CONSULTANT ANALYSIS FOR MEDICAL FACILITY 2 CONSULTANT ANALYSIS FOR MEDICAL FACILITY 16 Consultant Analysis for Medical Facility Connie Farris Colorado Technical University Information Technology Architectures (IT401-1801B-02) Jennifer Merritt Running head: CONSULTANT ANALYSIS FOR MEDICAL FACILITY 1 Table of Contents Project Outline………………………………………………………………………...3 System Requirements …………………………………………………………………3 Architecture Selection………………………………………………………………….6 Resources and Timeline ……………………………………………………………………………………9 Security………………………………………………………………………………. 11 Final Analysis and Recommendations………………………………………………….13 References……………………………………………………………………………….15 Project Outline Health care delivery systems are complex sociotechnical systems, characterized by dynamic interchanges with their environments (e.g., markets, payers, regulators, and consumers) and interactions among internal system components. These components include people, physical settings, technologies, care processes, and organization (e.g., rules, structure, information systems, communication, rewards, work flow, culture). ("Agency for Healthcare Research and Quality,", 2012) A local medical facility has requested an analysis to determine what will be required to update the current system and include video consults for the patients. This company has locations in 7 states of the southeastern past of the US. The process will be implemented at 21 locations. Over the next few weeks I will research the details which will include software, hardware, cost for equipment upgrades, and other extra cost that may be involved according to system requirements listed below. Network configuration will be discussed in the functions of the system. The need for the time frame for the project will also be considered. The main concern is to deliver a quality system. The final product will include a system where patients will be able to have face to face consultations with the doctor or PA through video capability. System Requirements . The first step is that the operating systems be updated with Microsoft 64 or 32-bit Windows 10 Pro, Windows 8 Pro, or Windows 7 Professional for best performance. Systems utilizing the architecture will have processors that are Intel Core i5-3470 3.2GHz LGA 1155 77W Quad-Core Desktop Processor equivalent or higher. The architecture requires 6 GB DDR3 RAM for memory and 250 GB of free space or higher for the hard drive. Uninterruptible Power Supply (UPS) is required for the client’s Information Technology (IT) professional to install. The HP LaserJet 3000 or 4000 Series printers are recommended. Broadband internet connections (specifically Cable) are recommended. For the 21 locations Logitech Meetup 4K HD Video Conference Camera with Integrated Audio will be purchased and installed. ("Hardware Specifications - American Medical Software", 2018) The Functions of the System The functions of this system will be to perform the basic .

1. CONSULTANT ANALYSIS FOR MEDICAL FACILITY 2
CONSULTANT ANALYSIS FOR MEDICAL FACILITY 16
Consultant Analysis for Medical Facility
Connie Farris
Colorado Technical University
Information Technology Architectures
(IT401-1801B-02)
Jennifer Merritt
Running head: CONSULTANT ANALYSIS FOR MEDICAL
FACILITY 1
Table of Contents
Project
Outline………………………………………………………………
………...3
System Requirements
…………………………………………………………………3
Architecture
Selection………………………………………………………………
….6
Resources and Timeline

2. …………………………………………………………………………
…………9
Security………………………………………………………………
………………. 11
Final Analysis and
Recommendations………………………………………………….1
3
References……………………………………………………………
………………….15
Project Outline
Health care delivery systems are complex sociotechnical
systems, characterized by dynamic interchanges with their
environments (e.g., markets, payers, regulators, and consumers)
and interactions among internal system components. These
components include people, physical settings, technologies, care
processes, and organization (e.g., rules, structure, information
systems, communication, rewards, work flow, culture).
("Agency for Healthcare Research and Quality,", 2012) A local
medical facility has requested an analysis to determine what
will be required to update the current system and include video
consults for the patients. This company has locations in 7 states

3. of the southeastern past of the US. The process will be
implemented at 21 locations. Over the next few weeks I will
research the details which will include software, hardware, cost
for equipment upgrades, and other extra cost that may be
involved according to system requirements listed below.
Network configuration will be discussed in the functions of the
system. The need for the time frame for the project will also be
considered. The main concern is to deliver a quality system.
The final product will include a system where patients will be
able to have face to face consultations with the doctor or PA
through video capability.
System Requirements
. The first step is that the operating systems be updated with
Microsoft 64 or 32-bit Windows 10 Pro, Windows 8 Pro, or
Windows 7 Professional for best performance. Systems utilizing
the architecture will have processors that are Intel Core i5-3470
3.2GHz LGA 1155 77W Quad-Core Desktop Processor
equivalent or higher. The architecture requires 6 GB DDR3
RAM for memory and 250 GB of free space or higher for the
hard drive. Uninterruptible Power Supply (UPS) is required for
the client’s Information Technology (IT) professional to install.
The HP LaserJet 3000 or 4000 Series printers are recommended.
Broadband internet connections (specifically Cable) are
recommended. For the 21 locations Logitech Meetup 4K HD
Video Conference Camera with Integrated Audio will be
purchased and installed. ("Hardware Specifications - American
Medical Software", 2018)
The Functions of the System
The functions of this system will be to perform the basic
functions of any medical offices. The system will be able to
book appointments, retain patient records, update system to
reflect appointments, billing, transfer information from one
location to another location across the country and should be
able to handle the load for all the facilities across the country.
The main addition to the system will be to allow video

