The hospital is implementing a new information system to improve patient care, outcomes, and efficiency. The current systems are outdated and lack important functionality like imaging. The new customized system will include enhanced charting functionality, improved department coordination, and patient portals to access medical information. Developing the new system requires determining specifications, transferring data, training staff, and change management to ensure adoption. The project aims to meet regulatory requirements while focusing on patient-centered care through the new system.
Clinical Information Systems and Electronic Health Records (October 18, 2021)Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 18, 2021
Clinical Information Systems and Electronic Health Records (October 18, 2021)Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 18, 2021
The Scope of Health Information Technology: Progress and ChallengesAndrew Oram
Presents an overview of health IT technologies, such as devices, telehealth, electronic health records, analytics, coordinated care, and health information exchange. The goal is not just to list trends but to show their relationships and dependencies, suggest ways they can contribute to improvement in health care, and provide frameworks for understanding their strengths, weaknesses, and impacts.
Presented at "Hospital Management 2015" Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 18, 2015
Case study 7 chapter 141. 2. Answer the Case Study Questions (.docxwendolynhalbert
Case study 7 chapter 14
1.
2. Answer the Case Study Questions (found at the end of each case study) in 500-750 words total (not including reference list).
3. Include at least one additional, external reference to sources such as an article or video. Cite the reference(s) in your study.
Your case study will be graded on the following:
Grading: 20 points
Content 80% (how thoroughly and logically you answer the questions, how well you incorporate your reference(s), how well you make arguments and state facts to support your answers).
Spelling/Grammar/Punctuation 20%
14-4 What are the principal risk factors in information systems projects, and how can they be managed?
We have already introduced the topic of information system risks and risk assessment in Chapter 8. In this chapter, we describe the specific risks to information systems projects and show what can be done to manage them effectively.Dimensions of Project Risk
Systems differ dramatically in their size, scope, level of complexity, and organizational and technical components. Some systems development projects are more likely to create the problems we have described earlier or to suffer delays because they carry a much higher level of risk than others. The level of project risk is influenced by project size, project structure, and the level of technical expertise of the information systems staff and project team.
· Project size. The larger the project—as indicated by the dollars spent, the size of the implementation staff, the time allocated for implementation, and the number of organizational units affected—the greater the risk. Very large-scale systems projects have a failure rate that is 50 to 75 percent higher than that for other projects because such projects are complex and difficult to control. The organizational complexity of the system—how many units and groups use it and how much it influences business processes—contributes to the complexity of large-scale systems projects just as much as technical characteristics, such as the number of lines of program code, length of project, and budget. In addition, there are few reliable techniques for estimating the time and cost to develop large-scale information systems.
· Project structure. Some projects are more highly structured than others. Their requirements are clear and straightforward, so outputs and processes can be easily defined. Users know exactly what they want and what the system should do; there is almost no possibility of the users changing their minds. Such projects run a much lower risk than those with relatively undefined, fluid, and constantly changing requirements; with outputs that cannot be fixed easily because they are subject to users’ changing ideas; or with users who cannot agree on what they want.
· Experience with technology. The project risk rises if the project team and the information system staff lack the required technical expertise. If the team is unfamiliar with the hardware, system software, applica ...
The Scope of Health Information Technology: Progress and ChallengesAndrew Oram
Presents an overview of health IT technologies, such as devices, telehealth, electronic health records, analytics, coordinated care, and health information exchange. The goal is not just to list trends but to show their relationships and dependencies, suggest ways they can contribute to improvement in health care, and provide frameworks for understanding their strengths, weaknesses, and impacts.
Presented at "Hospital Management 2015" Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 18, 2015
Case study 7 chapter 141. 2. Answer the Case Study Questions (.docxwendolynhalbert
Case study 7 chapter 14
1.
2. Answer the Case Study Questions (found at the end of each case study) in 500-750 words total (not including reference list).
3. Include at least one additional, external reference to sources such as an article or video. Cite the reference(s) in your study.
Your case study will be graded on the following:
Grading: 20 points
Content 80% (how thoroughly and logically you answer the questions, how well you incorporate your reference(s), how well you make arguments and state facts to support your answers).
Spelling/Grammar/Punctuation 20%
14-4 What are the principal risk factors in information systems projects, and how can they be managed?
We have already introduced the topic of information system risks and risk assessment in Chapter 8. In this chapter, we describe the specific risks to information systems projects and show what can be done to manage them effectively.Dimensions of Project Risk
Systems differ dramatically in their size, scope, level of complexity, and organizational and technical components. Some systems development projects are more likely to create the problems we have described earlier or to suffer delays because they carry a much higher level of risk than others. The level of project risk is influenced by project size, project structure, and the level of technical expertise of the information systems staff and project team.
· Project size. The larger the project—as indicated by the dollars spent, the size of the implementation staff, the time allocated for implementation, and the number of organizational units affected—the greater the risk. Very large-scale systems projects have a failure rate that is 50 to 75 percent higher than that for other projects because such projects are complex and difficult to control. The organizational complexity of the system—how many units and groups use it and how much it influences business processes—contributes to the complexity of large-scale systems projects just as much as technical characteristics, such as the number of lines of program code, length of project, and budget. In addition, there are few reliable techniques for estimating the time and cost to develop large-scale information systems.
· Project structure. Some projects are more highly structured than others. Their requirements are clear and straightforward, so outputs and processes can be easily defined. Users know exactly what they want and what the system should do; there is almost no possibility of the users changing their minds. Such projects run a much lower risk than those with relatively undefined, fluid, and constantly changing requirements; with outputs that cannot be fixed easily because they are subject to users’ changing ideas; or with users who cannot agree on what they want.
· Experience with technology. The project risk rises if the project team and the information system staff lack the required technical expertise. If the team is unfamiliar with the hardware, system software, applica ...
