Tag: Model Answer

  • [Solved] discussion

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    – ## PAF160-Module6-Discussion.pdf **## PAF160-Module6-Discussion.pdf** Copyright © 2021 Arizona Board of Regents PAF 160: How to Survive the 21st Century Module 6 – Discussion Session Systems Dynamics Perspective Copyright © 2021 Arizona Board of Regents Interactive Session Systems Dynamics Perspec…

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    – ## PAF160-Module6-Discussion.pdf

    **## PAF160-Module6-Discussion.pdf**

    Copyright © 2021 Arizona Board of Regents

    PAF 160: How to Survive the 21st Century
    Module 6 – Discussion Session

    Systems
    Dynamics
    Perspective

    Copyright © 2021 Arizona Board of Regents

    Interactive
    Session

    Systems Dynamics Perspective

    Copyright © 2021 Arizona Board of Regents

    Explore system dynamics by building chain-
    reaction scenarios from an initial emergency
    event (like a power outage or major storm),
    revealing how impacts cascade through
    different systems, create feedback loops, and
    demonstrate interconnected relationships
    between system components.

    NOAA

    Interactive Session

    Copyright © 2021 Arizona Board of Regents

    Disaster Dominos: Practice your
    systems thinking!

    • Pick ONE of these starter events:
    o A 24-hour power outage hits your city
    o 6 inches of rain falls in 2 hours for 2 days
    o A weeklong heat wave reaches 110°F
    o A major water main breaks downtown for a

    large region

    Copyright © 2021 Arizona Board of Regents

    Example Chain (Systems) Reaction

    • Power outage →
    • Traffic lights stop working →
    • Major traffic jams form →
    • Emergency vehicles can't reach hospital →
    • Hospital must divert patients →
    • Neighboring hospitals become overwhelmed…

    Copyright © 2021 Arizona Board of Regents

    Example Feedback Loop

    • Hospital gets overwhelmed with patients →
    • staff become exhausted →
    • medical errors increase →
    • creates more patients →
    • hospital becomes more overwhelmed →
    • repeat

    Copyright © 2021 Arizona Board of Regents

    Activity Questions

    • What else could happen?
    • Who else would be affected?
    • What systems connect to this (communications,

    supply chain, economics, human
    vulnerabilities)?

    • What effects circle back to the original problem,
    making it worse (or better)?

    Copyright © 2021 Arizona Board of Regents

    Questions to post on Yellowdig

    • Identify a feedback loop from your system dynamics
    activity where effects circled back to amplify the original
    problem. How could individuals, our community,
    emergency managers, or others use this knowledge to
    better prepare?

    • You hopefully found several connected systems (like
    power → transportation → healthcare). Pick one
    connection and explain why it might be a 'hidden
    dependency' that only becomes visible during disasters.

    Copyright © 2021 Arizona Board of Regents

    – Complete your readings
    – Take your quiz
    – Submit your Yellowdig
    – See you next session!

    Next Steps

    – Systems Dynamics Perspective
    – Interactive �Session���
    – Slide Number 3
    – Slide Number 5
    – Slide Number 7
    – Slide Number 8
    – Slide Number 9
    – Slide Number 15
    – – Complete your readings�- Take your quiz�- Submit your Yellowdig�- See you next session!��

    **## PAF160-Module6-Discussion.pdf**

    Copyright © 2021 Arizona Board of Regents

    PAF 160: How to Survive the 21st Century
    Module 6 – Discussion Session

    Systems
    Dynamics
    Perspective

    Copyright © 2021 Arizona Board of Regents

    Interactive
    Session

    Systems Dynamics Perspective

    Copyright © 2021 Arizona Board of Regents

    Explore system dynamics by building chain-
    reaction scenarios from an initial emergency
    event (like a power outage or major storm),
    revealing how impacts cascade through
    different systems, create feedback loops, and
    demonstrate interconnected relationships
    between system components.

    NOAA

    Interactive Session

    Copyright © 2021 Arizona Board of Regents

    Disaster Dominos: Practice your
    systems thinking!

    • Pick ONE of these starter events:
    o A 24-hour power outage hits your city
    o 6 inches of rain falls in 2 hours for 2 days
    o A weeklong heat wave reaches 110°F
    o A major water main breaks downtown for a

    large region

    Copyright © 2021 Arizona Board of Regents

    Example Chain (Systems) Reaction

    • Power outage →
    • Traffic lights stop working →
    • Major traffic jams form →
    • Emergency vehicles can't reach hospital →
    • Hospital must divert patients →
    • Neighboring hospitals become overwhelmed…

    Copyright © 2021 Arizona Board of Regents

    Example Feedback Loop

    • Hospital gets overwhelmed with patients →
    • staff become exhausted →
    • medical errors increase →
    • creates more patients →
    • hospital becomes more overwhelmed →
    • repeat

    Copyright © 2021 Arizona Board of Regents

    Activity Questions

    • What else could happen?
    • Who else would be affected?
    • What systems connect to this (communications,

    supply chain, economics, human
    vulnerabilities)?

