Friday, January 12, 2018

Imagine that you are a health policy analyst for a state that has not elected to expand Medicaid as part of the Affordable Care Act (ACA).

Assignment 1: Medicaid Expansion Grad School Paper Due Week 3 and worth 300 points
Imagine that you are a health policy analyst for a state that has not elected to expand Medicaid as part of the Affordable Care Act (ACA). You have just been notified that the state leaders have agreed to reconsider their decision during an upcoming session. Go to the Kaiser Family Foundation Website, at www.kff.org, and The Commonwealth Fund website, at http://www.commonwealthfund.org/publications/blog/2014/mar/medicaid-expansion-alternative-state-approaches, for additional information on Medicaid expansion.
Write a three to four (3-4) page paper in which you: 1.Identify a state that has not elected to participate in the Medicaid expansion initiative under the Affordable Care Act. Critically analyze the implications of the state’s decision to opt out of Medicaid expansion on the citizens of the state. 2.Compare the potential opportunities and challenges of a state’s decision to opt into the Medicaid expansion. 3.Explore two (2) alternate approaches to expanding access to care that have been implemented or considered by states opting out of Medicaid expansion. Compare and contrast the two (2) alternate approaches to the Medicaid expansion initiative. 4.Provide a recommendation to the state legislature on whether or not the state should opt in to the Medicaid expansion. Provide a rationale for your recommendation. 5.Use at least three (3) recent (within the last five [5] years), quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements: •Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. •Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are: •Develop policies that ensure compliance of healthcare delivery systems with current legislation. •Apply decision-making models to address difficult management situations. •Use technology and information resources to research issues in Health Care Operations Management. •Write clearly and concisely about Health Care Operations Management using proper writing mechanics.
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Evaluate the market and demographic data provided in the scenario. Include and discuss the SWOT analysis.

Resources: Week Two SWOT Analysis assignment, Week Three Staffing Matrix, and Week Four Business Recommendation assignment
Now it is time to put all of the elements of your business plan together and present it to the governing board of the Community Hospital. This board is comprised of the president of the organization, four business leaders from the community, and three leaders of the medical staff.
Create a 12- to 15-slide Microsoft® PowerPoint® presentation that summarizes your business plan. Include the following in your presentation:
Evaluate the market and demographic data provided in the scenario. Include and discuss the SWOT analysis. Indicate the location you selected for the urgent center and why. Analyze the type of corporation proposed for the center. E.g., department of the hospital or an LLC Evaluate the equipment and technology needed at the center to deliver the intended services. Do you recommend leasing or purchasing the equipment? How does your recommendation impact the revenue and expenses? Analyze quality management elements applicable to the center and the proposed services. How you will monitor the quality of care at the center? Analyze financial information needed to sustain the center What are your projected revenue, expenses, and staffing figures? Provide your final recommendation for the center based on your business plan analysis. Format your assignment according to APA guidelines. Include a title slide, detailed speaker notes, and a references slide.
If you use resources outside of the information provided in the assignment, be sure to cite your references using correct APA formatting.
Click the Assignment Files tab to submit your assignment.
Materials Business Plan Scenario Copyright ©2017 by University of Phoenix. All rights reserved.
All trademarks are property of their respective owners. See the list of trademarks used in this course.
Resources: Center for Writing Excellence Reference and Citation Generator Grammar and Writing Gu
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Community Hospital is a 180-bed acute care hospital that is qualified as a not-for-profit facility.

HCS 449 Capstone Business Plan Scenario
Background
Community Hospital is a 180-bed acute care hospital that is qualified as a not-for-profit facility. The hospital was originally a county-owned facility and transferred status to an independent facility three years ago. The hospital receives no external funding from governmental agencies for operations. The hospital is accredited by The Joint Commission and received reaccreditation during their triannual survey last year. The hospital has an aggressive quality management program and a low volume of medical malpractice claims. The hospital is located in Bedford, which is a city of 50,000 people with 80,000 people in the regional market. The hospital provides a general range of acute care services including medical and surgical, rehab and emergency care. The president of the hospital has asked you to evaluate the feasibility of establishing an off-site urgent care center at a local mall. You will use data provided in this scenario to make your decisions and recommendations.