COMPETIVENESS AND PERFORMANCE COMPETIVENESS AN.docxdonnajames55
COMPETIVENESS AND PERFORMANCE
COMPETIVENESS AND PERFORMANCE
Competiveness and Performance Effectiveness for Health Care IT Systems
Teresa Pride
Strayer University
February 25, 2018
Dr. Renita Ellis
HSA 315 Health Information Systems
Information technology (IT) has undergone significant improvements thereby requiring organizations to integrate these technologies to remain competitive. Considerably, health institutions are striving to improve primary care delivery, a facet that can be attained by incorporating the use of IT in service delivery. Information technology systems enable these institutions to streamline their processes based on its ability to improve the communication aspect of the system. Enhanced communication between employees and management simplify the organization’s operations as information can be shared in real time. Notably, healthcare institutions have priorities that must be addressed adequately to ensure that both the patients and stakeholders are satisfied with the organization’s service delivery system. Based on this, the institutions ought to retain IT management personnel to sustain its processes. This paper discusses the responsibilities and characteristics of the Chief Information and Chief Technology Officers. Additionally, the paper outlines how technologies can be used to improve healthcare processes, approaches to prevent misuse of information by upholding data privacy, strategies for organizations to train providers in using IT, and best practices for efficient IT alignment with strategic planning initiatives.
Characteristics and Roles of a CTO and a CIO
Often people confuse the two important senior leadership roles within the health care organization, the Chief Information Officer and Chief Technology Officer (Wager, Lee and Glaser 2013). Despite this, they have distinct tasks that must be performed to ensure the smooth running of the healthcare organization. Primarily, the CTO ensures that the institution’s services are tailored to meet the needs of the consumers. Notably, technological innovations are continually evolving thereby the organizations should retain an individual who is conversant with the new changes whenever they occur. In this regard, the CTO has the responsibility of advising top-level executives on strategic decisions regarding technology (Stephens, Ledbetter, Mitra & Ford, 2011). Additionally, the CTO identifies, evaluates and examines high return and high-risk IT systems with the potential of its application within the organization. As a result, the CTO must assess and monitor technologies for use in better service delivery in the future. The CTO’s focus is the client whereby he/she uses technology to foster collaboration amid suppliers and management to promote the organization’s services (Stephens, Ledbetter, Mitra & Ford, 2011). As the CTO works in the external environment, he/she can comprehend what is working in other institutions and apply it within the organization.
Running Head EVALUATION PLAN FOCUSEVALUATION PLAN FOCUS 1.docxcowinhelen
Running Head: EVALUATION PLAN FOCUS
EVALUATION PLAN FOCUS 1
Evaluation Plan Focus
Student Name
University Affiliations
Date
Professor
Scenario 1:
Your hospital is implementing a new unified acute and ambulatory Electronic Health Record (EHR) system through which patient care documentation will occur. Interdisciplinary assessment forms (including nursing), clinical decision support, and medical notes will be documented in this system. The implementation of the system is anticipated to improve the hospital’s performance in a multitude of areas. In particular, it is hoped that the use of the EHR system will reduce the rate of patient safety events, improve the quality of care, deter sentinel events, reduce patient readmissions, and impact spending. The implementation of the EHR system is also
Introduction
Evaluation plan involves an integral part regarding a grant suggestion providing information aimed at improving a project during the development and implementation. I will participate in the assessment of the scenario system in throughout the project. The scenario includes the hospital that is implementing the new unified as well as the Ambulatory EHR (Electronic Health Record) system that enhances the documentation of patient care. The purpose of the paper is explaining the selected scenario one, explanation of the reasons for selecting it, and summarizing of the research findings on the similar HIT implementations. More so, there is a description of the evaluation viewpoint, and goal guiding the assessment plan and same rationale.
HIT System Selected
The new system to be implemented has various modules that contain interdisciplinary assessment forms, medical notes, and clinical decision support where their documentation is guaranteed. The implementation of the unified system will enhance improved performance of the hospital in several departments. The new EHR system becomes of great importance to the hospital since there is a reduction of medical errors, reduction of the rate of the safety events of each patient, improving the quality of healthcare, deterrence of sentinel events, reduced patients readmissions as well as impact spending. Another reason for choosing the scenario is that the new system will enhance while fulfilling the requirements of meaningful use as stipulated in the HITECH (Health Information Technology for Economic and Clinical Health) Act. Therefore, the need for evaluation regarding the EHR implementation becomes paramount since it will help to identify the associated risks while adjusting the modules required when offering the medication services to the patients (Lanham, Leykum & McDaniel, 2012).
Summary of Research Findings on Similar HIT Implementations
Several evaluations are analogous to the HIT system implementation of the unified system with related differences regarding the outcomes based on the primary goals. For instance, some of the implemented systems fail to meet one hundred percent ...
Health institution requires quality data and information management to function effectively and efficiently. It is an understatement to say that many organizations, institutions or government agencies have become critically dependent on the use of database system for their successes especially in the hospital. This work aims at developing an improved hospital information management system using a function-based approach. An efficient HIMS that can be used to manage patient information and its administration is presented in this work. This is with the goal of eradicating the problem of improper data keeping, inaccurate reports, wastage of time in storing, processing and retrieving information faced by the existing hospital information system in order to improve the overall efficiency of the health institution. The system was developed with Hypertext Markup Language (HTML), Cascading Style Sheets (CSS), Hypertext Preprocessor (PHP), and My Structured Query Language (MySQL). The new system was tested using data collected from Renewal Clinic, Ibadan, Nigeria was used as case study were the data for the research was collected and the system was tested. The system provides a vital platform of information storage and retrieval in hospitals.
