Case 2 Tissues – A 47 year old man went to an Urgent Care because he was experiencing chest and arm pain. A nurse was immediately summoned to examine him. The man had normal pulse and respirations, no difficulty breathing, no sweating or nausea. Auscultation of the chest was unremarkable and blood pressure was 145/90. 1. Why did this man receive such prompt service when other patients had been waiting over an hour? 2. A history was taken & he was examined further. He had been working hard in his yard & moving concrete blocks the previous Saturday. He could not raise either arm above his head, the muscles of the chest & arms were bilaterally sore to touch and were swollen What is your diagnosis? (use medical terminology)

Case 2 Tissues – A 47 year old man went to an Urgent Care because he was experiencing chest and arm pain. A nurse was immediately summoned to examine him. The man had normal pulse and respirations, no difficulty breathing, no sweating or nausea. Auscultation of the chest was unremarkable and blood pressure was 145/90. 1. Why did this man receive such prompt service when other patients had been waiting over an hour? 2. A history was taken & he was examined further. He had been working hard in his yard & moving concrete blocks the previous Saturday. He could not raise either arm above his head, the muscles of the chest & arms were bilaterally sore to touch and were swollen What is your diagnosis? (use medical terminology)

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After reading the supplement article on Business Analytics linked to the week 1 schedule, write an essay on how business analytics impacts you today, or its potential role in your chosen career path. Do research for your paper, or interview someone who works in your area. The goals of this paper are two-fold: (1) focus on high quality writing, using the COBE Writing Styles Guide for writing help and citations. (2) consider the importance of BI from a personal/work/career perspective.

After reading the supplement article on Business Analytics linked to the week 1 schedule, write an essay on how business analytics impacts you today, or its potential role in your chosen career path. Do research for your paper, or interview someone who works in your area. The goals of this paper are two-fold: (1) focus on high quality writing, using the COBE Writing Styles Guide for writing help and citations. (2) consider the importance of BI from a personal/work/career perspective.

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AUCS 340: Ethics in the Profession Written Video Presentation Response Paper As a component of this course you will have the opportunity to view the movie “My Sister’s Keeper” (2009) starring Cameron Diaz, Jason Patric and Abigail Breslin. This movie is an adaptation of the book of the same title written by Jodi Picoult. Your answers are to be based on the movie adaptation of the book. While this movie offers a profound family story it also reflects upon issues related to current technological advancements in medicine and it will also offer you the opportunity to identify and respond to some of ethical issues represented in the movie. After viewing this movie, respond to the following questions. Your answers should be insightful and reflective of the topics researched for class, in regards to the ethical treatment to be afforded all citizens. 1. Identify at least two ethical issues/situations portrayed in the movie. These issues must be separate from the issue of stem cell research which will be addressed in questions later in this assignment. 2. Discuss a solution or solutions to each of the ethical issues that you identified in question number one. If multiple solutions are offered, identify your solutions as to first preference, second preference and so on until concluded. 3. Are your solutions feasible? What cost would it take to implement your solutions: taxes, wholesale system changes, society as a whole? 4. This movie incorporates the topic of stem cell usage for the treatment of medical conditions. Discuss the difference between the acquisition of fetal stem cells and adult stem cells. List ethical arguments both for and against the concept of expanding stem cell research to have a more active role in the development of treatment options for patients. 5. List at least five medical conditions that have the potential to be treated with stem cells. 6. Discuss the attitude of former President George W. Bush and current President Barack Obama in their philosophical approach to the issue of stem cell research. (Do they accept or reject the idea of stem cell research? Is there legislation that supports their views?) 7. From your previous assignment on the administration of healthcare in the United States you should have a general view of some of the problems facing the distribution of healthcare services in the United States. Research the changes to the health care system as proposed by President Barack Obama, and passed into legislation as the Patient Protection and Affordable Care Act, and outline/list these changes for healthcare reform in the United States. What are the financial implications of this plan? What portions of this plan do you find feasible to solving the problem of inadequate healthcare coverage for all Americans? What portions of this plan do you find unacceptable? 8. Overall, do you feel that these proposed changes will benefit or cause harm to the distribution of healthcare in the United States? Explain the rationale behind your answer. 9. Discuss problems in implication of the Affordable Care Act (ACA) that have occurred since October 2013. Have theses issues been resolved? 10. To date, how many people have been enrolled in the Affordable Care Act? Is this number above expectations, below expectations or at the level of expectation for enrollment at this point in time? 11. How will future enrollment in Medicaid be affected by the passage of the Affordable Care Act? This assignment is due on the date posted in the syllabus. Grading: Content of responses: thought provoking, rationale defended = 70% of grade Correct use of sentence structure, grammar and spelling, stapled for presentation = 20% of grade Appropriate use of citations and references = 10% of grade (No www.Wikipedia.com) It is expected that the length of the computer generated responses to these questions will be presented in at least three – four pages of text. Use 12 font and double spacing for your responses. Format: you may either respond to the questions as a running essay or use the questions as a header for each individual answer.

