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Pineridge Quality Alliance A Case Study in Clinical integration and Population Health
Pineridge Quality Alliance A Case Study in Clinical integration and Population Health
[Adapted from: Simendinger, E. (2003). In Search of a Course Design and Teaching Methods to Improve Critical Thinking. Journal of Health Administration Education, 20(3), 197-213.]
For each case, write the following information and number it 1 though 8 and use section headings:
1. Your name.
2. The case number, case title, and class date.
3. A summary of the case. [1 paragraph] This will require you to read the case several times. Do not just copy sentences from the case. Instead, express in your own words the essence of the case.
4. A list of what you think are the 10-15 most important facts/factors in the case [1-2 pages].
5. The most important health administration problem/issue to be solved in the case. [1 sentence]. List other secondary problems in the case [1-2 pages].
6. Your recommended solution for the case (a.-d. below). Make clear specific realistic recommendations. There must be a clear logical sequence to your thoughts and recommendations. [4-5 pages]
a. At least three possible realistic alternative solutions for the most important problem (stated above for 5).
b. Criteria to evaluate possible alternative solutions. For example: acceptability to stakeholders, needed resources, legality, timing, cost-effectiveness, ability to implement, side effects, qualifications, statistical data, financial data, ethical considerations, fit with case facts, likelihood of actually solving the problem, etc.
c. Evaluation of the possible alternative solutions (6a) using the criteria (6b).
d. Your recommended solution for the problem, based on 6a, 6b, and 6c. Justify your recommendation.
7. Specific MHA tools, methods, techniques, principles, theories, models, etc. from MHA courses that you used for this case. List specific tools (e.g., cost-benefit analysis, market segmentation, etc.). Do not list general subjects (e.g., finance, leadership) [1-2 pages].
8. Answer any case study questions that accompany the case. If a case question is answered by what you already wrote for 3-7 above, then just note which part of your case analysis provides the answer.
SOURCE Title: Cases in Health Issues(SERVICES) Management Author: Darr Publisher: Health Professions Press Year/Ed: 6th Edition, 2017 ISBN: 98193887062
Four Concepts of the Metaparadigm Analysis of Health Care Systems Summary and Reflection
Four Concepts of the Metaparadigm Analysis of Health Care Systems Summary and Reflection
Written Assignment Template
| Introduce the concept of the nursing metaparadigm and its four concepts. Outline what you will accomplish in this paper. |
Definitions of Four Concepts of the Metaparadigm
| Provide definitions of the four concepts (nursing, environment, health, person) and identify their sources. What do theorists say about these different concepts? How do they define them? |
Personalized Definitions of Concepts of the Metaparadigm
| You can write in first person in this section.
Provide your definitions of the four concepts (nursing, environment, health, and person). Reveal your nursing philosophy.* How do these concepts fit in your philosophy? |
Analysis of Two Health Care Systems
| Compare and contrast the philosophies of two health care systems (i.e., Mayo Clinic, Jackson Health System, Baptist Health, Cleveland Clinic). How are they different or similar?
Keywords: mission, values, philosophy, theory, nursing practice models, beliefs, vision |
Summary
| Summarize the most important points from paper. Draw any final conclusions about nursing philosophy. |
Reflection
| You can write in first person in this section.
Address these questions in this section in a narrative fashion: · Did you experience any “a-ha” moment(s)? · What did you learn about yourself? · How will your nursing philosophy impact or guide your practice? · Did you connect more with the philosophy of one health care system over the other? How? |
*You could use this template when crafting your nursing philosophy:
Because I believe that ____________________________, my philosophy as a nurse is to _________________________________in order to ________________________________.
What to put in the blanks?
Because I believe that [definition of person] and [definition/role of environment], my philosophy as a nurse is to [the role/definition of nurse] in order to [concept/definition of health].
