discussion board and two replies-graduate level - Business Finance
complete initial post and reply to my two classmates once you complete the initial post
use_this_20.pdf
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Discussion boards are collaborative learning experiences. Therefore, the student is required to create a thread in response to
the provided prompt for each forum. Each thread must be at least 600 words and demonstrate course-related knowledge. In
addition to the thread, the student is required to reply to the threads of at least 2 classmates. Each reply must be at least 450
words. Each thread and reply must include a biblical integration and at least 2 peer-reviewed source citations, in addition to
the course textbook, in current APA format.
Content 70\%
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Content
Advanced
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Points: 18 to 20
Points: 17
Points: 1 to 16
All key components of the
Discussion Board Forum
prompt are answered in the
thread.
Some key components of the
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prompt are answered in the
thread.
Minimal key components of the Not Present
Discussion Board Forum prompt
are answered in the thread.
Major points are supported by
Major points are supported by Major points are supported by none of the following:
• Reading & Study materials;
all of the following:
some of the following):
• Reading & Study materials; • Reading & Study
• Pertinent, conceptual, or
• Pertinent, conceptual, or
materials;
personal examples;
•
•
personal examples;
Pertinent, conceptual, or
Thoughtful analysis
• Thoughtful analysis
personal examples;
(considering assumptions,
• Thoughtful analysis
(considering assumptions,
analyzing implications, and
analyzing implications, and
(considering assumptions,
comparing/contrasting
comparing/contrasting
analyzing implications,
concepts); and
•
concepts); and
and comparing/contrasting
Two peer-reviewed source
• Two peer-reviewed source
concepts); and
citations in current APA
• Two peer-reviewed
citations in current APA
format, the text and the
format, the text and the
source citations in current
integration of 1 biblical
integration of 1 biblical
APA format, the text and
principle.
principle.
the integration of 1
biblical principle.
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discussion with each reply
expounding on the thread.
Marginal contribution made to
discussion with each reply
slightly expounding on the
thread.
Minimal contribution made to
discussion with each reply
slightly expounding on the
thread.
Not Present
Major points are supported by
some of the following):
• Reading & Study
materials;
• Pertinent, conceptual, or
personal examples;
• Thoughtful analysis
(considering assumptions,
analyzing implications,
and comparing/contrasting
concepts); and
• Two peer-reviewed source
citations in current APA
format, the text and the
integration of 1 biblical
principle.
Major points are supported by
none of the following:
• Reading & Study materials;
• Pertinent, conceptual, or
personal examples;
• Thoughtful analysis
(considering assumptions,
analyzing implications, and
comparing/contrasting
concepts); and
• Two peer-reviewed source
citations in current APA
format, the text and the
integration of 1 biblical
principle.
Proficient
Developing
Major points are supported by
all of the following:
• Reading & Study materials;
• Pertinent, conceptual, or
personal examples;
• Thoughtful analysis
(considering assumptions,
analyzing implications, and
comparing/contrasting
concepts); and
• Two peer-reviewed source
citations in current APA
format, the text and the
integration of 1 biblical
principle.
Structure 30\%
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Thread:
Points: 2
Grammar and Proper spelling, grammar, and
Spelling, APA APA format are used.
formatting
Points: 1.5
Points: 1
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and APA format are used (1-3
errors are present).
Minimal spelling, grammar, and Not Present
APA format are used (4-5 errors
are present).
Thread:
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Points: 5
Points: 4
Points: 1 to 3
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Required word count (at least
600 words) is met.
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600 words) is not marginally
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600 words) is not met (299
words or less).
Not Present
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Spelling, APA
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Points: 1
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errors are present).
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are present).
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contain a sufficient word count
(minimum 450 words each).
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submitted with insufficient
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reply has been submitted.
Both replies submitted with
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Points: 0
SECOND
EDITION
HEALTH CARE OPERATIONS
MANAGEMENT
A Systems Perspective
James R. Langabeer II, MBA, PhD
Professor, Health Informatics, Management, and Emergency Medicine
The University of Texas Health Science Center
Houston, TX
Jeffrey Helton, PhD, CMA, CFE, FHFMA
Assistant Professor, Health Care Management
College of Professional Studies
Metropolitan State University of Denver
Denver, CO
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Library of Congress Cataloging-in-Publication Data
Langabeer, James R., 1969- , author.
Health care operations management : a systems perspective / James R. Langabeer, Jeffrey Helton.—
Second edition.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-284-05006-6
I. Helton, Jeffrey, 1961-, author. II. Title.
[DNLM: 1. Hospital Administration—methods. 2. Efficiency, Organizational. WX 157.1]
RA971.3
362.11068—dc23
2014033878
6048
Printed in the United States of America
19 18 17 16 15
10 9 8 7 6 5 4 3 2 1
About the Authors
Courtesy of James Langabeer II, PhD, MBA
James R. Langabeer II, PhD, MBA
Dr. James Langabeer is a professor of informatics, health care management,
and emergency medicine at the University of Texas School of Public Health
at Houston. He has spent most of his career focused on quality improvement
and information technology in hospitals and health care. His career has
involved hospital executive administration, information technology startups,
management consulting, and health care research and teaching. Dr.