AUCS 340: Ethics in the Profession Written Video Presentation Response Paper As a component of this course you will have the opportunity to view the movie “My Sister’s Keeper” (2009) starring Cameron Diaz, Jason Patric and Abigail Breslin. This movie is an adaptation of the book of the same title written by Jodi Picoult. Your answers are to be based on the movie adaptation of the book. While this movie offers a profound family story it also reflects upon issues related to current technological advancements in medicine and it will also offer you the opportunity to identify and respond to some of ethical issues represented in the movie. After viewing this movie, respond to the following questions. Your answers should be insightful and reflective of the topics researched for class, in regards to the ethical treatment to be afforded all citizens. 1. Identify at least two ethical issues/situations portrayed in the movie. These issues must be separate from the issue of stem cell research which will be addressed in questions later in this assignment. 2. Discuss a solution or solutions to each of the ethical issues that you identified in question number one. If multiple solutions are offered, identify your solutions as to first preference, second preference and so on until concluded. 3. Are your solutions feasible? What cost would it take to implement your solutions: taxes, wholesale system changes, society as a whole? 4. This movie incorporates the topic of stem cell usage for the treatment of medical conditions. Discuss the difference between the acquisition of fetal stem cells and adult stem cells. List ethical arguments both for and against the concept of expanding stem cell research to have a more active role in the development of treatment options for patients. 5. List at least five medical conditions that have the potential to be treated with stem cells. 6. Discuss the attitude of former President George W. Bush and current President Barack Obama in their philosophical approach to the issue of stem cell research. (Do they accept or reject the idea of stem cell research? Is there legislation that supports their views?) 7. From your previous assignment on the administration of healthcare in the United States you should have a general view of some of the problems facing the distribution of healthcare services in the United States. Research the changes to the health care system as proposed by President Barack Obama, and passed into legislation as the Patient Protection and Affordable Care Act, and outline/list these changes for healthcare reform in the United States. What are the financial implications of this plan? What portions of this plan do you find feasible to solving the problem of inadequate healthcare coverage for all Americans? What portions of this plan do you find unacceptable? 8. Overall, do you feel that these proposed changes will benefit or cause harm to the distribution of healthcare in the United States? Explain the rationale behind your answer. 9. Discuss problems in implication of the Affordable Care Act (ACA) that have occurred since October 2013. Have theses issues been resolved? 10. To date, how many people have been enrolled in the Affordable Care Act? Is this number above expectations, below expectations or at the level of expectation for enrollment at this point in time? 11. How will future enrollment in Medicaid be affected by the passage of the Affordable Care Act? This assignment is due on the date posted in the syllabus. Grading: Content of responses: thought provoking, rationale defended = 70% of grade Correct use of sentence structure, grammar and spelling, stapled for presentation = 20% of grade Appropriate use of citations and references = 10% of grade (No www.Wikipedia.com) It is expected that the length of the computer generated responses to these questions will be presented in at least three – four pages of text. Use 12 font and double spacing for your responses. Format: you may either respond to the questions as a running essay or use the questions as a header for each individual answer.

