Healthcare services delivery and law course for graduate program U.S.A

Question 1 (20 points)

Patient is admitted to the hospital with severe headaches.  Patient initially seems to have all his mental faculties, but the nurses notice that while he understands the diagnoses of his symptoms as the nurses communicate them, he has trouble remembering certain facts (such as his wife’s name or the last time IU made the NCAA tournament).  The longer the day goes on he has trouble speaking in coherent sentences when talking to the nursing staff and physicians.

  1. Will this patient be deemed to have decisional capacity?  Discuss what factors will be considered by the physician, and how those appear to cut in this case?
  2.  
  • Assume that the patient has become incapacitated and has not executed an advance directive naming a Health Care Representative or Health Care Power of Attorney.  Knowing that the patient’s health has been deteriorating throughout the day, the patient’s wife and only sister are at the hospital when the physician recommends that the patient undergo surgery because the benefits of the surgery would outweigh the risks of not having the surgery.  The patient’s sister agrees with the physician’s recommendation, but the wife disagrees because she can’t bear the thought of her husband undergoing surgery.  The physician calls you to ask whether she can perform the surgery.  What do you tell the physician?  What steps do you take to reach that conclusion? 
  • Assume the patient has become incapacitated, has not executed an advance directive naming a Health Care Representative or Health Care Power of Attorney, and the sister tells you that the wife just recently filed for a petition for dissolution of marriage in court.  Does this change your answer in (b)?  Why or why not?
  • Assume the patient has become incapacitated, but has executed an advance directive naming his sister as his Health Care Representative.  Does this change your answer in (b)?  Why or why not?


Question 2 (15 points)

Rob Knight, avid Purdue fan living in Indianapolis, hits the bars hard the night after Purdue loses yet another basketball game.  The next morning, he has a raging headache and asks one of his roommates to take him to the nearest hospital emergency room (which happens to be an IU Health facility).  Other than a massive headache, there does not seem to be anything wrong with Rob. 

  1. What obligation does the hospital have to Rob Knight under these circumstances?

While IU Health Hospital properly completes its obligations (as you’ve just described), they discover that Rob has what they believe to be Purdue-Basketball-phobia (fear of rooting for a team that never fulfills expectations).  However, to their relief it is determined that when Rob Knight was out drowning his sorrows, he fell and hit his head (as he is in severe pain).   

  • What additional obligations does this discovery create for the hospital?

Rob is such a huge Purdue fan and so sick about the mounting losses that he can’t stand to be at the IU Health Hospital and demands that he be transferred to another hospital where he will not have to look at IU logos at every turn.

  • Can IU Health Hospital transfer Rob as he requests?  What criteria must they consider, and how might those criteria cut in this case?


Question 3 (15 points)

A medium sized county hospital (Hospital) enters into an arrangement with a local cardiologist (who regularly practices at the hospital) for the provision of call coverage services at the Hospital.  The hospital will pay the cardiologist $500 per day for call coverage, which is fairly standard in the industry for this type of call coverage.  The parties draft a contract which has a term of 1 year. 

  1. Do these payments implicate the Stark Law?  Why or why not?
  • Assume the Stark Law is implicated, what needs to be done to ensure compliance with the Stark Law, and please explain how the current facts help meet compliance, and what additional facts you’d want to be sure of to ensure compliance with the Stark Law?
  • Do we have a legal problem under the Anti-kickback statute? Why or why not?  If you need more information, what do you need to know, and why?

Question 4 (20 Points)

Horizon Health System is embarking on an ambitious plan to expand its services with the establishment of a new hospital.  The Board of Directors at Horizon feels that this was allow the entities to vastly expand the patient populations they serve, however, its administrative team does not have any experience with opening a new facility and has come to you with threshold questions about the regulatory and reimbursement environments that .

