CIS336 Lab 2 The Expanded Entity Relationship DiagramLAB OVERVI.docxclarebernice
CIS336 Lab 2: The Expanded Entity Relationship Diagram
LAB OVERVIEW
Scenario and Summary
This lab introduces the next step in creating a data model, the Entity Relationship Diagram (ERD). You will be given a business scenario for a University Medical Center, which is a small community hospital. The business specifications will outline a number of things about the business, some of which will apply directly to the database you are being asked to model. There is a table that lists the entities (tables) that will be needed for the database and related attributes (columns) for each entity. There is also a column that lists specific information about the entity that will be helpful in determining its relationship to other entities within the model.
Be sure to include the minimum and maximum occurrences of each relationship (cardinality) and to supply a name to the relationship that will work in both directions. Make sure to use Crow’s Feet notation in your ERD.
Narrative/Case Study
The University Medical Center is a small, community hospital. A new hospital administrator has recently been hired by the Board of Directors, and directed to right-size patient care and pharmacy services and improve profitability. The hospital operates three clinical facilities: the main hospital, a mid-town clinic, and an Urgent Care location. The hospital also offers selected in-home care services. Many of the patients are repeat or regular patients who receive regular treatment for various conditions, and many utilize the hospital’s pharmacy services for prescription medications.
The pharmacy dispenses about 3,000 different prescription medications of various kinds. Every prescription is associated with one patient, and is logged by the dispensing clinic. The new administrator wants to know which drugs are most prescribed, and also which are the most profitable.
The following is some general information about the organization and its current processes.
· The hospital operates three clinical facilities.
· A healthcare worker logs in at a facility at the start of a shift and logs out at the end.
· The name, address, Social Security number and other information is recorded for every healthcare worker.
· All healthcare workers have one billing rate, which is determined by their job description.
· Each medication dispensed by prescription is linked to both the prescription number and the medication ID number, recording the item price and the quantity dispensed.
As a convenient and affordable means of providing hospice care, palliative care, and convalescent care to patients that need occasional/intermittent skilled nursing, but do not require hospitalization, the hospital offers limited in-home care. Recording of in-home care includes the healthcare worker ID, their departure time and return time, and also the prescription ID for any prescriptions administered by the healthcare worker in the home setting.
The hospital administrator would like to know what home-ca ...
Draw an EER diagram according to the notations discussed in class to a.pdfabc2232
Draw an EER diagram according to the notations discussed in class to accurately represent
the design specification below. You can use any tools (e.g., draw.io) to draw the EER
diagram or simply draw it by hand. In your diagram, indicate all the super classes,
subclasses, constraints of specialization/generalization, entity sets, relationship sets,
cardinality ratios, participations, attributes, and primary keys. Clearly specify any
reasonable assumptions if they are not specified in the design specification. Submit your
EER diagram and assumptions in a PDF file.
Design Specification: The following is the description of a hospital information database.
As a large service organization, Valley Creek Community Hospital depends on a large number of
persons for its continued success. There are four groups of people on whom the hospital is most
dependent: Employees, Physicians, Patients, and Volunteers. (Physicians are not classified as
Employees for the purpose of this project). There are several common attributes that are shared
by all of these persons: Person_ID (unique identifier), Name, Birth_date, Phone, and Address.
Each address can be accessed as Street_address, City, State, and Zip_code individually and the
entire address can also be retrieved as a unit. Each of the four groups has at least one specific
attribute of its own. Employees have a Date_hired, Volunteers have a Skill, Physicians have a
Specialty and Pager#, and Patients have a Contact_date. There might be additional personnel in
the hospital community who do not belong to one of these four groups. A particular person may
belong to more than one groups (for example, Patient and Volunteer).
Each patient has one and only one physician responsible for them. A given physician may not be
responsible for any patient or may be responsible for one or more patients. Patients are divided
into two groups: inpatient and outpatient. Each patient classified as an inpatient has a
Date_admitted attribute. Each patient classified as an outpatient is scheduled for one or more
visits. Each visit has a Date (partial identifier) and Comments. Notice that a visit cannot exist
without an outpatient entity.
Employees are subdivided into three disjoint groups: Nurses, Staff, and Technicians. Nurses
have a Certificate attribute that indicates the qualification. Staff has an attribute Job_class.
Technicians have one or more Skills. Each technician is assigned to one or more laboratories.
Attributes of laboratories include Name (unique identifier) and Location. A laboratory has one or
more technicians assigned..
Draw an EER diagram according to the notations discussed in class to a.docxBlakeSGMHemmingss
Draw an EER diagram according to the notations discussed in class to accurately represent the design specification below. You can use any tools (e.g., draw.io) to draw the EER diagram or simply draw it by hand. In your diagram, indicate all the super classes, subclasses, constraints of specialization/generalization, entity sets, relationship sets, cardinality ratios, participations, attributes, and primary keys. Clearly specify any reasonable assumptions if they are not specified in the design specification. Submit your EER diagram and assumptions in a PDF file. Design Specification: The following is the description of a hospital information database. As a large service organization, Valley Creek Community Hospital depends on a large number of persons for its continued success. There are four groups of people on whom the hospital is most dependent: Employees, Physicians, Patients, and Volunteers. (Physicians are not classified as Employees for the purpose of this project). There are several common attributes that are shared by all of these persons: Person_ID (unique identifier), Name, Birth_date, Phone, and Address. Each address can be accessed as Street_address, City, State, and Zip_code individually and the entire address can also be retrieved as a unit. Each of the four groups has at least one specific attribute of its own. Employees have a Date_hired, Volunteers have a Skill, Physicians have a Specialty and Pager\#, and Patients have a Contact_date. There might be additional personnel in the hospital community who do not belong to one of these four groups. A particular person may belong to more than one groups (for example, Patient and Volunteer). Each patient has one and only one physician responsible for them. A given physician may not be responsible for any patient or may be responsible for one or more patients. Patients are divided into two groups: inpatient and outpatient. Each patient classified as an inpatient has a Date_admitted attribute. Each patient classified as an outpatient is scheduled for one or more visits. Each visit has a Date (partial identifier) and Comments. Notice that a visit cannot exist without an outpatient entity. Employees are subdivided into three disjoint groups: Nurses, Staff, and Technicians. Nurses have a Certificate attribute that indicates the qualification. Staff has an attribute Job_class. Technicians have one or more Skills. Each technician is assigned to one or more laboratories. Attributes of laboratories include Name (unique identifier) and Location. A laboratory has one or more technicians assigned.
.