Current Performance Analysis Mission and Vision
Our Mission- To improve health by providing high-quality care through a comprehensive range of services. Our Vision- Community Hospital and its affiliates will be the health care provider of choice for physicians and patients. Our five-year vision is to create a large, multispecialty physician practice system that would include at least six family practice physicians and specialists in cardiology, oncology, and women’s services. Currently the hospital employs three family practice physicians, one obstetrician, one medical oncologist, and one non-invasive cardiologist.
Market Forces Affecting Hospital
Volumes
Patients
The continued growth of chronic disease will require changes to the care management model. Percent of population by age: Five years ago Five years from now Under 18 24 18 18 to 44 46 32 45 to 65 26 30 Over 65 4 20
Over 53% of residents have at least some college education, with just over 29% possessing an associates, bachelors, or graduate degree. Over 90% of residents possess at least a high school diploma. The average unemployment rate in the county is currently 9.9%: Market share distribution percentage with major competitor: Five Years Ago Last Year Community Hospital 48 35 Competitor 30 43 Out of County Hospitals 22 22
Patient Origin by Zip Code
Payment
Continued focus on pay-for-performance and increased wellness programs. Affordable Care Act creating more covered lives, however often with high deductibles. The median household income for county residents is $59,548. On average, households in county earn more than the state median household income of $44,446 and more than the national average of $53,650. The addition of a new automotive manufacturing plant to the local market this coming year is projected to add 1,500 production line jobs and 300 administrative jobs by year end. Median income for the production positions is estimated at $45,000 and will provide health, vision, and dental insurance benefits.
As part of your review of this data, consider that a portion of the population will become Medicare eligible, the addition of manufacturing positions that include benefits will increase commercial insurance coverage and changes from the Affordable Care Act will increase the number of patients in the market with insurance coverage. Employers Expected growth in large employers with addition of automotive factory in northwest sector of county. Physicians Continued shortage of medical staff, especially in orthopedics, oncology, and primary care will require increased recruitment efforts. Competitors Other hospital in county, Hanover County Hospital, has an updated facility, which has drawn more market share to their facility.
Competitor Key Areas of Competition New Programs and Facilities Risk to Market Share Primary Competitors Hanover County Hospital Facility upgrade
Quality Scores Significant renovation of core hospital to update aesthetics
Added new wide-bore MRI machine last year
Reaching 95% percentile in five of six HCAPS categories Drawing patients to newer facility
Accommodates heavier patients
Patient perception of higher quality and patient satisfaction Medical Center in county south of Stevens Physician clinics
Financial stability E-visits with specialists
Low debt and high cash on hand Drawing patients out of primary and specialty care at Stevens
Ability to cash flow projects Secondary Competitors Retail pharmacy instant clinic Low acuity office visits Pharmacy added instant clinic in north end of county 6 months ago Loss of patients from primary care physicians practices
Technology Addition of e-visits by large hospital system in adjoining county has drawn more market share to their physician practices. Regulatory Changes Health care reform through the Affordable Care Act has increased the number of patients with some form of insurance payment. These patients are now seeking care in greater numbers from a primary care physician. Community Hospital currently struggles with accommodating patient scheduling requests to establish care with a primary care physician.
Financial summary
This year Last year Operating Revenues Net revenues from services to patients 343,737,280 344,726,245 Other operating revenues 16,846,309 20,311,534 Total operating revenues 360,583,589 365,037,779
Operating Expenses Salaries and benefits 192,053,379 182,853,245 Supplies and other expenses 130,173,477 135,560,131 Depreciation 18,969,799 20,644,157 Interest 2,695,623 2,226,437 Foundation 628,184 1,182,308 Total operating expenses 344,520,462 342,466,278
Income from Operations 16,063,127 22,571,501
Urgent Care Location Options
Location One is located at a strip mall on the north side of town with a twenty-minute drive to the main Community Hospital campus. The potential lease space is a vacant storefront that previously housed a video store. The building is mostly an empty shell that would require $30,000 in renovation to create acceptable medical office space with four exam rooms. Lease cost of location is $3,000 per month for a total of 1,800 square feet. Utilities are not included in the lease rate.
