COMPARING THE BUDGETED REVENUE, THE FLEXIBLE BUDGET REVENUE AND THE ACTUAL REVENUE

The first part is based on question 19 from page 549 in your textbook.

The second part is based on question 11 on page 573 in your textbook.

ADAPTED FROM PROBLEM 19 ON PAGE 549 OF TEXT:

THE GIVENS

  • THE ORIGINAL BUDGET NUMBERS
    • HMO would have 100,000 members.
    • 1 in 4 of these members would use the dermatologic services per month (100,000 divided by 4 = 25,000 visits)
    • Budgeted Revenue was $360,000 per month.
    • Budgeted Expenses were $300,000 per month.
  • ACTUAL NUMBERS:
    • HMO members increased by 5% to a total of 105,000.
    • 1 in 3 of these members used the dermatologic services per month (105,000 divided by 3 = 35,000 visits).
    • Actual Revenue was $550,000 per month.
    • Actual Expenses were $370,000 per month.
 BUDGETEDACTUALVARIANCE
HMO MEMBERS100,000105,0005,000
# of VISITS per month25,00035,00010,000
REVENUES per month$360,000$550,000$190,000
EXPENSES per month$300,000$370,000$70,000
NET INCOME per Month$60,000$180,000$120,000

COMPARING THE BUDGETED REVENUE, THE FLEXIBLE BUDGET REVENUE AND THE ACTUAL REVENUE

ACTIVITYANSWER
A.  ENTER THE BUDGETED REVENUE PER MONTH(from GIVENS) 
B. ENTER THE BUDGETED REVENUE PER VISITCalculate the budgeted revenue per visit —this is determined by dividing the budgeted revenues by the budgeted number of visits. 
C.  ENTER THE FLEXIBLE BUDGET REVENUE ESTIMATECalculate the flexible budget revenue estimate (what the revenue would have been estimated to be if the actual number of visits had been used)—this is determined by multiplying the budgeted revenue per visit (from B) by the actual number of visits 
D.  ENTER THE ACTUAL REVENUE PER MONTH(from GIVENS) 
E.  ENTER THE ACTUAL REVENUE PER VISITCalculating the actual revenue per visit (what was actually earned for each visit made) – this is determined by dividing the actual revenue by the actual number of visits. 
COMPARE “B” AND “E”. Did the company make more or less per visit than they budgeted for? 
COMPARE “C” AND “D”. If the correct number of visits had been estimated initially, would the company have meet, exceeded, or fell short of their budget? 

COMPARING THE BUDGETED EXPENSE, THE FLEXIBLE BUDGET EXPENSE, AND THE ACTUAL EXPENSE

ACTIVITYANSWER
A.  ENTER THE BUDGETED EXPENSE PER MONTH(from GIVENS) 
B. ENTER THE BUDGETED EXPENSE PER VISITCalculate the budgeted expense per visit —this is determined by dividing the budgeted expense by the budgeted number of visits. 
C.  ENTER THE FLEXIBLE BUDGET EXPENSE ESTIMATECalculate the flexible budget expense estimate (what the expense would have been estimated to be if the actual number of visits had been used)—this is determined by multiplying the budgeted expense per visit (from B) by the actual number of visits 
D.  ENTER THE ACTUAL EXPENSE PER MONTH(from GIVENS) 
E.  ENTER THE ACTUAL EXPENSE PER VISITCalculate the actual expense per visit (what was actually spent on each visit made) – this is determined by dividing the actual expense by the actual number of visits. 
COMPARE “B” AND “E”. Did the company spend more or less per visit than they budgeted for? 
COMPARE “C” AND “D”. If the correct number of visits had been estimated initially, would the company have meet, exceeded, or fell short of their budget? 

ADAPTED FROM QUESTION 11 Part A ON PAGE 573 OF TEXT

The administrator of a hospital has decided to allocate the cost of the facility utility bill ($400,000) to the following departments based on the square footage of each department. Fill in the grid with the amount each department would be “billed” for utilities. NOTE: I have changed the square footage in the exercise to make the calculations more straight forward.

