Monday, December 23, 2019
Simulation Review - 1188 Words
ââ¬Å"Representing over 20 percent of the U.S. Gross Domestic Product and accounting for approximately $1.5 trillion in revenue, health care is the single largest industry in the U.S. today.â⬠(University of Phoenix, 2015). However, it is a vulnerable industry. The facility we are looking at is in New York, where the third highest losses in the country occur because of numerous problems dealing with Medicare and Medicaid reimbursements, cuts in funding, and pressures for discounted managed care, amongst others. The facility is called Elijah Heart Center (EHC). First we looked at the capital shortage because in an emergency, the hospital might not have enough cash to sustain itself. The challenge was to decide on the best strategy to solve theâ⬠¦show more contentâ⬠¦The simulator agrees. Once the capital shortage was dealt with and the new equipment was funded, we can now look forward toward capital expansion. The facility is seeing growth in patients and now wants to exp and. Deciding on funding sources for expansion is a big decision that carries many risks. The option I chose was the HUD 242 Loan Insurance Program. I chose it because the net present value (NPV) for the project was $221 million when funded this way. This also allows them to have better interest rates because itââ¬â¢s treated as an investment grade loan, versus a risky one. The simulation agreed and further added that ââ¬Å"the advantage of these bonds is that they are callable after eight years. If interest rates were to go down, it would be profitable for EHC to buy back the bonds and reissue the debt at a lower costâ⬠and ââ¬Å"there are no deadlines for using the funds unlike Tax-Exempt Revenue Bonds and they do not have any foreclosure fees as in private banking funding.â⬠(University of Phoenix, 2015) I enjoyed this simulation because it provides a glimpse into a real life situation that is part of being a facility manager. I learned a great deal from the summar ies provided by the simulation at the end of each section. I would have liked to have all the variables laid out before me and I think I would have made better decisions. But, I learned a lot from the information. Some of it was new to me like how the government reimburses less for procedures done on refurbishedShow MoreRelatedSimulation Review1150 Words à |à 5 PagesSimulation Review Paper Kimberly Roehler HCS 405 September 26, 2011 Sandra DiPietro Simulation Review This is a stimulation review of a cardiac care unit that is facing working capital shortages. As the lead financial consultant brought into address the financial indicators and evaluate to bring working capital back to in order at the Elijah Heart Center (EHC). 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Guevara HCS/405 August 26, 2013 Todd Brown Simulation Review I have been brought in as a financial advisor to assist Mr. Gilbert Sanchez, CEO at Elijah Heart Hospital (EHC) to find some cost efficient ways to continue to provide quality care but at the same time reduce costs for the organization. EHC is a hospital that specializes in Cardiac surgeries and procedures. They would like to expand and have a promising growth in patients as well as revenue, but withRead MoreSimulation Of Nursing Education : A Literature Review1712 Words à |à 7 PagesSimulation in Nursing Education: A Literature Review Teachers are champions of learning. They work endlessly to push students to succeed and grow. They teach them to be better readers, writers, mathematicians, scientist, historians and artists. Teachers are constantly evaluating what they can do to help their students learn and to achieve personal goals, life goals, and become productive members of society. However, not all learners have the same learning style and not all teachers have the sameRead MoreThe Importance Of Emergency Intervention And Management Services6296 Words à |à 26 Pages CCRN ââ¬â ECMO specialist. This team, along with our team liaison, Hunter Rich, MHA, RN, have devoted countless hours researching, brainstorming and trialing a multitude of simulation scenarios and methods with staff and providers. Their deliberate planning and expertise will lead to a lasting and successful line of simulation environment aimed at benefiting our pediatric patients on ECMO services with the best possible outcome ââ¬â life. Table of Contents Acknowledgements 2 Executive Summary â⬠¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦Ã¢â¬ ¦8
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