Chapter 1 through 10

TRUE/FALSE

Write T for true or F for false.

1. Communication across all sectors of the health arena is critical to quality care.

2. Communication between provider and consumers affects every facet on the health continuum from health promotion and disease prevention to assessment, diagnosis, and treatment.

3. Treatment adherence leads to better health out- comes and no adherence places the patient at risk for poor recovery and dis- ease progression.

4. Treatment adherence refers to not only medication adherence but also compliance with appointment schedules, diet and exercise regimens, or lifestyle modifications.

5. The relationship of trust between patient and provider is built on the effectiveness of their communications.

6. Cancer and Diabetes are the example of chronic diseases.

7. Symptoms are not observable by provider.

8. NIH is stands for National Institute of Health

9. CDC is stand for Center for Disease Control

10. The information processing that goes on within the brain has three distinct steps.

11. Parasympathetic system involve the fight-flight mechanism

12. Sympathetic system involve the relaxation

13. Teach back is the approach of choice with patient who understand their treatment regimen

14. Member of most subculture in USA are more comfortable to talk about their health problems with providers.

15. IOM drafted a few reports to improve the healthcare quality in USA.
16. One of the most common modes of human communication involves the use of questions.
17. Questions are customarily the primary tool for healthcare providers because providers are diagnostically driven and are continually seeking to assess patients
18. Ruling-out questions include questions that seek clarity and are generally more direct
19. Interpretative questions are used to collect data.
20. Interpretive questions are used to give information.
21. Are you following the diet and exercise plan I gave you? This question is example of direct question.
22. There are three types of questions formats.
23. Multiple-choice questions do offers options to the patient; patient has the choice of what to follow.
24. “Do you want some water?” is the example of open-ended question.
25. Would you prefer to have your bath before or after breakfast?” is the example of open-ended question.
26. Two types of trust are general and specific. Bonus Question

W1 Assignment 1

1. PR.01-01A
2. PR.01-02A
3. PR.01-05B.ALGO

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   Classifying Costs

   The following is a list of costs that were incurred in the production and sale of large commercial airplanes:

   Classify each cost as either a product cost or a period cost. Indicate whether each product cost is a direct materials cost, a direct labor cost, or a factory overhead cost. Indicate whether each period cost is a selling expense or an administrative expense.

   Costs	Classification
   a. Salary of chief compliance officer of company
   b. Power used by painting equipment
   c. Instrument panel installed in the airplane cockpit
   d. Annual bonus paid to the chief operating officer of the company
   e. Turbo-charged airplane engine
   f. Interior trim material used throughout the airplane cabin
   g. Cost of normal scrap from production of airplane body
   h. Hourly wages of employees that assemble the airplane
   i. Salary of the marketing department personnel
   j. Cost of paving the headquarters employee parking lot
   k. Cost of electrical wiring throughout the airplane
   l. Cost of electronic guidance system installed in the airplane cockpit
   m. Salary of plant manager
   n. Cost of miniature replicas of the airplane used to promote and market the airplane
   o. Human resources department costs for the year
   p. Metal used for producing the airplane body
   q. Annual fee to a celebrity to promote the aircraft
   r. Hydraulic pumps used in the airplane’s flight control system
   s. Yearly cost of the maintenance contract for robotic equipment
   t. Prebuilt leather seats installed in the first-class cabin
   u. Depreciation on factory equipment
   v. Special advertising campaign in Aviation World magazine
   w. Oil to lubricate factory equipment
   x. Masks for use by painters in painting the airplane body
   y. Decals for cockpit door, the cost of which is immaterial to the cost of the final product
   z. Salary of chief financial officer

Complete the following statements to describe how independent assortment contributes to genetic variation. Not all choices will be used.

During independent assortment, ____________ chromosomes separate.

This separation is ____________ ; it is due to their alignment down the metaphase plate.

The maternal or paternal homologue may be oriented toward either ____________ .

This randomized separation aids in genetic ____________ for offspring.

This variation helps in the long-term ____________ of the species.

Word Bank:

Complete the following statements of how meiosis increases genetic variation. Not all choices will be used.

Two events within meiosis increase variability. During prophase I, ____________ and crossing-over occurs.