Workflow RedesignAfter conducting a thorough gap analysis, the.docxvelmakostizy
Workflow Redesign
After conducting a thorough gap analysis, the next step in the systems development life cycle (SDLC) is to target potential solutions to the gaps. There may be many potential solutions that can help to address workflow issues and inefficiencies, or there may be one seemingly obvious solution that could address almost all of the gaps in the current-state workflow. The challenge lies in selecting the most appropriate course of action from potential solutions that also works within organizational constraints.
In this Discussion, you revisit the scenarios from the Week 3 Discussion. You determine the possible avenues for workflow redesign and consider the constraints and factors that might impact your decision.
Scenario 1:
Stephanie is a nurse practitioner at Central Care Hospital who is often involved in administering prescribed medications for patients in the general care ward. When a physician sees a patient, he or she uses the hospital’s electronic health record (EHR) to document findings and recommendations for treatment but submits medication and drug orders by faxing prescriptions to the hospital’s pharmacy. Before Stephanie administers the medications from the pharmacy, she must cross-check the medication and dosage with the physician’s notes and patient information in the EHR. In doing so, Stephanie often identifies problems with the medication the physician prescribed; patients are sometimes prescribed a medication to which they have a known allergy or one that conflicts with another medication they are currently taking. In addition, the pharmacy sometimes sends the wrong medication or the wrong dosage. Furthermore, for patients who have been transferred from other parts of the hospital, such as the intensive care unit or the maternity ward, Stephanie often encounters duplicate drug orders or incorrect medications sent from the pharmacy.
Scenario 2:
General Health Hospital is implementing new outreach programs and preventative care support groups for patients with certain conditions or health risks, such as diabetes, smoking, and obesity. Philip, a nurse leader, is the manager of a team of nurses to organize these programs and groups and to identify patients who would be eligible and interested in being involved in these opportunities. However, Philip and his team have run into a variety of challenges and problems as they attempt to complete these tasks. In identifying patients to contact about the outreach programs and support groups, Philip’s team has had to browse the hospital’s entire electronic health record (EHR). The team has also run across significant holes in the EHR as they try to contact patients; many patients’ contact information is inaccurate or out of date. Furthermore, Philip’s team has partnered with the hospital’s Appointments Desk personnel in sending reminders about meeting dates and times to patients who express interest. However, the Appointments Desk often either neglects to send out these.
Write a 3-5 page paper describing where a physician practice and a h.docxowenhall46084
Write a 3-5 page paper describing where a physician practice and a hospital fall on the continuum of patient care, explaining the scope of responsibility and authority at the physician practice, and describing the differences of management's approach across the two settings.
Introduction
As a health care administrator, you will likely spend a great deal of your time focused on operations. You may find yourself working in a hospital, clinic, long-term care facility, hospice, urgent care center, home health agency, or a number of other types of organizations. Regardless of the type of organization, many of the operational responsibilities are the same.
Health care financing has become quite complex. Because most health care organizations are reimbursed primarily from a third party (insurance company), health care administrators must manage the communication between the patient, the insurance company, and the organization. Consumer-directed health plans (CDHPs) have increased in popularity as a way to reduce insurance premiums; however, the patient has a larger financial responsibility for services compared to managed care plans. This concept is known as cost sharing (Niles, 2021). It is very important to understand the payer mix of your organization, so you understand where and how revenue is coming in.
Information technology is another huge area of focus right now for health care administrators. The health care industry has lagged behind other industries in the area of information technology. The U.S. health care system has seen a large increase in the number of electronic medical records implemented across health care organizations (Niles, 2021). In addition, other technologies such as telehealth, electronic data warehouses (EDWs), and computerized physician order entry (CPOE) are quickly expanding and improving the delivery of health care.
Reference
Niles, N. J. (2021).
Basics of the U.S. health care system
(4th ed.). Jones & Bartlett Learning.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 2: Explain health care management approaches in diverse health care settings.
Describe where the physician practice and the hospital fall on the continuum of patient care.
Analyze how providers at each location try to return their patients to their highest level of functioning.
Analyze the differences in the scope of responsibility and authority between the physician practice and the hospital administrator positions.
Describe how the management approach changes between physician practice and hospital settings.
Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others.
Produce writing that conveys understanding of the topic, its context, and its relevance.
Use academic writing conventions s.
My name is Alicia Linton. I have been associated with databasehomeworkhelp.com as a Database Homework Help expert for the past 7 years and have been helping students with their Database Homework. I have a Ph.D in Database Management from McGill University.
CIS336 Lab 2 The Expanded Entity Relationship DiagramLAB OVERVI.docxclarebernice
CIS336 Lab 2: The Expanded Entity Relationship Diagram
LAB OVERVIEW
Scenario and Summary
This lab introduces the next step in creating a data model, the Entity Relationship Diagram (ERD). You will be given a business scenario for a University Medical Center, which is a small community hospital. The business specifications will outline a number of things about the business, some of which will apply directly to the database you are being asked to model. There is a table that lists the entities (tables) that will be needed for the database and related attributes (columns) for each entity. There is also a column that lists specific information about the entity that will be helpful in determining its relationship to other entities within the model.
Be sure to include the minimum and maximum occurrences of each relationship (cardinality) and to supply a name to the relationship that will work in both directions. Make sure to use Crow’s Feet notation in your ERD.
Narrative/Case Study
The University Medical Center is a small, community hospital. A new hospital administrator has recently been hired by the Board of Directors, and directed to right-size patient care and pharmacy services and improve profitability. The hospital operates three clinical facilities: the main hospital, a mid-town clinic, and an Urgent Care location. The hospital also offers selected in-home care services. Many of the patients are repeat or regular patients who receive regular treatment for various conditions, and many utilize the hospital’s pharmacy services for prescription medications.
The pharmacy dispenses about 3,000 different prescription medications of various kinds. Every prescription is associated with one patient, and is logged by the dispensing clinic. The new administrator wants to know which drugs are most prescribed, and also which are the most profitable.
The following is some general information about the organization and its current processes.
· The hospital operates three clinical facilities.
· A healthcare worker logs in at a facility at the start of a shift and logs out at the end.
· The name, address, Social Security number and other information is recorded for every healthcare worker.
· All healthcare workers have one billing rate, which is determined by their job description.
· Each medication dispensed by prescription is linked to both the prescription number and the medication ID number, recording the item price and the quantity dispensed.
As a convenient and affordable means of providing hospice care, palliative care, and convalescent care to patients that need occasional/intermittent skilled nursing, but do not require hospitalization, the hospital offers limited in-home care. Recording of in-home care includes the healthcare worker ID, their departure time and return time, and also the prescription ID for any prescriptions administered by the healthcare worker in the home setting.
The hospital administrator would like to know what home-ca ...