Chapter 4 Information Systems to Support Population Health Managem.docxketurahhazelhurst
Chapter 4 Information Systems to Support Population Health Management Learning Objectives To be able to understand the data and information needs of health systems in managing population health effectively under value-based payment models. To be able to discuss key health IT tools and strategies for population health management including EHRs, registries, risk stratification, patient engagement, and outreach, care coordination and management, analytics, health information exchange, and telemedicine and telehealth. To be able to discuss the application and use of data analytics to monitor, predict, and improve performance. The enactment of the Affordable Care Act (ACA) brought about sweeping legislation intended to reduce the numbers of uninsured and make health care accessible to all Americans. It also ushered in an era in which changing reimbursement and care delivery models are driving providers from the current fragmented system focused on volume-based services to an outcomes orientation. As a result, the health care system now taking shape is one in which value-based payment models financially reward patient-centered, coordinated, accountable care. Against this backdrop, providers' increasing use of evidence-based medicine and growing capabilities in managing volumes of clinical evidence through sophisticated health IT systems will mean that treatments can be tailored for the individual and interventions can be made earlier to keep patients well. Furthermore, patient engagement is fast becoming a critical component in the care process, particularly in the area of population health management (PHM). Health care providers' interest in improving population health appears to be increasing because of the sudden ubiquity of the phrase, because many are participating in accountable care organizations (ACOs), and because even hospitals not participating in an ACO increasingly have incentives to reduce their number of potentially unavoidable admissions, readmissions, and emergency department visits (Casalino, Erb, Joshi, & Shortell, 2015). In this chapter we'll not only seek a common understanding of PHM but also explore how the advent of shared accountability financial arrangements between providers and purchasers of care has created significant focus on PHM. We'll also review the core processes associated with accountable care and examine the strategic IT investments and data management capabilities required to support population health management and enable a successful transition from volume-based to value-based care. PHM: Key to Success Although the ACO model is still new and evolving, approximately 750 ACOs are in operation today, covering some 23.5 million lives under Medicare, Medicaid, and private insurers. Although not all ACOs have demonstrated success in delivering better health outcomes at a lower cost, many have achieved promising results (Houston & McGinnis, 2016). As such, significant ACO growth is expected. In fact, it is predicte ...
System Analysis 1
System Analysis 6
Current System of the Healthcare Organization
The current information system utilized by ABC Healthcare center is one that can be described as a mixture of pen and paper information system, with a lot of records kept in manual files. Each branch uses a different information system, with different applications. For an organization with over 350 physicians and 100 workers, the amount of information stored, processed, and accessed is immense. The system serves close to over five thousand five hundred patients in a month across the country. With a constant rise in the business as a result of increase in patient turnout, the company is finding it hard to maintain, access, store, and retrieve information in a speedy way using the manual pen and paper information system. The organization’s current information system is slowly becoming obsolete, as the amount of data to be processed and accessed increase tremendously. For instance, information that is supposed to be processed include: patient profiles, appointment records, inventories, human resource, employment data, as well as financial and supply chain information.
Problems with the Current Information system
The current information system, being pen and paper, has various problems. First, there are numerous cases of redundancies and repetitiveness in the information stored. This is because branches are not interconnected. Therefore, patients’ records stored in one branch cannot be retrieved in another, making the physicians to start a new test once again. Secondly, the systems that are present cannot be used to execute more than one task. In addition, the information system is prone to security problems like unauthorized access (Shelly & Rosenblatt, 2009). This is because some data are kept in computer systems that are not properly secured, while other classified data are stored in manual files in cabinets. Furthermore, the system is inefficient in the sense that it is very slow, costly to operate, and energy consuming for employees operating them. The process of verifying and ensuring data reliability is burdensome and next to impossible. Finally, accuracy is a challenge, since pen and paper entries are prone to human errors, especially when they feel tired following a long-day work (Shelly & Rosenblatt, 2009).
Expected Changes and impacts of implementing the new system
After implementing the new information system, the healthcare organization is going to witness various transformations and benefits. First, the company’s operational efficiency will be improved, since all business processes, such as transactions, recording, retrieval and storage of patients’ employees’ and stakeholders’ data (AO'Brien, Marakas, Hills & Lalit, 2006). Additionally, ...
Exercises in Measurement and validity For this assignment, you.docxSANSKAR20
Exercises in Measurement and validity
For this assignment, you will be working through questions regarding measurement and validity.. Your answers should be written in complete sentences. Some of the answers may require you to show your work.
1. You have just started a new diet program. To mark your progress, you start weighing yourself three times a day. You also notice that each time you weigh yourself in a given day, the number of pounds is different. Based on the rules regarding the scales of measurement, why is it wrong to weigh yourself more than once a day?
2. Your hospital administration has received several phone complaints from patients about rude behavior from registration staff and long wait times to register in both the Dermatology and Audiology Outpatient Clinics. A decision is made to send a patient satisfaction survey to all Outpatient Clinic patients to determine overall patient satisfaction in the hospital’s Clinic setting. The survey developed uses this type of scoring: 1 = strongly disagree and 5 = strongly agree. What type of scale of measurement is this?
3. Your hospital wants to study patients readmitted within 30-days. What measures (e.g. Medicare patients only) would you recommend be included in the study (identify at least 3)? Where would you locate the data elements (e.g. admission records)?
4. Your hospital’s Pharmacy and Therapeutics Committee undertook a quality review of Medication forms from discharges in the first quarter of the year and identified the errors by 5 general categories and then calculated the percentage of the total errors by category. The results were: Dosage Form 6%, Name confusion 13%, Communication 19%, Labeling 20%, and Human Factors 42%. As the HIM Director you are a member of the P&T Committee, the Chair asks you to prepare a graphic display of the error results for Medical Staff review. What is the best choice of a graphic display to present this data to the Medical Staff? And why
a. Line Graph
b. Bar Graph
c. Pie chart
d. Data Table
5. Provide a definition and example for the following terms:
a. Content validity
b. Construct validity
c. Criterion validity
Running head: BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 1
BUSINESS AND USER REQUIREMENTS DOCUMENT DRAFT 6
Business and User Requirements Document Draft
thanks for your Draft report on the EHR project and requirements. There are 3 main parts to cover: Sources of information, departments affected: Provide more information about the clinical departments. HIM is not the "most important" department for this system. Clean up some of the writing possible errors or misunderstandings, too. 5 /7 Methods to gather information: Glad you mentioned interviews, focus groups, and questionnaires and explained all three. 7 /7
Requirements statements:3 /6 You are not quite understanding what Requirements are yet. They are what the system must do. We will get later on in the class, onto project implementation tasks such ...
