Tag: Clinical-Nursing

Practices of an Innovative Leader From a Similar organization and how they Apply In Our Company.

Dr Enrique Hernandez, the McDonald’s Chief Executive Officer, and Director practice some activities that are innovative and could be of significant help to our company. One of them to employ the application of technology so as to share knowledge and collaborate. The collaboration is known to drive innovation and creativity. In our company, conferencing the technologies can assist in bringing individuals together virtually.

Another practice that Hernandez employed was the experimentation on risks. For instance, McDonald’s started experimenting on the mobile payment and ordering application that was utilized in 29 restaurants within the state of California. The test they carried out (pilot test) was going to expand on 51 more restaurants in Washington, Spokane on the 20th of March in the year 2017 (Tier, Mark 2017). Mobile ordering and payment were viewed by McDonald’s as a means of winning customers back after they had gone through four years of declines in traffic. The automation of the new orders is likely to cut the time taken for the transactions, freeing up the workers to perform tasks such as delivering food to cars or tables.

Sappington is said to have been planning a lot of tests so as to collect the feedback from the customers and work out kinks as well as streamline the integration together with the existing technology of the enterprise systems that is before rolling the completed application out before doing the same on the finished applications in almost all the 14,000 restaurants that have already been established in the United States (Tier, Mark 2017).  Also, in nearly 6,000 other restaurants in Canada, Germany, France and Australia as well as China before the end of this year.

Another practice that the CEO of McDonald’s has used is the fostering of generativist. That entails the practice of a company taking the time to mentor, connect, coach as well as developing its employees. Hernandez utilized this method to train and develop the employees if the company to assist them in refining their skills and grow from the position they currently is in or transitioning to new roles within the organization. The Hamburger University is McDonald’s worldwide centre of excellence where the company’s operations. Leadership development and training are carried out among the workers (Tier, Mark 2017). McDonald’s puts it a priority to encourage every employee to develop themselves as leaders as well as take the company to new types of heights.

Mc Donald’s also has developed a process review for the innovative ideas. Even those of the best ideas that are successful are not fully formed whenever they come up. The company has to go through the process of developing, identifying and refining the ideas which have the most of the potential in the market.

McDonald’s is said to have issued a request for proposal (RFP) for its business of advertisement that is creative in the United States of America for the very first time in many years. This entails that either both or one of the lead shops that are currently available is going to end up losing what their account is. Fast food chain is reported to have wanted to consolidate some of its work within a single shop, but the client is said to have opted to stick with a single holding company (Tier, Mark 2017).

Last week, McDonald’s reported having exceeded its projections for revenue for the first quartile, attributed largely to the success of the offering of the All Day Breakfast. The matter is being discussed currently on the level of the holding company (Tier, Mark 2017).

Various practices would be extremely helpful in our business if they were applied. One of them is the utilization of technology to convey knowledge as well as promoting collaboration throughout the company. The partnership is likely to drive and influence innovation and creativity, while the social media conferencing will be invaluable in bringing individuals together (or even virtually together) more often for the collaboration.

Experimentation of the risks of innovation would also be extremely useful. The experimentation will steer our organization towards an eventual destination that is through turns, twists and roadblocks. It would help us learn courageously and with an agility that will enable us to be persistent. Risk experimentation will allow us to ensure that the processes, systems and behaviors do not become barriers towards the risk testing. The key persons will have at the least, 15% of their time prototyping as well as explore the new ideas.

Generativist can help our firm to challenge the thinking of their team workers, in thinking, strategizing and developing behavior that is through the innovation. Also, it will stretch the individuals to innovate, create as well as envision the alternative features. People will be grown to develop an innovative culture.

Process review in our organization will ensure that the company is being run in the most efficient manner possible. We can as well identify the various areas which need improvement or even change so as to ensure that people contribute towards the delivery of the services which our clients expect.  Through carrying out the process review of the innovation, there will be guaranteed the flow of the paperwork and production that improves the communication lines that is both externally and internally (Yoder-Wise, Kowalski 2010)

References

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Sloane, P. (2007). 
The innovative leader: How to inspire your team and drive creativity
. London: Kogan Page.

