...building support with powerful sponsors, and the importance of communication and persistence where authority is limited. The case has a difficulty level appropriate for undergraduate seniors and graduate students, and is designed for courses addressing organizational change, leading change, and leading teams. It can be covered in a one hour class. Preparation for the case is expected to require 3-4 hours. CASE SYNOPSIS The case begins with the recognition by a senior vice-president that the inadequacies of a seemingly insignificant compliance unit could jeopardize the overall growth strategy of BOKF, a large regional bank holding company. Paula Bryant-Ellis agrees to take on the transformation of the CRA department into a modern Community Development Banking Group (CDBG) that will contribute to the overall strategy of BOKF, the parent banking company. The case covers the first two years of significant organizational change, with emphasis on creating a vision, restructuring the organization, and shared leadership at the unit level. For the first three months, Bryant-Ellis is learning the existing, inefficient and archaic process while she studies benchmark...
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...Ellis who agreed to manage the conversion of the community reinvestment act which normally proclaimed that regulated financial institutions have continually and affirmative obligations to help meet the credit needs of the local communities in which they chartered the majority of the way the system is currently running will have to be upgraded to take the change from the CRA to the CDBG successfully. Ellis would eventually develop a vision and initial steps to make the change possible right away. Background Steve Bradshaw CEO of BOKF, became aware of the situation going on with the CRA department and made a decision of recruiting a manager that would have the sufficient knowledge to manage also resolve the current issues the CRA department was currently facing. CRA’s current dilemmas were being noticed through out the whole corporation. Steve Bradshaw only evaluated the issues going on through the obvious which in this case was the strategic risk, this risk involves the demand shortfall, costumer retention, integration problems, and regulation. The proven manager that would take on the responsibility of initiating a change to better this department would have to go into greater depth in searching the bigger issues the company is having. Steve Bradshaw, gave this opportunity to Paula Bryant Ellis whom met the requirements for this particular position due to her experience as an executive in an organization focused on community development projects, even though Paula was no...
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...Running Head: CLEAN UP THE HOUSE 1 Clean Up the House: An Analysis of the Housing Crisis and the Endeavor to Lift the US Housing Market Neil Smith Wilmington University MBA 6400 Economic and Financial Environment of Business CLEAN UP THE HOUSE 2 ABSTRACT This is an inquiry of the Housing Crisis that culminated to the Great Recession of 2007-2009. A review of the aspects that led to the Housing Crisis will be considered. The causes that contributed to the Housing Crisis will range from the Community Reinvestment Act of 1977 to the greed and voracity that engulfed the Financial Markets. Such greed maligned the financial markets causing eventual bailouts and measures that the US Federal Government employed to avert a major financial depression. This paper will discuss definite recommendations that will improve the US Housing Market. CLEAN UP THE HOUSE 3 Clean Up the House: An Analysis of the Housing Crisis and the Endeavor to Lift the US Housing Market In today’s world it is generally accepted that a home is the most expensive thing that any American can buy. The idea of home ownership - a chance to own a home - is a dream fulfilled for many. To have a piece of property and call it your own is reflected...
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...DESIGN PAPER Vision/goal of the implementation - Heidi (15 points) Remember Meaningful Use and ARRA, usability and clinical workflow Vision Statement: Deliver the best of care to our community through the implementation of a hospital-wide Clinical Information with the ability to provide the right information, to the right person, in the right format, through the right channel, at the right point in clinical workflow to improve patient-centered care and healthcare outcomes. The implementation of a clinical information system is organized around an organizations vision and formulated goals. Arcade General Hospital is in the third stage of upgrading a clinical information system and their goal is to integrate the new upgrades with the application of meaningful use through adherence to the American Recovery and Reinvestment Act (ARRA) by promoting the adoption and meaningful use of health information technology. Usability in is one of the main goals as it will allow minimal disruption in clinical workflow. Meaningful Use In 2009, the American Recovery and Reinvestment Act (ARRA) and the Centers for Medicare & Medicaid Services (CMS) released a rule on payment incentives for meaning use of clinical information systems (CIS). This rule was designed to entice hospitals and medical clinics to qualify for payments incentives if they adopted the necessary requirement in association with the progression of electronic medical record (EMR) implementation (American Hospital Association...
