HMGT 307 Epidemiology Assignment

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HMGT 307 Epidemiology Assignment

Timberline Health, an integrated delivery system serving residents in five counties in eastern Washington, is considering new opportunities to increase community awareness of the organization’s outpatient health services. As the new business development manager of hearing health services, Jack Andrews is responsible for evaluating the feasibility of marketing activities for the hearing service line and must allocate resources to promotional activities that forecast positive return on investment. One option under consideration is to sponsor the health and wellness pavilion at the Spokane County Fair. Research from comparable markets has shown. HMGT 307 Epidemiology Assignment

that wellness fairs are not only effective at educating communities about potential risk factors for health problems, including hearing loss but also increasing consumer awareness of new or existing health services provided by local health organizations. These activities are essential to Timberline Health’s mission within the community.

Since little is known about the hearing status of residents in the market area, Jack enlists the services of his organization’s epidemiologist, Dr. Ruth Litchfield, to help him evaluate the potential return on investment for this marketing campaign. Dr. Litchfield incorporates several factors into her analysis. She reviews public health data on hearing loss, occupational and age distribution data for local residents, as well as a query of Timberline Health’s patient databases. Based on this research, she estimates the prevalence of hearing loss in the five-county service area at 18 percent, slightly higher than the national average (NIH, 2010). Jack receives information from the fair’s sales and marketing department to help in his calculations. Specifically, sponsorship consists of an investment of $50,000 for the design and production of promotional materials and rental of pavilion space for the duration of the twelve day fair. Data from the previous three years shows on average 250,000 people attend the fair, of which 1% visit the wellness pavilion and participate in health screening services. HMGT 307 Epidemiology Assignment

If Timberline Health is to offer mobile hearing screening, the organization must invest in new portable audiology equipment. Jack receives a quotation from his supplier and estimates the total investment in new audiometers and audiometric booths at $16,000. Timberline Health will use existing diagnostic equipment to test people who have failed the initial screening (i.e. test positive for hearing loss), so it is unnecessary to invest in additional equipment for the hearing centers. Vendor specifications for the screening and diagnostic equipment are indicated in Table 1.

Table 1

Vendor equipment specifications

Equipment

Sensitivity

Specificity

Portable audiology equipment for free screening

90%

96%

Clinic-based audiology equipment for follow-up diagnostic testing

99%

99%

Furthermore, Jack calculates that he must provide coverage for three 6-hour shifts per day and each shift must have three audiologists to meet the demand for screening tests. He anticipates hiring nine people to provide coverage for the duration of the fair. The hourly rate for audiologists is. HMGT 307 Epidemiology Assignment

$37.50.

People who fail the initial screening at the fair are referred to an audiologist for a diagnostic test. Jack assumes in his calculations that all people who are referred for diagnostic testing follow up with an audiologist in one of Timberline Health’s hearing centers. Initial screening tests at the fair are free; however, Timberline Health charges $57.00 for a diagnostic hearing test, which costs the organization $24.00. Using past sales data and industry metrics, Jack forecasts that of the total number of people diagnosed with hearing loss at hearing centers only 20% will purchase hearing aids (NIH, 2010). He reviews sales and margin data from the prior year to identify the product mix for his calculations as indicated in Table 2.

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 Table 2

Sales and margin data

Hearing Aids

Unit Price

2015 Sales

Margin

Low-end

$1,000

$400,000

25%

Mid-range

$2,500

$1,250,000

45%

High-end

$4,000

$400,000

60%

ReferenceNational Institutes of Health (NIH) (2010, October 1). Fact Sheet: Hearing aids. Retrieved fromU.S. Department of Health and Human Services: National Institutes of Health:https://report.nih.gov/nihfactsheets/viewfactsheet.aspx?csid=95

Write a Briefing report (no more than 3 pages) meeting the needs of Dr. Litchfield’s request:HMGT 307 Epidemiology Assignment 

Dr. Litchfield requests your assistance in conducting a needs assessment for hearing services in the five-county service area. Consider the following in your assessment:

1.   Population demographics play a determining role in the types of health services needed by communities. What demographic data may be important in determining the need for hearing services? (the National Institute on Deafness and Other Communication Disorders is a good resource)

2.   Timberline Health has a robust electronic health record with strong data analytic capabilities. How might this data be analyzed to evaluate the need for hearing services in the community?

