Day: August 21, 2019

Watch the movie: Up in the Air (2009, 109 minutes) and give your opinion on the following questions:

 

• What management styles do you observe in the movie? Compare the observed management styles with management styles discussed in some of the readings? 
• Are these changes good or bad? Explain why?
• What overall lessons do you get, as an employee, from this movie?

 

The assignment should be between 2-3 pages

 Mod 1 dis

 

 

 

Using the four major perspectives, answer one of the questions below.

 

Why do men typically pay for expenses on a date?

 

Or

 

Why do women rarely propose marriage to a partner?

 

 

 

mod. 3 dis 

 

 

 

 Discuss times that you have been hesitant to change your attitude.  What factors increased the likelihood that you would change your attitude?  What factors kept you from changing your attitude?  How do you try to persuade others to change their attitudes? 

This is the third assignment in the Virtual Capstone Project. The project began by using one virtual community, the AHIMA Engage community, to explore and stimulate ideas and solutions by accessing community members and resources. The assignment challenged you to identify and use proper communication tone and content. Next, you completed the decision matrix tool and understand that the systematic evaluation of the selected criteria results in a physician office coding outsource as the best business decision. As you prepare to meet with the CFO, you reflect on how that business decision will dramatically and irreversibly impact the lives of your physician coders.

 

This assignment contains three parts in one written paper:

 

• Part 1: Appraise the Ethical Dilemma
• Part 2: Describe Both Sides of the Controversy
• Part 3: Choose an Action

 

To begin this assignment, first read the scenario below and then perform the steps in the three parts that follow.

 

Scenario:

 

You report to the CFO office and bring the Decision Matrix with you. The CFO is impressed with the decision matrix business tool and reviews it in detail. The following details are discussed during your meeting:

 

• LiveWell is small, local hospital that is the single largest employer in the county.
• You feel that the marketing director has not given proper consideration to an outsource of staff and believe the public relations impact will be very negative for LiveWell.
• The physician office coders are very much dependent on their coding positions at LiveWell. You share that one physician office coder is 4 months pregnant and that 2 coders provide healthcare insurance for their entire family. One coder has a disabled child at home.
• You confess to the CFO that you have drafted a plan for quality improvement (QI) for the physician coders as an alternate solution. Both you and Alyza are committed to rectifying the poor quality performance and correcting the physician income problem identified by Dr. Crowe. Your QI plan impacts any coder who is performing below the 92% required quality standard. The QI plan steps are detailed in the table below.

 

Quality Improvement Plan Step

 

Responsible Party

 

1. Set up meeting with impacted coders and review the Quality Standard findings.

 

You, the Director and Alyza

 

1. Notify Coders that they must enter a mandatory retraining program to meet the quality standard of 92%.

 

You, the Director

 

1. Notify Coders that retraining will only occur in the office; no remote work is allowed.

 

You, the Director

 

1. Retraining will be completed over a 90 day period.

 

Alyza

 

1. Coding accuracy will be re-measured at the end of the retraining period

 

Alyza

 

1. Disciplinary action to follow for coders who have not met 92% quality standard.
   1. LiveWell Disciplinary Action Policy will be followed.
   2. Re-measurement of quality standard will occur in 30 day increments.
   3. Additional disciplinary action will occur for coders not meeting the 92% standard up to and including dismissal from employment at LiveWell.
   4. Coders who meet 92% quality standard will move on to step #7.

 

You, the Director

 

1. Coders who meet the 92% quality standard will stay in the office for 30 additional days.
   1. Another re-measurement will occur to ensure maintenance of the required 92% quality standard.
   2. Coders who maintain the 92% standard will return to remote coding locations.

 

You, the Director and Alyza

 

1. Future annual performance reviews will include a completed quality measurement for all employed coders to ensure continuing maintenance of the 92% quality standard.

 

You, the Director and Alyza

 

The CFO thanks you for your input and for the pro-active Quality Improvement Plan. He asks you to leave your QI plan as well as the Decision Matrix with him and the meeting wraps up.

