CO4: Apply legal concepts to business scenarios

CO9: Evaluate employment laws affecting business.

CO10: Define the ethical environment that is applicable to the business world.

Title I of the Americans With Disabilities Act, 42 U.S.C. §§ 12112(a), requires employers to provide reasonable accommodation to otherwise qualified persons with a disability to enable them to work.   The federal government has a similar requirement under Section 504 of the Rehabilitation Act of 1973, 29 U.S.C. § 794.  What is a “reasonable” accommodation? This is a determination to be made on the facts by the employer on a case-by-case basis.  Ultimately, the decision  an employer makes may be reviewed by the Equal Employment Opportunity Commission (EEOC)  (or an equivalent state agency) or a court if challenged by an applicant or employee.

PROMPT:  CASE STUDY

Adele, a fully qualified specialized registered nurse,  is deaf. She relies upon an American Sign Language (ASL) interpreter to communicate with hearing individuals in the workplace.  Adele applied for a job with Marigold Mercy Receiving and Trauma Center (“MMRTC”), a large medical center that, with all its hubs and subsidiaries, grossed $1.3 billion annually. Adele received a job offer, conditioned upon a health screening and clearance by MMRTC’s occupational health department. She is in fact cleared, but she notified MMRTC that she needed an ASL interpreter as an accommodation for her hearing impairment.  The annual salary, including benefits, for her position was approximately $75,000. Upon investigation, MMRTC calculated that the annual cost to MMRTC for the ASL interpreter accommodation would be $120,000; there was the need for a full time interpreter for Adele, plus several situations where two ASL interpreters would be required.  In considering Adele’s request for accommodation, the department’s hiring supervisor wrote in an email that the department’s annual  HR budget allocation of $3 million could not  absorb the “excessive cost of the additional personnel” of ASL qualified interpreters “for this one nurse.”  MMRTC determined the additional salary and personnel would be an “undue hardship,” making the accommodation unreasonable.  Therefore, MMRTC did not hire Adele.   Did MMRTC violate ADA?

DISCUSS: Was MMRTC within its rights to refuse the accommodation and thus not hire Adele?  In considering this case, you should review:  1) what is considered a “reasonable” accommodation under ADA; (2) sample accommodations listed by ADA (42 U.S.C. § 12111(9) (2018)) and the EEOC (www.eeoc.gov); and (3)  the definition and standard for “undue hardship”  (42 U.S.C. § 12111(10)(a) (2018)).  Please support your thoughts and conclusion with reasoned analysis. 

  

1) Minimum 8 full pages (No word count per page)- Follow the 3 x 3 rule: minimum three paragraphs per part.

             

            Part 1: Minimum 1 page

             Part 2: minimum 1 page 

             Part 3: Minimum 1 page

             Part 4: minimum 5 pages (48 hours)

    Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

          Don’t copy and paste the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 4: Include the 4 research only

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Part 1: Health Care  Policy 

Topic: Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. 

1. What do you think are some effective tactics for APN strategic (minimum 2 strategic) positioning regarding pay equality? 

2. Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service, and same pay? Yes, no, and why?  and give a minimum of 2 rationals for your answer.

Mandatory, include in APA references the below link  and check the image added (See File part 1)

This article provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/

Part 2: Nursing Research

The theoretical foundations of qualitative and quantitative methods are very different, but many researchers believe both methods should be used in the research study to increase validity and reliability. 

1. What advantages (minimum 3)  and disadvantages (minimum 3) do you see in using both types of methods in a nursing study? 

Part 3: Nursing Research

Nurses in various settings adopt a research-based (or evidence-based) practice that incorporates research findings into their decisions and interactions with clients. 

1. How do you see this being applied in your workplace?

workplace:  Hialeah Hospital 

Population:  Hispanic Latin

Services: surgery and primary care

Part 4: Research Critiques and PICOT Statement Final Draft (DUE 48 HOURS)

PICOT Question :

Nurses, who administer medications (Population) with education on the appropriate use of medication signage (Intervention) versus no intervention (Comparison) have fewer events associated with error medications (Outcome) in one month (Time)?

Research Critiques: See Files Qualitative research critique and Quantitative research critique

Use the following feedback to complete the”

-Qualitative research critique:

a. Need a separate section that addresses all the areas in the rubric…significance to nursing, research question, etc. for each study.

b. Need to relate and discuss how each article supports the PICOT question.

c. Talk about benefits and limitations of the methodologies.

d. Outline what the paper will discuss and possibly state the PICOT question.

e. Include a brief conclusion to the paper that ties it all together and summarizes key points.

