CAPSTONE PROJECT BENEFITS AND VALUE

CAPSTONE PROJECT BENEFITS AND VALUE

Introduction

Determining the potential benefits, costs, and value of a potential capstone project to the organization requires a thoughtful comparison of the benefits and costs, an analysis of project features as value considerations, and the development of anticipated measurable outcomes.

Instructions

Complete a critical analysis of a potential doctoral capstone project and make final recommendations, based on the project’s benefits, costs, and value to the organization.

Requirements

The assignment requirements, outlined below, correspond to the scoring guide criteria, so be sure to address each main point. Read the performance-level descriptions for each criterion to see how your work will be assessed. In addition, note the additional requirements for document format, length, and supporting evidence.

  • Substantiate the prospect of a potential capstone project to mitigate the negative effect of an organizational challenge.
    • Explain how the project will mitigate the negative effect of the challenge on the organization and/or a population.
    • Discuss the project’s potential to facilitate improvements for the larger industry and other populations and organizations.
    • Substantiate the potential of the project to improve current, publicly reported metrics, compared to benchmarks.
  • Critically analyze the benefits of a potential capstone project to the organization and/or a population.
    • Describe anticipated, improved project outcomes.
    • Describe the benefits of the project relative to the organization’s performance, quality, mission, and goals or outcomes for a population.
    • Critically analyze the potential costs and benefits of the project to the organization.
  • Critically analyze a potential capstone project’s value to the organization and/or a population.
    • Discuss aspects of the project that could potentially require the organization to dedicate energy, staff, time, and financial resources.
    • Describe ways in which approvable mentee capstone practicum activities can minimize the costs to the organization.
    • Summarize the features of the project that will provide benefit to the organization and/or a population.
  • Make recommendations for a potential doctoral capstone project, based on its benefits, costs, and value to the organization and/or a population.
    • Present an argument for the project, based on its benefits, costs, and value to the organization and/or a population.
      • Weigh both the positive and negative aspects of the project.
    • Substantiate that the benefits of the project outweigh the costs, or that the costs outweigh the benefits.
    • Recommend next steps in communicating with the preceptor and site leaders on the project’s potential.
  • Organize content so ideas flow logically with smooth transitions.
  • Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
    • Assess the relevance and credibility of information sources.
  1. Increase Population Participation- Racial and ethnic differences create considerable barriers for populations to be included in health research studies. Some of the barriers involve linguistic differences, lack of information on enrolment, beliefs and values, lack of support, financial barriers, and lack of resources (Nipp et al., 2019). Enrollment to cancer clinical research is perceived to only involve certain population in the society. improvements in the enrollment and retention of minorities in clinical trials.

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2. Improve multi-level factors that contribute to this organizational challenge- Application of the evidence in an organizational level would result to changes mitigating system barriers such as financial costs and resources limitations. Also, community engagement from the individual level would increase participation and ownership of the research. Meanwhile, the individual level evidence reduces individual barriers like population support reducing agreements to enrollment. Interpersonal level evidence addresses barriers related to biasness, communication, and understanding of the trials.

3. Remove culture biases- improve application of effective research strategies which are culture and language sensitive

Considering the multilevel framework of interventions, the organization is likely to facilitate improvements through organizational and individual levels to mitigate the negative impact of the challenge. This can be associated with resources, finance, assistance, support, awareness, community engagement, and positive attitudes towards the trials. The organization would stipulate its contribution of resources and finances since they are challenging factors in the population to reduce under-representation and lack of participation in trials. Assistance, support, awareness, and community engagement would be influenced through application of the resources towards effective organization-community relationships. The interventions specifically apply to the population characteristics through exposure to unique barriers. The barriers such as biasness and under-representation in clinical research resonate with the population. The interventions articulated consider equity and cultural sensitivity of the population. In addition, the population experiences a lot of disparities when assessing quality health care. The interventions ensure that their participation in the trials would lead to quality cancer care through reduced generalization of findings and treatments. The intervention is supported by all the articles articulating its quality and applicability in reducing the negative impacts of the organizational challenge. Additionally, the articles provide substantial evidence which effectively supports the specific intervention. This is because of its effectiveness and applicability. Considering the level of the intervention, it is appropriate as it directly deals with the organization, the community, and individual population members. To impact changes on inclusion in trials, the community, organization, and members ought to be involved. This is facilitated through education, awareness, support, and assistance. Community and organizational support are significant in enabling the inclusion of minorities in oncology clinical trials.

Reference

George, S., Duran, N. & Norris, K. (2014). A systematic review of barriers and facilitators to minority research participation among African Americans, Latinos, Asian Americans, and Pacific Islanders. American journal of public health 104(2). doi:10.2105/AJPH.2013. 301706)

Hamel, L., Penner, L., Albrecht, T., Heath, E., Gwede, C. & Eggly, S. (2016). Barriers to clinical enrollment in racial and ethnic minority patients with cancer. Cancer control 23(4), 327-337.

Nipp, R., Hing, K. & Paskett, E. (2019). Overcoming barriers to clinical trial enrollment. Care delivery and practice management. https://doi.org/ 10.1200/EDBK_ 243729

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Capstone Project Benefits and Value Scoring Guide

 

