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Explain the vertical integration options and directions for the following providers: (a) a major academic medical center such as the University of Iowa, (b) a five-person general surgery group, and (c) a manufacturer of durable medical equipment.

Explain the vertical integration options and directions for the following providers: (a) a major academic medical center such as the University of Iowa, (b) a five-person general surgery group, and (c) a manufacturer of durable medical equipment.
2. In examining Figure 10-6 containing the retail positioning matrix, explain how the community hospital in its present position (quadrant 3) could reposition itself to quadrant 2, and to quadrant 1.
Chapter 11:
3. At a local hospital, a decision was made recently to downsize the nursing staff. The local television station sent a reporter and camera crew to interview the administrator regarding the impact of this action on patient care. After 20 minutes filming the interview, the reporter left. That evening a 15-second segment of the interview was shown, that left an unfavorable impression regarding the impact on quality. The administrator wondered what went wrong. Explain how more control could have been used to send out the message about the downsizing.
4. In recognition of the post-purchase role of promotion, what strategies would you suggest for: (a) a busy hospital emergency room, (b) an executive fitness program that provides health screening and fitness evaluation, and (c) an occupational medicine program that contracts its services to companies?
Chapter 12:
5. Recently, the physician marketing task force at State University Medical Center developed a physician referral directory and advertisement. The target was primary care physicians in the region who could refer patients to State University for tertiary care. A cardiologist who was an undergraduate English major chaired the committee and drafted the materials. Three months after distribution of the advertisement and directory, responses were disappointing. Explain how this process could have been improved to increase likely response.
6. The director of a cardiac rehabilitation program was approached recently by a sales representative from the community newspaper selling advertising space. The sales representative underscored the fact that the paper had the largest circulation of any of the three papers serving the area, and it had the lowest cost-per-thousand. Before deciding to use this medium, what other factors should the program director consider?


 


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How have their contributions influenced nursing practice?

Application 1: Nursing Informatics Pioneers
One of the major drivers in recent health care reform legislation is the American Reinvestment and Recovery Act’s (ARRA) HiTech Incentive. This act, passed in 2009, earmarked $22 billion for the adoption of electronic health records (EHRs), with a goal of 100% adoption in all practice settings by the year 2014. The HiTech Act provides an example of the pivotal role that health information technology plays in the delivery of quality health care services. Yet, health information technology is a relatively new field. This Application Assignment provides an opportunity for you to examine the contributions of pioneers in this arena and consider how their contributions have influenced health informatics and nursing practice today.
To prepare:
• Visit the AMIA Video Library 1: Nursing Informatics Pioneers webpage listed in the Learning Resources.
• Review the biographies and video presentations of pioneers who are of interest to you, or may hold a position that you aspire to achieve.
• Select two nursing informatics pioneers and conduct further research on their contributions.
• Consider how their contributions have influenced health information technology and nursing practice today.
Write a scholarly 3- to 4-page paper comparing two nursing informatics pioneers in APA format with a minimum of 4 references from the list below which include the level one headings as numbered below:
1) What are the professional accomplishments of each individual?
2) How have their contributions influenced nursing practice?
3) How have their contributions shaped the field of nursing informatics?
4) What lessons can you take away from their experiences?
5) What skills or ideas demonstrated by these leaders might you apply to your professional practice?


 


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Discuss von Humboldt’s observation that the different biomes seen as one goes from the equator to the poles are also found with altitude in mountain systems.

Answer two questions. Use one page each. Answers should consist of three to five short bullets.
ECS 111 November 2016
These are suggested homework. You may also choose any of the articles introduced in class as a review topic. As discussed in class, you should not try and answer all of these. Choose one or two and do a complete essay on them. References should not be random blogs, but juried articles or news items from archived media such as NYT or the Economist.

2) Describe one of the major biomes found on earth. Include a discussion of its primary physical and biological attributes.
3) Compare and contrast two of the types of soil profiles discussed during the class. Discuss their distribution and the role they have in maintaining their associated ecosystems.
4) Discuss von Humboldt’s observation that the different biomes seen as one goes from the equator to the poles are also found with altitude in mountain systems. Why does this vary depending on which side of the mountain range is considered? Provide some examples.
5) Consider the following population equations.

