HIT Systems Planning/Information Requirements As the manager of CTU Health Care Systems, you have done your research on three vendors to which you would like to outsource the implementation of the electronic health records (EHRs) for the clinics. As the manager, you have a number of critical decisions regarding the electronic medical record systems. At first, you thought you could either implement the existing EHR system at the other acute care organization or implement an entirely new EHR in both facilities. You met with your staff, and after researching several companies that offered both products and services, you have solicited request for proposals (RFPs) from the following three companies: · ABC Systems Consulting, the leading company in health care systems integration services, refused to bid on the systems integration required for bringing the current EHR system into the other organization. This was because of the risks and time requirements for designing, implementing, and testing the large number of interfaces required and the required time line for the completion of the project as identified by the client. · XYZ EHR Systems proposed that its new, recently redeveloped EHR be implemented in both facilities, which included a computerized physician order entry (CPOE) module, standardized drug interaction alert functionality, and customizable clinical alert functionality. It estimated that the merged entity would get a much better price than $50 million for purchasing this new system. Unfortunately, XYZ was unable to provide evidence of successful installation of its recently redeveloped EHR system at a similarly large delivery network or anywhere. · QRS EHR Systems, a leading provider of EHR systems for large acute care facilities, proposed that its EHR be installed in both acute care organizations with a $50–60 million price tag. QRS included a CPOE module, standardized drug interaction alert functionality, as well as evidence-based clinical alert functionality. QRS also had a physician office EHR system with an embedded patient registration system; however, QRS has had minimal experience with integrating the physician office registration system with the acute care (hospital) registration system—an integration feature that was a priority for this project based on the client’s information technology (IT) strategic plan. The stakes surrounding your recommendation to the chief information officer (CIO) and chief executive officer (CEO) could not be higher in terms of dollars and your career. Discuss the following in your paper of 3-4 pages, not including title page and reference page: · What pieces of information are the most critical for your decision on selecting the right vendor? · What other options, if any, do you have? · What are the critical success factors in the case? · What are your recommendations to the CIO and CEO based on the RFPs that you received? Export SummaryThis document was exported from Numbers. Each table was co ...

1. HIT Systems Planning/Information Requirements
As the manager of CTU Health Care Systems, you have done
your research on three vendors to which you would like to
outsource the implementation of the electronic health records
(EHRs) for the clinics. As the manager, you have a number of
critical decisions regarding the electronic medical record
systems. At first, you thought you could either implement the
existing EHR system at the other acute care organization or
implement an entirely new EHR in both facilities.
You met with your staff, and after researching several
companies that offered both products and services, you have
solicited request for proposals (RFPs) from the following three
companies:
· ABC Systems Consulting, the leading company in health care
systems integration services, refused to bid on the systems
integration required for bringing the current EHR system into
the other organization. This was because of the risks and time
requirements for designing, implementing, and testing the large
number of interfaces required and the required time line for the
completion of the project as identified by the client.
· XYZ EHR Systems proposed that its new, recently
redeveloped EHR be implemented in both facilities, which
included a computerized physician order entry (CPOE) module,
standardized drug interaction alert functionality, and
customizable clinical alert functionality. It estimated that the
merged entity would get a much better price than $50 million
for purchasing this new system. Unfortunately, XYZ was unable
to provide evidence of successful installation of its recently
redeveloped EHR system at a similarly large delivery network
or anywhere.
· QRS EHR Systems, a leading provider of EHR systems for
large acute care facilities, proposed that its EHR be installed in
both acute care organizations with a $50–60 million price tag.
QRS included a CPOE module, standardized drug interaction