 

ONE WEEK LATER: You are summoned to the CFO’s office. You arrive at his office and see that the CEO, Laramie Trudoux, and Suzanne, the HR Director, are both in attendance, along with the CFO. Ms. Trudoux welcomes you and asks you to take a seat. She then indicates that MHP has been contracted for all coding at LiveWell – Physician Coding, Inpatient Coding, Outpatient Coding and ER Coding. MHP will also manage the coding services under your direction. All 25 coders and Alyza, the coding manager, will be notified that their jobs have been discontinued and will cease employment in 60 days (2 months from today).

 

The HIM staff will decrease from its current level of 52 to 26 persons in two months but the CFO explains the MHP guarantees a 94% quality coding standard and will complete the entire coding volume for $237,000 less annually. (This expense savings considers salary and full benefits for all 26 staff members.)

 

As the Director of HIM, you are faced with an ethical dilemma. Your position of Director places you in an upper level management position of a small, local hospital and you are a representative of the hospital. The upper level management team is responsible for the long term goals of the facility and for meeting the goals of the facility. LiveWell hospital and partner physician offices employ over 1000 people in the community, and all employees depend on the future of the healthcare business.

 

Completing the Assignment

 

You will complete the three parts of this assignment in a 2-3 page paper, labeling each of the three parts and using at least two resources. One of your resources must be a published professional code of ethics, such as the AHIMA Code of Ethics. Please use citations in your submission to support your original content.

 

Following is some suggested reading to help prepare you for this assignment:

 

• HIM Directors Face Outsourcing Realities

 

Part 1: Appraise the Ethical Dilemma

 

1. Appraise the ethical dilemma described above and consider the choice made by the CEO to outsource the entire coding team of 26 persons. Articulate and explain how the CEO’s decision would affect both the company’s and the community’s best interests.

 

Part 2: Describe Both Sides of the Controversy

 

1. Summarize the origin of the physician income complaint which led to the consideration of these two business options (Full Coding Outsource and Director’s QI Plan).
2. Detail the business decision options and their competing perspectives.
   • Include financial, staffing and ethical perspectives at a minimum.
3. Analyze the problem by defending both options. While not required, a multi-columned table would work well here. For example:

 

Business Option

 

Defend the Option

 

Full Coding Outsource

 

1.

 

Roll out the Director’s QI Plan 

 

Part 3: Choose an Action

 

1. In a 1-2 paragraph summary, state your choice of action if you were the Director of HIM and were asked to roll out the CFO’s decision to outsource all coders and the coding supervisor positions.
   • Would you act and roll out the decision – notify all 26 staff that their jobs are ending in 60 days and work through the dissolution of their jobs? Would you refuse and offer your resignation? What other courses of action might be available to you? What would your chosen course of action be in this professional job and in this professional scenario, and why?
   • Be sure to indicate how your personal and professional ethics influence your choice of action.

There are numerous professionals within the health care industry. It is imperative that organizations hire the right people for the right job and remove employees when the situation requires it. For this assignment, respond to the following in 3-4 written pages:

 

 

 

Identify 4 types of health care professionals found in a typical acute-care hospital or post-acute care facility. Be sure to describe educational levels and credentialing requirements of the professions you discuss.

 

Explain why it is important for organizations to effectively screen potential employees.

 

Discuss the concept of progressive discipline and the importance of effective termination procedures.

 

Your paper should be 3-4 written pages, excluding cover page, abstract page, and reference page.

 

 

 

Note: Use APA style to cite at least 5 scholarly sources from the last 5 years.

1. Discuss the importance of managerial accounting as “decision-making tool” in your organization. (Minimum 350 words excluding references. 3 references with APA citations).

 

 

 

2. Make 3 Replies to above topic each with 200 words.

 

    

 

Replies should be made with below conditions

 

 

 

• Validate an idea with your own experience and additional research.

 

• Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

 

• Offer and support an alternative perspective.

Business risk is typically described as the exposure a company or organization has to a number of factors that may lower the company’s profits, which may trigger a business failure. Although there are many business risks, two major risk categories are systematic risks and unsystematic risks. 

