<p> Over the past several years, mental healthcare system in United States has evolved tremendously, however majority of people are still struggling with various forms of mental illness and find it difficult to get appropriate treatment at the right time due to barriers like lack of providers, poor access, high cost and, social stigma. This business plan proposes an online mental health service company PsychWeb, offering telemental health services, with the aim of improving access to mental healthcare in the comfort of one&rsquo;s own living environment.</p><p> Chapter 1 of this business plan is about complete market analysis for the online mental health industry along with the business overview for PsychWeb and its services. It also sheds light on business target population, competitors, growth strategies and proposed future milestones. Chapter 2 shows an in depth feasibility analysis using SWOT that ensures business viability and success. In chapter 3, we have discussed the legal and regulatory issues, along with company formation, and laws around provider and patient use of PsychWeb services laying stress on HIPAA and provider licensure requirements at the state and federal level. Lastly, chapter 4 explains the financial analysis conducted to ensure the business profitability. It gives a detailed breakdown of monthly and yearly expenditures, revenues generated and profit margin projections. All financial statements generated in the process are provided in the appendix of this business plan.</p>

<p> This qualitative study provides a snapshot into what corporations say and what they do with regard to stakeholder engagement in the context of Corporate Social Responsibility (CSR) and considers the difference in the promises made and the actions taken by corporations in the minds of stakeholders. As the research of CSR questions what a corporation is responsible for and Stakeholder Theory (ST) questions whom the corporation is responsible to, CSR and ST provide conceptual frameworks for the study. A genuine commitment to CSR and stakeholder engagement contributes to sustainability, impacting the Triple Bottom Line (TBL) of an organization. According to the National Research Council, there is an urgent need for corporations within the U.S. Healthcare sector to make such a commitment. As large corporations are established organizations with greater resources to engage stakeholders in support of CSR, many believe they should take the lead. Consequently, this study identified six large-capitalization (large-cap) corporations within the U.S. Healthcare sector, representing six different industries within the sector that complied with Global Reporting Initiative (GRI) guidelines, the study&rsquo;s sampling criteria. Content analysis of Annual Reports to Shareholders, CSR Reports, and RepRisk Reports of the corporations selected for study allowed the researcher to formulate several conclusions. A corporation&rsquo;s commitment to ESG issues evolves over time, while their level of engagement with stakeholders fluctuates. Further, the communication style of a corporation can influence perceived commitment to ESG issues and stakeholder engagement. Finally, corporations committed to ESG issues and stakeholder engagement are not immune to incidents of ESG risk, which in turn, negatively impacts a corporation&rsquo;s reputation and impairs sustainability. A critical management approach to improve our nation&rsquo;s healthcare system is the adoption of a stakeholder orientation in support of CSR efforts. This study reveals a path that corporations within the sector can take to adopt such approaches. The importance of this study lies in the observations shared to further understand if corporations walk the talk with regard to stakeholder engagement in support of CSR and the recommendations offered that hopefully inspire more healthcare corporations to contribute to the transformation required.</p>

<p> Transportation is a problem that is constantly evolving but there are few places in the world that have the transportation problems of Southern California. Although there is a lot of competition for transportation the market for disabled accessible private transportation has a lot of room for growth in Southern California. This business plan purposes the creation of a private transportation service, Beach Transportation, in Southern Orange County which assists the elderly and handicap. The goal of our business will be to provide the highest quality transportation to those who require disability services or assistance at an affordable rate. This plan of starting small and in a focused market gives of room for future growth and expansion. The financial and technical feasibility help demonstrate the companies requirements for startup and revenue estimates. While Beach Transportation will have to work hard to create a customer base it should succeed due to establishing the business within a large target market and starting on low cost operations to allow the company to grow.</p>

<p> Mint Green is a limited liability company who provides preventative health care services to the Greater Long Beach area. Mint Green is entering the Weight Loss Services Industry which is experiencing rapid growth due to the enactment of the Patient Protection and Affordable Care Act. Mint Green has the opportunity to reach approximately 65% of firms who offer health benefits to their employees. Mint Green&rsquo;s Healthy Eating and Lifestyle Plan (HELP) is the core instruction to the weight loss programs. Mint Green has four types of weight loss programs; each developed to satisfy a wide array of budgets. Mint Green is projected to yield a profitable margin.</p>

