Research online at least 3 existing health care organizations for examples of mission and vision statements. Use them as a reference point when creating your own strategic plan.
You are to complete the following portions of your health care organization strategic plan:

Name your health care organization.
Describe the health care organization for which you are creating a strategic plan.

Include details about the population it serves and the services provided. 

Identify the organization’s core competencies. 

How are core competencies giving the organization an important difference in providing customer benefits and perceived value?
Identify the expectations and needs of the health care customer within that population. 

Define the organization’s vision statement. 

Where do you want this organization to go?
What is your personal vision for this organization?
Does the organization address customer service within the vision statement?
Does the organization address the commitment to quality and value?
Does your vision statement involve the employees? 

Craft the organization’s mission statement. 

What is the reason that this organization was created?
Does the organization address customer service within the mission statement?
Does the organization address the commitment to value and quality? 

Describe the health care organization’s service strategy. Include strategies to create a healing environment within your organization that affects patients, visitors, and employees. 

Be sure to address the following:

How does your service strategy develop a culture of customer service?
How does your service strategy create an environment for employees?
Identify how your service strategy is linked to the organizational vision and mission
Create a management performance plan that links action plans to the following issues:

Motivation
Empowerment
Training
Coproduction  with patients and families 

Create an employee hiring, training, and retention plan that links action plans to the following issues: 

Motivation
Empowerment
Training
Coproduction with patients and families 

Identify how your action plans are linked to the following within your organization: 

Vision statement
Mission statement
Service  strategy 

Title of Assignment:
Module 6: Endocrine pathophysiology
Purpose of Assignment:
Complications from endocrine disorders can result in wide systemic effects. Analyzing disorders related to endocrine for the nurse is complex and orders provided to treat the client’s condition can sometimes be puzzling. Consideration of an endocrine case study will help the student learn the complexities of understanding the pathophysiology of an endocrine disorder
Course Competency(s):
· Determine pathophysiologic alterations that affect the reproductive and endocrine systems
Content:
Diabetes case study
A 21-year old female (A.M) presents to the urgent care clinic with symptoms of nausea, vomiting, diarrhea, and a fever for 3 days. She states that she has Type I diabetes and has not been managing her blood sugars since she’s been ill and unable to keep any food down. She’s only tolerated sips of water and juices. Since she’s also been unable to eat, she hasn’t taken any insulin as directed. While helping A.M. from the lobby to the examining room you note that she’s unsteady, note that her skin in warm and flushed and that she’s drowsy. You also note that she’s breathing rapidly and smell a slight sweet/fruity odor. A.M. has a challenge answering questions but keeps asking for water to drink.
You get more information from A.M. and learn
· She had some readings on her glucometer which were reading ‘high’
· She vomits almost every time she takes in fluid
· She hasn’t voided for a day but voided a great deal the day before
· She’s been sleeping long hours and finally woke up this morning and decided to seek care
 
Current labs and vital signs:
1. What is the pathophysiology for the condition you believe A.M. has?
2. Relate the etiology and clinical manifestations for the condition you identified for A.M.
 
The practitioner at the urgent care facility makes the decision that A.M. needs to go to the hospital by ambulance. Once at the Emergency Department (ED), the ED physician orders these items:
a. 1000 ml Lactated Ringer’s (LR) IV stat
b. 36 units NPH (Humulin N) and 20 units regular (Humulin R) insulin SQ now
c. CBC with differential; CMP: blood cultures X2 sites; clean-catch urine for UA and C&S; stool for ova and parasites; Clostridium difficile toxin, and C&S; serum lactate; ketone; osmolality; ABGs on room air
d. 1800 calorie, carbohydrate controlled diet
e. Bed rest
f. Acetaminophen (Tylenol) 650 mg orally Q4 hrs PRN
g. Furosemide (Lasix) 60 mg IV push now
h. Urinary output every hour
i. VS every shift
The orders above — which are questionable related to her condition and which are appropriate?
3. What are the expected treatments for this condition?
Instructions:
Summarize the questions above and formulate what may be happening with A.M. and how you would improve her condition.
 
