1. Title
Health Information Technology Architecture
2. Introduction
Largo Corporation has recently acquired Suburban Independent Clinic, Inc. (SIC) which serves the general outpatient medical needs of a suburb just outside of Washington, D.C. It competes directly with CVS Minute Clinic and Urgent Care Center. The corporation appointed you as the chief information officer (CIO) of the clinic in charge of managing clinical and administrative information, technologies and systems.
The clinic is feeling the pressure in many respects – cost, quality of care, access, and efficiency. Disease and personal injuries are on the rise, requirements for efficient and effective care delivery are increasing, and healthcare costs have climbed over time.
Legislation such as the Affordable Care Act has called for the greater adoption of health information technology to improve access, delivery, efficiency and quality of health care serves and treatments while reducing costs and the occurrence of medical errors. This project explores the development and use of information technology IT since it has emerged as a powerful enabler in helping to achieve multiple goals and objectives across the entire U.S. healthcare system.
As the CIO you realize the value and importance of applying IT and have been asked to analyze the issues faced by the clinic and develop a new IT architecture for the facility.
You will benefit from this project in that it will develop your knowledge of information technology in the context of the health care field. So welcome to the world of health information technology and let’s begin this journey step-by-step.
3. Steps to Completion
Your instructor will form the teams. Each member is expected to contribute to the team agreementwhich documents the members’ contact information and sets goals and expectations for the team.
1) Understand the Setting
The mission statement of Suburban Independent Clinic is as follows:
1. Provide high quality medical care to the patient regardless of race, ethnicity, and gender.
2. Optimize visit experience, communication standards and patient understanding.
3. Treat patients with respect.
4. Maintain patient confidentiality and security.
5. Provide a pleasing working environment for employees.
6. Follow established policies and procedures for clinics such as HIPAA.
Besides yourself, employees include:
· Clinic Director
· Attending physicians (general practitioners)
· Nurses
· Office manager [designated as the Health Information Management (HIM) Manager]
· Receptionist/Interpreter
A survey was conducted involving the patients and specific employees of SIC. Here is a representative sample of their feedback:
Patient
· I can only make appointments by phone. SIC, you need to move to the 21st century!
· The only way I can view my medical record is by being physically in the office.
· Boy, it takes a really long time for the office people to find my medical records. I notice that they keep them in paper files. Once they gave the doctor the wrong record for me because I had the same name as another patient.
· I once saw an employee leave my medical records out in the open where anyone can view it!
· I have to complete all forms by hand. What a pain!
· Drug costs are skyrocketing. We need to look if pharmaceutical companies are ripping us off!
· My pharmacist once told me that the prescription from the doctor was difficult to read. She had to call the doctor’s office to find out what medication was being prescribed.
· I often forget what the doctor told me after my examination especially when he gives a lot of instructions.
· I had a drug-drug interaction that could have been prevented. I am suing SIC!
· I have a difficult time getting to the office. No one will take me and the cost of a taxi is expensive.
· I like the fact that the receptionist is bilingual but sometimes she is too busy and cannot interpret for me.
Physician
· I cannot read the handwritten charts from Dr. Smith because of his lousy penmanship. Some comments he includes are scribbled in the margins.
· I like to identify trends and patterns among my patients (is there an epidemic of a particular virus?) but it is too much of a manual process to compile and compare all of the records. I also like to explore trends among all clinics in the region and in the country.
· It takes a long time to get patient records from the filing cabinet. It is sometimes misfiled or even missing!
· I wish I could better communicate with my patients beyond an office conversation.
· I want to start a wellness program but printing and mailing costs makes it prohibitive.
· I wish I could see the patient’s medical history from birth to the present particularly when the patient has changed doctors.
· I have a difficult time managing my certifications. They are all lying in my office drawer or hanging in frames.
· I like spending time with patients and teaching but I hate the paperwork and administration issues I face every day!
Nurse
· Often medical supplies were low and had to be ordered them by phone at the last minute.