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Essay list

Essay list

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1. Frieda Birnbaum, at age 60, became the oldest U.S. women to give birth to twins after traveling to __________ for a special in-vitro fertilization treatment for older women. A.California. B.France. C.South Africa. D.New York. 2. A life course perspective: A.examines the entire course of human life from childhood to old age. B.examines the first twelve years of human life. C.examines life from age 18 to old age. D.focuses on the later years in life. 3. __________ is the specific study of aging and the elderly. A.Seniorology. B.Scientology. C.Genealogy. D.Gerontology. 4. Population aging in the U.S. is also referred to as: A.Angelology. B.“the graying of America.” C.“the whiting of America.” D.Agrology. 5. Median age refers to: A.the average age of a population. B.the most frequently occurring age in a population. C.the age where half the population is older and the other half is younger. D.the age calculated one half between the average and mode. 6. Place the appropriate median age in the U.S. with the appropriate year listed as follows: __________- 1820; __________ – 1900; __________ – 2000; __________ – 2030. A.17 years; 35 years; 23 years; 42 years. B.23 years; 17 years; 35 years; 42 years. C.35 years; 17 years; 23 years; 42 years. D.17 years; 23 years; 35 years; 42 years. 7. __________ refers to the study of the changes and trends in the population. A.Agrology. B.Demography. C.Gerontology. D.Urbanization. 8. All but which of the following have been identified as reasons why our population is aging? A.increase in birth rates. B.improvements in medical and technological advances. C.influence of birth cohorts. D.all the above are correct. 9. According to the Centers for Disease Control, the life expectancy for a child born in 2010 was: A.59.8 years. B.68.2 years. C.78.7 years. D.85.5 years. 10. It is estimated that approximately __________ people become eligible for Social Security every __________. A.1,000; day. B.1,000; month. C.10,000; month. D.10,000; day. 11. The persistent social ideals of women as homemakers and men as breadmakers is/are problematic from which of the following sociological perspectives? A.Conflict. B.Functional. C.Feminist. D.both a and c are correct. 12. From the Interactionist perspective, we create and maintain our definition of a family through: A.endogamy. B.egalitarianism. C.power struggles. D.social interaction. 13. According to the author, political and religious forces uphold and encourage a(n) __________ family form as the standard for what all families should be like. A.blended. B.egalitarian. C.matriarchal. D.patriarchal. 14. No-fault divorces were introduced in the: A.1960s. B.1970s. C.1980s. D.1990s. 15. It was noted that divorce rates have increased for all but which one of the following reasons? A.the transition from nuclear to extended family forms. B.the stigma attached to divorce has decreased. C.increasing geographic and occupational mobility of families. D.increasing economic independence of women. 16. The divorce rate in the late 1970s and early 1980s was approximately __________ per 1,000 individuals. A.2.3. B.6.7. C.1.4. D.5.3. 17. The U.S. marital rate _____ over the last ten years most recently recorded at _____ per 1,000 individuals for 2009. A.declined; 6.8. B.declined; 4.3. C.increased; 2.4. D.increased; 9.7. 18. In 2010, __________ children were more likely than children from other ethnic/racial groups to live in their grandparent’s household. A.Hispanic. B.black. C.white. D. Asian. 19. According to research, getting married at a young age __________ chances of divorce, while living with high levels of poverty __________ chances of divorce. A.increases; decreases. B.decreases; decreases. C.increases; increases. D.decreases; increases. 20. In the United States, nearly ___ of surveyed women reported that they had been raped or phyiscally assaulted by a current or former intimate partner. A.15%. B.25%. C.35%. D.40%.

