Financial Model Structure

I would like writer #38714 to complete the following assignment as he has completed all of my capstone assignments – only if he is proficient in using excel and perfectly understands the requirements of this assignment as it is a crucial part of my grade – if not I would like an expert to do this.

This deliverable requires the student to construct a detailed Financial Model in Excel that expresses the Business Plan in an economic model. (This is the Financial Model Discipline.) An important aspect of the Financial Model is to create a solid foundation for the model with a considered set of assumptions. To this end, the student will formulate an Assumptions Page for the model with data that is inferred and projected from the Business Plan. Once the assumptions are created, the student will construct a Financial Model during the Financial Model Weekend Intensive. The student will create the model using industry standard best practices, which include model format, navigation, calculation, and cross-checks of traditional and linked financial statements. During the remainder of the course, the student will refine both the Financial Model and Business Plan based on business judgment and model results. The Financial Model must be constructed and submitted in Microsoft Excel, which is industry standard and best practice.

Attached you will find the presentation and financial model worksheets the professor showed and built — for you to use as a reference (cps wip model & cps financial modeling weekend intensive).
Attached you will also find all the information about my capstone project you will need to construct this detailed financial model (please review all carefully before you begin).
Thank you.

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The New Luxury Landscape: How Brands are Embracing Digital Transformation

Leading Disruptive Change in a Digital Economy

 

 

Strategy Case Study

 

The New Luxury Landscape: How Brands are Embracing Digital Transformation

 

Digitisation in Fashion – How is the industry changing?

The fashion industry, ranging from global discount retailers to exclusive luxury brands, drives a significant part of the global economy. Fashion is one of the most challenging fields, highly impacted by global economic uncertainty as well as distinct trends and industrial changes. In response to the pressure for growth and cost efficiency, many brands have started a series of initiatives to improve their speed to market and to implement sustainable innovation in their core product design, manufacturing and supply chain processes.

Having a clear mobile and social-media strategy is necessary but is not enough to capture full digital impact. To achieve and maintain digital leadership in the luxury industry—and to ensure that they allocate their digital investments wisely—companies must zero in on the most meaningful performance indicators and determine the actions that will make the most difference in achieving their digital objectives.

 

Value Proposition

It is no secret that we are well into a digital era, and almost every process is being digitized. Most businesses are looking into implementing digital techniques that will give them an upper hand over their competitors. Shoppers no longer want to make the long trip to the store just to purchase a single item; they prefer doing so from wherever they may be. Luxury brands are especially having a tough time accepting this reality because they thrive on the personal experience that they get to share with their customers (Apparel, Marchessou & Remy, 2018). Their primary goal is usually to give their customers that white-glove service that will keep them coming back. Digital platforms, according to the luxury brands, take away this experience hence their delayed assimilation into the digital world. However, the pressure by other businesses that are embracing technology in their business processes has forced the luxury brands to cave in and go digital too (Kapferer, 2014). To do so, they are forced to fully adopt technology as an integral part of their businesses instead of putting it on the sidelines.

A brand like Channel has only recently started advertising itself on social media platforms, especially Instagram. The process has so far been rewarding as the brand has crafted an impeccable social media presence topping A-list brands like Christian Soriano and Louis Vuitton, according to a recent study by PMX Agency (Dial, 2018). The brand’s followers became so many that they demanded two more accounts to be created, and it was done; one account for beauty products and other contained user-generated content. Chanel maintains the brand’s image even on their Instagram accounts by posting content that displays exclusivity and sophistication. They only collaborate with influencers that share the same audience and values as they do to ensure that their brand is represented appropriately.

