Exam 2 Summer 2015 Please answer the following questions thoroughly and concisely. All questions should be answerable in no more than four typed, 1.5-spaced pages. 1. (70 points) Medio Nusquam Hospital is a small, 150 bed hospital in rural Oklahoma. Despite being small, they have been able to attract some fairly good physicians and are able to service a wide array of areas including oncology, pediatrics, emergency, limited ICU, OB/GYN, and a small, walk-in clinic. For several specializations, such as neurology, they must send patients to providers in larger cities. Recently, and fortunately for the residents of Medio Nusquam and the surrounding area, the hospital has been purchased by a corporate, for-profit hospital (Magnus Sanitatem, Inc.) that wishes to use it a launching pad for a rural health initiative using healthcare telematics. Use what you know about Enterprise Architecture to develop both an ‘As-is’ and a ‘To-be’ enterprise architecture for this effort. By ‘As-is’ is meant the potential EA that Medio Nusquam Hosptial currently has. By ‘To-be’ is meant the EA that they wish to have as a division of Magnus Sanitatem. Keep in mind that the goal of Magnus Sanitatem is to reach under- and un-served populations in the surrounding areas as well as provide new and expanded services within Medio Nusquam without increasing its number of physicians by any significant amount. Be sure to narratively and diagrammatically describe both architectures. Discuss the gap that exists between the As-is and To-be EAs and what needs to be done to bridge that gap. 2. (30 points) Defend or refute the following statement: “Healthcare telematics will decrease costs, increase quality, and improve the overall health of the nation.” Take a stand. Use the context of Public Health and the legal and regulatory environment for your argument. MBA 6001, Organizational Research and Theory 1 Course Learning Outcomes for Unit II Upon completion of this unit, students should be able to: 4. Examine the relationship between reward systems and organizational goals and productivity. 4.1 Identify the constructs of reward systems, organizational goals, and productivity. 4.2 Identify the relationship among the constructs of reward systems, organizational goals, and productivity. 4.3 Evaluate the ethical implications of decision making that occur within the organization. Unit Lesson Jones (2013) outlines organizational stakeholders, managers, and ethics as interconnected constructs that are of critical importance to the organizational outcomes. Stakeholders provide inducements (or awards) and contributions (skills, knowledge, and expertise) to organizations that allow them to survive and also dictate what is required during all task performances. Managers should be aware of stakeholder interests and concerns in every aspect of the organizational structure. Without stakeholder buy-in and total support, the organizati ...

1. Exam 2 Summer 2015
Please answer the following questions thoroughly and concisely.
All questions should be answerable in no more than four typed,
1.5-spaced pages.
1. (70 points) Medio Nusquam Hospital is a small, 150 bed
hospital in rural Oklahoma. Despite being small, they have
been able to attract some fairly good physicians and are able to
service a wide array of areas including oncology, pediatrics,
emergency, limited ICU, OB/GYN, and a small, walk-in clinic.
For several specializations, such as neurology, they must send
patients to providers in larger cities. Recently, and fortunately
for the residents of Medio Nusquam and the surrounding area,
the hospital has been purchased by a corporate, for-profit
hospital (Magnus Sanitatem, Inc.) that wishes to use it a
launching pad for a rural health initiative using healthcare
telematics. Use what you know about Enterprise Architecture to
develop both an ‘As-is’ and a ‘To-be’ enterprise architecture for
this effort. By ‘As-is’ is meant the potential EA that Medio
Nusquam Hosptial currently has. By ‘To-be’ is meant the EA
that they wish to have as a division of Magnus Sanitatem. Keep
in mind that the goal of Magnus Sanitatem is to reach under-
and un-served populations in the surrounding areas as well as
provide new and expanded services within Medio Nusquam
without increasing its number of physicians by any significant
amount. Be sure to narratively and diagrammatically describe
both architectures. Discuss the gap that exists between the As-
is and To-be EAs and what needs to be done to bridge that gap.
2. (30 points) Defend or refute the following statement:
“Healthcare telematics will decrease costs, increase quality, and
improve the overall health of the nation.”
Take a stand. Use the context of Public Health and the legal

2. and regulatory environment for your argument.
MBA 6001, Organizational Research and Theory 1
Course Learning Outcomes for Unit II
Upon completion of this unit, students should be able to:
4. Examine the relationship between reward systems and
organizational goals
and productivity.
4.1 Identify the constructs of reward systems, organizational
goals, and
productivity.
4.2 Identify the relationship among the constructs of reward
systems,
organizational goals, and productivity.
4.3 Evaluate the ethical implications of decision making that
occur within
the organization.