  1. Assume that Horizon Health System operates in a state that requires hospital licensure. How can their new hospital ensure continued compliance with licensure laws?
  2.  
  3. What steps must the hospital take before it can participate in the Medicare program?
  • Do you recommend that the hospital be accredited by an accreditation organization approved by CMS or wait for a State Agency survey?
  • What methods of payment will be used for inpatient services provided at the hospital? What about for outpatient hospital services?

steps on coding

Racial Disparities in Healthcare Among Pregnant Women in the United States

Tamifer Lewis

Department of Public Health, Monroe College, King Graduate School

KG604-144: Graduate Research and Critical Analysis

Dr. Manya Bouteneff

December 4, 2022

Color coding: who, when, where, why, how methodology & how process, what

Darling et al. (2021) conducted a study between 2001 and 2018 in the United States, France, Spain, and the Netherlands to examine the efficiency of qualified interventions in preterm birth, small for gestational age, low birth weight, neonatal death, cesarean deliveries, maternal care satisfaction, and coast effectiveness programs. A systematic review was used to collect data from studies of mostly non-Caucasian women from low-income population ranging from 12 to 46 years of age and being between 20 to 32 weeks’ gestation. Interventional programs were implemented into three categories: group prenatal care, augmented prenatal care, or a combination of both group and augmented prenatal care (Darling et al. 2021). The researchers found that certain interventions, such as prenatal care and augmented care, or a combination of both, may decrease adverse outcomes in small-for-gestational-age and preterm birth, and could aid in increasing maternal care satisfaction. Interventions that worked on enhancing coordination of care were found to result in providing more effective cost savings. The researchers also found disparities in the quality of access to care in the vulnerable population. There was insufficient evidence of suitable quality to confirm that the interventions were successful at enhancing clinical outcomes in prenatal care for at risk populations (Darling et al. 2021).

References

Darling, E. K., Cody, K., Tubman-Broeren, M., & Marquez, O. (2021). The effect of prenatal care delivery models targeting populations with low rates of PNC attendance: A systematic review. Journal of Health Care for the Poor and Underserved, 32(1), 119-136. https://www.proquest.com/scholarly-journals/effect-prenatal-care-delivery-models-targeting/docview/2507722229/se-2

computer science objectives

(1) READ: This assignment is not a working final document assignment; however, it will eventually make its way to the working final document–just not yet.

For this submission, you will need to create a new WORD document and you are expected to demonstrate the following compounded skills from previous weeks, in addition to the new skills learned this week and through the later Prep Tasks below:

  • APA 7 Basics: double-spaced, before and after set to zero; 1 inch margins all around; Times New Roman, 12 pt font; page numbers, upper right in header
  • Page 1 = APA 7 Title Page: your title can be something along the lines of, “Objective Summary of Prevalence Research Article” — of course, it will be worded to be relevant to YOUR relevant research variable
  • Page 2 = Your objective summary written as an academic paragraph (indented and full sentences) and color-coded with the designated colored font for each component. Use your EXCEL Research Tracker to help you summarize one of your research articles in your own words:

hint: copy this color chart into your Word document where you will write these, so you remember!

WHO = Dark BLUE

WHY = PURPLE

WHEN = RED

WHERE = GREEN

HOW + Process = ORANGE

WHAT = Lighter BLUE

  • Page 3 = Your APA 7 References Page (with only the research article you summarized)

(2) REVIEW: Open the following student sample document. Be sure yours looks similar prior to proceeding.

(2) REVIEW – c Student Sample Obj. Summ. (2024-2025) (2).docx

SUBMISSION REQUIREMENT TASKS

(1) PLAGIARISM CHECKERS: Review the following document to learn how to meet the newly implemented submission requirements that will be expected for each written assignment in the remaining weeks:

SUBMISSION TASK (1) plagiarism checkers (2) (1).pptx

(2) CHECK YOUR SIMILARITY:

  • Submit your assignment into the CHECK YOUR SIMILARITY HERE folder
  • Evaluate EVERY highlighted text EXCEPT the References Page and in-text citations to ensure it links only back to your own work.

(3) TAKE YOUR AI TEXT DETECTOR SCREENSHOT:

  • Paste your written text into this FREE AI Text Detector: Click here –> Scribbr AI Text Detector
  • Take a screenshot of your text and the percentage (NOT TO EXCEED 10%). You will have to take multiple screenshots if your document is over 500 words. 

(4) FINALIZE: Make sure your screenshot looks like the screenshot below.

SUBMISSION (4) Scribbr Screenshot (3).pdf

(5) SUBMIT: Attach your AI screenshot(s) WITH your WORD document submission. You will be attaching 2 documents in the submission box: (1) the screenshot first, then (2) your assignment WITH title and references pages.

Health Care Service Delivery & the Law

Instructions:

The case study below is designed to test your ability to issue spot and apply the legal principles discussed in the course to isolated fact patterns. Questions, issues, and, importantly, responses may be pulled from all of the Course Materials (e.g. lectures, readings, etc.). You may use your notes, your book, the slide decks, the internet.  But you cannot consult one another or otherwise coordinate with each other in any way. In addition, you cannot use any type of Artificial Intelligence program or software (e.g., ChatGPT).