Draw an EER diagram according to the notations discussed in class to a.pdfabc2232
Draw an EER diagram according to the notations discussed in class to accurately represent
the design specification below. You can use any tools (e.g., draw.io) to draw the EER
diagram or simply draw it by hand. In your diagram, indicate all the super classes,
subclasses, constraints of specialization/generalization, entity sets, relationship sets,
cardinality ratios, participations, attributes, and primary keys. Clearly specify any
reasonable assumptions if they are not specified in the design specification. Submit your
EER diagram and assumptions in a PDF file.
Design Specification: The following is the description of a hospital information database.
As a large service organization, Valley Creek Community Hospital depends on a large number of
persons for its continued success. There are four groups of people on whom the hospital is most
dependent: Employees, Physicians, Patients, and Volunteers. (Physicians are not classified as
Employees for the purpose of this project). There are several common attributes that are shared
by all of these persons: Person_ID (unique identifier), Name, Birth_date, Phone, and Address.
Each address can be accessed as Street_address, City, State, and Zip_code individually and the
entire address can also be retrieved as a unit. Each of the four groups has at least one specific
attribute of its own. Employees have a Date_hired, Volunteers have a Skill, Physicians have a
Specialty and Pager#, and Patients have a Contact_date. There might be additional personnel in
the hospital community who do not belong to one of these four groups. A particular person may
belong to more than one groups (for example, Patient and Volunteer).
Each patient has one and only one physician responsible for them. A given physician may not be
responsible for any patient or may be responsible for one or more patients. Patients are divided
into two groups: inpatient and outpatient. Each patient classified as an inpatient has a
Date_admitted attribute. Each patient classified as an outpatient is scheduled for one or more
visits. Each visit has a Date (partial identifier) and Comments. Notice that a visit cannot exist
without an outpatient entity.
Employees are subdivided into three disjoint groups: Nurses, Staff, and Technicians. Nurses
have a Certificate attribute that indicates the qualification. Staff has an attribute Job_class.
Technicians have one or more Skills. Each technician is assigned to one or more laboratories.
Attributes of laboratories include Name (unique identifier) and Location. A laboratory has one or
more technicians assigned..
Draw an EER diagram according to the notations discussed in class to a.docxBlakeSGMHemmingss
Draw an EER diagram according to the notations discussed in class to accurately represent the design specification below. You can use any tools (e.g., draw.io) to draw the EER diagram or simply draw it by hand. In your diagram, indicate all the super classes, subclasses, constraints of specialization/generalization, entity sets, relationship sets, cardinality ratios, participations, attributes, and primary keys. Clearly specify any reasonable assumptions if they are not specified in the design specification. Submit your EER diagram and assumptions in a PDF file. Design Specification: The following is the description of a hospital information database. As a large service organization, Valley Creek Community Hospital depends on a large number of persons for its continued success. There are four groups of people on whom the hospital is most dependent: Employees, Physicians, Patients, and Volunteers. (Physicians are not classified as Employees for the purpose of this project). There are several common attributes that are shared by all of these persons: Person_ID (unique identifier), Name, Birth_date, Phone, and Address. Each address can be accessed as Street_address, City, State, and Zip_code individually and the entire address can also be retrieved as a unit. Each of the four groups has at least one specific attribute of its own. Employees have a Date_hired, Volunteers have a Skill, Physicians have a Specialty and Pager\#, and Patients have a Contact_date. There might be additional personnel in the hospital community who do not belong to one of these four groups. A particular person may belong to more than one groups (for example, Patient and Volunteer). Each patient has one and only one physician responsible for them. A given physician may not be responsible for any patient or may be responsible for one or more patients. Patients are divided into two groups: inpatient and outpatient. Each patient classified as an inpatient has a Date_admitted attribute. Each patient classified as an outpatient is scheduled for one or more visits. Each visit has a Date (partial identifier) and Comments. Notice that a visit cannot exist without an outpatient entity. Employees are subdivided into three disjoint groups: Nurses, Staff, and Technicians. Nurses have a Certificate attribute that indicates the qualification. Staff has an attribute Job_class. Technicians have one or more Skills. Each technician is assigned to one or more laboratories. Attributes of laboratories include Name (unique identifier) and Location. A laboratory has one or more technicians assigned.
.
Workflow RedesignAfter conducting a thorough gap analysis, the.docxvelmakostizy
Workflow Redesign
After conducting a thorough gap analysis, the next step in the systems development life cycle (SDLC) is to target potential solutions to the gaps. There may be many potential solutions that can help to address workflow issues and inefficiencies, or there may be one seemingly obvious solution that could address almost all of the gaps in the current-state workflow. The challenge lies in selecting the most appropriate course of action from potential solutions that also works within organizational constraints.
In this Discussion, you revisit the scenarios from the Week 3 Discussion. You determine the possible avenues for workflow redesign and consider the constraints and factors that might impact your decision.
Scenario 1:
Stephanie is a nurse practitioner at Central Care Hospital who is often involved in administering prescribed medications for patients in the general care ward. When a physician sees a patient, he or she uses the hospital’s electronic health record (EHR) to document findings and recommendations for treatment but submits medication and drug orders by faxing prescriptions to the hospital’s pharmacy. Before Stephanie administers the medications from the pharmacy, she must cross-check the medication and dosage with the physician’s notes and patient information in the EHR. In doing so, Stephanie often identifies problems with the medication the physician prescribed; patients are sometimes prescribed a medication to which they have a known allergy or one that conflicts with another medication they are currently taking. In addition, the pharmacy sometimes sends the wrong medication or the wrong dosage. Furthermore, for patients who have been transferred from other parts of the hospital, such as the intensive care unit or the maternity ward, Stephanie often encounters duplicate drug orders or incorrect medications sent from the pharmacy.
Scenario 2:
General Health Hospital is implementing new outreach programs and preventative care support groups for patients with certain conditions or health risks, such as diabetes, smoking, and obesity. Philip, a nurse leader, is the manager of a team of nurses to organize these programs and groups and to identify patients who would be eligible and interested in being involved in these opportunities. However, Philip and his team have run into a variety of challenges and problems as they attempt to complete these tasks. In identifying patients to contact about the outreach programs and support groups, Philip’s team has had to browse the hospital’s entire electronic health record (EHR). The team has also run across significant holes in the EHR as they try to contact patients; many patients’ contact information is inaccurate or out of date. Furthermore, Philip’s team has partnered with the hospital’s Appointments Desk personnel in sending reminders about meeting dates and times to patients who express interest. However, the Appointments Desk often either neglects to send out these.
Write a 3-5 page paper describing where a physician practice and a h.docxowenhall46084
Write a 3-5 page paper describing where a physician practice and a hospital fall on the continuum of patient care, explaining the scope of responsibility and authority at the physician practice, and describing the differences of management's approach across the two settings.