    • What effects circle back to the original problem,
    making it worse (or better)?

    Copyright © 2021 Arizona Board of Regents

    Questions to post on Yellowdig

    • Identify a feedback loop from your system dynamics
    activity where effects circled back to amplify the original
    problem. How could individuals, our community,
    emergency managers, or others use this knowledge to
    better prepare?

    • You hopefully found several connected systems (like
    power → transportation → healthcare). Pick one
    connection and explain why it might be a 'hidden
    dependency' that only becomes visible during disasters.

    Copyright © 2021 Arizona Board of Regents

    – Complete your readings
    – Take your quiz
    – Submit your Yellowdig
    – See you next session!

    Next Steps

    – Systems Dynamics Perspective
    – Interactive �Session���
    – Slide Number 3
    – Slide Number 5
    – Slide Number 7
    – Slide Number 8
    – Slide Number 9
    – Slide Number 15
    – – Complete your readings�- Take your quiz�- Submit your Yellowdig�- See you next session!��

  • [Solved] Discussion

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    As the HIM documentation supervisor, you are meeting with the quality improvement (QI) manager to assist in developing an audit template to be used for a quality review of patient record. Select one of the following documents 1. History and physical 2. Operative reports 3. Discharge summary Using th…

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    Assignment Prompt & Instructions

    As the HIM documentation supervisor, you are meeting with the quality improvement (QI) manager to assist in developing an audit template to be used for a quality review of patient record.
    Select one of the following documents
    1. History and physical
    2. Operative reports
    3. Discharge summary
    Using the Joint Commission website and your textbook, research the standards for your selected document.
    Develop a list of required data elements that would be included in the development of an audit data collection tool, inclusive of the time requirement for completion.
    – The initial response must be relevant, detailed, and specific, at least 250 words.

  • [Solved] intro to security

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  • [Solved] PE Week 4 Discussion

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    **To prepare:** – Review the readings from your course text listed in this week’s Learning Resources. – Review the media from this week’s Learning Resources. – Select ONE set of questions (Option 1 or Option 2) below for this week’s main Discussion post. **Post** your comprehensive response to ONE o…

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    Assignment Prompt & Instructions

    **To prepare:**
    – Review the readings from your course text listed in this week’s Learning Resources.
    – Review the media from this week’s Learning Resources.
    – Select ONE set of questions (Option 1 or Option 2) below for this week’s main Discussion post.
    **Post** your comprehensive response to ONE of the following sets of questions:
    Option 1:
    – When and why would a needs assessment be planned as part of a formal program evaluation?
    – What would be some sources of information for a needs assessment? Explain and give an example.
    OR
    Option 2:
    – How does an evaluator’s choices for measures of implementation and/or outcomes affect the validity of the evaluation findings? Explain and give an example.

  • [Solved] Two Student Responses (300-400) Words

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    **Respond** to at least two of your colleagues’ posts by: – critiquing his or her thoughts on the potential appropriateness and sources of information for a needs assessment as part of a formal program evaluation; or – analyzing your colleague’s thoughts on how choices of measures may affect the val…

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    Assignment Prompt & Instructions

    **Respond** to at least two of your colleagues’ posts by:
    – critiquing his or her thoughts on the potential appropriateness and sources of information for a needs assessment as part of a formal program evaluation; or
    – analyzing your colleague’s thoughts on how choices of measures may affect the validity of a program evaluation.
    **Note:** You are not required to respond to a colleague who is on the same evaluation team that you are on.
    _Be sure to support your postings and responses with specific references to the Learning Resources. Use proper APA format and citations._

  • [Solved] Nursing Need help with my assignment

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  • [Solved] cycle

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  • [Solved] Children and Family Discussion 4

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    – ## PediatricsDiscussion4.docx **## PediatricsDiscussion4.docx** **_Approaches to Disease Management: Dermatologic Disorder_** Discuss Impetigo in pediatrics, a dermatologic disorder, and its treatment modalities. **Submission Instructions:** · Your initial post should be at least 500 words, format…

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    – ## PediatricsDiscussion4.docx