<p> Low back syndrome affects 20% of people, and it is estimated that 30% of patients are unable to return to work after surgery. The monitoring of health care outcomes could improve the delivery of health services. The health performance conceptual framework, derived from the Donabedian model, was used to evaluate the functional outcome, clinical recovery, response to surgery, and physician performance of the surgical management of lumbar spine degeneration. A quantitative study (n=685) was undertaken using an administrative database in a repeated-measures design. The clinical and functional outcome improvements were analyzed using t tests. Surgical complexity on health outcome was examined with ANOVA. Predictors of patient satisfaction was explored using Pearson's correlation and regression analyses. The results demonstrated highly significant improvements in functional (mean change 30%; ODI=16.79 &plusmn; <i> SD</i> 19.92) and clinical recovery (mean change 50%; modified-JOA=6.983 &plusmn; <i>SD</i> 2.613) with surgery at 3 months; a >50% positive response to surgery; and a > 90% patient satisfaction, sustained over a 2 year period. Complexity of surgery did not impact health performance. Strong correlations between the health performance metrics were detected up to 6-months from surgery. Poor clinical recovery and persistent functional disability were predictive of patient dissatisfaction. The social change implications for health policy are that a constellation of health performance metrics could predict the potential for functional and clinical recovery based on presurgery disability while avoiding medical expenditures for procedures with no health benefit; aid in health quality monitoring, peer comparisons, revision of practice guidelines, and cost benefit analysis by payers.</p>

<p> This research used a Delphi methodology to solicit challenges that significantly impact the operational success of pediatric long-term care facilities. Further, this study sought to understand the ability of pediatrics administrators to impact, affect, overcome, or resolve these challenges. Round 1 accomplished the desired goal of eliciting a substantial amount of new qualitative information regarding administrative challenges in pediatric long-term care, which previously had been extant in the literature. In Round 2, data were distilled into categories and unique exemplars which in turn were validated by participants. In Round 3, administrators ranked and rated categories and individual challenges in terms of significance and impact. </p><p> Findings revealed that the most important challenges for administrators are those of working with an inadequate model that is designed for a geriatric population, inadequate Medicaid funding, and the lack of clinical and administrative indicators in pediatric long-term care. The most important challenges that could be affected by the administrators are related to inadequate model, clinical practice, and the need for diversification. Administrators believe they can strongly impact the rules, regulations, and protocols that are currently geriatric focused, develop pediatric long-term care indicators and evidence-based research, and impact their financial security by diversification. </p><p> The Delphi research accomplishes the desired goal of eliciting a substantial amount of new information regarding administrative challenges in pediatric long- term care and contributes to the broader body of knowledge in health services administration. The significant research findings suggest the need for changes in the regulatory and financial models in pediatric long-term care and the need for enhanced clinical practice though evidence-based practice and outcomes.</p>

<p> The health care industry is moving from a volume-based, fee-for-service financial reimbursement system to a value-based purchasing model. These changes have caused substantial challenges in the delivery of care. Hospital leaders must conduct business differently to lower cost, improve safety outcomes, and be more efficient and effective. </p><p> Numerous studies show engaged employees improve operational performance. Past studies point to leaders with high emotional intelligence who are effective at engaging employees. The purpose of this study was to determine if there is a statistically significant correlation between frontline managers and supervisors&rsquo; emotional intelligence and the degree of engagement of their direct reports. </p><p> The research questions were: (a) what is the level of employee engagement among those who participated in the study, (b) what is the level of emotional intelligence of the frontline managers and supervisors who participated in the study, and (c) using inferential statistics, is there a statistically significant correlation between emotional intelligence of frontline managers and supervisors and the employee engagement of their direct reports. </p><p> The study used non-experimental, quantitative analytics to test the hypothesis. A bivariate correlation procedure called Pearson&rsquo;s Product-Moment Correlation was used to determine the potential relationship between the emotional intelligence of 24 frontline managers and supervisors and employee engagement of their direct reports, totaling 585 employees. Though a favorable, moderate correlation was found with a Pearson r of 0.39267 at a p value of 0.0577, the hypothesis was denied. The favorable correlated relationship found supports the growing scholarly work. </p><p> Future studies may provide greater understanding and value of the relationship between emotional intelligence and employee engagement. Additional recommendations were made to improve organizational performance through leadership development, recruitment, culture engineering, and ongoing assessment of managerial effectiveness. </p>