Stampfl, G. (2016). 
The Process of Business Model Innovation: An Empirical Exploration
.

Tier, Mark. (2017). 
How to Spot the Next Starbucks, Whole Foods, Walmart, or Mcdonalds Before Its Shares Explode: A Low-risk Investment You Can Pretty Much Buy-and-forget
. St Martins Pr.

Yoder-Wise, P. S., & Kowalski, K. (2010). 
Leadership
. Philadelphia

Biostatistics in Healthcare

1
.The EPA claims that fluoride in children’s drinking water should be at a mean level of less than 1.2 ppm, or parts per million, to reduce the number of dental cavities. Identify the Type I error. (Points : 1)

Fail to support the claim σ < 1.2 when σ < 1.2 is true. Support the claim μ < 1.2 when μ = 1.2 is true. Support the claim σ < 1.2 when σ = 1.2 is true. Fail to support the claim μ < 1.2 when μ < 1.2 is true. 2 . Biologists are investigating if their efforts to prevent erosion on the bank of a stream have been statistically significant. For this stream, a narrow channel width is a good indicator that erosion is not occurring. Test the claim that the mean width of ten locations within the stream is greater than 3.7 meters. Assume that a simple random sample has been taken, the population standard deviation is not known, and the population is normally distributed. Use the following sample data: 3.3 3.3 3.5 4.9 3.5 4.1 4.1 5 7.3 6.2 What is the P-value associated with your test statistic? Report your answer with three decimals, e.g., .987 . (Points : 1) 3. Ophthalmologists studying the treatment of using an infrared laser procedure in ten patients with vision loss caused by dry age-related macular degeneration (AMD) found the following data on visual acuity (VA) before and after the procedure. Assume a .05 significance level to test the claim that there is a difference between the number of VA lines that can be read by individuals before and after the procedure. Also, assume the data consist of matched pairs, the samples are simple random samples, and the pairs of values are from a population having a distribution that is approximately normal. Individual 1 2 3 4 5 6 7 8 9 10 VA Lines Read Before 3 4 2 4 5 3 4 5 3 3 Laser Procedure VA Lines Read After 4 4 5 5 6 3 7 6 3 5 Laser Procedure     Construct a 95% confidence interval estimate of the mean difference between the before and after number of visual acuity lines read. Give your answer with two decimals, e.g., (12.34,56.78) (Points : 1)   4 .The paired data consist of the cost of regionally advertising (in thousands of dollars) a certain pharmaceutical drug and the number of new prescriptions written (in thousands). Cost 9 2 3 4 2 5 9 10 Number 85 52 55 68 67 86 83 73 Find the value of the linear correlation coefficient r . Give your answer to three decimals, e.g., .987 . (Points : 1)   Use a .05 significance level and the observed frequencies of 144 drownings at the beaches of a randomly selected coastal state to test the claim that the number of drownings for each month is equally likely. Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec 1 3 2 7 14 20 37 33 16 6 2 3 Do you reject the null hypothesis, at the .05 significance level? Enter Y for yes (reject), N for no (fail to reject). (Points : 1)   Using a .01 significance level, test the claim that the proportions of fear/do not fear responses are the same for male and female dental patients. Gender   Male Female Fear Dentistry 48 70 Do Not Fear Dentistry 21 32 Do you reject the null hypothesis, at the .01 significance level? Enter Y for yes (reject), N for no (fail to reject). (Points : 1)   The table represents results from an experiment with patients afflicted in both eyes with glaucoma. Each patient was treated in one eye with laser surgery and in the other eye was treated with eye drops. Using a .05 significance level, apply McNemar’s test to test the following claim: The proportion of patients with no improvement on the laser treated eye and an improvement on the drops treated eye is the same as the proportion of patients with an improvement on the laser treated eye and no improvement on the drops treated eye. Eye Drop Treatment   Improvement No Improvement Laser Surgery Improvement 15 10 Treatment No Improvement 50 25 Determine the value of the χ2 test statistic. Give your answer to two decimals, e.g., 12.34 . (Points : 1) For a study on Type 1 diabetes, medical graduate students subdivided the United States into four study regions (Northeast, Southeast, Southwest, and Northwest). The students randomly selected seven patients per region and recorded the number of times during a randomly selected month that each patient used insulin shots to regulate blood sugar levels. Use One-Way ANOVA at a .05 significance level to test the claim that the means from the different regions are not the same.       Mean number of times patients used insulin shots to regulate blood sugar levels Northeast Southeast Southwest Northwest 4 6 4 4 3 5 5 4 3 6 6 5 4 8 6 6 3 6 7 3 2 6 5 5 5 8 4 3 Do you reject the null hypothesis, at the .05 significance level? Enter Y for yes (reject), N for no (fail to reject). (Points : 1)     9 . One method to reduce the effect of extraneous factors is to design the experiment so that it has a convenience sampling design. (Points : 1) True False Use the following technology display from a Two-Way ANOVA to answer this question. Biologists studying habitat use in Lepidopteran moths measured the number of savannah moths found at three randomly selected prairie sites with two potential habitat interferences (expansion of row crops and grazing). Use a .05 significance level. Source Df SS MS F P Site 2 .1905 .0952 .0381 .9627 Habitat 1 304.0238 304.0238 121.6095 .0000 Site*Habitat 2 .1905 .0952 .0381 .9627 Do you reject the null hypothesis anbout the habitat effect, at the .05 significance level? Enter Y for yes (reject), N for no (fail to reject). (Points : 1)

