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Every coding department and billing department should have a Compliance Program. During the duration of this course, you will need to research organizations such as the Department of Health and Human Services, the Office of the Inspector General, and the Hospital Association of Pennsylvania that will give you guidance to audit a Compliance Program for your selected healthcare setting. Having a complete compliance plan is essential for establishing a solid coding, billing, quality, etc. team for your selected healthcare setting. The compliance guidelines that are established will be necessary for the employees in the organization to perform their task successfully. In addition, a successful program will allow the manager to perform quality audits that will identify any risk potentials in the coding or billing process of the department and communicate them to the appropriate Senior Manager. The structure for the Compliance Project is as follows:

  1. Identify a healthcare setting that you will be developing a Compliance Program for and if it is coding or billing related. Be thorough.

  1. Who are the key employees responsible for its implementation and operation? Be thorough.

  1. What are the goals of this compliance program? Be thorough and specific.

  1. How does the compliance reporting system work? Be thorough and specific.

  1. How often does the compliance team report to Senior Management? Be thorough and specific.

  1. What is the process for reassessment of the program and implementation of any updates or changes to the program? Be thorough and specific.

  1. Is education related to compliance provided to the teams? If so, is the effectiveness of the training being assessed and are there measures established to enforce training? Be thorough and specific.

  1. Are there internal measures in place for reporting compliance violations? Be thorough and specific.

  1. Are there external measures in place for reporting compliance violations? Be thorough and specific.

  1. What policies are in place, that address the appropriate protection of “whistleblowers” and those accused of misconduct. Be thorough and specific.

 
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Ming Lee recently got access to an F$100,000 trust fund set up by his late father. He has always dreamt of operating a restaurant like his father did at one time. He decides to open a new Chinese wine and dine restaurant in Nadi Town. He has conducted research around this business idea and found that there are 5 other similar restaurants already operating in town. All have good locations where there are a lot of people passing through. All have almost the same types of items on their menu and the prices are also very similar. This is because of the tight competition among the 5 existing restaurants. Ming decides that he will enter the market and compete on the basis of quality.
1. Outline and discuss how he should go about competing for success on the basis of quality in this highly-competitive market.

NB. Focus on both product and process in answering this question. Make sure your proposals are linked to the problem Ming is faced with.

Case 2 – Forecasting for Stocks
Kumaran Pillay has a vegetable stall at the Suva Market. His business has been plagued with under-stocking and over-stocking problems for some time now. When he under-stocks, he loses sales as customers move to competing stalls. When he over-stocks, is left with unsold vegetables. These are perishable and cannot be kept long for later sales. Pillay is concerned with how he can minimize these losses stemming from under and over-stocking.
1. Identify and explain how he could use 3 qualitative forecasting methods to improve his stocking. Note that you will need to justify your proposals and link it to the business being discussed.

2. Identify and explain how he could use 2 quantitative forecasting methods to improve his stocking. Note that you will need to justify your proposals and link it to the business being discussed. (10 marks)
Case 3 – A New Business
Roy Micky wants to open a new Nakamal (Kava Bar) in Port Vila. He knows he is entering a highly competitive market, but is determined to give it a go as it is something his family have always wanted.
There are 96 other Nakamals in Port Vila that Roy will have to compete with. In addition to this, he does not have an established presence in the market. These are just 2 of his concerns. The other 5 are required to come from you.
1. List and justify (from an operations perspective) 5 key things that he should consider in setting up his business. In answering this question, think of the different chapters that have comprised this course – you should get a point from each chapter.
NB. This question is asking for 5 points of concern.

 
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Discussion Questions

P6-1. What companies might be good benchmarks for Starbucks? Why? What companies might want to benchmark Starbucks? Why?

P6-2. Describe how the following Starbucks managers might use forecasting, budgeting, and scheduling (be specific): (a) a retail store manager; (b) a regional marketing manager; (c) the manager for global development; and (d) the CEO.

P6-3. What control criteria might be useful to a retail store manager? To a barista at one of Starbucks’s walk-in-only retail stores? How about for a store that has a drive-through?

P6-4. What types of feedforward, concurrent, and feedback controls does Starbucks use? Are there others that might be important to use? If so, describe.

P6-5. What “red flags” might indicate significant deviations from standard for (a) an hourly partner, (b) a store manager, (c) a district manager, (d) the executive vice president of finance, and (e) the CEO? Are there any similarities? Why or why not?

P6-6. Evaluate the control measures Starbucks is using with its gift cards from the standpoint of the three steps in the control process.

P6-7. Using the company’s most current financial statements, calculate the following financial ratios: current, debt to assets, inventory turnover, total asset turnover, profit margin on sales, and return on investment. What do these ratios tell managers?

P6-8. Would you describe Starbucks’ production/operations technology in its retail stores as unit, mass, or process? How about in its roasting plants? (Hint: you might need to review material in Chapter 11, as well, in order to answer this question.)

P6-9. Can Starbucks manage the uncertainties in its value chain? If so, how? If not, why not?

P6-10. Go to the company’s website, www.starbucks. com. Find the information on the company’s environmental activities from bean to cup. Select one of the steps in the chain (or your professor may assign you one). Describe and evaluate what environmental actions it’s taking. How might these affect the planning, organizing, and controlling taking place in these areas?

P6-11. Look at the company’s mission and guiding principles on its website. How might these affect the way Starbucks controls? How do the ways Starbucks controls contribute to the attainment or pursuit of these?

DISCUSSION QUESTIONS

11-13. Describe and evaluate what Pfizer is doing with its Pfizer Works.

11-14. What structural implications—good and bad—does this approach have? (Think in terms of the six organizational design elements.)

11-15. Do you think this arrangement would work for other types of organizations? Why or why not? What types of organizations might it also work for?

11-16. What role do you think organizational structure plays in an organization’s efficiency and effectiveness? Explain.

DISCUSSION QUESTIONS

8-18. What role do you think goals would play in planning the change in direction for the company? List some goals you think might be important. (Make sure these goals have the characteristics of well-written goals.)

 
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CASE 3: The manager at Haines Company observes that the morale of employees in her company is low. She thinks that if their working conditions are improved, pay scales raised, and the vacation benefits made attractive, the morale (self-confidence) will be boosted. She doubts, however, if an increase in pay scales would raise the morale of all employees. Her conjecture (guess) is that those who have supplemental incomes will just not be ‘turned on’ by higher pay, and only those without side income will be happy with increased pay, with a resultant (subsequent) boost in morale.

Questions for CASE 3:

1. What is the problem statement presented in this case?

2. Based on your own opinion and understanding, who is best advised to conduct this research? Internal or external team of researchers and why?

3. Develop the theoretical framework (conceptual model & hypotheses) for this study, giving at least 3 adequate hypotheses.

4. Determine the following components of research design for this case:

a. The purpose of the study

b. The extent of researcher interference

c. The study setting

d. The research strategy

e. The time horizon

f. The unit of analysis

 
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