Introduction
As a health care administrator, you will likely spend a great deal of your time focused on operations. You may find yourself working in a hospital, clinic, long-term care facility, hospice, urgent care center, home health agency, or a number of other types of organizations. Regardless of the type of organization, many of the operational responsibilities are the same.
Health care financing has become quite complex. Because most health care organizations are reimbursed primarily from a third party (insurance company), health care administrators must manage the communication between the patient, the insurance company, and the organization. Consumer-directed health plans (CDHPs) have increased in popularity as a way to reduce insurance premiums; however, the patient has a larger financial responsibility for services compared to managed care plans. This concept is known as cost sharing (Niles, 2021). It is very important to understand the payer mix of your organization, so you understand where and how revenue is coming in.
Information technology is another huge area of focus right now for health care administrators. The health care industry has lagged behind other industries in the area of information technology. The U.S. health care system has seen a large increase in the number of electronic medical records implemented across health care organizations (Niles, 2021). In addition, other technologies such as telehealth, electronic data warehouses (EDWs), and computerized physician order entry (CPOE) are quickly expanding and improving the delivery of health care.
Reference
Niles, N. J. (2021).
Basics of the U.S. health care system
(4th ed.). Jones & Bartlett Learning.
Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:
Competency 2: Explain health care management approaches in diverse health care settings.
Describe where the physician practice and the hospital fall on the continuum of patient care.
Analyze how providers at each location try to return their patients to their highest level of functioning.
Analyze the differences in the scope of responsibility and authority between the physician practice and the hospital administrator positions.
Describe how the management approach changes between physician practice and hospital settings.
Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others.
Produce writing that conveys understanding of the topic, its context, and its relevance.
Use academic writing conventions s.
My name is Alicia Linton. I have been associated with databasehomeworkhelp.com as a Database Homework Help expert for the past 7 years and have been helping students with their Database Homework. I have a Ph.D in Database Management from McGill University.
The Nurse Leader as Knowledge WorkerHenry Ehizokhale.docxarnoldmeredith47041
The Nurse Leader as Knowledge Worker
Henry Ehizokhale
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter Drucker. Ducker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services (CFI, 2019). He emphasized that due to the high level of productivity and creativity of knowledge worker, that they would be the most valuable assets in the 21st century organization. Professionals that can be referred to as knowledge worker includes engineers, pharmacists, architects, financial analysts, public accountants, physicians, scientists, design thinkers, and lawyers. Furthermore, knowledge workers have a high degree of expertise, experience, education and the primary purpose of their jobs involve the distribution, creation and application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker
Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the nursing field and the role of the nurse in the healthcare setting. There has been several interpretation of nursing informatics. The American Nurses Association (ANA), identified nursing informatics as a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to achieve a common goal, for instance enhanced patient care or satisfaction. All nurses are called to nurse leadership, however there are different levels of nurse leadership. Nurse leaders are expected to help the organization to fulfill the organization’s mission, vision, values, and strategies to achieve long-range plans. Nurse leaders part take in policy setting, overseeing quality measures are carried out, accountability for overall quality of patient care delivery, staff satisfaction and organizational outcomes. For a nurse leader as a knowledge worker to be productive in an organization, the nurse leader must understand that knowledge work requires continuous learning on the part of the knowledge worker, but equally continuous teaching on the part of the knowledge worker. Having said that, a knowledge worker nurse leader will depend hugely on evidenced based practice to be productive in a healthcare organization. The use of EBP by knowledge worker nurse leader will require learning and teaching. Most healthcare organizations or hospitals rely on evidenced based.
Due in 5 hours strictly-300 wordsVertical and Horizontal Integra.docxhasselldelisa
Due in 5 hours strictly-300 words
Vertical and Horizontal Integration of Health Systems in Various Regions
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Initial postings must be 250–350 words (not including references).
A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another Labcorp location. Labcorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.
Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.
Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. Labcorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.
In Module 3, you examined the varied services a patient may need and researched health care organizations that provide those services in your geographic area. In this Discussion, you will examine how integration affects the delivery of care in your community.
To prepare for this Discussion, review the information related to horizontal and vertical integration in the Learning Resources, including the information in the Shi and Singh (2015) textbook and the journal articles.
Next, research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Module 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion.
Select
one vertically integrated health system
and
one horizontally integrated health system
in your geographic area on which to focus for this Discussion.
Continue resea.
Q1. Entity-Relationship ModelingThe government of the province is .pdfssuser6254411
Q1. Entity-Relationship Modeling
The government of the province is implementing a program that manages vaccine distribution,
monitors
the pediatric and adult immunization levels and issues alerts when an emerging epidemic treat is
detected.
The program is managed by the Ministry of Health (MH). MH is building a dedicated an
information system
that can handle immunization records as well as vaccine distribution, vaccinee registration and
booking for
the immunizations that are covered under the provincial health insurance plan.
MH hired your team to build their new information system. Your team must design and
implement a new
relational database that meets the MHs informational requirements and supports the functionality
outlined
below.
Immunization providers that administer vaccines covered by the provincial health insurance plan
receive
the vaccines they will administer from the ministry. The MH must maintain accurate inventory
records to
keep track of the vaccines it procures from manufacturers and then distributes to providers. For
each lot of
vaccine, in addition to the type of vaccine in the lot, quantity of doses and expiration date, the
MH also
needs to record the supplier of the lot, along with information about them such as company name
and
address. For each manufacturer, the MH wants to also store the contact information of at least
one
manufacturer employee, their name, position, phone number and email, in case the lot has quality
issues
that need to be followed up on.
The MH also needs to store information about each vaccine provider (hospitals, pharmacies,
private clinics,
university health centres, walk-in centres, etc.), and the supplies they received. The MH assigns
one of its
employees to serves as the point of contact for each provider. The fulfillment of a vaccine
shipment to a
provider is personally overseen by that providers MH point of contact. A point of contact can
serve multiple
providers.
For each provider, the MH wants to record their name, address, along with contact information
for a person
from that organization (i.e., the persons name, position with the organization, phone number and
email) who it can keep informed about the dispatch of new vaccine shipments and other relevant
information.
Each shipment that the MH sends to a provider may include several different types of vaccines.
For each
shipment, MH needs to store, and be able to make available, the date of the shipment as well as
how many
doses of which type of vaccine were delivered and what vaccine lots the doses of each vaccine
type where
from.
In order to support an online vaccination booking system and serve as an immunization registry,
the MHs
system also needs to help collect information about each vaccination performed by a provider,
including
how many doses the person received, as some vaccines are multi-dose, and when the person
received their
first, and subsequent shots (for multi-dose vaccines). The MH must record, and be able to make
available,.