-Quantitative research critique

a. Need to directly relate the nursing intervention in the PICOT question with the interventions in the articles’.

b. Need to include more of the numbers and statistical information for both studies.

c.Make a brief conclusion to the paper that ties it all together and summarizes key points.

See  4 Files. 2 qualitative and 2 quantitative studies addressed in Files part 2

The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question.

Use “Research Critiques and PICOT Guidelines – Final Draft.” Questions under each heading should be addressed as a narrative in the structure of a formal paper.

Organizations:- NETFLIX

Technology Selected-:- Communication Technology

 

The Final Project must be 11-14 pages in length (excluding the cover page, table of contents, bibliography), double spaced, using Times New Roman font, 12-point, using 1 inch margins, and headings for the paper format requirements.

The Final Project should consist of the following.

1. Cover page
2. Table of contents
3. Executive summary
   1. One to one and a half pages
   2. Summarize the key points of the Final Project. Make sure you point out how proposed technology solution supports business innovation.
4. Introduction
   1. Half to one page
   2. Explain the purpose of this report.
   3. Provide an overview of the contents of the report; for example, identify sections.
5. Project Plan (TCOs E and G)
   1. One and half to two and a half pages
   2. The organization would need to create a project to facilitate the identification of needs and solution and implementation of the solution. Here, address the following issues regarding such a project for the technology you are proposing. (TCO E)
      1. Identify how many people would be on the project team to carry out the project. Briefly list each participant (e.g., project manager, network administrator, etc.) and the role of each.
      2. Identify and discuss four to six key skills that would be needed by the project manager.
      3. Identify three to four possible reasons why this project could fail.
      4. Explain any planned work that might be outsourced (if any)
   3. A project to implement a technology makes use of some type of system development methodology. Identify a system development methodology, and (e.g., waterfall, prototyping, agile, iterative, etc.) explain how you would use it for this project. Explain why you selected this methodology over others. (TCO G)
6. Organizational background
   1. Half page
   2. Give an overview of the company and its history.
7. Business problems or opportunities overview
   1. Half page
   2. This project is being done to find a technology solution to solve a business problem or to take advantage of an opportunity. Here, explain the problem or opportunity.
8. Overview of technology solution category (TCO A)
   1. One and a half to two and a half pages
   2. Give a brief overview of the technology solution category, which you discussed in the research paper (PROJECT PART 2).
   3. Explain why this is an appropriate solution for the problem/opportunity identified.
   4. Explain how this technology enables business innovation.
   5. Summarize how the organization can demonstrate CSR with the implementation of this technology.
9. Alternative solutions and recommendations (TCO D)
   1. Four to five pages
   2. Do one of the following.
      1. If the technology category discussed in the section above can be provided by multiple vendors/companies, do the following.
         1. Select two specific products/vendors.
            1. Research and present a description and analysis of each of the products/vendors selected.
            2. Compare the selected products/vendors, pointing out similarities and differences.
            3. Recommend one of the products/vendors, and explain why it was better than the other alternative.
      2. If the technology discussed in the section above is provided by only one vendor/company only (i.e., there are not multiple products/vendors), do the following.
         1. Research and present a description of the vendor/product that provides this technology.
         2. Select one other technology category that could have possibly been used as an alternative to the selected technology category.
            1. Research and present a description and analysis of the alternative technology category.
            2. Compare the alternative technology category with the selected technology category, pointing out similarities and differences.
            3. Explain why the selected technology category was a better choice than the alternative.
10. Performance measurement plan (TCO B)
    1. Three fourths to one and a half pages
    2. Once the solution is implemented, we must be able to measure how successful the solution is in solving the problem or taking advantage of an opportunity. This measurement is generally done over a period of time. Here, you will layout a plan that outlines how you will measure the success of the solution.
       1. Explain how data will be gathered to measure success of the solution.
       2. Explain metrics you will use as key performance indicators (KPIs) to measure success and why you selected these metrics.
11. Organizational impact (TCO C and F)
    1. One and a half to two pages
    2. Explain how implementation of this solution will impact business processes. Explain the changes that will take place. (TCO F)
    3. Explain how implementation of this solution will impact the organization in other ways (Will it require changes to organizational structure, personnel, etc.? Will the organization need to make changes in other areas to integrate this solution?) (TCO F)
    4. Explain how the solution will improve or support decision making in the organization. (TCO C)
    5. If your solution did not deal with a data-based system (such as enterprise system, big data, database system, business intelligence, data analytics, web analytics, data-driven website, etc.), explain how one such system could be used to improve or support decision making in the organization.
12. Summary
    1. Half to one page
    2. Summarize the main findings and future steps.
13. Bibliography
14. You must use at least three authoritative resources. 