· Sometimes there is an inadequate staffing of nurses and I have to work a double shift. It’s just not fair!
· Occasionally we have to repeat tests because we cannot find the patient’s data.
· I don’t have the time to take training sessions I need during regular office hours.
· It takes a while to contact immunization registries by phone.
· I am spend less and less time on patient care and more time with bookkeeping.
Office Manager / HIM Manager
· The facility is running out of space due to the frequent addition of file cabinets to hold the growing patient data. It is expensive to buy these cabinets and we are losing space that we normally use for patient care.
· Documentation is inadequate when corporate auditor want to examine records for cost and compliance reviews.
· Once we lose medical records they were gone forever.
· Health insurance claims are handled manually and subject to errors. And when there is changes in the rules, we learn about it much too late and some employees are not informed of the change.
· We have a frequent cash flow problems because we tend to send bills late. We should ask for payments on the spot!
· Please, I don’t want to use computer technology since it will increase costs tremendously. I don’t believe those computer systems vendors – they are just out to make a buck.
· I am overworked and underpaid! I would like to start a union of clinic office managers!
· Archived medical records are stored in a warehouse. If they need to be retrieved they need to faxed, scanned or mail which is a time consuming process when it could be a life or death situation.
My portion of the assignment is this:
4) Prepare a migration strategy
Moving from the “as-is” to the “to-be” state can very challenging. Review techniques for migrating an organization to a new set of technologies and processes. Keep in mind change management strategies.
Deliverable: Outline a plan that addresses how the organization will move to its new architecture.
There should also be around 4-5 slides that consist with the presentation of my portion.
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1 The Various Rates Of Financial Products Are Gold 735 Oz Gold Rs 13000 10gms Re Usd 1591383
/in Uncategorized /by developer1. The various rates of financial products are:
Gold – $735/Oz; Gold – Rs. 13000/10gms; Re/USD – Rs. 48; Oil – $148
Analyze the rate fluctuation in the price of above products & prepare a report for data between Feb 2008 to 31 march 2009.
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1 The Various Rates Of Financial Products Are Gold 735 Oz Gold Rs 13000 10gms Re Usd 1551940
/in Uncategorized /by developer1. The various rates of financial products are:
Gold – $735/Oz; Gold – Rs. 13000/10gms; Re/USD – Rs. 48; Oil – $148
Analyze the rate fluctuation in the price of above products & prepare a report for data between Feb 2008 to 31 march 2009.
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1 Think Of Two Firms Colluding To Earn Monopoly Profits By Each Agreeing To Enjoy Ha 3618165
/in Uncategorized /by developer1. Think of two firms colluding to earn monopoly profits by each agreeing to enjoy half the market share. (a). If each firm honors this agreement, calculate each firm’s level of output and the resulting profit enjoyed by each firm. (b). In general, when can such an arrangement be feasible, that is, when will each firm have an incentive to honor such an agreement? 2. What can you say, in general, about the Cournot-Nash equilibrium quantities and prices as the number of sellers (n) competing in the industry rises?
