Insurance and Managed Care

 

Insurance and Managed Care

1. Managed Health Care has significantly affected the Health Care Delivery system in the United States. In your own words, describe Managed Health Care. What were some of the factors that influenced its development, and describe the advantages and disadvantages of managed care from the perspective of the Patient and Provider?

2. Managed Health Care Organizations administer many functions. Payment is a key element. Please describe the difference between Reimbursement and Payment how do these affect provider behavior? Explain risk based versus non-risk based payment methods and provide some examples of each?

3. Managed Health Care manages several components which include medical services, costs and quality of care. Describe utilization review, its purpose and three utilization methods and functions employed by managed care organizations. Describe Case management and Disease management, compare by providing some examples of each.

4. A Managed Care payer organization uses several managerial and operational functions to accomplish its goals. Describethe difference between Governance and Management and provide examples of each. Describe the difference between sales and marketing and provide some examples of each.

5. What would you say are the four most important lessons you have learned about managed care and Why?

 

 

Mount Everest 1996

Research Question: ”To what extent were equipment problems contributing factors to the deaths on Everest in 1996”

Project #2: Manager’s Deskbook

 

Project #2: Manager’s Deskbook
Company Background & Operating Environment
Use the assigned case study for information about “the company.”
Policy Issue & Plan of Action
The Manager’s Deskbook contains issue specific policies and implementation procedures which are required to mitigate risks to the company and to

otherwise ensure good governance of the company’s operations. The Chief Information Security Officer (CISO) and key CISO staff members held a kick-off

meeting last week to identify issue specific policies which should be added to the company’s policy system in the IT Governance category. The policies

will be disseminated throughout the company by incorporating them into the Manager’s Deskbook. The required issue specific policies are:

1. Data Breach Response Policy
2. Preventing / Controlling Shadow IT Policy
3. Management and Use of Corporate Social Media Accounts Policy
For the purposes of this assignment, you will create a policy recommendations briefing package (containing an Executive Summary and draft policies) and

submit that to your instructor for grading.
Note: In a “real world” environment, the policy recommendations briefing package would be submitted to the IT Governance board for discussion and

vetting. After revisions and voting, a package containing the accepted policies would be sent to all department heads and executives for comment and

additional vetting. These comments would be combined and integrated into the policies and sent out for review again. It usually takes several rounds of

review and comments before the policies can be sent to the Chief of Staff’s office for forwarding to the Corporate Governance Board. During the review

& comments period, the policies will also be subjected to a thorough legal review by the company’s attorneys. Upon final approval by the Corporate

Governance Board, the policies will be adopted and placed into the Manager’s Deskbook. This entire process can take 9 to 12 months, if not longer.
Your Task Assignment
As a staff member supporting the CISO, you have been asked to research and then draft an issue specificpolicy for each of the identified issues. These

policies are to be written for MANAGERS and must identify the issue, explain what actions must be taken to address the issue (the company’s “policy”),

state the required actions to implement the policy, and name the responsible / coordinating parties (by level, e.g. department heads, or by title on

the organization chart). After completing your research and reviewing sample policies from other organizations, you will then prepare an “approval

draft” for each issue specific policy.
• The purpose of each issue specific policy is to address a specific IT governance issue that requires cooperation and collaboration between

multiple departments within an organization.
• Each issue specific policy should be no more than two typed pages in length (single space paragraphs with a blank line between).
• You will need to be concise in your writing and only include the most important elements for each policy.
• You may refer to an associated “procedure” if necessary, e.g. a Procedure for Requesting Issuance of a Third Level Domain Name (under the

company’s Second Level Domain name) or a Procedure for Requesting Authorization to Establish a Social Media Account.
Your “approval drafts” will be combined with a one page Executive Summary (explaining why these issue specific policies are being brought before the IT

Governance Board).
Research:
1. Review NIST’s definition of an “Issue Specific Policy” and contents thereof (NIST SP 800-14 p. 14)
2. Review the weekly readings and resource documents posted in the classroom. Pay special attention to the resources which contain “issues” and