3.   Timberline Health provides a wide array of health services to patients in the community.

Design a screening questionnaire (as an attachment to the report) for use in primary care clinics to help identify community need for hearing services (no more than 5-10 questions using Six Steps Creating Effective Questionnaire). HMGT 307 Epidemiology Assignment

4.   What other factors may influence the need for hearing services in the community?

**When appropriate, refer to credible resources following APA format. HMGT 307 Epidemiology Assignment

 
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HOMEWORK

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RULE OF THUMB

If a question is worth 10 points, then I’m looking for 10 quality sentences as a minimum. I welcome more discussion as opposed to less, but this rule of thumb seems to get at a minimum that reaches a quality level that I desire.

Also, be sure that you answer all the parts of the question requested. Part A has a lot of parts. Part A and B also require some RESEARCH beyond what I give you in the course shell. Give me the URLs for that part so I know from where you got your information.

Module 4 Assignment (100 possible points)

Name: ______________________________________________________

All assignments are to be completed individually without the assistance of classmates or anyone else. If you have questions, contact the professor who will be glad to help you. By turning in this assignment, you are stating that this work is yours alone.

PART A:  Are they better off? (28 total points)

In this module, through video links, we explore the impact of outsourcing on the people who are hired by US companies to complete the work for much, much lower wages. We watched videos by Jim Keady including the one where he tries to live on Nike wages as workers do.

Now, DO SOME RESEARCH. Repeat, you are expected to do RESEARCH for this question.

Part A, Question 1 (18 possible points) To determine for yourself whether you believe Nike workers in other countries are better off because NIKE is there and provides jobs, RESEARCH and answer THREE of the following questions (6 points each). You must support your answers with RESEARCH and URLs/Sites for that research. You must go beyond the clips and information I provided:

  • What is the cost living in the worker’s country and how do the wages compare with average earnings?
  • Do the workers have to do this work? Why/why not?
  • Does having the US company there have a chilling impact on other home-grown industries?
  • How corrupt is the government there?
  • What is the life of a worker like since the US company came to the worker’s country?
  • What do local people say about the company?
  • What benefits does the US company bring to the local community?

Part A, Question 2 (10 points) Based on your research above, is Keady telling the truth or is he wrong? Are workers making those wages better off?  Conduct research beyond what I provided you to find information on whether workers at a Nike facility of your choice are better off because the US company is doing business there? 

Part B: Look at the Board of Directors for Nike (10 total points)

Look at the NIKE corporate board members. Be sure you are looking at the corporate board members and not shareholders and not executive leadership only.  

  1. What do you notice about this board in terms of their gender, age and experience they bring to the board? (3 points)
  1. Based on perspectives which are missing, who would you recommend serve on the board and why? (2 points)
  1. How likely is this board to decide to limit CEO pay? Why do you believe that? (2.5 points)
  1. How likely is this board to look closely into the issues that Jim Keady raises? Why do answer that way? (2.5 points)

Part C: Do the Math – Hidden Face of Globalization (20 total points)

As you watch the video of Hidden Face of Globalization, jot down this information:

In the clip at 6:03, it says:

A sewer makes between __11__ cents to _17___ cents an hour or as little as $__5.28________ a week. A sewer can work up to 107 hours a week.

The young girls who remove the string from the garments make __as little as $3.84 a week___.

The corporations have practically wiped out the cost of labor.

Now, do some math (worth 5 points).

  1. For a sewer working 12 hours a day for 7 days of week getting paid 11 cents an hour, it costs a company ______ a week.
  2. Repeat, they are getting 84 hours of labor for __________ a week. (same answer as A)
  3. In the USA, a worker in TN would have to make minimum wage of $________ an hour. (can Google to find)
  4. The first 40 hours of work would cost a company $ __________.
  5. The remaining 44 hours would cost a company $ ____________ (rate of time and half)
  6. Hours x (minimum wage + ½ minimum wage)
  1. In Bangladesh, it costs a company $ ___________ for 84 hours of work. (same answer as A and B)
  2. In USA, it costs a company $_____________ for 84 hours of work. (add D and E together)
  3. A COMPANY OUTSOURCING LABOR TO BANGLEDASH WOULD SAVE HOW MUCH TO DO SO ON ONE WORKER IN COMPARISON TO WHAT IT WOULD COST THEM TO HIRE SOMEONE IN TN TO DO THE WORK AT MINIMUM WAGE. 