Location Two is located at a strip mall location on the south side of town with a thirty-minute drive to the main Community Hospital campus. The lease space is a vacant grocery store. The building is mostly an empty shell that would require $35,000 in renovation to create acceptable medical office space with four exam rooms. However, the total space is very large, at 5,000 square feet, so there are other options available that could also be housed in that space. Lease cost of location is $6,500 per month for a total of 5,000 square feet. Utilities are not included in the lease rate. The owner is not willing to subdivide the space for lease by multiple parties.
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Proposed Methods (1 double-spaced page) a. Proposed design of the study b. Proposed participants (sample) you would use c. Proposed materials and apparatus d. Description of procedure

Directions: Be sure to save an electronic copy of your answer before submitting it to Ashworth College for grading. Unless otherwise stated, answer in complete sentences, and be sure to use correct English, spelling, and grammar. Sources must be cited in APA format. Your response should be four (4) double‐spaced pages; refer to the “Format Requirementsʺ page for specific format requirements.
In Lesson 4, you submitted a review of the literature (article summaries), a proposed research question, and a hypothesis related to the topic of self-directed learning.
Read over all the comments and suggestions you received for your past submission. Use these comments to improve your final submission. Review the grading rubric to make sure you have included all the necessary components.
For this assignment, you will submit the remainder of the research paper, including the components below:
1. Proposed Methods (1 double-spaced page) a. Proposed design of the study b. Proposed participants (sample) you would use c. Proposed materials and apparatus d. Description of procedure
2. Proposed Results (1 double-spaced page) a. What statistical analysis you will use to analyze your results b. Any supplemental analysis you might run if your hypothesis was not supported c. A figure of your predicted trends (remember to keep it in APA style)
3. Proposed Discussion (2 double-spaced pages) a. A restatement of hypotheses and whether they were supported (based on your proposed results) b. Connecting your results to past research c. Alternative explanation for results d. Limitations of research e. Generalizability of findings
4. References
Grading Rubric
Please refer to the rubric on the next page for the grading criteria for this assignment.
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academic, peer-reviewed references that are relevant to and support the deliverable.

Complete the following for this assignment:: Read CASE 2-5 in Chapter 2 of your text. Read CASE 3-4 in Chapter 3 of your text. Read CASE 6-7 in Chapter 6 of your text. Read CASE 7-2 in Chapter 7 of your text Read CASE 9-3 in Chapter 9 of your text. Prepare a case brief for each case. Refer to this Web page http://www.4lawschool.com/howto.htm when preparing your case brief. Include 5–7 academic, peer-reviewed references that are relevant to and support the deliverable.
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Presentation of Strategy Audit Findings In this assignment, integrate all the pieces of work you have drafted and formally turn it into the capstone strategy audit.

Attach is my work to do this assignment please read the comments on each assignment bc i didnt do well so i need your best on this assignment please dnt copy word from word bc it will be plag. i need a A+ on this assignment please read everything
Assignment 2: LASA 2—Presentation of Strategy Audit Findings In this assignment, integrate all the pieces of work you have drafted and formally turn it into the capstone strategy audit. In previous assignments, you performed multiple, specified analyses of your company (or any company of your choosing). Those individual analyses provide the needed research to successfully complete the following LASA.
Part I: Strategy Audit Report
Using the tools and framework learned in class and throughout the program, prepare a 15-page strategy audit of your company with a companion presentation. The strategy audit is a comprehensive analysis of the company’s business strategy and operating performance, and culminates in a series of recommendations for improving your company’s performance based on the findings and conclusions of your analysis.
