Week 12 Discussion: Your Organization's Healthcare IT Governance Structure

Case Study p. 498

Imagine that you've been hired as the Chief Information Officer (CIO) of an academic health care system. The health care system consists of several large hospitals and several dozen outpatient clinics, all using the same EHR system. There is an affiliated but independent physician practice group as well as a School of Medicine with a strong research focus. The current health IT governance structure is as described in Figure 29.2, p. 496, except that the current committees function independently of one another, and as a result, health IT resources are being overwhelmed by requests coming from a variety of sources, each with its own priorities list.

As one of your first tasks on the job, you have been asked to lead the formulation and implementation of a new health IT governance structure. The effectiveness of the new governance structure will be critical to your success and the success of the institution as a whole.

1. How would you go about assessing the current state of health IT governance and your organization's health IT governance capabilities?

2. What issues would you need to consider in recommending improved Health IT governance at your institution?

3. How could the informatics governance at your institution be more centralized to allow an enterprise-wide approach to prioritizing informatics effort?

4. From your reading in chapter 28, outline the basic health policy competencies for health informatics leaders.

5. Describe the policy concerns regarding the use of health IT to improve healthcare quality in control costs as the American health-care system move from HITECH to MACRA.

6. Outline the process for developing and implementing informatics policy.

7. Describe four strategies for leaving policy activities through organizational work and leadership.

The previous problem demonstrates that removing individual differences can substantially reduce variance and lower the standard error. However, this benefit only occurs if the individual differences are consistent across treatment conditions. In problem 21, for example, the participants with the highest scores in the more-sleep condition also had the highest scores in the less-sleep condition. Similarly, participants with the lowest scores in the first condition also had the lowest scores in the second condition. To construct the following data, we started with the scores in problem 21 and scrambled the scores in treatment 1 to eliminate the consistency of the individual differences.

Number of Academic Problems

Student                  Above Average Sleep          Below Average Sleep

A                                             10                                            13

B                                              8                                              14

C                                              5                                              13

D                                             5                                              5

E                                              4                                              9

F                                              10                                            6

G                                             11                                            6

H                                             3                                              6

a. Treat the data as if the scores are from an independent-measures study using two separate samples, each with n = 8 participants. Compute the pooled variance, the estimated standard error for the mean difference, and the independent-measures t statistic. Using a two-tailed test with α = .05, is there a significant difference between the two sets of scores? Note: The scores in each treatment are the same as in Problem 21. Nothing has changed.

b. Now assume that the data are from a repeated measures study using the same sample of n = 8 participants in both treatment conditions. Compute the variance for the sample of difference scores, the estimated standard error for the mean difference and the repeated-measures t statistic. Using a two-tailed test with α = .05, is there a significant difference between the two sets of scores? (You should find that removing the individual differences with a repeated-measures t no longer reduces the variance because there are no consistent individual differences.)

5 part a) The business college computing center wants to determine the proportion of business students who have personal computers (PC's) at home. If the proportion exceeds 35%, then the lab will scale back a proposed enlargement of its facilities. Suppose 300 business students were randomly sampled and 85 have PC's at home. Find the rejection region for this test using α = 0.10.

A) Reject H0 if z > 1.645 or z < -1.645.

B) Reject H0 if z = 1.28.

C) Reject H0 if z < -1.28.

D) Reject H0 if z > 1.28.

part b) A random sample of 10 parking meters in a resort community showed the following incomes for a day. Assume the incomes are normally distributed. Find the 95% confidence interval for the true mean. $3.60 $4.50 $2.80 $6.30 $2.60 $5.20 $6.75 $4.25 $8.00 $3.00

A) ($1.35, $2.85)

B) ($3.39, $6.01) C)

($2.11, $5.34) D)

($4.81, $6.31)

part c) Health care issues are receiving much attention in both academic and political arenas. A sociologist recently conducted a survey of senior citizens whose net worth is too high to qualify for government health care but who have no private health insurance. The ages of 25 uninsured senior citizens were as follows:

71 76 69 79 89 77 64 92 68 93 72 95 79 65 84 66 71 84 73 76 63 90 78 67 85 Find Q1 of the data.

A) 68

B) 76.5

C) 69

D) 68.5

part d) If one card is drawn from a standard 52 card playing deck, determine the probability of getting a ten, a king or a diamond. Round to the nearest hundredth.

