Requesting 3 page research paper on "drugs that influence the conscious mind". Please note that I will be presenting the material in class, and will use my personal experience with marijuana as part of my introduction. Im going to discuss how at a very young age it made me paranoid and caused the "munchies". This should give you an idea of the direction I’d like to take.

 

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What areas are measured in an EMS? How do you determine important areas to measure? Who in a hospital organization is responsible for establishing areas to measure? And what recommendations would you make to improve the determination process?

300 words

 

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Background

New Century Health Clinic New Century Health Clinic offers preventive medicine and traditional medical care. In your role as an IT consultant, you will help New Century develop a new information system.

Background Based on your earlier recommendations, New Century decided to continue the systems development process for a new information system that would improve operations, decrease costs, and provide better service to patients. Now, at the end of the systems analysis phase, you are ready to prepare a system require- ments document and give a presentation to the New Century associates. Many of the pro- posed system’s advantages were described during the fact-finding process. Those include smoother operation, better efficiency, and more user-friendly procedures for patients and New Century staff. You also must examine tangible costs and benefits to determine the economic feasibility of several alternatives. If New Century decides to go ahead with the development process, the main options are to develop the system in-house or purchase a vertical package and con- figure it to meet New Century’s needs. You have studied those choices and put together some preliminary figures. You know that New Century’s current workload requires three hours of office staff  overtime per week at a base rate of $8.50 per hour. In addition, based on current projec- tions, New Century will need to add another full-time clerical position in about six months. Neither the overtime nor the additional job will be needed if New Century implements the new system. The current manual system also causes an average of three errors per day, and each error takes about 20 minutes to correct. The new system should eliminate those errors. Based on your research, you estimate by working full-time you could complete the project in about 12 weeks. Your consulting rate, which New Century agreed to, is $30 per hour. If you design the new system as a database application, you can expect to spend about $2,500 for a networked commercial package. After the system is operational and the staff is trained, New Century should be able to handle routine maintenance tasks without your assistance. As an alternative to in-house development, a vertical software package is available for about $9,000. The vendor offers a lease-purchase package of $3,000 down, followed by two annual installments of $3,000 each. If New Century buys the package, it would take you about four weeks to install, configure, and test it, working full-time. The vendor provides free support during the first year of operation, but then New Century must sign a technical support agreement at an annual cost of $500. Although the package contains many of the features that New Century wants, most of the reports are pre-designed and it would be diffi- cult to modify their layouts. No matter which approach is selected, New Century probably will need you to provide about 10 hours of initial training and support each week for the first three months of opera- tion. After the new system is operational, it will need routine maintenance, file backups, and updating. These tasks will require about four hours per week and can be performed by a clinic staff member. In both cases, the necessary hardware and network installation will cost about $5,000. In your view, the useful life of the system will be about five years, including the year in which the system becomes operational.

 

 

 

 

 

PRELIMINARY INVESTIGATION REPORT

Subject:          New Century Wellness Group

Date:               03-24-14

 

INTRODUCTION

The purpose of this report is to detail the findings of the preliminary investigation and propose possible options pertaining to a new information system for New Century Wellness Group.  This study was conducted at the request of Dr. Timothy Jones, one of the owners and founders, by Daniel West.

 

The requested system would ideally automate the process of appointment scheduling, patient records and billing, and supply ordering while also working with, or replacing, the current payroll system.  By automating these manual processes, New Century Wellness Group should see an immediate improvement in efficiency and a long term improvement in overall quality of work.

 

SYSTEMS REQUEST SUMMARY

The requested system will create an integrated office that automates the currently manual business processes by the office staff of New Century Wellness Group.  Many of these processes pertain to the patient-office relationship including appointment scheduling, record keeping, and billing.  Other processes that should work in conjunction with this new integrated office system would be for supply ordering, accounting, and payroll.

 

The major problem that this system should alleviate is the employee time spent on these processes.  The staff of New Century Wellness Group has been unable to keep up with the demands of performing these processes manually and overtime has become a significant cost to the company.  Other problems associated with the current processes include the billing process taking too long and timeliness of working with the insurance companies to receive payment.

 

Aside from rectifying the above listed problems, the requested system will provide many opportunities for growth and quality control for New Century Wellness Group.  By automating and integrating the office, there will be improved job efficiency and work satisfaction with less redundant tasks and need for overtime.

