Expanding the Evidence BaseThis case is intended to focus your thoughts on the nature of scientific evidence in health care both in terms of stability and strength of evidence.

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case study questions answered

Case 18 Stents VS Bypass: Expanding the Evidence BaseThis case is intended to focus your thoughts on the nature of scientific evidence in health care both in terms of stability and strength of evidence. Continuous clinical quality improvement will have to take into account the changing nature of the evidence, the importance of learning-by-doing, and the adjustments that need to be made to individual patient differences including comorbidity and genetic variability in responses to treatment. Almost any given set of evidence can be interpreted in multiple ways. As we strive for improved clinical performance, these will be key variables and frequent distractions to our efforts to win over the professionals and the public. Remember that the development of new types of stents has continued as well. However, we cannot ignore the importance of learning-by-doing along with our concerns about the influences of economic rewards and the influences of vendors on clinical choices.This brief case has many twists and turns. The hospital is a large community hospital, but one of the Top 100 in cardiac care according to Solucient. There is a stent maker in Elyria and the hospital staff is associated with published research. The comparative analysis of frequencies of interventions is based on the Dartmouth Atlas which has been involved in a number of controversial debates, include the conclusions about care in McAllen, Texas in the New Yorker by A. Gawande. But the debate between using stents versus angioplasty continues to rage on and is argued in many major studies. Thus, the case has two stages. The first is one of small area variations. The second pertains to how strong and definitive data has to be before change can reasonably be expected. A third issue is one of organizational learning that might take place when a particular technique is used intensively by a large practice.CASE 20: THE HOUSTON MEDICAL CENTER BED TOWER: QUALITY AND THE BUILT ENVIRONMENTThe need for healthcare facilities designed for safety and improved working conditions for health providers are resulting in new types of space. There are many ways that the planning and design processes can be improved. Often the built environment is a process constraint that is hard to remove without major capital expenditures. This case illustrates that the use of process analysis and process-improvement techniques not often cited in the healthcare literature, such as time and distance layout studies and computer simulations to analyze the impact of alternative designs that cannot be tested directly in the work setting. Such techniques borrowed from industrial engineering, management science, or systems analysis offer important gains for transforming healthcare settings and enhancing the safety of patients and the well-being of providers.

omprehend what you need, get what you pay for, and ensure it covers all that you need, or you don’t purchase [it].

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Even though not every person will require expensive long-term care, financial planners suggest that everybody should consider deciding for the likelihood, since long-term care is costly and can rapidly deplete a lifetime of savings.

By planning, parents are less inclined to use up their financial resources by paying for long-term care. Rather, they might have the capacity to save their assets and income for users other than long-term care, including preserving the quality of life for a remaining spouse/partner, passing on a legacy to family, and supporting favorite causes through their estate.

Personal savings

I will advise my folks to self-insure for long-term care. They can save and invest throughout their lives, then use their accumulated wealth to pay for long-term care.

Life Insurance

On the off chance that your folks own universal life insurance policies, they should check to see if the policies include options allowing them to access their life insurance benefits while they are living.

Individuals do plan for the risk of loss and commonly have set money aside or bought insurance or prepared written documents to cover the unexpected. Without proper

planning, the need for long-term care can result in the single greatest crisis in an elderly person’s life. This lack of planning will always have an adverse effect on the older person’s family. It usually results in great sacrifice or financial cost on the part of the spouse or children. Or for those with no immediate family, long-term care can be a burden to extended family members.

Watch out for money related scams

Money related mishandle of the elderly has, unfortunately, turn into a development industry amid the country’s intense financial circumstances. Ensure your folks are shielded from making hurried, poor and costly money related choices.

It has the following benefits.

  1. Protect reserve funds and resources for family and companions;
  2. Help keep up one’s budgetary freedom from family and companions, frequently dispensing with the need to obtain cash for long haul mind costs.
  3. Diminish family and companions of providing care assignments, as paying for proficient care turns into a reasonable alternative.
  4. Enable a friend or family member to pick where he gets mind. If Medicaid pays for mind, a nursing home is the main choice. Individuals can outline their LTCI arrangement relying upon where they need to get mind: in a nursing home, in the group, at home, or in a helped living office.
  5. Extend the scope of services a loved one gets, including mind from going by attendants, home wellbeing assistants and neighborly guests’ programs; home-conveyed dinners and errand administrations; and time in grown-up childcare focuses and rest administrations for parental figures.

The advantages a friend or family member gets from this arrangement additionally relies upon the sort of plan she buys. Teach yourself so you can settle on a decent educated choice. Comprehend what you need, get what you pay for, and ensure it covers all that you need, or you don’t purchase [it].

