Wednesday, January 29, 2020

Budget Management Anylasis Essay Example for Free

Budget Management Anylasis Essay The first step in cost-variance analysis is developing a budget; this is an assumption of all cost in the hospital (Miller Ryan, 1995). The second step is to collect information on accurate cost accounting (Miller Ryan, 1995). It can be challenging for healthcare organizations to develop a budget or cost-variance analysis because of the complexity of the healthcare economy. Using the hospital of phoenix budgeted costs were compared to actual utilization. Several variances exist in all categories. Developing an accurate budget is one strategy to manage a budget within the forecast. Collected data and accounting resources can help management to formulate an accurate budget. Other strategies can come from surveying all parts of the hospital to get the opinions of staff in all areas on how to keep costs in budget or simply minimize cost. The involvement of all staff will create an urgency for budget compliance and involvement will make employees feel as though the task is more personal. Benchmarking progress through out the year is important. Changes and evaluations can be made to areas that are not with in the targeted budget. This will help by making changes before the variance becomes any higher and may decrease the overall variance. The budget report showed variance overage among; inpatient revenue, outpatient revenue, office supplies, purchased services, equipment maintenance repair, depreciation expense, and operating margin before contractuals. The inpatient and out patient revenue had variances that were over the projected budget. However, as a result of the decrease in patient  services the operational expenses of salaries, benefits, medical supplies, and pharmaceuticals were reported under the projected budget amount. The decrease in patient services could have been for a number of reasons. Repairs and maintenance on equipment was under budgeted for. Lack of functioning equipment may have been one reason for the decrease in patient services. If needed equipment is not available a patient must be sent to a facility with the proper equipment and services. This takes away from the hospitals revenue as well as its statistics. To determine other reason why there was a decline in patient revenue would require more information. The overage of money spent on office supplies cannot be accounted for. There was a lower than expected patient load therefore the cost for office supplies should have been lower than expect as the medical supplies proved to be. There needs to be a unit based investigation to see where the additional expenses on office supplies are coming from. To improve the variance with in the predicted budget and the actual spending benchmarking should be used. There are three approaches to benchmarking; competitive, cooperative, and collaborative (Finkler, 2007). Competitive benchmarking would find specific information about individual areas. This would be a good way to track supply usage and also staffing on individual units or areas of the hospital. Cooperative benchmarking is a process in which information from other organizations is used to improve this hospitals budget (Finkler, 2007). This could help the hospital improve the overall budget analysis and plan ways to save within the facility. The third benchmarking approach is collaborative benchmarking which refers to finding information in particular areas of the hospital and using it to benefit all areas of the organization (Finkler, 2007). Information from the pharmaceuticals area could be used to improve other areas such as the variance with office supplies. Reference: Finkler, S. (2007). Financial Management for Nurse Managers and Executives (3rd ed.). Saunders Elsevier Inc. St. Louis, MO. Retrieved on February 29, 2013 from: University of Phoenix Materials. Miller, T. R., Ryan, J. B. (1995). Analyzing cost variance in capitated contracts. Healthcare Financail Management, 49(2), 22-3. Retrived from http://search.proquest.com/docview/196372371?accountid=35812 Nelson, B. (1994). Improving cash flow through benchmarking. Healthcare Financial Management, 48(9), 74-8. Retrieved from http://search.proquest.com/docview/196364264?accountid=35812

Tuesday, January 21, 2020

Pearl in Scarlet letter :: essays research papers

One of the most complex and elaborate characters in Nathaniel Hawthorne’s The Scarlet Letter is Pearl, the daughter of Hester Prynne and Arthur Dimmesdale. Pearl, throughout the story, develops into a dynamic individual, as well as an extremely important symbol. Pearl is involved in a complex history, and as a result is viewed as different and is shunned because of her mother’s sin. Pearl is a living Scarlet A to Hester, as well as the reader, acting as a constant reminder of Hester’s sin. This connection leads to many different views of Pearl’s character.   Ã‚  Ã‚  Ã‚  Ã‚  Hawthorne uses vivid descriptions to characterize Pearl. She is first described as the child, â€Å"†¦whose innocent life had sprung, by the inscrutable decree of Providence, a lovely and immortal flower, out of the rank luxuriance of a guilty passion.† (81). From the beginning of her life she is viewed as the product of a sin. Physically, Pearl has a â€Å"beauty that became every day more brilliant, and the intelligence that threw its quivering sunshine over the tiny features of this child.† (81-82). The exquisite dresses and her beauty cause her to be viewed as even stranger from the other typical Puritan children, whom are dressed in traditional clothing. As a result, she is accepted by nature and animals, and ostracized by the other Puritan children. â€Å"Pearl was a born outcast of the infantile world†¦ the whole peculiarity, in short, of her position in respect to other children.† (86). Pearl was not accepted by the children; her unavoidable seclusion was due to the sin of her mother. On the rare occasion that the children show interest in Pearl, she lashes out at them.   Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚     Ã‚  Ã‚  Ã‚  Ã‚  The members of the Puritan society view Pearl as a weird, strange little girl, born from a sinful act. However, the characters with a closer, more in depth relationship to the child, feel differently towards Pearl. â€Å"She is a strange child! I hardly comprehend her! But thou wilt love her dearly, as I do, and wilt advise me how to deal with her† (186). Hester describes her unbalanced feelings and emotions to Dimmesdale. This statement shows that although Pearl’s quirks and oddities cause her to become â€Å"strange† in the eyes of others, they form into a love from Hester. This relationship between Hester and Pearl is important because both are ostracized for their irregularities and for the sin and shame of Hester. Dimmesdale responds to Hester’s statement with, â€Å"I have long shrunk from children, because they often show distrust- a backwardness to be familiar with me.