<p> Home health care has become a popular long term care option as most seniors prefer to age and heal in the comfort of their homes and among their loved ones. With the advent of the Affordable Care Act (ACA) and a rise in baby boomers, home health care has become an integral part of the health care delivery system. Additionally, these have led to an increased demand for Home Health Agencies - HHA&rsquo;s, and created a good market for the home health business. The following business plan is developed for the establishment of a Home Health Agency, in Long Beach, California. Chapter 1 Market analysis discusses the market structure and potential for the Home health business and analysis of the company, customers, and competitors. It also presents the marketing strategies, goals and objectives. Chapter 2 Feasibility and SWOT Analysis explains the operational feasibility and financial viability of the business plan. This chapter also explores the strengths and weaknesses of the business, opportunities for the business and threats to the business. Chapter 3 Legal and Regulatory issues, describes various legal aspects and regulatory requirements in a home health agency business. Chapter 4 Financial Analysis, gives detailed explanation of the financial plan and structure for the business like costs, expenses, budget and compensation.</p>

<p> This study explores the pervasiveness of job fatigue in Emergency Room nurses. It identifies factors that contribute to nurse burnout, including job dissatisfaction and workplace bullying, and explores strategies for assessing and reducing fatigue syndrome. As the literature suggests, there is a link between nurse burnout and patient safety. These findings are expected to help organizations develop strategies to reduce stress in the workplace and develop wellness programs. Upon using an interviewing process, the study found several themes that pointed to the key factors of increased ER nurse burnout, and provided several implications as to the changes that need to be made to improve the ER department environment. Some of the key findings included the need to hire more staff, make supervisors and management more approachable and available, and increasing support to ER nurses. Doing so will clearly help mitigate the problem of high stress levels among ER nurses and help to prevent the likelihood of burnout.</p>

<p>Caring relationships established between nurse managers and staff nurses promote positive work environments. However, research about staff nurses&rsquo; perceptions of nurse manager caring behaviors is limited. A 94-item Caring Assessment Tool-Administration (CAT-adm^&copy;) was developed to measure staff nurses&rsquo; perceptions of nurse managers&rsquo; caring behaviors; however, it lacked robust psychometric testing. This study was undertaken to establish the CAT-adm^&copy; survey as a reliable and valid tool to measure staff nurses&rsquo; perceptions of nurse managers&rsquo; caring behaviors. </p><p> The Quality-Caring Model^&reg; (QCM^&reg;) served as the theoretical framework. Specific aims were to 1) evaluate construct validity of the CAT-adm^&copy; survey by describing factors that account for variance in staff nurses' perceptions of nurse manager caring, 2) estimate internal consistency, and 3) conduct item reduction analysis. Four research questions were: 1) Will the factor structure of observed data fit an 8-factor solution? 2) What is the internal consistency reliability of the CAT- adm^&copy;? 3) What items can be reduced while maintaining an acceptable factor structure? and 4) What are staff nurses&rsquo; perceptions of nurse manager caring behaviors? </p><p> A cross-sectional descriptive design was used. A sample of 703 staff nurses from Midwestern, Midatlantic and Southern Regions of the U.S. completed the CAT-adm^&copy; survey electronically. Analysis included Confirmatory Factor Analysis (CFA), Exploratory Factor Analysis (EFA), univariate analysis, and descriptive statistics. CFA did not support an 8-factor solution. EFA supported a two-factor solution and demonstrated significant shared variance between the two factors. This shared variance supported a one-factor solution that could conceptually be labeled <i>Caring Behaviors</i>. Random selection reduced the scale to 25-items while maintaining a Cronbach&rsquo;s Alpha of .98. Using the new 25-item scale, the composite score mean of staff nurses&rsquo; perceptions of nurse manager caring behaviors indicated a moderately high level of caring. Suggestions for nursing administration, nurse manager practice, leadership, education and for future research were given. </p><p> The new 25-item CAT-adm^&copy; survey has acceptable reliability and validity. The 25-item CAT-adm^&copy; survey provides hospital administrators, nurse managers, and researchers with an instrument to collect valuable information about the caring behaviors used by nurse managers in relationship with staff nurses. </p>