Identify potential challenges, benefits, trends related to the OB/GYN units performance.
Scenario
You are the CFO of a rural hospital. During a recent review of the organizations financial status, the hospital was deemed at risk for closure. Several factors contribute to the at-risk designation, including the states decision to opt-out of the Medicaid expansion program, the aging population which requires more expensive care, and the changes in reimbursement from Medicare. These challenges have resulted in rural facility closures across the country. As part of the strategic management team, you are charged with reviewing various facility units and making recommendations that may avoid closure. You determine that based on the profitability reports, the OB/GYN unit of the facility is underperforming in several key financial areas.
Instructions
In a written proposal to the hospital CEO, Administrator, and CMO, discuss the following:
Identify potential challenges related to the OB/GYN units performance.
Explain potential trends in the community impacting health consumer utilization patterns.
Explain the potential benefits of reorganization within the unit and how reorganization could improve its financial status.
Recommend a course of action and the implications that those actions will have for patients, providers, and investors (i.e., how might closure affect the community or how might new service offerings, such as midwife services, improve profitability).
What screening tests should be obtained to determine the risk for preterm labor?
Case Study: A 25-year-old presented to the labor and delivery unit with complaints of uterine cramping and lower back pain. The client denied any vaginal bleeding and had a history of preterm birth at 32 weeks (about 7 and a half months) gestation with her last pregnancy. The baby from that pregnancy is three years old has no developmental issues. The client’s gestational age is 30 weeks (about 7 months). She is O+, and all other lab values are normal. No evidence of sexually transmitted infections (STI’s).
(Group Beta Strep is missing from the labs and most often is obtained at 35 – 37 weeks (about 8 and a half months) gestation. Without this information, it is often determined to treat the patient anyway, to protect a premature baby from the risk.)
What additional information should the nurse obtain from the client?
What nursing intervention is most appropriate in this situation?
What screening tests should be obtained to determine the risk for preterm labor?
If the client is in preterm labor, what medications would the nurse expect to be ordered, and what are the priorities for the nurse to assess post-administration? (Include dose, side effects and expected outcomes of the medication).
Review Understanding The Time Value of Money to attain more information on how the value of money is based on time.
Money has different values based on time. Money in your pocket has a current value, but money owed to you has a varying value based on how sure it is that you will receive it and when. It is possible to estimate its value. In this assignment, you will analyze the value of money on the basis of this Weeks learning.
Review Understanding The Time Value of Money to attain more information on how the value of money is based on time.
Find the following values for a lump sum assuming annual compounding:
The future value of $500 invested at 8 percent for 1 year
The future value of $500 invested at 8 percent for 5 years
The present value of $500 to be received in 1 year when the opportunity cost rate is 8 percent
The present value of $500 to be received in 5 years when the opportunity cost rate is 8 percent
Analyze present and future values and their implications for the balance sheet and the budget of an organization.
Understanding the Time Value of Money (investopedia.com)
cite your sources in your work and provide references for the citations in APA format.
Your assignment should be addressed in a 2- to 3-page document.
Describe Advocacy AgenciesVolunteer Agencies.
Coordinating AgenciesTask 1Read and/or view all items under the Required Resources Section of this module. Describe Advocacy AgenciesVolunteer Agencies.Local BusinessesOther resources not already listed but could be used as resourcesPlease be mindful that the section titled “Local Businesses” should be specific to your area. Organizations such as The American Red Cross, Habitat for Humanity, etc. are not local businesses. They are branches of a national organization. In addition, local businesses should not be government entities or non-profits. They must be for profit businesses local to the area that could help in a disaster. Examples of local businesses are veterinary offices, local banks, diners, etc.In completing this proficiency, you should list the proper name of the resources (if different than listed) and add additional resources that fit in one of these areas or add an area. Please provide an actual phone number, the main office number (if different than the phone number), a phone-down method of contact (if available), and any notes that may be helpful to know about that resource in a crisis. This is a Communications List that you can use throughout your career if you are in the same local community. Even if you move from the area, this resource list can be a template for your next job.
Characterize ethical decisions.
Characterize ethical decisions. every day. Some decisions are made without much thought. Some decisions have greater consequences than others. 1) What would you do in this dilemma? A bank teller gives you $5 too much money in your cash withdrawal. Do you return the $5? Why? Why not? What if you are given $100 too much cash? There are also ethical considerations for speakers and listeners in public speaking situations.2) While researching for your persuasive speech, you find a quotation from an article by a highly respected expert that will nail down one of your main points. But as you read the rest of the article, you realize that the author does not support the policy you are advocating. Do you still include the quotation in your speech? Why or why not? 3) Take the listening self evaluation, What was your score? Then, view Julian Treasure’s speech, 5 ways to listen better Try one or two of the exercises and share your experience. (Yes, you must actually try one of these exercises). Which exercise do you find the most helpful? Why?4) Engage in discussion with two classmates. Work together to make sure everyone has at least one classmate response. Don’t forget to read what others say to you. 5 ways to listen better:
Define the highlighted terms in your own words. erythema and alopecia (4 points)What diagnostic tests did the dermatologist perform? Describe them in your own words. Why were they important in helping the dermatologist make a diagnosis?