Running head: ANALYSIS PAPER 1
ANALYSIS PAPER 2
Analysis Paper
Krista Kim
Rasmussen College
Author Note
This paper is being submitted on January 21st, 2018, for Kim Sanders’s H490/HSA4922 Section 01 Healthcare Management Capstone - Online Plus - 2018 Winter Quarter
Analysis Paper
Based on the results of the SWOT analysis, what should Barbara recommend as an overall strategy?
From the SWOT analysis, the overall strategy that Barbara should recommend is a system that is capable of meeting the needs of the healthcare facility effectively and efficiently. The strategy focuses on having systems that are fast to allow for easy processing of information and offer quality support to the patients. It should also have a high level of functionality to allow for the normalizing, analyzing, access and the storage of the entire patient's data and saving it for easy retrieving in the future. The system should also be user-friendly so that the professionals and the staff using it can be in a position to easily maneuver in the process of care delivery. The other component of the system that the company should consider is that it should have a wide range of features to enhance maximum utilization and the ease of data access by the patients and physicians. Finally, the medical professionals should also be trained on how to use the system upon implementation.
How will the selection of the chosen EHR system contribute to the strategy? Further explain why it was the best choice.
One of the ways in which the selection of eClinical works EHR will contribute to strategy is that it is the ability to maintain highly organized data; it’s fast and also has amazing features. The EHR system adapted for use in the organization should be in a position to increase effectiveness, efficiency, achieve quality in the delivery of care and also enhance the patient’s outcomes (Sinha et al., 2013). Due to its organization, the system will make it easy for the health care professionals to retrieve the patients’ information while at the same time ensuring security to prevent access of the patient information by unauthorized persons. The e-Clinical works will also contribute to the strategy because it offers low and affordable prices and has low maintenance costs and this aids in the reduction of the costs that the healthcare facilities incur in the maintenance. The other way in which the system will contribute to the strategy is that it has a wide scope of features which make it easy for the patients and the physicians to login into their portals and interact with each other.
On what basis should she develop actions items? What should the action items be, as they directly relate to the strategy?
The action items should be developed based on their importance in m ...
Running head Impact of technology on healthcare1Impact of t.docxjeanettehully
Running head: Impact of technology on healthcare
1
Impact of technology on healthcare
7
Impact of technology on healthcare
Woodrow Rowell
11/24/19
The healthcare industry and technology are interrelated. Behavioural health is mainly attributed to the type of information a patient has access to. Technology thus plays a big role in giving the correct amount of information (Cypriano, 2011). Through it, the society is able to access information influencing their thought on public health care. In turn this adds on to the way the public and health professionals search for information related to health matters. This shapes the way decisions related to health are made and how they respond to this. Thus the main goal of technology in health care is to help improve the quality of health care and outcomes in health related matters.
In order to improve the quality of life have been major technological advancements. The advancements have had a lot of impact in nearly all fields related to health care. This are mainly by updating the way health records are handled by digitizing them and use of big storage data and cloud computing. Digital health records have replaced the previously used paper records that had their own bit of challenges. In the world of medicine this is a bold move and a major boost. Through the help of coding professionals health professionals have been able to manage tasks and roles more effectively. Implementation of the roles are tasked to nurses and at times technicians.
Nurses are mandated with the task of collecting data and manually uploading it on a digitized central system void of any errors. As soon as the data is uploaded patient records are updated by the medical billers with a unique code of diagnostics. In turn the billings are submitted to insurance companies for medical claims. Patients are therefore able to access their health records easily and are able to spot an error in their records early enough in their treatment. There are benefits attributed to the digital health records just to mention a few.
Data collected is easy to feed into a computer as compared to the paper based methods, thus saves on time. Both nurses and patients are able to spot an error early enough regarding data on the patients diagnostics, financial records or treatment. Productivity is increased the nurses and medical coders can work from anywhere as there is digital access to the medical records. While billing and coding there is ease in the amount to be handled as they are can handle many records at a go. From the collected data it is easier to conduct research and come up with solutions for the various health related problems. Medical researchers can therefore improve on the available knowledge in medicine.
Digital platforms go along way into reducing the cost of health care. For instance using less paper means less space is used for collecting data in files, arranging in an orderly manner and using up space to secure the reco ...
1Milestone 1Deanna BuchananSouthern New Hampshpearlenehodge
1
Milestone 1
Deanna Buchanan
Southern New Hampshire University
HIM-500-Q1513
Milestone 1
In the field of health informatics, particular historical events help inform the management of health information:
1. The 1950s saw the early development of health informatics through cybernetics and information processing. This entailed professionals from various fields, such as clinical documentation and epidemiology.
2. The 1960 to 2000 period saw the evolution of data analysis and computing. Health information management was facilitated through the development of electronic medical records systems. Such systems are vital for health information management since they provide real-time patient-centered records to authorized users (Collen & Ball, 2018).
3. There is the period from 2000 to the present where stakeholders have moved to digitize healthcare processes such as information sharing, record keeping, and care coordination.
Guidelines
There are several guidelines for technology use that Feather fall could implement in health information management. For starters, the medical staff should get the relevant training required to utilize the technology to facilitate the effective acquisition, analysis, and protection of patient information. Training ensures they can tackle any challenges they may encounter to collect accurate data and analyze it in a way that benefits patients. Additionally, the medical staff needs to ensure that the devices they use are beyond the reach of unauthorized individuals. This is crucial in promoting patient confidentiality/privacy and securing pertinent data does not get into the wrong hands (Ozair et al., 2018). Finally, medical practitioners should provide feedback about their experiences to ensure that the technology they use can be improved in the future.
Standard Technologies
There are various standard technologies used in health information management. For starters, concerning record keeping, some of the traditional EHR technologies include Epic Systems and Meditech. Many institutions use these two systems due to their departmental functionality and extensive usability. RingCentral Video is a standard technology for videoconferencing that facilitates open communication and interactive communications among healthcare providers. Different practitioners can share information and work together in real-time to facilitate effective patient care. Finally, there is the use of Vendor-Neutral Archives (VNAs) and Picture Archiving and Communication Systems (PACS) when it comes to processing and storing the medical images of patients (Sirota-Cohen et al., 2019).
