American College of Californi

1- Virtual Presentation Gladys Conn

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At this juncture you should begin to review and prepare for the final assignment creating a care plan for Gladys Conn. Details and background topics related to this patient can be found across Modules 6, 7, and 8. 

As a video presentation or Powerpoint recording, identify your approach to leveraging technology to better care for and support patients undergoing Total Knee Arthroplasty (TKA). You should present a high level outline (3-4 slides) for how you would approach program development for this patient. Key themes include the impact of bundled payments, requirements to use certified EHR technology, and patient centric technologies (mobile apps and telehealth). 

Suggested platforms to create a shareable link include Kaltura (Media Gallery in Canvas), Google folders, or Microsoft Office Stream. All students in the class should be able to access the content! 

2- the final assignment;

This is an EHR Go example patient. Gladys is a 74-year-old retired teacher who remains active by volunteering at the school. She has multiple chronic health problems that she manages fairly well. She has just been transferred from the PACU to the Medical-Surgical unit following a left (total knee arthroplasty) TKA. Gladys will need an assessment, pain management, wound care, glucose monitoring, and routine post-op care following a TKA. Patient and family education is needed, as well as care planning. Using the chapter in the textbook Six Key Technologies to Support Accountable Careas your paper topics or subheadings, identify pathways for improvement in the care provided to Gladys. Dr. Glaser highlights areas including 1. revenue cycle management, 2. care management, 3. rules engines and decision support, 4. analytics and business intelligence, 5. systems for exchanging information, and 6. technologies that support patient engagement. Identify systems or technologies that help each of these areas. Think of this as an opportunity to create an organizational roadmap to support TKA patients. Your paper should be 6 -10 pages double spaced with a minimum of 5 external citations. 

To review information relevant to Gladys: https://web21.ehrgo.com/rd/?courseActivityId=217 (Links to an external site.)

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Below you will find previous student feedback on how to best approach this assignment.

Aaron C.

This assignment seems complex at first, especially if you are like me and have little medical background (and no idea what “TKA” stood for prior to this class). Saying that, when you break the assignment down into the themes we learned in this class, the assignment becomes much less intimidating! 

A simple breakdown of the assignment requirement forces you to analytically break down the relationship between Glaser’s 6 themes of accountable care with the EHR of a patient, Gladys. For this paper, I found three strategies most beneficial when mapping out responses to the prompt.

  • There is more to Healthcare than Quality Metrics

This paper asks us to evaluate these six themes and discuss how their implementation can have a positive impact on a patient, such as Gladys. When we talk about patient impact, there are often three primary goals of the health system: 1) improved quality of care, 2) increased access to care, and 3) reduced cost of care.Thus, when discussing each section, think of how the technologies can positively impact each of those categories in order to impact TKA patients. 

  • Look for Larger Themes to Discuss

In many of our past assignments, we are asked to take highly specific looks at a patient’s EHR. For this assignment, pay attention to the little details, but I would also recommend focusing on some larger takeaway themes from the EHR. For example, Gladys has follow up directives and orders to see a wide range of specialists. These specialists are also there for an important reason (an example being wound care, which is necessary to avoid infections). When looking at Glaser’s six themes, see how implementation of the technologies discussed can help aid the development of these larger concepts from the EHR.

  • Structure Your Arguments

To excel in the assignment, dig deep into the benefits of Glaser’s themes and apply them to specific TKA patient needs. For example, his section on emerging technologies gives a prime example on types of technology platforms (such as mHealth or telehealth) that can improve quality of care. The first way to discuss this in your paper is to give a brief overview of these technologies, and why a health system’s implementation of these technologies can lead to better quality metrics for a patient like Gladys. But do not stop there. Use Gladys’s EHR and other factors we know about her TKA procedure to explain why these technologies are important to specifically her. For example, how can telehealth impact someone who is elderly, or someone whose mobility is likely impeded by a TKA procedure? Tying the benefits of the technology themes to actual needs of a TKA patient can not only help you succeed on this paper, but also give you a better understanding of how providers can best respond to patient needs in a coordinated manner.