DEPARTMENTSQUARE FOOTAGEUTILITY ALLOCATION
ADMINISTRATION5,000 
LABORATORY2,000 
DAY-OP SUITE5,000 
CYSTOSCOPY SUITE2,000 
ENDOSCOPY SUITE6,000 
TOTAL20,000$400,000

Medical Sociology and Public Health

  1. Paraphrase the following:

SpitlerH.D. (2001). Medical Sociology and Public Health: Problems and prospects for collaboration in the new millennium. Sociological Spectrum21(3), 247-263.

“According to Levinson (1998) and others, public health has continued to concentrate on changing the individual behaviors and exposures to pathology rather than targeting the conditions influencing those behaviors and exposures. These individualistic approaches are ’’safer’’ than structural approaches because they do not require the modification of the social structure or existing political, economic, or cultural structures or processes.”

  1. Paraphrase the following:

Source: ChattopadhyayS.K., &V.G. CarandeKulis. (2004). Economics of prevention: the public health research agenda. Journal of Public Health Management and Practice, 10(5), 467-471.

“Unlike the market for apples and oranges, consumption of prevention activities may not render immediate satisfaction to consumers. From the economic perspective, demand for preventive services is more likely to follow the health capital investment model originally developed by Grossman. Prevention is assumed to improve the stock of health relative to what it would be in its absence. This improvement is anticipated to enable people to reap increased economic returns from production and consumption activities over a longer period of time.”

**Continue on the next page**
Write ONEwell-structured paragraph that answerseach of the following questions. Use examples from the readings to support your answer. You are expected to cite any ideas or examples used from the readings using APA style in-text citations – a reference list is not necessary. You may use a maximum of 300 words for each paragraph and each paragraph should be double spaced. . Each paragraph is worth 10 marks (see marking rubricon next page).

  1. Consider the following two research studies “Sanitizing public space in Olympic host cities: The spatial experiences of marginalized youth in 2010 Vancouver and 2012 London“ (Kennelly & Watt, 2011) and “’Near and Far’: Social Distancing in Domiciled Characterizations of Homeless People”( Hodgetts et al., 2011) .Dothese studiescomplement each other to increase our understanding of homelessness? If yes, how? If not, why not?
  1. Consider the article: ”Suffering of childless women in Bangladesh: The intersection of social identities of gender and class” (Nahar&Richters, 2011). Explain how this article uses the Anthropological perspective to improve our understanding of health?

Paragraph Marking Rubric:

Marks /10Quality of Paragraph Elements
9 -10·         Topic sentence clearly provides the thesis of the paragraph;·         Each sentence in the paragraph advances the argument;·         Several detailed and accurate examples from course material are provided to justify the argument;·         Writing quality is exceptionally-high caliber overall (organization, spelling, word choices, grammar and other mechanics).
8·         Topic sentence implicitly states the thesis of the paragraph·         Most sentences in the paragraph advancedthe argument;·         Severalaccurate examples from course material are provided to justify the argument;·         Writing quality of high caliber overall (but not as well organized as 9-10 responses or with one or more minor errors).
7·         Topic sentence is not clear and does not provide the basis for the thesis of the paragraph;·         Most sentences in the paragraph advancedthe argument;·         Examples from course material are provided to justify the argument but inaccuracies or detail;·         Writing quality fulfills basic expectations for an introductory university course but requires editing.
6·         Topic sentences ins not clear and does not provide the basis for the argument presented in the paragraph;·         Few sentences in the paragraph advancedthe argument ;·         Examples from coursework provided to justify the argument but with inaccuracies or  the use of inappropriate examples;·         Writing quality fulfills basic expectations for an introductory university course but requires editing.
0 – 5·         Topic sentence not included or completely misrepresents the contents of the paragraph;·         Examples provided are inappropriate and/or do not advance the argument;·         Paragraph is poorly structured and argument is difficult to understand;·         Weak writing, with grammatical and spelling errors; requires much editing.

