Assume that you are the administrator of No Place like Home Nursing and Rehab Center ( fictitious ). As the administrator, you are faced with the challenges of declining reimbursements from insurance providers and increasing demands for patient services due to dramatic changes in the external environment. Such changes include those imposed by the Patient Protection and Affordable Care Act.
Your first step in evaluating the position of No Place like Home Nursing and Rehab Center will be conducting an environmental analysis. The purpose of this is to determine ability to continue to provide quality care and remain financially solvent in the face of these challenges.
Write a six to eight (6-8) page paper in which you:
Determine two (2) specific forces in the external environment that will have the most impact No Place like Home Nursing and Rehab Center. Provide a rationale for your decision.
Determine two (2) specific internal factors that the organization’s leaders need to consider in preparing for the future of health care and the future of the organization. Provide a rationale for your decision.
Discuss the impact of both the identified internal and external forces on the No Place like Home Nursing and Rehab Center ability to develop a competitive strategy.
Recommend one (1) strategy that involves the No Place like Home Nursing and Rehab Center managers in implementing and maintaining the momentum of the strategic plan.

Addresses course outcomes 1-4:
recognize and explain how the scientific method is used to solve problems
make observations and discriminate between scientific and pseudoscientific explanations
weigh evidence and make decisions based on strengths and limitations of scientific knowledge and the scientific method
use knowledge of biological principles, the scientific method, and appropriate technologies to ask relevant questions, develop hypotheses, design and conduct experiments, interpret results, and draw conclusions
Select one of the topics listed below.
Find at least three information sources related to the topic.
Write a 750-1500 word paper, excluding references and title page. You must read the information sources that you find and summarize the information in your own words, addressing each of the questions and expectations for your chosen topic. Extensive quotes from the article are discouraged. Use APA style for citing references.
Topics (select one)
a) Genetically modified organisms (GMOs).What is the purpose genetic engineering of crop plants and domestic animals? Briefly explain how GMOs are created. What foods in your supermarket contain GMOs? Are foods that contain GMOs safe for human consumption? What types of regulations exist for these foods? Clearly explain your reasoning for each answer.
b) Stem cells.Your friend had a spinal cord injury after a bad car accident. The medical team has decided that he is a good candidate for a clinical trial using stem cell therapy. Your friend has not had a biology course since high school, so you decide to write him a letter sharing your knowledge of stem cells. Include in your letter a description of the biology of stem cells and how these cells are unique from other cells. Contrast the different types of stem cells, including pros and cons of each. Explain how stems cells are can be used to treat diseases and injury, with special focus on spinal cord injuries. Conclude with your own opinion.
c) Fracking (hydraulic fracturing) and tar sands (oil sands). With society’s dependence on nonrenewable fossil fuels, the oil & gas industry is turning to the use of hydraulic fracturing and tar (oil) sands to extract natural gas and oil respectively. A friend asks you “What’s all this controversy in the news about fracking and tar sands?” Briefly explain to your friend how hydraulic fracturing and tar (oil) sands are used to obtain these fossil fuels. Then, in more detail, describe the environmental problems that may result from these processes and why they are controversial. Issues that may be addressed involves, but are not limited to, water, air and soil pollution, effects on human health, effects on other species and natural ecosystems. Finally, give your opinions on possible solutions to these environmental problems, with your reasoning backed by the references that you studied.