Langabeer was the founding chief executive officer of Greater Houston
Healthconnect (the regional health information network serving Southeast
Texas) and helped move the organization from concept to reality. He was the
executive vice president of a technology and consulting firm based in Boston
that was widely touted as “best of class” in thought leadership on predictive
modeling and business intelligence. He has lived and/or worked extensively
in Boston, London, Paris, Rotterdam, and Tel Aviv, as well as Houston. He
has served on the faculties of the University of Texas, Boston University, and
Baylor College of Medicine.
Dr. Langabeer has served as principal investigator on many national
research projects. He has been funded by the American Heart Association,
the U.S. Centers for Disease Control, Health and Human Services, and many
other agencies and foundations. He has more than 85 publications that can be
found in some of the highest-rated management and clinical journals such as
the Journal of Emergency Medicine, American Heart Journal, Pediatrics,
Health Care Management Review, Quality Management in Health Care, and
Health Care Management Science.
Dr. Langabeer earned his PhD from the University of Lancaster in
England in management science, an EdD in leadership from the University of
Houston, and an MBA from Baylor University. He is also an Emergency
Medical Technician with Advanced Cardiac Life Support certifications, a
Certified Management Accountant, and a Fellow in the Healthcare
Information and Management Systems Society.
Courtesy of Jeffrey Helton
Jeffrey Helton, PhD, CMA, CFE, FHFMA
Dr. Jeffrey Helton is an assistant professor of health care management at
Metropolitan State University of Denver. He also holds an adjunct faculty
appointment in health care management at The George Washington
University and in health informatics at the University of Denver and health
informatics at the University of Texas School of Biomedical Informatics. The
majority of his career has been spent as chief financial officer for several
health care systems across the United States, where he led several
turnarounds of organizations previously in bankruptcy or receivership.
During his career as a financial executive, he identified several operational
challenges in hospitals and health plans that required development of staffing
standards, labor management processes, and internal financial controls to
restore financial stability to organizations. He has since supported other
health care organization turnarounds as a consultant, assisting in the analysis
of labor costs and development of labor control programs.
As a part of his consulting work, Dr. Helton has also served as chief
financial officer of the Disaster Housing Assistance Program on behalf of
families displaced from their homes as a result of Hurricanes Katrina and Ike.
As custodian for more than a quarter billion dollars in federal funds, he
became a Certified Fraud Examiner and provided fraud prevention assistance
to the agencies assisting victims of these natural disasters. He has also used
his background in fraud detection to assist several health care organizations
in developing fraud prevention and detection programs and has provided
material support to many health care fraud prosecutions, resulting in multiple
millions of dollars in recovered fraud losses.
Dr. Helton is a Fellow of the Healthcare Financial Management
Association, where he serves on its board of examiners. He also volunteers
his financial management expertise to the Association of University
Programs in Health Administration, where he serves on its finance committee
and as treasurer of the Health Care Management Division of the Academy of
Management and a member of the finance committee of the Colorado
Association of USA Track and Field. He is a Certified Fraud Examiner and a
member of the board of advisors for the Association of Certified Fraud
Examiners. Dr. Helton is also a Certified Management Accountant.
Dr. Helton earned his PhD in public health management from the
University of Texas School of Public Health, an MS in hospital and health
administration from the University of Alabama at Birmingham, and a BS in
business administration from Eastern Kentucky University. He is a journal
article reviewer for Healthcare Financial Management, Journal of
Healthcare Management, Social Science and Medicine, and Journal of Public
Health Management and Practice.
Table of Contents
List of Figures and Tables
New to the Second Edition
Preface
PART I
Chapter 1
Operations, Systems, and Financial Management
Health Care Operations and Systems
Management
The Role of Health Care Operations Management
Key Functions of Health Care Operations
Management
The Need for Operations Management
Goals of the Operations Manager
Competitive Advantage of Operations
Factors Driving Increased Health Care Costs
Learning from Other Industries
Principles of Management
The Scientific and Mathematical Schools of
Management
Management Decision Making
Power and Decision Making in Health Care
The Role of Technology
Trends in Operations Management
Chapter Summary
Key Terms
Discussion Questions
Exercise Problems
References
Chapter 2
Health Care Marketplace
Hospitals Are Big Business
What Is a Hospital?