    **## PediatricsDiscussion4.docx**

    **_Approaches to Disease Management: Dermatologic Disorder_**

    Discuss Impetigo in pediatrics, a dermatologic disorder, and its treatment modalities.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

    **## PediatricsDiscussion4.docx**

    **_Approaches to Disease Management: Dermatologic Disorder_**

    Discuss Impetigo in pediatrics, a dermatologic disorder, and its treatment modalities.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

  • [Solved] PE Week 4 Assignment 3

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    **To prepare:** – Reflect on this week’s experiences with your team. What stage does it feel like to you for your team? **Assignment** Complete your journal entry for this week in your Personal Journal, reflecting on your experiences with the team process for this week. – How is it going? – What are…

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    Assignment Prompt & Instructions

    **To prepare:**
    – Reflect on this week’s experiences with your team. What stage does it feel like to you for your team?
    **Assignment**
    Complete your journal entry for this week in your Personal Journal, reflecting on your experiences with the team process for this week.
    – How is it going?
    – What are you learning about yourself?
    – What are you learning about the team process?
    – What seems to be working well? Not so well?
    – How might you continue to support your team’s development and ongoing progress?
    – What more may be needed to enhance the team process?
    – Share any other thoughts you may have.

  • [Solved] Week 4 Discussion Response- Account for Managment Decision Making

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    – ## Week4LearningResources-AccountforManagmentDecisionmMaking.docx – ## Week4DiscussionResponse-AccountforManagmentDecisionMaking.docx **## Week4LearningResources-AccountforManagmentDecisionmMaking.docx** **Account for Management Decision Making** **Week 4 Learning Resources** **Costs** There are m…

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    – ## Week4LearningResources-AccountforManagmentDecisionmMaking.docx

    – ## Week4DiscussionResponse-AccountforManagmentDecisionMaking.docx

    **## Week4LearningResources-AccountforManagmentDecisionmMaking.docx**

    **Account for Management Decision Making**

    **Week 4 Learning Resources**

    **Costs**

    There are many different types of costs that impact a manager’s decision making. Therefore, it is imperative that managers understand what each type is as well as the ones relevant to a specific decision. In these resources, you will examine different types of costs.

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [2.2 identify and apply basic cost behavior patternsLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns)

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [Why it mattersLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters)

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [10.1 identify relevant information for decision-makingLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making)

    · Hultman, J. A.  (2021, February).
    [Know your relevant costs before making financial decisionsLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=148552839&site=eds-live&scope=site&authtype=shib&custid=s6527200).
    _Podiatry Management, 40_ (2), 134–138.

    · Walden University, LLC.
    (2024).
    [_Cost considerations for accounting decision making_](https://waldenu.instructure.com/courses/184427/files/15152298?wrap=1) [Download Cost considerations for accounting decision making](https://waldenu.instructure.com/courses/184427/files/15152298/download?download_frd=1)[PDF]. Walden University Canvas.
    [https://waldenu.instructure.com](https://waldenu.instructure.com/)

    **## Week4DiscussionResponse-AccountforManagmentDecisionMaking.docx**

    Colleague 1

    **Lauren Adkins**

    The Impact of Sunk and Opportunity Costs

    In my previous role in healthcare administration, I witnessed a clear example of a sunk cost. Our department has purchased a new electronic record-keeping system that costs thousands of dollars and required months of staff training. Unfortunately, the software was not compatible with some of the hospital’s other platforms, resulting in inefficiencies and frustration. Despite recognizing the problems early, leadership was hesitant to discontinue use of the system because a significant amount of money and time had already been invested. This situation represents a sunk cost because those funds and staff hours could not be recovered once the investment was made (Franklin et al., 2019a).

    The impact on the organization was significant. Staff productivity decreased, and patient services were delayed because employees had to navigate two systems rather than one streamlined platform. The stakeholders most affected were frontline staff and patients, who experienced slower turnaround times, and managers, who faced growing pressure to justify the investment. Hultman (2021) explains that continuing to rely on sunk costs for decision-making often leads organizations into poor financial choices, as resources remain tied up in unproductive areas instead of being redirected. This was evident in our case, since the hospital delayed shifting to a more compatible system and, in turn, lost opportunities for efficiency gains.

    If I were the manager in this scenario, I would approach the situation differently. First, I would acknowledge that sunk costs should not influence future decisions, as they cannot be altered (Franklin et al., 2019b). Instead, I would evaluate the relevant costs of switching to a more effective system, including implementation expenses, training, and potential productivity gains (Franklin et al., 2019c). Redirecting resources sooner would minimize long-term inefficiencies and reduced staff frustration. By focusing on opportunity costs, such as the lost benefits of sticking with a faulty system instead of adopting a more effective one, I can make a stronger case for change that benefits employees, patients, and the organization overall.