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Substantiate the prospect of a potential capstone project to mitigate the negative impact of an organizational challenge.
20%
Does not describe a potential capstone project and the organizational challenge it addresses. Describes a potential capstone project and the organizational challenge it addresses. Substantiate the prospect of a potential capstone project to mitigate the negative impact of an organizational challenge. Substantiate the prospect of a potential capstone project to mitigate the negative impact of an organizational challenge. Makes a cogent case for the project and its potential impacts beyond the organization that is well-supported by compelling evidence.
Critically analyze the benefits of a potential capstone project to a specific organization and/or population.
20%
Does not describe the benefits of a potential capstone project to an organization and/or a population. Describes the benefits of a potential capstone project to an organization and/or a population. Critically analyzes the benefits of a potential capstone project to an organization and/or a population. Critically analyzes the benefits of a potential capstone project to an organization and/or a population. Provides an impartial, in-depth, examination of projected costs and how the project impacts key aspects of organizational performance.
Critically analyze a potential capstone project’s value to an organization and/or population.
20%
Does not describe the major effects of a potential capstone project on an organization and/or a population. Describes the major effects of a potential capstone project on an organization and/or a population. Critically analyzes a potential capstone project’s value to an organization and/or a population. Critically analyzes a potential capstone project’s value to an organization and/or a population Provides an impartial, in-depth, examination of all aspects of the project that could affect the organization.
Make recommendations for a potential doctoral capstone project, based on its benefits, costs, and value to an organization and/or a population.
20%
Does not analyze the positive and negative aspects a potential doctoral capstone project. Analyzes the positive and negative aspects a potential doctoral capstone project. Makes recommendations for a potential doctoral capstone project, based on its benefits, costs, and value to an organization and/or a population. Makes unbiased, substantiated recommendations for a potential doctoral capstone project, based on its benefits, costs, and value to an organization and/or a population. Presents an articulate, convincing argument for the project, including clear and logical next steps for communicating with the preceptor and site leaders.
Organize content so ideas flow logically with smooth transitions.
10%
Does not organize content for ideas to flow logically with smooth transitions. Organizes content with some logical flow and smooth transitions. Organizes content so ideas flow logically with smooth transitions. Organizes content so clarity is enhanced, and all ideas flow logically with smooth transitions.
Support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence.
10%
Does not support main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence. Sources lack relevance or credibility, or the evidence is not persuasive or explicitly supportive of main points, assertions, arguments, conclusions, or recommendations. Supports main points, assertions, arguments, conclusions, or recommendations with relevant and credible evidence. Supports main points, assertions, arguments, conclusions, or recommendations with relevant, credible, and convincing evidence. Skillfully combines virtually error-free source citations with a perceptive and coherent synthesis of the evidence.

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The Georgia Cancer Center houses a dedicated cancer clinical research unit that oversees the center’s own Phase I-IV trials and manages studies from throughout the medical center offered in conjunction with oncology departments such as radiology and gynecologic oncology. The serve all populations in the Central Savannah River Area of Augusta, Ga. The Georgia Cancer does not have a permanent affiliation agreement with Capella University, but I did complete my MPH capstone with this site in 2018 and assisted them with completing the NCI Community Oncology Research Program (NCORP) grant from the National Cancer Institute (NCI). Dr. Ghamande, who serves as the principal investigator for the grant, works with a team at the Georgia Cancer Center and partner sites across Georgia as well as one site in Mississippi. Partners including the University Cancer and Blood Center (Athens), Augusta Oncology Associates (Augusta), Morehouse School of Medicine (Atlanta), Phoebe Putney Memorial Hospital (Albany) and St. Dominic-Jackson Memorial Hospital (Jackson, Mississippi) which has a minority and rural population like what we see in Georgia.

 

The Georgia Cancer Center research approach supports important National Cancer Institute goals: Ensuring every cancer patient has access to the newest and most innovative clinical trials in the nation. Clinicians and researchers work together to initiate new research protocols based on the clinician’s interaction with the patient. Each cancer patient receives personalized treatment through the interaction of the multidisciplinary team of clinicians and allied health professionals. The main building houses the basic science teams with four floors of open concept-lab space, shared resources and special equipment, such as flow cytometry, radiation therapy research platforms and quantitative pathology imaging as well as administrative offices and meeting spaces for seminars, lectures, training sessions and community-wide forums on cancer-related topics. The Collaborator Corridor is a new addition designed to facilitate communication and collaboration between cancer researchers and clinicians, with a goal of promoting translational research in order to develop the next generation of cancer diagnostics and treatments.

 

My preceptor is Sharad A. Ghamande, MD. He is a Professor, Executive Vice Chair, and Director for Gynecological Oncology at the Georgia Cancer Center at Augusta, Georgia and have been heavily involved in clinical trials for over 16 years. He is also the Associate Cancer Center Director for Clinical Research. Dr. Ghamande Certifications and Education are as follows: American Board of Obstetrics and Oncology – Certified, 2003; Education and Training: Medical School: Bombay University, India, 1990; Residency: Boston Medical Center Program, Boston University, 1997; Fellowship: Roswell Park Cancer Institute, Buffalo, New York, 2000.

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PHE 4070

PHE 4070

In Week 1, you described a program for the health problem and identified the right division for the program.
Week 2 Tasks
This week, you will develop a needs statement, which provides factual information for understanding the health problem. A problem statement is one of the most crucial parts of your concept paper. This is the first section your audience will read, and it will set the tone for your proposed program. A well-written problem statement should include the nature of the problem, who the problem affects, the current impact of the problem, and future consequences of the problem, if left unaddressed.
Continuing with the Microsoft Word report you created in W1 Assignment 3, add 2–4 pages to the report covering the following:

  • Explain the public health problem your program will address using factual information.
    • Define the public health problem.
    • Describe the adverse effects of the problem on public health and well-being.
    • Provide detailed and specific data on the problem and the community in which the project will be implemented.
  • Explain the anticipated improvements in health outcomes upon successful implementation of the program.
  • Submission Details
  • Support your responses with examples.
  • Cite any sources in APA format.
  • Name your report SU_PHE4070_W2_A2_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.

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Internal & External stakeholders in healthcare

Internal & External stakeholders in healthcare

The role of governance has a vital impact on the interests of the important stakeholders in a healthcare system.

Markwell, S. & Leigh-Hunt, N. (2016). Identifying and managing internal and external stakeholder interests. Retrieved from https://www.healthknowledge.org.uk/public-health-textbook/organisation-management/5b-understanding-ofs/managing-internal-external-stakeholders

In a 2- to 3-page paper answer/complete the following:

  • Who are the internal stakeholders? What are their roles and responsibilities? What are their interests?
  • Who are the external stakeholders? What are their roles and responsibilities? What are their interests?
  • Address how the potentially conflicting interests of stakeholders may be addressed in the governance process. (To do this, you will need to clearly define the purpose of governance, its areas of influence, and its methods of influencing. You will also need to define the limits of governance, what issues are not appropriate to address through governance, and what actions are not appropriate for a governing board to take.)

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In your scholarly paper, you should include an introduction and conclusion paragraph.

SLP Assignment Expectations

  1. Conduct additional research to gather sufficient information to justify/support your responses.
  2. Limit your response to a maximum of 3 pages.
  3. Support your proposal with peer-reviewed articles with 3 or 4 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php
  4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/
  5. For additional information on reliability of sources review the following source: https://nccih.nih.gov/health/webresources
  6. This assignment will be graded based on the SLP assignment rubric.

