What Are Your Thoughts On Facilities Such As Level I Trauma Centers

The government recently released its final revision to the proposed rules governing accountable care organizations (ACOs) http://www.cms.gov/aco/downloads/Appendix-ACO-Table.pdf. These organizations will herald the beginning of outcomes based reimbursement which will replace volume-based payment systems. Three sub-agencies will be coordinating Medicare and Medicaid payment policies. The IPAB (Independent Payment Advisory Board) will concentrate on Medicare. It has already been criticized as having too much power for a small board. The Center for Medicare and Medicaid Innovation will be testing new payment and delivery systems, and the PCORI (Patient Centered Outcome Research Institute) is charged with evaluating comparative effective research.

What are your thoughts on facilities such as Level I Trauma Centers who have a higher level of acuity face lower reimbursements when the patients arrived in an almost reversible condition?

 

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work on your agency needs assessment

Overview: In Milestone One, you selected an agency and developed an issue statement regarding a need of that agency. In this milestone, you will incorporate your Milestone One work into the “Overview of Community and Need” section and then research the need described in your issue statement and produce a literature review that lists the resources you consulted. There will be research to be performed for this milestone. This will be the second of three milestones that lead to a successful capstone completion. Once you have researched, identified, and located the articles for your literature review, you need to analyze them and organize them before you begin working on your outline. You should organize these articles to best help you formulate evidence-based recommendations that will make a positive difference in the agency. SNHU’s Shapiro Library should be used to assist in your research.
Prompt: You will submit your agency needs assessment, which includes a literature review with a brief synopsis of each resource you plan to use for the findings and recommendations report. You should use both primary and secondary sources, evaluate how these sources relate to your issue, develop criminological theories, discuss any ethical impact, describe any technological impact, and provide a review of the literature on the issue. Your findings and recommendations report (Milestone Three) will include the statement of need, program recommendations, goals and objectives, staffing/administration/resource needs, and evaluation plan. Remember to consult the Capstone Project Template for more guidance on the components of your capstone project.
 
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Reading notebook | GEN 104 | Ashford University

  

Week 1 Reading Notebook

Questioning Activity

  

This activity helps you practice questioning by offering examples of the kinds of questions you might ask yourself before, during, and after reading. It also allows you to create your own questions for reading. You will practice answering these questions using a reading passage. It is recommended you have the reading passage open on your computer or printed out for you to refer to as you work on this notebook.

  

BEFORE YOU READ

STEP ONE, Preview: This reading passage is about the Harry Potter book series. Preview the text by skimming the introduction and conclusion below to identify the main idea. Remember, you are just skimming in this step, not reading the entire passage.

  

Introduction

 

Harry   Potter (1997-2007)

A seven-book fantasy   series by J. K. (Joanne) Rowling (1965–), which has a credible claim to be   the most successful children’s book series of all time. Formally   conventional, but well plotted and richly imagined, it has been criticized in   some quarters for derivative content and lacklustre prose, while also   credited with turning millions of children on to the pleasures of   reading—though the books’ enthusiastic readers and champions massively,   vastly outnumber their handful of critics.

 

 

Conclusion

 

   J. K. Rowling has also written a number of short books associated with   Harry’s world: Fantastic Beasts and Where to Find Them (2001), Quidditch   through the Ages (2001), and The Tales of Beedle the Bard (2008), the sales   for all of these benefiting charities that Rowling supports. After a long   development period, 2012 saw the full public launch of ‘Pottermore’, an   official website with unpublished material, downloadable e-books, etc. The   first fully illustrated editions of the original series were announced in   2013 (with publication scheduled for 2015), with Jim Kay was selected to   produce the first fully illustrated editions of the series, with book one   appearing in 2015. Characters from Harry Potter’s world returned in 2016 in a   spectacular London stage show, Harry Potter and the Cursed Child (co-written   by Jack Thorne (in collaboration with Rowling)), set nineteen years after the   end of the main series.

Source: Oxford Companion to Children’s Literature   (2015)

STEP TWO, Stop and Think: Stop and answer these questions before reading the entire passage.

1. What do you already know about this text?

2. What are you hoping to learn from reading this text?

3. What feelings or biases do you have toward this text?

4. Write down one or more additional questions that you would like to ask before reading the text and answer them below. (Tip: Questions to ask before reading can address what you know or want to know about the topic, how you feel about the topic, what you think the text is about based on your preconceptions, and what your purpose is for reading the text).

  

WHILE YOU READ

STEP THREE, Read: Now, read the full text and while you read through the text, complete the following activities.

Activity 1: As you read, ask yourself questions to clarify meaning. Begin your questions with who, what, when, where, or how. For example, “How many copies of Harry Potter books have been sold?” Normally, you would write these questions in the margins or in a notebook. For this activity, write down at least one of your questions and answers below.

Activity 2: As you read, monitor your thoughts about and understanding of what you are reading by creating “statements” like “I think,” “I like,” “I agree,” “I don’t understand,” and “I was confused by.” For example, “I don’t understand why these books would cause controversy.” Normally, you would write these statements in the margins or in a notebook. For this activity, write down at least one of your statements below.

STEP FOUR, Review and Reflect: Review the text and complete these statements after reading the passage.

1. After reading the passage, I learned…

2. Something I already knew is ….

3. This passage reminds me of…

4. I was confused by…. (this could be a word, phrase, piece of information, etc.)

5. A lingering question I have is …

6. Something more I would like to know is …

Investment Valuation, accounting homework help

PLEASE DO NOT ACCEPT IF YOU CANNOT MEET DEADLINE OR DO NOT UNDERSTAND THE REQUIREMENTS:

The scenario is below is what needs to be followed and then the attached spreadsheet needs to be completed based on the scenario:

Over lunch, you and Cindy meet to discuss next steps with the expansion project.

“Do we have everything we need on sales and costs?” you ask. ”It must be time to compute the net present value (NPV) and internal rate of return (IRR) of the Apex expansion project.”

“We have the data from James and Luke regarding projected sales and costs, respectively, for the food packaging project,” says Cindy. “It is feasible to project that we will receive a tax break from this implementation. I have information from our audit firm that indicates that future depreciation methods for taxes will be straight-line; however, the corporate rates will be reduced to 35% as we assumed in our weighted average cost of capital (WACC) calculation.”

“That sounds good,” you say.

“Right,” says Cindy. “You can use a WACC of 10% for the computation of the NPV and comparison for IRR.”

“I’ve got the information I need from Luke and James,” you say. “Does this look right to you? Here’s what they gave me,” you say, as you hand a sheet of paper to Cindy.

“Let’s look at this now while we’re together,” she says.

The information you hand to Cindy shows the following:

  • Initial investment outlay of $30 million, consisting of $25 million for equipment and $5 million for net working capital (NWC) (plastic substrate and ink inventory); NWC recoverable in terminal year
  • Project and equipment life: 5 years
  • Sales: $25 million per year for five years
  • Assume gross margin of 60% (exclusive of depreciation)
  • Depreciation: Straight-line for tax purposes
  • Selling, general, and administrative expenses: 10% of sales
  • Tax rate: 35%

You continue your conversation.

“It looks good,” says Cindy. “Use this information from Luke and James to compute the cash flows for the project.”

“No problem,” you say.

“Then, compute NPV and IRR of the project using the Excel Spreadsheet I sent earlier today,” says Cindy. “Use the IRR financial function for the computation of IRR.”

“Okay,” you say. “I’ll submit my Excel file showing the computation of cash flows, NPV, and IRR by the end of week so you can look at it over the weekend.”

“Thanks,” says Cindy.


 

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