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Assignment:Now you try it!!  Develop your own SWOT for the following:HCA was founded in 1968, in Nashville, Tennessee by Dr. Thomas F. Frist, Sr., Jack C. Masseyand Dr. Thomas F. Frist, Jr.. Frist Sr. is the father of former U.S. Senate majorityleader Bill Frist. Milton Johnson is the CEOof HCA.The first hospital that HCA owned was Park View Hospital, near downtown Nashville.[3]The small group of founders worked out of a small house not far from Park View for the first few years of operation.[4]In 1969, HCA conducted its first Initial Public Offering (IPO) on the New York Stock Exchange(NYSE).[3]As HCA grew, the small house that served as office space for the company no longer provided enough space. In 1972, the company built a new office to house corporate operations behind Centennial Parkin Nashville.[5]Parkview Hospital circa 1968Growth & mergerDuring the 1970s and 1980s the corporation went through a tremendous growth period acquiring hundreds of hospitals across the United States which numbered 255 owned and 208 which HCA managed.In 1988, the hospital operator was acquired for $5.3billion in a management buyoutled by Chairman Thomas F. Frist, Jr.[6]and completed a successful initial public offeringin the 1990s. In 1993 HCA merged with Louisville-based Columbia Hospital Corporation to form Columbia/HCA. In April 1998, Birmingham, Alabama-based HealthSouth Corporationannounced it was acquiring the majority of HCA’s surgical division.Fraud & investigationIn 1997, the company was part of a fraud investigation initiated by a number of governmental departments in the United States. Later that year, Rick Scottresigned as Chairman. He later became the 45th and current Governor of Florida. The case was settled in 2002 at a reported cost of $2 billion to HCA. This made it the largest fraud settlement in US history.

On March 19, 1997, investigators from the FBI, the Internal Revenue Serviceand the Department of Health and Human Services served search warrants at Columbia/HCA facilities in El Paso and on dozens of doctors with suspected ties to the company.[7]Following the raids, the Columbia/HCA board of directors forced Rick Scottto resign as chairman and CEO.[8]He was paid a settlement of $9.88 million and left with 10 million shares of stock worth over $350 million, mostly from his initial investment.[9][10]In 1999, Columbia/HCA changed its name back to HCA, Inc. HCA also admitted fraudulently billing Medicare and other health programs by inflating the seriousness of diagnoses and to giving doctors partnerships in company hospitals as a kickbackfor the doctors referring patients to HCA. They filed false cost reports, fraudulently billing Medicare for home health care workers, and paid kickbacks in the sale of home health agencies and to doctors to refer patients. In addition, they gave doctors “loans” never intended to be repaid, free rent, free office furniture, and free drugs from hospital pharmacies.[11][12]After Scott stepped down, Frist Jr. returned as chairman and CEO. He called on longtime friend and colleague Jack O. Bovender, Jr.to help him turn the company around. Frist and Bovender, who became CEO in 2001, pulled off what Fortunemagazine called a remarkable corporate rescue.[13]In settlements reached in 2000 and 2002, Columbia/HCA pleaded guilty to 14 felonies. They admitted systematically overcharging the government by claiming marketing costs as reimbursable, striking illegal deals with home care agencies, and filing false data about use of hospital space.Corporate office in 1972In late 2002, HCA agreed to pay the U.S. government $631 million, plus interest, and pay $17.5 million to state Medicaid agencies, in addition to $250 million paid up tothat point to resolve outstanding Medicare expense claims.[14]In all, civil lawsuits cost HCA more than $2 billion to settle, by far the largest fraud settlement in US history.[15]The name subsequently reverted to “Hospital Corporation of America.” HCA abandoned the use of its name in its home market and instead promotes its Nashville hospitals under the TriStar brand.On July 1, 2005, Senator Frist sold all of his HCA shares two weeks before disappointing earnings sent the stock on a 9-point plunge. Frist claimed that he sold his shares to avoid the appearance of a conflict of interest if he ran for president. Other executives sold their stock at the same time. Shareholders sued HCA, alleging that the company made false claims about its profits to drive up the price, which then fell when the company reported disappointing financial results. Eleven of HCA’s senior officers were sued for accounting fraud and insider trading. [16]HCA settled the lawsuit in August 2007, agreeing to pay $20million to the shareholders.[17]