Socio Economic Status, Health and Migrants in Australia

Assignment Group Presentation
Topic: Socio Economic Status, Health and Migrants in Australia 800 words.
FAQs : Australian Situation
• Introduction
• Outline of topics , including thorough discussion of the topic / issue
System / population groupØbased on media/ news coverage and campaign / policy from 2014.
SES and HealthØ
Political issue in Australia based on current context.Ø
References ( minimum 10)
• Migrant topic needs to be supported with current research.
• Sources including journals, books, reports and government websites
Marking Rubric

Identify two other stressors that Betty is experiencing based on her signs and symptoms

Required is a case study essay.

Following is the case study:

Case Studies
Case study: Betty
Betty an 80‐year‐old lives alone in her own home. She is active, attending the local
senior citizens club. She receives meals‐on‐wheels and has assistance with her house
keeping once a week. She has been unwell for a few days experiencing decreased
appetite and episodes of angina that have responded to sublingual ANGININE.
Betty has a history of angina, peripheral vascular disease and congestive heart
failure. Her regular medications include an ACE inhibitor, selective beta blocker and
digoxin.
Betty’s family doctor referred her to hospital with dehydration. It is also noted she
has cellulitis to her left leg. She was admitted to the medical ward. On day three
Betty experiences shortness of breath with some chest pain that is not relieved by
ANGININE. Clinical examination reveals acute pulmonary oedema.
Clinical assessment reveals:
Temperature 37.9 degrees Celsius
RR 36 breaths/minute
HR 120 beats/minute
BP 180/110 mmHg
SpO2 88%
Urine output < 30 mL/hour (<0.5mL/kg/hr)
Bilateral peripheral pitting oedema, with cellulitis left lower leg
Chest auscultation reveals crackles and she is coughing pink frothy sputum
Management includes:
Bilevel
noninvasive
ventilation at 60% oxygen, Rate 16 breaths/minute
IPAP 10 cm H2O, EPAP 5 cm H2O
ECG and cardiac monitoring
IV normal saline decreased to 42 mL/hour
IV FRUSEMIDE
Subcutaneous CLEXANE
Indwelling catheter
CXR reveals
atelectasis and pulmonary oedema
Betty is transferred to the HDU
First ABG ABG after 30
minutes
pH 7.3 7.3
PaO 60 mmHg 100 mmHg
PaCO 55 mmHg 50 mmHg
HCO 24 mmol/L 24 mmol/L
Base excess ‐2 ‐2

And here is the essay questions, needs to be attended in 3 parts:

Assessment 2: Short answer essay – Betty
1500 words +/- 10%
Weighting 30%
The purpose of this assessment is to enable you to demonstrate your knowledge of the neurohormonal basis of the stress response through application to a case study.

These short answer questions incorporate the case study of Betty and your responses must relate to the clinical manifestations identified for this patient. Please note: nursing care and management are not the focus of this assessment.

You must complete all three parts.

Click here to open the case study.

Part A (500 words)

Betty is exhibiting signs and symptoms of a number of acute and chronic stressors. Pain is one of the most significant stressors and poses major challenges for nurses.

Betty is experiencing multiple types of pain.

•List the potential causes of Betty’s pain and identify the types (or mechanisms) associated with each cause
•Explain the physiological processes by which Betty’s pain will act as a stressor
•Describe the likely outcome if Betty’s pain remains unrelieved.
Part B (500 words)

As well as pain, Betty is also experiencing multiple other stressors.

•Identify two other stressors that Betty is experiencing based on her signs and symptoms
•Explain the mechanisms for how these stressors, both individually and collectively, induce a short-term or prolonged response to stress.
Part C (500 words)

Various factors, including the medications she is taking, will modify Betty’s response to stressors.

•List the medications Betty is taking that would influence her body’s ability to mount a stress response.
•Explain the mechanism of action and potential impact of these medications on the stress response. Include in your answer the physiological impact of Betty’s ACE inhibitor and beta blocker medications providing evidence of this from the clinical data.

The prescribed text book for the subject is Marieb, E, N and Hoehn, K, N 2014, Human anatomy and Physiology, 9th edn, Pearson Education Limited, United states of America

The assignment needs to focus on stress response and be quite specific in regards to types of pain and neurohormonal responses.