1. Frieda Birnbaum, at age 60, became the oldest U.S. women to give birth to twins after traveling to __________ for a special in-vitro fertilization treatment for older women. A.California. B.France. C.South Africa. D.New York. 2. A life course perspective: A.examines the entire course of human life from childhood to old age. B.examines the first twelve years of human life. C.examines life from age 18 to old age. D.focuses on the later years in life. 3. __________ is the specific study of aging and the elderly. A.Seniorology. B.Scientology. C.Genealogy. D.Gerontology. 4. Population aging in the U.S. is also referred to as: A.Angelology. B.“the graying of America.” C.“the whiting of America.” D.Agrology. 5. Median age refers to: A.the average age of a population. B.the most frequently occurring age in a population. C.the age where half the population is older and the other half is younger. D.the age calculated one half between the average and mode. 6. Place the appropriate median age in the U.S. with the appropriate year listed as follows: __________- 1820; __________ – 1900; __________ – 2000; __________ – 2030. A.17 years; 35 years; 23 years; 42 years. B.23 years; 17 years; 35 years; 42 years. C.35 years; 17 years; 23 years; 42 years. D.17 years; 23 years; 35 years; 42 years. 7. __________ refers to the study of the changes and trends in the population. A.Agrology. B.Demography. C.Gerontology. D.Urbanization. 8. All but which of the following have been identified as reasons why our population is aging? A.increase in birth rates. B.improvements in medical and technological advances. C.influence of birth cohorts. D.all the above are correct. 9. According to the Centers for Disease Control, the life expectancy for a child born in 2010 was: A.59.8 years. B.68.2 years. C.78.7 years. D.85.5 years. 10. It is estimated that approximately __________ people become eligible for Social Security every __________. A.1,000; day. B.1,000; month. C.10,000; month. D.10,000; day. 11. The persistent social ideals of women as homemakers and men as breadmakers is/are problematic from which of the following sociological perspectives? A.Conflict. B.Functional. C.Feminist. D.both a and c are correct. 12. From the Interactionist perspective, we create and maintain our definition of a family through: A.endogamy. B.egalitarianism. C.power struggles. D.social interaction. 13. According to the author, political and religious forces uphold and encourage a(n) __________ family form as the standard for what all families should be like. A.blended. B.egalitarian. C.matriarchal. D.patriarchal. 14. No-fault divorces were introduced in the: A.1960s. B.1970s. C.1980s. D.1990s. 15. It was noted that divorce rates have increased for all but which one of the following reasons? A.the transition from nuclear to extended family forms. B.the stigma attached to divorce has decreased. C.increasing geographic and occupational mobility of families. D.increasing economic independence of women. 16. The divorce rate in the late 1970s and early 1980s was approximately __________ per 1,000 individuals. A.2.3. B.6.7. C.1.4. D.5.3. 17. The U.S. marital rate _____ over the last ten years most recently recorded at _____ per 1,000 individuals for 2009. A.declined; 6.8. B.declined; 4.3. C.increased; 2.4. D.increased; 9.7. 18. In 2010, __________ children were more likely than children from other ethnic/racial groups to live in their grandparent’s household. A.Hispanic. B.black. C.white. D. Asian. 19. According to research, getting married at a young age __________ chances of divorce, while living with high levels of poverty __________ chances of divorce. A.increases; decreases. B.decreases; decreases. C.increases; increases. D.decreases; increases. 20. In the United States, nearly ___ of surveyed women reported that they had been raped or phyiscally assaulted by a current or former intimate partner. A.15%. B.25%. C.35%. D.40%.

