1 Title Health Information Technology Architecture 2 Introduction Largo Corporation 2843879

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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 Use The Background Information To Create A Short Summary One Short Paragraph About 2846519

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1.Use the background information to create a short summary (one short paragraph) about the “You Can Fit In” business.2.Create an organisation chart for the You Can Fit In business.3.Use the information above to describe the area of the organisation under study (i.e. the business functions that will be handled by the new information system).4.Add the background information, organisation chart, and business functions to your Report document in Part A: Initial Investigation.
Document Preview:

ISY00243 Case Study 2018, S3 Systems Analysis and Design Southern Cross University 2018, S3 Image:https://www.theurbanlist.com/perth/a-list/readers-choice-perths-best-personal-trainer This case study is to be used throughout this Session to answer questions in set activities, which will be compiled into a report. Part A of this report, an “Initial Investigation” is to be submitted at the end of Week 6 (Friday 7th December 2018). The final report (including your Part A adjusted after marker feedback) is to be submitted end of Week 12 (Friday 8th February 2019). You should use all relevant parts of the case study to inform your answers for the report. Additional information will become available through session which you may use to “enhance” your analysis and design but you should maintain a focus on your original scoping. Any such “enhancements” should be considered to be possible extensions of original work on the analysis and design of the information system. Case Study Part 1 Introduction You Can Fit In is a company that owns and operates fitness centres in various cities in Victoria and NSW. The fitness centres have done well, and the company is planning an expansion by opening a new “supercentre” on the Gold Coast, Queensland. Some people in the company anticipate further expansion to other locations such as Brisbane, if all goes well. Background Adam Apple, CEO, heads You Can Fit In’s management team. Three managers report to him at the firm’s Melbourne headquarters: Donald Dollars, manager of finance; Sally Molly, manager of sales and marketing; and Chia Chen, manager, operations. The centre managers who run the 13 existing centres all report to Chia. Adam wants the new supercentre in Gold Coast to emphasis a wide variety of personal services and special programs for members. If the supercentre approach is successful, it will become the model for You Can Fit In’s future growth. Adam personally selected Mark Lewis, a manager with three years of fitness…

Attachments:

ISY00243-S3-2….docx

 
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1 Use Capital Recovery Analysis To Evaluate An Investment To Recover An Initial Cost 3345899

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1. Use capital recovery analysis to evaluate an investment to recover an initial cost in 10-years. Initial purchase is $1,200,000. AOC is $25,000 and the salvage value is $650,000. Using i=10%. 2. Determine future worth with an annual investment of $50,000 which varies in interest. i=6% years 1-4 then 7% in years 5-6.

 
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1 We Are Given An Array A Containing N Numbers And An Integer K That Divides N We Wa 3653711

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1.We are given an array A containing n numbers, and an integer k that divides n. We want to find k numbers x1,x2, …,xk of A such that xi is the ( n /k i)-th smallest element of A. Develop a divide and conquer algorithm that finds the xi ’s that runs in time O(n lg k). Prove its correctness and running time.

2.Recall that the Fibonacci numbers are defined by the following recurrence: F0 = 0, F1 = 1 and Fn = Fn-1 + Fn-2 for n > 2. 1. Using the above recurrence, give a simple algorithm to compute Fn, given n. The complexity of the algorithm in terms of the number of arithmetic operations should be O(n 2 ). Show that the algorithm indeed has this complexity. Recall that an arithmetic operation is the cost of adding or multiplying two single digit numbers. (Hint: How many digits are there in Fn? Use the fact that Fn is T(( 1+v 5 2 ) n ). 2. Our goal is to use the following matrix identity to compute the nth Fibonacci number more efficiently. F1 F2 ! = 0 1 1 1! · F0 F1 ! (5.1) (a) Show that Fn Fn+1! = 0 1 1 1!n · F0 F1 ! (5.2) (b) Show that O(log n) matrix multiplications are enough to compute Fn. (c) Using the fast algorithm for multiplying two integers (Karatsuba’s algorithm) show that Fn can be computing in O(n log2 3 log n) arithmetic operations. (d) Can you improve your analysis of

(c) and show a cost of O(n log2 3 ) arithmetic operations ?

