Capital Justification Purchase Essay Example for Free

Capital Justification Purchase Essay This assignment requires justification to the vice president for approval to purchase a major piece of equipment for use in the radiology department of the hospital. My main objective is to provide valuable information to justify the cost as well as provide critical data that substantiates the ROI. Additionally, the report will have detailed information outlining the benefits that will assist in the decision making process and address all concerns and questions relating to the purchase. Lastly, the report will include how beneficial and profitable the technology will be for the hospital. The radiology department is in need of a MRI machine to better provide safer and reliable results for detecting breast cancer. I have done extensive research on the several different types of technological devices and believe that I have come up with the best model. In considering the Siemens’s MAGNETOM Espree-Pink the following six major categories to follow were taken into account to help substantiate the purchase:† 1) available alternative; available resources; cost data; benefit data; prior performance, and risk projection.† (Cleverely, et al, 2011, pg. 426). Based upon the research conducted, I believe that this model will improve the quality of patient care, help streamline breast exams and detect the disease with greater confidence. Research shows that MRI’s can be helpful in breast care, especially in high-risk women. The MAGNETOM Espree –Pink offers a unique design and has demonstrated that no other system comes close to offering patient comfort. This state of the art equipment will take us into the future with the latest technological advances. MAGNETOM Espree-Pink combines an open-bore design with the Sentinelle breast coil for Siemens which offers exceptional breast imagining and biopsy capabilities. And, the future is built in, for instance should our needs change over time, we have the option to upgrade the system to a MAGNETOM Espree whole-body scanner –with all the latest advanced applications and renowned technology. This will allow us the capabilities of having the ability to detect cancer in  other ar eas of the body. MAGNETOM Espree-Pink offers the following: Pink Comfort, Pink Workflow and Pink Applications. Pink Comfort can greatly reduce errors due to patient movement, resulting in better image quality. â€Å"The open-bore design offers an exclusive 70 cm inner diameter, providing exceptional comfort. It enables patients to feel more at ease, particularly claustrophobic or obese patients. Pink Workflow provides a dedicated multimodality Workplace that offers standard MRI evaluation, it enhances breast reading and reporting, and it is coupled with syngo BreVis, a computer-aided tool for real-time breast analysis. It is easy-to-use, fast, and reliable. Pink Applications allows for faster imaging, excellent clinical detail, shorter exams – all part of the dedicated solution for breast care. With its optimized applications, MAGNETOM Espree-Pink enables you to see more, by improving accuracy and showing more details. These applications enable truly comprehensive breast care, helping to improve diagnostic confidence as well as patient care.† (www.siemens.com/espree-pink) Financial Considerations In the acquiring of the MAGNETOM Espree-Pink there are some financial aspects to be considered. The manufacture’s price of the equipment is listed at $1.5 million and listed are a couple of options that could provide for this capital expenditure. We would like to look at available alternatives to acquiring this equipment: purchasing or leasing. The cost benefits of leasing include the ability to lease for a short period of time with less expense and the ability to upgrade the equipment as technology changes. For example, with a five-year lease of $150,000 per year, we will pay $750,000 over the life of lease. The immediate rate of return may be greater which may reduce the expense of the equipment. For example: The assumption is that the charge per usage is $2000 and numbers are based on number of patients seen per year.# of Patients Cost of Equipment Lease per year Operations Cost Per Incidence Total Expense Profit 750 $150,000 $500 $525,000 $975,000 1000 $150,000 $500 $650,000 $1.35 million 1250 $150,000 $500 $775,000 $1.725 million The cost benefit of purchasing the equipment is that it would be owned outright by the hospital. The ROI may be seen within the first three years. This can be done by purchasing directly or by financing the purchase. We now have to consider the fixed cost of the purchase price per year and its depreciation and interest. Our operation cost per incidence will now remain the same as leasing the equipment. Our number of patients is assumed to be the same as our option for leasing along with our procedure charge of $2000. # of Patients Cost of Equipment Purchase Operations Cost Per Incidence Total Expense Profit 750 $315,000 $500 $690,000 $810,000 1000 $315,000 $500 $815,000 $1.185 million 1250 $315,000 $500 $940,000 $1.560 million In conclusion, the technological advances of MAGNETOM Espree-Pink can provide numerous benefit to the radiology department by enhancing the speed and accuracy of diagnoses, facilitating earlier and more accurate treatment predicating breast cancer and generating additional revenue. The initial cost of purchasing or leasing will be a great expense to the hospital, but the ROI will outweigh the initial cost over a five year period. I believe that the MAGNETOM Espree-Pink will meet the critical needs of the hospital and our community in which we serve. References Cleverley, William, O., Cleverley, James, O., Song, Paula, H. (2011). Essentials of health care finance – 7th ed. MAGNETOM Espree-Pink (http://usa.healthcare.siemens.com/magnetic-resonance-imaging/0- 35-to-1-5tmri-scanner/magnetom-espree-pink)

