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The general manager responsible for orthopaedic services in a large acute NHS hospital has sought your advice regarding the kind of intervention that might be effective in helping to improve the treatment offered to patients who are admitted for trauma orthopaedic care. Trauma orthopaedic care (which typically involve an emergency admission and immediate treatment for a condition such as a broken leg) and elective orthopaedic care (which involves non-emergency treatment such as a hip replacement operation) are provided by separate departments located in neighbouring hospitals within the same city. Because of a government initiative to reduce waiting times (that apply to elective treatments) extra resources have tended to be allocated to elective care rather than to trauma services. The situation confronting trauma orthopaedic care has worsened over the last three years because the department has had to cope with an 11 percent increase in emergency admissions. This has undermined the department's ability to provide the quality of care that it, and other stakeholders, believe patients should receive. While the hospital recognizes that trauma services are under resourced and has agreed to appoint more orthopaedic surgeons and increase their access to operating theatres, everybody recognizes that these changes will not be in place for some time. As a result, staff morale is low.Several orthopaedic surgeons and departmental managers are highly motivated to change what they refer to as a desperate situation' in trauma orthopaedic care. They are particularly concerned to improve patient care for one of the largest groups of patients, those admitted with a broken neck of femur. There are approximately 800 such admissions each year and the average patient stay is 24 days.The department has a traditional structure with four wards, each headed by a ward sister (a senior nurse who acts as ward manager). Occupational therapists and physiotherapists work with patients to facilitate their rehabilitation. Doctors, nurses, occupational therapists and physiotherapists maintain their own care notes and treatment plans. Many patients with this condition are elderly and require support in the community post discharge. Social workers (who work for the Local Authority's social services department) assess this need and arrange social care packages.Design an intervention that will improve the situation in trauma orthopaedic care. This could include delivering outcomes such as improved patient care and reduced length of stay in hospital. Identify issues that might affect the success of your proposed intervention and explain how you would address these issues.
A Balance Sheet as on that date after making the necessary adjustments.
bisson furniture uses a process cost system to account for its chair factory. all the materials are added at the
2. Which of the following is a step in locating offshore assets? a. determine if a subject traveled overseas b. locate the subject's travel agency c. identify the means employed to move cash offshore d. all of the above e. none of the above
if average daily remittances are 2 million and extended disbursement float adds 2 days to the disbursement schedule how
the net income reported on the income statement for the current year was 210000. depreciation recorded on equipment and
You plan to buy a $200,000 home. The bank suggests two options: (1) 10% down payment, $100/month PMI for the first 4 years, 30-year mortgage at 6% APR, and (2) 20% down payment, 30-year mortgage at 5% APR. What is the difference in the total mortg..
Explain how adjusting entries provide for potential manipulation by managers. In addition, discuss how compensation arrangements may result in incentives for such manipulation to occur.
The directors of Speciality Shoes Pty Ltd to the extent (if any) to which they are bound to comply with the company’s constitution (800 words); and Whether Speciality Shoes Pty Ltd will have to honour the contract over as it is over $250,000 that ha..
Using the information in a through d above, determine the proper amount of net income as of December 31, 2015.
1.On January 1, 2013, Medical Transport Company's accumulated postretirement benefit obligation was $25 million.
Suppose fixed- and variable-cost pools were allocated separately. Specify how each pool should be allocated. Compute the cost allocated to the Public Works Department in August.
In the space below, describe the advantages of budgeting and compute the ROI for each division below to two decimal places.
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