However, other brands are also taking digital strides to ensure that they are not left behind. LVMH has come up with an accelerator program that focuses on visual-recognition predictive technology, biometric wristwear, chatbot customer service, and robotic technology that customizes clothing according to the customer’s body (O’Brien, 2019). Gucci has also come up with a project known as Gucci Hallucination. It makes use of virtual and augmented reality to enable users to feel as if they are living the lavish lifestyles that they desire. Tiffany & Co. have focused on dominating SERPs on Google (O’Brien, 2019). Searches for jewelry brand keywords will bring up majority of results linked to the company and images of the brand’s products. Neiman Marcus has focused on creating omnichannel shopping experiences for customers. This includes a website that remembers the customer’s preferences, such as their cloth sizes and brands that they like and personalized emails that inform the customers of the arrival of the items on their wish lists (O’Brien, 2019). There is also the “Memory Mirror” that enables customers to take videos of themselves trying on clothes. The “Snap. Find. Shop” feature allows customers to take pictures, then uses image recognition to find similar products (O’Brien, 2019).

Chanel has put so much focus on growing their social media presence that they have forgotten to explore other techniques of digital transformation. Social media should not be the only focus of the Chanel brand; instead, they should aim to adopt technology that puts them well ahead in the digital space. To achieve this, an application that uses artificial intelligence to identify counterfeit products can be developed. Customers can use the application that can be downloaded on their smartphones to determine whether a product they wish to purchase is a knock-off or a genuine of the Chanel brand. Most losses that luxury brands face are as a result of some businesses making imitations of their brand and selling them off to customers as the originals. This is because the customers have no way of checking the authenticity of the product when making their purchase and end up paying large sums of money for a counterfeit product. When the quality of the purchased product fails to satisfy the customer’s expectations, they end up putting the blame on the brand and not the person who sold them the product. Other customers who may have wanted to buy from the brand shy away from making the purchase because of such negative feedback. This tarnishes the name of the brand and reduces its customer pool.

 

 

Market Opportunity

            The digital market is one that is growing exponentially, with brands coming up with unique ways to make themselves stand out. Studies have revealed that about 2.5 percent of America’s global imports, which is about half a trillion dollars, consists of pirated or counterfeit goods. These astonishing figures have caused retail companies to begin exploring technologies that can enable them to get ahead of the counterfeiters. Many customers wish that they could have the power to tell a fake product from the real one, but most of the time, they are unable to do so. The counterfeit brand makers are becoming so good at what they do that they can even fool an employee that has worked for the Chanel brand for years. This shows how such an application could be of great assistance to the brand’s customers. It would be like having a superpower that enables you to identify the authenticity of the brand’s product. Amazon already has its own version of such a program in the market that lets brands filter out fakes before posting them on the site (Apparel, Marchessou & Remy, 2018). This has been one of the contributors to the large customer base that Amazon has; people are sure that the products that they purchase from the website are authentic. If these counterfeiters realize that they will have no way of selling fake Chanel products, they will avoid making them as they will not be profitable. In this way, Chanel can gain back the customers that it lost as a result of falling prey to fakes, and their profits will go up.

 

 

 

 

Competitive Differentiation

Other luxury brands such as Balenciaga, Burberry, Dior, Fendi, Gucci, Louis Vuitton, and Prada are already in on the use of applications to detect counterfeits on the market (Duma et al., 2020). They all use a technology that is provided by a company known as Entrupy, which detects any inconsistencies in a product to verify its authenticity. The technology has extensive databases of information on the brands’ products and uses anti-counterfeit algorithms to detect fake products. The Entrupy technology has been fed with microscopic pictures of authentic handbags from these brands that date back many years (Kapferer, 2014). The algorithm that the technology uses analyzes the aspects that make the products genuine that are difficult for counterfeiters to reproduce. Even if the counterfeiters discover these intricate details, they find the process of reproducing them at a microscopic level to be too expensive compared to the returns that they expect from the products.

To differentiate our application from the technology used by Entrupy, we will make it available to the general public. Entrupy, at the moment, only offers its technology for use by businesses. The businesses scan the products that they come across and try to discover whether they are authentic or not before they allow them to be sold in various online and offline stores (Duma et al., 2020). The problem comes in when a customer comes across the brand in a store that does not have direct affiliations with the Chanel brand. The store may be getting its products off the black market where the goods do not undergo screening to determine their authenticity. In this way, the customer can only hope that the brand they purchase is a genuine product of the Chanel brand, but that is not usually the case. With our application, the customer can have control over the products that they purchase. All they need to do is take out their phone and take a few pictures of the handbag that they wish to purchase. The algorithms of the application will get to work scanning the images uploaded for any inconsistencies and give feedback on whether the product is a fake or not.