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The Biosphere

The Biosphere

Our fictional characters from our readings include Waterly Water from the Hydrosphere, Nico Nitrogen from the Atmosphere, and Remi Rock from the Lithosphere. However, we did not meet any characters from the Biosphere.

This is your time to continue our story by creating a fictional character from the Biosphere to join the other characters.

Respond to the following in a minimum of 175 words.

  • Who will your character be? Is it an element? A molecule? An animal? Or something else? What is your character’s name and characteristics?
  • Write a birth announcement for your character to introduce the character to the world. Include the character’s origin, make up, and facts about it on Earth.
  • Describe a short story about your character living and existing in the biosphere.

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Unit VII Case Study (BOS 3640)

Unit VII Case Study (BOS 3640)

Unit VII Case Study For this assignment, you are the lead incident commander for a hazardous materials incident similar to those that have been introduced in this course. In this scenario, HLF Polyurethane Manufacturing was undergoing a maintenance activity in which an acid gas feed line segment required replacement. Pressure gauges were not installed in the line to monitor activity or to indicate if the line was operational. Upon initiating the line breaking activity (opening the line to the atmosphere) under self-contained breathing apparatus (SCBA), there was an uncontrolled release of acid gas. A nearby welding operation provided the ignition source and the flammable gas was ignited. The following actions were initially taken: The evacuation alarm was sounded and the facility emergency response team (ERT) was activated. The plant manager and the local fire department were notified of the incident. The incident command was established at the facility office near the main access gate to the south (this is the furthest distance within the property boundary from the incident location). The incident commander implemented actions required under the approved emergency response plan. The ERT was not able to immediately isolate the source of the incident. The fire department arrived on location and assumed the incident command of the event. Additional Relevant Information: The facility encompasses an area measuring 2000 feet by 1400 feet. The nearest residential community is located approximately 1000 feet to the northeast. A plastic recycling plant is located along the south fence boundary of the refinery. A major interstate highway runs directly parallel to the plant. The ambient temperature on the day of the incident was 85° F and the wind was blowing at 7 mph from the southwest to the northeast. Work crews were scheduled to work 12-hour shifts, 24-hours a day, to complete the incident response. The facility has a trained ERT that can respond to incidents. Your essay must address the following: Summarize the incident. Identify all hazardous materials involved, their classifications and their physical properties. Discuss chemical incompatibility and interactions relevant to this incident. Discuss any short or long term mitigation necessary. Explain how the lead incident commander should respond to this incident based on the Emergency Response Guidebook (ERG).

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Click the link below to access the ERG at the Pipeline and Hazardous Materials Safety Administration OSH 3640, Interactions of Hazardous Materials 3 website: Pipeline and Hazardous Materials Safety Administration. (n.d.). Emergency Response Guidebook (ERG). Retrieved from http://www.phmsa.dot.gov/hazmat/library/erg Explain the corrective action plan that should be implemented based on the ERG to prevent a reoccurrence of this event. Your response must be at least one page in length (not counting the cover page or reference page). All sources used, including the text, must be referenced. Paraphrased and quoted materials must have accompanying in-text and reference citations in APA format. Your response must be at least one page in length (not counting the cover page or reference page). All sources used, including the text, must be referenced. Paraphrased and quoted materials must have accompanying in-text and reference citations in APA format.

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Kristen’s Cookie Company Case Study

Kristen’s Cookie Company Case Study

Operations and Project Management

Assignment Description

Case is attached.

Develop a paper that follows the APA Guidelines and is approximately 10 pages in length excluding cover page, diagrams, tables, references, and appendices. See layout requirements below.

If there are questions in the case, answer them. View the case as if you are the Operations Manager, or CEO of the company. Look up the company on the internet, are they real? What kind of analysis tools can you use from your text to help you support your conclusions with the case? How does the foreign–based firm operate differently than the U.S. based counterparts?  Definitely answer the key questions. If you choose, the Further Thought questions could be addressed as part of your overall analysis.

Writing Guidelines

Your paper must follow the layout below, including types of headings, flow of information, and what content to include.

  • Title Page
  • Abstract
  • Introduction (40 points)

Begin with an introduction, including your thesis statement. The Introduction answers the following questions:

    • Give background information
    • What is the thesis or main idea of the case study?
    • What are the relevant key points about the organization?
    • What are the relevant key points about the situation?
    • What are the ethical and diversity issues related to this case?
  • Method (60 points)
    At a minimum, this is to be a main section and heading in your paper. You may use additional major headings if you wish, and you will probably also want to use subheadings (see example below). The Method section answers the following questions:

    • What is the situational analysis of the problem or issue? (A SWOT analysis is suggested here.)
    • What are the causes/effects of the situation or problem?
    • How did the problem evolve (over night or over time)?
    • How can course concepts be applied to provide greater understanding of the situation?
    • How will ethical and diversity issues be addressed?
  • Results/Discussion (60 points)
    At a minimum, this is to be a main section and heading in your paper. You may use additional major headings if you wish, and you will probably also want to use subheadings (see example below). The Results/Discussion section answers the following questions:

    • How can the problem be solved?
    • What specific recommendations can be made for improving the situation?
    • Explain your rationale for these suggestions.
    • How will these recommendations, if implemented, enhance organizational effectiveness?
    • How will ethical and diversity issues impact your recommendations?
  • References (40 points)
    Per APA, start the “References” section on a new page after the last page of your last section of the paper.
  • Appendix (if needed)

Each page of your printed paper must include the title of the paper (left-justified) and the page number (right-justified). Use header/footer function in MS Word to insert the required information at the top right corner, starting with the title page as page 1.

In general, pay close attention to style, format, and proper mechanics including language use, grammar, spelling, sentence structure and where required supported by APA formatted references. (-1 point for each error)

Before turning in your final draft, make sure:

  • Your key points are clear and the information is well-organized as described in the term paper assessment rubric
  • Proofread the entire document (or have someone you trust proofread it)
  • Eliminate mechanical errors, run spell check, etc.

