Day: January 14, 2021

By Day 3
Respond to the following:

The disease I selected is “Measles”

Briefly summarize an article you selected and provide the reference. Then, address the following:

What implications does the disease have for nursing practice?
How does the emergence of this disease affect your personal practice?
Why do you think that this disease is emerging/re-emerging?
What is the nurses role in preventing and managing the impact of infectious diseases both from the patient and nurse perspective?
Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually 5 years old).

Description: NURS 4006 Discussion Week 1 Rubric
Grid View
List View
    Excellent    Proficient    Basic    Needs Improvement
“Summarized an article on emerging or re-emerging infectious diseases. ”   
9 (12%) – 10 (13.33%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .
8 (10.67%) – 8 (10.67%)
Initial post contains reasonable analysis that brings insight into the discussion.
7 (9.33%) – 7 (9.33%)
Initial post contains minimal analysis that brings limited insight into the discussion.
0 (0%) – 6 (8%)
Initial post lacks analysis and brings little or no insight into the discussion.
“Outlines the implications the disease has for nursing practice. ”   
9 (12%) – 10 (13.33%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .
8 (10.67%) – 8 (10.67%)
Initial post contains reasonable analysis that brings insight into the discussion.
7 (9.33%) – 7 (9.33%)
Initial post contains minimal analysis that brings limited insight into the discussion.
0 (0%) – 6 (8%)
Initial post lacks analysis and brings little or no insight into the discussion.
Identified how the emergence of this disease affected personal practice.   
9 (12%) – 10 (13.33%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .
8 (10.67%) – 8 (10.67%)
Initial post contains reasonable analysis that brings insight into the discussion.
7 (9.33%) – 7 (9.33%)
Initial post contains minimal analysis that brings limited insight into the discussion.
0 (0%) – 6 (8%)
Initial post lacks analysis and brings little or no insight into the discussion.
“Examined why the disease is emerging/ re-emerging. ”   
9 (12%) – 10 (13.33%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .
8 (10.67%) – 8 (10.67%)
Initial post contains reasonable analysis that brings insight into the discussion.
7 (9.33%) – 7 (9.33%)
Initial post contains minimal analysis that brings limited insight into the discussion.
0 (0%) – 6 (8%)
Initial post lacks analysis and that brings little or no insight into the discussion.
Relates the nurse’s role in preventing and managing infectious diseases both from the patient and nurse perspective.   
9 (12%) – 10 (13.33%)
Initial post contains well developed and insightful analysis that brings new insight into the discussion .
8 (10.67%) – 8 (10.67%)
Initial post contains reasonable analysis that brings insight into the discussion.
7 (9.33%) – 7 (9.33%)
Initial post contains minimal analysis that brings limited insight into the discussion.
0 (0%) – 6 (8%)
Initial post lacks analysis and brings little or no insight into the discussion.
Response Posts “Entered the discussion thread on 3 separate days. Wrote at least two posts to two separate peers. Responses are appropriate to the topic, substantive, and promoted discussion by one or more of the following: contributing insight to move the discussion forward. offering substantial and/or different points of view and asks questions to add to discussion including extra references or websites for peers to consider relating discussion to different areas of practice and applying concepts to practice **Additional points may be deducted for late posting per the University late policy.”   
14 (18.67%) – 15 (20%)
Response posts add substantial ideas and perspectives that invite further analysis and discussion. Participated 3 or more days in the classroom and responded to more than 2 classmates.
12 (16%) – 13 (17.33%)
Response posts are proficient and provide adequate analysis and discussion. Participated 3 days in the classroom and responds to at least two classmates.
11 (14.67%) – 11 (14.67%)
Response posts are limited and provide minimal analysis and discussion. Participated less than 3 days in the classroom and/or responds to less than two classmates.
0 (0%) – 10 (13.33%)
Response posts are inadequate and provide no analysis of discussion and/ or there is no participation in the classroom.
Writing and Format Uses evidence to support a claim and give credit to the source. Uses course learning resources and seeks additional scholarly resources to support ideas. Displays sentence, paragraph, and essay skills. Writes in a scholarly, well-organized manner using own words by synthesizing evidence/resources. Paraphrases to avoid plagiarism of the source. APA: No more than one short, unique quote with correct APA format. Appropriate use and format of in-text citations and reference list.   
9 (12%) – 10 (13.33%)
Writer demonstrates excellence in all sentence and paragraph level skills within discussion board posts to meet the 4000 Academic Writing Expectations for this level.
8 (10.67%) – 8 (10.67%)
Writer demonstrates proficiency of most sentence and paragraph level skills within discussion board posts to meet the 4000 Academic Writing Expectations for this level with only one format or writing issue needing to be addressed.
7 (9.33%) – 7 (9.33%)
Writer demonstrates minimal skill in meeting sentence level and/or paragraph level skills within discussion board posts to meet the 4000 Academic Writing Expectations for this level with less than or equal to three format or writing issues needing to be addressed.
0 (0%) – 6 (8%)
Writer demonstrates inadequate skill within discussion board posts to meet the sentence and/or and paragraph level skills in meeting the 4000 Academic Writing Expectations for this level with four or more format or writing issues needing to be addressed.
Total Points: 75