Outlining your paper is a great way to put these thoughts together. Try doing that to make all the concepts of this assignment fit together, and you are sure to succeed!

Ed C. 

  1. Thoroughly read the instructions and don’t overthink it. (I tend to have a problem with this and it makes the assignment seem larger than it is)
  2. Identify the overall theme and an outline of areas that would be germane to the topic. (Bullet List – order doesn’t matter at this point – Both of these were supplied for this assignment)
  3. Since this final paper had a related assignment the previous week in the form of a presentation, this helped with thinking about steps 1 & 2. (be sure to review feedback from the professor and include any feedback in the outline – if this were any other class/paper I would likely have sent the professor the outline and requested feedback)
  4. Depending on the quantity of references required and the breadth of the area I am writing about I tend to try for one or two references per double spaced page. (In this case I generally used one citing from the class text and one citing from a peer reviewed article or related technology website)
  5. Identify and read the associated articles in advance; be sure to note any reference information for in-text citations. (At this point I usually build my reference page)
  6. Logistics – Generally I setup my paper in the requested format first and then begin writing (I find this helps me feel more organized and closer to being done – do what works for you!).
  7. I try to write from my citations out, making sure my narrative fits my citation and the section all fits together in a sensible way. I also try to extend my narrative beyond the citation with my own thoughts where I feel it adds value to the argument or the point I am trying to convey. (I pay close attention to this because I struggle with maintaining the right balance between a sensible narrative and disjointed facts within a given section)
  8. In the introduction I generally try to include assignment context and a high level summary of how I laid out my whole paper.
  9. Then I write each section of the paper in the sequence talked about in the introduction and try to pay particular attention to my section transitions, sequencing and linking for the sections. I do a lot of re-reading and reading out loud to make sure I get the tone and cadence of the paper the way I feel is best.
  10. Last I review the whole paper again making sure to have covered off all instructions and feedback from the professor. (If time permits, I try to pass it by someone else, usually my wife, for a quick read through to ensure it flows; makes sense to a disinterested party and is grammatically proper/free of typos.

Miranda R. 

For the final paper I began my approach by reading all of the topic resources that were found in the EHR Go. I found them to be most useful while starting my paper. From here I was able to determine which complication I would be focusing on as I identified pathways for improvement. I then found outside resources that would address the 6 Dr. Glaser highlights and to find these outside resources I always find the SJU library database to be the best. I then tackled each of the 6 highlights one by one and arranged them based on Gladys’s interactions from the beginning to the end of her procedure. Breaking the paper down into these 6 sections made it much easier to compile the final paper.


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The Affordable Care Act was implemented by the Obama Administration to reform the US health care policy. The Biden Administration has decided to keep the ACA and is building upon this policy with funding under the recent $1.8 Trillion president’s American Families Act. The $1.8 Trillion president’s American Families Act is up for a vote in Congress, write a memo to a congress person/senator, providing policy advice on how he/she should vote on this issue (i.e., voting to keep or scrap the ACA). Your analysis of the topic should be based on any of the different policy criteria. For instance, your analysis could be based on an ethical/economic or efficiency/feasibility perspective.

You should assume that this individual has little, if any, background in health and health care. This memo should provide ample evidence from peer reviewed literature and other credible resources to support the policy advice you are providing. your position on this issue and should be supported with ample evidence from the literature.

The idea behind this assignment is to develop critical thinking and writing skills – being concise and straight to the point. Memos are not reflection papers; your memo should be supported with evidence from peer reviewed research articles, text books or from the CDC website etc. Please DO NOT include direct quotes in your memo. Paraphrase the relevant information from the resources you are citing. Citations and references SHOULD be provided for all resources you use. Each memo will be a ONE-page, single spaced response

Use memo format provided below.