3. Unit Lesson
Jones (2013) outlines organizational stakeholders, managers,
and ethics as
interconnected constructs that are of critical importance to the
organizational
outcomes. Stakeholders provide inducements (or awards) and
contributions (skills,
knowledge, and expertise) to organizations that allow them to
survive and also dictate
what is required during all task performances. Managers should
be aware of
stakeholder interests and concerns in every aspect of the
organizational structure.
Without stakeholder buy-in and total support, the organizational
mission can fluctuate
or even fail.
A quick look at the fate of corrupt leadership, such as with the
failure at Enron,
demonstrates how unethical behavior can be perpetrated by top
managers who work
to protect themselves or are motivated by greed. Jones (2013)
points out how mutual
fund companies, a peanut company, and a major oil company
have incurred legal
actions due to unethical product processes or organizational
investigations and bad
public relations due to safety processes. Knowing the internal
and external
stakeholders’ values and contributions as we evaluate and
improve organizational
processes is vital to organizational survival.
Internal stakeholders include shareholders (the owners),
managers (employees who

4. ensure goals are met), and the workforce (all employees whose
skills and motivation
often dictate outcomes). Consider the best company for which
you ever worked. What
made the employees strive to do their work? Think about the
awards or treatment of
employees. What were the rewards and incentives? What drove
the motivation of
employees? Think about the morale and the monetary gains over
time. Were the
employees satisfied with the gains?
External stakeholders include customers, suppliers, the
government, trade unions,
and local communities. Consider a preschool in a suburban
town. Clients are parents.
Suppliers might be local grocery stores. The government
regulates health and safety.
Reading
Assignment
Chapter 2:
Stakeholders, Managers,
and Ethics
Internet Reading:
See information below.
UNIT II STUDY GUIDE
Stakeholders and Ethics

5. MBA 6001, Organizational Research and Theory 2
Trade unions protect the teachers’ rights. The local community
surrounds the
preschool as a small culture of change. How does the preschool
adapt, evolve, and
improve in such a small eco-culture? Is it easier for a global
company, such as
E*TRADE or Raytheon, to evolve and improve in a more global
eco-culture?
Organizational effectiveness is measured and controlled by the
goals and interests of
different groups of stakeholders. Consider project management
professionals. There
are metrics to weigh out and predict the outcomes of particular
stakeholder interests
and project goals to see if they align in a way that benefits the
organization.
Rudimentary to all aspects of project management professional
training is full
consideration of stakeholder interests.
There are competing goals among stakeholders and managers.
Competing goals
might lead to a manager choosing goals that vary from
maximizing stakeholder
wealth. Taking risks by investing in new areas in order to
maximize wealth might be
avoided by a cautious manager who idealizes the status quo.
Personal values and
ethics influence a manager’s views and decisions along the way.
The development of
a professional might correlate with a person’s ethical

6. development; conversely, a
person might develop a more narcissistic point of view and
become greedier over
time. Human motivation has long been a point of discussion
from Socrates to
Abraham Maslow. Personality has always been part of the
discussion.
Allocating rewards within an organization is a choice that needs
to be made carefully.
Stakeholders might be awarded a dividend of profits quarterly;
they may or may not be
guaranteed a check based on the performance of the
organization. Employees might
be promised bonuses based on year end profits, or the sales
department might be
granted a higher commission based on a successful quarter.
Allocation of rewards can be an issue in a variety of ways. A
large corporation that
makes a public profit each year and does not fairly allocate
rewards to employees,
particularly after promising such rewards, might experience
disgruntled employees
overtime. Consider a situation in a school or in a hospital where
the teacher or doctor
becomes part owner. Will there be shortcuts in quality in order
to cash in a greater
profit?
The relationship between reward systems and organizational
goals and productivity
are complex, but the causal connections are certain. If hard
work and dedication are
met with unethical or inappropriate treatment in any company
regardless of size,

7. productivity will decrease. Conversely, when hard work and
dedication are met with
rewards, productivity will be maintained or will increase.
Reward systems need not be
monetary; often employers’ written or verbal words of praise or
validation can be
motivational to employees. Corporate trophies and certificates
are a multi-million dollar
industry because for a fraction of the cost of an employee
bonus, a trophy has been
known to motivate and recognize an employee with equal
results.
Constructs of reward systems have a ripple effect. When
correspondent with
organizational goals, reward systems can have a direct impact
on the rate and
frequency of productivity. If each team in the sales department
of a financial planning
company is given a challenge to sell the most of a particular
financial software product
in the upcoming quarter, each team is motivated in a parallel
direction at the same
time to sell the same product. Such a strategy would align a
corporate goal with
employee behavior. In this case, the reward system is aligned
with the organization’s
goal and directly influences the productivity of the sales
department. In the Chapter 2
reading assignment and the essay assignment in this unit, you
will further identify the
relationship among the constructs and also among the reward
systems, goals, and
productivity.

8. MBA 6001, Organizational Research and Theory 3
Reference
Jones, G. R. (2013). Organizational theory, design, and change
(7th ed.). Upper
Saddle River, NJ: Prentice Hall.
Internet Reading
In order to access the resource below, you must first log into
the myCSU Student
Portal and access the Academic OneFile database within the
CSU Online Library. If
you have any questions, the librarians’ contact information can
be found on the right
side of the library page.
Bukovinsky, D. (2013). Are pay-for-performance systems
missing the mark?
Overcoming design, implementation, and operational
challenges. The CPA
Journal, 83(10), 60.