“best practices” information for:
• Data Breach Response
• Preventing / Controlling Shadow IT
• Social Media
3. Review NIST guidance for required / recommended security controls
• NIST SP 800-53 Access Control (AC) control family (for Social Media policy)
• NIST SP 800-53 Incident Response (IR) control family (for Data Breach policy)
• NIST SP 800-53 System and Services Acquisition (SA) control family (Domain Name, Shadow IT, Website Governance)
4. If required, find additional sources which provide information about the IT security issues which require policy solutions.
Write:
1. Prepare briefing package with approval drafts of the two IT related policies for the Manager’s Deskbook. Your briefing package must contain

the following:
• Executive Summary
• “Approval Drafts” for
o Data Breach Response Policy
o Preventing / Controlling Shadow IT Policy
o Management and Use of Corporate Social Media Accounts Policy
As you write your policies, make sure that you addressIT and cybersecurity concepts using standard terminology.
2. Use a professional format for your policy documents and briefing package. Your policy documents should be consistently formatted and easy to

read.
3. Common phrases do not require citations. If there is doubt as to whether or not information requires attribution, provide a footnote with

publication information or use APA format citations and references.
4. You are expected to write grammatically correct English in every assignment that you submit for grading. Do not turn in any work without (a)

using spell check, (b) using grammar check, (c) verifying that your punctuation is correct and (d) reviewing your work for correct word usage and

correctly structured sentences and paragraphs.
Submit For Grading
Submit your Manager’s Deskbook briefing package in MS Word format (.docx or .doc file) for grading using your assignment folder. (Attach the file.)
https://www.idgenterprise.com/resource/blog/the-ciocso-imperative-strategic-conversations-collaborative-partnership-technology-involvement/

http://www.govtech.com/computing/Why-Public-CIOs-Are-Attempting-to-Move-Shadow-IT-to-Shallow-IT.html
https://www.forbes.com/sites/jeannemeister/2013/02/07/the-future-of-work-why-updating-your-companys-social-media-policy-is-required/#4d5e1336230d

 

 

 

‫DESIGNING A CHILDREN’S DENTAL CLINIC

Assignment: In 3 pages or less (double spaced), describe how you are going to research your topic and produce quality outcome measures.

For instance, if you are going to design an Emergency Department, identify (3) challenges that current Emergency Departments face in

today’s health care environment and outline how your design will aim to solve these challenges as well as post occupancy quality outcome

measures that can be applied to your design solution. This must be conducted in APA format.

In summary:

Map your strategic, cultural and research goals. Each one of these should be (1) paragraph. – 10 points

Describe three challenges that your end users face that can be solved with design (Project Drivers)– 10 points

Describe how you are going to solve them with your innovative design (Hypothesize Outcomes & Innovate) – 10 points

Describe quality outcome measures that can be derived from your solving the challenges – include qualitative and quantitative information

gathering (Improved Outcomes & Implement Translational Design/ Design for Improvement)– 10 points

You must have read through Chapter 4 in the text to complete this assignment.
the book: evedence based healthcare design / rosalyn cama

Professional Skills for Information Systems

Assignment 3
Applicable course objective:
• apply ethical research and inquiry skills and demonstrate an understanding of the social impact of information technology and the need for

security, privacy and ethical implications in information systems usage;
• demonstrate problem-solving skills by identifying and resolving issues relating to information systems and their components, and

proficiently utilise different types of information systems software (especially gaining proficiency in utilising databases, spreadsheets, and

presentation applications).
• apply academic and professional literacy skills and demonstrate an understanding of the importance of and differences between information

and computer literacy; the basic types of software including system software (operating systems and utilities) and applications software