To: Congressperson/Senator ———–

From:

Regarding: (What is the topic/what is the vote about)

I. Introduction

The vote is on (name of bill, topic of bill) and I recommend … (Introduce the health issue and your recommendation on how the recipient of the memo should vote i.e., against or for the health policy. The issue here is the uninsured in the US and its implications, and whether the ACA is the best policy to address this issue based on any of the different policy criteria)

II. Background

Keep it brief and explain the issue /why this is an issue – Here is where you provide evidence from the literature showing why this is a problem.

III. Pros and Cons: Your Key Finding(s) one the policy option

Arguments for or against the policy options to address the issue. These arguments should be based on the evidence you obtained from the literature, not what you think.

IV. Recommendation

Based on these factors, I recommend … You should reiterate important points here and explain the reason for your recommendations.

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Please help creating a draft for the below requirements

We are a fictious United States based company exporting CPAP machines to Singapore.  

*The products exporting are the below:

Travel = ResMed AirMini AutoSet Travel CPAP Machine

Regular cpap = AirSense 10 AutoSet With Humidifier By ResMed – Open Box

cleaning= SoClean 2 CPAP Cleaner & Sanitizer

*Please write short paragraphs descriptions on each product listed above.  (a couple sentences or bullet points each is fine)

Methodology -Marketing Plan

Godae Technologies concentrates its business activities on the exportation of medical devices into the U.S. and at the same time importation of chocolates from Chocolate International. Following are the different market activities associated with market transactions.

Godae Technologies plans to export four different types of medical devices into the U.S. In the first year, it is aimed to distribute 50,000 units, while at the same time importing 50,000 unit’s chocolates from Chocolate International. Korea is surrounded by sea hence; it is very easy for the importers to import products from other countries. Godae Technologies brings its products to the Port of Incheon, Korea where Chocolate International will take over and take care

of the distribution and allocation of the products within the U.S. It is also vital that Godae Technologies takes packaging and labeling requirements from Chocolate International. Into consideration before handing over the products. (cia.gov – World Factbook).

Our marketing strategy is to focus on providing assistance with a master kit that includes:

  • ? Product promotions to ensure successful advertising campaign on the US market.
  • ? Create communication channel that becomes a part of the sales contract between the twobusiness partners
    Following are the briefly introduced and involved activities of two contracting partners:Distribution ModeGodae Technologies does not play a major role in the distribution activities of its products on the U.S. market, as Chocolate International is responsible for distributing and selling the imported products to end-consumers. At the same time, Chocolate International does not play a major role in the distribution activities of its products on the Korean market, as Godae Technologies is responsible for distributing and selling their products to the end-consumers in North Korea.Sales Force (Export and Import)Both Godae Technologies and Chocolate International will use margins and markups to ensure profitable business transactions, as their sales forces are solely focusing on selling the respectively imported goods on the domestic market.Dealers/AgentsAs both business partners will take care of the distribution of the imported goods by themselves, no additional sales dealers or agents will be required.
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Facilitators

Godae Technologies and Chocolate International traders will handle the distribution of the goods on the domestic markets independently so that no further facilitators will be needed. Marketing Mix – Segmentation and target market

Export Transactions

For medical equipment, we will divide our market into three segments on the basis of size and control.

  1. Government sponsored hospital
  2. Diagnostic centers
  3. Private clinics and hospitals

Initial targets consist of Diagnostic centers, private clinics, and hospitals, as there is a high probability for profits within this market segment in the coming years. It is also easy to provide service to this sector; the customization will be low. Due to the high margins in the healthcare sector, there is an expectation of more hospitals opening in different parts of the USA in the future. (Smith, 1999)

Import Transactions

There are many ways to segment the market to sell the chocolates which includes age, income brackets, gender, and occupation. Initially we will focus on children aged 5-15 years. Around 13.45% of the total population of the South Korea is of 0 to 14 years. (cia.gov – World Factbook) Selling chocolates at special occasions to children/teens may prove simple. Since the prices of the chocolates are low as compared to other commodities, parents will be less inclined to stop children from consumption. The chocolates will be available in different flavor depending on the taste and texture. Additionally, research shows that getting younger buyers can breed brand loyalty. 