    This example highlights the importance of managers distinguishing between sunk and opportunity costs. While sunk costs should be set aside in decision-making, opportunity costs should be carefully weighed to ensure that resources are directed toward options that maximize value for stakeholders and long-term success.

    References

    Franklin, M., Graybeal, P., & Cooper, D. (2019a). 2.2 Identify and apply basic cost behavior patterns. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns)

    Franklin, M., Graybeal, P., & Cooper, D. (2019b). Why it matters. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters)

    Franklin, M., Graybeal, P., & Cooper, D. (2019c). 10.1 Identify relevant information for decision-making. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making)

    Hultman, J. A. (2021, February). Know your relevant costs before making financial decisions. Podiatry Management, 40(2), 134–138.

    Colleague 2

    **Kimberly Walker**

    The Impact of Costs on Organizational Decision-Making in Public Health Administration

    In the field of public health and human services, cost considerations are critical, especially when resources are limited, and community needs are high. Understanding the difference between sunk costs and opportunity costs can help organizations like the Michigan Department of Health and Human Services (MDHHS) make more strategic decisions that prioritize public well-being and operational efficiency.

    Example of an Opportunity Cost

    During my time working with MDHHS in a program management role, I witnessed a scenario where opportunity cost had a significant impact. Our department had access to limited federal funding earmarked for behavioral health initiatives. Leadership faced a decision between expanding an existing in-person outreach program or investing in a telehealth platform to reach underserved rural populations. Ultimately, the department chose to expand the in-person services, partly due to familiarity and existing infrastructure.

    This decision came with a substantial opportunity cost: the forgone benefits of the telehealth platform. According to managerial accounting principles, an opportunity cost represents the value of the next best alternative that is not chosen (Horngren et al., 2021). In this case, the potential to increase access to care in remote areas was sacrificed for a more traditional approach.

    Impact on the Organization and Stakeholders

    The opportunity cost had a ripple effect across the organization. While in-person services benefited urban communities, rural clients—who already faced transportation and access barriers—continued to struggle with limited care options. Internally, data analysts and program evaluators noted missed benchmarks for rural service delivery. Stakeholders, including rural populations, healthcare partners, and policy advocates—expressed concern over the equity gap. Additionally, the choice affected MDHHS’s ability to demonstrate innovation in its use of federal funds, which can impact future funding opportunities.

    A Managerial Approach to Addressing the Situation

    If I were managing this scenario, I would have advocated for a cost-benefit analysis that included a thorough evaluation of long-term community impact. While in-person services are valuable, the scalability and cost-effectiveness of telehealth—especially post-pandemic—should have been weighed more heavily. A pilot program could have tested the viability of both options, minimized risk while capturing broader value.

    By explicitly acknowledging the opportunity cost of each decision, MDHHS could better align its investments with its strategic goal of equitable access to care. As Noreen, Brewer, and Garrison (2020) note, effective decision-making requires managers to focus on relevant future costs and benefits rather than rely solely on tradition or sunk investments.

    Conclusion

    In public health settings, where every dollar spent reflects a policy choice, understanding opportunity costs is essential. Managers must make data-informed decisions that maximize community impact, even when that means challenging conventional methods. This approach strengthens service delivery, promotes equity, and ensures more responsible use of public funds.

    References

    Horngren, C. T., Datar, S. M., & Rajan, M. V. (2021). Cost accounting: A managerial emphasis (16th ed.). Pearson.

    Noreen, E., Brewer, P. C., & Garrison, R. H. (2020). Managerial accounting for managers (5th ed.). McGraw-Hill Education.

    **## Week4DiscussionResponse-AccountforManagmentDecisionMaking.docx**

    Colleague 1

    **Lauren Adkins**

    The Impact of Sunk and Opportunity Costs

    In my previous role in healthcare administration, I witnessed a clear example of a sunk cost. Our department has purchased a new electronic record-keeping system that costs thousands of dollars and required months of staff training. Unfortunately, the software was not compatible with some of the hospital’s other platforms, resulting in inefficiencies and frustration. Despite recognizing the problems early, leadership was hesitant to discontinue use of the system because a significant amount of money and time had already been invested. This situation represents a sunk cost because those funds and staff hours could not be recovered once the investment was made (Franklin et al., 2019a).

