Calculate break-even and payback period analyses. See Excel Spreadsheet to show your calculation. Explain, in a 2-4-page memorandum to the CEO, their implications. Provide the discussion in the memorandum.

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HCAD 640 Assignment 2 Break Even Analysis

Assignment has 2 parts to complete (2-4-page memorandum / Memo Format and demonstrate work on Excel spreed-sheet provided) *At least (1-2) cited source is required.

Calculate break-even and payback period analyses. See Excel Spreadsheet to show your calculation.

Explain, in a 2-4-page memorandum to the CEO, their implications. Provide the discussion in the memorandum (must be in proper Memo format).

Identify any gaps, request information, receive feedback, and apply feedback with those changes to your final project plan.

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Stake holder analysis

The stakeholder analysis (SHA) is an exercise to understand both the formal and informal project stakeholders. This analysis is usually done as part of your project charter and scope and you may have already completed some work on this. As we move towards the end of your project plan build, it bears repeating and reanalyzing to ensure you have captured the stakeholders’ expectations.
Managing change is a critical activity of any system implementation and perceptions change through the course any project. Often what is understood as expectations for stakeholders at the outset of a project is different at the project conclusion. Ongoing “check ins” with stakeholders are key to managing expectations (and change) that is inherent with large system migrations (in this case paper to digital charting with an EHR).

Instructions
After completing the assigned readings for this module, read and complete the stakeholder analysis template Click for more options (SHA) for your project. Utilize the original case study from module 2 for your project plan and any additional information you may have acquired through communication with the instructor. The SHA will likely require you request additional information from the instructor relative to the case study. The SHA will be become part of your final project plan and will be added to your Project Charter section.

*Be sure to submit any questions to your instructor regarding any gaps in project information you may have. Your stakeholder analysis and project plan build is an iterative activity requiring you to identify any gaps, request information, receive feedback, and apply feedback with those changes to your final project plan.

CASE STUDY:
The Waverly Family Health services has decided to implement an electronic health record (EHR). They have decided to implement a web-based EHR called Practice Fusion http://www.practicefusion.com. You will need to review the website to understand about the product. You may sign up for free access to their product to learn more and answer questions you might have about the product (see also provided youtube videos about Practice Fusion).
The clinic has no prior experience implementing an EHR, but they feel assured they can accomplish a web install and system conversion (migrating from paper charts to digital content) using the skill of their staff and providers. Hardware is already provided. The following is baseline information on the clinic and project resource allocation:

Budget
The clinic acquired a small business development loan on their American Express Card business account in the amount of $40,000.00 for the entire project. This includes all startup costs, labor, training, and “unforeseen costs.”

Staff

The following is a breakdown of staff who will need EHR access and new hardware to run the EHR:
Dr. Waverly, clinic owner and medical director (*Key stakeholder)
Dr. Jones, physician and clinic partner (*Key stakeholder)
Mrs. Johnson, physician’s assistant (will function as project team member)
Mrs. Wright, MSN, NP, nurse practitioner [Project team member (has previous EHR install experience)]
Mrs. Jones, clinic director (*Key stakeholder)
Ms. Felps, front office clerk (Project team member)
Ms. Smith MA, back office medical assistant (Project team member)
Mr. Lawrence, clinic accounts and billing [Project team member (has I.T experience)]
You have 6 months to complete the project.

Environment Assessment Information:
The clinic has a high speed T-line, which provides internet access with Wi-Fi access throughout the clinic. There is ample hardware throughout the clinic. Each clinic exam room (there are 4) has a workstation consisting of a Dell “all-in-one” desktop with 8GB of ram and Intel i7 processor, and a 23-inch screen. The units are wall mounted and the monitor is on an articulated arm allowing the patient to see the screen when the clinician wants to share information. Each of the Medical Assistants (MAs), front office clerk, biller and directors have similar work stations. The workstation configurations meet the minimum standards for utilizing the web-based EHR.