A strategy audit involves assessing the actual direction of a business and comparing that course to the direction required to succeed in a changing environment. A company's actual direction is the sum of what it does and does not do, how well the organization is internally aligned to support the strategy, and how viable the strategy is when compared to the external market, competitors, and financial realities. These two categories, the internal assessment and the external or environmental assessment, make up the major elements of a strategy audit.
In your strategy audit:
Provide a high-level analysis of the company’s business strategy and operating performance. Be sure to complete the following: Analysis of the company value proposition, market position, and competitive advantage External environmental scan/five forces analysis Internal environmental scan/organizational assessment SWOT Analysis Balanced scorecard/strategy scorecard Recommend specific tactics for improving your company’s strategic alignment and operating performance. Recommendations can include but are not limited to tactics in marketing, branding, alliances, mergers/acquisitions, integration, product development, diversification or divestiture and globalization (if you recommend your company go global, you must include a supply chain analysis and an analysis of your firm’s global capabilities). Explain how the recommendations will help the company achieve its strategy and vision. You are to write this report as though you are a consultant to your company, and are addressing the executive officers of this company. You will collect and analyze a large amount of data in producing your report, but your final product will be condensed and focus on presenting your analysis findings and conclusions.
Your report should consist of the following sections in the given order.
Executive summary (1 page): A concise and insightful summary of the significant findings of your analysis and the recommendations you have for your executive team. Strategic issues and recommendations (5 pages): Identify 5–7 most important strategic issues facing your business unit. Strategic issues arise from a mismatch between internal capabilities and external trends such that important opportunities are not being pursued or significant external threats are not being addressed under the current strategy. The strategic issues list should integrate your SWOT analysis, your Five Forces analysis, and the organizational assessment and external environmental scan completed earlier during the course. These detailed analyses are the foundation for your final set of findings and recommendations presented to the executive team.
In developing your recommendations for addressing each strategic issue, consider misalignments that might be apparent in different operating areas:
Product portfolio: Are there changes to the target market segment, value proposition, or positioning of the product or service line needed? Structure: Are the organizational roles and responsibilities, decision-making authority, skill requirements, and work assignments properly configured and aligned to support the strategy? Organizational culture or behavior: Does the organizational culture inspire behaviors that support the strategy? Are the mission, vision, and values clearly articulated and aligned with the strategy? What new behaviors are needed? Value chain activities: Does the organization value chain fully align with the strategy? Are their activities that should be added, eliminated, or modified significantly? Performance measures: Do the organization’s performance measures focus on the key drivers of strategic success? Is there a strategy scorecard that ties the main elements of the strategy to specific operating capabilities, including goals and key performance indicators (KPIs) that give an indication of incremental or predictive progress toward reaching strategic goals? Your recommendations should fall into these general categories, but should be specific in terms of scope and expected impact.
These sections have been completed earlier in the course, and should appear as appendices:
SWOT analysis (2 pages—completed in Module 4): SWOT matrix illustrating strengths, weaknesses, opportunities, and threats. Balanced strategy scorecard (4 pages—completed in Module 4): Develop a Balanced Scorecard for your business unit that reflects the key drivers for your business strategy. Organizational assessment (3 pages—completed in Module 3) External environmental scan and five-forces analysis (3 pages—completed in Module 2) Market position analysis (3 pages—completed in Module 1) Use information from your previous assignments to support your conclusions and recommendations and conduct additional research when needed. Make sure you properly reference and cite so that the location of information is clear.
Submit your 15-page report in Word format. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M5_A2.doc.
Part II: Companion Presentation
Finalize the companion with a 10-slide Power Point Presentation that summarizes the audit and recommendations in a compelling manner that persuades senior management to explore and possibly implement your recommendations. The elements of the presentation should include the following:
Title Agenda Summary of audit Recommendations Key measurements Risks and benefits Call to action Next steps By the due date assigned, deliver your report and PowerPoint presentation to the M5: Assignment 2 Submissions Area. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M5_A2.ppt.
This assignment is worth 300 points and will be graded using the LASA rubric you can download.
Assignment 2 Grading Criteria
Assignment Components Proficient Score Content Knowledge: Application Component 1
Communicates the ability to summarize the significant findings of your analyses. A concise and insightful summary of the significant findings of your analysis findings and the recommendations you have for your executive team.