You are to approach each question as if you are corporate and/or individual counsel engaged by your client to identify the legal issues involved in each fact pattern below. There are no word limits for responses, however in rendering your advice you should endeavor to be accurate and concise (e.g. you will not be awarded extra points for providing additional analysis that is not applicable to the situation at hand). Answers receiving full points will (1) correctly identify all applicable legal issues; (2) summarize the rule(s) applied to each legal issue; and (3) correctly apply the rule to the fact pattern at hand.


Rubric:

Each subpart of the Case Study will be graded on a Point Scale ranging from 5 (Full Points) to 0. The rubric below sets forth how each response will be analyzed and graded. Partial points will not be awarded.

Point TotalDescription
5Student accurately identifies all major issue(s) and correctly applies the legal analysis to the fact pattern to provide the correct response for all subcomponents of the question. The Student’s answer is complete and concise.
4Student accurately identifies all major issue(s) and correctly applies the legal analysis to the fact pattern to provide the correct response for all subcomponents of the question.
3Student accurately identifies all major issue(s) and correctly applies the legal analysis to the fact pattern.
2Student accurately identifies all major issue(s) and incorrectly applies the legal analysis to the fact pattern.
1Student fails to identify the major issue(s) and incorrectly applies the legal analysis to the fact pattern.
0Student does not attempt to answer the question and/or it is determined student utilized artificial intelligence software (e.g. ChatGPT) in the preparation of their answer.


Question 1 (20 points)

Patient is admitted to the hospital with severe headaches.  Patient initially seems to have all his mental faculties, but the nurses notice that while he understands the diagnoses of his symptoms as the nurses communicate them, he has trouble remembering certain facts (such as his wife’s name or the last time IU made the NCAA tournament).  The longer the day goes on he has trouble speaking in coherent sentences when talking to the nursing staff and physicians.

  1. Will this patient be deemed to have decisional capacity?  Discuss what factors will be considered by the physician, and how those appear to cut in this case?
  2.  
  • Assume that the patient has become incapacitated and has not executed an advance directive naming a Health Care Representative or Health Care Power of Attorney.  Knowing that the patient’s health has been deteriorating throughout the day, the patient’s wife and only sister are at the hospital when the physician recommends that the patient undergo surgery because the benefits of the surgery would outweigh the risks of not having the surgery.  The patient’s sister agrees with the physician’s recommendation, but the wife disagrees because she can’t bear the thought of her husband undergoing surgery.  The physician calls you to ask whether she can perform the surgery.  What do you tell the physician?  What steps do you take to reach that conclusion? 
  • Assume the patient has become incapacitated, has not executed an advance directive naming a Health Care Representative or Health Care Power of Attorney, and the sister tells you that the wife just recently filed for a petition for dissolution of marriage in court.  Does this change your answer in (b)?  Why or why not?
  • Assume the patient has become incapacitated, but has executed an advance directive naming his sister as his Health Care Representative.  Does this change your answer in (b)?  Why or why not?


Question 2 (15 points)

Rob Knight, avid Purdue fan living in Indianapolis, hits the bars hard the night after Purdue loses yet another basketball game.  The next morning, he has a raging headache and asks one of his roommates to take him to the nearest hospital emergency room (which happens to be an IU Health facility).  Other than a massive headache, there does not seem to be anything wrong with Rob. 

  1. What obligation does the hospital have to Rob Knight under these circumstances?

While IU Health Hospital properly completes its obligations (as you’ve just described), they discover that Rob has what they believe to be Purdue-Basketball-phobia (fear of rooting for a team that never fulfills expectations).  However, to their relief it is determined that when Rob Knight was out drowning his sorrows, he fell and hit his head (as he is in severe pain).   

  • What additional obligations does this discovery create for the hospital?

Rob is such a huge Purdue fan and so sick about the mounting losses that he can’t stand to be at the IU Health Hospital and demands that he be transferred to another hospital where he will not have to look at IU logos at every turn.

  • Can IU Health Hospital transfer Rob as he requests?  What criteria must they consider, and how might those criteria cut in this case?