At the moment, suitable anti-counterfeit algorithms that will be used in the analysis process are still being developed by the use of machine learning and artificial intelligence. Samples of the various genuine products from the brand are also being analyzed by big data analytics and details being stored in the application’s database.  This analysis involves scanning microscopic sections of the handbags and the information in the program’s memory to ensure that the application works with high accuracy. Features that will allow the samples of pictures that customers take to be stored in the database are also being installed. The application will also help in tracking those sellers that may think they have evaded the law by obtaining products from unwarranted sources as it will request for the customer’s location.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Apparel, A., Marchessou, S., & Remy, N. (2018). Luxury in the age of digital Darwinism. McKinsey & Company. Retrieved from: https://www.mckinsey.com/industries/retail/our-insights/luxury-in-the-age-of-digital-darwinism.

Cowan, T. (2018). Leading in the Digital Age: Disruption, Transformation, Data, Cybersecurity,   Artificial Intelligence, (First Edition). New York, NY: Vecker Press.

Dial, M. (2018). Digital Transformation For Luxury Brands – How To Add Value In A Luxurious Way – Leadership, Brand Strategy & Transformation. New York. Print.

Duma, F., Labati, F., Brunetti, G., & Gadgil, M. (2020). Mastering the Digital Transformation as a Heritage Luxury Fashion Brand. Marché Et Organisations, n°37(1), 33. New York. Print.

Kapferer, J.-N. (2014). The artification of luxury: From artisans to artists. Business Horizons, 57(3), 371–380. https://doi.org/10.1016/j.bushor.2013.12.007

Kelly, K. (2016). The Inevitable: Understanding the 12 Technological Forces That Will Shape Our Future. New York, NY: Viking.

McQuivey, J. (2013). Digital Disruption: Unleashing the Next Wave of Innovation. Las Vegas, NV:   Amazon Publishing.

O’Brien, M. (2019, October 25). The new luxury landscape: How Tiffany & Co., Gucci, and LVMH are embracing digital transformation. Retrieved from: https://www.clickz.com/new-luxury-landscape-tiffany-gucci-lvmh/214119/.

Paetz, P. (2014). Disruption by Design How to Create Products that Disrupt and then Dominate Markets. New York, NY: Apress.

 

 

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The New Luxury Landscape

Capstone

 

Final Written Project Proposal

 

The New Luxury Landscape

Project Definition

This project is focused on coming up with an application that consumers can use to identify counterfeit luxury brands from genuine products. The application through the use of machine learning and artificial intelligence will be equipped with algorithms that are able to identify minute variances in a brand’s features that may be an indicator that the product is an imitation. Big data analytics will enable the application to store details in the application’s database that will be used as references for the samples that will be presented for analysis to determine authenticity.

Value Proposition

The issue of counterfeit brands being smuggled into the consumer market is one that has been on the rise in the past decade. Counterfeiters have perfected their skill so much that it may prove difficult for a professional with years of experience in the field of fashion to identify an imitation from a genuine product. This has created the need for a program that can be able to do this task with high efficiency to be developed. It will provide both luxury brands and consumers of the said luxury brands with the ability to identify skillfully crafted counterfeit products and, in turn, reduce the losses that amount due to these products. Consumers will be able to regain the power that they had lost to fraudsters who preyed on their vulnerability and inexperience when it came to identifying imitations. Luxury brands, on the other hand, will be able to regain the thousands of dollars lost in profits to the fraudsters. They will also be able to regain lost customer loyalty from consumers who had once been victims of counterfeit products of a particular brand and sworn off the brand completely. This ability to identify counterfeit products will help in driving counterfeiters out of business, thus eliminating the unhealthy competition that they pose.