 

Use of Subheadings

  • Subheadings can be used under a main heading to provide additional clarity. Subheading format follows a prescribed method that is the same for both the Analysis and the Recommendations and Rationale sections. See the example below:

 

 

  • Subheading (first level of subheading – either underline or italicize)
  • Start writing here. Comments regarding subheadings: You may or may not include subheadings. You name the subheadings yourself.
  • Start writing here. (Next level of subheading. If you have one subheading at this level, then you must have at least two subheadings at this level.) Note the period at the end of this title for this level of subheading. Again, either underline or italicize.
  • Start writing here. (Next level of subheading.) Note the period at the end of this title for this level of subheading. Again, either underline or italicize.
  • Subheading (Back to the first level of subheading – either underline or italicize)
  • Start writing here. If you have one subheading, then you must have at least two subheadings.
  • Start writing here. (Next level of subheading. If you have one subheading at this level, then you must have at least two subheadings at this level.) Note the period at the end of this title for this level of subheading. Again, either underline or italicize.
  • Start writing here. (Next level of subheading.) Note the period at the end of this title for this level of subheading. Again, either underline or italicize.
  • And so on…

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SCIE211 Phase 4 Lab Report

SCIE211 Phase 4 Lab Report

Name:

 

Date:

 

Instructor’s Name:

 

Assignment: SCIE211 Phase 4 Lab Report

 

Title: Analysis of Energy Sources

 

Instructions: You will write a 1-page lab report using the scientific method.

 

When your lab report is complete, post it in Submitted Assignment files.

 

Part I: Using the lab animation, fill in the data table below to gather your data, and use it to help you generate your hypothesis, outcomes, and analysis.

 

Energy Source Fuel (Coal)/Uranium Needed (tons) CO2 Emissions
(tons)
Sulfur Dioxide and Other Emissions (tons) Radioactivity mSv (millisievert) Solid Waste (tons) Accidents
Coal            
Nuclear            

 

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Part II: Write a 1-page lab report using the following scientific method sections:

  • Purpose
    • State the purpose of the lab.
  • Introduction
    • This is an investigation of what is currently known about the question being asked. Use background information from credible references to write a short summary about concepts in the lab. List and cite references in APA style.
  • Hypothesis/Predicted Outcome
    • hypothesis is an educated guess. Based on what you have learned and written about in the Introduction, state what you expect to be the results of the lab procedures.
  • Methods
    • Summarize the procedures that you used in the lab. The Methods section should also state clearly how data (numbers) were collected during the lab; this will be reported in the Results/Outcome section.
  • Results/Outcome
    • Provide here any results or data that were generated while doing the lab procedure.
  • Discussion/Analysis
    • In this section, state clearly whether you obtained the expected results, and if the outcome was as expected.
    • Note: You can use the lab data to help you discuss the results and what you learned.

Provide references in APA format. This includes a reference list and in-text citations for references used in the Introduction section.

Give your paper a title and number, and identify each section as specified above. Although the hypothesis will be a 1-sentence answer, the other sections will need to be paragraphs to adequately explain your experiment.

When your lab report is complete, post it in Submitted Assignment files.

  • Purpose

To find out which energy source has little environmental effects.

To find out the most economical energy source.

  • Introduction

Due to effects of increased global warming and other negative environmental effects of energy sources it is important to seek other alternative sources that are less harmful to the environment (Bredesen, n.d.). In the example of the source given in the experiment are coal and nuclear both of which have negative environmental implications. Coal is more dangerous to the environment because it releases sulfur dioxide that depletes the ozone layer. It is not economic as compared to nuclear which needs less uranium and releases less emission to the environment (Bredesen, n.d.).

  • Hypothesis/Predicted Outcome

Nuclear energy is better source of energy than coal and release less dangerous emissions to the environment hence environmentally friendly.

  • Methods

Two sources of energy were observed as well as the dangerous emissions from common sources of energy. The emissions for each source of energy was measured and recorded during its burning process. The possible accidents associated with each source of energy during burning were also observed and the results recorded in a table format.

 

  • Results/Outcome
Energy Source Fuel (Coal)/Uranium Needed (tons) CO2 Emissions
(tons)
Sulfur Dioxide and Other Emissions (tons) Radioactivity mSv (millisievert) Solid Waste (tons) Accidents
Coal 625000 1.75 75000 0.25 1500000 N/A
Nuclear 187500 52500 0 25 62.5 N/A

 

  • Discussion/Analysis

From the data obtained it can be verified that nuclear is better source of energy than coal. It has no sulfur dioxide emissions and other emissions. It also releases more carbon dioxide gas that is used by plants in making their food. It has little solid waste disposed and does not have any accident associated issues. The only issue is that it increases rate of radioactivity that can be dangerous to the person conducting the experiment during exposure (Bredesen, n.d.).

Reference

Bredesen A M. (n.d.) Startegies for environmentally friendly energy systems and the role of natural gas. (Article/ letter to editor.)

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HSA 520 FINAL EXAM PART 2

HSA 520 FINAL EXAM PART 2

Part 2: Balgrosky: Chapters 3, 11, and 12 (20 questions worth 4 points apiece)