2. alert functionality, as well as evidence-based clinical alert
functionality. QRS also had a physician office EHR system with
an embedded patient registration system; however, QRS has had
minimal experience with integrating the physician office
registration system with the acute care (hospital) registration
system—an integration feature that was a priority for this
project based on the client’s information technology (IT)
strategic plan.
The stakes surrounding your recommendation to the chief
information officer (CIO) and chief executive officer (CEO)
could not be higher in terms of dollars and your career.
Discuss the following in your paper of 3-4 pages, not including
title page and reference page:
· What pieces of information are the most critical for your
decision on selecting the right vendor?
· What other options, if any, do you have?
· What are the critical success factors in the case?
· What are your recommendations to the CIO and CEO based on
the RFPs that you received?
Export SummaryThis document was exported from Numbers.
Each table was converted to an Excel worksheet. All other
objects on each Numbers sheet were placed on separate
worksheets. Please be aware that formula calculations may
differ in Excel.Numbers Sheet NameNumbers Table NameExcel
Worksheet NameGrading SheetTable 1Grading SheetSavings
and Loan AnalysisTable 1Savings and Loan AnalysisBudget
Cost ProjectionTable 1Budget Cost ProjectionConversionsTable
1Conversions
Grading SheetMajor Assignment 2 Grading
SheetCompetencyRequirements for full credit(optional for
student use) Did you meet the requirements?Points
possibleYour pointsScoring commentsSavings and Loan
AnalysisNameYou have entered your full name in the field
provided.1Interests RatesThe interest rates you have entered

3. come from the mortgage rates table and match those for the
months and years provided.3You have explicitly formatted the
cells to display as Percentage with 2 decimal places of
precision.3Monthly Costs and SavingsYour Electric, Gas,
Water, and Other entries are reasonable values, with at least two
nonzero entries. For zero entries, you have explicitly entered
values of 0.4Your Total Cost and Monthly Savings formulas are
correct and use appropriate cell references.4All cost cells are
formatted as Currency showing the $ symbol and with 2 decimal
places of precision.6Savings TableYou have brought forward
your monthly savings amount, using Excel formulas.3Your
number of contributions per year and number of years entries
are correct.6Your formulas for total amount saved, total
contributions, and total accrued interest are correct and use cell
references.18All cells are explicitly formatted with the format
given in the last column of the table.18Loan TableYou have
entered the correct number of contributions per year and number
of years.6Your formulas for payment amount, total amount paid,
and total amount of interest paid are correct and use cell
references as inputs.18All cells are explicitly formatted with the
format given in the last column of the table.15ComparisonYou
have correctly brought forward your savings and loan amounts,
using cell references.6Your savings and loan cells are expl icitly
formatted with the format given in the last column of the
table.6You have answered the comparison questions correctly,
answering either "yes" or "no" for each
one.3Subtotals1200Budget Cost ProjectionInflation Rate
CalculationYour reference CPI is correct for the month and year
given.1Your next-year CPI, month, and year are correct.3Your
inflation rate calculation is correct.3Your CPI values and
inflation rate are explicitly formatted as indicated in the
instructions.3Budget ProjectionsYou have correctly entered
your Budget Total from cell G21 of the Monthly Budget sheet
from your Major Assignment 1.2Your "value of t" entries are
correct.3Your 1-year, 5-year, and 10-year projections are
correct Excel formulas using cell references.6Your percent

4. increase calculations are correct Excel formulas using cell
references.6Your Current Budget, Projected Budget and Percent
Increase cells are formatted as indicated in the
instructions.7Subtotals340ConversionsMonthly SavingsYou
have brought forward your monthly savings amount from the
Savings and Loan Analysis sheet, using an Excel formula with a
sheet and cell reference.2Currency ConversionsYou have
entered the first two letters of your first and last names, using
the letter M if one or both names consist of only one letter.4You
have chosen appropriate countries from the list provided below
the table, using the procedure described in the
instructions.4You have entered the date(s) on which you looked
up the exchange rates for your currencies, and all dates are
within 2 weeks of the due date of your assignment.4You have
entered both the full name of your country's currency and the
correct currency code as indicated on the website.8You have
provided each exchange rate to at least 5 significant digits, and
the exchange rate matches the rate for the date you looked it
up.4Your savings amount in the foreign currency is a correct
Excel formula, using cell references.8Your calculation of the
value of foreign currency units into dollars are correct Excel
formulas, using cell references. (Note that the amount to
convert is autogenerated and may differ from the amount shown
in assignment resources.)8The cells containing your dates,
savings amounts, and value of foreign currency converted to
dollars are correctly formatted as specified in the last column of
the
table.12Subtotals540Totals2080Percentage100.00%0.00%Scaled
out of 100100.000.00
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Savings and Loan Analysis2 Enter your full name here
(If fewer than 9 letters, add additional arbitrary letters)Madison
Macpherson Assignment Advisory: You must use the latest
desktop version of Excel for Microsoft 365 for this assigment.
(This is provided free by GCU; contact the Help Desk for more