Question 3 (15 points)

A medium sized county hospital (Hospital) enters into an arrangement with a local cardiologist (who regularly practices at the hospital) for the provision of call coverage services at the Hospital.  The hospital will pay the cardiologist $500 per day for call coverage, which is fairly standard in the industry for this type of call coverage.  The parties draft a contract which has a term of 1 year. 

  1. Do these payments implicate the Stark Law?  Why or why not?
  • Assume the Stark Law is implicated, what needs to be done to ensure compliance with the Stark Law, and please explain how the current facts help meet compliance, and what additional facts you’d want to be sure of to ensure compliance with the Stark Law?
  • Do we have a legal problem under the Anti-kickback statute? Why or why not?  If you need more information, what do you need to know, and why?

Question 4 (20 Points)

Horizon Health System is embarking on an ambitious plan to expand its services with the establishment of a new hospital.  The Board of Directors at Horizon feels that this was allow the entities to vastly expand the patient populations they serve, however, its administrative team does not have any experience with opening a new facility and has come to you with threshold questions about the regulatory and reimbursement environments that .

  1. Assume that Horizon Health System operates in a state that requires hospital licensure. How can their new hospital ensure continued compliance with licensure laws?
  2.  
  3. What steps must the hospital take before it can participate in the Medicare program?
  • Do you recommend that the hospital be accredited by an accreditation organization approved by CMS or wait for a State Agency survey?
  • What methods of payment will be used for inpatient services provided at the hospital? What about for outpatient hospital services?

Important Vocabulary in academic references

Define the following terms, including academic references, and use the APA format.

  • Dissociative disorder Somatic disorder.
  • Type A Personality Disorders
  • Type B Personality Disorders
  • Type C Personality Disorders
  • Paranoid Personality Disorder
  • Schizotypal Personality Disorder
  • Antisocial Personality Disorder
  • Histrionic Personality Disorder
  • Borderline Personality Disorder Narcissistic
  • Personality Disorder
  • Avoidant Personality Disorder
  • Dependent Personality Disorder

 Strategic Planning & Implementation

In this course, you will engage with a comprehensive examination of strategic planning, starting with this assignment and continuing through Weeks 4, 5, and 6.

Assignment Preparation

Select a company that has a SWOT analysis report in the University Library by using the Find or Create a SWOT Analysis page. This company will be the subject of your analyses and presentations throughout the entirety of the project. 

Note: It’s crucial to use the same company across all related assignments, as continuity is essential for the depth and applicability of your analysis.

The SWOT analysis will be used in later weeks.

Using your selected company, navigate to your company’s website and locate the strategic plan.

Research and analyze the current strategic plan of your chosen company. Focus on what the plan does well and identify areas for improvement. 

Your choice of strategic plan, approved by your instructor, will be crucial for your assignments in Weeks 4 and 5.

Assignment Deliverable

Write a 175- to 350-word summary that identifies the strategic plan and includes:

  • where the organization is going and how it will get there 
  • the organization’s external and internal environments 
  • the strategy to develop the workforce and addresses achievement of a diverse workforce 
  • the corporate social responsibility and environmental sustainability strategy

Include a link and citation to the strategic plan you selected. 

Differentiate the characteristics of managers and leaders.

Healthcare management depends on both leaders and managers to provide patient-centered care, to maintain operations, and to keep the healthcare organization moving in a positive direction. But what are the characteristics, duties, and competencies that distinguish a healthcare management leader from a healthcare manager? Do managers need to be leaders, and must leaders always be managers? What are the areas of overlap between the two? In addition to exploring these distinctions and areas of overlap, you will examine the historical and theoretical perspectives on leadership that shape the roles and responsibilities of both leaders and managers.

Nursing Care of Physiologic & Psychologic Disorders 

Discuss the Nursing care of age-related Physiologic or Psychologic Disorder.

  1. Present the age-related Physiologic or Psychologic Disorder
    Choose from one: Integumentary function, Urinary function, Musculoskeletal function or Endocrine function.
  2. Describe the age-related changes and common problems and conditions.
  3. Summarize the nursing management appropriate for your Physiologic or Psychologic Disorder chosen

Healthcare Leadership and Management Scenario

Part I: Email to Clinic Director

The clinic director has identified a list of responsibilities that he could potentially use within the job description for the manager position, but he wants to gather information from someone who works closely with this department on a regular basis. He asks you to analyze the list of responsibilities and choose 5 that you think are most important. For each of these 5 selected tasks, explain why it is an important responsibility from both a manager and a leader perspective. Draft an email in response to the clinic director’s request that identifies the 5 responsibilities and analyzes each from both perspectives.