    The impact on the organization was significant. Staff productivity decreased, and patient services were delayed because employees had to navigate two systems rather than one streamlined platform. The stakeholders most affected were frontline staff and patients, who experienced slower turnaround times, and managers, who faced growing pressure to justify the investment. Hultman (2021) explains that continuing to rely on sunk costs for decision-making often leads organizations into poor financial choices, as resources remain tied up in unproductive areas instead of being redirected. This was evident in our case, since the hospital delayed shifting to a more compatible system and, in turn, lost opportunities for efficiency gains.

    If I were the manager in this scenario, I would approach the situation differently. First, I would acknowledge that sunk costs should not influence future decisions, as they cannot be altered (Franklin et al., 2019b). Instead, I would evaluate the relevant costs of switching to a more effective system, including implementation expenses, training, and potential productivity gains (Franklin et al., 2019c). Redirecting resources sooner would minimize long-term inefficiencies and reduced staff frustration. By focusing on opportunity costs, such as the lost benefits of sticking with a faulty system instead of adopting a more effective one, I can make a stronger case for change that benefits employees, patients, and the organization overall.

    This example highlights the importance of managers distinguishing between sunk and opportunity costs. While sunk costs should be set aside in decision-making, opportunity costs should be carefully weighed to ensure that resources are directed toward options that maximize value for stakeholders and long-term success.

    References

    Franklin, M., Graybeal, P., & Cooper, D. (2019a). 2.2 Identify and apply basic cost behavior patterns. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns)

    Franklin, M., Graybeal, P., & Cooper, D. (2019b). Why it matters. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters)

    Franklin, M., Graybeal, P., & Cooper, D. (2019c). 10.1 Identify relevant information for decision-making. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making)

    Hultman, J. A. (2021, February). Know your relevant costs before making financial decisions. Podiatry Management, 40(2), 134–138.

    Colleague 2

    **Kimberly Walker**

    The Impact of Costs on Organizational Decision-Making in Public Health Administration

    In the field of public health and human services, cost considerations are critical, especially when resources are limited, and community needs are high. Understanding the difference between sunk costs and opportunity costs can help organizations like the Michigan Department of Health and Human Services (MDHHS) make more strategic decisions that prioritize public well-being and operational efficiency.

    Example of an Opportunity Cost

    During my time working with MDHHS in a program management role, I witnessed a scenario where opportunity cost had a significant impact. Our department had access to limited federal funding earmarked for behavioral health initiatives. Leadership faced a decision between expanding an existing in-person outreach program or investing in a telehealth platform to reach underserved rural populations. Ultimately, the department chose to expand the in-person services, partly due to familiarity and existing infrastructure.

    This decision came with a substantial opportunity cost: the forgone benefits of the telehealth platform. According to managerial accounting principles, an opportunity cost represents the value of the next best alternative that is not chosen (Horngren et al., 2021). In this case, the potential to increase access to care in remote areas was sacrificed for a more traditional approach.

    Impact on the Organization and Stakeholders

    The opportunity cost had a ripple effect across the organization. While in-person services benefited urban communities, rural clients—who already faced transportation and access barriers—continued to struggle with limited care options. Internally, data analysts and program evaluators noted missed benchmarks for rural service delivery. Stakeholders, including rural populations, healthcare partners, and policy advocates—expressed concern over the equity gap. Additionally, the choice affected MDHHS’s ability to demonstrate innovation in its use of federal funds, which can impact future funding opportunities.

    A Managerial Approach to Addressing the Situation

    If I were managing this scenario, I would have advocated for a cost-benefit analysis that included a thorough evaluation of long-term community impact. While in-person services are valuable, the scalability and cost-effectiveness of telehealth—especially post-pandemic—should have been weighed more heavily. A pilot program could have tested the viability of both options, minimized risk while capturing broader value.

    By explicitly acknowledging the opportunity cost of each decision, MDHHS could better align its investments with its strategic goal of equitable access to care. As Noreen, Brewer, and Garrison (2020) note, effective decision-making requires managers to focus on relevant future costs and benefits rather than rely solely on tradition or sunk investments.

    Conclusion

    In public health settings, where every dollar spent reflects a policy choice, understanding opportunity costs is essential. Managers must make data-informed decisions that maximize community impact, even when that means challenging conventional methods. This approach strengthens service delivery, promotes equity, and ensures more responsible use of public funds.

    References

    Horngren, C. T., Datar, S. M., & Rajan, M. V. (2021). Cost accounting: A managerial emphasis (16th ed.). Pearson.