Conducting an Environmental Analysis

Environmental Analysis

The reimbursement of health care services under the U.S health care system has come under severe downward pressure in the recent past due to various factor including internal as well as external factors.

Prior to this, there was a widespread criticism about the “greed” of hospitals and others health care providers leading to a severe rise in the cost of healthcare in the U.S. To this; the U.S Congress reacted by instituting health care payments control.

The consequence of this has been the decreased payments within the health care system, including to both the provider as well as the receiver.(Association, 1997)

External environment forces

The providers of health care which includes hospitals, physicians and others today are facing hurdles in receiving their deserved reimbursements as the receivers’ payer now have cut reimbursement rates and have also put up stricter standards for making claim submission and payments processes.

The greatest financial challenges’ faced by healthcare provider in the U.S health care system today is the declining reimbursements.

This challenge has been impacting public as well as private health care providers in the U.S and has been true across all the payers.

This has resulted in a severe decline in the margins that the healthcare providers have been receiving in the past. Along with this, the patient co-pays have also been increasing gradually.

 

The dual problem has compounded by an increase in the number of patients who are either uninsured or underinsured.

The worst consequence of this overall situation is that many of the health care organizations in the U.S healthcare sector are now forced into a financial debt cycle.

It was during the 2008 Presidential elections that health care insurance reforms came to be one of the most debated issues for the future President to work on.

In 2008, according to estimates, over 46.3 million citizens of the U.S were out of the protection ambit of healthcare insurance. The then President Barak Obama thus took on the challenge to drastically overhaul the entire healthcare system in the U.S.

Declaring that he was determined to the last, then President Barak Obama signed the Patient Protection and Affordable Care Act of 2010 (PPACA) into law and thus bringing in a new era in U.S healthcare.

Internal environment forces

The Patient Protection and Affordable Care Act of 2010 (PPACA) represented a significant healthcare policy initiative in the history of the U.S health care systems.

The act provided for extending healthcare coverage to all Americans by removing pre-existing healthcare conditions and regulations and also by reviewing the standards of health care in order to enhance coverage in the system.

 

 

It is true that some of the features of the Act did result in increased availability and efficiency of healthcare in the U.S health care system. However, there are various other provisions that have drastically affected the delivery of the health care in the U.S. Especially the provisions regarding the physicians and their reimbursement. This has affected the ability of physicians to in continuing to provide for better healthcare.

The Patient Protection and Affordable Care Act of 2010 (PPACA) makes changes to the health care profession and economic factor by making drastic changes to the reimbursement provisions. Prior to the act, physicians worked under the fee for the service system under which the bill was reimbursed by the insurance company for the service provided.

Under the new system, the Patient Protection and Affordable Care Act of 2010 (PPACA) formulates a value-based reimbursement system. It provides for the calculation of the payment based upon the quality of the work furnished than less quantity.