CO 1,3
PO 1.1, 1.2, 1.3, 2.1, 2.3, 3.1, 3.2, 3.3
ILO 1, 3, 6
Response demonstrates a working command of the disciplinary content knowledge.
Response examines the specific issue within the context of the topic area using relevant details and examples.
Response analyzes the specific aspect of the issue to applicable areas within the discipline and their relevance to real world contexts.
Response is adequately supported by current and relevant literature. 80 pts Content Knowledge: Application Component 2
Communicates the ability to identify the most important Strategic Issues facing your business unit.
CO 1,4
PO 1.1, 1.2, 2.1, 2.2, 2.3, 3.3, 4.1, 4.2
ILO 1, 3, 5, 6
Response demonstrates a working command of the disciplinary content knowledge.
Response examines the specific issue within the context of the topic area using relevant details and examples.
Response analyzes the specific aspect of the issue to applicable areas within the discipline and their relevance to real world contexts.
Response is adequately supported by current and relevant literature. 40 pts Content Knowledge: Application Component 3
Communicates the ability to represent all misalignments found in the following categories:
Product portfolio Structure Organizational culture/behavior Value chain actions Performance measures CO 2,3
PO 1.1, 1.2, 1.3, 2.2, 2.3, 3.1, 3.2, 3.3, 4.3
ILO 1, 3, 6
Response demonstrates a working command of the disciplinary content knowledge.
Response examines the specific issue within the context of the topic area using relevant details and examples.
Response analyzes the specific aspect of the issue to applicable areas within the discipline and their relevance to real world contexts.
Response is adequately supported by current and relevant literature. 40 pts Content Knowledge: Application Component 4
Communicates the ability to provide recommendations for a Strategic Issue and explain how it will resolve the issue.
CO 1, 2, 3
PO 1.1, 1.2, 1.3, 2.1, 2.2, 2.3, 3.1, 3.2, 3.3, 4.3
ILO 1, 3, 6
Response demonstrates a working command of the disciplinary content knowledge.
Response examines the specific issue within the context of the topic area using relevant details and examples.
Response analyzes the specific aspect of the issue to applicable areas within the discipline and their relevance to real world contexts.
Response is adequately supported by current and relevant literature. 40 pts Content Knowledge: Application Component 5
Communicates the ability to provide an Executive Summary and Recommendations, Synthesis and Presentation
CO 1, 2, 3
PO 1.1, 1.2, 1.3, 2.1, 2.2, 2.3, 3.1, 3.2, 3.3, 4.3
ILO 1, 3, 6 Response demonstrates a working command of the disciplinary content knowledge.
Response examines the specific issue within the context of the topic area using relevant details and examples.
Response analyzes the specific aspect of the issue to applicable areas within the discipline and their relevance to real world contexts.
Response is adequately supported by current and relevant literature. 60 pts Written Communication/Personal Effectiveness
Conveys through written word understanding and application of an Executive Summary, Strategic Issues recommendations, SWOT analysis, Balanced Scorecard, Organizational Assessment, External Environment Scan, Market Position Analysis.
CO 1
PO 1.1, 1.2, 2.1, 2.3, 3.3
ILO 1, 3, 6
Writing is concise and clear in content, language use, grammar, organization, and sentence structure.
Writing is free of major grammatical and usage errors. 20 pts Oral Communication/Personal Effectiveness
Conveys through oral communication understanding and application of 10-slide Power Point Presentation.
CO 1
PO 1.1, 1.2, 2.1, 2.3, 3.3
ILO 1, 3, 6
Presentation is concise with a logical flow of thought;
Content includes clearly articulated key points that are free of major errors.
Presentation is visually appealing and addresses audience considerations adequately. 20 pts
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In the state (Arkanas) you plan to practice, what are the laws about physician supervision/oversight?

 In the state (Arkanas) you plan to practice, what are the laws about physician supervision/oversight? Where do you go to determine your sc...