  • Setting a department vision
  • Maintaining a smooth relationship with the physicians
  • Overseeing technology acquisition for the department
  • Being an effective spokesperson for the organization
  • Determining strategies for the future
  • Motivating stakeholders
  • Ensuring patient satisfaction
  • Mentoring new hires
  • Fostering collaboration
  • Assisting with budgeting
  • Aligning team with organizational values
  • Facilitating continuing education for staff
  • Training new employees
  • Connecting people across departments
  • Controlling departmental resources
  • Establishing a department mission

Your email response should be between 3 and 5 paragraphs in length.

Part II: Manager and Leader Responsibility Infographic

In addition to emailing the clinic director regarding the importance of responsibilities from both a leader and manager perspective, you have also been asked to communicate these important responsibilities to the employees in your department. You decide to create an infographic that explains the responsibilities from both a leader and manager perspective, highlighting the fact that, while not everyone is in a management position, everyone on the team can be a leader in some way.

Your infographic should be 1–2 pages in length and should include at least one APA-formatted resource that supports your explanation of responsibilities. Although not required, you can use this website to help you create an infographic. https://www.easel.ly/

Part III: Response Memo on Evaluation of Candidates

The hiring committee has narrowed their search to three candidates from within your current team: Erica, Kendra, and Arlo. You work with each of these candidates on a daily basis, so the hiring committee asks for your evaluation of the candidates and a recommendation for the manager position. Evaluate the three candidates (Erica, Kendra, and Arlo) based on the responsibilities that you feel are most important and the candidate information provided. Write a memo to the clinical director, who is part of the hiring committee, that includes the following:

  • Make a recommendation for one candidate who best displays both manager and leader characteristics. Reference at least 2 responsibilities that were analyzed within your email to the clinical director in Part 1.
  • Reference at least 1 appropriate scholarly resource in APA format that supports your recommendation.

Healthcare Leadership and Management Scenario
You work on a team of medical assistants at a busy children’s clinic. The absence of a manager who has been out of the office due to personal illness is causing significant stress in the workplace. HR sees the need for a new manager. As the senior member of your team, you have been asked to participate in the process of writing a job description and hiring a new manager.

Part I: Email to Clinic Director

The clinic director has identified a list of responsibilities that he could potentially use within the job description for the manager position, but he wants to gather information from someone who works closely with this department on a regular basis. He asks you to analyze the list of responsibilities and choose 5 that you think are most important. For each of these 5 selected tasks, explain why it is an important responsibility from both a manager and a leader perspective. Draft an email in response to the clinic director’s request that identifies the 5 responsibilities and analyzes each from both perspectives.

  • Setting a department vision
  • Maintaining a smooth relationship with the physicians
  • Overseeing technology acquisition for the department
  • Being an effective spokesperson for the organization
  • Determining strategies for the future
  • Motivating stakeholders
  • Ensuring patient satisfaction
  • Mentoring new hires
  • Fostering collaboration
  • Assisting with budgeting
  • Aligning team with organizational values
  • Facilitating continuing education for staff
  • Training new employees
  • Connecting people across departments
  • Controlling departmental resources
  • Establishing a department mission

Your email response should be between 3 and 5 paragraphs in length.

Part II: Manager and Leader Responsibility Infographic

In addition to emailing the clinic director regarding the importance of responsibilities from both a leader and manager perspective, you have also been asked to communicate these important responsibilities to the employees in your department. You decide to create an infographic that explains the responsibilities from both a leader and manager perspective, highlighting the fact that, while not everyone is in a management position, everyone on the team can be a leader in some way.

Your infographic should be 1–2 pages in length and should include at least one APA-formatted resource that supports your explanation of responsibilities. Although not required, you can use this website to help you create an infographic. https://www.easel.ly/

Part III: Response Memo on Evaluation of Candidates

The hiring committee has narrowed their search to three candidates from within your current team: Erica, Kendra, and Arlo. You work with each of these candidates on a daily basis, so the hiring committee asks for your evaluation of the candidates and a recommendation for the manager position. Evaluate the three candidates (Erica, Kendra, and Arlo) based on the responsibilities that you feel are most important and the candidate information provided. Write a memo to the clinical director, who is part of the hiring committee, that includes the following:

Reference at least 1 appropriate scholarly resource in APA format that supports your recommendation.
You work on a team of medical assistants at a busy children’s clinic. The absence of a manager who has been out of the office due to personal illness is causing significant stress in the workplace. HR sees the need for a new manager. As the senior member of your team, you have been asked to participate in the process of writing a job description and hiring a new manager.