*Labeling requirements / marketing requirements 

Please see site below and use it to summarize labeling/ marketing requirements to Singapore.

https://www.trade.gov/knowledge-product/singapore-…

*Explain the methodology for the exporting of the CPAP machines (Preferably 1.5-2 pages):

Distribution mode = explain how we can plan to distribute the products to Singapore.  For example,  what can we include in the marketing plan, if we need a sales force , sales agents etc.  

Should we use other facilitators for distribution or can we use our own companies?

What export transactions can we expect to Singapore?


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Memo II: The Trump administration Price Transparency policy initiative was implemented in October 2020. This policy requires private health insurers to make available information about negotiated prices and cost-sharing with the patient/beneficiary. Hospitals are also required to make available on their webpages, their negotiated (with insurers) rates for services and technologies. The aim of the policy is to enhance competition in the healthcare market which will drive down costs and help patients make better, more informed decisions.

As a health administrator, write a memo to the CEO/Director of your health organization explaining the policy and its likely impact on the health care system in general and your health organization in particular. Provide policy advice to your CEO/Director on whether the American Hospital Association (AHA) should lobby the Biden Administration to keep or scrap the policy.

You should assume that this individual has little, if any, background on the policy initiative. This memo should provide ample evidence from peer reviewed literature and other credible resources to support the policy advice you are providing. Your position on this issue and should be supported with ample evidence from the literature.

The idea behind this assignment is to develop critical thinking and writing skills – being concise and straight to the point. Memos are not reflection papers; your memo should be supported with evidence from peer reviewed research articles, text books or from the CDC website etc. Please DO NOT include direct quotes in your memo. Paraphrase the relevant information from the resources you are citing. Citations and references SHOULD be provided for all resources you use. Each memo will be a Tow-page, single spaced response.

Use memo format provided below.

To: CEO/Director ———–

From:

Regarding: (What is the topic/what is the vote about)

Introduction

On the health issue ……the new policy initiative is the right/wrong approach to addressing it; I recommend … (Introduce the health issue, whether the policy is the best option to address it and your recommendation on whether the recipient of the memo should support or challenge the AHA’s efforts against or for the health policy. The issue here is the high costs of care in the US and its implications, and whether the Price Transparency Initiative is the best policy to address this issue based on any of the different policy criteria)

Background

Keep it brief and explain the issue /why this is an issue – Here is where you provide evidence from the literature showing why this is a problem.

III. Pros and Cons: Your Key Finding(s) one the policy option

Arguments for or against the policy options to address the issue. These arguments should be based on the evidence you obtained from the literature, not what you think.

Recommendation

Based on these factors, I recommend … You should reiterate important points here and explain the reason for your recommendations.


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Instructions

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This assignment will allow you to present the skills and knowledge that you have gained this semester in Supply Chain Management. In this assignment you will need to read and answer the requirements of the following situational problem. The project includes an optional in person lab experience. See the collaborations page for details. The Case Details You are the Food & Beverage Director at a small property and the food costs have been on the rise. You are looking at four critical items that you believe are the root cause of the problem: ribeye steaks, canned whole peeled tomatoes, french fries and lettuce. Each item is the number one product in its category: Meats – Ribeye Steak Dry goods-WP Tomatoes Frozen – French Fries Produce – Iceberg Lettuce

Using the provided information and templates, you need to prepare a detailed 500-word minimum length report to present to the GM of the property and your Chef.

The report will contain the following elements:

  • Prepare a make or buy analysis for the NY Strip steaks comparing portion cut steaks vs. cutting them in house from a 110 Export Rib NY Strip Steak Make or Buy Template
  • Prepare a make or buy analysis for a contracted prepared shredded lettuce vs. using and cutting whole head iceberg lettuce Shredded Lettuce Make or Buy Template
  • Prepare a quality and cost analysis comparing the current distributor brand of WP Tomatoes against a national brand. Canned Product Yield Test Template
  • Prepare a portion cost analysis of the current cut of french fries compared to a new french fry suggested by a manufacturer representative.
  • After collecting all of the data and using the provided information, prepare the report that contains your conclusions and recommendations to the GM and Chef. Be persuasive when making your case. I uploaded all the resources you need

