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 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.
Attachments:
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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…
Attachments:
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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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1 To Create Strategy Between Demand And Supply Peak Time Efficiency Shared Services 2847173
/in Uncategorized /by developer1.To create strategy between demand and supply, peak time efficiency, shared services and increased service participation are strategies of A.descriptive side B.demand side C.supply side D.complementary side 2. Categories of services mix and intangible are classified as example of A.pure tangible goods B.pure services C.tangible goods with accompanying services D.major service with minor goods 3. Qualities of product that buyers evaluate after purchasing product is classified as A.minor qualities B.search qualities C.credence qualities D.experience qualities 4. If price of product is $150, cost of maintenance is $15 and discounted salvage value is $85, then life cycle cost of product is A.$80 B.$165 C.$15 D.$85 5. Set of services expected by customers are classified as A.interactive service package B.descriptive service package C.primary service package D.secondary service package
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1 True Or False If A Matrix Chain Involves A 1 By K By K By I Multiplication Then Th 2538355
/in Uncategorized /by developer1. True or false: If a matrix chain involves a 1-by-k by k-by-I multiplication, then there is an optimal solution for which that multiplication is last. Defend your answer.
2. Write a program to find the second best way to multiply together a chain of matrices.
3. Draw the optimal binary search tree for the example in the text, but with all the frequencies increased by one.
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1 Trace The Progression Of Physical Modeling Throughout The Development Cycle Of A S 2701579
/in Uncategorized /by developer1. Trace the progression of physical modeling throughout the development cycle of a system familiar to you.
2. Trace the progression of performance modeling throughout the development cycle of a system familiar to you.
3. Trace the progression of cost estimation throughout the development cycle of a system familiar to you.
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1 Type Of Buyer And Supplier Relationship That Are Together In Operational Ways Is C 2846911
/in Uncategorized /by developer1. Type of buyer and supplier relationship that are together in operational ways is classified as A.operational systems B.cooperative systems C.structural commitment D.structural adaptation 2.Type of exchange relationship in a specific adaptation without strong cooperation is called A.mutually contracts B.mutually adaptive C.mutual structure commitment D.commitment selling 3. In business markets, demand of business goods is more volatile than demand for consumer goods, is classified as A. fluctuating demand B.stable demand C.unstable demand D.freeze demand 4.Establishing of dams, irrigation, sanitation systems, pipelines and utilities are examples of A.sytems contracting B.system selling C.systems buying D. management supplies 5. Buying center includes all organizations who play roles as A. initiators and users B.deciders and approvers C.buyers and gatekeepers D.all of the above
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1 Two Months From Today You Plan To Borrow 3 Million For 3 Months At Libor You Hedge 2411925
/in Uncategorized /by developer1) Two months from today you plan to borrow $3 million for 3 months at LIBOR. You hedge your interest rate risk with a euro dollar futures contract priced at 93.6. If settled in arrears, what is your payment if the 3-month LIBOR rate is 2.5% (not annualized) in two months?
2) IBM and AT&T decide to swap $1 million loans. IBM currently pays 9.0% fixed and AT&T pays 8.5% on a LIBOR+ 0.5% loan. What is the net cash flow for IBM if they swap their fixed loan for
a LIBOR+ 0.5% loan and LIBOR rises to 8.5%?
3) The S&P 500 Index price is 1492.28 and its annualized dividend yield is 2.30%. LIBOR is .2%. How many futures contracts will you need to hedge a $240 million portfolio with a beta of 1.16 for one year? (Show your Work)
4) The annual coupon rate on a 1-year treasury bond is 5.5%. The coupon on a 2-year treasury bond is 5.8%. What is the implied 1 year forward rate?
5) Three months from today you plan to borrow $1.8 Billion for 6 months at LIBOR. You hedge 65% of your interest rate risk with a euro dollar futures contract priced at 99.2. If settled in arrears, what is your payment if the 6-month LIBOR is .28% in two months?
6) The current currency spot rate is $1.30 per euro. If dollar denominated interest rates are .24% and euro denominated interest rates are .2%, what is the likely dollar per euro value of
a 2 year forward contract
7) The S&P 500 Index is priced at $1450.91. The annualized dividend yield on the index is 2.10%. The continuously compounded annual interest rate is .12%. What is the price of a forward contract that expires 18 months from today?
8) Six months from today you plan to borrow $433 million for 6 months at LIBOR. You hedge 100% of your interest rate risk with a euro dollar futures contract priced at 99.4. If settled in arrears, what is your payment if the 6-month LIBOR is 2.5625% in six months?
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1 Under Current Law Most Social Security Recipients Do Not Have To Pay Federal Or St 2652808
/in Uncategorized /by developer1. Under current law, most Social Security recipients do not have to pay federal or state income taxes on their Social Security benefits. Suppose the government proposes to tax these benefits at the same rate as other types of income. What would be the impact of the proposed tax on the optimal retirement age?
2. Consider the following proposed changes to the current Social Security earnings test and determine if the changes lead to higher hours of work among retirees.
a. A change in the amount of exempt labor earnings, from $17,000 to $25,000.
b. An increase in the implicit tax rate from 33 to 50 percent.
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