Make a recommendation for one candidate who best displays both manager and leader characteristics. Reference at least 2 responsibilities that were analyzed within your email to the clinical director in Part 1.

Part I: Email to Clinic Director

The clinic director has identified a list of responsibilities that he could potentially use within the job description for the manager position, but he wants to gather information from someone who works closely with this department on a regular basis. He asks you to analyze the list of responsibilities and choose 5 that you think are most important. For each of these 5 selected tasks, explain why it is an important responsibility from both a manager and a leader perspective. Draft an email in response to the clinic director’s request that identifies the 5 responsibilities and analyzes each from both perspectives.

  • Setting a department vision
  • Maintaining a smooth relationship with the physicians
  • Overseeing technology acquisition for the department
  • Being an effective spokesperson for the organization
  • Determining strategies for the future
  • Motivating stakeholders
  • Ensuring patient satisfaction
  • Mentoring new hires
  • Fostering collaboration
  • Assisting with budgeting
  • Aligning team with organizational values
  • Facilitating continuing education for staff
  • Training new employees
  • Connecting people across departments
  • Controlling departmental resources
  • Establishing a department mission

Your email response should be between 3 and 5 paragraphs in length.

Part II: Manager and Leader Responsibility Infographic

In addition to emailing the clinic director regarding the importance of responsibilities from both a leader and manager perspective, you have also been asked to communicate these important responsibilities to the employees in your department. You decide to create an infographic that explains the responsibilities from both a leader and manager perspective, highlighting the fact that, while not everyone is in a management position, everyone on the team can be a leader in some way.

Your infographic should be 1–2 pages in length and should include at least one APA-formatted resource that supports your explanation of responsibilities. Although not required, you can use this website to help you create an infographic. https://www.easel.ly/

Part III: Response Memo on Evaluation of Candidates

The hiring committee has narrowed their search to three candidates from within your current team: Erica, Kendra, and Arlo. You work with each of these candidates on a daily basis, so the hiring committee asks for your evaluation of the candidates and a recommendation for the manager position. Evaluate the three candidates (Erica, Kendra, and Arlo) based on the responsibilities that you feel are most important and the candidate information provided. Write a memo to the clinical director, who is part of the hiring committee, that includes the following:

  • Make a recommendation for one candidate who best displays both manager and leader characteristics. Reference at least 2 responsibilities that were analyzed within your email to the clinical director in Part 1.
  • Reference at least 1 appropriate scholarly resource in APA format that supports your recommendation.

Case study on business and finance


Fatma settled down for lunch at the Yank Sing Chinese restaurant. She was early and took the time to catch up on her e-mail. Soon she would be joined by Jasper and Viktoria, two fellow 2014 grads from Virginia Tech in Blacksburg, Virginia.

Jasper worked as a software engineer for a start-up company that wanted to expand the boundaries of sharing economy. Viktoria was an electrical engineer who worked for a German healthcare company in San Francisco. They had met each other at a Silicon Valley alumni reception hosted by Virginia Tech. Each of them felt a bit like a fish out of water on the West Coast, so they decided to have lunch together each month. The lunch evolved into a professional support group. A major part of each of their jobs was managing projects, and they found it useful to share issues and seek advice from each other.

Fatma worked for a very successful Internet company whose founders believed that everyone in the firm should devote three days a year to community service projects. The company was partnering with several companies in the construction industry to renovate abandoned buildings for low-income families. The next project was the renovation of an empty warehouse into eight two-bedroom apartments. Fatma was part of the core team in charge of scheduling and managing work assignments.

Viktoria and Jasper entered the restaurant together. Viktoria was the first to move to the Bay Area. She was currently working on the next-generation neural stimulator (“PAX 2”). Neural stimulators are electronic devices that doctors implant in patients with wires connected to sources of pain in the patient’s spine. In the past, patients would have to have an operation to replace the stimulator battery every 10 years. PAX 2 was being designed to take advantage of new battery technologies and use a rechargeable battery. In concept, this battery system would eliminate the need for replacement surgeries and allow the implanted battery to be recharged externally. Viktoria’s team had just completed the second prototype and was entering a critical testing phase. It had been tricky trying to predict the lifespan of the new rechargeable battery without testing it in real time. She was anxious to begin seeing the test results.