How Roles at Feather fall Interact with Technology
The pertinent roles at Feather fall would interact with technology through a simple but effective communication system that ensures all users can get the most out of the health management technologies on offer. Currently, the staff members have poor training and no means of effe ...
Core technology of Hyundai Motor Group's EV platform 'E-GMP'Hyundai Motor Group
What’s the force behind Hyundai Motor Group's EV performance and quality?
Maximized driving performance and quick charging time through high-density battery pack and fast charging technology and applicable to various vehicle types!
Discover more about Hyundai Motor Group’s EV platform ‘E-GMP’!
In this presentation, we have discussed a very important feature of BMW X5 cars… the Comfort Access. Things that can significantly limit its functionality. And things that you can try to restore the functionality of such a convenient feature of your vehicle.
Comprehensive program for Agricultural Finance, the Automotive Sector, and Empowerment . We will define the full scope and provide a detailed two-week plan for identifying strategic partners in each area within Limpopo, including target areas.:
1. Agricultural : Supporting Primary and Secondary Agriculture
• Scope: Provide support solutions to enhance agricultural productivity and sustainability.
• Target Areas: Polokwane, Tzaneen, Thohoyandou, Makhado, and Giyani.
2. Automotive Sector: Partnerships with Mechanics and Panel Beater Shops
• Scope: Develop collaborations with automotive service providers to improve service quality and business operations.
• Target Areas: Polokwane, Lephalale, Mokopane, Phalaborwa, and Bela-Bela.
3. Empowerment : Focusing on Women Empowerment
• Scope: Provide business support support and training to women-owned businesses, promoting economic inclusion.
• Target Areas: Polokwane, Thohoyandou, Musina, Burgersfort, and Louis Trichardt.
We will also prioritize Industrial Economic Zone areas and their priorities.
Sign up on https://profilesmes.online/welcome/
To be eligible:
1. You must have a registered business and operate in Limpopo
2. Generate revenue
3. Sectors : Agriculture ( primary and secondary) and Automative
Women and Youth are encouraged to apply even if you don't fall in those sectors.
What Does the Active Steering Malfunction Warning Mean for Your BMWTanner Motors
Discover the reasons why your BMW’s Active Steering malfunction warning might come on. From electrical glitches to mechanical failures and software anomalies, addressing these promptly with professional inspection and maintenance ensures continued safety and performance on the road, maintaining the integrity of your driving experience.
𝘼𝙣𝙩𝙞𝙦𝙪𝙚 𝙋𝙡𝙖𝙨𝙩𝙞𝙘 𝙏𝙧𝙖𝙙𝙚𝙧𝙨 𝙞𝙨 𝙫𝙚𝙧𝙮 𝙛𝙖𝙢𝙤𝙪𝙨 𝙛𝙤𝙧 𝙢𝙖𝙣𝙪𝙛𝙖𝙘𝙩𝙪𝙧𝙞𝙣𝙜 𝙩𝙝𝙚𝙞𝙧 𝙥𝙧𝙤𝙙𝙪𝙘𝙩𝙨. 𝙒𝙚 𝙝𝙖𝙫𝙚 𝙖𝙡𝙡 𝙩𝙝𝙚 𝙥𝙡𝙖𝙨𝙩𝙞𝙘 𝙜𝙧𝙖𝙣𝙪𝙡𝙚𝙨 𝙪𝙨𝙚𝙙 𝙞𝙣 𝙖𝙪𝙩𝙤𝙢𝙤𝙩𝙞𝙫𝙚 𝙖𝙣𝙙 𝙖𝙪𝙩𝙤 𝙥𝙖𝙧𝙩𝙨 𝙖𝙣𝙙 𝙖𝙡𝙡 𝙩𝙝𝙚 𝙛𝙖𝙢𝙤𝙪𝙨 𝙘𝙤𝙢𝙥𝙖𝙣𝙞𝙚𝙨 𝙗𝙪𝙮 𝙩𝙝𝙚 𝙜𝙧𝙖𝙣𝙪𝙡𝙚𝙨 𝙛𝙧𝙤𝙢 𝙪𝙨.
Over the 10 years, we have gained a strong foothold in the market due to our range's high quality, competitive prices, and time-lined delivery schedules.
What Exactly Is The Common Rail Direct Injection System & How Does It WorkMotor Cars International
Learn about Common Rail Direct Injection (CRDi) - the revolutionary technology that has made diesel engines more efficient. Explore its workings, advantages like enhanced fuel efficiency and increased power output, along with drawbacks such as complexity and higher initial cost. Compare CRDi with traditional diesel engines and discover why it's the preferred choice for modern engines.
Symptoms like intermittent starting and key recognition errors signal potential problems with your Mercedes’ EIS. Use diagnostic steps like error code checks and spare key tests. Professional diagnosis and solutions like EIS replacement ensure safe driving. Consult a qualified technician for accurate diagnosis and repair.
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2. 1. Introduction
Like many other health information systems, the hospital facility will need a new
system that will enhance the quality of care in the hospital under this study. The hospital has
an aim to approach it through patient-centered care, and the current systems have not met the
required expectations. The paper, therefore, discusses the various ways in which the hospital
could implement the system from a project management perspective. After extensive research
in the health facility, it was agreed that a mare implementation of an information system
would not lead to the organization's efficiency. Still, there are many other considerations such
as involving the leadership and management, the establishment of compatibility between
hardware and software, integration of workflow while focusing on user involvement. The last
aspects include system acceptability and the need for training.