Essay --

â€Å"The greater the power, the more dangerous the abuse† (Burke). Lies, power, and selfishness can destroy families, friendships, and towns. When a person has power, they may not use it properly. There have been many instances where this has happened, but two main examples are in the novel The Crucible, and in McCarthyism. The Crucible is connected to McCarthyism by its model of a desire for power, unsubstantiated accusations, and the detrimental effects of these accusations. BEGIN The root of the problem in both The Crucible and McCarthyism was an extreme desire for power. In the novel, Danforth and Hathorne instantly gained power as they sentenced the accused to jail and death. They were so caught up in the power that they were gaining, that they listened to outlandish accusations, not stopping to think if they could be false. Danforth and Hathorne were seen as heroes to the people that were caught up in the chaos and paranoia of witchcraft. This was their motivation in their prosecution. Also, Abigail and the other girls were driven by selfishness. Ruth and Betty accused innocent people of the crime because they did not want to get in trouble, as did Tituba. Abigail accused Elizabeth Proctor because she wanted to be with John. Mary went along with the girls for fear that they would turn on her. No one with power had the courage to speak up and admit what they were doing was wrong (The Crucible). Because of their abuse of power, the town was destroyed. Power in the hands of a selfish person is disastrous. Power was also an important theme in McCarthyism. Joseph McCarthy showed signs of his desire for power early in his life. He led a corrupt campaign to become a circuit court judge, which was a foreshadowing of what he was willi... ...e of both of these events was victory for the victims. There is a strong connection between McCarthyism and the Salem With Trials, which are what The Crucible is based on. Arthur Miller immediately recognized this link, and displayed a great example of an abuse of power, and people going to great measures to get what they want (Brater). The desire for power, unsubstantiated accusations, and the detrimental effects of these accusations are the ways in which The Crucible is connected to McCarthyism. Power and selfishness can destroy the lives of those that possess it, and the lives of people around them. Humans are easily influenced by what others do and say, which is why people can gain power so easily. It is the choice of the powerful to use their power in the correct way. When power is misused, paranoia and chaos, as well as many other negative effects result.

Practices prevent the abuse of school funds Essay

The education of students and the welfare situation of the staff are paramount issues in addressing school finance. The nature of the education cadre in high schools is an important part of the formal education of the young child who has in between the childhood and adolescent stages of human development. It is therefore important for he head teacher who is saddled with the responsibility of promoting education within the school to commit the available resources to the right channels to achieve the intended results of infrastructure development and provision of facilities to ensure continuity of education in the school. Some of the Infrastructure development- that needs be upheld include library, art and technical studios, computer rooms, music room; environmental sanitation, provision of teaching and learning aids, game centre and kits, award ceremony for staff and students In this age and time, it is needful to realize that education is a social and economic good; this implies that it is an avenue to build viable human capital which would contribute to , national economic wealth and health alongside the effective utilization of material, capital and natural resources within the environment. This economic good also contributes to individual health by establishing an individual as a positive force within the community where he resides. Although education does not preclude evil but its positive impact apparently outweighs its negatives. This issue is important because it informs the decision of the principal of head teacher of the high school about the judicial use of the funds available to him from various sources. What are these sources of funds to the high school? These include the federal allocation to public schools, the state allocation to schools within the jurisdiction. These two forms the socio-political source of funds, while there is the local source from payments by the attending students. Besides, there could also be internally generated funds from projects, programs and economic activities approved for and/or by the school. Realizing the economic good in education and the source of funding of schools are important tools that can contribute to stemming abuse of funds in schools especially high schools. While it is illegal to misuse funds for personal goals, aspirations like acquisition of political power or savings towards retirement, it is necessary for head teachers to realize the role of education in the growth and development of the adolescent child that attend high schools. If they realize the import this can have on the morals and social development of these kids, the propensity to embezzle schools funds would diminish in our schools. One of the practices that prevent abuse of funds includes fiscal accountability. Realizing that for every allocation by the government or payment by the attending students would be accounted for contribute to stopping the abuse of funds. This fiscal accountability is achieved by tracking fund though the means of revenue and expenditure track, monitoring of accounting transactions and auditing. As part of this measure, auditing is an inevitable tool; it includes internal and external audit. While the former uses local staff, the latter adopts using the appropriate institutions within the society which can rarely be influenced the caprices of a local head of high school. In any situation there is inconsistency in the tracking of the funds, which shows that there is need for more scrutiny of such heads. If this auditing can be effectively carried out at all levels of education especially at high schools, it would drastically change the shape of funding and spending within schools by their principals. Another equally important tool is Budgeting: this includes organizing financial transactions, balancing them through stipulated revenue and expenditure plan with a view to meeting staff needs, fund student activities and attain social and local goals. Organizations can incremental, use of school site, outcome-focused or tailored towards program planning. Balancing includes planning revenue and expenditure in such a way as to achieve a balance, deficit or surplus. The aim of budgeting is basically to draw a financial plan to meet specific needs. This gives rooms for identifying challenges and tackling them within the limit of available resources. A comprehensive budget would meet staffing needs which covers recruitment and selection, compensation, and continuous training and retraining on advancements in technological and teaching practices. It would also make provisions for student’s activities and embark of appropriate programs that can meet school and district missions. There would also be allocations for infrastructure development to cover construction works, architectural lay-out and provision of necessary education facilities. Such a budget would encompass all areas that need improvement within the school; when these goals are outlined and there is institutional will to meet them, it would be difficult to abuse funds. Usually available funds may not even be sufficient to meet needs driving fund-raising and capital programs for increased revenue generation. When purpose is not known, abuse is inevitable. This is the essence of the budget. Realizing the importance of good governance with respect to financial prudence on the morals of staff and students makes a leader a judicious custodian of available financial resources. Fiscal accountability through auditing by internal and external outfits dampens the propensity to divert school funds towards personal goals. Since knowledge does not preclude this evil, strict disciplinary measure meted to offenders who are convicted of this white collar crime is another practice that militates against abuse of school funds. These are measures that prevent misuse of school funds. REFERENCES Safeguarding School Funds by Henry Linn. 4th edition. †¢ Review of Educational Research, Vol. 3, No. 5, 399-408 (1933) 1933 American Educational Research Association Chapter VI: School Finance †¢ Does money matter? GT Burtless – Policy Studies Journal, 1997 †¢ Pritchett, Lant & Filmer, Deon, 1999. What education production functions really show: a positive theory of education expenditures. Economics of education review. Elsevier, vol. 18(2), pages 223-239, April. †¢ Goldhaber, Dan D. , 1996. Public and private high schools: Is school choice an answer to productivity problem. Economics of education review. Elsevier, vol. 15(2), pages 93-109, April.