This event allows for ____________ to break and rejoin.

This results in two chromosomes with a different combination of ____________ than they had before.

During metaphase I, homologous pairs align ____________ at a cell's equator.

This results in random separation of maternal and paternal chromosomes when the cell divides, creating ____________ combinations of final chromosome combinations in human cells.

Word Bank:

Complete the following statements to describe the differences between chromosomes and chromatin. Not all choices will be used.

Genetic material within the nucleus of a cell is typically arranged as ____________ , or long tangled collections of DNA and proteins.

During cell division, this DNA condenses into tightly coiled structures to form ____________ .

Humans have 46 of these; 22 of these pairs are called the ____________ and one pair is called the ____________ chromosomes.

These ____________ chromosomes control gender. Males have ____________ X chromosome and a Y chromosome, while females have ____________ X chromosomes.

Word Bank:

Complete the following statements to describe the differences between chromosomes and chromatin. Not all choices will be used.

Duplicated chromosomes called ____________ chromatids, contain the same genes.

They are held together by a region called the ____________ .

The chromatids remain together until a phase within mitosis, where the ____________ splits.

At this point, the chromatids separate and two individual ____________ chromosomes are fully formed.

Word Bank:

Can you do in excel please

The Air Marshal Co. has recently completed a $10,000,000 two-year marketing study.  Based on the results of this study, Air Marshal has estimated that 800 units of its new security electro-optical human scanning hardware, known as "Marshal Dillon," could be sold annually over the next 12 years, at a price of $110,000 the first year with an estimated 2% annual rise from inflation in years 2-6.  The sales price is expected to drop to $90,000 in year 7 due to increasing competition with 2% annual increase for year 8-12.  Variable costs per unit are $45,000 with an estimated 4% annual rise from inflation in years 2-12 and incremental cash fixed costs total $15 million per year all 12 years.   

Start-up costs include $120 million to build production facilities and an additional $10,000,000 for shipping and installation costs, $25 million for land, and net operating working capital is projected to be 12% of next year sakes. The production facility will be depreciated on a straight-line basis to a value of zero over the twelve-year life of the project.  At the end of the project's life, the facilities (including the land) will be sold for an estimated $25 million.  The value of the land is not expected to change during this time period.

Finally, start up would also entail one-time tax-deductible cash expenses of $5 million at year zero.  Air Marshal is an ongoing, profitable business and pays taxes at a 32% rate.  Air Marshal has a 10% opportunity cost of capital for projects such as this one.  

Be sure to answer to the following questions and express your numbers in millions of dollars where appropriate.   If your annual income should be a loss, assume that tax could be saved from other profitable parts of the company.

1. Please estimate the cash flows for all 12 years and provide a detailed statement of projected cash flows, as was done in the sample quiz solution.
2. Calculate the following for the project:  NPV, IRR, and MIRR.
3. Should Air Marshal proceed with the Marshal Dillon project?

• Design employee compensation programs taking into account organizational circumstances
• Propose amendments benefit programs to meet changing employee and employer needs
• Assess employer costs of benefit programs

Part of a human resource managers job is to analyze the benefits programs to ensure that an organization is compliant and that the costs are within budget. There are a number of required programs such as social security, worker's compensation insurance, unemployment insurance, health care, and FMLA leave. In addition to these mandated programs, many employers offer additional benefits such as dental, vision, disability, life insurance, tuition reimbursement, holidays, vacation, other paid time off (jury duty, bereavement, etc), 401(k) or other retirement, student debt support and more.

Managed by Q Case Benefits Analysis: In the case study we learn that Managed by Q offers free health insurance, 40 hours of paid vacation and a 401(k) plan. In addition, they would have to offer the legally required benefits such as worker's compensation and unemployment. The financial spreadsheet indicates there is a 20% markup for benefits and taxes. In year 5, therefore, we could surmise that of the $2,729,927 in wages and taxes, 20% or approximately $545,000, went to benefits and taxes.