    Noreen, E., Brewer, P. C., & Garrison, R. H. (2020). Managerial accounting for managers (5th ed.). McGraw-Hill Education.

    **## Week4LearningResources-AccountforManagmentDecisionmMaking.docx**

    **Account for Management Decision Making**

    **Week 4 Learning Resources**

    **Costs**

    There are many different types of costs that impact a manager’s decision making. Therefore, it is imperative that managers understand what each type is as well as the ones relevant to a specific decision. In these resources, you will examine different types of costs.

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [2.2 identify and apply basic cost behavior patternsLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns)

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [Why it mattersLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters)

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [10.1 identify relevant information for decision-makingLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making)

    · Hultman, J. A.  (2021, February).
    [Know your relevant costs before making financial decisionsLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=148552839&site=eds-live&scope=site&authtype=shib&custid=s6527200).
    _Podiatry Management, 40_ (2), 134–138.

    · Walden University, LLC.
    (2024).
    [_Cost considerations for accounting decision making_](https://waldenu.instructure.com/courses/184427/files/15152298?wrap=1) [Download Cost considerations for accounting decision making](https://waldenu.instructure.com/courses/184427/files/15152298/download?download_frd=1)[PDF]. Walden University Canvas.
    [https://waldenu.instructure.com](https://waldenu.instructure.com/)

    **## Week4DiscussionResponse-AccountforManagmentDecisionMaking.docx**

    Colleague 1

    **Lauren Adkins**

    The Impact of Sunk and Opportunity Costs

    In my previous role in healthcare administration, I witnessed a clear example of a sunk cost. Our department has purchased a new electronic record-keeping system that costs thousands of dollars and required months of staff training. Unfortunately, the software was not compatible with some of the hospital’s other platforms, resulting in inefficiencies and frustration. Despite recognizing the problems early, leadership was hesitant to discontinue use of the system because a significant amount of money and time had already been invested. This situation represents a sunk cost because those funds and staff hours could not be recovered once the investment was made (Franklin et al., 2019a).

    The impact on the organization was significant. Staff productivity decreased, and patient services were delayed because employees had to navigate two systems rather than one streamlined platform. The stakeholders most affected were frontline staff and patients, who experienced slower turnaround times, and managers, who faced growing pressure to justify the investment. Hultman (2021) explains that continuing to rely on sunk costs for decision-making often leads organizations into poor financial choices, as resources remain tied up in unproductive areas instead of being redirected. This was evident in our case, since the hospital delayed shifting to a more compatible system and, in turn, lost opportunities for efficiency gains.

    If I were the manager in this scenario, I would approach the situation differently. First, I would acknowledge that sunk costs should not influence future decisions, as they cannot be altered (Franklin et al., 2019b). Instead, I would evaluate the relevant costs of switching to a more effective system, including implementation expenses, training, and potential productivity gains (Franklin et al., 2019c). Redirecting resources sooner would minimize long-term inefficiencies and reduced staff frustration. By focusing on opportunity costs, such as the lost benefits of sticking with a faulty system instead of adopting a more effective one, I can make a stronger case for change that benefits employees, patients, and the organization overall.

    This example highlights the importance of managers distinguishing between sunk and opportunity costs. While sunk costs should be set aside in decision-making, opportunity costs should be carefully weighed to ensure that resources are directed toward options that maximize value for stakeholders and long-term success.

    References

    Franklin, M., Graybeal, P., & Cooper, D. (2019a). 2.2 Identify and apply basic cost behavior patterns. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns)

    Franklin, M., Graybeal, P., & Cooper, D. (2019b). Why it matters. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters)

    Franklin, M., Graybeal, P., & Cooper, D. (2019c). 10.1 Identify relevant information for decision-making. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making)

    Hultman, J. A. (2021, February). Know your relevant costs before making financial decisions. Podiatry Management, 40(2), 134–138.

    Colleague 2

    **Kimberly Walker**

    The Impact of Costs on Organizational Decision-Making in Public Health Administration

    In the field of public health and human services, cost considerations are critical, especially when resources are limited, and community needs are high. Understanding the difference between sunk costs and opportunity costs can help organizations like the Michigan Department of Health and Human Services (MDHHS) make more strategic decisions that prioritize public well-being and operational efficiency.

    Example of an Opportunity Cost

    During my time working with MDHHS in a program management role, I witnessed a scenario where opportunity cost had a significant impact. Our department had access to limited federal funding earmarked for behavioral health initiatives. Leadership faced a decision between expanding an existing in-person outreach program or investing in a telehealth platform to reach underserved rural populations. Ultimately, the department chose to expand the in-person services, partly due to familiarity and existing infrastructure.