5. information and help installing the software.) Using an earlier
version of Excel or a different spreadsheet program may result
in missing or corrupted template elements. Copying cells from
or into this template may likewise result in corrupted
data.Savings3 Look up three interest rates from the historical
mortgage rate table, formatting them as Percentage with 2
decimal places. Make sure to enter these as percentage values.
For example, 4.03 in the table is 4.03% or 0.0403.
APR Year
199619801975
APR Month
8101
Interest Rate
4 Enter, or estimate, your monthly utility costs, then calculate
your total monthly cost and monthly savings. Format all cells as
Currency showing the $ symbol and with 2 decimals of
precision.Electric$72.50LegendGas$72.50If a cell is shadedYou
shouldWater$50.00BlueEnter a text
responseOther$0.00GreenEnter a numberTotal
Cost$195.00GoldEnter an Excel formula
Monthly Percent Savings
Complete the first interest rate entry in section 3 aboveAny
other colorMake no changesMonthly Savings (total cost times
percent savings)5 Complete this table for your 5-year, 10-year,
and 15-year savingsCalculation #1
(5-year savings)Calculation #2
(10-year savings)Calculation #3
(15-year savings)Format the entries in each row
as…Contribution amount (P)
(Bring forward your Monthly Savings amount, using a formula,
for each entry)…Currency with 2 decimal places
APR from the table (r)
Complete the second interest rate entry in section 3
aboveComplete the second interest rate entry in section 3
aboveComplete the second interest rate entry in section 3
aboveNumber of contributions per year (n)…a Number with 0

6. decimal placesNumber of years (t)…a Number with 0 decimal
placesTotal amount saved (A):…Currency with 2 decimal
placesTotal contributions:…Currency with 2 decimal
placesTotal accrued interest:…Currency with 2 decimal
placesLoan6 Continue by completing this table for your 5-year,
10-year, and 15-year loans, based on the principal and interest
rates given with monthly paymentsCalculation #1
(5-year loan)Calculation #2
(10-year loan)Calculation #3
(15-year loan)Format the entries in each row as…
Loan principal (P)
$15,000.00$15,000.00$15,000.00APR from the table (r), with a
slightly higher rate for longer loansComplete the third interest
rate entry in section 3 aboveComplete the third interest rate
entry in section 3 aboveComplete the third interest rate entry in
section 3 aboveNumber of contributions per year (n)…a Number
with 0 decimal placesNumber of years (t)…a Number with 0
decimal placesPayment amount (PMT):…Currency with 2
decimal placesTotal amount paid over the time of the
loan:…Currency with 2 decimal placesTotal amount of interest
paid:…Currency with 2 decimal placesComparison7 Use Excel
formulas to transfer your amounts from aboveAfter 5 yearsAfter
10 yearsAfter 15 yearsFormat the entries in each row as…Total
savings from energy improvements…Currency with 2 decimal
placesTotal loan payments…Currency with 2 decimal
placesHave you broken even at this point (yes or no)?
("Breaking even" here means that your total savings outweigh
your total loan payments.)
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1 In Major Assignment 1, you created a monthly budget, which
included a recurring cost for utilities. Here, you'll consider
making some energy-saving home improvements and compare
your potential savings against paying off the cost of those
improvements.