1. Create an analysis of the provided benefits and taxes (both mandatory and discretionary) and create an academic, data-guided, proposal of any changes you might suggest to Managed by Q.
2. For this analysis, assume a 4% 401(k) match, FUTA rate of .06 (of first $7000), SUTA rate of .019 (of first $9000).
3. Be sure to incorporate items such as cost sharing or creative benefits such as student loan repayment options in your recommendations if appropriate. Must be 5 to 6 pages plus cover and references.

Note: In this exercise you need to weigh out how many benefits you would like to offer verse the cost of those benefits. In your paper be sure to (1) explore the current benefit offering and (2) talk about what benefits you might offer and/or what changes you would recommend to Managed by Q.

John is a longtime patient in the practice where you work. Normally, he comes in once a year for a routine physical, but lately (the last six months) he has been in three times, complaining of extreme fatigue and weight loss (he has lost 15 pounds over the last seven months). The attending physician ordered a standard ELISA-type human immunodeficiency virus (HIV) test, which came back negative. This was in January. He was supposed to come back in May for a repeat test, but he was back one month later with a severe case of genital herpes lesions that had not healed after three weeks. The herpes eventually subsided, and he returned in May for a repeat HIV test. At this time, he told the doctor that he was recovering from a severe respiratory infection that he had been fighting for weeks. After more blood-work, the physician noted that his ELISA HIV results were negative again. His CD4 count was 200 cells/mm3. Two months later John was admitted to the hospital and a lung biopsy showed that he had Pneumocystis carinii; another HIV test was negative. He was released three weeks later, but after two months he was admitted again with the same infection. Another HIV test revealed negative results. Three days later he died.

1. What is an ELISA test, and what does the one for HIV actually detect? 2. John did indeed have an HIV infection, but continued to test negative. What are the possible explanations for the consistently negative results? (hint: it is not seroconversion) 3. Are there any alternative tests available for clinicians to test patients that they suspect are HIV-positive yet who test negative with normal HIV tests? Describe at least two different alternative tests. 4. Would you expect patients with a lack of serum reactivity (few to no antibodies) to have a fast or slow progression from HIV infection to full blown acquired immune deficiency syndrome (AIDS)? Defend your answer. 5. Which of John's reported symptoms are consistent with a diagnosis of HIV?

1) Which of the following things would increase the value of Total Factor Productivity (TFP)?

Select one:

a. A new production method that can produce smaller, more efficient microchips.

b. None of the other answers.

c. A company hires a large amount of workers after building a brand new factory.

d. Foreign investors invest in physical capital.

2) The country of Rupertopia has one factory for all its workers in 2011 and 2012. There were 100 workers in 2011 and 150 workers in 2012. Additionally, there were 200 people living in Rupertopia in 2011 and 1,000 people in 2012. Real GDP was one million dollars in 2011 and two million dollars in 2012. Which of the following statements regarding labor productivity is true:

Select one:

a. Labor productivity in Rupertopia exhibits constant returns.

b. Labor productivity in Rupertopia exhibits increasing returns.

c. Labor productivity in Rupertopia exhibits diminishing returns.

d. More information is needed to determine whether labor productivity in Rupertopia exhibits di- minishing, constant, or increasing returns.

3) Which of the following changes would help to improve a country’s productivity level?

Select one:

a. Improvements in the health of workers

b. None of the other answers.

c. Tuition increases at local Universities

d. A lower birth rate

4) ”When workers already have a large quantity of capital to use in producing goods and services, giving them an additional unit of capital increases their productivity only slightly.” This statement

Select one:

a. is an assertion that capital is subject to increasing returns.

b. is made under the assumption that the quantities of human capital, natural resources, and technology are being held constant.

c. represents an unconventional view of the production process.

d. All of the other answers are correct.

5) Economic growth can be influenced by government policies. Which of the following can influence the economy’s growth rate?

Select one:

a. All of the other answers are correct

b. Promoting research and development of technologies

c. Fostering education

d. Maintaining property rights

The Gilster Company, a machine tooling firm, has several plants. One plant, located in St. Falls, Minnesota, uses a job order costing system for its batch production processes. The St. Falls plant has two departments through which most jobs pass. Plantwide overhead, which includes the plant manager’s salary, accounting personnel, cafeteria, and human resources, is budgeted at $200,000. During the past year, actual plantwide overhead was $185,000. Each department’s overhead consists primarily of depreciation and other machine-related expenses. Selected budgeted and actual data from the St. Falls plant for the past year are as follows.