eHealth is:    The use of e-commerce and e-business practices in health systems management    The delivery of health information, for health professionals and consumers, through the Internet    Using the power of IT to improve public health services    All of the above. Question 2   What is one of the stages of implementation?    Brainstorming    Program Selection    Analysis    Design  Question 3   Systems for exporting data to reporting organizations, such as The Joint Commission, fall into Quadrant _____ of the HIS Planning Framework.    I    II    III    IV    All of the above. Question 4   Which of the following areas is important to EHR data and its usefulness for research?    Data definition variability    Data inaccuracy    Data incompleteness    All of the above Question 5   A good HIS plan can advance the organization’s performance, for example:    Reducing cost.    Reducing waste.    Increasing patient and provider satisfaction.    Improving the quality of care.    All of the above. Question 6   All except one of the following is a challenge to telemedicine and telehealth.    Cultural barriers.    Cost of providing telemedicine.    Too many cases with conflicting research findings.    Legal issues.    Technical challenges. Question 7   The purpose of governmental health care policy is to:    Address issues that the private sector cannot.    Address issues that are related to civil liberties, national security, and public safety.    Protect public health.    All of the above. Question 8   The term “dematerialized information” refers to:    Storing information in the cloud.    Protecting personal medical information.    Information that is bound to a physical structure.    None of the above Question 9   Which of the following is a source of public health data?    News reports    Government    Survey sampling    All of the above Question 10   Infrastructure refers to the electronic highway that carries data and information and includes:    Software.    Patient information.    Servers.    Hosts Question 11   Which of the following does not support better public health surveillance and management?    Widespread EHRs    Health information exchange (HIE)    Online appointment scheduling    Mobile health technology    Better analytics for data Question 12   Health services research is:    The examination of how people get care, what it costs, and what the outcomes are.    The prediction of critical public health threats.    A focused look at clinical care processes and which serve patients best.    All of the above Question 13   Outcomes research, the study of the end results of medical care—is practiced by:    Clinicians.    Universities and teaching institutions.    Private companies and consumers.    Government agencies.    All of the above. Question 14   What is quadrant of the HIS Planning Framework?    Clinical Transaction Systems    Financial Transaction Systems    IT Systems    Patient Systems. Question 15   The number of clinical trials and case reports published each year has grown from _____ in 1950 to ______ now.    0 to 27,000    500 to 3,000    27,000 to 150,000    150,000 to 2,000,000 Question 16   _______ is an automatic collaboration, intrinsic in EHR systems, between care providers and public health agencies to alert the public disease outbreaks.    Syndromic surveillance    Self-reporting    Survey sampling    Sentinel monitoring Question 17   Which of these is not a tool for improving data stewardship and HIS planning?    Data model.    Data dictionary.    Data storage.    Data structures. Question 18   When defining the HIS strategic plan (and the organization’s overall strategic plan) information should be solicited from:    Executive level management.    Clinicians, including nurses, assistants, and physicians.    Administrative staff.    All of the above Question 19   In addition to governance from the board, organizations can and should create data steering committees, which:    Consists of interdisciplinary leaders from all departments.    Consists of IT staff.    Determines the color of upholstery in new cancer centers.    Consists of hospital leaders Question 20   The __________ works bi-directionally—layers both build upon each other and provide feedback for each other.    HRM Conceptual Model    ACL Conceptual Model    HIS Conceptual Model    EHR Conceptual Model

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HSA 535 Midterm Exam

HSA 535 Midterm Exam

Question 1 .

The first step in any epidemiological investigation is to ____.

Answer

understand causation establish risk factors track trends and determine if particular diseases are increasing or decreasing in the population describe the population demographically by age, race, sex, education, and other relevant indicators

Question 2 .

One of the important concepts from the Nuremberg Code is that of ____, which means that the subject understands the scope of the study and can make an informed decision to participate.

Answer

informed consent voluntary consent beneficence primary agent

Question 3 .

A disease or condition that affects a greater than expected (normal) number of individuals within a population, community, or region at the same time is referred to as an ____.

Answer

epidemic endemic outbreak epidemic threshold

Question 4 .

The normal occurrence of a disease or condition common to persons within a localized area is known as a(n) ____.

Answer

transmission pandemic endemic epidemic

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Question 5 .

Reproductive health studies ____.

Answer

the role of genetics in disease development the occurrence and risk factors for disease such as cancer, heart disease, and diabetes that are slow to develop but span many years the distribution and risk factors for injuries, either accidental or intentional normal reproductive processes and problems that can occur including infertility, birth defects, and low birth weight

Question 6 .

The course of a disease, if left untreated, is referred to as ____.

Answer

transmission control measure natural history geographic pattern

Question 7 .

Physical, biological, social, cultural, and behaviors that influence health are known as ____.

Answer

risk factors health-related states agents determinants

Question 8 .

James Lind (1716-1794) observed the effect of time, place, weather, and diet on the spread of disease by ____.

Answer

comparing sick persons to well persons applying the germ theory to public health introducing randomization when conducting clinical trials applying the germ theory to hygiene practices

QUestion 9

The aspect of consistency means that ____.

Answer

an increasing amount of exposure increases the risk the association should be compatible with existing theory and knowledge the association is consistent when results are repeated in studies in different settings using different methods the findings agree with currently accepted understanding of pathological processes

QUestion 10

The modern epidemiologic triangle includes groups of populations, causative factors, and ____.

Answer

alternate explanations risk factors results coherence

Question 11

For chronic diseases, the time between exposure and symptoms is called the ____ period, which can range from a few months to many years.

Answer

latency incubation temporal plausibility

Question 12

Risk factors or exposures that we think might affect the outcome are known as ____.

Answer

indirect causes direct causes dependent variables independent variables

QUestion 13

Identifying diseases prior to the clinical stage means that prevention efforts can begin immediately. Because the disease is already present, this is an example of ____ prevention.

Answer

primary secondary tertiary quaternary

QUestion 14 The time between infection and clinical disease is referred to as a(n) ____.

Answer

a plausible period temporal period incubation period latency period

Question 15 .

A proportion measured over a period of time is known as a ____.

Answer

period prevalence prevalence proportion point prevalence rate

Question 16

The representation of a numerator as a fraction of a denominator is known as a(n) ____.

Answer

proportion rate incidence rate specific rate

Question 17 .

Prevalence equals ____.

Answer

incidence times duration of disease incidence divided by duration of disease incidence plus duration of disease incidence divided by duration of disease times 100

Question 18 .

While many people are used to hearing proportions represented as a percentage, many population samples in epidemiology are often presented per ____.

Answer

1,000 10,000 100,000 1,000,000

.Question 19 .

By definition, the disease or condition used to identify a case is determined by the ____.

Answer

hypothesis conclusion prevalence incidence

Question 20 .

A person in the population or study group identified as having the particular disease, health disorder, or condition under investigation is known as a ____.

Answer

person time case suspect case proportion

QUestion 21:

The number of new cases of disease in a specified time (usually one year) divided by the population “at-risk” to develop the disease is known as ____.

Answer

prevalence proportion incidence rate contingency case severity

Question 22 .

The number of existing cases of disease divided by the population is known as ____.

Answer

crude rate person time incidence rate prevalence proportion

Question 23 .

If a bacterium carries several resistance genes, it is called a ____.

Answer

multidrug resistant drug or super-drug multidrug resistant bacterium or superbug resistant bacterium or streptococcus bacterium killer bacterium or deadly bacterium

.Question 24 .

The disease carrier of most concern is known as a(n) ____, which is an infected person who never gets clinically ill, but can transmit the etiologic agent to others.

Answer

healthy or passive carrier pregnant carrier convalescent carrier active carrier

Question 25 .

____ is the transmission of a disease from mother to child during pregnancy or delivery.

Answer

Horizontal transmission Vertical transmission Lateral transmission Polar transmission

Question 26

There is ____ in the overall crude death rate in the United States from the year 1900 until 1996.