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1 Theoretical Literature Contends That Whether The Expectations Augmented Phillips C 3182711
/in Uncategorized /by developer1. Theoretical literature contends that whether the expectations-augmented Phillips curve fits the databetter. In doing this it assumes that next period’s expected inflation rate is given by the inflation rateobserved today (pt+1 = pt). In this exercise you are asked to investigate whether the fit improves if oneuses economic forecaster’s measures of inflation expectations.a. Go to http://research.stlouisfed.org/fred2 and click on “Consumer Price Index (CPI)” and then select“Consumer Price Index for All Urban Consumers: All Items.” Click on “Download Data” and change theunit to “Percent Change from Year Ago” to obtain inflation rates. You will have to take the averages inEXCEL to get annual rates. Work on the data between 1978 and 2018. Also download annualunemployment rate (µt) data for the same period on www.bls.gov/cps. Scroll down to “CPS Database”and click on “Top Picks” next to “Labor Force Statistics including the National Unemployment Rate.”Then, download “Unemployment Rate— LNS14000000.” You will have to take the averages in EXCEL toget annual rates.b. Now do a search for “University of Michigan Inflation Expectation.” (Transform the monthly data intoannual by using the option “Last Month of Year” or You will have to take the averages in EXCEL to getannual rates.) Copy the annual data into your EXCEL file.c. Compute the difference between inflation and expected inflation (pt-pe
t). In computing the differencebe careful about the dating of the variables. The University of Michigan inflation expectation variablesgives the expected inflation over the following year. For example, the 1978 observation is equal to 7.3.This means that inflation during 1979 is expected to be equal to 7.3 percent.d. Create a scatter plot that has the difference between inflation and expected inflation on the Y axisand the unemployment rate on the X axis. Visually compare the graph you obtained with Figure 6-6 inthe chapter. Which one looks more like a Phillips curve?* e. If you have taken a statistics class use EXCEL or a statistical program in order to run the followingregression:pt-pe
t=?+ßxµt+et
What is the implied slope of the Phillips curve? Is it statistically significant? Interpret your results.
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1 This Task Is Based On Identifying The Various Stakeholders And Their Interests On 2914620
/in Uncategorized /by developer1. This task is based on identifying the various stakeholders and their interests on a company of your choice. Briefly explain how they can be managed effectively in the organisation. In particular, you are required to write a formal report of 1,000 words (10% -/+) excluding appendices. 2. In this task you must select a company that is listed in FTSE (or equivalent in your own country) and; ? Conduct an audit of the businesses current position ? Identify the Business planning and current strategy used in the organisation with specific reference to Performance analysis and utilisation of resources (Including International considerations) for competitive advantage. ? Assess the financial position using a series of management accounting techniques for decision making. In particular, you are required to write a formal report of about 1,500 words (10% -/+) excluding appendices. 3. This task is related to briefly explaining the investment appraisal techniques that could be used by an organisation, and apply the techniques to conduct a investment appraisal for the following scenario; 123 LTD is a clothing manufacturer operating in UK for more than 10 yrs, As a strategic decision to expand its operations , the company plans to set up a manufacturing unit in another country and produce designer clothing to sell in that country. Current interest rate is 10% ,The options available are: USA Running expenses is estimated to be £210K per annum and expected revenue is USD 700K per Annum An additional approval fee of £22K needs to be paid in advance to trade in the country annually. France Running expenses is estimated to be £190K per annum and expected revenue is EURO 450K per Annum An additional approval fee of £25K needs to be paid in advance to operate in the every yr. In addition a one off Royalty Fee of £25K needs to be paid despite of the operational years. Document Preview:
Management of Financial Resources and Performance Assessment Number: One Individually Written Report: 100% of the overall module grade Word Count – 3000 – 3500 words maximum Learning Outcomes Covered: 1,2,3,4,5,6,7 Assessment Brief Introduction This assessment accounts for 100% of your overall module grade. It is an individually written assignment of about 3000-3500 words (10% -/+) excluding appendices, to be submitted to LSS Business School on the deadline shown in the student portal with the appropriate cover note according to the guidelines given in the student handbook. Your work is expected to be analytical and evaluative, consolidate on relevant theory and indicate a good level of application abilities. In order to complete this assignment you are required to select a company of your choice and identify the various stakeholders and their Interests on the company. You need to briefly explain how they can be managed effectively in the organisation using about 1000 words. Then select another company that is listed in FTSE (or equivalent in your own country), and conduct an audit of the businesses current position, you are required to identify the business planning and current strategy used in the organisation with specific reference to performance analysis and utilisation of resources (Including International considerations) for competitive advantage and assess the financial position using a series of management accounting techniques for decision making. Use about 1500 words in order to complete this. Using about 500-1000 words briefly explain the investment appraisal techniques that could be used by an organisation, and apply the techniques to conduct a investment appraisal for the following scenario 123 LTD is a clothing manufacturer operating in UK for more than 10 yrs, As a strategic decision to expand it’s operations, the company plans to set up a manufacturing unit in another country and produce designer clothing to sell…
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1 This Section Is Worth 100 Points Please Put All The Required Documentation For Thi 2848094
/in Uncategorized /by developer1. This section is worth 100 points. Please put all the required documentation for this section in a pdf file named “final01.pdf”. The document must be in Portable Document Format. Students will not use screen shots for answers in this section.