 

PRELIMINARY INVESTIGATION FINDINGS

An investigation was conducted in order to determine key factors about the current system and the proposed project.  After a thorough analysis of the employees and and processes of New Century Wellness Group, and interviews with staff, the following conclusions have been made.

 

The proposed project would encompass almost all office related processes, with the possible exclusion of supply ordering, and would almost completely replace all current systems.  The scope of this project can not be understated as it would require an almost entire restructuring of the current system and extensive training for the current staff to ensure an effective implementation.

 

While the project would be a vast undertaking for New Century Wellness Group, the findings show that there is an extreme need for at least some new system to be made as the current workload has slowed company growth to a halt.  Interviews with staff members have revealed a strong desire for a new system and show there is a willingness to learn the skills necessary to use this system.

 

The current cost of the manual system has increased as the workload of the office staff has increased.  New Century Wellness Group currently has an office staff of eight people at a cost of $30,000 a year each, a total cost of $240,000 a year before paying for the current overtime. If each employee is currently working an average of ten hours of overtime a week there is an additional cost of $11,250 per employee per year.  With eight employees that is a cost of $90,000 per year on top of the current $240,000 resulting in $330,000 a year in office staff salaries.

 

In addition to the current cost of the office staff there is the additional cost of the proposed new office.  With the current system this would require an almost entire new office staff costing a potential $240,000 a year, but could be significantly reduced if the current staff could run many of the other offices business processes neccessatiting only hiring two or three new staff members for that office.

 

Other significant findings showed that there have been delays in billing processing and payments from insurance companies.  These problems would also be eleveated through an automated, integrated, office solution.

 

RECOMMENDATIONS

The recommendation for New Century Wellness Group that was reached by the Systems Analyst is that a business support system should be created based on the current business processes.  Along with this system, another medical practice support system should be created that will work in unison with the business support system to create a fully automated and integrated office.  Employee training will be critical with this for successful implementation and it is possible that an IT professional be hired full-time to maintain the system. Specific conditions for the production of the system are listed below, but will require a significant cost and time commitment from the company.

 

TIME AND COST ESTIMATES

If it is decided that a new system is to be created then the timetable for production will begin immediately.  The next phase will include analyzing the business processes and creating a list of requirements.  This will involve active participation from employees and should be completed within one month.  After this the design and production of the systems will begin and based on the preliminary investigation should take anywhere between three to nine months.  After this implementation and security will be considered and training will begin, this process will be an ongoing process, but normal work should be able to be done using the system after three months from first implementation.

 

The cost estimate for the new system will depend on whether New Century Wellness Group chooses to buy third-party software or create a new system in-house.  It is the recommendation that a modified third-party software be used, potentially an open-source electronic medical record system and a licensed business support system.  This could cost anywhere between $500 to $3000 to purchase the software and whatever cost of time to modify and implement it.

 

If an IT professional is needed to be brought on staff this will cost an additional $30,000 a year, however, it may not be necessary.

 

EXPECTED BENEFITS

The overall return on investment for the creation of this integrated system is extremely high, especially if the projected growth of the company continues.  Right now the office staff of eight provides service for 8,000 patients requiring working overtime costing the company $90,000 on top of their base $240,000 salary.  By eliminating this expenditure a 25% decrease will be seen from the current $330,000 being spent on employees salaries right now.  This benefit would decrease to $60,000 if a new staff member is needed to maintain the system.

 

If the current system were to be implemented at a new office and require a brand new staff of at least six people, excluding a human resources and office manager, it would cost an additional $180,000 and increase the workload on the current staff to train and support this new office.  If the new system is scalable to projected growth then the new office will only require between two or three new hires, at most a $90,000 a year investment in salaries.  This system would ideally cut in half the necessary staff of any new office opened in the future.

 

Intangible benefits of this system include improved employee efficiency and work satisfaction.  Also patients will notice an improvement in scheduling efficiency and billing processing.  Payments to New Century Wellness Group from insurance companies should arrive faster and the overall organization of the office will improve greatly.