Text
Instructions
Read the following scenario, then draft a 3 page business memorandum to Linda Hoff, Stanford’s
CFO.In your memo, codify your findings and interpretations from the horizontal and vertical analyses
and the level of alignment in the company’s fiscal management and its strategic direction. Include an
Excel spreadsheet as an attachment to the memo. In this memo you will:
1. Review the year-over-year variances contained in the audited Stanford balance sheets and
income statements for fiscal years 201518 in the Week 5 Assignment Spreadsheet [XLSX].
You’ll be expected to pay particular attention to the negative variances (color coded in red) that
you believe to be potentially the most impactful to Stanford.
2. Speculate as to the reasons for the negative variances.
3. Examine the common size balance sheets and income statements looking for abnormally low or
high ratios based on what you know about the line item and what you observe in the data for the
other fiscal years.
4. Look for patterns in the line items over the three-year period and identify any unusual findings that
may need to be examined further.
5. Assess the alignment of the organization’s fiscal management to the strategic direction of the firm.
Fiscal management is based on your horizontal and vertical analyses. The strategic direction is
based on the vision, mission, and strategic priorities of Stanford.
Purpose
The purpose of this assignment is to familiarize you with financial statements, the need to align the
financials and the strategic direction of the firm, and the process of performing horizontal and vertical
analyses of a company’s balance sheets and income statements.
2020 Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary
information and may not be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed
written permission of Strayer University.
Scenario
You’re a health care administration fellow at the prestigious Stanford Healthcare. You have been
rotating through the various departments over the past nine months and now you have the honor of
working under the mentorship of Chief Financial Officer Linda Hoff.
Stanford Medicine includes Stanford Healthcare, Stanford Children’s Hospital, and Lucile Packard
Children’s Hospital Stanford. This organization uses an integrated approach to strategic planning,
which incorporates jointly agreed upon strategic priorities from its various entities. It also ensures a
high degree of congruence in strategic focus by each entity. Before outlining the strategic priorities
for Stanford Medicine, it is important to note that a firm’s directional strategy comprises three
discrete yet interwoven components: vision, mission, and goals (or, in this case, priorities). Armed
with this knowledge, you have familiarized yourself with the vision, mission, and priorities of Stanford
Medicine. Below is what you found. When examining a company’s financials, it is prudent to keep
the directional strategy of the company in mind. After all, in order to advance many strategic
priorities, which include fulfilling the mission and positioning the organization to achieve its vision for
the future, proper management of the firm’s scarce resources is vital. Failure to properly manage the
financial performance of the organization can compromise the company’s ability to maintain a
competitive advantage in the marketplace.
Our Vision
Precision Health: Predict. Prevent. Cure. Precisely.
We will heal humanity through science and compassion by leading the biomedical revolution in
precision health.
Our Mission
Improving Human Health Through Discovery and Care.
Through innovative discovery and the translation of new knowledge, Stanford Medicine improves
human health locally and globally. We serve our community by providing outstanding and
compassionate care. We inspire and prepare the future leaders of science and medicine.
Strategic Priorities
A collaborative endeavor involving the entire community, the Stanford Medicine integrated strategic
planning process yielded a framework that is human centered and discovery led, focused on three
overarching priorities for our enterprise.
2020 Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary
information and may not be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed
written permission of Strayer University.
By enhancing our strengths and achieving our goals in these priority areas, we will amplify our
preeminence and remain uniquely positioned to lead the biomedical revolution in precision
health, ensuring our continued ability to guide health care through significant global changes.
Value Focused
Provide a highly personalized patient experience.
Ensure a seamless Stanford Medicine experience.
Digitally Driven
Amplify the impact of Stanford innovation globally.
Deliver human-centered, high-tech, high-touch care and revolutionize biomedical discovery.
Lead in population health and data science.
Uniquely Stanford
Accelerate discovery in and knowledge of human biology.
Discovered here, used everywhere: advance fundamental human knowledge, translational
medicine, and global health.
Ensure preeminence across all of our mission areas.
Variance Analyses
Normally, managers are expected to examine positive and negative variances, and then speculate
as to possible explanations for the observed variances. Following this initial assessment, managers
would be expected to dig deeper into those variances of greatest concern to the organization to
uncover the actual causes for the variances, and then implement necessary corrective actions.
Digging into all variances would be costly and, quite frankly, a misuse of time and energy. The CFO
has asked you to conduct a variance analysis of the company’s consolidated balance sheets and