Target Market

The target market for the application is consumers of luxury brands on both the primary and secondary markets. Even though most luxury brands have equipment for identifying fake products before putting them on store shelves, some items may be illegally sneaked into the store by people with malicious intent. If the consumers of the store are equipped with the application for identifying imitations, then they will be able to avoid wasting their money on these fake products and inform the brand of the same. The brand will then be able to track down the supplier and terminate any contract they have and hand them over to law enforcement so as to avoid a repeat of such an incident. As for secondary markets, most and not fortunate enough to have the advanced equipment for fishing out forged goods hence putting their customers at greater risk. This application will enable both the seller and customer to be aware of these products and avoid them before they can become victims of the counterfeiters’ schemes.

Competitive Advantage

Most luxury brands already use an application such as Entrupy to scan their products for authenticity before letting them into the market. Stores that do not have direct affiliations with the brands are not as advantaged because all they can do is blindly trust their suppliers, hoping that they are providing them with genuine products. This application, however, provides a competitive edge in that it will be made available for public use. Customers and sellers in the secondary market will thus be able to carry out their own authentication process before making a purchase. This will also be of great assistance in the ongoing fight against counterfeit products as more offenders will be exposed before they prey on another innocent victim.

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Sample questions 20-25 points each

Sample questions 20-25 points each

1. What are the most significant differences in healthcare provision between urban and rural areas in America?

2. What are the most significant differences in for-profit and non-profit healthcare in America?

3. How would you best attempt to balance costs, quality, and access to healthcare in a specific situation (i.e., long-term care, managed care, workforce shortages, increased governmental regulation, etc.)? Make sure to consider all stakeholder groups involved (i.e., patients, providers, third-party payers, govt., etc.)

4. Discuss the state of health insurance in this country (private vs. public programs and include the impact of the uninsured).

5. What are the differences between primary, secondary, tertiary, long-term care, palliative care from the perspectives of cost effectiveness, quality provided, and access to care?

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Concepts of Neurological and Musculoskeletal Disorders Case Study

8: Concepts of Neurological and Musculoskeletal Disorders

As homeowners know all too well, there is a continuous need for maintenance and repair. Some efforts are precautionary in nature, while others are the result of issues that surface over time.

Similarly, musculoskeletal disorders can develop over time. For some disorders, such as osteoporosis, precautionary treatments are a potential option. But much like issues that surface in a home over time, many musculoskeletal issues can be very serious concerns, and they can have a significant impact on patients’ lives.

continue to examine fundamental concepts of neurological and musculoskeletal disorders. You explore common disorders that impact these systems and you apply the key terms and concepts that help communicate the pathophysiological nature of these issues to patients.

Students will:

Analyze processes related to neurological and musculoskeletal disorders

Identify racial/ethnic variables that may impact physiological functioning

Evaluate the impact of patient characteristics on disorders and altered physiology

Module 5 Assignment: Case Study Analysis

An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other.

Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role.

An understanding of the symptoms of alterations in neurological and musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms.

Any racial/ethnic variables that may impact physiological functioning.

How these processes interact to affect the patient.

Case Study Scenario 4: A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He also has noticed some tremors in his leg as well. The patient is accompanied by his son, who says that his father has become “stiff” and it takes him much longer to perform simple tasks. The son also relates that his father needs help rising from his chair. Physical exam demonstrates tremors in the hands at rest and fingers exhibit “pill rolling” movement. The patient’s face is not mobile and exhibits a mask-like appearance. His gait is uneven, and he shuffles when he walks and his head/neck, hips, and knees are flexed forward. He exhibits jerky or cogwheeling movement. The patient states that he has episodes of extreme sweating and flushing not associated with activity. Laboratory data unremarkable and the HCP has diagnosed the patient with Parkinson’s Disease.

Case Study

Scenario 4: A 67-year-old man presents to the HCP with chief complaint of tremors in his arms. He also has noticed some tremors in his leg as well. The patient is accompanied by his son, who says that his father has become “stiff” and it takes him much longer to perform simple tasks. The son also relates that his father needs help rising from his chair. Physical exam demonstrates tremors in the hands at rest and fingers exhibit “pill rolling” movement. The patient’s face is not mobile and exhibits a mask-like appearance. His gait is uneven, and he shuffles when he walks and his head/neck, hips, and knees are flexed forward. He exhibits jerky or cogwheeling movement. The patient states that he has episodes of extreme sweating and flushing not associated with activity. Laboratory data unremarkable and the HCP has diagnosed the patient with Parkinson’s Disease.