Review the scoring rubric Click for more options to understand how your work will be assessed. When you have completed your assignment, submit it by clicking on the title above.

If you were to find out that the AI/ML system was used to make recommendations on your care and no one told you, how would you feel? Well, come to think of it, do you know whether an AI/ML system was used the last time you saw a physician?

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Week 6 Discussion

Reply to the following using at least 175 words per reply. Be constructive and professional in your reply. Be sure to use FULL APA references and in-text citations.

1. The ethical questions of Informed Consent are far reaching, more than I ever thought.

To review, one of the 4 goals of AI in healthcare is Informed Consent, here is the list again:

Informed consent to use data
Safety and Transparency
Algorithmic fairness and biases
Data Privacy

I found this FANTASTIC article (https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3529576) that runs through a scenario of a patient speaking with his physician and the recommended course of treatment for his diagnosis. Please take just 5 minutes to read this. The article brings up a host of ethical questions about informed consent and asks some very hard to answer questions.

The last question is very poignant, “If you were to find out that the AI/ML system was used to make recommendations on your care and no one told you, how would you feel? Well, come to think of it, do you know whether an AI/ML system was used the last time you saw a physician?”

How would you feel?

2. Cloud is a fancy term for “someone else’s computer”. Rather than running application servers and storing data on premises, it is transmitted across a secure Internet connection to the cloud location. This model is becoming very popular, it saves the practice/organization from purchasing expensive computers/servers and hiring expensive IT staff who would normally perform the maintenance and support of the servers running the applications and storing the data.

There are many different types of applications that can be offered up from the cloud to a practice/organization, from EHR applications to organizations who analyze large sums of data to support their AI and decision support models.

Our learning activities, “How does IBM Watson work?” (https://www.youtube.com/watch?v=r7E1TJ1HtM0) and “Watson Health for Diabetes Management” (https://www.youtube.com/watch?v=KFD8HFqNR18) describe how wearables, data management and analytics in the Watson Health Cloud. IBM is then able to make predictive analytics for a give patient and sends information/recommendations to the patient’s smartphone. IBM claims they can predict if a patient is on their way to experiencing a diabetic event and send the patient information and recommendations to avoid the predicted event.

I don’t think this is replacing healthcare practitioners, but what are your thoughts on this type of predictive analysis using the cloud?

Choose your position. Which side of the issue or problem are you going to write about, and what solution will you offer? Know the purpose of your essay. Analyze your audience. Decide if your audience agrees with you, is neutral, or disagrees with your position. Research your topic. A persuasive essay must provide specific and convincing evidence.

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Ethics of Organ Selling

Write a 6-page paper on Ethics of Organ Selling. This is a persuasive paper so you will choose one side of the topic and argue that side.

You will be graded on how well you support your argument. You are trying to convince your audience that whatever stance you are taking is the right one and the one.

In persuasive writing, a writer takes a position FOR or AGAINST an issue and writes to convince the reader to believe or do something. Persuasive writing utilizes logic and reason to show that one idea is more legitimate than another idea. It attempts to persuade a reader to adopt a certain point of view or to take a particular action. The argument must always use sound reasoning and solid evidence by stating facts, giving logical reasons, using examples, and quoting experts. When planning a persuasive essay, follow these steps:

• Choose your position. Which side of the issue or problem are you going to write about, and what solution will you offer? Know the purpose of your essay.
• Analyze your audience. Decide if your audience agrees with you, is neutral, or disagrees with your position.
• Research your topic. A persuasive essay must provide specific and convincing evidence.
• Structure your essay. Figure out what evidence you will include and in what order you will present the evidence.
• Remember to consider your purpose, your audience, and your topic. The following criteria are essential to produce an effective argument.
• Develop a strong thesis – a clear, concise statement of your main argument; the overall idea you’ll be arguing. Your thesis will also serve as a roadmap for the rest of your essay, giving the reader a general idea of the path, your argument will follow.
• Test your thesis. Your thesis, i.e., argument, must have two sides. It must be debatable. If you can write down a thesis statement directly opposing your views, you will ensure that your own argument is debatable.
• Disprove the opposing argument. Understand the opposite viewpoint of your position and then counter it by providing contrasting evidence or by finding mistakes and inconsistencies in the logic of the opposing argument.
• Support your position with evidence. Remember that your evidence must appeal to reason.

