The follow
ing post has three questions;
1.Health Professionals
Imag
ine that you are a facility adm
inistrator. Write a paper about what you would do to cont
inue provid
ing quality health care when faced with a labor shortage. Your paper should: • Describe
specific solutions (not general ideas like "recruit more personal'—how would you do this?) • Discuss f
inancial considerations • Include ideas for long and short-term solutions.
2.Applicable law.
(a) Louis, who is habitually resident
in France, agreed to sell to John, a w
ine merchant who is habitually resident
in England, 2,000 bottles of French w
ine. The contract, which was
in the English
language, conta
ined an exclusive English jurisdiction clause. John alleges that the w
ine that has been delivered is
inferior
in quality to the sample he had tasted when order
ing the w
ine. Advise
John as to the applicable law.
(b) Pure Fruits, an English company with an agent
in Italy, contracted with Ocean Carrier, an Italian company habitually resident
in Italy, that the latter would carry a cargo of apples on a ship
belong
ing to Ocean Carrier. The agent of Pure Fruits handed over a consignment of apples
in Italy to Ocean Carrier for load
ing on to the ship. It was agreed that the ship would go direct to
Portsmouth, England, without call
ing at other ports on the way. The parties agreed on a date of delivery at Portsmouth. However, Ocean Carrier stopped at a port
in Spa
in to deliver some cargo there
and load more cargo. As a result, the ship arrived
in England five days later than agreed. By the date of delivery of the apples
in England, the market price for the apples had fallen.
Pure Fruits wishes to sue Ocean Carrier to obta
in damages for breach of contract.
Advise Pure Fruits on the applicable law.
3.Ststistica thinking in health care
Ben Davis had just completed an
intensive course
in Statistical Th
ink
ing for Bus
iness Improvement, which was offered to all employees of a large health ma
intenance organization. There was no time
to celebrate, however, because he was already under a lot of pressure. Ben works as a pharmacist's assistant
in the HMO's pharmacy, and his manager, Juan de Pacotilla, was about to be fired. Juan's
dismissal appeared to be imm
inent due to numerous compla
ints and even a few lawsuits over
inaccurate prescriptions. Juan now was ask
ing Ben for his assistance
in try
ing to resolve the problem,
preferably yesterday!
"Ben, I really need your help! If I can't show some major improvement or at least a solid plan by next month, I'm history." "I'll be glad to help, Juan, but what can I do? I'm just a pharmacist's
assistant." "I don't care what your job title is; I th
ink you're just the person who can get this done. I realize I've been too far removed from day-to-day operations
in the pharmacy, but you work
there every day. You're
in a much better position to f
ind out how to fix the problem. Just tell me what to do, and I'll do it." "But what about the statistical consultant you hired to analyze the
data on
inaccurate prescriptions?" "Ben, to be honest, I'm really disappo
inted with that guy. He has spent two weeks try
ing to come up with a new model
ing approach to predict weekly
inaccurate
prescriptions. I tried to expla
in to him that I don't want to predict the mistakes, I want to elim
inate them! I don't th
ink I got through, however, because he said we need a month of additional
data to verify the model, and then he can apply a new method he just read about
in a journal to identify 'change po
ints
in the time series,' whatever that means. But get this, he will only identify
the change po
ints and send me a list; he says it's my job to figure out what they mean and how to respond. I don't know much about statistics -- the only th
ing I remember from my course
in college
is that it was the worst course I ever took-- but I'm becom
ing conv
inced that it actually doesn't have much to offer
in solv
ing real problems. You've just gone through this statistical th
ink
ing
course, though, so maybe you can see someth
ing I can't. To me, statistical th
ink
ing sounds like an oxymoron. I realize it's a long shot, but I was hop
ing you could use this as the project you need
to officially complete the course."
"I see your po
int, Juan. I felt the same way, too. This course was
interest
ing, though, because it didn't focus on crunch
ing numbers. I have some ideas about how we can approach mak
ing improvements
in prescription accuracy, and I th
ink this would be a great project. We may not be able to solve it ourselves, however. As you know, there is a lot of f
inger-po
int
ing go
ing on; the pharmacists
blame sloppy handwrit
ing and
incomplete
instructions from doctors for the problem; doctors blame pharmacy assistants like me who actually do most of the computer entry of the prescriptions,
claim
ing that we are
incompetent; and the assistants tend to blame the pharmacists for assum
ing too much about our knowledge of medical term
inology, brand names, known drug
interactions, and so
on."
"It sounds like there's no hope, Ben!"
"I wouldn't say that at all, Juan. It's just that there may be no quick fix we can do by ourselves
in the pharmacy. Let me expla
in how I'm th
ink
ing about this and how I would propose attack
ing the
problem us
ing what I just learned
in the statistical th
ink
ing course."
Source: G. C. Britz, D. W. Emerl
ing, L. B. Hare, R. W. Hoerl, & J. E. Shade. "How to Teach Others to Apply Statistical Th
ink
ing." Quality Progress (June 1997): 67--80.
Assum
ing the role of Ben Davis, write a three to four (3-4) page paper
in which you apply the approach discussed
in the textbook to this problem. You'll have to make some assumptions about the
processes used by the HMO pharmacy. Also, please use the Internet and / or Strayer LRC to research articles on common problems or errors that pharmacies face. Your paper should address the
follow
ing po
ints:
1. Develop a process map about the prescription fill
ing process for HMO's pharmacy,
in which you specify the key problems that the HMO's pharmacy might be experienc
ing. Next, use the supplier,
input, process steps, output, and customer (SIPOC) model to analyze the HMO pharmacy's bus
iness process.
2. Analyze the process map and SIPOC model to identify possible ma
in root causes of the problems. Next, categorize whether the ma
in root causes of the problem are special causes or common causes.
Provide a rationale for your response.
3. Suggest the ma
in tools that you would use and the data that you would collect
in order to analyze the bus
iness process and correct the problem. Justify your response.
4. Propose one (1) solution to the HMO pharmacy's on-go
ing problem(s) and propose one (1) strategy to measure the aforementioned solution. Provide a rationale for your response.
5. Use at least two (2) quality references.