Compute the steady states and discuss them. What type of system is this?
6) Discuss the immigration issues currently facing the European Union. How are these being handled by the various member states? Is this a threat to the EU itself? What are the consequences of these demographic shift in the Middle East?
7) Write an essay on the use of fire by human cultures. You might approach this broadly or focus on a particular culture such as the native Americans or the bantu of Africa.
8) What factors are involved in the transition of a forest ecosystem into a grassland? Consider the anthropogenic place in such transitions. What are the evolutionary issues here?
9) Consider a form of energy. Discuss the history of its exploitation and future use.
10) Consider the transport of energy and how technology has influenced particular types of energy sources. How have economics changed the exploitation of this type of energy?
11) Choose a particular disease and discuss its consequences for human health. Describe its role in history and its modern manifestations.
12) Read the section out of Keohane and Olmstead (2016) on competitive markets (pgs 70-78). Choose a commodity such as the one they use, coffee, and discuss the nature of the global market.
13) Using the principles in question 12) discuss the concept of competition in energy markets. How does this change if one is considering transportation costs versus electrical power? (Note: here you might peruse the index for energy topics they introduce. The section of scarcity starting on page 100 is also a useful place to start.)
14) Consider the Keohane and Olmstead (2016) treatment of the economics of habitat management as it pertains to implementation of the Endangered Species Act. See their pages 224-230.
15) The common cold is a malady the effects humans through the world. It is associated with various viruses that all lead to a definable set of symptoms involving the upper respiratory track. Write an essay on this disease. The topic is immense. A simple Google Scholar search yielded 3.3 million citations! Therefore, you need to focus. In a quick survey of the citations, you might think of one of the following issues.
• The overall review of its nature and impacts (see Heikkinin and Järvinen (2003).
• Stress and cold susceptibility
• Vitamins such as vitamin C and the cold
• Economics of the cold; either economic loss and/or earnings from cold relief products
• Build a simple model such as those introduced in the lectures for colds in a population.

16) Discuss the sustainability of the fossil fuel industry and the problem of their use as we move into the future.
17) Produce a simple editorial style essay on the possible impacts or future climate change on agriculture. To focus you essay, you might restrict yourself to on agricultural sector, such as grains, fisheries, or meat production.
18) Consider the different impact of climate change on the different global biomes. Why are some impacted more than others? What specific biodiversity losses are expected due to global warming?
19) Write a short review of an environmental law. Explicitly introduce the major provisions in the law. Discuss, briefly, its legislative and implementation history.

20) Discuss the rise of the “God committee” in relationship to the Endangered Species Act (ESA). Why was this provision added to the ESA? Where has it been invoked?


 


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Compare and contrast the two (2) alternate approaches to the Medicaid expansion initiative.

Imagine that you are a health policy analyst for a state that has not elected to expand Medicaid as part of the Affordable Care Act (ACA). You have just been notified that the state leaders have agreed to reconsider their decision during an upcoming session. Go to the Kaiser Family Foundation Website, at www.kff.org, and The Commonwealth Fund website, at http://commonwealths/publications/blog/2014/mar/medicaid-expansion-alternative-state-approaches, for additional information on Medicaid expansion.

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

1. Identify a state that has not elected to participate in the Medicaid expansion initiative under the Affordable Care Act. Critically analyze the implications of the state’s decision to opt out of Medicaid expansion on the citizens of the state.
2. Compare the potential opportunities and challenges of a state’s decision to opt into the Medicaid expansion.
3. Explore two (2) alternate approaches to expanding access to care that have been implemented or considered by states opting out of Medicaid expansion. Compare and contrast the two (2) alternate approaches to the Medicaid expansion initiative.
4. Provide a recommendation to the state legislature on whether or not the state should opt in to the Medicaid expansion. Provide a rationale for your recommendation.


 


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