Monday, January 13, 2020

Manville Corporation Fiber Glass Group Series Essay

1. Why have Dr. Doll’s comments precipitated a crisis? Because of the assumption â€Å"perception is everything†. Dr Doll would have to manage the immediate crisis due to this concept. People will afraid of fiberglass from the moment they heard that fiberglass is also carcinogenic as asbestos but it is appear less carcinogenic if compared with asbestos. The word â€Å"asbestos† which comes out from Dr Doll’s lip has created an atmosphere of worry among the stakeholders and reporters who attended the symposium. This is because asbestos was once a material banned from manufacturing 2. Does Manville have another asbestos on its hands? In your judgment, who or what was responsible for the asbestos disaster? No, Manville has actually not producing asbestos, It was the press or media to create an perception in public that fiberglass is actually a man-made asbestos. Thanks you Dr Doll’s comparison on asbestos and fiberglass, now Manville is facing with disaster. Manville should responsible since at that moment asbestos was actually a dangerous material to be used but Manville or the asbestos manufacturer was keeping to conceal the fact. This action was then known to the public and caused Manville to receive pressure from the stakeholder and filed for bankruptcy. 3. What should Manville’s senior managers do in view of Anderson’s news? Be sure to consider the following: a. Should they communicate with anyone? Who? What? How? When? Manville’s senior should held a meeting not only among the CEOs but also with its employee in order to discuss the crisis. They can plan to discuss about the solution to be used or suggestion which will return the truth of fiberglass to Manville. A communication established is essential in creating a link and understanding between the workers and the top manager. Manville’s top manager should communicate as soon as possible once they heard of Anderson’s news since they have no much time to be wasted so that they can carry on with other plan which is essential in rebuilding the reputation of Manville. b. Should they scale back or exit the fiberglass business? This decision should be made by depends on the circumstance but it is not arguable that information flies faster in modern days. The top level of Manville should expect that the news was known to public at the time they do a meeting in the morning. Later on if they found that fiberglass is also giving less profit or the protest of public onto the production of fiberglass was too hard to be explained. Then they are better to exit the fiberglass. However if the major problem was only on to the cost or salary problem, Manville could try to scale back by firing some employee who they think deserve to be fired but sometimes firing might not the best way to ensure a company’s survival instead it will make the company looks selfish. c. Should they modify the fiberglass MSDS or label? How? In terms of moral and also business ethic they should modify MSDS. Previously, Manville’s MSDS only labeled itch-scratch, but actually it was believed that fiberglass is causing cancer, So Manville should add additional info into the label but at the same time this label maybe will makes consumer unwilling to purchase fiberglass product. Therefore ,Manville can only keeping MSDS but they could seek for some other way else to regain trust from the public towards fibreglass

Sunday, January 5, 2020

Character Analysis Of Animal Farm By George Orwell

Although Animal Farm does not have any heroic characters, in the story there is a death of a supporting character. The death of a supporting character neither glorifies nor diminishes the supporting character to anything more or less significant. All characters, whether they are the major characters or even a minor, supporting character, they all do not have a complete story. There are no completely round characters in literature. Characters die; characters exist, simply for the sake of the plot, not so that the reader would know the life story of each and every character. Boxer, once a strong horse, gradually becomes weak and dies in a brutal way. Although it seems his death is meaningful through the eyes of a reader, the author,†¦show more content†¦Boxer’s death has become a lie, a dramatic irony. The readers know how Boxer dies but yet the animals are not sure about Boxer’s death. Keeping Boxer’s death in mind, Orwell has a scene when the pigs acquire the money from somewhere â€Å"to buy themselves whisky† (Orwell 126). The readers can surmise, under the context of the chapter, the death of Boxer is how the pigs might have acquired alcohol. Although it does not say Napoleon had nothing to do with the scandal behind the money for whisky, Napoleon as a ruler does not do his job. He abuses his authority every now and then. The readers can see Napoleon’s irresponsibility when the pigs for the first time drink alcohol, which they find â€Å"in the cellar of the farmhouse† (Orwell 107). The day after the pigs first drink alcohol, Squealer comes out and says, â€Å"Napoleon† is â€Å"dying† (Orwell 107). But then â€Å"by evening, however Napoleon† appears â€Å"somewhat better† (Orwell 108). The reader can surmise from these scenes that Napoleon is experiencing a hangover, from the whisky. And the reader can also conclude that Squealer might have lied about how severe Napoleon’s sickness is. The scene of the pigs first trying alcohol, shows how much corruptive, addictive the pigs get over whiskey, up to the extent that they would kill an animal just for whiskey. Napoleon is not completely dynamic; he is antagonizing from the beginning to the very end of Animal Farm. And yet, the readers do not get the complete characterShow MoreRelatedCharacter Analysis Of George Orwells Animal Farm923 Words   |  4 PagesAnimal Farm Character Analysis Essay â€Å"Old major†¦ was so highly regarded on the farm that everyone was quite ready to lose an hour’s sleep in order to hear what he had to say† (Orwell 1). The author, George Orwell, portrayed Old Major as the wisest of all the animals on the farm, and without being said, Major was a big part of Animal Farm. In fact, he influenced the lives of all the animals with just one speech. 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