Identify two provisions of the PPACA that help APRNs in their practice. What is one solution or policy change to the PPACA that a nurse practitioner could propose to not only provider higher payout for services, but better care for patients?

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Policy Discourse Post

Topic Question: Identify two provisions of the PPACA that help APRNs in their practice. Specify how.

 The Patient Protection Affordable Care Act (PPACA)

The Patient Protection Affordable Care Act (PPACA) was an act that was created in attempt for the reform of healthcare under the Obama administration. Some of the bills that were introduced included an increase in access to health care, an increase in primary care workers, and services for promotion of health and to prevent diseases (Goudreau & Smolenski, 2018). This bill was a process and had revisions made under the House and the Senate in order for an agreement to be made (Goudreau & Smolenski, 2018). There were provisions in the act that were beneficial for providers, especially advanced practice registered nurses.

 

Provision 1: Patient Choice Protection

             One provision that was beneficial for nurse practitioners were that it protected the patient’s choice and allows the patient to choose what provider they see, and payment nondisclosures were implemented as well. With this provision in place, patients are able to choose their own healthcare providers and insurance is not able to discriminate against nurse practitioners (Goudreau & Smolenski, 2018). This can allow nurse practitioners to see more patients and provide effective, and safe care for patients (Torrens et al., 2020).

 

Provision 2: Increased Need for Primary Care Providers

             The second provision that can help advanced practiced registered nurses is the increased need for primary care providers (Goudreau & Smolenski, 2018). The reason that this can be beneficial for nurse practitioners is that it can lead to more states allowing full practice authority (Brom et al. 2018). In order for this to be possible, organizations, nurses, and nurse practitioners must advocate for this policy for their states as there are numerous nurses that are evidence based practice competent and are able to provide quality care (Loversidge & Zurmehly, 2018).

 

Follow up Question:

             Though the Patient Protection Affordable Care Act has positives related to healthcare reform, there are some downsides to it. One downside is that carrying out healthcare services might be more cost effective for the provider, meaning that they may not make as much money. In turn, this affects job growth and, unfortunately, could potentially affect the type of care that a patient receives (Kaiser Family Foundation, n.d.) With that being said, what is one solution or policy change to the PPACA that a nurse practitioner could propose to not only provider higher payout for services, but better care for patients?

Develop the two appropriate operational policies and procedures you recommend to ensure information privacy and security of information submitted to and through the Health Information Exchange (HIE).

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Type of security issues

Based on the type of security issues , select an health information exchange architectural model to base on one of the four healthcare facilities: inpatient, outpatient, pharmacy, or other health care facilities.

Develop the two appropriate operational policies and procedures you recommend to ensure information privacy and security of information submitted to and through the Health Information Exchange (HIE).

Discuss the general concept of insurance and its general principles. Describe the various types of private health insurance options, pointing out the differences among them.

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Insurance and its general principles

Discuss the general concept of insurance and its general principles. Describe the various types of private health insurance options, pointing out the differences among them.

After reading Five Healthcare Construction Best Practices for Occupied Healthcare Facilities, identify the best practice that you think is most essential for ensuring that an organization’s capital plan will be successful, and explain why you think it is most essential.

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Capital planning

Good news! You have been asked to represent your organization at the annual Healthcare Facilities Planning conference in Hawaii. Your specific assignment is to attend a presentation by Ray Dufresne on best practices for capital planning and, when you return, to tell your boss which of Dufresne’s practices you think is most essential for ensuring that your organization’s capital plan will be successful.