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describe your leadership role, team composition, and how to foster collaboration

Overview

In this assessment, you will create a 5-minute presentation for a committee kickoff meeting in which you describe your leadership role, team composition, and how to foster collaboration.

Preparation

For this assessment:

Use the PowerPoint Template [PPTX] to complete this assessment..
Kaltura (optional): (Note: While you have the option to use the tools most familiar to you to create your narrated PowerPoint presentation, Capella also offers learners access to Kaltura, a tool that can be used to record presentations using a web cam and microphone. Learn more about Kaltura at the Using Kaltura Campus page. Regardless of how you choose to submit your narrated presentation, you will need to make sure it is submitted in a file format your faculty is able to access.
Scenario

Imagine that Lynette follows up with you in an e-mail shortly after reading your views on leadership and collaboration.

E-mail From Lynette
Hi,

Thanks for sending me your thoughts on the diversity issue at the Lakeland Clinic. The next step is for you to select a team of professionals who can help you in this project and prepare an introduction of the project for a first meeting with them.

I want you to prepare a presentation to serve as a brief, but substantive introduction for the first meeting with a group of four members who will participate on the committee tasked with addressing the diversity issue.

The presentation should be approximately 5 minutes (use as many slides as required with detailed speaker’s notes) so I can understand your approach. Not a lot of time or space, so keep things pretty high level. Do the following:

Briefly outline the project goals and highlight 2–3 of the initial priorities to be addressed by the group.
Explain the composition of your ideal team and why you chose them. (Note that you will not know the exact personnel yet, but assume we will recruit the people with the desired qualities and characteristics that you outline in the presentation.) Provide brief description of the type of professionals you believe can help define the problem and ultimately make recommendations on how to address it. You will want the group to be diverse and with each member being able to provide a unique perspective.
Explain your role and describe how the committee will work together and achieve effective interprofessional collaboration.
Describe how the group will communicate. Include how and when they will meet.
Describe how ideas will be shared and decisions made.
Describe roles, group function, and structure.
Thanks,

Lynette

Instructions

Use the PowerPoint Template [PPTX] (and Kaltura or similar software) to create an approximately 5-minute narrated presentation with visuals in response to the above scenario.

Presentation Guidelines
Be sure your presentation meets the following requirements:

Length: Approximately 5 minutes (use as many slides as required).
Visuals: Create visuals that are easily read and interpreted. Use colors, fonts, formatting, and other design principles that make the information clear and generally add to the aesthetic of the presentation.
Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze leadership traits and styles.
Justify one’s own criteria and choice for committee members.
Competency 2: Apply accepted leadership practices and behaviors.
State goals and initial priorities that reasonably reflect a project.
Describe a plan to facilitate effective interprofessional collaboration among a committee.
Competency 3: Communicate professionally and effectively.
Create an organized presentation that clearly communicates specified content.
Organize content so ideas flow logically with smooth transitions.

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Formulating medications for extended release can increase the duration of action of many drugs. Describe and discuss how the coating of oral solid dosage forms can achieve extended release.

Formulating medications for extended release can increase the duration of action of many drugs. Describe and discuss how the coating of oral solid dosage forms can achieve extended release.

For the sources please use Aultons pharmaceutics fifth edition, Drug delivery and targeting: For pharmacists and pharmaceutical Scientists by Anya Hillery, https://pdfs.semanticscholar.org/4107/efbb389f380a8cb04f94742a262859c255e5.pdf. This is a link for a journal that you can use and you may use one more source but please use an accessible source so not something I have to purchase to get the full text for.
Please use Australian English.
and talk about the types of extended release systems available such as dissolution controlled products, erosion extended release systems, osmotic pump systems, ion exchange resins.