Jasper was working for a start-up company after doing contract work for his first nine months in San Francisco. He was sworn to secrecy about the project and all Fatma and Viktoria knew was that the project had something to do with sharing economy. He was working with a small development team that included colleagues from Bangalore, India, and Malmo, Sweden.

After ordering and chit-chatting a bit, Fatma started the discussion. “I will be glad when this week is over,” she said. “We’ve been struggling defining the scope of the project. At first glance our project seems relatively simple, build eight two-bedroom apartments in an old warehouse. But there are a lot of unanswered questions. What kind of community space do we want to have? How efficient should the energy system be? What kind of furniture? Everybody wants to do a good job, but when does low-income housing morph into middle-income housing?”

Viktoria offered, “Scope defining is one of the things my company does very well. Before a project is authorized, a detailed scope statement is developed that clearly defines the project objectives, priorities, budget, requirements, limits, and exclusions. All of the key stakeholders sign off on it. It is really important to identify priorities up front. I know on the PAX 2 project that scope is the number one priority. I know that no matter how long it takes it is imperative that my work is done right.”

Fatma responded, “That’s exactly what my project manager is preparing for Friday’s meeting. I guess that one of the things you have to do as a project manager is end discussions. He is going to make the tough calls and finalize the project scope so we can begin planning.”

Jasper interjected, “You guys are so lucky; for the most part your scope remains the same. In my work the scope is constantly changing. You show the founders a feature they wanted, and they say, well, if you can do that, can you do this? You know it’s going to happen, but you really can’t plan for it.”

Jasper went on, “We do know what our number one priority is: time. There are a lot of players trying to move in to the ‘space’ we are working on. We have to demonstrate we are ahead of the pack if we are going to continue to get venture capital funding.”

Jasper said that despite the pressure, his project had been a lot of fun. He especially liked working with his Swedish and Indian counterparts, Axel and Raja. They worked like a global tag team on their part of the project. Jasper would code and then pass his work on to Raja, who would work on it and pass it on to Axel, who would eventually hand it off to Jasper. Given the time zones, they were able to have at least one person working on the code around the clock.

Jasper said it was hard at first working with someone he hadn’t met personally other than on a video screen. Trust was an issue. Everyone was trying to prove himself. Eventually a friendly competition arose across the team. The programmers exchanged funny cartoons and YouTube videos. He showed Fatma and Viktoria a YouTube video about scope creep that got a chuckle from everyone.

They made plans to meet next at the new Peruvian restaurant on SE 8th Street.

PART B

The Peruvian cilantro/lime ceviche was a big hit at the next lunch. Viktoria began their discussion by reporting, “I have good and bad news. The bad news is that our first prototype failed its tests miserably. The good news is that I have a smart project manager. She knew this could happen, so she mitigated the risk by having us working on two alternative battery technologies. The alternative technology is passing all of the tests. Instead of falling behind months, we are only days behind schedule.”

This precipitated a discussion of risk management. Fatma reported that there had been a two-day session on risk management for the renovation project. They spent the first day brainstorming what could go wrong, and the second day coming up with strategies for dealing with risks. A big help was the risk report that was generated after the last project. The report detailed all of the problems that had occurred on the last renovation project as well as recommendations. Fatma said, “I couldn’t believe how much time and attention was devoted to safety, but as my project manager said, ‘all it takes is one bad accident to shut down a project for weeks, even months.’”

Jasper reported that on his project they spent very little time on risk management. His project was driven by a build-test mentality. “Everybody assumes that daily testing eliminates problems, but when it’s time to integrate different features, that’s when the real bugs will emerge,” Jasper said.

Jasper went on to say that things were not going well at work. They had missed their second straight milestone, and everyone was feeling the pressure to show results. “I even slept by my cubicle three nights ago,” Jasper confessed. Fatma asked, “How many hours are you working?” “I don’t know, at least 70, maybe 80 hours,” Jasper answered. He went on to say, “This is a high-stakes project, with a BIG upside if successful. I am doing some of my best programming and we’ll just have to see what happens.”

Jasper showed them a cartoon that was being circulated across his team. The caption read “When did you want it done? Yesterday.”