ENTD311_CASE2Community Patient Portal System Part 1.pdfCP.docxSALU18
ENTD311_CASE2/Community Patient Portal System Part 1.pdf
CPPS Part 1 Page 1
Community Patient Portal System (CPPS) Case Study Part 1
Community Patient Group (CPO) is a well-established, full service internal
medicine practice with five offices with 10 doctors each and wants to provide
web based services for its patients and integrate it with their HIPPA
electronic health record system. Each doctor sees approximately 2500
patients per year. CPO plans to establish a patient portal as a secure online
website with access to personal health information and medical records.
This service would be available 24/7. They feel that this new service will
improve patient outcomes and make it more convenient for their patients.
They also feel that it will reduce the number of phone calls. The program
also may qualify the service for incentives according to the American
Recovery and Reinvestment Act of 2009.
They want to offer three levels of services for their patients including Basic
Portal, Advanced Portal, and Premium Portal. The proposed general services
for patients include schedule appointments; view lab and other reports; view
medical history; request prescription refills; update contact information,
check benefits and coverage; check account balances; submit forms; and
send messages to providers.
The proposed levels of service provide the following services:
• Basic Portal is free and provides access to lab reports
• Advanced Portal provides access to current and past lab test results,
medications lists, medical history records, and appointment scheduling
online. Patients can also request referrals and receive free prescription
refills. This can avoid unnecessary appointments, co-pays, and
prescription refill fees. The cost is $120 per year.
• Premium Portal includes all of the benefits of the Advanced Portal plus
three "e-Visits" (a secure virtual appointment with your provider) for
$240 / year.
To get patients registered they plan to start a marketing campaign that
includes letters to current patients; brochures; fliers; notices and
information on their website; and training of staff to explain the new service
and to register current patients. Patients can also register online at their
website.
ENTD311_CASE2/Community Patient Portal System Part 2.pdf
CPPS Part 2 Page 1
Community Patient Portal System (CPPS) Case Study Part 2
As previously discussed the CPPS need to provide general services for
patients that include the ability to schedule appointments; view lab and
other reports; view medical history; request prescription refills; update
contact information, check benefits and coverage; check account balances;
submit forms; and send messages to providers (doctors). In order to
provide these services, the system must also maintain the doctor’s
appointment schedule including the days and times the doctor is available.
Other information will come from the existing CPS ( ...
The Nurse Leader as Knowledge WorkerHenry Ehizokhale.docxarnoldmeredith47041
The Nurse Leader as Knowledge Worker
Henry Ehizokhale
Walden University
Transforming Nursing And Health Through Technology
NURS 6051
Nov 27, 2019
1
The Nurse Leader as Knowledge Worker
2
Purpose
Explain the concept of a knowledge worker.
Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.
The concept of a knowledge worker
The term “knowledge worker” was first coined by Peter Drucker. Ducker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services (CFI, 2019). He emphasized that due to the high level of productivity and creativity of knowledge worker, that they would be the most valuable assets in the 21st century organization. Professionals that can be referred to as knowledge worker includes engineers, pharmacists, architects, financial analysts, public accountants, physicians, scientists, design thinkers, and lawyers. Furthermore, knowledge workers have a high degree of expertise, experience, education and the primary purpose of their jobs involve the distribution, creation and application of knowledge.
3
Definition of a knowledge worker by Peter Drucker
Professional that are referred to as knowledge worker
Nursing Informatics
Nursing Informatics is a subset of informatics, specific to the nursing field and the role of the nurse in the healthcare setting. There has been several interpretation of nursing informatics. The American Nurses Association (ANA), identified nursing informatics as a specialty that integrates nursing, science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice (ANA, 2001, pg.17).
4
Nurse leader as a knowledge worker.
A nurse leader is one who inspire others to work together to achieve a common goal, for instance enhanced patient care or satisfaction. All nurses are called to nurse leadership, however there are different levels of nurse leadership. Nurse leaders are expected to help the organization to fulfill the organization’s mission, vision, values, and strategies to achieve long-range plans. Nurse leaders part take in policy setting, overseeing quality measures are carried out, accountability for overall quality of patient care delivery, staff satisfaction and organizational outcomes. For a nurse leader as a knowledge worker to be productive in an organization, the nurse leader must understand that knowledge work requires continuous learning on the part of the knowledge worker, but equally continuous teaching on the part of the knowledge worker. Having said that, a knowledge worker nurse leader will depend hugely on evidenced based practice to be productive in a healthcare organization. The use of EBP by knowledge worker nurse leader will require learning and teaching. Most healthcare organizations or hospitals rely on evidenced based.
Due in 5 hours strictly-300 wordsVertical and Horizontal Integra.docxhasselldelisa
Due in 5 hours strictly-300 words
Vertical and Horizontal Integration of Health Systems in Various Regions
Post your responses to the Discussion based on the course requirements.
Your Discussion postings should be written in standard edited English and follow APA guidelines as closely as possible given the constraints of the online platform. Be sure to support your work with specific citations from this week’s Learning Resources and additional scholarly sources as appropriate. Initial postings must be 250–350 words (not including references).
A 58-year-old man needs to have his blood tested on a regular basis so his physician can monitor the effects of the anticoagulant (blood thinner) medication he is currently taking. He usually has his blood drawn at his local lab in San Francisco, California. While traveling on business in Portland, Oregon, he is able to have his blood drawn on the specified day at another Labcorp location. Labcorp operates an extensive network of 1,700 laboratories across the United States, so lab results can be communicated to the patient’s physician from any location.
Geisinger Health System serves an area with 2.6 million people in northeastern and central Pennsylvania. As an integrated health system, it provides coordinated care to meet the wide-ranging needs of patients. The advanced use of information technology has been critical for facilitating communication, reducing duplication of services, and improving the patient experience along the care continuum. Consisting of numerous clinical facilities and a health insurance company, Geisinger Health System offers an innovative approach to care delivery that it hopes will become a national model.
Integration is an organizing principle for care delivery intended to promote better health outcomes and greater clinical and financial accountability. Labcorp’s horizontal integration is a growth strategy that reduces competition from other companies. Geisinger’s vertical integration is a diversification strategy that links a continuum of services to increase the comprehensiveness of care.
In Module 3, you examined the varied services a patient may need and researched health care organizations that provide those services in your geographic area. In this Discussion, you will examine how integration affects the delivery of care in your community.
To prepare for this Discussion, review the information related to horizontal and vertical integration in the Learning Resources, including the information in the Shi and Singh (2015) textbook and the journal articles.
Next, research integrated health systems in your geographic area. If you find that one or more of the settings you identified for your Module 3 Assignment are part of an integrated system, you may further research the setting(s) for this Discussion.
Select
one vertically integrated health system
and
one horizontally integrated health system
in your geographic area on which to focus for this Discussion.
Continue resea.