2. Problem Statement
The facility has maintained Electronic Health System, but most of the systems are
currently outdated and lack imaging functionality. The goal of the current project is to
implement a customized system that would ensure that the charts and many other
functionalities are lacking in the facility. The initiative has been driven by the government
regulations that apply in Denmark, the USA, and the U.K. The new custom development has
been driven by the need to make data available for patients and improve efficiency ad patient
outcomes (Schoen, Osborn, Squires Doty, Rasmussen, Pierson, 2012). The new system will
also improve doctor-patient relationships in an era where patient care is shared by a team of
professionals while dealing with the rapidly changing work environment. At the same time,
they need to access their medical information in real-time. The main objectives of the new
system are increasing patient outcomes and making the hospital facility be focused on a
patient-centered approach. The hospital has a varied workforce that includes medical
3. professionals who possess good expertise, power, and autonomy. They may need the system
for various work-related duties such as diagnosing a patient while at home; there will be a
need for prompt access to data in such a case.
3. Background
The change in a healthcare facility is moving at a fast rate to comply with the
regulatory policy requirements such as those by ICD 10 (Alain, 2018). The system needs to
meet the emergence of new models of care such as Patient-Centered home care. The new
practices will be adopted when the new system is implemented (Jeffrey & Hoffer, 2014).
During the stressful times, the providers and their staff have adapted to changes, and the
change has become a new way of life. Fortunately, change management is a well-developed
field, having significant evidence that leads to practices on the way forward towards the
navigation of the change management process. Kotter () believes that the change process in a
company has to be both emotional and situational components, and he proposed a multistep
change model to be used in change management.
It is the work of the healthcare manager to manage an extremely challenging position
and maintain a competitive edge in the healthcare market. Therefore, rapid change is
occurring in many healthcare organizations as they strive to adopt new technologies such as
the implementation of a custom-made chart generation system. Automation has developed
and has become an integral part of the current system as it helps in capturing the information
about patients and allows the sharing of that data. The records to be shared are to be released
to the enterprise-wide system in a summary form (Sattarova and Kim 2017). The data that will
be shared include the immunization data, radiology images, and patient demographics. Other
personal information such as age, weight, and lab tests may give vital signs and billing
information added to the charts.
4. The medical sector is a critical area and has always been growing as there is a
population increase; this is true especially when people need to have access to medical
services. As a result, there are challenges in handling the patient data and using the data for
the purpose of budgeting; since the facilities do not grow in any area of coverage, the data
grow by volume of the patients. Hence there is a great need for handling the data in a
particular manner (Fraser, Biodich, Moodley, Choi, Mamlin & Szolovits, 2015). There is a
need for growth of consistency of the data used in decision making by the health officers and
the government. For this to be successful, The Health records system needs to be automated
and operate in a single facility, manage data, and provide access to the data whenever
necessary (Centers for Medicare & Medicaid Services, 2008, March 27). The system will
also be necessary for reducing the time taken to retrieve charts and images from the current
information system. Also, the time is taken to compile data for various reports and reduce
patient data loss. Therefore, the system's main aim is to have the patients at its core (Simborg,
Detmer, Berner, 2013). When using the system, patients are able to store their information.
They have clear access to their data shared by the practitioners, and the patient information
technology is also useful in preventing the disease prevalence and each patient (McDonald,
2019).
4. Significance of the Problem
The problem of imaging has been in the hospital for a long time, and it is important
for the facility to increase the efficiency of the hospital. The goal of the health facility is to
improve patient and nurse outcomes. The health facility also needs to adhere to the CDC's
requirements for the digital divide and allow accessibility of patient records (Jeffrey, 2014).
The new system will help resolve these problems and help the facility navigate the
interdependency, and improve patient care. The hospital also needs to access complete
5. clinical information that is usually unavailable at the point of care. Currently, no system
addresses the above needs. There is also a lack of innovations currently in the hospital to
improve the system, thus making a new system more urgent (Fraser, Biodich, Moodley, Choi,
Mamlin & Szolovits, 2015).
5. Consequences of the Problem
The facility will need to use the system in accessing up-to-date information from the
database, the new user interface to facilitate the use of graphics. At the same time, the
continued use of the current technology by the nurses and doctors may lead to a negative
attitude towards the use of the new system, hence slow down the hospital operations
(Sattarova and Kim,2017). Since the hospital staff will have access to multiple data, their
enhanced access may lead to patient data disclosure, which is a risk that must be mitigated or
controlled. This is because the nurses may disclose patient-specific data to unauthorized
users. This may negatively affect work-flows and patient-provider interactions, and
information overload from the computer-generated data (Simborg, Detmer, Berner 2013).
The other consequence of the system slow adoption of future technologies by the hospital.
6. Practice Knowledge Gap
Health Information system has improved the coordination of care delivered to the
high-need patients, and productive the health system, the HIT tools available have hindered
the development of new systems, the research team interviewed experts and many hospital
organizations to define the obstacles and determine the path towards improving the healthcare
delivery. The research gap found that there are four barriers to the creation of the complex
coordination of healthcare. Number one, most healthcare information system designers are
handicapped when trying to come up with ways to address the complexity of the healthcare
6. system. Secondly, experts also remain divided on the activities and the providers that should
be factored into the coordination and other initiative activities. The third fact is that there is a
need for diversified practice patterns, job definitions, and workflows; this shows an enormous
variation from one practice to the next while defining the roles and responsibilities among the
various experts.
7. Literature review
The expenditure by the hospital in software has risen, with the spending reaching
more than 67% of I.T. budget allocation on I.T. operations in 2018 alone, and the numbers
are expected to rise. The rise in costs includes procurement, development of new software,
and investment in the modifications and upgrades. Implementation of software change is not
an easy task, as it involves investment and unique staffing needs, which is why it is critical to
get it right the first time. Well-implemented change management is a key component of every
software change. The process will give the decision-makers a complete and accurate
understanding of the impact of the software changes and identify the potential disruptions to
functions, operations, and departments affected by the change. There are many ways to
approach change management, and the best approach is to ensure a glitch-free approach to
the change rollout.
One of the disadvantages of the modern workplace is the emergence of data
warehouses. The warehouses can hamper efficiency and growth and cause other problems
that include redundancy in effort and decreased collaboration. There is a need for efficient
application, discovery, and dependency mapping to break these problems as a crucial step in
the management of the change project. According to the findings of the Forester Survey, 56%
of the I.T. managers have no complete view of their dependences, especially between the
application and the infrastructure. Another survey revealed that 30% of the Information
7. Technology managers think of having all the inventory for hardware and software in-house is
critical for I.T. efficiency. Despite this, 42% still do not collect their data, while another 39%
maintain their inventory manually.