 
 
Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides. Be sure to cite your sources in-text and on a References page using APA format.

Case study adapted from:
Harding, M.M. & Snyder, J.S. (2015). Winningham’s critical thinking cases in nursing: Medical-surgical, pediatric, maternity, and psychiatric. Retrieved from: https://ebookcentral.proquest.com/lib/ras/detail.action?docID=2072336.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Grading Rubric:

 
 
Chart information
 
 
Vital signs
 
 
Blood pressure: 88/46 mmHg
 
 
Additional data
 
 
Lab results
 
 
Glucose: 657 mg/dl
 
 
Heart rate: 132 bpm
 
 
Respiratory rate: 36/ deep
 
 
Temperature: 101.30 F (tympanic)
 
 
Potassium: 6.2 mEq/L

The management of Pacific Wellness Centre, a health food company, recently wants to analyze the cost of two of its famous customized products. The customization is not so much on the content but rather on the packaging as some of the firms wants their firm’s logo on the package. In analyzing these products, the management accountant has identified the following data for a typical month in a year. Activity/ResourcesCost-Driver BaseActivity Cost in a Typical MonthActivity Volume in a Typical Month1. Unit level1.1 Acquired and use material for Fruity BarNumber of units produced$60,0001,000,000 units1.2 Acquired and use direct labor for Fruity BarNumber of direct-labor hours worked20,0002,000 direct labor hours1.3 Acquire and use material for Energy BarNumber of units produced80,000800,000 units1.4 Acquire and use direct labor for Energy BarNumber of direct-labor hours worked30,0002,000 direct labor hours2. Batch Level2.1Number of batches30,000100 batches3. Product Level3.1 Provide product-level advertisingNumber of promotions100,000100 promotions3.2 Provide product-level recordsNumber of products20,0002 products4. Customer Level4.1 Take customer product ordersNumber of customer orders40,0002,000 customer orders4.2 Deal with customer complaintsNumber of complaints20,0001,000 complaints5. Facility Level5.1 Supervise direct laborAmount of direct-labor costs10,000$50,000 for activities 1.2 and 1.4 (supervision costs = 20% of direct labor costs.)5.2 Use main buildingNumber of square feet40,00010,000 square feetRecently, the company’s management team attended a presentation on Activity Based costing system and wants to compute the total cost and unit cost of two of its major customized products that has the following activities in the month of August:Fruity BarEnergy Bar1.1 and 1.3 Material800,000 units900,000 units1.2 and 1.4 Direct labor1,600 hours2,100 hours2.1 Quality control – batches50 batches40 batches3.1 Advertising projects – promotions50 promotions40 promotions3.2 Products recorded1 product1 product4.1 Customer orders800 customer orders900 customer orders4.2 Customer complaints600 complaints300 complaints5.1 Direct-labor supervision$16,000$31,5005.2 Main building use6,000 sq. ft.3,000 sq. ft.Required1.Use ABC to compute the total cost and unit cost of each of the two products given the activity level for the month of August. [Show ALL relevant calculations – use appropriate tables to present your solutions](20 marks)2.Assume that the company’s traditional costing system had assigned overhead costs at a rate of $0.10 per unit of output plus $20.00 per direct labour hour. Overhead costs are the sum of the batch-level, product-level, customer -level, and facility-level costs.  Using this traditional costing approach, compute the cost for each product (including material and direct-labor costs) given the activity level for the month of August. Compute both the total cost and unit cost for each product for the month of August. [Show ALL relevant calculations – use appropriate tables to present your solutions](10 marks)3.Do the units costs of the two products computed under ABC and traditional costing systems differ significantly? If so, what causes the differences?(5 marks)4.You have just discovered that the product manager of Fruity Bar has been less than honest in reporting the number of direct-labor hours used. In checking the payroll records, you discover that 2,000 direct-labor hours ($20,000 direct-labor costs) actually were used in August to produce Fruity Bar, not 1,600 hours as the product manager reported. Why might the product manager of Fruity Bar have understated the number of direct-labor hours used to produce it? (Assume traditional costing is used).       (5 marks)