 

Respond to the following in a minimum of 450 words: 

 

• Explain the differences between systematic risks and unsystematic risks. (225 words)
• Briefly discuss two sources of systematic risks and two sources of unsystematic risks.   (225 words) 

Assignment Instructions

 

A fundamental issue established at the outset of this course is the fact that becoming involved in terrorist activities is a process, where numerous factors can affect the mindset and actions of an individual. We have covered many of these issues and influences, so concerning this matter, compare and contrast at least two different radicalization models that explain terrorist motivations in a 4 page paper. In this research paper also summarize behavioral and psychological factors associated with disengaging from terrorism and describe what efforts or programs are most effective in countering radicalization and why. State the topic in your paper.

 

Recommended Source: King, M. and Taylor, D. M. (2011). The Radicalization of Homegrown Jihadists: A Review of Theoretical Models and Social Psychological Evidence. Terrorism & Political Violence, 23(4), 602-618. You should start with this article and then use other sources as well to make sure you hit the 8 expected scholarly references for this research paper. 

 

Assignment Specifics:

 

• The body of your report is to be at least FOUR FULL pages in length (not counting title page and references) and is to contain the following:
• A brief defined (stated) introduction, with the topic and your thesis
• A main body, containing the “meat” of the paper, where you provide the requested information supported by class readings and with your analysis
• A defined (stated) conclusion, summarizing your information clearly and concisely

 

Make sure you read the instructions carefully and that you focus your paper on answering the assigned questions. This assignment is a research paper, not an opinion paper, so you need to use scholarly sources to support your thesis.  Use formal academic writing and do not use the first person such as ‘I’ or ‘my’; see the OWL site on academic writing style. Make sure you use APA style in-text parenthetical citations at the end of every sentence where you are quoting another’s ideas (or any information) that is not your own thoughts and words, like this (Bergen, 2015, para. 14). Citations are required for paraphrases as well, but not the page or paragraph number in that case. I highly recommend you use the APUS writing guide which can be found in the university library or at this link: APUS Research Writing and Style Guide. You are welcome to use supplementary sources to compliment the assigned readings based upon your research, but make sure you use only scholarly and credible sources (do not use open websites and you never want to use wikipedia for a college level paper). Also, dictionaries and encyclopedias as well as general news sites (like CNN, FOX News) are not appropriate for college level research papers. You need to use mainly scholarly and reputable academic books and journal articles. Also, see the APUS Library Homeland Security Program Guide for good sources, as well as the APUS Research Primer and the APUS Library Research FAQs.

 

Requirements:

 

• Written according to the APA style and format (parenthetical in-text citation formats only; not end notes or footnotes);
• Use Times New Roman 12 point font;
• 1 inch margins on all sides with no paragraph indentation other than the first line by .5 inches 
• Double space all text (no extra lines or spaces after a paragraph or section headings and no added font sizes or lines either) 
• A respectable number of credible resources used, cited in the paper as in-text citations, and included on the reference page. A good rule of thumb is at least 2 scholarly sources per page of content (a minimum of 2 new scholarly sources per page in a research paper is acceptable). Use those academic and credible sources provided to you throughout the course, as well as other scholarly material obtained from conducting your own research. Freely utilize appropriate and reputable academic sources, summarize in your own words and cite accordingly.
• The paper must be free of typographical, spelling and grammatical errors (make sure to proof read before submission)
• Turn your paper in as a Word Document and title your assignment “Lastname_Final“

 

Finally, be mindful of excessive direct quotes as the paper should not contain just a string of quotations from sources. Make sure you comply with all academic integrity standards expected by APUS and as slide 14 of the APUS Academic Integrity presentation posted in course syllabus (and the week 1 introduction forum) states “Quotes cannot make up more than 10% of the text of your assignment.” So paraphrase where you can and provide your own analysis and synthesis of your research (direct quotes only when necessary to support your thesis). The bottom line for academic integrity is to write an original work for this assignment (not copied from anywhere on the internet or recycled content from your own previous papers) and to properly cite your references.