►Be sure to cite your four sources using the APA 7th ed. Need help? https://libraryguides.mdc.edu/apa/7
Surface Water Hydrology Paper
Surface Water Hydrology Paper
All instructions are given in the document, calculations must be perfect where you can then discuss about calculations. Graphs and tables must be added. The report is under the Australian guidelines. It is also mentioned in the report to use the basin according to my student ID, therefore, X=1, which means you would have to do calculations against Basin 1. That was to clear it for you. Furthermore, a software is required to
complete the project, which I have linked below, where you can download and complete the last few steps.
https://www.hec.usace.army.mil/software/hec-hms/downloads.aspx
Thank you for your help in last paper, you answered the question accurately. I will refer you to my friends.
Surface Water Hydrology Project Brief
(Session 2, 2020)
Project background
In this project, you are required to prepare hydrologic analysis of block of land planned for development (see attached map – based on your student number as explained above). The purpose is to satisfy regulatory requirements and get necessary approvals (from hydraulic and hydrologic perspectives) for development. You will need to collect necessary data (as formulated below) using ARR Vol 2 to construct rainfall patterns and the Bureau of Meteorology site (http://www.bom.gov.au/water/designRainfalls/ifd/index.shtml). Perform detailed hydrologic and hydraulic analyses of the basin before and after the proposed development. Discuss, in detail, the actions you propose so that the regulatory agencies’ requirements are met. You will need to perform analyses by using the basic principles you’ve learnt in Surface Water Hydrology (300983), Hydraulics (300765) and Fluid Mechanics (300762). You will also need to confirm reliability of your results by using the software packages HEC-HMS.
The submission must be in the form of a technical report following the formulated steps given below with a brief introduction to the problem, methodology used, your findings, recommendations, and references + all maps/drawings. It is to be typed using Times New Roman size 12 font and double spaced.
You will need to submit your report, all associated (Microsoft Excel) spreadsheets and all HECHMS files.
Please refer the learning guide for marking criteria.
Make justifiable and meaningful engineering assumptions, where necessary.
Please use the basins provided according to followings:
Basin 1 if 0 ≤ X ≤ 3; Use AEP 5% 3-hr storm duration
Basin 2 if 3 ˂ X ≤ 7; Use AEP 1% 3-hr storm duration
Basin 3 if X > 7; Use AEP 10% 3-hr storm duration
For example, use Basin 2, AEP 1% 3-hr storm duration for X = 7 if your student ID is 12345678.
Student ID: 19412317
| Basin 1 (3 sub-basins)
Centroid of Basin 1 is as follows: Lattitude = 31.073⁰ South Longitude = 151.275⁰ East Note: 1 and outlet are outlets of three Sub-basins Use the scale shown in the figure to estimate the areas
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Basin 2 (3 Sub-basins) Centroid of Basin 1 is as follows: Lattitude = 31.075⁰ South Longitude = 150.810⁰ East Note: 1 and outlet are outlets of three Sub-basins Use the scale shown in the figure to estimate the areas
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Step 1: Physical parameters estimation
Using the scale provided in basin delineation, estimate (an approximate estimation will be enough) the area of each sub-basin, compute the total area of the basin and estimate the channel length.
Step 2: Rainfall hyetograph construction
Use the Bureau of Meteorology web site (http://www.bom.gov.au) to generate the IFD curves for your catchment. Use the 2016 IFD and the latitude and longitude stated in the figures (for your basin) to generate IFD information for your site. Use % AEP as allocated above and 3-hr storm for further analysis. Include both IFD table and IFD curves in your report.
Generate total rainfall hyetograph for the storm generated in above step (you need to use ARR Data Hub web site, https://data.arr–software.org/). Include total rainfall hyetograph, both table and histogram in your report.
Step 3: Rainfall Excess hyetograph construction
Now use initial and continuing loss model to construct rainfall excess hyetograph. You need to extract the initial and constant loss values from the ARR Data Hub web site. Make necessary adjustments, if required. You will need to explain how you achieved your result and include this in your report. Graphical representation suffices here.