(proprietary, off-the-shelf software applications and cloud computing); the basic hardware components of a computer system, including system unit,

storage, input and output devices and the way that they interact to form a single computing system; understanding computer-based telecommunications

and networking concepts; the basic concepts surrounding databases, database management systems and understanding the need for information

management; the concepts surrounding the Internet, e-commerce/e-business and supply chain activities, and business intelligence, knowledge

management and other business information system tools (TPSs, ERPs, MISs, DSSs etc) widely used in organisations today; and the processes involved

in information system project management;
• apply written communication skills by understanding basic information, communication and technology (ICT) terminology for effective

communication and applying it within a business environment.
Referencing Requirements
References are required and the Harvard AGPS standard of referencing must be used. This standard is detailed onUSQ Library

Site<http://www.usq.edu.au/library/referencing>.
Plagiarism, collusion and cheating will be severely penalised. Refer to the USQ Policy Library for more details:
• Academic Integrity Policy
• Academic Integrity Procedure
Ensure that your reports are fully referenced, including any reference to the text book. Your report should include in-text references and a List of

References.
Do not repeat verbatim large slabs of information from other sources such as the text – you must put the ideas/information in your own words.
You must use at least ten (10) academically sound sources other than the textbook in completing this report.

Preamble
Dr Dorothy “Dodo” Littlewas extremely impressed with our computing firm’s – KinkajouTechnologies – development of the All Creatures Great and

Small’s Database Management System (DBMS) utilising Microsoft Access 2007/2010/2013 (Assignment 1) and Decision Support System (DSS) utilising

Microsoft Excel 2007/2010/2013 (Assignment 2).
Dr Dorothy “Dodo” Littlerealises that the business has a lot to learn and that the business will need to invest considerable money to bring the

business into the modern online business world, from their current single computer mail order set-up. Dr Dorothy “Dodo” Littlehas contracted our

firm to advise the business on how they can grow their mail order business into a cutting-edge online presence.The business has asked us to develop

a report to provide them with information about the following topics that they see as key to their business’ growth:
1. How can the business move from mail order to being an online presence?
(Use Baltzan et al Chapters 2 & 3 – A Brave New Connected World / E-Business & Mobile Business to assist you in answering this topic)
2. What type of hardware and software, including networking infrastructure, should the business acquire to expand their capabilities to meet

their new e-business initiative?
(Use Baltzan Chapter 5 – Technical Fundamentals to assist you in answering this topic)
3. What would be the benefits to the business of using business intelligence?
(Use Baltzan et al Chapter 8 Section 2 – Business Intelligence)
4. What would be the benefits to the business of implementing a collaboration system?
(Use Baltzan et al Chapter 10 Section 2 –Enterprise Information Systems: Collaboration Systems to assist you in answering this topic)
5. What issues should the business be aware of when embarking on a social media presence?
(Use Baltzan et al Chapter 11 Section 2 – Social Media to assist you in answering this topic)
All phases in this project must be developed with professionalism and user-friendliness in mind.

karledwards.com/poster-gallery/, Karl Edwards Studios.
Mrs Hyacinth Macaw, your manager, has set up the following tasks for you to complete this project:
Refer to the marking criteria for details of mark allocations.
Task 1: Journal (maximum 500 words) 10%
Prepare a journal that records your activities and progress related to completing this assignment. In date order, clearly list the following:
• Date of research activity/discussion
• Full description of research activity / discussion (at least 25 words)
• Web sites visited to collect information; other references accessed (using Harvard AGPS Referencing style – submitted separate to the List

of References in Task 2).
• Time duration of the activity
If you are working in a team, clearly state the activities of each team member.

Submit this journal as an appendix to Task 2. Any references to web pages and online documents, such as white papers, should be listed at the end of

the journal.
Task 2: Case study ( 4,500-5500 words) 90%
Report Structure and Presentation 5%
Your report should include a professional title page, computer generated Table of Contents (including List of Tables and List of Figures) and