(G – F = COST SAVINGS TO COMPANY)

So what? (worth 15 points) – Remember the Rule of Thumb (1 point = 1 quality sentence)

  1. Now, what could the Board of Directors decide to do with those cost savings which are magnified for each worker it outsources to a country like Bangladesh? When answering think about the stakeholders (sewers doing work in factories, factory owners, towns where factories are located, customers, employees of the company back home, shareholders). (6 points)
  • What do Board of Directors typically do with all these cost savings? (4 points)
  • What do you believe the ethical action is for a board in using these cost savings? Why do you believe this way? (5 points)

Part D: Board of Directors for your Selected Documentary Company (20 points)

Remember the Rule of Thumb (1 point = 1 quality sentence)

Look at the corporate board members for your selected company or nonprofit you are using in your documentary case analysis. Be sure you are looking at the board members and not shareholders, employees/ executive leadership only, or founders.  

  1. What do you notice about this board in terms of their gender, age and experience they bring to the board? (3 points)
  1. Based on perspectives which are missing, who would you recommend serve on the board and why? (2 points)
  1. You will have to RESEARCH to find this answer. What did the board know and/or do with regards to the unethical actions of the company? Did they ignore it? Did they defend the actions? Did they cover it up? (10 points)
  1. Why do you think the board did what it did as you discussed above in question 3? (5 points)

Pa

Part E: Lessons Learned – Advice for the Board of Directors (22 points)

The last part of the Documentary Case Analysis asks you to give advice to the company or organization you focused on to provide guidance to keep the unethical conduct from occurring again.

See the language from the documentary case analysis template:

Lessons for Other Organizations and Leaders

In this section, provide at least THREE lessons you take away from this book or

documentary and paper that you think other organizations and leaders need to realize if they want ethical organizations with ethical people within them.

Of course, provide no less than a paragraph discussion each lesson.

To get you thinking for that last part of the documentary case analysis, think about your advice to the Board of Directors. Give three specific ideas to the Board of Directors on what they should do to have ethical organizations with ethical people within them. You need a total of 22 quality sentences across the three ideas.

  1. Idea 1 for Board of Directors
  2. Idea 2 for Board of Directors
  3. Idea 3 for Board of Directors
 
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HOMEWORK

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Informatics Policy/Regulation Fact Sheet

Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

  • Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:
    • Briefly and generally explain the policy or regulation you selected. (1 paragraph)
    • Explain the impact of the policy or regulation you selected on system implementation. Be specific and provide examples. (1 paragraph)
    • Explain whether or not the policy or regulation you selected will impact improvement in outcomes and efficiencies for clinical care, patient/provider interactions, and workflow. (1 paragraphs)
    • Describe organizational policies and procedures that are/will be in place at your healthcare organization to address the improvement in outcomes and efficiencies by the policy or regulation you selected. Be specific. (1 paragraph)
 
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Quiz IT Electronic Documents Management Paper

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Quiz IT Electronic Documents Management Paper

1-The HIPAA Security Rule protects:

verbal data

electronic data

written data

All of the above

2-According to HIPAA, PHI does NOT include:

IP addresses

Patient’s past medical treatment information

Payments for  health care provision

Health information with the identifiers removed

3-Which of the following access control mechanisms used to prevent employees from copying a document labeled with high security to another document labeled with ‘public’? Quiz IT Electronic Documents Management Paper.

Firewall

Zones

Encryption

Archive

4-It would be appropriate to release patient information to:

the patient’s (non-attending) physician brother

personnel from the hospital the patient transferred from 2 days ago, who is calling to check on the patient

the respiratory therapy personnel doing an ordered procedure

retired physician who is a friend of the family

5-Healthcare providers must ensure the confidentiality, integrity, and availability of electronic protected health information (ePHI) that the covered entity creates, receives, maintains, or transmits under:

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HIPAA

EHR

FCRA

FERPA

6-The mission of the law is to protect consumers’ personal financial information held by financial institutions

PCAOB

PHR

HIPAA

GLB

7-Which of the following statements about retention principles is true?