    This decision came with a substantial opportunity cost: the forgone benefits of the telehealth platform. According to managerial accounting principles, an opportunity cost represents the value of the next best alternative that is not chosen (Horngren et al., 2021). In this case, the potential to increase access to care in remote areas was sacrificed for a more traditional approach.

    Impact on the Organization and Stakeholders

    The opportunity cost had a ripple effect across the organization. While in-person services benefited urban communities, rural clients—who already faced transportation and access barriers—continued to struggle with limited care options. Internally, data analysts and program evaluators noted missed benchmarks for rural service delivery. Stakeholders, including rural populations, healthcare partners, and policy advocates—expressed concern over the equity gap. Additionally, the choice affected MDHHS’s ability to demonstrate innovation in its use of federal funds, which can impact future funding opportunities.

    A Managerial Approach to Addressing the Situation

    If I were managing this scenario, I would have advocated for a cost-benefit analysis that included a thorough evaluation of long-term community impact. While in-person services are valuable, the scalability and cost-effectiveness of telehealth—especially post-pandemic—should have been weighed more heavily. A pilot program could have tested the viability of both options, minimized risk while capturing broader value.

    By explicitly acknowledging the opportunity cost of each decision, MDHHS could better align its investments with its strategic goal of equitable access to care. As Noreen, Brewer, and Garrison (2020) note, effective decision-making requires managers to focus on relevant future costs and benefits rather than rely solely on tradition or sunk investments.

    Conclusion

    In public health settings, where every dollar spent reflects a policy choice, understanding opportunity costs is essential. Managers must make data-informed decisions that maximize community impact, even when that means challenging conventional methods. This approach strengthens service delivery, promotes equity, and ensures more responsible use of public funds.

    References

    Horngren, C. T., Datar, S. M., & Rajan, M. V. (2021). Cost accounting: A managerial emphasis (16th ed.). Pearson.

    Noreen, E., Brewer, P. C., & Garrison, R. H. (2020). Managerial accounting for managers (5th ed.). McGraw-Hill Education.

    **## Week4LearningResources-AccountforManagmentDecisionmMaking.docx**

    **Account for Management Decision Making**

    **Week 4 Learning Resources**

    **Costs**

    There are many different types of costs that impact a manager’s decision making. Therefore, it is imperative that managers understand what each type is as well as the ones relevant to a specific decision. In these resources, you will examine different types of costs.

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [2.2 identify and apply basic cost behavior patternsLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns)

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [Why it mattersLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters)

    · Franklin, M., Graybeal, P., & Cooper, D. (2019).
    [10.1 identify relevant information for decision-makingLinks to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making). In
    _Principles of accounting, volume 2: Managerial accounting_ . OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making)

    · Hultman, J. A.  (2021, February).
    [Know your relevant costs before making financial decisionsLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=148552839&site=eds-live&scope=site&authtype=shib&custid=s6527200).
    _Podiatry Management, 40_ (2), 134–138.

    · Walden University, LLC.
    (2024).
    [_Cost considerations for accounting decision making_](https://waldenu.instructure.com/courses/184427/files/15152298?wrap=1) [Download Cost considerations for accounting decision making](https://waldenu.instructure.com/courses/184427/files/15152298/download?download_frd=1)[PDF]. Walden University Canvas.
    [https://waldenu.instructure.com](https://waldenu.instructure.com/)

    **## Week4DiscussionResponse-AccountforManagmentDecisionMaking.docx**

    Colleague 1

    **Lauren Adkins**

    The Impact of Sunk and Opportunity Costs

    In my previous role in healthcare administration, I witnessed a clear example of a sunk cost. Our department has purchased a new electronic record-keeping system that costs thousands of dollars and required months of staff training. Unfortunately, the software was not compatible with some of the hospital’s other platforms, resulting in inefficiencies and frustration. Despite recognizing the problems early, leadership was hesitant to discontinue use of the system because a significant amount of money and time had already been invested. This situation represents a sunk cost because those funds and staff hours could not be recovered once the investment was made (Franklin et al., 2019a).

    The impact on the organization was significant. Staff productivity decreased, and patient services were delayed because employees had to navigate two systems rather than one streamlined platform. The stakeholders most affected were frontline staff and patients, who experienced slower turnaround times, and managers, who faced growing pressure to justify the investment. Hultman (2021) explains that continuing to rely on sunk costs for decision-making often leads organizations into poor financial choices, as resources remain tied up in unproductive areas instead of being redirected. This was evident in our case, since the hospital delayed shifting to a more compatible system and, in turn, lost opportunities for efficiency gains.