1.1. Provide evidence of correctly installing and configuring a current version of Linux. Students will not install the same version of Linux used in class or live version configuration. Show the system name is micheal03
1.2. Provide a list of all IPv4 and IPv6 addresses assigned to all network interfaces on micheal03
1.3. Provide a list of all the addresses assigned only to the loopback interface on micheal03
1.4. Provide a listing of all USB devices attached to micheal03
1.5. Provide a listing of all groups and group members for micheal03
1.6. Provide the Linux distribution and distribution version for micheal03
1.7. Identify your non-administrative account for micheal03
1.8. Identify all the groups your non-administration account is a member on micheal03
1.9. Provide evidence of successfully updating micheal03 to current recommended patch levels.
2. This section is worth 100 points. Please put all the required documentation for this section in a pdf file named “final02.pdf”.The document must be in Portable Document Format. You may use the script command or the putty log feature to log your work for this section.
2.1. Using the command line only, log a demonstration of create a group called TAN.
2.2. Log the creation of a login for each name in TAN. The names are in the names1.pdf file on http://brazil.minnesota.edu.
2.3. Log checking each TAN login will expire on 12/20/2018.
2.4. Log creating a group named alpha.
2.5. Log the membership of alpha is all logins in TAN section alpha.
2.6. Log the permission settings for a script to allow only alpha, your non-administration account, and administration accounts any access.
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1 Title Initially This Might Be Regarded As A Working Title And Ideally Should Mirro 2942383
/in Uncategorized /by developer1) Title: initially this might be regarded as a working title, and ideally should mirror closely the content of the introduction. The title is particularly important as it will get people to stop and listen. 2) Introductory part: This informs the reader of the problem or situation and the context you are interested in. The goal is to give the viewers some basic academic information they can use to evaluate the significance of the research proposal. 3) Rationale for this study. – What is the research issue? – Why is it an issue? – Why is it an issue now? – What could this research shed light on? You have to introduce the topic and clarify the significance of what you are trying to present. That is, you have to present research questions with a logical sequencing of facts. You have to give examples to illustrate your rationale. Be sure to have a conclusion that summarises your take-home message (why is it an issue now? what could this research shed light on?). Your introduction should be constructed so that it presents the desired information in a self- explanatory manner. You have to think of the introduction as a highly efficient, organised document upon which appear synopsis of the relevant information you want to convey (what is the research issue?), Just enough to get your point across. 4) Include references: You are required to identify previously conducted research in the area that you are focusing on. These sources need to be referred within your rationale section. Make it clear that you know what has been done in your area in the past and where your research will fit in. 5) Format: You have to make your introduction appealing. Simplify and include only relevant information. Be attentive to the structure and placement of your content. Write clearly. Make sure your introduction includes complete sentences and accurate spelling and punctuation. I hope it is clear now. I have attached a sample mark sheet as well so that you know how marks are allocated. Feel free to contact me for further clarifications.
