In 1998, the states paid a little over seven dollars a day per inmate for healthcare (Kinsella, 2004). You can imagine that in the last thirteen years, this cost has continued to increase and will only get worse with the aging prison population, the occurrences of communicable disease and
2010 CMA Part 1 Section D – Internal Controls & Ethics Limited Expenditure Account Estimated time 30 minutes The Board of Directors of a large corporation recently learned that some members of the senior management team had circumvented the company's internal controls for personal gain. The Board appointed a special task force of external auditors and outside legal counsel to investigate the situation. After extensive review, the task force has concluded that for a period of several years the expenses of the company’s chief executive officer, president, and vice president-public relations was charged to an account called the Limited Expenditure Account (LEA). The account was established five years ago and was not subject to the company's normal approval authorization process. Approximately $2,000,000 of requests for reimbursement were routinely processed and charged to LEA.
You are a practicing CPA at Gibbons, Johnson & Tannun, LLP. You recently received a new medium-sized client, ABI, Inc., a construction company that builds and renovates office buildings. Since the tornado went through your town, ABI, Inc., has had more projects than it can handle. ABI’s gross revenues for 2011 were $12 million dollars, up from $150,000 in 2010. Alex expects the revenues to grow by 30% for the next three years because cleanup of the devastating tornado will take that long.
Manual handling factsheet Manual handling In a report carried out for the Health & Safety Executive based on self-reported work related illnesses during the years of 2001 and 2002, over 1.1 million people complained of musculoskeletal disorders (MSDs) being caused by a current or past work experience. This report concluded that an estimated 12.3 million working days were lost due to MSDs and that on average each sufferer took twenty days off work in any 12-month period. In 1992, the Manual Handling Operations Regulations were released (these have been updated in 2002). Manual handling covers some activities that are mentioned in the following list. Lifting objects.
Furthermore, I concur outside views may determine alternative options and resolutions before making a decision. Mr. Mauboussin demonstrates a paleontologist at Harvard University, Stephen Jay Gould, after he was diagnosed with mesothelioma, “his doctor explained that only half of the people diagnosed with this rare cancer only lived for eight months” (p. 27). Gould the smart person he was ran his own research and prediction and found that the other half of patients diagnosed with this cancer lived much longer. Mr. Gould took into count his young age at the time of the diagnosis and figured he had a much larger percentage of living a longer life than the eight months the doctor granted him. Since Gould, was able to ask the questions he needed answered in determining his life span.
For the past six years the media have been reporting a shortage of registered nurses (RNs) in the United States This shortage is most severe for hospitals, in western and southwestern states, in New England, and for specialized advanced practice nurses. Estimates of average nurse vacancy rates at hospitals range from 10.2 percent to 13 percent, with one in seven hospitals reporting more than 20 percent. (Projected Supply, Demand, and Shortages of Registered Nurses, 2000-2020) At PFCH the Chief Nursing officer has approached the President requesting that some consideration be taken into hiring more nurses. It has been mentioned that the nurses are over worked and it has begun to take a negative effect on patient care and frustration among the
Hospital Acquired Condition: Surgical Site Infection Francine Jackson HCA 375 Instructor Shultz April 1, 2013 The Institute of Medicine (IOM) in a landmark report written in 1999, “To Err is Human,” found that medical errors, particularly hospital acquired conditions (HACs) are a leading cause of morbidity and mortality here in the U.S. IOM have estimated that 44,000 people die each year in hospitals from what is mostly considered preventable medical errors; one being surgical site infections. In 2007, The Centers for Medicare and Medicaid (CMS) began phasing in its value-based program, which links payment directly to quality of care provided. One of the many strategies CMS is using is to transform the current payment
However, the last 200 years of nursing history have yielded more advancements that that all of the previous years combined and this paradigm shift can be traced back to one nursing scientist in particular – Florence Nightingale. In 1859 the Crimean War was entering its sixth year of conflict when Florence Nightingale and her team of 38 volunteer nurses were tasked with providing care at the military hospital in Scutari. Nightingale arrived to find horrific, unsanitary conditions where patients were neglected, infections ran rampant, and basic needs such as hygiene were overlooked. The mortality rate at the war hospital in Scutari was 10 times higher from diseases like typhus and cholera than it was from war-related battle injuries (Fee & Garofalo, 2010). Nightingale and her
“Reflex Systems” Case The case “Reflex Systems” describes a situation Rankin and his team is charged with installing a new CRM system for their company, Reflex Systems. They have been given a short deadline of ten weeks, and a small budget. The team has been dealing with the resignation of one member, and stress creating tension between remaining members and management. Facts -The individuals involved in this case include Henry Rankin (Software Engineer), Mike Frazer (CEO), Nicole Dyer (VP of Information Technology), Sally Phillips, Bob Finley, and Lynn Johnston. -The project has been given a deadline of ten weeks, with Rankin and his 5-member team in charge of technical implementation.
Determination is often defined by setting a goal and working your way towards reaching it but what if determination means simply to settle a purpose in life like in Siddhartha or to fulfill a list of childhood goals because life happened and your time in this world is now limited like in Randy Pausch’s: The Last Lecture? Let’s start off by introducing the elephant in the room as Randy Pausch would say. Pausch was diagnosed with cancer; he had 10 tumors in his liver and was given three to six months left of good health. Within the first two minutes of his lecture he introduces his condition to the crowd and talks about what is and isn’t going to be discussed in his lecture. Some of the don’ts were his family, cancer, and religion whereas he would agree to talk about his childhood dreams, enabling the dreams of others and how you can put it into action as said in his video lecture on YouTube then there is Siddhartha who is a fictional character who grows up as the son of a Brahmin that is seen to be destined for great.