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final assignment proposal

Assignment Briefing: Proposal
A Short Proposal for Team or Individual Paper
5% of overall grade for a 1-2 page paper proposal
Geog1101 Human Geography (Summer 2020)
Dr. David Sadoway KPU
Introduction: What is A Short Proposal?
Your final assignment can be done either individually or in a team of fellow
geographers. If you work in teams please do so via internet or telephony (i.e.
video links, web conferencing, chat, shared docs, etc.). Your team consists of
fellow KPU Geog 1101 students interested in a common research topic or
research problem. Your short proposal is due on July 31st and the Final Paper
is due on August 12th. Thus, the short proposal is really a preliminary outline of
your plan for how you will get to writing and researching a Final Paper.
The short proposal is a tight research plan and a timeline and indicates some
of your advanced thinking about how you will research and write a fuller,
more comprehensive paper. As with any university-level writing it is important
that you do the reading, online research and thinking in advance. Your
proposal will demonstrate that you have a clear research topic, research
question (RQ) and have done some preliminary thinking in mind. None of
your ideas are set in stone, but they will serve as a guide.
Paris Chua for Dr. D. Sadoway (‘Cities & Urban Life’) NTU Singapore
What Exactly Am Proposing In 1-2 pgs?
Your short, 1-2 page Team Proposal will sketch a broad vision for a final
human geography research topic and paper. It is up to you to write-up a
proposal about any topic that interested you in this course this semester. You
can expand your research on an area you have already studied, or feel free
to explore any topic / research question related to the Big Five themes in this
class: maps and worldmaking; populations, mobilities, climate change &
disasters; the geographies of decolonization and indigeneity; g/localization
and urbanization processes; and geographic space, politics & geopower.
These of course are quite general, and you will need to propose a much
more narrow, focused and specific topic of study in your proposal.
When narrowing or focusing your topics. I highly encourage all students to
think of local scale projects with a geographic connection to Metro
Vancouver or B.C. (e.g. Indigenous rights; biodiversity losses; local disaster
issues; air quality; car culture and automobility; climate change and B.C.
cities; material poverty; the geography of immigration in cities; housing issues;
gentrification; land grabs; urban liveability; and so forth). You could add all
the many geographic issues that are linked to COVID-19, if you prefer. The
topic and RQ choice are really up to you, either individually or with teammates.
Your job in the proposal is to develop and prepare a plan to research
and write about a topic. That is the challenge of developing a short proposal,
because even though it is short, it requires plenty of advanced thinking.
You need to provide a preliminary outline of your plans, including these six:
1) Indie or Team Participants. List all of the names, student numbers and email
address of all your team members, or if you are doing the proposal and paper
independently, just yours (i.e. on your own). Either approach is acceptable.
2) Topic & RQ Focus. Your selected topic/title and preliminary research
question(s)[RQ] (be more specific than general). This may change somewhat
as your research unfolds.
3) Geographic Focus. As noted above, propose a single or multiple geographic
location, after doing some research to see if these/this may be feasible.
4) Preliminary Literature Review. Refer to the KPU Research Guide (scroll down).
After you have a thought about a topic and an RQ you will demonstrate that
you have done some preliminary research by identifying some good sources
of papers, studies, reports, databases, websites, or technical reports. In the
proposal you will identify at least 5-7 good sources that you may use in your
Final Report. Under “Preliminary References” identify examples of at least 5-7
high quality references of works that you may be using.
5) Basic Outline of your final report table of contents (include a timeline).
6) Key Tasks & Timeline. This is a plan of what and when you expect to do the
key tasks for completing and submitting a Final Paper. If you are in a
team/group this will list a “division of labour” of who in your group, you expect
to be doing/completing what and by when. Tasks could include topic
brainstorming; mind mapping; preliminary research; advanced/intensive
research; writing; synthesizing; editing; paper polishing, etc.