Organizations should keep business records as long as possible.

We only need to manage the records that are in use. Quiz IT Electronic Documents Management Paper.

How long the records should be kept depends on  the legal requirements and business needs.

Due to the security consideration, organizations should retain records longer than required.

8-Red flag rule requires that financial institutions:

must implement a written Identity Theft prevention Program

must comply with PCI standards

notify the customer that they may be a victim of identity theft

All of the above

9-Restricting access to the IT Department office of a hospital would fall under which type of safeguard required by the Security Rule of HIPAA?

electronic

technical

physical

administrative

10-According to Omnibus Final Rule, which of the following statements are correct?

If one EMR software vendor needs access to PHI, it would need to complete a BAA.

Business associates does not include entity that  maintain PHI.

A BAA is required for the US Postal Service.

Cloud service providers for EMR storage and backup are not liable for compliance with the HIPAA privacy rule.

11-Which of the following is not part of the PII definition established by GAPP:

Address

Credit card number

Student ID

Medical information

12-This term refers to the security practice where no one has more access than is needed to do their job

Auditing

Least privilege

Authentication

CIA Triangle

13-The law “to protect investors by improving the accuracy and reliability of corporate disclosures made pursuant to securities laws, and for other purposes.” Quiz IT Electronic Documents Management Paper.

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CIA

PCI

SOX

SEC

14-Being able to recover records after a disaster:

Effectiveness

Efficiency

Competency

Continuity

15-Law that requires a free credit report annually

FACTA

Red Flag Rule

FERPA

FCRA

16-Any list, description, or other grouping of consumers (and publicly available information pertaining to them) derived using any personally identifiable financial information that is not publicly available

PII

NPI

FTC

PIN

17-Which of the following is specific to the health care industry?

PII

Non-public financial information

Student academic record

PHI

18-The statutory requirement that public companies submit quarterly and annual reports is promulgated by which agency:

FBI

SEC

CIA

CICA

19-Disposition is not part of the records management lifecycle.

True.

False.

20-In the CIA Triangle, the letters  refer to what:

Confidentiality, Integrity, and Availability

Central Intelligence Agency

Confidentiality, Intrusion, and Availability

Cybersecurity In Action

Quiz IT Electronic Documents Management Paper 

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The History of Employment Law

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The History of Employment Law

Research Paper Template:

  1. Research paper sample templates typically include seven sections:  Title page, Abstract, Introduction, Literature Review (the body of your paper), Conclusion, References, and Appendices.
  2. It’s best to create a Microsoft Word document, using this template so your paper stays organized.  Note that the Title Page, Abstract, References, and Appendices go on their OWN page.  Your paper must be at least 12 pages of written text in 12 point Times New Roman font, excluding your cover page, references, and appendices.
  3. Write your abstract last.  The abstract is a 100 word summary of your paper and is intended to give a quick summary to a reader about the focus of your paper — and so you cannot write that until your paper is complete.  The abstract may include a sentence from your introduction and one from your conclusion, but it should be no more than a paragraph.
  4. To keep your paper organized, you will take each research question and write it as a subheading in your literature review.  For example, if a research question is “How has the implementation of various employment laws impacted the human resource management profession?” the subheading in your literature review could read, “The History of Employment Law.”

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  5. The conclusion should nicely wrap up your paper in a couple of paragraphs.  It should not be longer than 3 paragraphs (1 page), and should not introduce new material.
  6. Write your reference list first.  Since you are gathering references now, create your list in APA style from the beginning – put it in alphabetical order by author last name – and you will save time later.  There’s nothing worse than having to go back to the library to find the APA required information on a source you could have gathered the first time around!  Note that a reference list is the same as the bibliography or works cited.The History of Employment Law
  7. Some papers may not have an appendix section.  It depends upon your topic.  In most cases, appendices are used to present tables and charts that don’t fit nicely into the text of the paper itself, or to provide a sample of a survey used or interview questions posed.

Reference List:

In order to give appropriate credit to authors, you will follow APA style for this paper.  You should use the current APA manual for details.  Below are a few key points related to your reference list, but The Bedford Handbook provides more detail and examples.