One major disadvantage of inefficient dependency mapping includes low
productivity, increased overheads, and poor team. The critical step in solving the issues is
ensuring that the right technology for dependency mapping is used. It can support a solid
foundation for a software change for any information technology project. When a reliable and
agile software solution is adopted, it means that it will provide micro and macro views of the
changes to be made on the software; additionally, the I.T. decision-makers can have a
consolidated view of their application stack across the multiple message queues, databases,
and unifying languages and codes.
The process of change management has traditionally been related to software
maintenance; the process of controlling changes has been defined as part of configuration
management. The literature review considers two common viewpoints of software change
management. The first viewpoint is examining the process for managing changes in the
existing software configurations and items in any software development life cycle phase.
There has discussion on the relationship between software configuration management and
change management. The software configuration management examines software from
version control, release-oriented, and change-oriented SCM.
The approach gives a 12-level improvement framework for the configuration and
change management where the first level of the configuration includes version control
activities. At this level, change management is limited to the storage and creation of the
change documents. The other levels include the change-oriented level, which supports
software evolution and maintenance; the last six levels also include product management and
8. efficiency highlight use of the reusable components of the advanced assembly systems
(Tomasi, Facchini & Maia, 2014). The difference between system evolution and software
maintenance is that software maintenance deals with fine-grained changes while system
evolution deals with structural changes. The system evolution changes the system's structure;
it is not a short-term activity and has produced few economic benefits. It, on the other hand,
system evolution increases the economic and strategic values of the software.
8. Project Overview
a) Scope of Project
The project includes the preparation of software that implements imaging in a health
facility. The system is to be developed to ensure the various security measures that do not
violate HIPAA requirements. The software will be developed using an agile development
environment that also demands the presence of agile teams.
b) Deliverables
Goals and Objectives
The goal of the system is to improve patient care and nursing outcomes. The project's
main feature will include adding a charting functionality to the system; apart from this, there
are other structural information such as increasing coordination between departments, cash
points and laboratory, and other clinical departments. The medical service billing and
laboratory test functionalities are also included in the project. The system will also add
patient profiles such as medication history and generating reports.
9. In Scope of the project
Software development
Transfer of data, change management, and also workflow creation
Training of the users on the new system
Out of Scope
System maintenance and update monitoring are out of the scope of the current
system.
c) Goals of the system
Specific:
The new technology will ensure an easier store of electronic data, and the clinicians
will also have access to the providers and other integrated needs.
It will also allow easy communications around the facility and
Measurable
The accuracy of data access will increase by 30%.
The efficiency of communication will increase by 30%
The clinical outcome and customer satisfaction will increase by 20%.
Attainable
There is goodwill from the board on the new system; therefore, the senior board is not
an obstacle to developing the new system.
10. Nurses and doctor preparedness have been going on for some time, and they are
anticipating the new system.
Doctors also have a strong belief that the new technology will improve their
outcomes.
Relatedto the Goal
The main goal of the hospital is to improve efficiency and patient outcome. The
information system being developed will assist towards this by:
Improving communication among the clinicians, nurses, and doctors
Increase the response time to patient queries in time by doctors.
Improve the time it takes to assess medical conditions through improved imaging and
charts.
Collaborate with insurance brokers in sharing patient data to facilitate treatment
settlements.
Timely
The implementation of the information system will be done in less than one year.
d) Project Players
The key stakeholders for the project include the project manager, team members, and
also resource managers. The team will do the project's actual implementation, while the
health facility owners will be interested in how effective and the project's outcome. The
project manager will ensure that the team delivers what they need, and the resource manager
will contact the suppliers and ensure that the project has enough teams to work on the project.
11. Key Change Agent
Project Manager
Key Stakeholders
Project Sponsor
Community Partner
Project Team
Institutional Leadership
The leadership of the project has been linked to several functions, and it is a
requirement of the hospital care; these include system performance and achievement of
healthcare reforms, the requirement of timely system delivery, and ensuring that the system
developed helps in ensuring the integrity of the system and efficiency during the development
Role or Name Department
Facility Board of governors I.T.
Information Technology Team I.T.
Role or Name Department Est. Hours Rate Total
Vendor selection team member I.T. 40 220 $8,800
Testing team I.T. 20 35 $7,000
Implementation team I.T. 30 25 $7,500
Training team I.T. 23 20 $8,000
Client Tracking system I.T. 12 201 $2,400
Completion and launching team I.T. and health 3 1201 $3,600
Total $37,300
12. process. Since the facility, like the other hospitals, is diverse in services being offered,
institutional leadership has to ensure that the system developed adheres to a number of
mechanisms, including the government policy and balancing the power of service providers.
Therefore, the leadership ensures that there is high-quality healthcare that is both safe
and consistent with the hospital goals. Clinical leadership engagement is, therefore, an
important element in the success of the system. Leadership is crucial in the administration
and management of tasks, and it has also been identified to be crucial in improving an
organization's efficiency and performance.
e) Level of Communication
All forms of communication are through the project managers, and there will be many
types of communication, such as through team applications. A communication plan is
important for the hospital to ensure a smooth transfer of data. The most common
communication levels include emotional, auditory, physical, and verbal communications.
When used in combination with such techniques as matching and mirroring individual
posture and gesture, the receptivity of the message will increase. To have effective
communication at the physical level, there is a need to connect with them in form and
movement and hand and gestures.
At the emotional level, few people appreciate how emotions play down and are
integrated by the recipients. In rhetoric, Aristotle’s pathos refers to appealing to different
human emotions. This form of communication is important to an individual receptive to
another who has a negative life approach or a critical individual (Goedert, 2014). Therefore,
for an individual to communicate effectively at this state, there is a need to be aware of their
mental state and release negative emotions to connect with others. There are other levels,
such as the energetic level, where individuals communicate effectively when they hold their
13. highest intention for other people's wellbeing. All levels are interdependent and affect each
other. From the communication matrix, the levels are as shown in Table 6.