It requires the physicians and the hospitals involved in the service of the patient to provide a report of the outcomes of their patients to government bureau which according to the value provided will determine the reimbursement by a quality index that is predefined.

Although the traditional view of, the Patient Protection and Affordable Care Act of 2010 (PPACA) includes terms that deal directly with patients, both of these changes to reimbursement will eventually affect the average physician and impact the margins of health care organizations like hospitals’, nursing homes and others. (Kulshrestha, 2013)

 

The Impact of internal and external forces

In the backdrop, these external factors affecting the profitable of the organizations involved in healthcare, adjusting internal factors and considering them according to the situation can help prepare the organization for better future.

Any successfully integrated institution has a very well developed and a broadly shared institutional culture which is deeply rooted into the common vision and values. Upholding these values religious in the operation of the institution serves as a touch point to help resolve the inevitable internal conflicts that arise among the multiple actors involved.

Such vision and values include a broader concern for both quality of the service provided and also the costs associated with the same delivery. Internalizing a sense of long-term responsibility and reputation among the workforce makes the workforce feel a sense of ownership of the organization and enhances commitment to performance.

Transparency and collective actions to improve overall performance can also be a significant internal factor to enable the organization to better prepare for the future.

Internally, enhancing the brand loyalty of the organization for quality and cost effectiveness is another consumer-oriented move that can help the organization prepare better for the future and help overcome the hurdles’ posed by external environment factors, including the impact of the Protection and Affordable Care Act of 2010 (PPACA).

Private capital also tends flow readily to support organizations that deliver a positive consumer experience.(Jarousse, 2014)

 

The manager’s strategy

The organizational manager plays a vital role in overseeing multiple departments and functions that are part of the regular operations of any healthcare providing organization.

Coordinating teams and implementing innovative approaches on a day-to-day basis are among the core practices that are part of the role of a healthcare manager in order to ensure that hospitals are successful as well as profitable.

Health care organizational managers juggle with several responsibilities including planning, directing, and coordinating other practitioners, departments, and groups.

It is this multi-perspective role of an organizational manager that becomes a pivotal point in implementing and maintaining the momentum of the strategic plan.

Further, another important aspect of the healthcare organizational manager’s role which involves driving healthcare innovation in the hospital can also play a crucial role in the entire process of implementation and maintenance of the momentum of the strategic plans.

For instance, reducing death rates among emergency and trauma care patients as the result of management led innovation, could be such an indicator.

“Eradicating waste of all kinds is at the core of lean management approaches. Healthcare managers are needed to facilitate the implementation of these innovative approaches”. (“What do hospital health care managers do?” 2016)

 

 

References:

Association, A. S.-L. (1997). ASHA corporate partners. Retrieved January 25, 2017, from
http://www.asha.org/Articles/Health-Care-Economics-The-Real-Source-of-Reimbursement-Problems/

SPi Healthcare,Insights. Retrieved January 25, 2017, from
http://www.hfma.org/brg/pdf/Insights%20-%20Declining%20Reimbursement%20and%20the%20Physicians_89A10412-E469-ECA9-B0A0CC017A883888.pdf

Kulshrestha, S. (2013). From physician to patient: The effects of the patient protection and affordable care act (PPACA). Inquiries Journal, 5(06), . Retrieved from
http://www.inquiriesjournal.com/articles/741/from-physician-to-patient-the-effects-of-the-patient-protection-and-affordable-care-act-ppaca

Jarousse, L. A. (2014, September 8). Take A look at how market forces will impact health care. Retrieved January 25, 2017, from
http://www.hhnmag.com/articles/4012-take-a-look-at-how-market-forces-will-impact-health-care

What do hospital health care managers do? (2016, August 31). Retrieved January 25, 2017, from
http://programs.online.utica.edu/articles/what-do-hospital-health-care-managers-do

Effective Communication

Consider the following:

Workplace trends require employees to connect with a wide array of coworkers, consultants, off-site employees, and other resources. Sharing knowledge is critical to any organization’s success, especially in the health care industry.