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AUCS 340: Ethics in the Professions Individual Written Assignment #1 Medical Ethics: Historical names, dates and ethical theories assignment As you read chapters 1 and 2 in the “Ethics and Basic Law for Medical Imaging Professionals” textbook you will be responsible for identifying and explaining each of the following items from the list below. You will respond in paragraph format with correct spelling and grammar expected for each paragraph. Feel free to have more than one paragraph for each item, although in most instances a single paragraph response is sufficient. If you reference material in addition to what is available in the textbook it must be appropriately cited in your work using either APA or MLA including a references cited page. The use of Wikipedia.com is not a recognized peer reviewed source so please do not use that as a reference. When responding about individuals it is necessary to indicate a year or time period that the person discussed/developed their particular ethical theory so that you can look at and appreciate the historical background to the development of ethical theories and decision making. Respond to the following sixteen items. (They are in random order from your reading) 1. Francis Bacon 2. Isaac Newton 3. Prima Facie Duties – Why do they exist? LIST AND DEFINE ALL TERMS 4. Hippocrates 5. W.D. Ross – what do the initials stand for in his name and what was his contribution to the study of ethics? 6. Microallocation – define the term and provide an example separate from the book example (You should develop your own example rather than looking for an online example; this will use your critical thinking skills. Consider an application to your own profession as microallocation is NOT limited to the medical field.) 7. Deontology – Discuss at length the basic types/concepts of this theory 8. Thomas Aquinas – 1) Discuss the ethical theory developed by Aquinas, 2) his religious affiliation, 3) why that was so important to his ethical premise and 4) discuss the type of ethical issues resolved to this day using this theory. 9. Macroallocation – define and provide an example separate from the book example (You should develop your own example rather than looking for an online example; this will use your critical thinking skills. Consider an application to your own profession as macroallocation is NOT limited to the medical field.) 10. David Hume 11. Rodericus Castro 12. Plato and “The Republic” 13. Pythagoras 14. Teleology – Discuss at length the basic types/concepts of this theory 15. Core Values – Why do they exist? LIST AND DEFINE ALL TERMS 16. Develop a timeline that reflects the ethical theories as developed by the INDIVIDUALS presented in this assignment. This assignment is due Saturday March 14th at NOON and is graded as a homework assignment. Grading: Paragraph Formation = 20% of grade (bulleted lists are acceptable for some answers) Answers inclusive of major material for answer = 40% of grade Creation of Timeline = 10% of grade Sentence structure, application of correct spelling and grammar = 20% of grade References (if utilized) = 10% of grade; references should be submitted on a separate references cited page. Otherwise this 10% of the assignment grade will be considered under the sentence structure component for 30% of the grade. It is expected that the finished assignment will be two – three pages of text, double spaced, using 12 font and standard page margins.

AUCS 340: Ethics in the Professions Individual Written Assignment #1 Medical Ethics: Historical names, dates and ethical theories assignment As you read chapters 1 and 2 in the “Ethics and Basic Law for Medical Imaging Professionals” textbook you will be responsible for identifying and explaining each of the following items from the list below. You will respond in paragraph format with correct spelling and grammar expected for each paragraph. Feel free to have more than one paragraph for each item, although in most instances a single paragraph response is sufficient. If you reference material in addition to what is available in the textbook it must be appropriately cited in your work using either APA or MLA including a references cited page. The use of Wikipedia.com is not a recognized peer reviewed source so please do not use that as a reference. When responding about individuals it is necessary to indicate a year or time period that the person discussed/developed their particular ethical theory so that you can look at and appreciate the historical background to the development of ethical theories and decision making. Respond to the following sixteen items. (They are in random order from your reading) 1. Francis Bacon 2. Isaac Newton 3. Prima Facie Duties – Why do they exist? LIST AND DEFINE ALL TERMS 4. Hippocrates 5. W.D. Ross – what do the initials stand for in his name and what was his contribution to the study of ethics? 6. Microallocation – define the term and provide an example separate from the book example (You should develop your own example rather than looking for an online example; this will use your critical thinking skills. Consider an application to your own profession as microallocation is NOT limited to the medical field.) 7. Deontology – Discuss at length the basic types/concepts of this theory 8. Thomas Aquinas – 1) Discuss the ethical theory developed by Aquinas, 2) his religious affiliation, 3) why that was so important to his ethical premise and 4) discuss the type of ethical issues resolved to this day using this theory. 9. Macroallocation – define and provide an example separate from the book example (You should develop your own example rather than looking for an online example; this will use your critical thinking skills. Consider an application to your own profession as macroallocation is NOT limited to the medical field.) 10. David Hume 11. Rodericus Castro 12. Plato and “The Republic” 13. Pythagoras 14. Teleology – Discuss at length the basic types/concepts of this theory 15. Core Values – Why do they exist? LIST AND DEFINE ALL TERMS 16. Develop a timeline that reflects the ethical theories as developed by the INDIVIDUALS presented in this assignment. This assignment is due Saturday March 14th at NOON and is graded as a homework assignment. Grading: Paragraph Formation = 20% of grade (bulleted lists are acceptable for some answers) Answers inclusive of major material for answer = 40% of grade Creation of Timeline = 10% of grade Sentence structure, application of correct spelling and grammar = 20% of grade References (if utilized) = 10% of grade; references should be submitted on a separate references cited page. Otherwise this 10% of the assignment grade will be considered under the sentence structure component for 30% of the grade. It is expected that the finished assignment will be two – three pages of text, double spaced, using 12 font and standard page margins.