Case Study Scenario The internist recommends a dermatology workup for a suspected SLE (Systemic Lupus Erythematosus) in her 40-year-old female patient. The patient presents symptoms, including erythema rash across her cheeks and nose, photosensitivity resulting in a raised rash in sun-exposed areas, patches of alopecia, and pain and stiffness in her joints. The dermatologist examines the patient and orders exfoliative cytology and fungal scrapings to rule out other sources of the rash. Her internist had already placed the patient on oral anti-inflammatory medication for joint pain. The dermatologist orders corticosteroid cream for the rash. The patient is advised to use sunscreen and make a follow-up appointment for the results of the biopsy.The Red-Faced Runner Case Study QuestionsWhat pathological condition does the internist think this patient might have? Look this condition up in a reference source, and include a short description of it. SLE is an autoimmune disease. Use a reference source to look up the name of another autoimmune disease. Define the highlighted terms in your own words. erythema and alopecia (4 points)What diagnostic tests did the dermatologist perform? Describe them in your own words. Why were they important in helping the dermatologist make a diagnosis?Each physician (internist and dermatologist) initiated a treatment. List and describe them in your own words. What do you think the term workup means?
develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.
Provide the following criteria in the evaluation, making sure it is comprehensive and concise:
Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.
Select a statistical test for your project and explain why it is best suited for the tool you choose.
Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.
Propose strategies that will be taken if outcomes do not provide positive or expected results.
Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.
Refer to the Evidence-Based Practice Project Proposal Assignment Overview document for an overview of the evidence-based practice project proposal assignments.
You are required to cite a minimum of five peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.
Potray an analysis on the potential barriers to the successful communication of its intended message.
Interoffice Memo
The following memo is from an exasperated manager to her staff. Obviously, this manager does not have the time to clean up her writing or another set of eyes to review her written material before mailing it.
From:
Albertina Sindaha, Operations Manager
To:
All Employees
Subject:
Cleanup!
Message
You were all supposed to clean up your work areas last Friday, but that didn’t happen. A few people cleaned their desks, but no one pitched in to clean the common areas.
So we’re going to try again. As you know, we don’t have a big enough custodial budget anymore. Everyone must clean up himself. This Friday I want to see action in the copy machine area, things like emptying waste baskets, and you should organize paper and toner supplies. The lunch room is a disaster area. You must do something about the counters, the refrigerator, the sinks, and the coffee machine. And any food left in the refrigerator on Friday afternoon should be thrown out because it stinks by Monday. Finally, the office supply shelves should be straightened.
If you can’t do a better job this Friday, I will have to make a cleaning schedule. Which I don’t want to do. But you may force me to.
-Albertina Sindaha
An assessment of the effectiveness of the memo with respect to its tone.
An analysis on the potential barriers to the successful communication of its intended message.
A revised memo with improved structure using polite and firm tone consistently.
What was the Wikipedia communitys reactions to your edits?
WikipediaDirectionsforeditedarticles.docx
Consider
What was the Wikipedia communitys reactions to your five edits? Did your comments make the Revision History? Did you get deleted, asked for more supporting references, or overlooked completely? How do you feel about the changes or adoption of your edits?
Share
a copy of your original changes and the Wikipedia editor’s reactions for your classmates consideration in this Discussion. Reflect on your Wikipedia experience. Has this project changed your opinion of community-based credibility? When/if you become a teacher, how will you teach your students to use Wikipedia? And what do you think of
Wikiversity
Describe types of changes than organization could experience during organizational change planning.
Organizational Change Planning
You are a leader of a large bank organization. Your organization is acquiring another regional bank which may involve major changes in policies and procedures including human resources as you merge the two organizations. You have scheduled a planning session with your top managers.Develop a planning document for the meeting. The document should be in standard APA format and address the following:
· Describe the types of change the organization could experience and how to create procedures for dealing with each.
· An analysis of potential change approaches to implement these changes in both organizations.
· Recommendations for dealing with resistance to change.
This document must adhere to the following parameters:
· Be at least 3-4 pages in length.
· Be supported by 3-4 scholarly credible references; all facts must be supported; in-text references used throughout the assignment must be included in an APA-formatted reference list.
· Also make use of the following resources and incorporate them into your assignment as cited references.
o Anexander, S., & Wakimoto, D. K. (2020). Leading others to lead: The importance of staff empowerment in times of changeLinks to an external site.. Library Leadership & Management, 34(2), 110.
o Samal, A., & Chatterjee, D. (2020). Rethinking organizational change: Towards a conceptual frameworkLinks to an external site.. South Asian Journal of Management, 27(2), 3053.
o Banerjee, D., & Lowalekar, H. (2021). Communicating for change: A systems thinking approachLinks to an external site.. Journal of Organizational Change Management, 34(5), 10181035.