A) 0.37

B) 0.31

C) 0.29

D) 0.40

Assignment 2: Audit Planning and Control


It is common industry knowledge that an audit plan provides the specific guidelines auditors must follow when conducting an external audit. External public accounting firms conduct external audits to ensure outside stakeholders that the company’s financial statements are prepared in accordance with generally accepted accounting principles (GAAP) or International Financial Reporting Standards (IFRS) standards.

Use the Internet to select a public company that appeals to you. Imagine that you are a senior partner in a public accounting firm hired to complete an audit for the chosen public company.

Write a four to six (4-6) page paper in which you:

1. Outline the critical steps inherent in planning an audit and designing an effective audit program. Based upon the type of company selected, provide specific details of the actions that the company should undertake during planning and designing the audit program.
2. Examine at least two (2) performance ratios that you would use in order to determine which analytical tests to perform. Identify the accounts that you would test, and select at least three (3) analytical procedures that you would use in your audit.
3. Analyze the balance sheet and income statement of the company that you have selected, and outline your method for evidence collection which should include, but not be limited to, the type of evidence to collect and the manner in which you would determine the sufficiency of the evidence.
4. Discuss the audit risk model, and ascertain which sampling or non-sampling techniques you would use in order to establish your preliminary judgment about materiality. Justify your response.
5. Assuming that the end result is an unqualified audit report, outline the primary responsibilities of the audit firm after it issues the report in question.
6. Use at least two (2) quality academic resources in this assignment.

A 25-year-old young woman is brought to the emergency department by the police after being found walking in traffic at a busy city intersection. The police place her on an involuntary commitment after she states that she was instructed to kill herself by accusatory, commanding voices. On examination the patient appears disheveled, with an indifferent and flat affect, and disorganized thought processes. She answers most questions monosyllabically. When questioned about experiencing auditory hallucinations she answers in the affirmative, but she is unable to articulate coherently the details of her experience. Throughout the examinations she appears intermittently distracted by internal stimuli; when asked what her experience is in the moment, she states: "They are talking to me." The patient's family reports that she became increasingly withdrawn after she moved away from home to attend graduate studies at a local university. The family reports that her academic performance in college was above average, but since starting university she has struggled to complete her school work. Since moving, she has also become more isolative: she made no new friends, stopped talking to her college friends, and maintained only sporadic contact with her family. The family was unaware of the patient experiencing any hallucinatory experiences. She had no past history of drug misuse and her urine toxicology screen was negative, effectively ruling out a drug-induced psychosis.

QUESTIONS:

1. What could have possibly triggered this young woman's episode?

2a. What are two differential or possible diagnoses for her?

2b. Briefly explain each of these possible diagnoses.

3. What are the evidences which have informed each of the two possible diagnoses you listed in #2?

4. What is this young woman's actual diagnoses, and explain possible treatment options

In the world of working parents and time – poor managers searching for some form of lifestyle balance, the consumption of plastic packaging is increasing every year. Many consumers and organisations alike, however, are choosing more environmentally friendly packaging options. While some supermarkets and retail stores are beginning to charge for plastic bags at the checkout, any use of plastic bags contributes to the landfill problems of both today and the future. With aim of supplying packaging with low carbon footprint, Green Way strategy is to develop biodegradable packaging made from 100 percent natural resources including sugar cane.

But Green Way strategy is not just focussed on providing biodegradable packaging to the corporate world for distribution to the businesses and consumer markets. Unlike most organisations, Green Way had launched its biodegradables packaging product with the deliberate intention of educating the broader community on the benefits of a world less reliant on oil and fossil fuel. With the goal of changing the way Australians use packaging, Green Way has also focused its strategy on educating Australians of what and how to consume in a sustainable manner. Consumers are coached on reducing their carbon emissions by composing and recycling, for example, to build a better and more sustainable future. This is the Green Way’s future vison for competitive advantage.

Question 1

Describe Green Way current strategy?

Question 2

List and discuss four (4) Green Way’s sustainable competitive advantages?

Question 3

Conduct a SWOT analysis of Green Way and discuss its opportunities & threats how this may impact its business?

Question 4

Do you think the Green Way business model is sustainable?

References required: 6 Academic sources as a minimum including peer reviewed journals and prescribed textbook.