After reading Five Healthcare Construction Best Practices for Occupied Healthcare Facilities, identify the best practice that you think is most essential for ensuring that an organization’s capital plan will be successful, and explain why you think it is most essential. Support your discussion with evidence-based resources, written using APA format.

Identify two provisions of the PPACA that help APRNs in their practice. What is one solution or policy change to the PPACA that a nurse practitioner could propose to not only provider higher payout for services, but better care for patients?

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Policy Discourse Post

Topic Question: Identify two provisions of the PPACA that help APRNs in their practice. Specify how.

 The Patient Protection Affordable Care Act (PPACA)

The Patient Protection Affordable Care Act (PPACA) was an act that was created in attempt for the reform of healthcare under the Obama administration. Some of the bills that were introduced included an increase in access to health care, an increase in primary care workers, and services for promotion of health and to prevent diseases (Goudreau & Smolenski, 2018). This bill was a process and had revisions made under the House and the Senate in order for an agreement to be made (Goudreau & Smolenski, 2018). There were provisions in the act that were beneficial for providers, especially advanced practice registered nurses.

 

Provision 1: Patient Choice Protection

             One provision that was beneficial for nurse practitioners were that it protected the patient’s choice and allows the patient to choose what provider they see, and payment nondisclosures were implemented as well. With this provision in place, patients are able to choose their own healthcare providers and insurance is not able to discriminate against nurse practitioners (Goudreau & Smolenski, 2018). This can allow nurse practitioners to see more patients and provide effective, and safe care for patients (Torrens et al., 2020).

 

Provision 2: Increased Need for Primary Care Providers

             The second provision that can help advanced practiced registered nurses is the increased need for primary care providers (Goudreau & Smolenski, 2018). The reason that this can be beneficial for nurse practitioners is that it can lead to more states allowing full practice authority (Brom et al. 2018). In order for this to be possible, organizations, nurses, and nurse practitioners must advocate for this policy for their states as there are numerous nurses that are evidence based practice competent and are able to provide quality care (Loversidge & Zurmehly, 2018).

 

Follow up Question:

             Though the Patient Protection Affordable Care Act has positives related to healthcare reform, there are some downsides to it. One downside is that carrying out healthcare services might be more cost effective for the provider, meaning that they may not make as much money. In turn, this affects job growth and, unfortunately, could potentially affect the type of care that a patient receives (Kaiser Family Foundation, n.d.) With that being said, what is one solution or policy change to the PPACA that a nurse practitioner could propose to not only provider higher payout for services, but better care for patients?

Identify health behaviors in your community. Describe available public health programs. Discuss at least one (1) health behavior that is not being adequately addressed. Support with valid and reliable sources. Provide ideas or suggestions about how you would like the concern to be addressed.

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Module 04 Assignment – Addressing a Health Concern

It is important for advocates to analyze behaviors related to disease prevention and promoting health. In this assessment, you will be researching your city’s website and social media accounts to evaluate public health programs presented to the community. You must then identify a public health concern that is not directly addressed and advocate for a program to be created specifically for that concern.

 

Instructions

Part 1: Conduct Research

Conduct research to identify health behaviors that are negatively affecting the community. (If you cannot find enough information for your particular city or county, please research a city that is familiar to you.)

 

Part 2: Compare the Data

Compare the data you found about health behaviors and available public health programs.

    • Identify at least one (1) health behavior that is prevalent in your location that is not being adequately addressed.

 

Part 3: Write a Letter

In a Microsoft Word document, write a letter to local public health officials advocating for the creation of a program to address your concerns. Include the following:

    • Identify health behaviors in your community.
    • Describe available public health programs.
    • Discuss at least one (1) health behavior that is not being adequately addressed. Support with valid and reliable sources.
    • Provide ideas or suggestions about how you would like the concern to be addressed.
    • Support your reasoning with valid and reliable sources.

 

Use professional word choice and correct spelling, grammar, and APA style.