Answer

a definite increase a slight decrease hardly any change a clear decline

Question 27 .

The probability of death due to infectious disease in sub-Saharan Africa is ____%, but only ____% in developed countries, such as the United States.

Answer

22; 1.1 35; 10 66; 11 50; 22

Question 28 .

One of the most important emerging problems with the control of infectious diseases has to do with ____.Answer

deadly parasitic infections antibiotic resistant viral infections antibiotic resistant bacterial infections vaccine resistant viral infections

Question 29 .

A(n) ____ is an infected individual capable of transmitting disease during and after clinical disease.

Answer

convalescent carrier passive carrier active carrier inactive carrier

Question 30 . ____ is the transmission of a disease from person to person, and may be directly from one person to another, or indirectly from one person through an intermediate item to another person.

Answer

Horizontal transmission Vertical transmission Quick transmission Polar transmission

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Hazards Vulnerability Matrix

Hazards Vulnerability Matrix

Assignment Instruction

Hazards Vulnerability Matrix

Developing a Hazard Vulnerability Analysis document takes significant time and coordination with the local community partners and organizations. The intent of this assignment is to get you on the path to developing an HVA using the fictitious city called Bobsville. The document on Bobsville is intended to provide to you a snapshot of many small towns in America.

To fully complete the HVA process you would need to ensure that you have coordinated with your community, county, and state partners to evaluate the hazards in your community. If you were going to do the entire process from start to finish you would have to complete the following 4 Steps to completing the HVA:

There are 4 Steps to completing an HVA:

1. Identify the Hazards

2. Profile the Hazards

3. Inventory the Assets

4. Estimate the Losses

Since you will be working on your own, and due to the amount of time we have as a class, you will only be completing the first two items: 1) Identify the Hazards; and 2) Profile the Hazards.  There are 4 worksheets (adapted from FEMA course IS559) associated with these 2 steps.

This week you will complete Worksheet 1 – Hazard Vulnerability Matrix. I want you to develop one worksheet for each types of hazards (natural, technological, and human). You will use the fictitious town of Bobsville to complete the assignment.

This is the first step you will use to complete the HVA. You will use the HVA and associated documents as a resource document for your next class  EDMG220 when you develop your Emergency Operations Plan (EOP). Be thorough and ensure that you are as meticulous as you can since missing information will impact the EOP.

Instructions

  1. Download “Welcome to Bobsville.docx” for information on the location you will evaluate.
  2. Download the EDMG101 HVA Matrix.xlsx.  This contains a cover sheet and 3 blank tabs to fill–Natural, Technological, and Human.
  3. Fill out your name and date on the cover tab.
  4. Fill in each tab with hazards you identified from the location being assessed.  Many columns have drop-down menus with standardized values.  You do not have to fill in every row in every tab, but be thorough.  If you need to copy additional blank rows you can.
  5. Add your first initial and last name to the filename. ie: AJones HVA Matrix.xlsx
  6. Submit here in the classroom.

Supporting Materials

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Welcome to Bobsville

Founded in 2000, Bobsville is a fictitious city that is located in the heartland of America in Oklahoma.  Bobsville’s population when the University of Bobsville is in session is 9500 and when the school is not in session, the population is 7500.  Bobsville has been voted one of the Top 100 places in America to live in and has been voted as one of the Top 100 friendliest towns to live in.

Geography

The overall size of the city of Bobsville is 30 square blocks (4.6 X 6.5 miles) and shaped like a rhombus geometric symbol. The city is oriented with Main Street along the long axis from southwest to northeast and Center Street along the short axis from southeast to northwest. The average temperature in the winter is 40 degree F, in the summer it is 85 degrees F, and in the spring and fall, the temperature averages around 65 degrees F.

The topography of the town is flat. The highest point is 68 feet above sea level. Bobsville Creek runs from the northeast to the southwest into Lake Elise, which is larger than Bobsville.  There is only one bridge in town where Oklahoma 323 goes over the Bobsville Creek, which has some Level 2 rapids for kayaking, but only early in spring after the snow thaw.

City Council

Bobsville is your normal American small town.  The mayor doubles as the town’s dry cleaner; the city council is 5 individuals; 1 who is the Volunteer Fire Chief, 1 who is the Sheriff, 1 who is the Sherriff Deputy; 1 who is the Elementary/Middle School Principles and 1 town council member is always a high school student who is in their senior year of high school.

The mayor of Bobsville is an uncompensated position, but one of the benefits of being mayor is the 2015 Callahan 750 Luxury 4-wheel drive pickup with the town logo with his/her name painted on the side. The current mayor has been in office for 12 years and doesn’t seem to want to retire any time soon, which is fine with the town citizens. The mayor chairs the town council meetings on the first Thursday of each month at 7PM. The meetings are well attended and like most small towns, the busy bodies of the town attend the meeting and voice their opinion on many of the topics that are discussed at the meeting. It has been at least 5 years since anyone was escorted from the meetings by the Sheriff; however, they are always ready for the possibility they will need to remove an unruly spectator. Change has not come easy for Bobsville.

In Town

Downtown

The main commercial part of town is along Main Street, and is 7 blocks long and 2 blocks wide The streets beyond the downtown area are generally family homes, 6 blocks wide along Center Street and 10 blocks long along Main Street. The full length of Main Street including the downtown area and the surrounding residential area is 17 blocks.

Main Street through Bobsville used to be Oklahoma 323; however after the 9/11 attacks the section of the road that travels through the town is now known as 9/11 Memorial Drive. There are no stoplights in Bobsville. There are 4-way stop signs at all the intersections.

City Center Monuments

The town center of contains a statue of Bob Willie Ville, the founder. The statue is in the absolute center of town. A traffic circle surrounds the statue. In 2017, the last surviving World War 2 Veteran who lived in Bobville died and a monument was built to commemorate all those who have served their country. There’s been talk of putting in a Veterans Cemetery; however, the funding is not available.

City Offices

Meetings are held in the Town Hall located 2 blocks from the town center on the right side of the road when heading out of town to the northeast.

The following offices are located in the downtown area and are located in the block across from the Town Hall: the Sheriff’s Department; the Fire Chief’s Office; the DMV Office (Open 3 hours per week); and the Emergency Manager who is also the Dogcatcher.