Chapter Name: Argumentation-Persuasion

Requirements For the Essay

Course Competencies

This module addresses the following course competencies:

• Analyze types of writing, audience, and purposes.
• Write unified essays whose central ideas are expressed by clear thesis statements and topic sentences.
• Provide support for thesis statements and topic sentences through the use of relevant details, examples, reasons, facts, data, and quotations.
• Employ techniques, such as observing, recording, summarizing, analyzing, classifying, interpreting, comparing, defining, arguing, and/or instructing for effective college-level writing.
• Evaluate writing through revising, editing, and proofreading effectively to achieve coherence and avoid grammatical errors.
• Demonstrate appropriate writing competencies in advancing, addressing, and expressing ideas within academic disciplines.
• Apply the rules of standard grammar and usage to writing.

Objectives

After completing this module, you should be able to:

1. Identify the basic components of Argumentation-Persuasion.
2. Identify the various purposes of Argumentation-Persuasion.
3. Employ appropriate strategies and tools for an Argumentation-Persuasion essay.
4. Write an Argumentation-Persuasion essay.
5. Apply the rules of standard grammar and usage.
6. Evaluate writing for improved grammar use and coherence.

Essay on

For your initial post, pick an issue that you might argue, and identify the target audience for such an argument. Then, indicate what kind of appeal strategy (rational, emotional, or both) you would use to influence your audience. Explain why your strategy will prove to be successful with that target audience.

Note: I have to submit this before 11 pm today so can you please send me like in spam of 6 hours and issue or essay whatever you call it can be under 250 to 300 words thankyou.  

please ask any further questions if you have but please complete this before 11 pm

Lehman Bros Consulting Case You are to make an assessment of the issues within Lehman Brothers from 2000 until its' fall. You have access to all the material available in this field/discipline (remember to give credit). Consider this is an assignment you have been given as part of a consulting firm hired by the board to help Lehman Brothers. You are to write the Case as a consultant who is making an assessment of the issues in an organization. We have covered the environment, structures, individuals, and groups. Using the material found in “The Colossal Failure of Common Sense”, you are to provide an example of each of environment, structures, individuals, and groups from the book. You should identify examples or illustrations of the material we have covered and provide your reasoning for including those particular examples or illustrations. Four pages should begin to cover the material if you are diligent in your editing using APA. A simple outline of the case would be: Introduction to the case – should include a background of the case, and at least three major issues you have identified. An assessment of McDonald, as an individual, and the factors (from the information available to you) that may have provided the foundation for who he appears to be. As part of this assessment you should provide a recommendation for his employment and give your reasoning. Analysis of the issues in the case using class developed material to help with understanding. The analysis should include an understanding of the four major issues in OB (individuals, groups, structures, and the context), the multiple lens we view each of the issue through (the academic disciplines) and the multiple perspectives we use to understand and add value to organizations (internal and external). Recommendations you would make to the Board of Directors should include at a minimum your response to the issues you have pointed out in the introduction. You would want to consider all the components of the course in your case.

During the summer between his junior and senior years, James Cook needed to earn sufficient money for the coming academic year. Unable to obtain a job with a reasonable salary, he decided to try the lawn care business for three months. After a survey of the market potential, James bought a used pickup truck on June 1 for $1,340. On each door he painted "James Cook Lawn Service, Phone 471-4487." He also spent $740 for mowers, trimmers, and tools. To acquire these items, he borrowed $2,510 cash by signing a note payable promising to pay the $2,510 plus interest of $70 at the end of the three months (ending August 31). By the end of the summer, James had done a lot of work and his bank account looked good. This prompted him to wonder how much profit the business had earned. A review of the check stubs showed the following: Bank deposits of collections from customers totaled $12,500. The following checks had been written: gas, oil, and lubrication, $1,110; pickup repairs, $340; mower repair, $110; miscellaneous supplies used, $100; helpers, $5,500; payroll taxes, $360; payment for assistance in preparing payroll tax forms, $40; insurance, $125; telephone, $200; and $2,580 to pay off the note including interest (on August 31). A notebook kept in the pickup, plus some unpaid bills, reflected that customers still owed him $730 for lawn services rendered and that he owed $190 for gas and oil (credit card charges). He estimated that the cost for use of the truck and the other equipment (called depreciation ) for three months amounted to $670. Required: 1. Prepare a quarterly income statement for James Cook Lawn Service for the months June, July, and August. Assume that the company will not be subject to income tax.

Article

When kids are diagnosed with a learning disability we naturally worry about how it will affect their school performance. What we often don’t think about, but should, is how having a learning disability may affect children emotionally.