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1 ACTIVITY PURPOSE The purpose of this activity is to give you practice preparing a four-week work schedule. PROCESS Follow the steps listed below to prepare a schedule. 1. Read the Information Sheet: Scheduling Employees. 2. The pay week for this medical record service runs Sunday – Saturday. The pay period is two pay weeks. Each full-time employee cannot work more than 40 hours per pay week, or 80 hours per pay period. Each part-time employee works 20 hours per pay week – 40 hours per pay period. 3. The first Friday of the four – week period is a holiday. 4. The medical record service has 24 hour coverage, seven days a week. All full-time employees work a five day pay week, eight hours per day, with rotating weekend coverage. Part-time employees work four hours Monday – Friday, except for their rotation weekend. On those days they work an eight hour shift. Remember to adjust their time accordingly. 5. The Assistant Director and all supervisors, except the Tumor Registry Supervisor, should be scheduled for rotating weekend coverage. 2 6. All employees, except the Tumor Registry employees, should be scheduled on a rotating basis for weekend coverage. 7. For weekend and holiday coverage, there needs to be at least two clerks and one transcriptionist on days and evenings, one clerk and one transcriptionist at night. 8. The Department Director has scheduled a two – week vacation for the first two full weeks of the four – week schedule. 9. Employees who work holidays must take the holiday time within the pay period in which the holiday occurs. 10.Use the following marks on the schedule: X – work eight hours V – vacation H – holiday D – day off 4 – hours for part-time employees 3 PERSONNEL OF HUFFMAN MEMORIAL MEDICAL RECORD DEPARTMENT DAYS (7:00 A.M. – 3:30 P.M.) Director Diane Lucas Assistant Director JoAnn DeWitt Coding 1 Supervisor – Nina Long 3 Coding/PAS Clerks – Cheryl Newman Pam Rogers Janet Bennett Transcription 1 Supervisor – 6 Transcribers – Jessica DuBois Eileen Andrews Iris Williams Diane Henderson Vivian Thomas Lois Fisher Emma Daily Filing/Retrieval 1 Supervisor – 4 Clerks – 1 Part-time Clerk – Bill James Darlene Cook Janice Stivers Larry Patterson Don Williamson Susan Evanston Tumor Registry 1 Supervisor – 1 Clerk – 1 Part-time Clerk – Mabel Smith Pauline Erskine Suzanne Chapman EVENING (3:00 P.M. – 11:00 P.M.) Transcription 1 Part-time – Beth Richman Filing/Retrieval 1 Supervisor – 2 Clerks – 1 Part-time Clerk – Daniel Johnson Harry Skinner Matthew Scott Anne Madison NIGHTS (11:00 P.M. – 7:00 A.M.) Transcription 3 Transcribers – Louise Wilson Jane Matters Nancy Lipman Filing/Retrieval 2 Clerks – Lily Jamison Helen Benson 4 INFORMATION SHEET SCHEDULING EMPLOYEES In addition to the planning, organizing and controlling of a medical record service, managers must accurately plan the work pattern for employees. This plan must insure that all duties are adequately covered, all shifts have sufficient numbers of people to perform duties, and employees are given appropriate days off. Scheduling encompasses both short term and long term plans. Short term scheduling involves planning work on a daily and/or weekly basis. Long term scheduling generally covers a four – to six – week time period, as well as yearly planning for holidays. In larger health care facilities with the medical record service providing 24 hour service, seven days a week, advanced planning is a requisite to a smooth operation. In smaller facilities with shorter hours of service, the schedule is less complex. The number of employees needed for weekend work for those facilities open on weekends is totally dependent upon the weekend workload. A volume of seventy (70) to ninety (90) discharges per day generally requires two (2) medical record clerks to process those discharges, as well as to perform the other daily responsibilities of the medical record service. It is also advisable to schedule a supervisor during the weekend in the event that any problems arise which a clerk might not be able to handle (i.e. medico-legal questions, irate patients or physicians). If you work in a department that has an active work 5 measurement program, valuable scheduling information can be obtained from the data reported. In planning for holidays, it is important to remember to: 1. obtain employee preferences for