Recent historyIn 2006, Kohlberg Kravis Robertsand Bain Capital, together with Merrill Lynchand the Frist family (which had founded the company) completed a $31.6billion acquisition of the hospital company, making the company privately held again 17 years after it had first been taken private in a management buyout. At the time of its announcement, the HCA buyout was the first of several to set new records for the largest, eclipsing the 1989 buyout of RJR Nabisco. It would later be surpassed by the buyouts of Equity Office Propertiesand TXU.[18]On Friday May 7, 2010, HCA announced that the corporation would once again go public with an expected $4.6-billion IPO.As of 2012, HCA operated 162 hospitals and 113 freestanding surgery centers located in 20 U.S. states and London.[2]The London sites include The Harley Street Clinic, The Lister Hospital, London Bridge Hospital, The Portland Hospital for Women and Children, The Princess Grace Hospitaland The Wellington Hospital. In July 2007, HCA sold its hospitals in Switzerland.[19]The Princess Grace Hospitalspecializes in breast cancer and surgery, aided by Professor Kefah Mokbeland Dr. Nick Perry who, in 2005, founded The London Breast Institute.HCA Holdings Inc. (HCA:US), the biggest for-profit U.S. hospital chain by patient volume, raised its 2014 earnings forecast and said it would announce second-quarter earnings that are higher than analyst estimates. HCA expects 2014 earnings excluding certain items of $4 to $4.25 per share, compared with a previous forecast of $3.45 to $3.75 per share, the Nashville, Tennessee-based company said in a statement today. Second-quarter profit excluding some items will be $1.07 per share, compared with 92 cents average estimate of 21 analysts surveyed by Bloomberg. The results “exceeded our internal expectations, both in terms of our core operations and healthcare reform,” said Milton Johnson, HCA’s chief executive officer, in a statement. HCA is scheduled to release its full second-quarter results on July 29. HCA expects second-quarter net income of $904 million, 12 percent above a year earlier, according to its statement. HCA shares (HCA:US)rose 10 percent to $60.99 at 4 p.m. New York time, the most since 2012. HCA Corporation SWOT 

analysis:

Strengths:

Weaknesses:

Opportunities:

Threats:

 

 

 

1) Minimum 6 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.

             Part 1: Minimum 1 page

             Part 2: minimum 1 page

             Part 3: Minimum 1 pages  

             Part 4: minimum 3 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

                       Part 4: minimum 5 references

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.do

__________________________________________________________________________________

Parts 1 and 2 are the same question, however you must answer both questions with references and different writing always addressing them objectively, that is, as if you were two different people. Similar responses in wording or references will not be accepted.

Part 1: Pharmacology

Anxiety Disorders 

L.P., age 23, is a white woman who graduated from college last year. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L.P. reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder 

Questions:

1. List specific treatment goals for L.P.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient monitoring based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What dietary and lifestyle changes should be recommended for this patient?

Part 2: Pharmacology

Anxiety Disorders 

L.P., age 23, is a white woman who graduated from college last year. She began working as an accountant 1 month after graduating. Approximately 2 months ago, she moved into a two-bedroom apartment with another woman who works at the same accounting firm. She states that her roommate recommended that she see a doctor to find out if she has anemia or “some sort of fatigue syndrome.” She states that she has felt “restless” and “on edge” for most of the past 9 months. She becomes easily fatigued and irritable and has difficulty concentrating and falling asleep. She states that sometimes her mind “just goes blank,” and she is worried that her work performance is no longer excellent. She reports that all her life she had good grades in school and was very successful in everything she attempted. Although she has been “a worrier from the day I was born,” now she worries more than she ever has and feels nervous “all the time.” L.P. reports that she has a good relationship with her boyfriend, but they do not get to see each other very often because he is attending graduate school 100 miles away. She reports having a satisfying sexual relationship with him. She denies having any problems with relationships with her parents, roommate, or peers. She denies having any financial worries unless she is fired from her job for poor work performance. She reports that she has always been healthy and has taken good care of herself. The only medication she takes is birth control pills, which she has taken for the past 4 years without any adverse effects.

Diagnosis: Generalized Anxiety Disorder 

Questions:

1. List specific treatment goals for L.P.

2. What drug therapy would you prescribe? Why?

3. What are the parameters for monitoring the success of the therapy?

4. Describe specific patient monitoring based on the prescribed therapy.

5. List one or two adverse reactions for the selected agent that would cause you to change therapy.

6. What would be the choice for second-line therapy?

7. What dietary and lifestyle changes should be recommended for this patient?

Part 3: Community Nursing 

Underserved Populations

1. Why is it the case that single men are prominently represented in the homeless?

 2. Is there a primary prevention program that could be a part of a public health initiative that would address this cohort specifically?

Part 4: Community Nursing 

Topic: 

Severe Acute Respiratory Syndrome (SARS – 2002-2003)

RESEARCH PAPER

1. Introduction (general)

3. Introduction of the disease 

4. Signs and symptoms of the disease. 

5.     How do diagnose this infectious disease?

6. Factors that may have contributed to the emergence or reemergence of this infectious diseases

7. How would you prevent a similar occurrence? (Write in the first person)

8. Mention the goals of Healthy People 2020 to reduce this infection / Prevention and control of the disease / Infection Control Guidelines.

9. Is there a CDC priority for public health response to this specific infectious disease?

10. What is your thought about emerging antibiotic -resistant microorganisms? (Write in the first person)

11. What is the role of a community health nurse?

12. Mention research studies (at least 3 peer-reviewed journal articles) that validate the information presented through your paper. 

13. Conclusion

Members of the interdisciplinary team are frustrated because two members are providing patient counsel contrary to the agreed upon plan of care. Consider this scenario and address the following.

In a two-paragraph email to your supervisor, explain how you will lead toward effective management to address the issue. Include the theory or framework underpinning your action, as well as any micro, meso, or macro level interventions. Remember, this is in the format of an email; therefore, it should be concise with a summarized action plan.

Please review the Graduate Discussion Grading Guidelines and Rubric (Links to an external site.) for complete discussion requirements.

 Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.