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...1 The CDBG Case Management 585 Professor Stephanie Pane Shavon Adams September 29, 2015 2 Introduction The CDBG Case profiles the CRA department of BOK Financial Corporation, a struggling community development department that undergoes new leadership in an effort to improve overall performance. BOK’s newly appointed Senior EVP, Steve Bradshaw saw the need to make serious changes within the department due to barely satisfactory performance reviews, inefficient procedures and failure to serve the neighboring community. Although the CRA department, named after the Community Reinvestment Act, had received satisfactory ratings in their prior year performance evaluations, the complacency of the department threatened the potential for future growth opportunities for BOK and its affiliates. Bradshaw, with a clear direction of how he wanted the department to flourish, brought on a leader by the name of Paula Bryant-Ellis to spearhead the new direction of the CRA department. A professional with a strong background in banking and accounting, Paula was an ideal fit to lead the new direction of the CRA department. Her expertise and industry knowledge made her a perfect fit to restructure the department to increase their decreasing profitability. Paula and Steve quickly dove into the restructuration process along with a few other handpicked leaders. Over a two year time span, CRA’s new leadership managed to create quite a turn-around in reshaping the structure...
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...Policy Analysis questions 1. The formal name of the social policy and what is its official purpose The proposed policy is Housing First, which is a policy solution aimed at offering the homeless with fast solutions to their problem and offering the services they need. The policy provides permanent, affordable housing to families and individuals suffering from homelessness (National Alliance to End Homelessness, 2014). This policy approach differs from other related strategies in its primary and immediate emphasis on providing accessible and sustainable housing solution. 2. A historical context, explaining the introduction of the social policy. Conventionally, most of the providers of housing to the homeless made it a necessity to show evidence of “housing readiness.” Some of the requirements were to enter treatment or to achieve sobriety before offering permanent housing. To address this problem, the Housing First program needs to provide permanent supportive housing. Being different and separate program from "rapid re-housing", it is a relatively new invention in social policy and human service programs. Being an innovation, this program has not undergone major changes. However, it spanned off from past programs to provide housing to the homeless. It developed as a substitute to emergency shelter/transitional housing progressions system. Major changes in policy have led to the actual implementation of this Housing First program. The American Recovery and Reinvestment Act of...
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...proportion of the U.S. population covered by Medicaid increased from approximately 10 percent in 1999 to 17 percent in 2010.3 Federal support for FQHCs ramped up during the Bush administration (2001-08) and has continued under the Obama administration. Direct federal funding for FQHCs increased from roughly $750 million in 1996 to $2.2 billion in 2010, helping to increase the number of FQHC organizations nationally from about 700 to 1,200—with more than 8,100 sites of care. The American Recovery and Reinvestment Act of 2009 added another $2 billion in temporary FQHC funding for capital and service improvements through 2010. http://www.hschange.com/CONTENT/1257/ What Happens to Indian Health Services? _Indian Health Care Improvement Act (IHCIA) was permanently reauthorized for IHS, Triballyoperated programs, and Urban Indian Programs. _Authorizes more IHS services - ex: behavioral health, prevention programs, hospice, assisted living, long term, home & community-based care. _Numerous grants opportunities under the ACA for workforce development, trauma centers, preventive care, early childhood programs, innovative healthcare models, Medicaid outreach. Why Medicaid, Exchange & BHP Matter for Native Americans • IHS is not health insurance. It is a discretionary program that is chronically under-funded by Congress, even with IHCIA reauthorization. • Contract health services (CHS) through IHS provides a limited range of specialty care and often does...
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...reviews the proper role of subprime mortgages in the market as well as an analysis of the systemic effects of the subprime mortgage market on the global economy. Introduction The problem to be investigated is how the subprime loan market influenced the market collapse of 2008. The unethical practices of mortgage brokers, spurred on by an overzealous government, resulted in the collapse of the housing market and the subsequent decline of the American economy. This in turn affected worldwide markets and has led to instability throughout the world as countries scramble to shore up their economies with loans and bailouts. Ethics of Subprime Mortgage Brokers While the ethics of subprime mortgage brokers can certainly be questioned, they cannot take the brunt of the blame for the crisis that befell the economy beginning in 2007-2008. Economist Lawrence White attributes the financial collapse of 2008 with the political effort to expand home ownership to those people who were not qualified under traditional market constraints (Yandle, 2010, p.346). Nevertheless, the attractiveness of the subprime loan market to brokers cannot be denied as the significant growth of that market between the years of 1994 and 2008 was accompanied by an increase in wealth for many lenders. The greatest growth occurred between 2004 and 2008 after the passage of the Community Reinvestment Act and the American Dream Downpayment Act. (Jennings, 2009, p. 434; Yandle, 2010, p. 347). First, let us discuss...