Here is the link to the Canned Tomato evaluation lab: Topic: Food evaluation lab – Canned Tomatoes Date: Apr 7, 2021 11:57 AM Eastern Time (US and Canada) Meeting Recording: https://ucf.zoom.us/rec/share/MGcmb4H5GUG5gKAs5yY0qgy7ip6bwPmPoDyOKa5VM2OvKr96KbE6bL2IjsChBLTY.opp55mfQmVWsQxC_


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Reply:

1 D

Fitbt is one of the best activity trackers that have been introduced to date. It has been reported that almost 21 million units of Fitbit had been sold the very year it was introduced, which is in 2016. The Fitbit is not a new product, yet a lot of marketing strategies are being adopted to make it much more popular among customers especially the youth. In this period of Pandemic, where immunity and a healthy lifestyle are considered to be important, and people are continuously trying to adapt to a much more healthy lifestyle, Fitbit has been one of the best devices that have helped them to keep a track of their physical activities (Edwards, 2021).

The 4p of the marketing mix that has been adopted by Fitbit for its marketing are:

Product- The product is no doubt good as it helps in keeping track of the physical activities that have been undertaken by the wearer and has targeted the fitness freaks with its exceptional features. The product has been quite useful in keeping a trap of the heartbeat of the wearer that can immediately notify them when there is an irregular movement in their heartbeat (Owens & Cribb, 2019).

Promotion– The product has been able to gain a lot of recognition in the market especially true word-of-mouth and references. Fitbit promotes its product with a positive approach towards a healthy life and tracks blood pressure, SpO2 as well. They also collaborated with several personalities to carry out social media campaigns and raise awareness towards a healthy life, which is also an excellent idea for attracting customers (Edney et al., 2018).

Place– Place or distribution channel is a process through which Fitbit wellness can make sure that its product can reach out to wider customers. Those who are interested in Fitbit will be able to get hold of the product not only on an online platform but also offline. 

Price-The price of the Fitbit product is neither too high nor too low. The price of the product is set in such a way that it helps cover up the overall cost of production and ensuring that it can gain a competitive strategy through its dynamic pricing policies and strategies (Malhotra, 2020). The value-based pricing strategy that has been adopted by the company is based on the value that is perceived by the customers of Fitbit.

REFERENCE

Malhotra, G. (2020). Consumers’insights To Purchase G-Shock Wristwatch. Academy of Marketing Studies Journal, 24(4), 1-13.

Owens, J., & Cribb, A. (2019). ‘My Fitbit Thinks I Can Do Better!’do health promoting wearable technologies support personal autonomy?. Philosophy & Technology, 32(1), 23-38.

Edwards, S. D. (2021). HeartMath, Fitbit and COVID-19-Tracking Movement in Stillness and Stillness in Movement.

Edney, S., Bogomolova, S., Ryan, J., Olds, T., Sanders, I., & Maher, C. (2018). Creating engaging health promotion campaigns on social media: observations and lessons from Fitbit and Garmin. Journal of medical Internet research, 20(12), e10911.2The marketing strategies in the health insurance plans are the same as those in other sectors with low marginal cost strategies, high profitability strategies, the use of cost centers, that is, specialist offices which take patients away from the primary care office but at no extra cost, cost containment strategies. However, the health insurance companies have different aims and are organized differently. They are profit-seeking entities, actively seeking growth through the provision of health insurance cover to their clients. Health insurers are also tightly constrained by the law regarding how they can provide insurance to their employees (Colón-Morales et al., 2021). They use market segmentation to identify the clients most likely to purchase the product and to set a target market price. The health insurance companies in most states regulate the marketing techniques employed by their members. Since the law requires that all employers provide health insurance to their employees, most employer-sponsored insurance is defined by federal law as offering group or individual policies with sharply defined benefit designs to encourage an employer pooling of resources, rather than a single pooling of individual workers (Grose et al., 2021).