Teaching Hospitals
Hospital Business Operations
Hospital Policies and Regulations
Chapter Summary
Key Terms
Discussion Questions
References
Chapter 3
Health Care Finance for the Operations
Manager
How Hospitals Are Paid
From Retrospective to Prospective
Profit Margins
Income Statements
Income Statement Ratio Analysis
Balance Sheet
Working Capital
Other Financial Ratios
Cash Flow Statement
Audited Financial Statements
Debt in Health Care
Implications for Operations and Logistics
Management
Chapter Summary
Key Terms
Discussion Questions
Exercise Problems
References
PART II
Quality and Productivity Management
Chapter 4
Quality Management
Choices for Operations Management: Tools and
Techniques
Process
Process Maps
Process Improvement Methodology
Improving Service Quality
Quality and Lean Processes
Six Sigma Versus Lean Comparison
Key Questions to Promote Dramatic Changes
Chapter Summary
Key Terms
Discussion Questions
References
Chapter 5
Operations Research Methods
Operations Research
Management Decision Making
A Brief History of Operations Research
Operations Research Applied to Health Care
Operations Research Applications
De-bottlenecking
Forecasting Patient Demand and Volumes
Basic Principles of Forecasting
Capacity Analysis
Capacity Planning: Aligning Capacity with Demand
Minimizing Wait Times
Time and Motion Studies
Improving Flows with Tracking Systems
Bar Codes
Radio Frequency Identification
Chapter Summary
Key Terms
Discussion Questions
Exercise Problems
References
Chapter 6
Productivity and Performance Management
The Quest for Productivity
Measurement Issues
Single Versus Multiple Factors
Common Hospital-Wide Productivity Metrics
Improving Productivity
Principles of Productivity Management
Return on Investment: Capital Versus Labor
Substitutions
Staffing and Labor Scheduling Models
Basics of Labor Hour Management
Productivity and Performance Scorecard
Chapter Summary
Key Terms
Discussion Questions
Exercise Problems
References
Chapter 7
Operational Metrics in Health Care
Organizations
Input Measures for Operating Metrics
Sources of Data for Operational Metrics
Output Measures
Common Operating Metrics
Other Operational Metrics
Using Operational Metrics
Chapter Summary
Key Terms
Discussion Questions
References
Chapter 8
Basics of Project Management
Defining Projects
Power, Influence, and Project Management
Project Success
Key Phases of Project Management
Change Management
Rapid Prototyping
Risks Involved in Project Management
Departments of Performance Improvement
Chapter Summary
Key Terms
Discussion Questions
Exercise Problems
References
Chapter 9
Operational Planning
Why Plan?
The Planning Process
Analyze Operations and Environment
Generate Strategic Alternatives
Breakeven Analysis
Implement, Measure, and Revise
Chapter Summary
Key Terms
Discussion Questions
Exercise Problems
References
Chapter 10
Return on Investment Analysis
Lack of Capital Investment Models in Health Care
The Politics of Capital Investment
Recommendations for Implementing a Capital
Investment Approach
Validating Return on Investment at Multiple Stages
Calculating Return on Investment
Time Value of Money
Calculating Multiple Cash Flows
Other Return on Investment Techniques
Chapter Summary
Key Terms
Discussion Questions
Exercise Problems
References
PART III
Chapter 11
Supply Chain Management
Supply Chain Management
Defining Supply Chains
Process Flows in Supply Chain
Components in the Chain
Business Processes in the Supply Chain
Supply Chain Strategy for Hospitals and Health Care
Patient (Customer) Demand Drives Supply Chains
Demand Chains
Principles of Supply Chain Management
Strategy and Logistics Capabilities
Efficient Versus Responsive Supply Chain
Management Strategy
Reverse Logistics
Supply Chain Information Systems
Evolution of Supply Chain Technology
Recommendations for Supply Chain Management
Technology
Supply Chain Collaboration
Sales and Operations Planning
Objectives of Sales and Operations Planning
The Basic Sales and Operations Planning Process
Collaborative Planning, Forecasting, and
Replenishment
Objectives of Collaborative Planning, Forecasting,
and Replenishment
Collaborative Planning, Forecasting, and
Replenishment Guidelines
Collaboration Performance Metrics
Chapter Summary
Key Terms
Discussion Questions
References
Chapter 12
Purchasing and Materials Management
Materials Management Organization
Culture of Materials Management
Revenue Generation in Materials Management
Optimizing Facility Layout and Design
Cost Minimization Models
Purchasing
Purchasing Internal Controls
Spend or Value Analysis
Group Purchasing Organizations
Trends in Hospital Purchasing
Resources for Materials Professionals
Customer Service in Materials Management
Laundry and Linen
Chapter Summary
Key Terms
Discussion Questions
References
Chapter 13
Inventory Management and Accounting
Inventory and Its Role in Health Care
The Costs of Supplies and Inventory
Differences Between Supply Expense and Inventory
Effect of Timing on Expenses
Important Facts About Inventory
Criteria for Inventory
Valuation Methods
Lower of Cost or Market ...
Purchase answer to see full
attachment
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Losinksi wanted details on use of the ED at CGH. He asked the administrative resident