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...scrutiny for several decades. The enactment of the Patient Protection and Affordable Care Act of 2010 (ACA) was hardly the first fiscal policy for healthcare in the history of the economy. There is a long list of fiscal policy attempts from predecessors such as Franklin Roosevelt, Harry Truman, Richard Nixon and most recently Bill Clinton (Sparer, p462). In 1933, Franklin D. Roosevelt drafted amended provisions to his pending Social Security legislation to include publicly funded health care programs but ultimately removed the provisions due to opposition by the American Medical Association (Coombs, p5). Following the Second World War, President Harry Truman called for universal health care as a part of his Fair Deal in 1949 but strong opposition stopped that part of the Fair Deal (Peon, p161-168). On July 30, 1965 President Lyndon B. Johnson signed into law the legislation establishing the Medicare and Medicaid program, social insurance programs administered by the United Stated government providing health insurance coverage to people who are either 65 or meet other special criteria for need (Roemer, p845). In October 1972, President Richard Nixon signed the Social Security Administration Amendments of 1972 which extended Medicare to those under 65 who have been severely disabled for over two years (Ball). The 1980’s saw the passage of The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) signed by President Ronald Reagan, which allowed employees the ability...
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...value the house was required. Further issues with these loans were large balloon payments and short maturities. The pricing for mortgage loans varied widely due to no nationwide housing market. The main funding for these loans was provided by life insurers, thrifts, and commercial banks. By 1932, a housing crisis was wreaking havoc on home loans. The estimated defaulted loans were rising to twenty –five percent. In response to this crisis, the FHL Bank System was designed to provide relief to lending institutions and homeowners. In 1933, President Roosevelt birthed two Acts regarding the housing market. The first was the Home Owners Loan Act. This act established the HOLC, which was designed to slow down the quickly rising foreclosure rate. Under this act, long-term self-amortizing fixed rate mortgages became the new norm. The second act in the New Deal was the National Housing Act. The FHA was created in this act. This protective measurement was used to help the lenders maintain foreclosed homes by adding automatic insurance payments to active loans. The FHA also expanded the use of a fixed rate long-term home loan. In 1938, the American government formed Fanny Mae to provide a secondary market for home mortgages. This secondary market gave lenders the opportunity to sell mortgage notes to fanny when the bank needed funds for new mortgages. Up to 1938, all mortgages were privately owned. With the addition of the secondary market, both private and government agencies bought bundled...
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...providing in-home health-care services throughout Florida's Indian River, Brevard, and northern St. Lucie Counties. TLC has been serving this community for over thirty years, but what truly makes us unique is our tradition of providing comprehensive health-care—whenever and wherever our patients need it. Tri-County Life Care, Inc. offers the highest quality and most reliable in home wellness care in the convenience and comfort of client home. (TLC) have been providing superior service to there clients and have help them in achieving their goals. Whatever your needs are, TLC home health team will design a plan that is specific to you and your situation. Whenever your health needs can be met at home, TLC staff is on-call 24 hours a day, 7 days a week. Owners and officers representing TLC are Chief Executive Officer - Eric Maar, Chief Financial Officer - Satchell Peterkin, Chief Technology Officer - Raquel Queen, and Chief Information Officer - Kerry Cosner. These individuals are committed to providing the clinical staff with the most technologically advanced tools available to effect patient care in the most advantageous way possible. This article will address some of the challenges faced by the Information Systems department and its’ relationship with the clinical field staff that support the needs of the patients in the communities the TLC serves. A few of those challenges involve the following: · Enhancing the privacy and security of the patient information...