 
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1 Wall Street Journal Said That Ideas And Technological Discoveries Are Driving Engi 2847183

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1.Wall Street journal said that ideas and technological discoveries are driving engine of A.dynamic growth B.audit growth C.technology growth D.economic growth 2.A client server computer program in which client runs in a web browser is termed as A.web application B.application software C.product line software D.embedded software 3.Objexis team portal is developed by A.Team Corporation B.Objexis Corporation C.Corel Corporation D.IEEE Corporation 4.A relatively new software engineering paradigm that provides a process and methodological approach for defining, specifying, designing and constructing aspects is referred to as A.AOP B.DOP C.SOC D.SPICE 5.Framework activity which involves heavy communication and collaboration with customer and encompasses requirements gathering and other related activities is A.communication framework B.planning framework C.modeling framework D.construction framework

 
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1 Victoria Ephanor Manages A Small Product Distribution Company Because The Business 3309527

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1. Victoria Ephanor manages a small product distribution company. Because the business is growing fast, Ephanor recognizes that it is time to manage the vast information pool to help guide the accelerating growth. Ephanor, who is familiar with spreadsheet software, currently employs a sales force of four people. She asks you to develop a data warehouse application prototype that will enable her to study sales figures by year, region, salesperson, and product. (This prototype is to be used as the basis for a future data warehouse database.) Using the data supplied in the Ch13_P2.xls file, complete the following seven problems: a. Identify the appropriate fact table components. (5) b. Identify the appropriate dimension tables. (5) c. Draw a star schema diagram for this data warehouse. (5) d. Identify the attributes for the dimension tables that will be required to solve this problem. (5) e. Using the spreadsheet generate a pivot table to show Sales by Product and by Region. The end user must be able to specify the display of Sales for any given Year. The sample oputput is shown below in Figure 1. f. Use problem (e) as your point of departure and add a second pivot table as in Figure 1 (on same spreadsheet) to show Sales by SalesPerson and by Region as in Figure 1 but the lower part. The end user must be able to specify Sales for a given Year or for ALL Years, and for a given Product or for ALL Products. (5) g. Create a 3D Bar Graph as part of your spreadsheet but give it a name CHART as in Figure 2 below. Your spreadsheet must therefore have at least three tabs. One for the raw data as given, one for the pivot tables and one for the CHART. The CHART must display as in Figure 2, the Sales for Salespeople within different Regions for each Product. (5) Figure 1: Pivot Tables showing Sales by Year AND Sales for Year and Product Figure 2: 3D- Bar Graph that shows Sales per Region for SalesPeople and Products

 
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1 Various Forms Of Inequality Are Experienced In Australia Today E G Gender Class Et 2535276

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1. Various forms of inequality are experienced in Australia today (e.g. gender, class, ethnicity, age, ability, etc.). Using a sociological perspective and concepts, select and discuss a current example of inequality in Australia, and provide sociological explanations for these patterns. In what ways does that type of inequality also intersect with other forms of inequality? Document Preview:

SOCY 1050 MAJOR RESEARCH PROJECT MARKING CRITERIA SHEET Name: Student no: Mark: /40 Criteria Mark

Attachments:

2017-18-SOCY-….pdf

 
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1 Valarmorghulis Company Was Organized Just A Year Ago The Normal Capacity And Actua 2830173

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1. ValarMorghulis Company was organized just a year ago. The normal capacity and actual production of the company is 2,500 units. The results of the company’s first year of operations are shown below.

ValarMorghulis Company

Income Statement

Sales (2,000 units sold)

P 135,000

Less: Cost of goods sold:

Beginning Inventory

P 0

Cost of Goods Manufactured

105,000

Goods Available for Sale

P 105,000

Ending Inventory

21,000

84,000

Gross Margin

51,000

Less: Selling and Administrative expenses

42,000

Net Income

P 9,000

The company’s unit variable cost is computed as follows:

Variable manufacturing cost

P 32

Variable Selling and Administrative expenses

5

Total Variable cost per unit

P 37

REQUIRED:

1. What is the Selling price per unit? Fixed MOH per unit application?

2. What is the total fixed manufacturing cost? Total fixed selling and administrative expense?

3. What the net income under full costing? Under direct costing?

 
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1 Utilities Expense 2 Accounts Payable 3 Commissions 4 Capital 5 Withdrawals Where D 1039413

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1)utilities expense, 2)accounts payable, 3)commissions,4)capital, 5)withdrawals.where do they appear? income statement or statement of changes in owner equity or balance sheet.i think #1 is balance sheet #2 is income statement, #3 statement of chnges in owner equity #4 i think blance sheet #5 owner equity #6 income statement. please correct if iam wrong and write the right ans. and mke it clear so i could understand why.please.

 
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1 What Are The Main Functions Of Money In An Economy 2 Name One Narrow Measure Of Mo 2625405

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1. What are the main functions of money in an economy?

2. Name one narrow measure of money.

3. What do broad measures of money include?

 

 
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