  1. Only include the author’s last name and first name initial.  For example, Micera, R. (2008)
  2. Tab in 5 spaces the second and subsequent line of each reference.
  3. Put in alphabetical order by author last name; if you don’t have an author’s last name, use the first word of the title of the article.  For example, Students Protest over College Admissions Policies (2012, April 15) should be alphabetized under the letter “S”.
  4. If you are using an Internet source, list the reference, followed by the date of retrieval and the website.  For example, Retrieved January 27, 2014 from the Department of Labor website, www.dol.gov.
  5. Your final reference list should include only those references you actually cite in your paper.

The History of Employment Law 

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HOMEWORK

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Compose a report of 1100 words in which you:

1. Identify and describe a public issue relating to the company’s social or environmental impact.  Describe the public issue in terms of a performance-expectations gap.

2. Propose a strategy to address that issue and explain your reasoning. What do you recommend the company do in this situation to narrow the performance-expectations gap?

3. Identify the focal organization, the public issue under consideration, and the initial strategy recommended for management. 

4. Identify the company’s relevant stakeholders with respect to the issue at hand and explain both the interests and salience of each stakeholder. Include no fewer than five stakeholder groups in your analysis (i.e., employees, shareholders, customers, suppliers, retailers, communities, non-governmental organizations, trade associations, governments, the general public, competitors—see Exhibit 1.B in our textbook). Make sure to consider power, legitimacy, and urgency when evaluating salience. Write one small paragraph about each stakeholder group included in your analysis. Remember, you are evaluating the interests of each stakeholder with respect to the strategy you have proposed. In other words, you must evaluate whether each stakeholder is for or against the proposed strategy.

5. Present the findings of your analysis in a stakeholder map. After constructing the stakeholder map, briefly discuss whether any stakeholder coalitions are likely to form.

Please organize your report using the template attached below. (Note: the template also contains a blank stakeholder map that you can fill in based on the findings of your stakeholder analysis.)

 
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HOMEWORK

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  1. My Topic:  Voodoo
  • Five things I would like to know:

1. I would like to know that how Voodoo communicating with spirits.

2. How / Where Voodooism is practiced?

3. Voodoo in New Orleans and Haiti.

4. Why does everyone think Voodoo it’s scary?

5. When did voodoo start?

  • Main Topic Outline: (Fill out the “?” parts)
  1. Voodoo communicating with spirits
  2. ?
  3. ?
  4. Where Voodooism is practiced
  5. ?
  6. ?
  7. Voodoo in New Orleans and Haiti
  8. ?
  9. ?
  10. Why everyone think Voodoo it’s scary
  11. ?
  12. ?
  13. When did voodoo start
  14. ?
  15. ?
  • Works Cited Page:

List out all the work cited page that you used for the A. and B. points for the outline paragraph.

Example:

Lelyveld, Joseph. His Final Battle. Alfred A. Knopf, 2016.

Goodwin, Doris Kearns, “How FDR Conquered Public Perceptions.” eHow,www.ehow.com/how_10727_fdr.polio.html. (This reference is for instructional purposes only. It is fictional).

  • Annotated Bibliography:

Example:

Lelyveld, Joseph. His Final Battle. Alfred A. Knopf, 2016.

Joseph Lelyveld takes us through the President’s last months, as his physical condition worsens and as America’s entry into World War II is looming. FDR’s courage in a no-win situation is made immediately apparent as he completes one more fight. Written by Lelyveld, a veteran New York Times reporter, this book illuminates the secrets of FDR’s health and adds a final explanation to his last battle.

Goodwin, Doris Kearns, “How FDR Conquered Public Perceptions.” eHow, www.ehow.com/how  10727  fdr. Polio, html. (As stated above, this reference is for instructional purposes only. It is fictional).

This article, written by noted presidential historian, Doris Kearns Goodwin, is almost an instructional manual on how to overcome overwhelming obstacles. Although paralyzed for eleven years, FDR mounts a successful campaign for president and manages to keep his physical condition a secret.  This is a must read for any admirer of FDR and will serve as an inspiring story for the historian.

 
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Apply: Regression Modeling Paper

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Apply: Regression Modeling Paper

Assignment Content

  1. Purpose 
    This assignment provides an opportunity to develop, evaluate, and apply bivariate and multivariate linear regression models.