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AEC 258 Construction Planning & Scheduling Term Project

Please watch Dr. Zang’s lecture for your Term Project. You will need to download Microsoft Project, if you have not already. You will need this program to complete the Term Project. All instructions and information for this project are located in this week’s module.

video that helps explain https://usm.instructure.com/courses/49060/pages/lecture-15-term-project?module_item_id=1578127

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Coding Audit and Reporting Written Assignment

Coding Audit and Reporting Written Assignment

Learning Objectives:

Upon completion of this assignment the student will be able to:

  1. Analyze and present quality data in graphical format.
  2. Assess performance based on policy guidelines.
  3. Graphically present the findings
  4. Formulate decision making and plan of action

 

Scenario:  You have been promoted to the position of Coding Manager at National Medical Center (NMC) and are responsible for five (5) full-time and three (3) part-time coders.  On a quarterly basis you, the Coding Manager, are required to complete a coding audit and prepare summary reports for each coder.

Recent Audit Results:  The former Coding Manager completed the recent 4th Quarter audit, but she was not able to complete any of the reports prior to her departure.  She has left you with the following audit information on a piece of scratch paper:

Coder 1        88.6%

Coder 2        96%

Coder 3        98.9%

Coder 4        92%

Coder 5        89.9%

Coder 6        94.6%

Coder 7        81%

Coder 8        91%

 

You do not know the coding accuracy policy, so you locate the following information in the policy and procedure manual:

 

Coding Quality Policy: NMC must uphold a high level of coding accuracy expectations to meet internal, Joint Commission, Medicare standards, and other regulatory expectations.  In order to assure compliance with these standards, each coder will be audited on a quarterly basis through review of a random sample of their work.  The following quality standards are expected:

 

  1. A random sample of 20 charts will result in a 94% or higher accuracy rate.
  2. Coders in their first six (6) months will remain on probation and will be expected to reach a 94% accuracy rate by the end of the probation period.
  3. Coders in their probation period are expected to reach at least an 80% accuracy rate leading to the 94% standard at the end of six (6) months. A continuous improvement is expected over the duration of the probationary period.
  4. A coder not meeting the quality standard will be put on a continued education plan developed by the Coding Manager.
    1. The Coding Manager will work with the coder on a regular basis to monitor training and improvement;
    2. The next quarterly audit should show improvement up to the 94% standard;
    3. If a coder does not meet the standard in two consecutive audits, they will be put on probation for three (3) months. The next audit, after the three (3) month probation must convey the 94% standard or the coder will be subject to termination.

 

Complete the following tasks:

  1. Create a memo to your supervisor, Mary Jones, Director of HIM. Be sure to be professional, accurate and specific about the actions that you are recommending. Search for Logo Memo in MS Word if you are unfamiliar with memo format.
  2. Open your memo with an introduction describing your approach to this audit.
  3. Describe what additional information you should collect to comply with the policy.
  4. Create an Excel spreadsheet. Enter the information that you found in previous audit files (below) along with the 4th Quarter audit summary information that the previous manager left for you.
  5. Construct one bar chart showing the history for each of the coders.
  6. Copy and paste the bar chart into your memo.
  7. Describe your findings. Use the additional information collected (below).
  8. Conclude your memo with the decisions you propose to the following questions:
    1. Which coders are concerns and why? List each one that you are concerned with and be specific about the part(s) of the policy in question.
    2. Which coder(s) require an education plan?
    3. Do any coders need to be placed on probation?
    4. Do any coders need to be considered for termination?
    5. Are any coders in their probationary period in jeopardy of not meeting the probationary expectations?
  9. Submit the memo and Excel spreadsheet to the assignment link in Blackboard.

Previous audit results:

 

CODER QUARTER 1 QUARTER 2 QUARTER 3
1 82% 86% 94%
2 96.8% 98% 95.2%
3 92% 97% 96.9%
4 92% 94% 94%
5 87% 91% 89%
6 94.9% 95.2% 94.9%
7 NA NA NA
8 97.2% 94% 96%

 

Additional information collected:  Collected from each of the coders’ files and prepared in table format to define their employment status.

CODER LENGTH OF EMPLOYMENT NOTES
1 1 year  
2 7 years  
3 4 years  
4 11 years  
5 1 year 2ND Probation
6 2 years  
7 42 days Address weak areas
8 2 years Sudden drop

 

RUBRIC: Introduction and content (5 points), Excel format and graph (5 points), decision and conclusion (10 points), memo format, spelling, grammar, mechanics (5 points)

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