Fatma turned to her friends and said, “I need some advice. As you know, I’m responsible for scheduling work assignments. Well, some of my colleagues have been pretty aggressive lobbying for choice assignments. Everyone wants to work alongside Bruno or Ryan. Suddenly I am everyone’s friend, and certain people are going way out of their way to do favors for me. I am sure they think it will influence my decisions. It’s getting awkward and I am not sure what to do.”

“Quid pro quo,” answered Jasper, “that’s how the business world works. You scratch my back and I’ll scratch yours. Within reason, I don’t have a problem with someone taking advantage of her position to garner favors and build relationships.”

Viktoria said, “I disagree. You don’t want to be seen as someone whose influence can be bought. You need to think what’s best for the company. You need to ask yourself what Bruno and Ryan would want you to do. And if you don’t know, ask them.”

After much discussion, Fatma left the restaurant leaning toward Viktoria’s advice, but she wasn’t sure what the guidelines should be.

PART C

It took two months for the HokiesLinks to an external site. lunch group to get together again. Jasper had canceled the last meeting because of work, so Viktoria and Fatma saw a movie together instead.

Jasper was the last person to arrive and it was clear from the look on his face that things were not going well. He sat down, avoiding eye contact, before blurting, “I’m out of work.” “What do you mean?” Fatma and Viktoria cried. Jasper explained after months and months of work they had been unable to demonstrate a functional product.

Jasper went on to say, “Despite our best efforts we couldn’t deliver. The founders couldn’t get an ounce of second-round venture funding, so they decided to cut their losses and kill the project. I just spent the best six months of my programming life for nothing.”

Fatma and Viktoria tried to comfort their friend. Fatma asked Jasper how the others were taking the news. Jasper said the Swedish programmer, Axel, took the news very hard. He went on to say, “I think he was burning a lot of bridges at home with the long work hours and now he has nothing to show for it. He started blaming us for mistakes we never made.” Raja, his Indian counterpart, was a different story. “Raja seemed to shrug his shoulders.” Jasper added, “He said, ‘I know I am a good programmer. There are lots of opportunities here in Bangalore.’” 

Fatma broke the silence that followed by saying to Jasper, “Send me your resume. My company is always looking for top-notch programmers and it is a really great company. Can you believe it, the two founders, Bruno and Ryan, are working side by side with everyone on renovating the warehouse? In fact, people were amazed at how good Bruno was with sheet rock. A big part of my job now is scheduling their time so they can work with as many different people as possible. They really want to use the project to get to know their employees. This hasn’t been easy. I have had to juggle their calendars, their abilities, and work opportunities.”

Viktoria interjected, “You’re using Microsoft Project to do this?” “Not really,” responded Fatma. “At first I tried scheduling their work in Microsoft Project, but it was too cumbersome and time consuming. Now I just use the Project master schedule and each of their calendars to schedule their work. This seems to work best.”

Viktoria added, “Yeah, Microsoft Project is a great program, but you can get lost trying to get it to do everything. Sometimes all you need is an Excel sheet and common sense.”

Viktoria felt awkward, given what had happened to Jasper. She was just wrapping up the successful PAX 2 project. She was also getting ready for a well-deserved holiday in Vietnam paid for by her project bonus. “I hate closing out a project,” Viktoria said. “It’s so boring. Document, document, document! I keep kicking myself for not tracking things when they happened. I am spending most of my time scouring my computer for files. I can’t wait to take off to Vietnam.”

Viktoria went on to say, “The only thing I liked doing was the project retrospective.” Jasper asked, “What’s a project retrospective?” Viktoria answered, “It’s when the project team gets together and reviews what went well and what didn’t and identifies lessons learned that we can apply to future projects. For example, one of the things we learned was that we needed to bring the manufacturing people on board a lot sooner in the design process. We focused on designing the very best product possible, regardless of cost. We found out later that there were ways for reducing production costs without compromising quality.”

Fatma added, “We do that, too, at the end of our projects, but we call it an audit.”

Fatma asked Viktoria, “Do you know what your next assignment will be?” “No,” she replied, “I will probably go back to my department and do some testing. I’m not worried. I did good work. I am sure someone will want me for their project.”

Jasper chimed in, “I sure hope someone wants me for their next project.” Fatma and Viktoria immediately went into action, trying to lift their friend’s spirits.

A little while later, they walked out of the restaurant and gave each other hugs. Fatma reminded Jasper to send her his latest resume.