First question: Suppose that you own a 20-acre piece of property you bought years ago as an investment property. There’s an old house in the center of it with a tenant who has a lease that does not expire for more than a year (remember, that the lease is a binding contract that cannot be broken involuntarily).  However, the lease does not give the tenant the right to use the entire property – just “a reasonable portion” in the middle of the property. You recently found out that Amazon has plans to build a distribution center nearby; this will bring a lot of development and demand for housing to the area. A developer wants to buy the property from you so they can build a residential development of single-family homes. However, they do not want anything to do with having tenants while developing the land.  Being a "first mover" to develop residential housing is strongly to your advantage, but not necessarily the most important factor. What should you do with your "bundle of rights"? Option 1: Subdivide the property and sell the portion without the house on it. Option 2: Wait for the lease to expire and then sell the entire lot. Option 3: Join with a group of investors who want to buy out the tenant (at any cost) develop the entire property. Second question: Suppose that you are invested in a software development firm that designs automotive radar software for robotics systems in cars. Your offices and most of the key employees who helped to start the company are in Tampa, but given expansion plans, your current location is no longer sufficient, and you need to decide on a location for your new headquarters. Now, your business is faced with a difficult decision: where do you locate your new headquarters?  Option 1: Lansing, Michigan You could move to Lansing, Michigan to be closer to the demand for your product for such as the Ford assembly plants in Dearborn, Flat Rock, and Wayne, Michigan, and the General Motors assembly plants in Detroit, Flint, and Lansing, Michigan. Option 2: San Jose, California You could move to San Jose, California to be closer to other technology companies in the Silicon Valley area and benefit from agglomeration economies. Additionally, you would be closer venture capital in nearby San Francisco which may be necessary to fund your expansion. Option 3: Tampa, Florida You can stay in Tampa where your key employees will most likely be happiest. Although Tampa does not offer the comparative advantages of demand conditions, agglomeration economies, or the factor condition of capital, it does have a relatively good quality of life, and is home to your current employees. Which option is the best fit for the business and what factors would be most important in making the decision?  Specifically comment on the comparative advantages that the location you chose has to offer.

Prepare an issue analysis of an incident that occurred in a health care organization and create a leadership action plan (8-10 pages) that will help to address the specific incident but will also help to drive safety and quality improvements throughout the organization. In this third assessment in the course, you will assume the role of a newly promoted quality manager at your local hospital. This role requires you to address deficiencies by improving organizational culture, providing leadership oversight, and cultivating staff relationships within the organization. While you have many priorities in this new role, one of your first is to analyze a recent incident that occurred within the organization and to create a leadership action plan with recommended strategies and tactics to address not just the specific incident, but to drive safety and quality improvement throughout the organization. This assessment differs from the first assessment in that with this assessment, as the quality manager, your focus is broader. Rather than focusing only on identifying specific actions the organization can take to remedy a particular incident that occurred, you are concentrating on what steps you will take as the quality manager to influence the organization's leadership to cultivate a fair and just culture. You will determine what departments, what leaders, and what personnel you will collaborate with to improve quality for the whole organization. In this type of culture, safety is at the forefront of everyone's job and all associates welcome the opportunity to highlight issues—without fear of reprisal—so that they can be addressed at a systemic level throughout the organization.  You may find it useful to review the short document CQI Importance and Features [PDF] as you gather your thoughts about the key elements you want to include in your assessment, Issue Analysis and Leadership Action Plan.  Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:  Competency 4: Apply leadership strategies to quality improvement in a health care organization.  Apply the IHI Triple Aim to develop a health care leadership strategy that focuses on optimizing health care system performance. Propose evidence-based leadership strategies that will help to establish a safety and quality culture. Propose evidence-based leadership and collaboration strategies to enlist the aid of key organizational leaders in establishing a safety and quality culture. Determine opportunities to enlist the governing board's aid in fostering a fair and just culture.   Competency 5: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with health care professionals.  Write a clear, organized, persuasive, and generally error-free issue analysis and leadership action plan that promotes a culture of safety and quality and is reflective of professional communication in the health care field.  Provide citations and title and reference pages that conform to APA style and format. Preparation To help prepare for successfully completing this assessment: Select one of the three incidents from the Vila Health: Patient Safety simulation you completed in Assessment 1. These are common incidents you are likely to encounter in the health care field. These included a patient identification error, a medication error, and a HIPAA/privacy violation. You may select one of the incidents you worked with in the previous assessments or select another one. Pick one that holds the most interest for you. Consider these analysis questions once you have selected the incident on which you will focus:  What information do you possess about the issue? (Note: You may not be able to answer all of these questions; just include the information you know.) Consider:  Who was involved? During what process (clinical, communication, operational) did the issue occur? When did the issue occur? During a particular shift? On a particular day? During peak hours? Under certain clinical circumstances?     Where did the issue occur? What additional data about the incident would you like to collect and analyze? Which best practices may not have been adhered to that may have contributed to the issue? (Note: This information will prove useful to you as you complete your analysis and leadership action plan.) Instructions Write an analysis and leadership action plan for the issue you selected that will enable you to address the issue on an organization-wide basis. Please make sure to include all of the following headings and answer all of the questions underneath each heading. Issue Summary How would you summarize the key elements of the incident that occurred? What is your goal in addressing the issue? Which two to three key items will be your focus? For example, you may elect to focus on nursing staffing levels if being short staffed in nursing is contributing to compromises to patient safety. IHI Triple Aim What is the IHI Triple AIM?  How does the IHI Triple Aim apply to this specific incident? What IHI Triple Aim elements will you incorporate into your organizational improvement strategy?  Culture What is culture? Why is culture a critical organizational priority for safety and quality? Based on the knowledge you have about the selected issue, what do you know about the existing organizational culture? What are some of the evidence-based strategies you are considering you could employ to cultivate a culture of safety?   Collaboration Which key departments need to be directly involved with the corrective action process? What is your rationale for selecting these departments? For example, you may want to involve nursing because many of errors involve nurses and obtaining their buy-in is critical to achieving the organizational priority. Which specific senior leader, front line staff member, and clinical expert will you include in your action plan and hold accountable for implementation?  What are the implications of not engaging with all departments toward making safety and quality top of mind?  How might you involve other departments in addressing the specific issue and the cultural issue?  Leadership Which specific leaders within the organization could assist you in addressing this issue and in making patient safety and quality top of mind throughout the organization? Examples for you to consider include the chief nursing officer, the chief medical officer, the patient safety officer, et cetera. What role do you expect these leaders to play in addressing the specific issue and the issue of culture? What best practices would you employ to enlist their aid in the improvement effort?  What role does the organization's governing board have in terms of quality and safety in the organization?  How could you enlist the governing board's aid in your improvement initiative?  What additional information could you provide them to increase their involvement in the organization's safety and quality improvement efforts? Leadership Action Plan What are three evidence-based actions you recommend that would help to solve the incident that arose? What are three evidence-based best practices you recommend to address the issue on an organizational level? Conclusion How will you summarize your analysis of the incident and your leadership action plan? Remember that health care is an evidence-based field. You will need to cite a minimum of two credible references to support your analysis and action planning process.