Q1. Entity-Relationship ModelingThe government of the province is .pdfssuser6254411
Q1. Entity-Relationship Modeling
The government of the province is implementing a program that manages vaccine distribution,
monitors
the pediatric and adult immunization levels and issues alerts when an emerging epidemic treat is
detected.
The program is managed by the Ministry of Health (MH). MH is building a dedicated an
information system
that can handle immunization records as well as vaccine distribution, vaccinee registration and
booking for
the immunizations that are covered under the provincial health insurance plan.
MH hired your team to build their new information system. Your team must design and
implement a new
relational database that meets the MHs informational requirements and supports the functionality
outlined
below.
Immunization providers that administer vaccines covered by the provincial health insurance plan
receive
the vaccines they will administer from the ministry. The MH must maintain accurate inventory
records to
keep track of the vaccines it procures from manufacturers and then distributes to providers. For
each lot of
vaccine, in addition to the type of vaccine in the lot, quantity of doses and expiration date, the
MH also
needs to record the supplier of the lot, along with information about them such as company name
and
address. For each manufacturer, the MH wants to also store the contact information of at least
one
manufacturer employee, their name, position, phone number and email, in case the lot has quality
issues
that need to be followed up on.
The MH also needs to store information about each vaccine provider (hospitals, pharmacies,
private clinics,
university health centres, walk-in centres, etc.), and the supplies they received. The MH assigns
one of its
employees to serves as the point of contact for each provider. The fulfillment of a vaccine
shipment to a
provider is personally overseen by that providers MH point of contact. A point of contact can
serve multiple
providers.
For each provider, the MH wants to record their name, address, along with contact information
for a person
from that organization (i.e., the persons name, position with the organization, phone number and
email) who it can keep informed about the dispatch of new vaccine shipments and other relevant
information.
Each shipment that the MH sends to a provider may include several different types of vaccines.
For each
shipment, MH needs to store, and be able to make available, the date of the shipment as well as
how many
doses of which type of vaccine were delivered and what vaccine lots the doses of each vaccine
type where
from.
In order to support an online vaccination booking system and serve as an immunization registry,
the MHs
system also needs to help collect information about each vaccination performed by a provider,
including
how many doses the person received, as some vaccines are multi-dose, and when the person
received their
first, and subsequent shots (for multi-dose vaccines). The MH must record, and be able to make
available,.
ENTD311_CASE2Community Patient Portal System Part 1.pdfCP.docxSALU18
ENTD311_CASE2/Community Patient Portal System Part 1.pdf
CPPS Part 1 Page 1
Community Patient Portal System (CPPS) Case Study Part 1
Community Patient Group (CPO) is a well-established, full service internal
medicine practice with five offices with 10 doctors each and wants to provide
web based services for its patients and integrate it with their HIPPA
electronic health record system. Each doctor sees approximately 2500
patients per year. CPO plans to establish a patient portal as a secure online
website with access to personal health information and medical records.
This service would be available 24/7. They feel that this new service will
improve patient outcomes and make it more convenient for their patients.
They also feel that it will reduce the number of phone calls. The program
also may qualify the service for incentives according to the American
Recovery and Reinvestment Act of 2009.
They want to offer three levels of services for their patients including Basic
Portal, Advanced Portal, and Premium Portal. The proposed general services
for patients include schedule appointments; view lab and other reports; view
medical history; request prescription refills; update contact information,
check benefits and coverage; check account balances; submit forms; and
send messages to providers.
The proposed levels of service provide the following services:
• Basic Portal is free and provides access to lab reports
• Advanced Portal provides access to current and past lab test results,
medications lists, medical history records, and appointment scheduling
online. Patients can also request referrals and receive free prescription
refills. This can avoid unnecessary appointments, co-pays, and
prescription refill fees. The cost is $120 per year.
• Premium Portal includes all of the benefits of the Advanced Portal plus
three "e-Visits" (a secure virtual appointment with your provider) for
$240 / year.
To get patients registered they plan to start a marketing campaign that
includes letters to current patients; brochures; fliers; notices and
information on their website; and training of staff to explain the new service
and to register current patients. Patients can also register online at their
website.
ENTD311_CASE2/Community Patient Portal System Part 2.pdf
CPPS Part 2 Page 1
Community Patient Portal System (CPPS) Case Study Part 2
As previously discussed the CPPS need to provide general services for
patients that include the ability to schedule appointments; view lab and
other reports; view medical history; request prescription refills; update
contact information, check benefits and coverage; check account balances;
submit forms; and send messages to providers (doctors). In order to
provide these services, the system must also maintain the doctor’s
appointment schedule including the days and times the doctor is available.
Other information will come from the existing CPS ( ...
Similar to Expanded Entity Relationship Diagram LAB OVERVIEW.pdf (17)
VAT Registration Outlined In UAE: Benefits and Requirementsuae taxgpt
Vat Registration is a legal obligation for businesses meeting the threshold requirement, helping companies avoid fines and ramifications. Contact now!
https://viralsocialtrends.com/vat-registration-outlined-in-uae/
[Note: This is a partial preview. To download this presentation, visit:
https://www.oeconsulting.com.sg/training-presentations]
Sustainability has become an increasingly critical topic as the world recognizes the need to protect our planet and its resources for future generations. Sustainability means meeting our current needs without compromising the ability of future generations to meet theirs. It involves long-term planning and consideration of the consequences of our actions. The goal is to create strategies that ensure the long-term viability of People, Planet, and Profit.
Leading companies such as Nike, Toyota, and Siemens are prioritizing sustainable innovation in their business models, setting an example for others to follow. In this Sustainability training presentation, you will learn key concepts, principles, and practices of sustainability applicable across industries. This training aims to create awareness and educate employees, senior executives, consultants, and other key stakeholders, including investors, policymakers, and supply chain partners, on the importance and implementation of sustainability.
LEARNING OBJECTIVES
1. Develop a comprehensive understanding of the fundamental principles and concepts that form the foundation of sustainability within corporate environments.
2. Explore the sustainability implementation model, focusing on effective measures and reporting strategies to track and communicate sustainability efforts.
3. Identify and define best practices and critical success factors essential for achieving sustainability goals within organizations.
CONTENTS
1. Introduction and Key Concepts of Sustainability
2. Principles and Practices of Sustainability
3. Measures and Reporting in Sustainability
4. Sustainability Implementation & Best Practices
To download the complete presentation, visit: https://www.oeconsulting.com.sg/training-presentations
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
(i.e., industry structure in the language of economics).
Cracking the Workplace Discipline Code Main.pptxWorkforce Group
Cultivating and maintaining discipline within teams is a critical differentiator for successful organisations.
Forward-thinking leaders and business managers understand the impact that discipline has on organisational success. A disciplined workforce operates with clarity, focus, and a shared understanding of expectations, ultimately driving better results, optimising productivity, and facilitating seamless collaboration.