Appendices.
Note: Make sure to state the names of all students involved in the report on the title page.
Report Letter of Transmittal, Executive Summary and Introduction 5%
Your report should include a letter of transmittal, executive summary, and introduction to the report.
Report Section 1 – E-Business and Mobile Business (1000-1500) 10%
How can the business move from mail order to being an online presence?
1. What are the benefits and challenges that the business should be aware of before becoming an e-business?
2. What are the characteristics of Web / Business 2.0? How should the business address these characteristics when setting themselves up as an

e-business?
3. Which type(s) of e-business model(s) should the business be considering implementing? Why?
4. What type of e-commerce tools should the business consider utilising to connect and communicate with their customers? Why?
5. What tools should the business use to measure their e-business success?
6. Should the business also consider implementing m-business? What are the benefits and challenges Dr Dorothy “Dodo” Little will need to be

aware of?
(Use Baltzan et al Chapters 7 & 3 – A Brave New Connected World / E-Business & Mobile Business to assist you in answering this topic)(( refer

sample))

Report Section 2 – Hardware, Software and Networking Infrastructure(1000-1500) 10%
What type of hardware and software, including networking infrastructure, should the business acquire to expand their capabilities to meet their new

e-business initiative?
1. Develop a computer hardware proposal (including printer(s)) to allow the business to provide up to twenty (20) staff with computer access,

including current Australian prices for the equipment . Justify why this hardware is necessary for the business.
2. Develop a computer software proposal, including both system and application software, to support the proposed computer hardware proposal,

including Australian prices for the software . Justify why this software is necessary for the business.
3. Develop a networking and communications proposal, including a suggested network architecture, topology and communication medium to support

the proposed computer hardware and software proposal . Justify why this networking infrastructure has been chosen for the business.
4. Include a diagram of the proposed hardware and network infrastructure to help Dr Dorothy “Dodo” Little visualise what you are recommending.
(Use Baltzan Chapter 7 – Technical Fundamentals to assist you in answering this topic)(( refer sample)) APPENDIX A
Report Section 3 – Business Intelligence(800-1500) 10%
What would be the benefits to the business of using business intelligence?
1. How could the business use business intelligence? Outline for Dr Dorothy “Dodo” Little how business intelligence can assist the business

decision making.
2. How could the business use data mining to gain competitive advantage? What type of data mining would best suit the current businesses

analysis needs? Why?
3. What type of business intelligence tools would best suit the businesses current needs? Why?
(Use Baltzan et al Chapter 6 – Business Intelligence)
Report Section 4 – Collaboration Systems(800-1500) 10%
What would be the benefits to the business of implementing a collaboration system?
1. How could the business benefit from using a collaboration system with its external partners? Outline how the business could implement such a

collaborative system from both the structured and unstructured collaboration categories.
2. How could the business benefit from using a knowledge management system? What are the types of explicit knowledge assets that could be

easily managed with such a system? Why?
3. How could the business benefit from the use of a content management system? What type of content management system would be of most value to

the business? Why?
(Use Baltzan et al Chapter 10 Section 2 –Enterprise Information Systems: Collaboration Systems to assist you in answering this topic)

Report Section 5 – Social Media(800-1500) 10%
What issues should the business be aware of when embarking on a social media presence?
1. Outline to Dr Dorothy “Dodo” Little why the business should also be considering using Social Media as an avenue for communicating with their

customers and promoting their brand.
2. Review and critique, including providing screen captures, the social media presences of three (3) other businesses that sell similar

products toDr Dorothy “Dodo” Little’s.
3. How should the business manage their social media presence?
o Develop a draft Social Media Policy for the business that they can implement if they were to embark on a social media strategy.
(Use Baltzan et al Chapter 11 Section 2 – Social Media to assist you in answering this topic)
Report: Conclusions and Recommendations to the Business (500-800) 10%
Your report should include separate conclusions and recommendationssections.
1. Conclusions provide a summary of your key findings from the body of the report.
2. Recommendations provide a summary of the recommendations to the business based on the research conducted in the report.
Report: Referencing and Appropriateness of Sources 20%
References are required and the Harvard AGPS standard of referencing must be used. This standard is detailed onUSQ Library

Site<http://www.usq.edu.au/library/referencing>.