The marketing strategies in the health insurance plans are the development of strategies to counter the development in the markets of new service products and to develop special marketing mixes for these products that appeal specifically to the consumers they most attract. The development of such strategies is a continuous process that has to do with the evolution of the market at some point in time. However, the intensity of the competition in certain markets will depend on the size and the complexity of the firms in the market and their capabilities (Grose et al., 2021). In order to react effectively to a certain development or event, which might happen regularly, the team must have some way to communicate its ideas to all its parts. However, this is not very productive. The idea is not communicated well, and ideas are sometimes not even circulated to all the team members or only some people. Thus, the communication process must focus upon those aspects that have the greatest influence on the company’s future success and are most likely to lead to the achievement of the goal (Colón-Morales et al., 2021).

References

Colón-Morales, C. M., Giang, W. C., & Alvarado, M. (2021). Informed Decision-making for Health Insurance Enrollment: Survey Study. JMIR Formative Research, 5(8), e27477.

Grose, E., Chiodo, S., Levin, M., Eskander, A., Lin, V., Hubbard, B., & Chiodo, A. (2021). Patient Perspectives on Removing Adult Tonsillectomy and Septoplasty from the Government Health Insurance Plan in a Publicly Funded Health Care System. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 58, 00469580211005193.


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Reply:

In this week assignment, I learned more about project scheduling and tools used in scheduling when there are resource constraints. In this case, PERT/CPM is almost always infeasible in practice. This chapter gives and insight into how to do scheduling with resources constraint.

Projects without Resource Constraints

Project resources can be classified in several ways such as based on accounting principles, resource availability, or classified as constrained vs. unconstrained resources (Shtub & Rosenwein, 2017). Examples of resources based on accounting principles are labor costs, material costs, and other costs. Based on their availability, resources can be categorized as renewable resources and depletable resources. Unconstrained resources are those that are available in unlimited quantity for a fixed cost while the other type of resources is those that are very expensive. Some projects might not have resource constraints such as a millionaire might have an unlimited budget to build a house or to buy a car. However, most of the time, even when a project does not have resources constraints, it can still have time constraint. Time constraint refers to the limitation on the start and end ties of a project (Harris, 2019). For example, a billionaire might have unlimited budget to build a house but he might demand that the house be done within a year. Another constraint that is often encountered is scope constraint. Most of the time the best project management is to balance all project constraints. If the resources and time are limited, a project manager might have to have to ask the project stakeholder whether any of the remaining deliverables can be dropped so that the time and budget constraints can still be met (https://www.workfront.com).

Impact of Scheduling and Resource Allocation in Multiproject Organization

In a multiproject organization, resources are usually limited. Coupling with having to work on several projects at the same time, allocation of limited resources is of utmost importance. The art of allocating resources to accommodate different projects to meet the projects timelines lies in scheduling. A good planning, scheduling, and resource management can help the projects run smoothly. However, if there is a large fluctuation in demand of project resources, it can cause a domino effect on schedules of all the projects. When fluctuation occurs, the resources allocation and scheduling need to be rethought. Prioritization will be needed in order to minimize the effect of resource fluctuation.

Conclusion

Project scheduling is very important in project management especially when resources are constrained. The complexity of the project and the number of projects an organization is undertaking greatly increase the importance of scheduling and resource allocation. Prioritization is needed when a large fluctuation of demand in resources occurs in order to minimize the costs and time.

References

Harris, M. R. (2019, August 8). What Are the Differences Between Time Constraints & Resource Constraints in a Project? Small Business – Chron.com. https://smallbusiness.chron.com/differences-between-time-constraints-resource-constraints-project-35756.html.

Project Constraints. The 6 Project Constraints & How to Manage Them | Adobe Workfront. (n.d.). https://www.workfront.com/project-management/knowledge-areas/project-constraints.

Shtub, A., Rosenwein, M. (2017). Project Management: Processes, Methodologies, and Economics 3rd ed. Pearson.

File  Reflection and Discussion Week 9.docx (24.42 KB) 


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