Although discipline is not a one-size-fits-all approach, it can help create a work environment that encourages personal growth and accountability rather than solely relying on punitive measures.
In this deck, you will learn the significance of workplace discipline for organisational success. You’ll also learn
• Four (4) workplace discipline methods you should consider
• The best and most practical approach to implementing workplace discipline.
• Three (3) key tips to maintain a disciplined workplace.
Unveiling the Secrets How Does Generative AI Work.pdfSam H
At its core, generative artificial intelligence relies on the concept of generative models, which serve as engines that churn out entirely new data resembling their training data. It is like a sculptor who has studied so many forms found in nature and then uses this knowledge to create sculptures from his imagination that have never been seen before anywhere else. If taken to cyberspace, gans work almost the same way.
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
Have you ever heard that user-generated content or video testimonials can take your brand to the next level? We will explore how you can effectively use video testimonials to leverage and boost your sales, content strategy, and increase your CRM data.🤯
We will dig deeper into:
1. How to capture video testimonials that convert from your audience 🎥
2. How to leverage your testimonials to boost your sales 💲
3. How you can capture more CRM data to understand your audience better through video testimonials. 📊
Business Valuation Principles for EntrepreneursBen Wann
This insightful presentation is designed to equip entrepreneurs with the essential knowledge and tools needed to accurately value their businesses. Understanding business valuation is crucial for making informed decisions, whether you're seeking investment, planning to sell, or simply want to gauge your company's worth.
Attending a job Interview for B1 and B2 Englsih learnersErika906060
It is a sample of an interview for a business english class for pre-intermediate and intermediate english students with emphasis on the speking ability.
RMD24 | Retail media: hoe zet je dit in als je geen AH of Unilever bent? Heid...BBPMedia1
Grote partijen zijn al een tijdje onderweg met retail media. Ondertussen worden in dit domein ook de kansen zichtbaar voor andere spelers in de markt. Maar met die kansen ontstaan ook vragen: Zelf retail media worden of erop adverteren? In welke fase van de funnel past het en hoe integreer je het in een mediaplan? Wat is nu precies het verschil met marketplaces en Programmatic ads? In dit half uur beslechten we de dilemma's en krijg je antwoorden op wanneer het voor jou tijd is om de volgende stap te zetten.
"𝑩𝑬𝑮𝑼𝑵 𝑾𝑰𝑻𝑯 𝑻𝑱 𝑰𝑺 𝑯𝑨𝑳𝑭 𝑫𝑶𝑵𝑬"
𝐓𝐉 𝐂𝐨𝐦𝐬 (𝐓𝐉 𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬) is a professional event agency that includes experts in the event-organizing market in Vietnam, Korea, and ASEAN countries. We provide unlimited types of events from Music concerts, Fan meetings, and Culture festivals to Corporate events, Internal company events, Golf tournaments, MICE events, and Exhibitions.
𝐓𝐉 𝐂𝐨𝐦𝐬 provides unlimited package services including such as Event organizing, Event planning, Event production, Manpower, PR marketing, Design 2D/3D, VIP protocols, Interpreter agency, etc.
Sports events - Golf competitions/billiards competitions/company sports events: dynamic and challenging
⭐ 𝐅𝐞𝐚𝐭𝐮𝐫𝐞𝐝 𝐩𝐫𝐨𝐣𝐞𝐜𝐭𝐬:
➢ 2024 BAEKHYUN [Lonsdaleite] IN HO CHI MINH
➢ SUPER JUNIOR-L.S.S. THE SHOW : Th3ee Guys in HO CHI MINH
➢FreenBecky 1st Fan Meeting in Vietnam
➢CHILDREN ART EXHIBITION 2024: BEYOND BARRIERS
➢ WOW K-Music Festival 2023
➢ Winner [CROSS] Tour in HCM
➢ Super Show 9 in HCM with Super Junior
➢ HCMC - Gyeongsangbuk-do Culture and Tourism Festival
➢ Korean Vietnam Partnership - Fair with LG
➢ Korean President visits Samsung Electronics R&D Center
➢ Vietnam Food Expo with Lotte Wellfood
"𝐄𝐯𝐞𝐫𝐲 𝐞𝐯𝐞𝐧𝐭 𝐢𝐬 𝐚 𝐬𝐭𝐨𝐫𝐲, 𝐚 𝐬𝐩𝐞𝐜𝐢𝐚𝐥 𝐣𝐨𝐮𝐫𝐧𝐞𝐲. 𝐖𝐞 𝐚𝐥𝐰𝐚𝐲𝐬 𝐛𝐞𝐥𝐢𝐞𝐯𝐞 𝐭𝐡𝐚𝐭 𝐬𝐡𝐨𝐫𝐭𝐥𝐲 𝐲𝐨𝐮 𝐰𝐢𝐥𝐥 𝐛𝐞 𝐚 𝐩𝐚𝐫𝐭 𝐨𝐟 𝐨𝐮𝐫 𝐬𝐭𝐨𝐫𝐢𝐞𝐬."
Kseniya Leshchenko: Shared development support service model as the way to ma...Lviv Startup Club
Kseniya Leshchenko: Shared development support service model as the way to make small projects with small budgets profitable for the company (UA)
Kyiv PMDay 2024 Summer
Website – www.pmday.org
Youtube – https://www.youtube.com/startuplviv
FB – https://www.facebook.com/pmdayconference
Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
RMD24 | Debunking the non-endemic revenue myth Marvin Vacquier Droop | First ...BBPMedia1
Marvin neemt je in deze presentatie mee in de voordelen van non-endemic advertising op retail media netwerken. Hij brengt ook de uitdagingen in beeld die de markt op dit moment heeft op het gebied van retail media voor niet-leveranciers.
Retail media wordt gezien als het nieuwe advertising-medium en ook mediabureaus richten massaal retail media-afdelingen op. Merken die niet in de betreffende winkel liggen staan ook nog niet in de rij om op de retail media netwerken te adverteren. Marvin belicht de uitdagingen die er zijn om echt aansluiting te vinden op die markt van non-endemic advertising.