Stanford Case Study - 1832 Words

The Stanford group has performed a series of clinical trials using CD34+ purified cell transplants to induce tolerance to an HLA matched and mismatched living kidney donation. The first six patients were transplanted between 2000 and 2003 and had HLA-disparate donors104. Both related and unrelated patient/donor pairs ranged from a 3/6 to 0/6 HLA match. Six weeks before transplantation, the donors were treated with five doses of G-CSF for bone marrow mobilization. They then completed leukapheresis to harvest the peripheral blood mononuclear cells. The researchers selected the CD34+ mononuclear cells using a magnetic bead column resulting in 75% purity. Recipient conditioning included IV infusion of 1.5mg/kg rabbit ATG on days 1,†¦show more content†¦In addition, patients received a standard dose of MMF for 30 days after the infusion of donor cells. Between 6 months and 14 months post-transplant, 17 of 22 patients were successfully removed from IS. Of these, seven pat ients maintained stable chimerism for up to eight years (REF: Busque, Relationship Between Mixed Chimerism and Tolerance in HLA-Matched and -Mismatched Recipients of Kidney and Hematopoietic Cell Transplants. 2017, ATC). Nine experienced transient chimerism with donor cells lost at or around the time of IS taper. All but one have been able to maintain their IS-free status until their most recent follow-up (2 to 96 months off IS). All patients with stable, durable chimerism had a peak level of chimerism above 65% in their first two months after transplant. Of those that showed transient chimerism, six patients had a peak chimerism below 65%. This suggested a target for a chimerism peak for future studies 105,106. The final group of HLA haplotype mismatched patients was transplanted under a similar protocol as part of a dose escalation of the CD3+ cell addback to the donor infusion in order to promote durable mixed chimerism for at least six months while avoiding GVHD. Since 2013, ten patients have been treated under the protocol. The patients received between 8Ãâ€"106 and 22Ãâ€"106 CD34+ cells/kg. The first patient also received 3Ãâ€" 106 cells/kg of CD3+ T cells.Show MoreRelatedEssay on Case Study: R Allen Stanford928 Words   |  4 PagesKevin Han Case #1: Stanford Financial R. Allen Stanford is accused of pulling off a $7 billion Ponzi scheme that defrauded thousands of investors. Prosecutors allege that Stanford lured investors to purchase Certificate of Deposits with returns that were consistently higher than the market and used the proceeds to finance his lavish lifestyle. Stanford currently faces 14 criminal charges, including wire and mail fraud, in addition to civil suit from the SEC. 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