income statements for fiscal years 2015, 2016, 2017, and 2018, which you began. You have
determined the variances for each account (line item) captured in the financials. Now that this first
step has been accomplished, the CFO would like you to pay particular attention to the negative
variances contained in the spreadsheet and focus on those variances you believe to be potentially
the most impactful to Stanford.
Once you’ve completed your variance analysis over time, which is referred to as a horizontal
analysis, you are ready to create a common size balance sheet and income statement of each of
the four fiscal years (201518). You prepared the common sized financials, which are captured in
your spreadsheet. Now it is time to perform vertical and horizontal analyses of these common size
2020 Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary
information and may not be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed
written permission of Strayer University.
financials. The common size balance sheet allows you to see each asset relative to total assets as
well as each liability and net asset (in the case of nonprofit organizations) relative to total liabilities
and net assets. In a common size income statement, each line item is expressed as a percentage of
total revenue or sales. Common sizing balance sheets and income statements allows firms to
compare against one another even though they may be of different sizes. It also allows a firm to
benchmark its financial performance against comparative groups. In this case, there isn’t any
comparative data to benchmark against; however, you can examine the ratios in each fiscal year
and look to see if anything looks abnormally low or high based on what you know about the line item
and what you observe in the data for the other fiscal years (vertical analysis). You can also look for
patterns in the line items over the four fiscal years and point out any unusual findings that may need
to be examined further (horizontal analysis). In finance, sometimes the organization establishes
interim goals and targets for certain line items in the financials. The firm can compare its actual
performance against the established goals and targets.
Financial Management and Strategic Direction
Once you’ve completed your horizontal and vertical analyses of the financial statements, you should
be able to get a sense of how well management has managed the financial resources of the
company in support of its strategic direction. In business, the strategic direction should be evident in
its vision and mission statements and strategic priorities. The strategic priorities should support the
company’s mission, and the mission should help advance the firm’s vision for the future. Failure to
effectively manage the company’s financial resources can seriously compromise the firm’s ability to
fulfill its mission and subsequently the vision.
Business Memorandum to CFO
Using the analysis that you performed on Stanford Healthcare and trends that you identified, write a
business memorandum to the CFO.In your memo, codify your findings and interpretations, and
assess the alignment of the organization’s fiscal management to the firm’s strategic direction. Attach
to the memo your analysis in an Excel spreadsheet.Your analysis and trends identified should take
into account any feedback that you received from your professor and/or peers.
Helpful hints: Negative variance is not always a bad thing. For example, you might see a slight
increase in the operating costs; however, if you achieved a positive variance in the total operating
revenue that outpaced the increase in operating costs, that may be perceived as a positive
outcome. Remember, you need to spend money to make money. We just want to make certain that
operating expenses don’t outpace the growth in operating revenues. Also, keep in mind that some
variances are useful in explaining other variances even if these variances are associated with
different financial statements. For example, you may see an increase in operating costs, which is a
2020 Strayer University. All Rights Reserved. This document contains Strayer University Confidential and Proprietary
information and may not be copied, further distributed, or otherwise disclosed in whole or in part, without the expressed
written permission of Strayer University.
negative variance, but an increase in current assets, which is a positive variance. Furthermore, you
should look for patterns over time. This can reveal both positive and negative trends that may
provide insight into the variances you discovered. For example, you may have noticed that a certain
expense has continued growth over the past 3 years (negative variance); however, the rate of growth
year-over-year has been declining. It could be that Stanford has implemented some cost-cutting
measures that are showing signs of working.
This course requires the use of Strayer Writing Standards. For assistance and information, please
refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your
professor for any additional instructions.
The specific learning outcome associated with this assignment is:
Audit financial statements and expenditures for alignment with organizational strategic
priorities.

Complete the following for this week’s discussion:

Perform a cost volume profit (CVP) analysis on a couple of alternatives that management is considering for implementation (details to be worked out).
Download and review the case study in the Week 4 Discussion Question [DOCX] and the Week 4 Discussion Spreadsheet [XLSX].
These two files contain the data necessary to complete the CVPs (dollar breakeven and volume breakeven) and to create the CVP graphs for each alternative.
Prepare a narrated PowerPoint presentation (15 minutes in duration).