Overhead rate from part a=$20.76 per direct labor hour

Overhead rate from part b= $3.51 per machine hour

For the coming year, the accountants at St. Falls are in the process of helping the sales force create bids for several jobs. Projected data pertaining only to job no. 110 are as follows.

c-1. The sales policy at St. Falls dictates that job bids be calculated by adding 24 percent to total manufacturing costs. What would be the bid for job no. 110 using the overhead rate from part a?

c-2. The sales policy at St. Falls dictates that job bids be calculated by adding 24 percent to total manufacturing costs. What would be the bid for job no. 110 using the overhead rate from part b?

Can you do in excel please and show Formulas

The Air Marshal Co. has recently completed a $10,000,000 two-year marketing study.  Based on the results of this study, Air Marshal has estimated that 800 units of its new security electro-optical human scanning hardware, known as "Marshal Dillon," could be sold annually over the next 12 years, at a price of $110,000 the first year with an estimated 2% annual rise from inflation in years 2-6.  The sales price is expected to drop to $90,000 in year 7 due to increasing competition with 2% annual increase for year 8-12.  Variable costs per unit are $45,000 with an estimated 4% annual rise from inflation in years 2-12 and incremental cash fixed costs total $15 million per year all 12 years.   

Start-up costs include $120 million to build production facilities and an additional $10,000,000 for shipping and installation costs, $25 million for land, and net operating working capital is projected to be 12% of next year sakes. The production facility will be depreciated on a straight-line basis to a value of zero over the twelve-year life of the project.  At the end of the project's life, the facilities (including the land) will be sold for an estimated $25 million.  The value of the land is not expected to change during this time period.

Finally, start up would also entail one-time tax-deductible cash expenses of $5 million at year zero.  Air Marshal is an ongoing, profitable business and pays taxes at a 32% rate.  Air Marshal has a 10% opportunity cost of capital for projects such as this one.  

Be sure to answer to the following questions and express your numbers in millions of dollars where appropriate.   If your annual income should be a loss, assume that tax could be saved from other profitable parts of the company.

1. Please estimate the cash flows for all 12 years and provide a detailed statement of projected cash flows, as was done in the sample quiz solution.
2. Calculate the following for the project:  NPV, IRR, and MIRR.
3. Should Air Marshal proceed with the Marshal Dillon project?

Can you do in excel please and show Formulas

The Air Marshal Co. has recently completed a $10,000,000 two-year marketing study.  Based on the results of this study, Air Marshal has estimated that 800 units of its new security electro-optical human scanning hardware, known as "Marshal Dillon," could be sold annually over the next 12 years, at a price of $110,000 the first year with an estimated 2% annual rise from inflation in years 2-6.  The sales price is expected to drop to $90,000 in year 7 due to increasing competition with 2% annual increase for year 8-12.  Variable costs per unit are $45,000 with an estimated 4% annual rise from inflation in years 2-12 and incremental cash fixed costs total $15 million per year all 12 years.   

Start-up costs include $120 million to build production facilities and an additional $10,000,000 for shipping and installation costs, $25 million for land, and net operating working capital is projected to be 12% of next year sakes. The production facility will be depreciated on a straight-line basis to a value of zero over the twelve-year life of the project.  At the end of the project's life, the facilities (including the land) will be sold for an estimated $25 million.  The value of the land is not expected to change during this time period.

Finally, start up would also entail one-time tax-deductible cash expenses of $5 million at year zero.  Air Marshal is an ongoing, profitable business and pays taxes at a 32% rate.  Air Marshal has a 10% opportunity cost of capital for projects such as this one.  

Be sure to answer to the following questions and express your numbers in millions of dollars where appropriate.   If your annual income should be a loss, assume that tax could be saved from other profitable parts of the company.

1. Please estimate the cash flows for all 12 years and provide a detailed statement of projected cash flows, as was done in the sample quiz solution.
2. Calculate the following for the project:  NPV, IRR, and MIRR.
3. Should Air Marshal proceed with the Marshal Dillon project?