For post-development condition, assume that both the initial loss and continuing loss will be reduced by 50% for the sub-basin you’re proposing to develop. Remember you’re developing only one of the three sub-basins; therefore, loss values and rainfall excess will change only for one subbasin.
Step 4: Desired duration unit hydrograph construction
You will be generating a desired unit hydrographs for your sub-catchments using the 5-minute unit hydrograph for a basin given in the table below and making reasonable assumptions as follows:
Use of spreadsheet is required to save time, as the process involves repetitive computations. You will need to include your spreadsheet.
A 5-minute unit hydrograph for a basin of 750 hectares is given in the table below.
| Time (min) | 0 | 5 | 10 | 15 | 20 | 25 |
| Discharge(m3/s) | 0 | 0.85 | 1.95 | 3.55 | 4.31 | 3.65 |
| Time (min) | 30 | 35 | 40 | 45 | 50 | 55 |
| Discharge(m3/s) | 2.95 | 2.15 | 1.59 | 1.15 | 0.85 | 0.65 |
| Time (min) | 60 | 65 | 70 | 75 | 80 | 85 |
| Discharge(m3/s) | 0.45 | 0.35 | 0.25 | 0.2 | 0.1 | 0 |
Compute ordinates of desired unit hydrographs for your sub-basins using above 5-minute unit hydrograph. Consider using the basin area as a scaling factor. For example, if your sub-basin area is 350 hectares then consider multiplying those ordinates from above table by 0.5.
Note: You will need to construct up to three unit hydrographs depending upon the size of subbasins.
You will need to explain the process you followed in your report. Make sure to verify your results by checking volumes after each computation.
Step 5: Storm hydrograph computation
Construct storm hydrograph for each sub-basin using rainfall excess (step 3) and respective Δt-hr unit hydrographs generated above in step 4. The constructed hydrographs are the responses at the outlet of each sub-basins under the existing conditions.
Step 6: Network diagram construction, routing through channel(s) and computation of hydrograph at the outlet of the whole basin.
Construct the hydrologic network to show connectivity of sub-basins, channels and reservoirs (if any).
You will require to extract channel properties for routing the hydrographs through channels using Muskingum routing method. For this, assume the following.
Use weighting factor, x = 0.3
Use average channel velocity 1.1 m/s to estimate average flow velocity in the channel. Use this average flow velocity to estimate travel time constant, K.
Use these values of x & K to route relevant hydrographs through respective channel(s) and compute the hydrograph at the outlet of the basin.
This completes generation of pre-development hydrograph at the basin outlet.
Step 7: Construction of Post-development hydrographs
Consider developing one of the sub-basins by proposing the following:
Both initial loss and continuing loss will be reduced by 50%. 5-minute unit-hydrograph will have the following characteristics.
- Peak discharge will increase by 30%
- Time to peak will decrease by 15%
- Time base will decrease by 25%
Use the above adjustments to scale and generate meaningful post-development 5-min unit hydrograph. You will have to ensure that the volume balance works out. This may require a few iterations.
You will then need to construct Δt -hr unit hydrograph (post-development) for the sub-basin being developed and use this to generate post-development response from the basin.
Step 8: Comparison of Pre- and Post-development hydrographs
Now compare the pre-development and post-development hydrographs. Present your results in graphical form and present salient values in a tabular form. Analyse and discuss your results.
Next, propose a solution that will ensure that the peak of the post-development hydrograph at the outlet does not exceed the peak of the pre-development hydrograph at the outlet. You may have to design a reservoir incorporating outlet structures to achieve this. If you’re to use this approach, you will need to route the post-development hydrograph through the reservoir.
You will need to discuss your strategy, provide the size of the reservoir and the details of outlet structures in your report.
Step 9: Use of HEC-HMS to verify your results
This is the last step. You will use HEC-HMS (ver. 4.3) to verify your results. You will need to include all HEC-HMS files in your submission.
Best Wishes!