Write a 700- to 1,050-word paper that addresses the following questions:

Which organizational model best describes your organization or an organization with which you are familiar? How does your organization currently communicate or involve employees in formulating solutions to problems?

Include the following in your paper:

The communication techniques that have been most effective for sharing information and ideas The communication techniques that proved to be ineffective How these communication techniques might be applied or modified in a health care work environment How technology might also affect the communication process

Cite a minimum of 3 references to support your position. One reference may be the course textbook.

Format your paper according to APA guidelines.

Quality and Uses of Health Information including confidentiality and compliance

Unit outcomes addressed in this activity: ● Discuss the various ways that health information is used within and without health care facilities. ● Explain performance improvement and identify performance improvement tools Course Outcome HA565-1: Plan reimbursement compliance strategies. Instructions From electronic health records (EHR) to telemedicine, the use of information technology is rapidly expanding. Discuss how individuals, professionals, and organizations use health information. How can health information improve the provision of quality? Finally, after conducting research, discuss the possible future of information technology in healthcare. 1. Title page 2. Introduction ○ Discuss the importance of health information ○ Discuss how individuals, professionals, and organizations use health information ○ Discuss how health information may improve the provision of quality ○ Discuss the possible future of information technology 3. Conclusion 4. References Requirements The Assignment should meet all APA standards, be grammatically correct, appropriate and consistent research citation and documentation, appropriate graphics to display data and the results of analysis, and visual materials to support presentation of the overall document. Each section is to be a minimum of two (2) pages and should include a separate title and reference page. References are to be scholarly peer reviewed resources ONLY, with a minimum of four (4) references.

Quality and Uses of Health Information

 Locate the licensure regulations for your state. What are the provisions for the content of a health record? What are the rules regarding the timeliness of completion of a record? Locate any state laws regarding health information or medical records for your state. Are there retention statues? Are references to the costs of providing copies of medical records? Share your thoughts on whether you feel these are quite liberal or too strict. Examine your state’s regulations in relation to some of your peer’s posts.

Planning your brand

Create a 700- to 1,050-word plan for building your personal brand. In your plan, include the following:

What skills you will need for your future career What strategies you will employ to gain the required skills needed for your career choice How you will project a professional image to potential employers What strategies you will employ to search for, find, and get a job How you will know your strategies are effective

Format your assignment according to APA guidelines.

Click the Assignment Files tab to submit your assignment.

Health Information Education

Select a topic associated with health information that would require educating the public in your community. Consider and discuss the community group or population that you will target. Prepare a brief presentation of the information you would provide. Ensure that you support the information with a budget including the estimated costs of the plan along with the potential revenue sources. Critique your peer’s presentations as well

Applying Labor and Employment Laws to Medical Practices

Employers sometimes violate employment laws because they lack knowledge and understanding of how these laws apply to their workplace. Determine two (2) major employment laws which a practice manager could unintentionally violate. Next, recommend the main steps that the manager should take to avoid the risk of breaking those laws. •According to the text, there are three (3) basic models of physician compensation. Compare and contrast the three (3) major compensation models and suggest which model you think would be most effective in creating a pay structure that would attract and retain physicians who would make the practice successful. Justify your recommendation.

Assessing a Research Study

Complete this assignment according to the following:

Choose a research study article of interest to you.

Refer to the study you choose and complete the “Assessing a Research Study” resource.

Identify an article that directly references your chosen study and compare it to your findings. Does this article refute or confirm the study’s findings?

Write a paper that analyzes and summarizes your findings.

Assessing a Research Study

Review the study components in the left-side column of the form below.Refer to the study you chose, and complete the data in the right-side column with the key components in that study.

 

Research Question:

 

 

 

How did the research question emerge from the review of literature in the article?

Independent Variables

Type:

Dependent Variables

Type:

Identify and Define the Study Design Elements:

1. Quantitative vs. Qualitative:

2. Sample Size

3. Method of sample selection: Explanation.

4. Identify and define the experimental and control groups?

5. Reliable and valid data instruments? Explain.

Describe analysis.

What statistics were used?

 

 

 

 

Did the researchers’ conclusions make sense, did they answer the research question, and did they appear to flow from the review of the literature?

Did they explore control of extraneous variables?