which holidays they might choose to work; 2. keep track of who has worked which holidays; 3. if a holiday occurs on a Friday or a Monday and the employee must work on the holiday, try to give them a Friday or Monday off to compensate. It is important for you to be fair in terms of assigning employees weekend work and scheduling Holidays. Everyone should share the responsibility equally. If you have all supervisors work one weekend per month, then that schedule should be followed. If you have clerks working every other weekend, then that pattern should be followed consistently. When preparing a schedule it is best to put in all the “givens” first. For example, if you have vacations scheduled for the four weeks you’re preparing, then those should be marked in first. Also included in this category would be employees who do not work weekends (i.e. personnel in the Tumor Registry). Once all work times have been scheduled, you must be certain that an employee receives two (2) days off for every seven (7) days. If an employee works more than forty (40) hours in one (1) week, the facility must pat time-an-a-half for all hours over forty. Some facilities are experimenting with a variety of scheduling techniques: flex time and the four-day work week. Both techniques have been 6 heavily debated. The final questions regarding these nontraditional alternatives end up being: 1. Are your employees willing to try it? 2. Are you ready to handle the extra planning these alternatives may warrant? 3. Do you have the necessary resources, including equipment, to accommodate a nontraditional scheduling alternative? 4. Will administrator of the facility support your proposal? Once you have established answers to those questions you are ready to embark on a new technique of scheduling. Scheduling employees can be one of the most challenging tasks that a manager faces. Whether you elect to try one of the nontraditional alternatives or use the five-day work week, the manager must: 1. be fair; 2. apply all guidelines to every employee consistently 3. utilize all available data to arrive at appropriate numbers for weekend and holiday staffing requirements; and 4. maximize the utilization of equipment and resources.

1 ACTIVITY PURPOSE The purpose of this activity is to give you practice preparing a four-week work schedule. PROCESS Follow the steps listed below to prepare a schedule. 1. Read the Information Sheet: Scheduling Employees. 2. The pay week for this medical record service runs Sunday – Saturday. The pay period is two pay weeks. Each full-time employee cannot work more than 40 hours per pay week, or 80 hours per pay period. Each part-time employee works 20 hours per pay week – 40 hours per pay period. 3. The first Friday of the four – week period is a holiday. 4. The medical record service has 24 hour coverage, seven days a week. All full-time employees work a five day pay week, eight hours per day, with rotating weekend coverage. Part-time employees work four hours Monday – Friday, except for their rotation weekend. On those days they work an eight hour shift. Remember to adjust their time accordingly. 5. The Assistant Director and all supervisors, except the Tumor Registry Supervisor, should be scheduled for rotating weekend coverage. 2 6. All employees, except the Tumor Registry employees, should be scheduled on a rotating basis for weekend coverage. 7. For weekend and holiday coverage, there needs to be at least two clerks and one transcriptionist on days and evenings, one clerk and one transcriptionist at night. 8. The Department Director has scheduled a two – week vacation for the first two full weeks of the four – week schedule. 9. Employees who work holidays must take the holiday time within the pay period in which the holiday occurs. 