Not all kids with a learning disability become frustrated, sad, or anxious, but it is pretty common for kids to go through at least some period of emotional struggle. It isn’t easy for children when they see themselves falling behind their peers at school. Even if they pretend that they don’t notice or care, struggling in school can be a demoralizing experience. Here are some signs that kids might be struggling emotionally:

Lowered self-esteem

Increased anxiety, particularly in academic situations

Increased sadness or irritability

Acting out

Physical symptoms like headaches or stomach aches

Reduced motivation

Some of the signs, like crying or worrying, can be obvious, while others, like acting out, are more frequently misunderstood. Laura Phillips, PsyD, a neuropsychologist at the Child Mind Institute, explains the dynamic. “Sometimes kids would rather be the ‘bad’ kid than the ‘dumb’ kid, or they’d rather be the class clown. They’re either trying to divert attention away from their academic struggles or they’re trying to have the ‘I don’t care’ attitude as a way of saving face.”

In addition to getting kids help for a learning issue—strengthening skills and finding strategies that play to their strengths—parents should think about the emotional needs of a child. If you see signs that your child is struggling, try to understand what specifically is troubling him. Below are the three most common reasons why kids with a learning disability might feel bad, and what to do about them.

1. Kids think they are “dumb.”

This is a particularly big one during the period before a child has received a diagnosis. Children often notice if they aren’t learning at the same pace as the other kids, and can assume it is because they just aren’t smart. Unfortunately, kids can keep believing they aren’t smart to even after they are diagnosed with a learning disability.

What to do:

Make sure your child understands what a learning disability is.“Kids might not know, but by definition, a learning disability means that a student is of at least average intelligence,” explains Dr. Phillips. In fact, a learning disability is identified when an expert recognizes that a child is not performing up to her natural ability in a particular area. Hearing explicitly that a learning disability has nothing to do with intelligence can be very meaningful to kids.

Talk it through. Ideally you, your child, and whoever is working with your child should talk about the learning disability together. Sometimes parents think kids won’t understand, but a learning expert can help you find developmentally appropriate language to use.

Think about the messages you are sending. Children are very sensitive to their parents’ emotions, and if they sense that you are uncomfortable with their diagnosis, or that you think that having a learning disability is a bad thing, they will probably feel the same way.

Examine your own feelings. Because learning disabilities in children can be genetic, sometimes seeing a child struggling can also bring back difficult memories for parents, or make them feel guilty. You may want to schedule a separate appointment to discuss any questions or concerns you have with your child’s provider. The best way to help your child feel more positive is if you start feeling positive, too.

2. Kids feel like they stick out in class.

The last thing most kids want is to look different from their friends. So when kids get pulled out of class for help or called on by the teacher for something they’re afraid they can’t deliver, they may feel embarrassed and singled out. These experiences day after day can damage a child’s self-esteem and make her dread going to school.

What to do:

Ask teachers to be sensitive to how kids are feeling. Dr. Phillips says that she sometimes works with schools to help teachers understand how a particular student’s learning disability is impacting him emotionally. When a child is very anxious about reading, for example, she has advised teachers to wait for him to raise his hand and offer to read instead of calling on him blindly. If his teacher needs to assess his oral reading because it’s part of the curriculum, it might be better to do that privately. Students and teachers can also work out a subtle signal the student can use when he needs help or feels himself getting too frustrated.

Single kids out for praise, too. Kids who are struggling in school may feel like they are mostly getting negative attention. When teachers make a special effort to give kids positive attention for the things that they are doing right—even little things—it can improve their mood and confidence. Dr. Phillips notes this is also a powerful technique for teachers to use with a child who tends to act out to divert attention.

Find the right academic environment. Sometimes kids feel like they stick out because they need more assistance than they are currently getting. Work with the school and your child’s provider to consider what his needs are and if they are being met. He may need more accommodations, a different kind of help, or even a change of school. Dr. Phillips notes that there are some specialized schools that offer remedial support in school as part of an individualized curriculum rather than making it a separate after-school activity. These schools may also be better prepared to support each child’s specific social, emotional, and behavioral needs.

Question.....

1.Why did you choose this particular article?

2.What type of inclusion does this particular article cover (what kind of support is it giving and to whom)?

3.How could/would you use the information in your particular article/video?

4.Have you seen anything like this before? Do you think it could be effective in the classroom? Why or why not?

5.Why should someone else in class review your article?