Background LJB Company , a small business local distributor who understands to go public in the future, the company should be in accordance with the law and may need to take more stringent internal control principles . At the request of the president , an independent internal evaluation of internal controls was conducted to evaluate the direction of strength and weakness.…
Pat Donelson is a 67-year-old female who presented today with complaints of pain in her left lower calf. The pain started about 3-4 months ago as an “aching/cramping” pain that she described as mild in nature. She noticed the pain while walking and with adequate rest the pain subsides. Mrs. Donelson discontinued use of Lipitor because she thought it might be causing her leg pain. She also presented with complaints of recurrent headaches, a morning cough, and loss of hair on her effected leg. Mrs. Donelson has a history of periodic angina and heart palpitations; however, at the present time she is asymptomatic.…
I can relate to your story. In 2004 a similar situation happened to me. As an emergency care nurse at Jackson Memorial Hospital located in the downtown area of Miami Florida, you are exposed to every situation. During changed of shift, the nurse reported that a patient came with an open abdominal wound post an altercation. She also mentioned that he is a newly diagnosed HIV patient, and the primary doctor just informed him of his diagnosis. As we were making rounds, I realized that I knew the man, and his wife is my hairdresser. Like you, I manage to keep my professionalism and care for him. We were not friends, but I am sure he was worried that I would tell his wife, not knowing that would be an HIPA violation, and I could lose my license.…
Internal Control - Integrated Framework Executive Summary Senior executives have long sought ways to better control the enterprises they run. Internal controls are put in place to keep the company on course toward profitability goals and achievement of its mission, and to minimize surprises along the way. They enable management to deal with rapidly changing economic and competitive environments, shifting customer demands and priorities, and restructuring for future growth. Internal controls promote efficiency, reduce risk of asset loss, and help ensure the reliability of financial statements and compliance with laws and regulations. Because internal control serves many important purposes, there are increasing calls for better internal control systems and report cards on them. Internal control is looked upon more and more as a solution to a variety of potential problems. Internal Control Internal control means different things to different people. This causes confusion among businesspeople, legislators, regulators and others. Resulting miscommunication and different expectations cause problems within an enterprise. Problems are compounded when the term, if not clearly defined, is written into law, regulation or rule. This report deals with the needs and expectations of management and others. It defines and describes internal control to: 1. Establish a common definition serving the needs of different parties. 2. Provide a standard against which business and other entities--large or small, in the public or private sector, for profit or not--can assess their control systems and determine how to improve them. Internal control is broadly defined as a process, effected by an entity's board of directors, management and other personnel, designed to provide reasonable assurance regarding the achievement of objectives in the following categories: 1. Effectiveness and efficiency of operations. 2. Reliability of financial reporting. 3. Compliance with applicable laws and…
Pearce, J.A., & Robinson, R.B. (2009). Strategic management: formulation, implementation, and control (11th ed.). Retrieved from the University of Phoenix eBook Collection database.…
Huntsville Hospital (HH), located in Northeast Alabama, is part of the Huntsville Hospital Health System, originating in downtown Huntsville, Alabama in the late 1800’s. As the not-for-profit, public hospital system developed, HH became the second largest employer in Madison County, Alabama with an estimated 7000 employees, 2000 nurses and 1000 physicians.…
For this assignment the class was instructed to describe the different forms of competition that take place among various types of health care organizations, evaluate the benefits and pitfalls of competition in health care and suggest alternatives if competition was not the primary driver of operations in the U.S. health care system, explain the elements of successful competition and the use of competitive intelligence, describe the influence competition has on the services offered by health care organizations and the choices patients have.…
Strategic Planning is an essential first step in the development of a result-base accountability system,” (Schilder, 2013, p. 1). In strategic planning an organization must know their goals, missions, and how to reach them. Health care facilities are in huge demand for the elderly and for people who lives in low-income communities. A person who receives good quality health care services can prevent the spread of contagious diseases. This paper will describe the need of the community, population it is serving, and a brief description of the facility.…
Hammond General Hospital is a 334 bed general hospital located in a Mid-western town of 45000 and serves a countrywide population of approximately 140,000. Recently the board of directors at Hammond awarder the management contract of the Food Service Department to an outside company, Master Host Company. Master Host appointed Dave Smith as director of food service. It must be noted that this is the first time in the hospitals history that someone outside the hospital has been appointed as director of a department.…
* Health care financial environments most common are for- profit, not-for-profit, and government funding. This paper identified one entity from each of these health care financial environments, described the financial structure of each financial environment, identified policies unique to each financial environment, identified financial management practices prevalent in the financial environment, and explained why effective financial management is more difficult in health care than in other industries. The first one is Health Management Associates, Inc. founded in 1977 to own, lease and manage hospitals throughout the United States (Health Management Associates, 2011). Today HMA operates fifty nine hospitals in fifteen states with approximately eighty eight hundred licensed beds. The Company employs approximately thirty two thousands associates and hosts a total medical staff of approximately eight thousands physicians (Health Management Associates, 2011). HMA is a for profit organization with the three key features of investor-owned corporations. First, the owners (the stockholders) of the business are well defined and they exercise control of the firm by voting for directors. Second, the residual earnings of the business belong to the owners, so management is responsible only to the stockholders for the profitability of the firm. Finally, investor-owned corporations are subject to taxation at the local, state, and federal levels (Gapenski, 2008). HMA vision states they will lead the hospital industry in quality, clinical metrics, patient outcomes, and customer service. HMA will achieve top tier in the hospital industry and customer satisfaction for their patients, their physicians, and their associates (Health Management Associates, 2011).…
health care administration field .In this paper I plan to explain why strategic planning, performance…
Management needs to have a plan or purpose in motion and gather the necessary information which will make the health care organization successful. Controlling is when the healthcare organization is adhering to the plans that are developed by management. Organizing and directing a plan which the health care organization needs to follow and maintain certain steps, resources and stayed focused on the end result, which is success. The proper decision making choices are through education. The financial team is accountable for making sure the appropriate reports are up-to-date, and they are accountable for reporting the funds with principles set forth by the code of ethics and mission statements of the health care organization. Every organization must be willing to release the financial reports which are deemed to be correct. If a health care organization provides incorrect information, this can be immoral and cause financial difficulties to the…
It is very important to understand the four elements of financial management, which includes, “(a) Planning (b) Controlling (c) Organizing and directing, and (d) Decision making” (Health care Finance, p. 5. 2011) Planning is the financial manager’s responsibility to meet the organization’s goals and objectives. The purpose of controlling is to make sure the plans are carried out and this is achieved through feedback. Organizing is basically when the financial manager uses the resources available to accomplish the facility’s goals. Through directing, the manager will work daily with the staff and able to achieve the ultimate goal. Decision-making is when the financial manager is capable of making informed decisions through evaluating and analyzing with the resources available. If the financial manager of a health care facility comprehends and applies these elements along with an ethical judgment, the organization will be successful.…
The Civil War in America was, in fact, inevitable. There were many disputes over the politics, economics, and culture of slavery both in the White House and in the Supreme Court. The South was very persistent about wanting to keep slavery and they even wanted it to spread in to the North. The North disagreed completely however and wanted it to just be completely abolished throughout all of America.…
In the short story “A Rose for Emily”, the reader can conclude that Emily appears to have had schizophrenia by way she interacts in the town. Emily’s mental problems start to come to light to the reader when she begins having hallucinations. The reader gains further background and further sees mental instability in Emily right after her father dies. The town people also begin to see that there are mental issues with Emily, yet do not want to make it known to keep the integrity of the town. Emily’s inability to form age appropriate coping skills furthers the point of schizophrenia.…