10.Use the following marks on the schedule: X – work eight hours V – vacation H – holiday D – day off 4 – hours for part-time employees 3 PERSONNEL OF HUFFMAN MEMORIAL MEDICAL RECORD DEPARTMENT DAYS (7:00 A.M. – 3:30 P.M.) Director Diane Lucas Assistant Director JoAnn DeWitt Coding 1 Supervisor – Nina Long 3 Coding/PAS Clerks – Cheryl Newman Pam Rogers Janet Bennett Transcription 1 Supervisor – 6 Transcribers – Jessica DuBois Eileen Andrews Iris Williams Diane Henderson Vivian Thomas Lois Fisher Emma Daily Filing/Retrieval 1 Supervisor – 4 Clerks – 1 Part-time Clerk – Bill James Darlene Cook Janice Stivers Larry Patterson Don Williamson Susan Evanston Tumor Registry 1 Supervisor – 1 Clerk – 1 Part-time Clerk – Mabel Smith Pauline Erskine Suzanne Chapman EVENING (3:00 P.M. – 11:00 P.M.) Transcription 1 Part-time – Beth Richman Filing/Retrieval 1 Supervisor – 2 Clerks – 1 Part-time Clerk – Daniel Johnson Harry Skinner Matthew Scott Anne Madison NIGHTS (11:00 P.M. – 7:00 A.M.) Transcription 3 Transcribers – Louise Wilson Jane Matters Nancy Lipman Filing/Retrieval 2 Clerks – Lily Jamison Helen Benson 4 INFORMATION SHEET SCHEDULING EMPLOYEES In addition to the planning, organizing and controlling of a medical record service, managers must accurately plan the work pattern for employees. This plan must insure that all duties are adequately covered, all shifts have sufficient numbers of people to perform duties, and employees are given appropriate days off. Scheduling encompasses both short term and long term plans. Short term scheduling involves planning work on a daily and/or weekly basis. Long term scheduling generally covers a four – to six – week time period, as well as yearly planning for holidays. In larger health care facilities with the medical record service providing 24 hour service, seven days a week, advanced planning is a requisite to a smooth operation. In smaller facilities with shorter hours of service, the schedule is less complex. The number of employees needed for weekend work for those facilities open on weekends is totally dependent upon the weekend workload. A volume of seventy (70) to ninety (90) discharges per day generally requires two (2) medical record clerks to process those discharges, as well as to perform the other daily responsibilities of the medical record service. It is also advisable to schedule a supervisor during the weekend in the event that any problems arise which a clerk might not be able to handle (i.e. medico-legal questions, irate patients or physicians). If you work in a department that has an active work 5 measurement program, valuable scheduling information can be obtained from the data reported. In planning for holidays, it is important to remember to: 1. obtain employee preferences for which holidays they might choose to work; 2. keep track of who has worked which holidays; 3. if a holiday occurs on a Friday or a Monday and the employee must work on the holiday, try to give them a Friday or Monday off to compensate. It is important for you to be fair in terms of assigning employees weekend work and scheduling Holidays. Everyone should share the responsibility equally. If you have all supervisors work one weekend per month, then that schedule should be followed. If you have clerks working every other weekend, then that pattern should be followed consistently. When preparing a schedule it is best to put in all the “givens” first. For example, if you have vacations scheduled for the four weeks you’re preparing, then those should be marked in first. Also included in this category would be employees who do not work weekends (i.e. personnel in the Tumor Registry). Once all work times have been scheduled, you must be certain that an employee receives two (2) days off for every seven (7) days. If an employee works more than forty (40) hours in one (1) week, the facility must pat time-an-a-half for all hours over forty. Some facilities are experimenting with a variety of scheduling techniques: flex time and the four-day work week. Both techniques have been 6 heavily debated. The final questions regarding these nontraditional alternatives end up being: 1. Are your employees willing to try it? 2. Are you ready to handle the extra planning these alternatives may warrant? 3. Do you have the necessary resources, including equipment, to accommodate a nontraditional scheduling alternative? 4. Will administrator of the facility support your proposal? Once you have established answers to those questions you are ready to embark on a new technique of scheduling. Scheduling employees can be one of the most challenging tasks that a manager faces. Whether you elect to try one of the nontraditional alternatives or use the five-day work week, the manager must: 1. be fair; 2. apply all guidelines to every employee consistently 3. utilize all available data to arrive at appropriate numbers for weekend and holiday staffing requirements; and 4. maximize the utilization of equipment and resources.