    Resources: Microsoft Excel®, DAT565_v3_Wk5_Data_File

    Instructions:
    The Excel file for this assignment contains a database with information about the tax assessment value assigned to medical office buildings in a city. The following is a list of the variables in the database:

    • FloorArea: square feet of floor space
    • Offices: number of offices in the building
    • Entrances: number of customer entrances
    • Age: age of the building (years)
    • AssessedValue: tax assessment value (thousands of dollars)
    • Use the data to construct a model that predicts the tax assessment value assigned to medical office buildings with specific characteristics. Apply: Regression Modeling Paper.

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    • Construct a scatter plot in Excel with FloorArea as the independent variable and AssessmentValue as the dependent variable. Insert the bivariate linear regression equation and r^2 in your graph. Do you observe a linear relationship between the 2 variables?
    • Use Excel’s Analysis ToolPak to conduct a regression analysis of FloorArea and AssessmentValue. Is FloorArea a significant predictor of AssessmentValue?
    • Construct a scatter plot in Excel with Age as the independent variable and AssessmentValue as the dependent variable. Insert the bivariate linear regression equation and r^2 in your graph. Do you observe a linear relationship between the 2 variables?
    • Use Excel’s Analysis ToolPak to conduct a regression analysis of Age and Assessment Value. Is Age a significant predictor of AssessmentValue?
    • Construct a multiple regression model.
    • Use Excel’s Analysis ToolPak to conduct a regression analysis with AssessmentValue as the dependent variable and FloorArea, Offices, Entrances, and Age as independent variables. What is the overall fit r^2? What is the adjusted r^2?
    • Which predictors are considered significant if we work with α=0.05? Which predictors can be eliminated?
    • What is the final model if we only use FloorArea and Offices as predictors?
    • Suppose our final model is:
    • AssessedValue = 115.9 + 0.26 x FloorArea + 78.34 x Offices
    • What wouldbe the assessed value of a medical office building with a floor area of 3500 sq. ft., 2 offices, that was built 15 years ago? Is this assessed value consistent with what appears in the database? Apply: Regression Modeling Paper.

 