1. Expanded Entity Relationship Diagram LAB OVERVIEW
CIS336 Lab 2: The Expanded Entity Relationship DiagramLAB OVERVIEWScenario and
SummaryThis lab introduces the next step in creating a data model, the Entity Relationship
Diagram (ERD). You will be given a business scenario for a University Medical Center, which
is a small community hospital. The business specifications will outline a number of things
about the business, some of which will apply directly to the database you are being asked to
model. There is a table that lists the entities (tables) that will be needed for the database
and related attributes (columns) for each entity. There is also a column that lists specific
information about the entity that will be helpful in determining its relationship to other
entities within the model.Be sure to include the minimum and maximum occurrences of
each relationship (cardinality) and to supply a name to the relationship that will work in
both directions. Make sure to use Crow’s Feet notation in your ERD.Narrative/Case
StudyThe University Medical Center is a small, community hospital. A new hospital
administrator has recently been hired by the Board of Directors, and directed to right-size
patient care and pharmacy services and improve profitability. The hospital operates three
clinical facilities: the main hospital, a mid-town clinic, and an Urgent Care location. The
hospital also offers selected in-home care services. Many of the patients are repeat or
regular patients who receive regular treatment for various conditions, and many utilize the
hospital’s pharmacy services for prescription medications.The pharmacy dispenses about
3,000 different prescription medications of various kinds. Every prescription is associated
with one patient, and is logged by the dispensing clinic. The new administrator wants to
know which drugs are most prescribed, and also which are the most profitable.The
following is some general information about the organization and its current processes.•
The hospital operates three clinical facilities.• A healthcare worker logs in at a facility at the
start of a shift and logs out at the end.• The name, address, Social Security number and
other information is recorded for every healthcare worker.• All healthcare workers have
one billing rate, which is determined by their job description.• Each medication dispensed
by prescription is linked to both the prescription number and the medication ID number,
recording the item price and the quantity dispensed.As a convenient and affordable means
of providing hospice care, palliative care, and convalescent care to patients that need
occasional/intermittent skilled nursing, but do not require hospitalization, the hospital
offers limited in-home care. Recording of in-home care includes the healthcare worker ID,
their departure time and return time, and also the prescription ID for any prescriptions
administered by the healthcare worker in the home setting.The hospital administrator
2. would like to know what home-care visits have been made to whom, by whom, when, and
how long they took. There is concern at this point that the cost of providing limited home
healthcare is not providing adequate return on investment, and the program should be
revised or discontinued.RequirementsYou have been asked to develop a logical data model
for University Medical Center based on the information given to you by the new hospital
administrator and their staff. Through analysis of the nouns and verbs in the case study
above, you have accumulated the following entity, attribute, and relationship information
shown in the table below. The attribute list may not be complete. If you determine that
additional attributes are needed to better define an entity, then you should add
them.Entities Attributes and Relationships for University Medical Center (Parallel Lab
Exercise):Entity Attributes RelationshipsHealthcareWorkerHealthcareWorkerID, LastName,
FirstName, SSN, Address, City, State, Zip, Phone Number, HealthcareWorkerTypeID A
healthcare worker can belong to any one of the three job categories, but can belong to one
and only one of the three. healthcare worker has names and other contact
information.HealthcareWorkerTypeHealthcareWorkerTypeID, HealthcareWorkerTypeDesc,
HourlyBillingRate A healthcare worker can be either a physician (diagnoses, prescribes
medication), nurse (provides physician-ordered treatments, administers medications), or a
pharmacist (dispenses, delivers medication).ClinicLogClinicLogID, ClinicID, Login, Logout,
HealthcareWorkerID Patients may be treated by a healthcare worker at a clinic and can be
tracked by the clinic log number. A healthcare worker must sign into the clinic before he or
she can serve patients, and must sign out when finished treating patients at that clinic. A
healthcare worker may serve portions of a shift at more than one clinic.Clinic ClinicID,
ClinicLocationDesc, AMAAccredNum The hospital operates three clinical facilities: General
Hospital, Midtown Clinic, and Urgent Care.InHomeCareInHomeCareID,
HealthcareWorkerID, PrescriptionID, DepartTime, ReturnTime. Relates to both the
healthcare worker and the prescription entities. This entity will help track provision of
home healthcare. A healthcare worker can provide many home visits but a prescription is
administered on a home visit by one and only one healthcare worker.Method MethodID,
Method Description Relates to medication and identifies the method of administration, for
example, oral, injection, and so on.Medication MedicationID, MedicationName, Dosage, Cost,
QuantityOnHand, LastPurchasedDate, ReorderMinimum Identifies the medication the
hospital pharmacy dispenses. One or more medications can be dispensed per prescription.
The quantity on hand allows Pharmacists to determine the inventory levels. The reorder
minimum can be used to determine when the inventory level has reached a reorder
point.Prescription PrescriptionID, MedicationID, BillingAmount, TransactionDateTime,
ClinicLogID, PatientID A prescription is identified by a single prescription order.
Prescriptions are• made to one or more patients but only one patient at a time;• made by
one or more pharmacists but only one pharmacist per prescription;• recorded on one or
more clinics but only one clinic per prescription; and• administered by one or more nurses
but no one prescription can be administered by more than one
nurse.PrescribedMedicationPrescriptionID, MedicationID, ItemPrice, QuantityDispensed
Prescribed medication is part of a prescription and records medication dispensed per
prescription. Prescribed medication must be able to associate multiple medications sold on
3. a single prescription number.Patient Patient Number, First Name, Last Name, Address, City,
State, Zip, Phone Number A patient can be associated with multiple prescriptions, but any
one prescription is to one and only one patient. A prescription can occur without a patient
registering in the system (e.g., an unconscious patent arrives by ambulance in the
emergency room and receives life-saving emergency treatment)ing an appropriate
drawing/data modelling tool, develop an ERD that meets the following guidelines.• Draw
the entities with their attributes.• Indicate the relationships between the entities using
Crow’s Foot notation. You will need to determine the cardinality and optionality for each
direction of the relationships. Some of the Foreign Key relationships are identified in the
graph above but not all. Be sure you identify and account for all Foreign Key relationships.•
Add a name (in both directions) to the relationships. Remember, if you can verbalize the
relationship in both directions, then you probably have a valid relationship.DeliverablesThe
deliverable for this lab will be your completed ERD as a single MS Word document using
copy/paste or imported as an image from your drawing/modelling application, cropped and
sized appropriately (it should fit on a single page), and named
lab2_solutions_yourname.LAB STEPSSTEP 1: Drawing Entities and AttributesBack to TopBe
sure to include all of the entities that have been defined. You need to include at least the
primary and foreign key attributes where applicable in your diagram.STEP 2: Add
RelationshipsBack to TopBe sure that you link all entities based on PK to FK relationships.
There may be a case where you need to identify a combination PK and if so make sure that
all of the relationships involved are defined. Be sure that you have set your
drawing/modelling tool set to show Crow’s Foot notation. Also, be sure that you are
defining the correct cardinality for the relationships.STEP 3: Naming of relationshipsBack to
TopIf your drawing/modelling tool creates a default name for relationships, do not simply
accept this default without due consideration. There may be some relationships where the
default is applicable, but in most cases you will want to explicitly name the relationship. Be
sure that you have provided a verb phrase for both directions in the relationship.This is the
end of lab #2