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1 Title Initially This Might Be Regarded As A Working Title And Ideally Should Mirro 2942243
/in Uncategorized /by developer1) Title: initially this might be regarded as a working title, and ideally should mirror closely the content of the introduction. The title is particularly important as it will get people to stop and listen. 2) Introductory part: This informs the reader of the problem or situation and the context you are interested in. The goal is to give the viewers some basic academic information they can use to evaluate the significance of the research proposal. 3) Rationale for this study. – What is the research issue? – Why is it an issue? – Why is it an issue now? – What could this research shed light on? Document Preview:
1) Title: initially this might be regarded as a working title, and ideally should mirror closely the content of the introduction. The title is particularly important as it will get people to stop and listen. 2) Introductory part: This informs the reader of the problem or situation and the context you are interested in. The goal is to give the viewers some basic academic information they can use to evaluate the significance of the research proposal. 3) Rationale for this study. – What is the research issue?- Why is it an issue?- Why is it an issue now?- What could this research shed light on? You have to introduce the topic and clarify the significance of what you are trying to present. That is, you have to present research questions with a logical sequencing of facts. You have to give examples to illustrate your rationale. Be sure to have a conclusion that summarises your take-home message (why is it an issue now? what could this research shed light on?). Your introduction should be constructed so that it presents the desired information in a self- explanatory manner. You have to think of the introduction as a highly efficient, organised document upon which appear synopsis of the relevant information you want to convey (what is the research issue?), Just enough to get your point across. 4) Include references: You are required to identify previously conducted research in the area that you are focusing on. These sources need to be referred within your rationale section. Make it clear that you know what has been done in your area in the past and where your research will fit in. 5) Format: You have to make your introduction appealing. Simplify and include only relevant information. Be attentive to the structure and placement of your content. Write clearly. Make sure your introduction includes complete sentences and accurate spelling and punctuation. I hope it is clear now. I have attached a sample mark sheet as well so that you know how marks are…
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1 Title Health Information Technology Architecture 2 Introduction Largo Corporation 2843879
/in Uncategorized /by developer1. Title
Health Information Technology Architecture
2. Introduction
Largo Corporation has recently acquired Suburban Independent Clinic, Inc. (SIC) which serves the general outpatient medical needs of a suburb just outside of Washington, D.C. It competes directly with CVS Minute Clinic and Urgent Care Center. The corporation appointed you as the chief information officer (CIO) of the clinic in charge of managing clinical and administrative information, technologies and systems.
The clinic is feeling the pressure in many respects – cost, quality of care, access, and efficiency. Disease and personal injuries are on the rise, requirements for efficient and effective care delivery are increasing, and healthcare costs have climbed over time.
Legislation such as the Affordable Care Act has called for the greater adoption of health information technology to improve access, delivery, efficiency and quality of health care serves and treatments while reducing costs and the occurrence of medical errors. This project explores the development and use of information technology IT since it has emerged as a powerful enabler in helping to achieve multiple goals and objectives across the entire U.S. healthcare system.
As the CIO you realize the value and importance of applying IT and have been asked to analyze the issues faced by the clinic and develop a new IT architecture for the facility.
You will benefit from this project in that it will develop your knowledge of information technology in the context of the health care field. So welcome to the world of health information technology and let’s begin this journey step-by-step.
3. Steps to Completion
Your instructor will form the teams. Each member is expected to contribute to the team agreementwhich documents the members’ contact information and sets goals and expectations for the team.
1) Understand the Setting
The mission statement of Suburban Independent Clinic is as follows:
1. Provide high quality medical care to the patient regardless of race, ethnicity, and gender.
2. Optimize visit experience, communication standards and patient understanding.
3. Treat patients with respect.
4. Maintain patient confidentiality and security.
5. Provide a pleasing working environment for employees.
6. Follow established policies and procedures for clinics such as HIPAA.
Besides yourself, employees include:
· Clinic Director
· Attending physicians (general practitioners)
· Nurses
· Office manager [designated as the Health Information Management (HIM) Manager]
· Receptionist/Interpreter
A survey was conducted involving the patients and specific employees of SIC. Here is a representative sample of their feedback:
Patient
· I can only make appointments by phone. SIC, you need to move to the 21st century!
· The only way I can view my medical record is by being physically in the office.
· Boy, it takes a really long time for the office people to find my medical records. I notice that they keep them in paper files. Once they gave the doctor the wrong record for me because I had the same name as another patient.