    If I were the manager in this scenario, I would approach the situation differently. First, I would acknowledge that sunk costs should not influence future decisions, as they cannot be altered (Franklin et al., 2019b). Instead, I would evaluate the relevant costs of switching to a more effective system, including implementation expenses, training, and potential productivity gains (Franklin et al., 2019c). Redirecting resources sooner would minimize long-term inefficiencies and reduced staff frustration. By focusing on opportunity costs, such as the lost benefits of sticking with a faulty system instead of adopting a more effective one, I can make a stronger case for change that benefits employees, patients, and the organization overall.

    This example highlights the importance of managers distinguishing between sunk and opportunity costs. While sunk costs should be set aside in decision-making, opportunity costs should be carefully weighed to ensure that resources are directed toward options that maximize value for stakeholders and long-term success.

    References

    Franklin, M., Graybeal, P., & Cooper, D. (2019a). 2.2 Identify and apply basic cost behavior patterns. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/2-2-identify-and-apply-basic-cost-behavior-patterns)

    Franklin, M., Graybeal, P., & Cooper, D. (2019b). Why it matters. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-why-it-matters)

    Franklin, M., Graybeal, P., & Cooper, D. (2019c). 10.1 Identify relevant information for decision-making. In Principles of accounting, volume 2: Managerial accounting. OpenStax.
    [https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making\
    Links to an external site.](https://openstax.org/books/principles-managerial-accounting/pages/10-1-identify-relevant-information-for-decision-making)

    Hultman, J. A. (2021, February). Know your relevant costs before making financial decisions. Podiatry Management, 40(2), 134–138.

    Colleague 2

    **Kimberly Walker**

    The Impact of Costs on Organizational Decision-Making in Public Health Administration

    In the field of public health and human services, cost considerations are critical, especially when resources are limited, and community needs are high. Understanding the difference between sunk costs and opportunity costs can help organizations like the Michigan Department of Health and Human Services (MDHHS) make more strategic decisions that prioritize public well-being and operational efficiency.

    Example of an Opportunity Cost

    During my time working with MDHHS in a program management role, I witnessed a scenario where opportunity cost had a significant impact. Our department had access to limited federal funding earmarked for behavioral health initiatives. Leadership faced a decision between expanding an existing in-person outreach program or investing in a telehealth platform to reach underserved rural populations. Ultimately, the department chose to expand the in-person services, partly due to familiarity and existing infrastructure.

    This decision came with a substantial opportunity cost: the forgone benefits of the telehealth platform. According to managerial accounting principles, an opportunity cost represents the value of the next best alternative that is not chosen (Horngren et al., 2021). In this case, the potential to increase access to care in remote areas was sacrificed for a more traditional approach.

    Impact on the Organization and Stakeholders

    The opportunity cost had a ripple effect across the organization. While in-person services benefited urban communities, rural clients—who already faced transportation and access barriers—continued to struggle with limited care options. Internally, data analysts and program evaluators noted missed benchmarks for rural service delivery. Stakeholders, including rural populations, healthcare partners, and policy advocates—expressed concern over the equity gap. Additionally, the choice affected MDHHS’s ability to demonstrate innovation in its use of federal funds, which can impact future funding opportunities.

    A Managerial Approach to Addressing the Situation

    If I were managing this scenario, I would have advocated for a cost-benefit analysis that included a thorough evaluation of long-term community impact. While in-person services are valuable, the scalability and cost-effectiveness of telehealth—especially post-pandemic—should have been weighed more heavily. A pilot program could have tested the viability of both options, minimized risk while capturing broader value.

    By explicitly acknowledging the opportunity cost of each decision, MDHHS could better align its investments with its strategic goal of equitable access to care. As Noreen, Brewer, and Garrison (2020) note, effective decision-making requires managers to focus on relevant future costs and benefits rather than rely solely on tradition or sunk investments.

    Conclusion

    In public health settings, where every dollar spent reflects a policy choice, understanding opportunity costs is essential. Managers must make data-informed decisions that maximize community impact, even when that means challenging conventional methods. This approach strengthens service delivery, promotes equity, and ensures more responsible use of public funds.

    References

    Horngren, C. T., Datar, S. M., & Rajan, M. V. (2021). Cost accounting: A managerial emphasis (16th ed.). Pearson.

    Noreen, E., Brewer, P. C., & Garrison, R. H. (2020). Managerial accounting for managers (5th ed.). McGraw-Hill Education.

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