Fire Dept

The fire department has two stations, and 1 Tanker Truck, 1 Rescue Truck, 1 Engine truck, and a Ladder Truck. There are 30 Volunteer firefighters. Each firefighter has duty one day a week and during the 24 hours of duty he/she sleeps at the main fire station located 2 blocks directly east from the statue. The other fire station is in the northwest part of town .5 miles from the statue at 310 degrees on the compass.  If a fire is called in the other firefighters show up to their respective stations.

Sheriff

The Sheriff’s Department has a Sheriff and 6 Deputies. There are 4 vehicles within the office. The Sheriff has one and the deputies share the other 3 vehicles. The deputies work 12-hour shifts and rotate from days to nights. There is only one deputy on duty each day and night. Bobsville does not have a crime problem and the budget for the city is set up to maintain a law enforcement presence, but it is done on a shoestring. The jail in town has one holding cell, and when there is no one in the cell, the on duty deputy sleeps in the cell.

Crime is virtually non-existent and in the last year there were only 3 people arrested; 2 for public intoxication, and 1 for egging the Sherriff’s car. Each individual’s punishment was to walk the downtown area holding a sign letting people know their crimes.

Businesses

The downtown commercial district has a hardware store, a drycleaners, a toy store, a dry goods store, a grocery store, a movie theatre, and a host of other small boutique stores.

On either side of the city offices are small businesses including Clyde’s Diner. Clyde is a retired Navy cook and is famous for having the best cream chipped beef on toast within the state. It is not uncommon on Saturday or Sunday morning to see the line to Clyde’s wrapped around the corner.

Next to Clyde’s is the dry cleaner owned by the mayor, open from 9AM to noon on Tuesday and Thursday. The other days, the mayor is the head groundskeeper at the municipal 9-hole golf course. However, the mayor will open longer when there is a special event in town. The mayor is also available by phone in case someone has a quick need for a suit to be cleaned. The high school band has their uniforms cleaned at the dry cleaner. When the band is invited to march in a big parade, the mayor cleans the uniforms for free, with assistance from the band boosters.

At the end of the main street is Elise’s Creamery, the local ice cream store.

There was an attempt by a rich former resident of Bobsville to build a small mall, the money ran out, the building is in bad shape and has been a place for illicit activities; usually on the weekend after a high school football game.

Many of the stores except the grocery and hardware store close at 6PM. The hardware store, grocery, movie theatre, and creamery stay open to 9PM. No store, including the grocery store is open on Sunday during church hours. There has been a movement to change the Sunday hours, but it has not been successful.

Library/Meeting Hall

The 2000 square foot library doubles as the town’s meeting hall, is located 2 blocks on the west side north of the town center.

Chamber of Commerce/Museum

Next door to the Library, the Bobsville museum of history also doubles as the town’s Chamber of Commerce Office.  It is also the rehearsal hall for the Bobsville town Chamber of Commerce band.

State & Federal Building

A Federal Office Building is also in the downtown area.  It is the tallest building in Bobsville at 6 stories high, and is called Bunny’s Tower.  Its courtroom is used for local, state, and federal court cases. Also within the building are the FBI and ATF offices. At least once a month the agents come to town for a meeting with the Sheriff and Mayor.  The following state and federal agencies make up the top 3 floors:

  1. Oklahoma Agriculture Representative
  2. Oklahoma Wine Growers and Packaging Representative
  3. Oklahoma EPA Representative
  4. Federal Land Management Representative
  5. Bureau of Indian Affairs Representative
  6. National Weather Service’s Tornado Warning Center
  7. Joint CIA/NSA Field Office

Hotel

A hotel is in the lower three floors of Bunny’s Tower and primarily serves the officials which visit though it is open to the public.  There is another hotel at the interstate exit 4 miles north of town.

Churches

Like most towns in Oklahoma, there are enough churches to support the whole town and then some. In the downtown area, there are 5 churches even though downtown is only 7 blocks long. There is a Catholic Church, a Southern Baptist Church, an Independent Baptist Church; a Church of Christ, and a non-denominational church which doubles as the hospital should there be a need for additional medical facilities.

Car Dealership

Bobsville Motor and Transport Company is the only car dealer or repair shop in town, and proudly sold the mayor his official vehicle. The dealership is located 2 blocks directly west from the town center.

Non-Downtown

Medical Complex

Bunny Ville General Hospital (named after Bob Ville’s wife) is just off Main St. half a mile to the northeast of the town center. The hospital has an operating room, an ER with 3 beds; and 5 in-patient beds, one of which is ICU. The staff includes 1 Pediatrician, 1 General Surgeon, 1 Physicians Assistant, 1 Nurse Practitioner, 4 RN’s, 2 LPN’s, and 4 Medical Assistants. The hospital has the capacity to handle minor emergencies; however should a significant number of people require medical assistance Bobstown General Hospital is the next closest hospital 25 miles south of Bobsville. Specialty care is referred to Bobstown General Hospital, a Class 2 Trauma Care facility. The Bobstown General Hospital which is in Disaster County has 100 beds and has the requisite staff to support the hospital should the need arise.

There is no full time EMS staff for the one ambulance the town has; however, Jack who owns the car dealership was once an up and coming dirt track racer and his skills haven’t diminished. Even though the ambulance is old and has over 100000 miles it is maintained well and is capable of doing what is needed should the need arise. When the ambulance has to roll, an RN who was an 18 Delta (Army Special Forces field medic) and a former Navy Hospital Corpsman (Fleet Marine Force) who is a Medical Assistant will roll with the vehicle. The ambulance medical staff’s experience is based upon deployments to Iraq (RN) and Afghanistan (MA). Each individual is trained in trauma care on the battlefield and more than capable of saving a life in the Golden Hour.

Collocated by the hospital is the town’s dental office. The office has 4 dentists, two of which are dental surgeons, and 6 dental hygienists. There is no orthodontist in the town. The closest orthodontist is in Bobstown 25 miles away.

There is no pharmacy at the hospital; however, there is a local pharmacist in the Medical complex that fills all prescriptions as needed.

School Complex

The high school is located 5 blocks south and 3 blocks east of the town center. The elementary school and middle school is also located on the same campus of the high school. The total area of the school campus is 5 blocks wide and 7 blocks long. The campus includes a football stadium, a football practice field, a soccer field, 2 softball fields; one for practice and one for games; and 2 baseball fields, one for practice and one for games. The elementary school also has a 1/8 mile long track and a jungle gym area.