 

The purpose of this assignment is to begin drafting an internal business proposal that outlines how you will implement the solution to the problem you have identified in your organization.

There are several parts to this assignment, and each part has been explained and briefly outlined in the “Business Proposal Project Summary” resource. This document should be used as a guide to assist you with constructing key elements of the proposal. Word count guidelines are provided for each section of the business proposal. For this assignment, you will complete the Purpose Statement, Problem Statement, Data and Research Findings, Proposed Solution, Stakeholder Analysis and Benefits, and Implementation Methods sections of the business proposal. Utilize content that was generated in the Topic 1-4 assignments, as well as implementing instructor feedback, to complete the sections as noted below. Evidence of revision from instructor feedback will be assessed on the final business proposal.

1. Purpose Statement (100-250 words) provides clear statement of why the business proposal is being made.
2. Problem Statement (revised as needed from Topic 1 assignment feedback) including specific data (statistics and numbers) related to how the problem impacts the business. This part of the proposal should include the graph/chart/data you collected in Part 1 of the Topic 2 assignment.
3. Data and Research Findings (250-500 words) should include a summary of what you learned from conducting research related to what has already been done to address the organizational problem. This part of the proposal should include the graph/chart/data you collected in Part 2 of the Topic 2 assignment.
4. Proposed Solution (250-500 words) should include a summary of the top three problem solutions you considered to address the problem. In addition to including the graph/chart/data you collected in Part 3 of the Topic 2 assignment, this section should provide a succinct discussion of the pros and cons of implementing each of the top three solutions being considered to address the problem.
5. Stakeholder Analysis and Benefits (500 words, revised as needed from Topic 3 assignment feedback).
6. Implementation Methods (250-500 words) summarize specific strategies that will used to implement the problem solution, including time and costs associated with implementation.

It is important to include specific data throughout the business proposal. Include statistics that support the problem statement that can be used to establish and track goals; relate to specifics of implementation, timing, and cost; and illustrate stakeholder benefits. The proposal is an internal document that will be read by stakeholders within the organization where the problem exists, so keep this in mind and focus on this audience as you write. Within the Word document, include subsection titles to organize content according to the categories listed above to provide easy reference points for the reader.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Paying for Hospital and Physician Services

Case Assignment

Part I – Paying for Hospital Services – Overview

Mr. Scott is a 69-year-old hospitalized for a Permanent Cardiac Pacemaker procedure. Hillcrest Hospital is a large urban hospital in Cleveland that incurred $150,000 in Medicare-approved charges for treating Mr. Scott. Use the information provided in this module as well as the Hospital Payments Example, found in the Course Table of Contents under the Presentation section, to answer the Case 4 assignment questions. Include all formulas and calculations in your paper.

   

DRG

Description

Case Weight

 

115

Permanent Cardiac Pacemaker

3.5513

 

302

Kidney Transplant

4.1370

 

441

Hand Procedure/Surgery

0.8785

Part I – Assignment

Answer (in about 3 pages) the following questions for Kidney Transplant only:

1. What is the operating payment to be paid to the hospital?
2. What is the capital payment to be paid to the hospital?
3. Will the hospital be eligible for the Medicare outlier payment?
4. What is the total payment to the hospital?

Part II – Paying for Physician Services – Overview

Mr. Roberts is a 66-year-old Medicare beneficiary. He sought treatments from Dr. Robinson. Assume the following values for the services provided by Dr. Robinson:

   

Categories

RVU

Geographic Cost Index

Product

 

Work

27.45

1.092

29.98

 

Practice Expense

43.05

1.743

75.04

 

Malpractice

10.32

0.543

5.60

 

Conversion Factor: 64.43

Part II – Assignment

Please answer in about 3 pages the following questions:

1. How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare participating physician? How much out-of-pocket payment will Mr. Roberts be responsible for?
2. How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare non-participating physician who elects assignment? How much out-of-pocket payment will Mr. Roberts be responsible for?
3. How much will Medicare pay Dr. Robinson if Dr. Robinson is a Medicare non-participating physician who does not elect assignment? How much out-of-pocket payment will Mr. Roberts be responsible for?

Assignment Expectations

Length: The paper should be typed and double spaced, using 12 pt. Times New Roman font and 1-inch page margins. Use headers throughout the paper. This will aid you in not overlooking vital elements of the assignment and make the document easier for the reader to follow.