4. transmission for consultations between doctor and patient.
This system will use a client-server, using a 100 Mbps Network
Interface Card able to support full-duplex operation. All
workstations absolutely need Full Control NTFS permissions
and Full Control share permissions to the AMS data folder.
Administrators should only user routers that have WPA2
encryption capabilities. WPA2 has the necessary security to
ensure PHI will not be compromised (i.e. 256-bit AES
encryption, SHA-1 hashing, password/key authentication). We
will be using Pervasive PSQL v11.30 32-bit Client Engine as a
server. ("Hardware Specifications - American Medical
Software", 2018) Telemedicine
software is needed for this project also, the technical
infrastructure requirements to use this process are, access to
broadband internet, imaging technology or peripherals since
theses devices are the backbone of telehealth, access to
technical support staff for any questions and staff training to
teach staff how to use telehealth technology.
This will target two classes of users: approved users and public
users. Supports two classes of users: approved users and public
users. The element management and conservation subsystems
are just public to the approved users. Approved clients are
additionally sorted to useful authorities and System directors or
supervisors. The accompanying records the authorities and
chiefs. The main concern right now is the cost of the new
hardware and the time required to get all locations up and
running in a reasonable amount of time and keep with the
original requirements for this project. If everything goes as
planned the new infrastructure will be able to perform as
planned.

5. Architecture Selection
For this area the architectures, I am comparing are Client/Server
Architectural, Service-Oriented Architectural Style, and N-Tier
/ 3-Tier Architectural. Starting with client-server, the most
common distributed system architecture. It can be classified
into a thin client or thick client. The main advantages are the
simplicity of the design and use of resources very effective with
a high-performance server. (" Distributed Architecture", 2017)
Example
Service-Oriented Architecture is well-defined and self-
contained, independent and is a client-server design. It
provides, reusability, interoperability, composability is a
distributed deployment. This is an example of SOA ("
Distributed Architecture", 2017)
N-Tier / 3-Tier Architectural
This architectural deployment style describes the separation of
functionality into segments in much the same way as the layered
style, but with each segment being a tier that can be located on
a physically separate computer. This architecture provides
Maintainability scalability, flexibility and availability
("Architectural Patterns and Styles", 2016)
.

6. Client-Server
My choice out of the above will be the client-server because
this server is formed to make the best of your employees’
productivity using enhanced security, reliability, and
accessibility features. The server is always-on, always
available, files and applications are available at any time.
Client-server network also acts like a centralized hub that stores
and shares files. This architecture can be configured to
automatically backup files and restore data on the back up
images in case of hard drive crashes. Detecting and correcting
memory errors can protect critical date automatically. Client-
Server architecture will also work well with the telehealth
software provided by Virtumedix.
Development Processes for Distributed Systems

10. References:
McDunnigan, M. Advantages & Disadvantages of Distributed
Systems. techwalla. Retrieved 3 February 2018, from
https://www.techwalla.com/articles/advantages-disadvantages-
of-distributed-systems
client/server (client/server model, client/server architecture).
(2008). techtarget.com. Retrieved 12 February 2018, from
http://searchnetworking.techtarget.com/definition/client-server
Agency for Healthcare Research and Quality, (2012). Ahrq.Gov,
System Design: AHRQ Resources. Retrieved from System
Design: AHRQ Resources. Content last reviewed January 2015.
Agency for Healthcare Research and Quality, Rockville, MD.
Hardware Specifications - American Medical Software. (2018).
American Medical Software. Retrieved 20 February 2018, from
http://americanmedical.com/hardware-specifications
What are the technical infrastructure requirements of telehealth.
(2014). healthit.gov. Retrieved 22 February 2018, from
http://www.healthit.gov/providers-professionals/faqs/what-are-
technical-infrastructure-requirements-telehealth

11. Architectural Patterns and Styles. (2016). msdn.microsoft.com.
Retrieved 23 February 2018, from
https://https://msdn.microsoft.com/en-
us/library/ee658117.aspx#ClientServerStyle Architectural
Patterns and Styles
Distributed Architecture. (2017). tutorialspoint.com. Retrieved
15 February 2018, from
http://www.tutorialspoint.com/software_architecture_design/dist
ributed_architecture.htm