Pratt, J. (2016). Long-Term Care: Managing Across the Continuum (4th ed., pp. 21-23). ​Burlington, Ma: Jones and Bartlett.

What were the attitudes of individual members to being a part of a group? Were they committed and compliant? Were they resistant?

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To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work; provide references for the citations; and format your document in accordance with APA guidelines.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion.

Team Building

In this assignment, you will learn about team building and why it is an important skill for managers and leaders.

Identify two groups you belong to or have belonged to; the groups can be personal or work-related.

Based on your observations of how the groups function and the interactions among the groups’ members, answers to the following questions:

  • What was the composition of each group?
  • What types of groups were they?
  • Were the values and mission of the group apparent? How?
  • Were the operational objectives or mission of the group supported by the individuals? How?
  • What were the attitudes of individual members to being a part of a group? Were they committed and compliant? Were they resistant?
  • Was there a leader and was the leader effective? What made the leader effective or ineffective?
  • Do you feel the leader was respectful of group’s members? Why or why not?
  • How would you rate the communication effectiveness of the group? Explain.
  • What motivated you to join the group and stay with or leave it? Explain.
  • What role did you play in the group?
  • Was the group cohesive? What made it cohesive or noncohesive?
  • Were there any barriers to collaboration? If so, what were they?
  • Would you consider these groups to be successful? If so, what characteristics of a successful group did they possess? If not, which characteristics did they lack?

Describe what the perceptual map is telling you regarding how each product is perceived in the minds of the new target market you described above.

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Answer the following four questions in order and number the beginning of your response to each question
Product Name Cheesecake Factory Company
Segmentation. (Please read the first bullet point in the directions above for this answer). Using the various criteria of the segmentation bases described in the week’s readings and in Table 4.1 Identify two distinct market segments for your product or service. Each market segment description must include at least three (more if needed) of the characteristics from among any of the four bases categories, e.g. one from demographic variables, one or two from psychographic variables, and one from behavioral variables, or a similar scheme. Be sure to explain your choices based on what customer need the product or service offering can fill for each segment. These should be important characteristics that describe the segments and should focus on different aspects of the customer. The goal, here, is to present two different groups of customers. The first should be the most obvious customer segment your product currently serves. The second one will be the basis of all future answers. This is a customer segment of your choice. Name this segment. Your name should be descriptive of the segment’s characteristics like ‘savvy young shoppers’ or ‘educated baby boomers’, or ‘urban hipsters’, or the like. The goal is for your faculty member to get a mental image of your target market for the remainder of the semester. The three characteristics should be clear in the name.
Target market. Using the customer segment you chose, described, and named in (1) above explain why you feel it can represent profitable growth for the company. In your explanation, refer to each the six criteria for an attractive market segment as described in course content under ‘Selecting Target Markets’. Name the criteria and present your case, using sources or examples of ads, etc. you have seen to support your reasoning for each of the six.
Target market strategy. Using the concepts from the course, discuss your targeting strategy going forward with your new target segment. Should the company focus all of its resources on this new segment (Concentrated marketing) or should they continue to pursue the existing target markets while embarking on special marketing for your new chosen target segment. (Multi-segment marketing)? Alternatively, is the market so saturated that they might they be more successful by focusing solely on an even more narrow market segment, perhaps an even narrower version (niche marketing) of your selected target market, as their best chance for growth? What is your reasoning? Use your marketing terms from the course in your discussion and present any research that supports your decision. You should be able to draw on the research you used for your previous answer.
Positioning. This answer assesses your understanding of the marketing concept, positioning. Please do not get so involved in the mechanics of putting together the map, that you forget the story your map means to convey. Put this map as an Exhibits attachment and just speak about your analysis in this answer narrative. See the last bullet point in the directions above about the construction of the map. Draw yourself a perceptual map as illustrated in the week’s readings or use the websites noted in the directions. Be sure to pick two criteria that are important to your new target market for your two axes, perhaps two of the criteria you used in Week 1 in your competitive analysis. Map at least six major competitors. Describe what the perceptual map is telling you regarding how each product is perceived in the minds of the new target market you described above. You may have to make a series of educated guesses for some of the data points. Ideally, you want to find uncontested space. If your product overlaps with a competing offering discuss whether or not your product or service should try for an ‘uncontested’ space on the map and ‘reposition’ itself; or if it should keep the same position and compete head on with the other product. (You will have a chance to make changes to the product, the pricing and the distribution to change the product’s positioning and find uncontested space in the coming weeks). Notice how the Beer sample map does not show four different criteria, but two different criteria with opposite ends of the axis for both.