Ensure that your reports are fully referenced, including any reference to the text book. Your report should include in-text references and a List of

References.
Do not repeat verbatim large slabs of information from other sources such as the text – you must put the ideas/information in your own words.
You must use at least ten (10) academically sound sources other than the textbook in completing this report.

you need to put subheraddings for each report section you have multiple sub-qustions in each sections you need to put each subheadding as well
text book

http://www88.zippyshare.com/v/yoKEGxpg/file.html

Data Communication and Networks

Total Marks = 30 (15+15=30% of total assessment)
Purpose of the assessment:
The purpose of this assignment is to exercise and develop skills required to analyse
and design networks to address the need of clients. In this assessment, students will be
able to
 Apply their knowledge of networking technologies.
 Apply their knowledge to analyse and evaluate a network to meet customers
need
 Decide and choose among competing technologies and products
Description of the assessment:
Your lecturer will choose a Scenario out of three to prepare you assignment PART
I(Individual) and PART II(Group). Use the instructions within the Scenario to prepare a
report for PART I on week 10 and PART II at week 12. The object of this assignment is
to improve your skill of collecting and analyzing network information. The assignment
will also increase your knowledge regarding practical implementation of those
technologies in enterprise setup.
——————————————————————————————————-
Scenario 1: [30 marks]
You must install a network with 20 computers for a new business that wants to run
TCP/IP and have access to the Internet. The ISP in town will assign you only two
public IP addresses, so you decide to assign the computers addresses in the range
172.16.1.1/16 through 172.16.1.125/16. You also need to install a network monitoring
tool to the central server to monitor network activities which shows status of each
computer in the network. You need to report the following to your supervising boss
before you are assigned with the project.
Part I:
 Each students of the group need to identify a freeware tool that can monitor
the entire network and show status of each computer in the network.
[3 marks]
 Each student need to prepare a report which detail of the identified tool and its
features. You should use a number of screenshots of the tool and its features
that will help you to monitor network activities.
[12 marks]
Your report should not exceed 5 pages limit and screenshots should not be collected
from internet.
HS1011 Data Communication and Networks Trimester 1 2016 2
Part II:
 Prepare a report that will state all the require hardware and software to
implement this network.
[5 marks]
 Design the prototype of the network using packet tracer and describe it in the
report.
[10 marks]
Mark sure your report and prototype is aligned with your part I report. Your report
should not exceed 7 pages in total. You also need to submit the .pkt file of your
prototype.
Scenario 2: [30 marks]
You are hired as a consultant to place a WiFi network (for 50-60 customers) for
which you need to carry out wifi scanning, to notify you of all the nearest and closest
Access points AP’Ss, as well as identify if the networks are 802.11/a, 802.11/b,
802.11/g. Also, its main features should include AP information (SSID, MAC
Address) and signal quality chart. Your wireless network should be supported by 2
servers (Web and email servers) that are connected to LAB of 20 users. You need to
report the following to your supervising boss before you are assigned with the project.
Part I:
 Identify a freeware tool for wifi scanning that can report all the required
activities mentioned in the case details of scenario 2.
[3 marks]
 You need to prepare a report which will have screenshot of this tool and its
features that will help you to monitor network activities.
[12 marks]
Your report should not exceed 5 pages limit and screenshots should not be collected
from internet.
Part II:
 Prepare a report that will state all the require hardware and software to
implement this network.
[5 marks]
 Design the prototype of the network using packet tracer and describe it in the
report.
[10 marks]
Mark sure your report and prototype is aligned with your part I report. Your report
should not exceed 7 pages in total. You also need to submit the .pkt file of your
prototype.
HS1011 Data Communication and Networks Trimester 1 2016 3
Scenario 3: [30 marks]
You have been called in to consult on a new network design for CNT Books. The
requirements of this design are summarized as follows:
 The building has three floors.
 There are 300 user workstations and 10 servers.
 Users must be grouped according to the projects they’re working on, but the
users for each project are located on all three floors.
 There must be fault tolerance for communicating between the floors.
 Performance analyzing tool to evaluate performance and QoS of the network.
Part I:
 Identify a freeware tool for performance and QoS evaluation tool and prepare
a report which will have screenshot of this tool and its features that will help
you to monitor network activities.
[3+12= 15 marks]
Your report should not exceed 5 pages limit and screenshots should not be collected
from internet.
Part II:
 Prepare a report that will state all the require hardware and software to
implement this network.
[5 marks]
 Design the prototype of the network using packet tracer and describe it in the
report.
[10 marks]
Mark sure your report and prototype is aligned with your part I report. Your report
should not exceed 7 pages in total. You also need to submit the .pkt file of your
prototype.
Assignment Submission:
Assignment Date Due: PART I (Friday Week 10 by 5:00 PM) and PART II (Friday
Week 12 by 5:00 PM)
Assignment Submission Guideline: Please submit your softcopy online using the
respective BlackBoard assignment submission link. ( In special circumstances, you
can submit hard copy of your assignment in the class to your lecturer or submit your
hard copy of your assignment at Holmes Institute reception ground level, 185 Spring
Street. )