7. Below, you'll start by entering and adding up the costs of your
electric, gas, water, and other energy utilities. Then, given a
percent savings due to your energy-saving improvements, you'll
calculate how much you'll save over the next 5, 10, and 15 years
if you contribute your monthly savings into an account with a
given APR. Here, you'll use the following formula for your
calculations: given an amount P contributed at the end of each
of n periods per year for t years and earning interest at an
annual percentage rate of r, the total amount A accrued after t
years is given by (in Excel format):
A = P*((1+r/n)^(n*t)-1)/(r/n)
Next, you'll develop a cost to install energy-efficient
improvements (installing energy-efficient doors and windows,
adding insulation, upgrading to more efficient appliances or
lights, and so on) and then calculate a monthly payment if you
were to finance the installation cost by a loan of 5, 10, or 15
years. Here, you will use this formula: given a loan principal
amount P and an annual interest rate of r, the payment amount
PMT required to pay off the loan with n payments per year for t
years (with payments made at the end of each period) is given
by (in Excel format):
PMT = P*(r/n)/(1-(1+r/n)^(-n*t))
For all the above calculations, you will look up rates in the
following historical table of 30-year fixed mortgage rates, based
on the years and months specified in step 6 below.
http://www.freddiemac.com/pmms/pmms30.html
(Mortgage
Rates)http://www.freddiemac.com/pmms/pmms30.html
Budget Cost ProjectionYour name (brought forward from the
Savings and Loan Analysis sheet):Madison Macpherson CPI
ValueMonthYear

8. Reference CPI
52015LegendCPI one year laterIf a cell is shadedYou
shouldYearly inflation rate (r)BlueEnter a text
responseGreenEnter a numberGoldEnter an Excel formulaAny
other colorMake no changesValue of tProjected BudgetPercent
Increase over Current BudgetCurrent Monthly Budget
(B)$1,999.00Monthly Budget next yearMonthly Budget in 5
yearsMonthly Budget in 10 years
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8 On the Monthly Budget sheet in Major Assignment 1, you
evaluated your current expenses. Here, you will project your
budget costs forward, using an inflation rate that you develop
from values in the Consumer Price Index.
As a first step, look up the CPI value for the given month and
year as well as the CPI value one year later; then, calculate a
yearly inflation rate based on those CPI values. Use this
procedure to look up the CPI value:
1. Go to Bureau of Labor Statistics page link
https://data.bls.gov/cgi-bin/surveymost?cu (or use link below)
2. Check the box to the left of text "U.S. city average, All
items - CUUR0000SA0"
3. Press the "Retrieve Data" button at the bottom of the
list. This should take you to a CPI table for about the last 10
years.
Here, format your CPI entries as Number with 3 decimals of
precision, and format your yearly inflation rate as a Percentage
with 2 decimals of precision.
9 Next, enter your budget total from cell G21 of the Monthly
Budget sheet from your Major Assignment 1. Then, use the
following formula to project your monthly budget forward 1, 5,
and 10 years into the future:

9. A = B*(1+r)^t
where A is the budget after t years; B is the initial budget; and r
is the yearly inflation rate. Here, also calculate how much
larger each budget is in percent than your initial budget.
Format your Projected Budget entries as Currency with the $
symbol and 2 decimals of precision; format your Percent
Increase cells as Percentages with 2 decimals of precision.
(CPI Values)https://data.bls.gov/cgi-bin/surveymost?cu
ConversionsYour monthly savings in dollarsLegendIf a cell is
shadedYou shouldBlueEnter a text responseGreenEnter a
numberGoldEnter an Excel formulaAny other colorMake no
changesExampleFirst letter of your first nameSecond letter of
your first nameFirst letter of your last nameSecond letter of
your last nameFormat this entry asThe letterTMAMACountry
starting with the letter (or next available letter)TajikistanThe
date that you looked up the conversion rate (must be within 2
weeks of your assignment due date)5/23/20DateFull name of the
country's currency as listed on the XE websiteTajikistani
somoniCurrency code (ISO-4217)TJSExchange rate for the
currency to at least 5 significant digits (or exact rate if there are
fewer than 5 significant digits)10.2686311694Your savings in
the country's currency. Note that you must enter a formula here
and then format the cell to display the currency code; do not
enter text in this cell.[$TJS] 0.00Currency with the country's
currency code as a symbol1060 units in the country's currency
(note that the Example uses 1000 units)$97.38
Currency with the $ symbol
Choose your countries from this
listAfghanistanCambodiaGuatemalaLebanonPakistanSwitzerland
AlbaniaCanadaGuernsey (UK)LiberiaPapua New
GuineaSyriaAlgeriaCayman
Islands (UK)GuineaLibyaParaguayTaiwanAngolaChileGuyanaM
acau (China)PeruTanzaniaArgentinaChinaHaitiMadagascarPhili
ppinesThailandArmeniaColombiaHondurasMalawiPolandTonga
Aruba (Netherlands)ComorosHong

10. Kong (China)MalaysiaQatarTrinidad and
TobagoAustraliaCongo, Democratic Republic of
theHungaryMaldivesRomaniaTunisiaAzerbaijanCosta
RicaIcelandMauritaniaRussiaTurkeyBahamasCroatiaIndiaMaurit
iusRwandaTurkmenistanBahrainCubaIndonesia MexicoSaint
Helena (UK)UgandaBangladeshCzechiaInternational Monetary
Fund
(IMF)MoldovaSamoaUkraineBarbadosDenmarkIranMongoliaSa
o Tome and PrincipeUnited Arab
EmiratesBelarusDjiboutiIraqMoroccoSaudi ArabiaUnited
KingdomBelizeDominicaIsle of
Man (UK)MozambiqueSerbiaUruguayBermuda (UK)Dominican
RepublicIsraelMyanmar (formerly
Burma)SeychellesUzbekistanBhutanEgyptJamaicaNamibiaSierra
LeoneVanuatuBoliviaEritreaJapanNepalSingaporeVenezuelaBos
nia and HerzegovinaEthiopiaJersey (UK)New
ZealandSomaliaVietnamBotswanaFalkland
Islands (UK)JordanNicaraguaSouth AfricaWallis and
Futuna (France)BrazilFijiKazakhstanNigeriaSouth
KoreaYemenBruneiGambiaKenyaNorth KoreaSri
LankaZambiaBulgariaGeorgiaKuwaitNorth Macedonia (formerly
Macedonia)SudanBurundiGhanaKyrgyzstanNorwaySurinameCab
o VerdeGibraltar (UK)LaosOmanSweden
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10 On this second conversion sheet, you will convert your
monthly savings into the equivalent amounts in several foreign
currencies and convert a given amount of the local currency into
the equivalent number of US dollars.
Start by transferring your monthly savings from the Savings and
Loan Analysis sheet, using an Excel formula that references the
appropriate cell directly:
For each country, identify the name of the country's currency,
the currency code (based on the ISO-4217 standard), and the
exchange rate for $1, using the following web page:

11. https://www.xe.com/currencyconverter
11 Now, from the list below the table below, select four
countries that start with the first two letters of your first and
last names. If your first or last name is only one letter long, use
the letter M as the second letter of each name that is one letter
long. If there is no country starting with a particular letter or
you have run out of countries to choose from for a particular
letter, go to the next letter of the alphabet that you still have
available choices for and select a country starting with that
letter. (If you are at the letter Z, go back to A.)
(Currency Converter)https://www.xe.com/currencyconverter
Then, convert your monthly savings above into this currency
and a given number of units of the local currency into dollars.
These calculations must be Excel formulas that use a cell
reference for the exchange rate; you may not use the currency
converter link for this calculation (although you're welcome to
check your calculation there).
Add special formatting as indicated in the last column of the
table. Other entries may use general formatting.
An example is provided for you. Note that this country is not
available for you to choose from the list.