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...Health, Education, and Welfare (HHS) through a continuously approved legislation ask that “the Health Professions Education Partnerships Act of 1998 which gave the authority for the Graduate Medical Education National Advisory Committee to study the personnel issues in medicine.” (Cooper, 2003) In a report by the” Graduate Medical Education National Advisory Committee (GMENAC) who predicted a doctor surplus in its 1979 report, and allopathic medical education has maintained an even level in its enrollment.” (Health and Human Services, 2011) The earlier statistical analysis of factors that were considered did not include the new technologies and the amount of medical specialist’s increase which has made changes to how the medical profession operates. The factors also did include the trend to have more salaried positions such as in the HMO market and the fact that more women are enrolling to practice medicine and enrolling in medical schools. These factors along with unanticipated population growth add to the shortage of medical practitioners in overall calculations that include rural needs for services. These factors remain in place about the future demand for physicians. The amount of growth in need for medically trained in America is disproportionately distributed in rural areas, thus barriers to providing healthcare in rural communities are resource limitations, serving in a low-volume environment challenges and “retaining health care professionals, and difficulty...
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...Government Spending: Stunting GDP growth. Brendan Sookraj Webster University FINC 5830 Fall I 2013 September 07, 2013 Author Note Certificate of Authorship: This paper was prepared by me for this specific course and is not a result of plagiarism or self-plagiarism. I have cited all sources from which I used data, ideas, or words either quoted or paraphrased. Date : __________________________ Signature: Abstract As dictated in fundamental Macroeconomic theory, there are four main components that are involved in calculating a nation’s GDP: personal consumption, business investment, net exports and government spending. The formula, therefore, Y= C+I+E+G, provides a mathematical framework that shows the relationship of Government spending as it relates to growth in GDP. Unfortunately, the financial atmosphere and economic trends in the last 5 years has suggested that government spending in fact may have no or negative correlation to economic growth in a country. Undoubtedly the concept of Government spending growing an economy can be deemed obsolete. The realities of the fiscal troubles that the world economy has been immersed in for the past six years, stems from the ideals of Keynesian economics which, arguably stifles free enterprise and is restricts the movement of a free market system. The gross domestic product, a robust measurement of the solvency...
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...Why Should Government Support the Arts? State governments today face monumental challenges: record-breaking budget shortfalls, rising unemployment, widespread home foreclosures and escalating needs for public assistance. States are wrestling with these immediate pressures while also trying to address long-term concerns about education, economic competitiveness and health care. All the while, public managers and elected officials must uphold the principles that taxpayers expect: thrift, accountability, equity and transparency. In this environment, all areas of spending—including the arts—are under increased scrutiny. Lawmakers may question whether government has a legitimate role to play in the arts or may ask why the arts should receive funds when so many other needs are pressing. We encourage you to welcome dialogue about these issues. The 40-year history of state arts agencies proves that when policymakers understand how the arts benefit government and citizens, they find a way to continue support, even during hard financial times. We hope that this document will help bring those benefits to the foreground and help your state answer common questions about government’s role in arts support. Designed for public arts leaders and advocates to excerpt and adapt, this material can be used to support your state’s case for the arts. Select the points that are most relevant in your situation. Quote the research. Add your own examples, and consider the tips and ideas included...
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...Electronic Health Record Functionality Standards or Certification HSM 330 DeVry University October 1, 2015 In describing how I would incorporate my findings into the HER selection and decision making process, I would analysis the criteria that must be met to qualify for functionality or certification. The basic functionality supports the belief that if a provider were armed with information about the functional capabilities of software, they would be better equipped to compare systems, resulting in making decisions about acquiring systems appropriate for their practice needs. The CCHIT, which is the Certification Commission for Healthcare Information Technology, expects that the process of achieving goals of quality, safety, and cost effectiveness will accelerate initiatives toward the electronic health record. Electronic Health Record Functionality standards are or Certification is a ranking system for electronic health records systems. To qualify for HER certification, vendors had to meet more than 300 criteria devised by the Commission’s physicians, medical societies, vendors, and payer. Most of the requirements concerned HER functionality, security, and reliability. CCHIT, Certification Commission for Healthcare Information Technology, will ass new requirements for certification each year. Healthcare level H7, which is the application protocol for Electronic Data Exchange in healthcare environments, it is considered a gold standard benefit in the healthcare...
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