Waterfall and Agile

Due Week 3 and worth 100 points

Research agile methodologies including SCRUM and extreme programming (XP).

Write a two to three (2-3) page paper in which you:
1. Explain waterfall methodologies and identify their relationship to the PMBOK® process groups.
2. Explain agile methodologies and identify their relationship to the PMBOK® process groups.
3. Analyze the need for waterfall and agile methodologies.
4. Explain the advantages of extreme programming (XP) and analyze the advantages of its application in high-budget short-time projects.
5. Explain the factors to consider when selecting a project management methodology (Waterfall vs Agile).
6. Use at least two (2) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources.
Your assignment must follow these formatting requirements:
• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
• Identify how project management improves the success of information technology projects.
• Use technology and information resources to research issues in IT project management.
• Write clearly and concisely about issues in IT project management using proper writing mechanics and technical style conventions.
Click here to view the grading rubric for this assignment.

Financial Statements Research for a Publicly-Traded Company

Access the latest annual report, or Form 10-K, of a publicly-traded company of your choice using the company’s website or www.sec.gov. You

can usually access from a company’s website by clicking on investor relations, then annual reports, and search for latest form 10K. From

the SEC website (www.sec.gov), search for the selected company’s name and then search for its latest form 10-K. Using form 10-K of your

selected company, answer the following questions in an essay format.

Identify three accounts on your selected company’s and balance sheet that provide evidence that the company utilizes accrual accounting.

Ensure you provide explanations as well as the income statement account that would be affected by the adjustment process.

Identify and explain three income statement accounts that may result in accrual and deferrals adjusting entries.

Explain depreciation expense, amortization expense, accumulated depreciation, and accumulated amortization? In the financial statements

and notes of your selected company, identify the four accounts. How much was each of these four accounts for the most recent year and on

which financial statements were each reported?

What are income taxes and income tax expense (or provision for income taxes)? In the financial statements and notes of your selected

company, identify cash paid for income taxes as well as income tax expense (or provision for income taxes). How much was each of these

accounts for the most recent year and on which financial statements was each reported?

Ensure you include the form 10-K page numbers in your citations for each response. Include retrieval link for the 10-K as one of your

sources so your instructor can verify the information.

Effective Leader Report

 

Effective Leader Report

“Shadow” a leader that you know personally to determine what makes him or
her effective, and prepare a PowerPoint presentation of no more than 8 slides
to share your findings. The leader may be from your workplace or another
organization where you are involved. In shadowing, observe what makes this
leader effective, his or her strengths, leadership styles, and relationships with
followers. Based on your observations and analysis, determine and share
three (3) leadership lessons that can be learned from this leader. Further
information is found in the grading rubric located in Course Information. [100
points]

Please do not have the cover slide and reference slide included in the 4 slides.

Required reference: Daft, R. L. (2015). The Leadership experience (6th Ed.). Mason, OH: SouthWestern.