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HOMEWORK

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Assignment 1 Submit your responses as a PDF file via Canvas by the due date. 1. Consider the following scenario: A company has a number of customers who have addresses and phone numbers, and we assume that while there may be multiple customers with the same address, no two customers with the same name have the same address or the same phone number. Each customer has a customer id, which is unique to that customer. Suppose that this information is stored as a relational database relation or table. Answer the following: a. What is the schema for this relation (the attributes or columns and their domains or types)? b. What are possible superkeys for this relation? c. Which of the superkeys identified above are the candidate keys for the relation? d. What is the best choice from the candidate keys for the primary key of the relation? 2. Consider the previous scenario. Suppose now that the company wants to also build relations that describe its inventory and sales transactions. For the inventory, the store keeps track of the following: ◦ The product manufacturer name ◦ The product model number ◦ The number in stock ◦ The wholesale price ◦ The retail price A manufacturer has many products, each of which has a product number that is unique for that manufacturer. However, two manufacturers could have the same product numbers for some of their products. For the sales transactions, the company tracks the following ◦ The customer id of the customer making the sale ◦ The date of the sale ◦ The product purchased model number ◦ The product purchased manufacturer name ◦ The price paid including tax Assume that a customer makes only one order on any given day. Develop the schemas for each of the above relations, including primary keys and foreign keys, using only attributes representing the information described above. Note that for the sales transaction relation, you must develop foreign keys that refer to the customer table and the inventory table. Page 2 of 4 3. Consider the following set of tables describing students and school clubs: a. Assuming that SID and CID are unique identifiers, what are likely primary keys for the Student and Clubs tables? b. What is the primary key for the ClubMemberships table? c. What are foreign keys necessary for this set of tables in order to ensure that only registered students can be in clubs and students can only join registered clubs? 4. Can you add the following tuple to the ClubMemberships table based on your foreign keys? (3, 200) Why or why not? 5. Can you add the following tuple to the ClubMemberships table based on your foreign keys? (1, 101) Why or why not? 6. Consider the following scenario from your textbook on page 118 dealing with a chain of hotels that need to manage the bookings of their guests into rooms at specific hotels in the chain. The hotel chain maintains four tables in order to manage this information: Hotel(hotelNo, hotelName, city) Room(roomNo, hotelNo, type, price) Booking(hotelNo, guestNo, dateFrom, dateTo, roomNo) Guest(guestNo, guestName, guestAddress, guestPhoneNo, guestEmail) The underlined attribute(s) of each relation form the primary key of the relation. a. Identify foreign key relations in the tables that will allow the appropriate referential integrity rules to be applied. For each foreign key relation, specify the referring table, the primary table, and the attributes that form the foreign key in the referring table. For example, a guest should not be booked into a non-existing room at a hotel. A guest should not be booked into a room unless there is information about the guest. Student SID Name Gender Status GPA 100 Bill M Fr 3.3 101 John M So 2.1 102 Sue F Jr 3.2 103 Mary F Sr 3.6 105 Jane F Fr 2.9 Clubs CID Name MtgRm 1 Chess 144 2 Debate 145 ClubMemberships CID SID 1 100 1 200 1 300 2 300 2 400 Page 3 of 4 For the remaining questions, use the following set of relational database tables to the results for the relational algebra expressions. 7. <12( 2) 8. ≥3∧( <9∨ = )( 1) 9. , ( 1) 10. , ( =3 ( 1)) 11. 1× 3 12. 1. = 2. ∧ 1. = 2. ( 1× 2) 13. ( 1) − ( 2) 14. ( 1) ∪ ( 2) 15. ( 1) ∩ ( 2) 16. R2 |><| R3 R1 A B C D 1 e 4 e 2 g 9 g 3 x 13 f R2 C D E F 2 s 11 t 4 e 8 d 9 h 15 k R3 F G H j y i s t f t f s x b o d a w Page 4 of 4 Write the relational algebra expressions that will produce tables with the following information, using the tables S (containing information on students), C (containing information on school clubs), CM (containing information on student membership in school clubs; each row with a cid/sid pair indicates that the student with student id sid is a member of the club with id cid) shown above. 17. List student names. 18. List students’ names with GPAs greater than 3.0. 19. List student names who are male or juniors or seniors using only sigma selection and projection operators. 20. List the names of the students who are in the chess club. (Use natural joins.)

 
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Quality Improvement of Healthcare Paper

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Quality Improvement of Healthcare Paper

Value-based care is the current hot topic and focus on balancing cost, access, and quality (Healthcare Iron Triangle). Dorr (2019) reports 48 states have value-based care up from 3 in 2011. The COVID pandemic has strained healthcare services with lack of resources being a primary challenge. Staff shortages, lack of equipment (e.g. PPE), testing supplies and equipment are but a few challenges. As a healthcare manager, front line staff what actions can you take to respond to lack of resources within your facility? Quality Improvement of Healthcare Paper.

Reference:

Dorr, L. (2019, November 13). The Top 5 Barriers to Value-Based Care. Managed Healthcare Executive. Retrieved from https://www.managedhealthcareexecutive.com/view/bhatt-vascepa-cuts-need-for-surgeries-to-restore-blood-flow

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  1. Classmate response to a question

Healthcare is complex and comes with great cost for many people. In time, changes have been proposed to attempt to improve healthcare deficiencies. Although the healthcare system is not perfect, there is always room for quality improvement in healthcare as it is continuously changing. History, current framework and characteristics, healthcare disparities and future solutions are all important factors that impact the constant change in quality improvement in healthcare. Some historical factors include, beliefs and values and the founding of Medicare and Medicaid. Beliefs and values such as capitalism, self-reliance, and limited government have been responsible for shielding the U.S health care system from a major overhaul (Shi & Singh, 2017, p. 54). In addition to beliefs and values having a historical impact, Medicare and Medicaid which was enacted by President Lyndon Johnson (“The Social Security Amendments of 1965 established Medicare and Medicaid in the United States”) (Rajaram & Bilimoria, 2015, pp. 1) has had an enormous impact on the health care system continuously as it effects so many people.

Adinolfi, P. (2012). Philosophy, medicine and healthcare: Insights from the Italian experience

https://ukdiss.com/examples/quality-improvement-of-healthcare.php.  Quality Improvement of Healthcare Paper. 

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