance index (SPI). (1 point)

e)         Explain the project performance in terms of efficiency, budget, and schedule. What should the project manager do for the project? (4 points)

 

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