The following table shows various levels of communication
Topic Audience Frequency/Date Owner
Kick-off meeting Project team,
health team
Daily ICT manager
Project Team meetings Weekly ICT manager
Meeting with the vendors. All HIS vendors Monthly ICT manager
Meeting with the health experts. Health department Weekly ICT manager
Training wellness clients Wellness clients Daily Project manager
Milestone review All stakeholders Weekly Project Team
Status reports I.T. Department Monthly ICT manager
Lessons learned Team leader Weekly ICT manager
14. Hardware Resources and Cost
NO ITEM DETAILS QNT UNIT COST SHOP
Desktops
The
Computing
Solutions
Ltd.
3.0 GHZ Speed 13
1 Computers 4.0 GB DDR 2 40,000.00 80,000.00
500 GB HDD
Server 1 50,000.00 50,000.00
2 LTS PowerBack 4 4,500.00 18,000.00
D-Link Router 1 15,000.00 15,000.00
3 LAN
Infrastructure
CAT 6 Cables 50 m 80 4,000.00
Conduits, Clips 20 100 2,000.00
4 Operating
Systems
Windows 10 Pro 1 27,000.00 27,000.00
5 Office
Application
Microsoft Office 2016
Enterprise Edition
1 19,305.00 19,305.00
4GL Object
Oriented
Java SE 8.0 1 FREE FREE
6 Development
Java F.X. Scene Builder 1 9,000.00 9,000.00
Software
7 Local
Database
MySQL 1 32,000.00 32,000.00
8 Antivirus McAfee Antivirus 2016 4 2,800.00 11,200.00
Standards and Guidelines
for Electronic Medical Record
9 Relevant
Publication
1 1,500.00 1,500.00
Systems in Kenya — MOH
15. Running Head: WEAKNESS VS THREATS 15
In addition to the hardware and software costs, there will be costs associated with
development teams. The above costs show how the costs will be distributed in the system.
Outcome Objectives
Data governance: The result of data governance is to avail the integrity, usability, and
integrity of data across the enterprise systems (France, 2011). Effective data governance means that
data is consistent and trustworthy and does not get misused as well. As the organization will
continue facing the new data privacy regulations, they would rely on data analytics to optimize the
data operations.
Data standardization: When the company uses the latest technology, it will allow data
conversion to the standard formats to process and analyze the data. The new technology will use
cloud storage, databases, and various data sources to not make it problematic for various uses to
access.
Risk management
Most software projects are risky and face many problems that might arise during the
development cycle. The experience from the previous projects means that the new project team
must learn from these mistakes and continually develop software. The following list of software
risks is eminent in software (Protti, 2010).
New and Unproven software: The majority of the software projects use new technologies,
tools and techniques, and other development standards. Any of the risks can arise, and even
improper use of the new technologies often leads to project failure.
User and Functional Requirements: Fictional requirements continually evolve with
respect to the failures and functions related to the quality of service. The process requirements are
16. Weakness vs threats 16
sometimes lengthy and tedious, and complex, which means that software engineers need to look at
the discovery and the integration activities., there are also modifications to the user requirements
that may not translate to the functional requirements (Sheikh et al., 2011). The disruptions may lead
to the critical failure of the system.
Performance: The various considerations must be given to the risk management officer;
performance must be tested throughout the project and to ensure that the products are moving in the
right course.
Risk management Plan
The risk management plan includes two options for risk management; risk monitoring ad
mitigation. Risk monitoring includes publishing the project status regularly, reporting the risk
issues, regularly revising the risk plan for any change made to the software, reviewing, and finally
reprioritizing and eliminating the lowest priority risks.
Mitigation activities include
Acceptance: This acknowledges that the risk impacts the project, and there is a need to
accept the risk.
Avoid: This is the scope adjustment to avoid the software risk.
Control risk: this involves taking actions to minimize the impacts of the risk.
Transfer: This is the implementation of the organizational risks to give the risk to another
company.
Continued monitoring of risks: for low impact risks, it is important to continue monitoring
of risks.
17. Weakness vs threats 17
Implementation methods
The method for implementing the software will be agile methodology. The requirements
will have iterated over and again till the required requirements are met.
9. Evaluation Plan
The work of the evaluation plan is to set the proposed details about the evaluation and to set
out what will be evaluated during the process (Safi, Thiessen & Schmailzl, 2018). The major
components of the evaluation plan are setting out what is to be evaluated and how the evaluation is
to be carried out. The evaluation plan for the change will have the following elements;
f) Measures
Since the methodology uses agile development methods, the evaluation metrics will include
the lead time, cycle time, and team velocity (Chen, Li, Liang & Tsai, 2018). Other metrics include
production that measures the attempts to find out how much work is done and also determines the
efficiency of the development teams.
g) Data sources
Surveys and Questionnaire: the survey's open-ended information and close-ended
information from patients, clients, and other providers.
Focus groups and interviews: The focus groups use interviews for specific themes;
the focus group for the evaluation will come from patients and doctors.
Evaluation data sources
Statistical models such as T-tests will be applied in the evaluation of data sources.
h) Methods of data collection
18. Weakness vs threats 18
The data collection will be done through interviews and questionnaires on the
physicians.
19. Weakness vs threats 19
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Sattarova, Y and Kim T. (2017) 1T Security Review: Privacy, Protection, Access Control,
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Centers for Medicare & Medicaid Services. (2008, March 27). Choosing An Appropriate System
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Jeffrey A. Hoffer, J. F. (2014). Modern Systems Analysis and Design (7th ed.). (S. Wall, Ed.)
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Price M, Singer A, Kim J.(2013). Adopting electronic medical records: are they just electronic
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Programme for I.T. in the NHS. Twentieth report of session 2006-7.
Sheikh A, Cornford T, Barber N, Avery A, Takian A, Lichtner V, et al (2011). Implementation and
adoption of nationwide electronic health records in secondary care in England: final
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