· I once saw an employee leave my medical records out in the open where anyone can view it!
· I have to complete all forms by hand. What a pain!
· Drug costs are skyrocketing. We need to look if pharmaceutical companies are ripping us off!
· My pharmacist once told me that the prescription from the doctor was difficult to read. She had to call the doctor’s office to find out what medication was being prescribed.
· I often forget what the doctor told me after my examination especially when he gives a lot of instructions.
· I had a drug-drug interaction that could have been prevented. I am suing SIC!
· I have a difficult time getting to the office. No one will take me and the cost of a taxi is expensive.
· I like the fact that the receptionist is bilingual but sometimes she is too busy and cannot interpret for me.
Physician
· I cannot read the handwritten charts from Dr. Smith because of his lousy penmanship. Some comments he includes are scribbled in the margins.
· I like to identify trends and patterns among my patients (is there an epidemic of a particular virus?) but it is too much of a manual process to compile and compare all of the records. I also like to explore trends among all clinics in the region and in the country.
· It takes a long time to get patient records from the filing cabinet. It is sometimes misfiled or even missing!
· I wish I could better communicate with my patients beyond an office conversation.
· I want to start a wellness program but printing and mailing costs makes it prohibitive.
· I wish I could see the patient’s medical history from birth to the present particularly when the patient has changed doctors.
· I have a difficult time managing my certifications. They are all lying in my office drawer or hanging in frames.
· I like spending time with patients and teaching but I hate the paperwork and administration issues I face every day!
Nurse
· Often medical supplies were low and had to be ordered them by phone at the last minute.
· Sometimes there is an inadequate staffing of nurses and I have to work a double shift. It’s just not fair!
· Occasionally we have to repeat tests because we cannot find the patient’s data.
· I don’t have the time to take training sessions I need during regular office hours.
· It takes a while to contact immunization registries by phone.
· I am spend less and less time on patient care and more time with bookkeeping.
Office Manager / HIM Manager
· The facility is running out of space due to the frequent addition of file cabinets to hold the growing patient data. It is expensive to buy these cabinets and we are losing space that we normally use for patient care.
· Documentation is inadequate when corporate auditor want to examine records for cost and compliance reviews.
· Once we lose medical records they were gone forever.
· Health insurance claims are handled manually and subject to errors. And when there is changes in the rules, we learn about it much too late and some employees are not informed of the change.
· We have a frequent cash flow problems because we tend to send bills late. We should ask for payments on the spot!
· Please, I don’t want to use computer technology since it will increase costs tremendously. I don’t believe those computer systems vendors – they are just out to make a buck.
· I am overworked and underpaid! I would like to start a union of clinic office managers!
· Archived medical records are stored in a warehouse. If they need to be retrieved they need to faxed, scanned or mail which is a time consuming process when it could be a life or death situation.
My portion of the assignment is this:
4) Prepare a migration strategy
Moving from the “as-is” to the “to-be” state can very challenging. Review techniques for migrating an organization to a new set of technologies and processes. Keep in mind change management strategies.
Deliverable: Outline a plan that addresses how the organization will move to its new architecture.
There should also be around 4-5 slides that consist with the presentation of my portion.
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1 To Help Software Organizations Analyze Their Current Process Organize Work Tasks C 2847189
/in Uncategorized /by developer1.To help software organizations analyze their current process, organize work tasks, control and monitor progress and manage technical quality, organization uses A.process framework designs B.process launch C.process framework scripts D.process technology tools 2. Software process are adopted by A.software engineers B.telecommunication engineers C.mechanical engineers D.civil engineers 3. In plan-do-check-act cycle, establishment of process objectives, activities and task necessary to achieve high quality software is accomplished by A.plan B.do C.check D.act 4. PSP process model defines framework activities that are A. 2 B.3 C.4 D.5 5. Sophisticated process management can be done by A.artificial Intelligence software B.web applications C.system software D.application software
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