Case study

Last month you were hired with the title Health Informatics Specialist at an independent community care hospital with 350 beds. The hospital includes a comprehensive outpatient clinic, a rehabilitation center with both inpatient and outpatient services, a cardiac care center, and an emergency room. In addition, four family health centers are located throughout the community. More than 930 primary care and specialty physicians are associated with the hospital, which has a staff of just over 2000 employees. The hospital has an EHR in place. The hospital has a working relationship with a major academic medical center located 23 miles away. Acute care patients who need more extensive treatment are usually transferred to the medical center. These are often emergency situations, and data are freely shared among the institutions with the best interests of the patient in mind. Located directly beside the hospital is a 194-bed skilled nursing home. While the nursing home has its own medical staff consisting of a physician and two nurse practitioners, patients needing consults or additional care are usually seen at the hospital with follow-up at physicians’ offices. While the nursing home, most of the physicians’ offices, and the hospital are independent institutions, there is a long history of sharing health-related data when treating patients who live at the nursing home and are seen at the hospital or in the physicians’ offices. This coordination is seen as a general benefit for a number of patients. It appears that most patients have signed a form giving the hospital permission to send information to the nursing home. However, these forms have been stored in individual offices, so it is difficult to determine who has signed what forms and what permission has or has not been given to share information among the nursing home, hospital, and independent medical practices.

Discussion Questions

1. What additional information is needed to clarify what problems may exist and what changes may be needed in terms of data that are shared among the institutions?

2. Can the EHR system and/or e-mail be used to share data among these different institutions more effectively and securely? If yes, how would this be done? For example, what agreements, policies, and procedures might need to be developed?

3. In your position as Health Informatics Specialist, how would you go about determining whether there are other potential security issues that now need to be managed by the hospital?

4. From your reading in chapter 25, name two federal agencies and describe their role in the regulatory oversight of Health IT.

5. What are three major issues with mHealth applications and wearable devices?

Victoria Company reports the following operating results for the month of April.

Management is considering the following course of action to increase net income: Reduce the selling price by 5%, with no changes to unit variable costs or fixed costs. Management is confident that this change will increase unit sales by 10%.

Using the contribution margin technique, compute the break-even point in units and dollars and margin of safety in dollars: (Round intermediate calculations to 4 decimal places e.g. 0.2522 and final answer to 0 decimal places, e.g. 2,510.)

(a) Assuming no changes to selling price or costs.

(b1) Assuming changes to sales price and volume as described above.

In this activity we have graphed the function y = sin(x). For this assignment, you will explore the changes that occur in the curve when we make simple changes to the function.

For each of the different parts below, create sketches and a description of the crucial properties of the periodic graphs including:

• Period
• Amplitude
• Maximum
• Minimum
• Axis of the Curve
• Zeros

Finally, in a few sentences, based on your findings describe how these changes in the function affect the properties of the curve.

For your sketches, you can scan hand-made sketches and email or fax these to your instructor. Alternately, you may use a simple drawing program like Windows Paint.

Main questions. Attempt all questions, each one carry 12 marks.

Question: 1

Hendry Corp. reported net incomes for the last three years as follows: 2018 2017 2016 $180,000 $240,000 $225,000 During the 2018 year-end audit, Hendry's newly appointed auditors discover that Hendry bought a machine on January 1, 2015 for $125,000 cash, with a $25,000 estimated residual value and a five-year life. The company debited an expense account for the entire cost of the asset. Hendry uses straight-line depreciation for all machinery. Instructions (Ignore all income tax effects) a) Prepare the general journal entry required to correct the books for this situation, assuming that the books have not been closed for 2018. b) Prepare a schedule showing, for each of the years 2016 to 2018, income before the effect of any accounting changes, the effect of the accounting changes, and the income after the effect of any accounting changes. c) Assume that the retained earnings balance at January 1, 2018 is $720,000 (before any adjustment). At what adjusted amount should this beginning retained earnings balance be shown on the financial statements?

Hendry Corp. reported net incomes for the last three years as follows:

2018: $180,000

2017: $240,000

2016: $225,000

During the 2018 year-end audit, Hendry's newly appointed auditors discover that Hendry bought a machine on January 1, 2015 for $125,000 cash, with a $25,000 estimated residual value and a five-year life. The company debited an expense account for the entire cost of the asset. Hendry uses straight-line depreciation for all machinery.

Instructions (Ignore all income tax effects)

a) Prepare the general journal entry required to correct the books for this situation, assuming that the books have not been closed for 2018.

b) Prepare a schedule showing, for each of the years 2016 to 2018, income before the effect of any accounting changes, the effect of the accounting changes, and the income after the effect of any accounting changes.

c) Assume that the retained earnings balance at January 1, 2018 is $720,000 (before any adjustment). At what adjusted amount should this beginning retained earnings balance be shown on the financial statements?

Find solutions for your homework Find solutions for your homework Search home / study / science / nursing / nursing questions and answers / grammar check! "i never said she stole my money." did you know that this sentence changes its ... Your question has been answered Let us know if you got a helpful answer. Rate this answer Question: Grammar Check! "I never said she stole my money." Did you know that this sentence changes its mea... Grammar Check! "I never said she stole my money." Did you know that this sentence changes its meaning depending on which word you stress? Practice your grammar skills by stressing each word in the sentence; notice how the part of speech stressed affects the meaning of the sentence. Which word did you stress first? What meaning does that sentence have? Which word is the most awkward for you to stress? What meaning does THAT sentence have?

For this assignment, you are taking on the role of a manager of a hospital-based orthopaedic surgery clinic who has decided to discontinue providing publicly funded physiotherapy services on-site. Effective immediately any patient needing the services of a physiotherapist will be referred to one of the private clinics in town. These clinics do not have public health coverage, but they are covered under most private insurance plans and accept cash or credit for uninsured persons. This decision will force you to lay off 2 therapists that have been on staff for several years, but it will save the clinic $180,000 out of the annual $2,700,000 budget. Draft a one-page communication briefing to patients informing them of the coming changes. Draft a one-page communication briefing to staff informing them of the coming changes. Draft a one-page communication briefing to senior management informing them of the coming changes. Note that each stakeholder has a very different perspective on this decision. Your communication will need to be concise, clear and respectful as well as address any concerns each stakeholder might have.