University Campus

The University of Bobsville is a private liberal-arts college located on the northeast edge of town near Lake Elise, which specializes in Natural Resources and Agriculture.  Bobsville’s population when the University of Bobsville is in session is 9500 and when the school is not in session, the population is 7500.  There are 500 dormitory rooms in 10 residence halls.

Parks & Rec Complex

There is a municipal Parks and Recreation department whose office is located at the town’s recreation area 1/4 of a mile north from the town center and surrounded by homes. The recreation area has a two court tennis court, a children’s soccer field that also doubles as the high school bands practice field, a little league baseball field, one softball field and a Babe Ruth baseball field as well as half-sized Olympic swimming pool.

Communications Complex

There is one radio station at the southern end of Main Street that transmits on AM and FM. There is also WBOB, the local ABC affiliate.  The local internet provider offers underground cable broadband service though there are still some residents that use DSL.  There are two cell phone transmitters in Bobsville, one on the radio tower, and the other on top of Bunny’s tower.

Out of Town

Connecting Roads

North of the town is Interstate 58. The entry point to the interstate is 4 miles from the northeastern most tip of the city. There is an exit for services. There are 2 gas stations, 1 hotel, 2 fast food restaurants, and Millie’s Palm Reading. Approximately 5 miles south of town is the intersection of Oklahoma 323 and Oklahoma 322.  High-tension power lines follow Oklahoma 323 from the Disaster County Nuclear Power Plant to the north and provide power to the area.  Roads have been constructed by the town’s leadership that leads out to all of the critical infrastructure sites.

Lake Elise

Just outside the northeast edge of town is Lake Elise; a lake that has a larger area than the city of Bobsville. In his will, the previous owner left all the land around Lake Elise to Bobsville. His will stated that no homes are to be built on the lakes edge and oil and gas boats should not be in the lake. The only vessels allowed in the lake are sailboats, skulls, and other type of rowing boats. The lake is the town’s reservoir.

Airport/National Guard Base

During the Vietnam War, the Army built a helicopter-training base located 2.5 miles east of town, which is now an Army Reserve/National Guard base and is still active. There are currently 6 helicopters on the base; 1 Kiowa, 1 Cobra; 2 Blackhawks; and 2 Apaches. The Soldiers who serve in the units come from as far as 100 miles to the Bobsville Base.

The regional airport is next to the helicopter base and has a 5000-foot runway. Commercial flights take off every day at 9AM, 1PM, and 7PM. The airline supporting the town is affiliated with Yellow Bird Airlines and operates twin-engine turboprops that seat 10. The airport has 2 TSA Agents who split their time of work so that all flights are covered. There are no baggage handlers. Each passenger retrieves his or her luggage from the flight attendant who served the flight. The airport is open 1 hour prior to each flight and closes to the public once the aircraft has departed the area. The control tower is staffed by 2 controllers who also split their time for the flights.  Security is handled by the National Guard.

Water Treatment & Landfill

A water treatment plant and landfill is located 2 miles east of the town center and south of the air base. The plant was built in that location since the prevailing winds come from the west. The plant recently went through an update of its equipment and it doubled the capacity of water it treats from 1.1 million gallons/day to 2.2 million.

Golf Course

The golf course tucked nicely in the southwest corner of the city has only one road leading to it, Duffers Lane. The golf course is also the marshalling point for every full-scale exercise conducted by the Emergency Manager and her team. They chose the golf course because it has only one road leading in and out. The thought was in a real disaster access for responders may be blocked and simulating one way in and out forces the responders to think outside the box.

Winery

Just southwest of town on 9/11 Memorial Drive is the Bobsville Winery, made famous for its Pinot Noir and Pinot Grigio sold exclusively in 1 and 5-gallon wine boxes.

Fairgrounds

The Bobsville Agrarian Fairgrounds is on the east end of town is home to the annual Cow Chip Throwing festival and utilizes the surrounding fields as parking for large events.

Racing Track/Drive In Theatre

The Bobsville dirt track is located about a mile east of the outskirts of town, and doubles as the town’s drive in theatre during the summer (Memorial Day to Labor Day).

RV Park

The RV Park, located 3 miles north from the town center on the far edge of Lake Elise, is where many visitors to the town’s festivals stay.  It is open year round and can be accessed both from the interstate exit as well as a road extending from Center Street in Bobsville that wraps around the lake.

Marina

Lake access boat ramps are found on the southern shore of the lake near the university, as well as a smaller access at the RV park on the northern shore.

County

Bobsville is in Disaster County, a county of 90,000 people. Disaster County is mostly an agricultural county; however, the county is home to the Disaster Nuclear Power Plant; the Disaster County Supermax Prison; the U.S. Army’s Biological Agent/Weapon Analysis and Development Command, and lastly, the Disaster County Regional Airport with a 7000-foot runway.

There are 8 hospitals in Disaster County, which includes a Level 2 Trauma Center.

The Disaster County’s south evacuation route as a result of a radiation release from the nuclear power goes through Bobsville.

Festival Events

Cow Chip Throwing Festival

Bobsville is best known for its cow chip throwing festival that takes place on the last weekend of July, held in the Fairgrounds on the southeast outskirts of town. The Grand Prize for the professional cow chip-throwing category is a cow that supposedly has lines to Elise the cow. Elise is famous for being the first cow featured on a milk carton.

The population of Bobsville expands to around 20,000 during the festival. Most of the people that come to the festival come from the surrounding communities and generally will not need lodging. However, a significant number come from outside the surrounding communities and they generally need lodging if they are not staying in the RV Park.

Bobsville has 2 hotels with a total of 200 rooms. Many local families open up their homes to those that travel great distances for the festival. Since the University is not in session during the festival, there are an additional 500 dormitory rooms available for sleeping.

Rowing Championships

In late May or early June each year, Bobsville hosts the Oklahoma High School Rowing Championship on Lake Elise.  The marina entrance is on the south end of the lake.  Accommodations are handled the same way as the cow chip toss festival.

Natural Disasters

In the last 10 years Bobsville has had 3 EF2 tornadoes; 1 EF4 tornado; and 1 EF5 tornado; along with 6 crippling blizzards with snowfall in excess of 24 inches. Each disaster brought its own set of problems and the people in Bobsville have demonstrated they are resilient. There was a serious drought from 2008-2011 which caused water rationing; and since the towns founding 25 earthquakes of at least 3.0 on the Richter Scale have occurred.

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