 

 

 

Assignment

Do the following questions for discussion:

1. Research and provide various development alternatives that should be investigated for New Century.  This should include at least 1 alternative for In-house Development and 1 alternative for Third Party Purchased Software.   The purchased software must be REAL….meaning get online to find software that could meet the requirements.  If needed, call those companies and find out about the software as much as you can.
2. For each alternative provide a detailed explanation of each.
3. For each alternative provide the intangible benefits.
4. For each alternative state the pros an cons.  For example…state what requirements will be met with the purchase software versus what requirements will not be met.
5. For each alternative provide the tangible benefits by providing a break even analysis (return on investment) based on the monetary value information from the New Century Case in Chapter 7.   For more information on how to do this, go to the System Analyst tool kit in the back of your book.
6. Finalize the assignment by recommending one of the alternatives.  You must define WHY you are recommending the alternative by comparing the tangible and intangible benefits of each alternative.

a like to the book case study is in chapter 7 http://kmaazali.wordpress.com/2013/02/09/system-analysis-and-design-shelly-cashman-9th-edition/

 

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Paper instructions:
The government is a significant payor source in healthcare. Through Medicare and Medicaid the government is picking up the tab for a significant amount of care delivered in the United States. Consider the Patient Protection and Affordable Care Act, signed into law in 2010 and evaluate the prospects for the future of government’s role as a payor source? What are the hazards and opportunities associated with shifting healthcare expenditure to government? What are the hazards and opportunities associated with shifting healthcare expenditure away from government to private insurance companies and individuals?
****Just needs to be 2 paragraphs with one cited source.

 

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What are the major federal law enforcement agencies involved in drug law enforcement? How do constitutional and jurisdictional limitations constrain drug law enforcement? Why is corruption a problem in drug law enforcement? What can be done to curb the potential for corruption

 

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Assignment 1: Legal Aspects of U.S. Health Care System Administration
Due Week 4 and worth 100 points

Prevailing wisdom reinforces the fact that working in U.S. health care administration in the 21st Century requires knowledge of the various aspects of health laws as they apply to dealing with medical professionals. Further, because U.S. health care administrators have to potentially interact with many levels of professionals beyond the medical profession, it is prudent that they are aware of any federal, state, and local laws that may be applicable to their organizations. Thus, their conduct is also subject to the letter of the law. They must evaluate the quality of their professional interactions and be mindful of the implications and ramifications of their decisions.

You are employed as a top health administrator at the hypothetical Well Care Hospital in Happy Town. When you were hired, your pre-employment screening involved background checks into any violation of hospital medical misconduct during the last five (5) years. The results showed that you were in good standing with the hospital administration community. During the past year, you had to undergo training in personnel conduct, as well as in inter-employee conduct with medical staff, nurses, technologists, etc. During the past six (6) months, the hospital has been under scrutiny for breach of medical compliance.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a three to four (3-4) page paper in which you:

Articulate your position as the top administrator concerned about the importance of professional conduct within the health care setting. Justify your position.
Ascertain the major ramifications of having professional staff compromise the boundaries of ethics and medical conduct.
Analyze the four (4) elements required of a plaintiff to prove medical negligence.
Discuss the overarching duties of the health care governing board in mitigating the effects of medical non-compliance, as they apply to the rules of practice set forth in the Well Care Hospital governing board’s manifesto.
Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.
Your assignment must follow these formatting requirements:

Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:

Describe the sources of law in America, the relative legal procedure, and the related court system.
Examine the various applications of the law within the health care system.
Use technology and information resources to research issues in health care policy, law, and ethics.
Write clearly and concisely about health care policy, law, and ethics using proper writing mechanics.

 

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Summarize the impact of the various aspects of diversity and of under-represented minorities in the nursing profession. Explain the importance of diversity in the profession of nursing and on delivering culturally competent nursing care

Aiken, L. H. (2002). Commentary. Medical Care Research and Review, 59(2), 215–222.
(This article discusses the nursing shortage found across the United States and focuses on the state of Pennsylvania’s decline in RNs. The article also examines whether nurses are an essential or discretionary need)

Kennedy, H., Fisher, L., Fontaine, D., & Martin-Holland, J. (2008). Evaluating diversity in nursing education: A mixed method study. Journal of Transcultural Nursing, 19, 363–3 70.

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(This article examines how the nursing curriculum addresses diversity. The goal is to better prepare nursing students to be sensitive to cultural diversity in practice)

Maier-Lorentz, M. (2008). Transcultural nursing: Its importance in nursing practice. Journal of Cultural Diversity, 15(1), 37–43.
(This article discusses the need for nurses to be knowledgeable about many cultures to provide individualized care to diverse groups of patients. It also provides steps for nurses to gain cultural competence)

Roman, L. M. (2008). Nursing shortage: Looking to the future. RN, 71(3), 34-41.
(This article is a compilation views on how the nursing profession will be reshaped as a result of the current nursing shortage. It also provides specific areas that are in dire need of change)

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