This document proposes an integrated EMR, business, and HR system for New Century Wellness Group to improve inefficient paper-based processes. The current system relies too heavily on overworked staff and is prone to errors. The proposed system would streamline scheduling, medical records, billing, payroll, and other processes. It would include an EMR, CPOE, and CDSS to support providers and improve patient care. The system is designed to address the growing needs of New Century as they plan to expand to a new location.
Capstone New Century Wellness Group Task Financial.pdfstudywriters
The document provides an overview of the financial analysis for a proposed new patient management system for New Century Wellness Group. It includes a table outlining the tangible costs and benefits of the system, such as annual savings from reducing errors and overtime. It also discusses alternatives for developing the system, such as in-house development or purchasing a vendor package.
There is a historic parallel for the current limited success of business process advancement. The first wide-scale introductions of IT in the business place focused on the improvement of isolated parts of business operations, for example the generation of invoices. Productivity increased locally, but generally the overall effect was small. Only during the 80s and 90s, companies started to see the benefits of considering entire business processes when implementing information systems, and as a result, huge gains were achieved.
Today, it seems, companies are at the start of this same loop again. Once again, the view on the entire process is missing, which prevents the new technology to become truly effective.
This paper puts the emphasis on the Business Process Reengineering. It addresses guidelines to redesign business processes. The purpose of the redesign is to meet business partners' expectations, while improving the performance of the redesign. The specific business area under consideration is the Attendance Management of the Jinasena Group of Company. We will present some support for this redesign in this paper.
The structure of this paper is as follows. First, in Section 2 and 3, we take a brief introduction to the company. In Section 4, we present our analysis of identifying a critical process to be re-engineered. And also the importance of the redesign will be stated clearly. Section 5 is pretty much important as it explains problems in current process, opportunities and issues of redesigning the process.
Section 6 to 9 state the modeling of the current process, modeling of the re-engineered process and the way new design will interact with customers. There onwards this paper discusses the potential changes to the Organizational Structure, Job Skills/Reward systems, Information Technologies and Organization culture, values and beliefs.
Interoperability in Healthcare Data: A Life-Saving AdvantageHealth Catalyst
When health system clinicians make care decisions based on their organization’s EHR data alone, they’re only using a small portion of patient health information. Additional data sources—such as health information exchanges (HIEs) and patient-generated and -reported data—round out the full picture of an individual’s health and healthcare needs. This comprehensive insight enables critical, and sometimes life-saving, treatment and health management choices.
To leverage the data from beyond the four walls of a health system and combine it with clinical, financial, and operational EHR data, organizations need an interoperable platform approach to health data. The Health Catalyst® Data Operating System (DOS™), for example, combines, manages, and leverages disparate forms of health data for a complete view of the patient and more accurate insights into the best care decisions.
This document discusses Community Health Connections' implementation of an electronic health record system. It provides an overview of the organization and outlines their plan to implement OpenVista EHR software across three clinics by February 2011. It describes the anticipated benefits of EHR including reduced errors, improved workflows and access to patient information. The implementation plan includes teams for project management, hardware, software and stakeholders. It also covers training, data migration, technical infrastructure including servers and network upgrades, meeting meaningful use requirements and realizing financial benefits and savings.
Real Time Research in a Singapore Public Primary Care InstitutionZoe Mitchell
This document summarizes opportunities and challenges for real-time research in Singapore public primary care institutions. It provides an overview of the Singapore healthcare system and SingHealth Polyclinics' (SHP) role in primary care. SHP has integrated electronic health records and databases that can be used for research. However, challenges include integrating different databases, ensuring data access compliance, limited staff research capacity, and competing for research grants. The future includes staff database training, streamlining data access processes while complying with privacy laws, configuring systems to facilitate data mining, and establishing collaborations to expand SHP's research capacity.
Epic is a private healthcare software company founded in 1979 in Madison, Wisconsin. It develops electronic health record, practice management, and population health management software for hospitals, clinics, and other healthcare organizations. Epic's flagship products include EpicCare Ambulatory and EpicCare Inpatient electronic health record systems. The company employs over 4,100 people and had revenue of $601 million in 2008.
Software Requirements Specification (SRS) for Online Tower Plotting System (O...Dr Sukhpal Singh Gill
Software Requirements Specification (SRS) for Online Tower Plotting System (OTPS) created during Master of Engineering in Software Engineering at Thapar University, Patiala, Punjab, India in Software Project Management (SPM) in 2011.
SRS of Case Study Based Software Engineering Project Development: State of Art
Download Link:
http://www.slideshare.net/sukhpalsinghgill/case-study-based-software-engineering-project-development-state-of-art
Capstone New Century Wellness Group Task Financial.pdfstudywriters
The document provides an overview of the financial analysis for a proposed new patient management system for New Century Wellness Group. It includes a table outlining the tangible costs and benefits of the system, such as annual savings from reducing errors and overtime. It also discusses alternatives for developing the system, such as in-house development or purchasing a vendor package.
There is a historic parallel for the current limited success of business process advancement. The first wide-scale introductions of IT in the business place focused on the improvement of isolated parts of business operations, for example the generation of invoices. Productivity increased locally, but generally the overall effect was small. Only during the 80s and 90s, companies started to see the benefits of considering entire business processes when implementing information systems, and as a result, huge gains were achieved.
Today, it seems, companies are at the start of this same loop again. Once again, the view on the entire process is missing, which prevents the new technology to become truly effective.
This paper puts the emphasis on the Business Process Reengineering. It addresses guidelines to redesign business processes. The purpose of the redesign is to meet business partners' expectations, while improving the performance of the redesign. The specific business area under consideration is the Attendance Management of the Jinasena Group of Company. We will present some support for this redesign in this paper.
The structure of this paper is as follows. First, in Section 2 and 3, we take a brief introduction to the company. In Section 4, we present our analysis of identifying a critical process to be re-engineered. And also the importance of the redesign will be stated clearly. Section 5 is pretty much important as it explains problems in current process, opportunities and issues of redesigning the process.
Section 6 to 9 state the modeling of the current process, modeling of the re-engineered process and the way new design will interact with customers. There onwards this paper discusses the potential changes to the Organizational Structure, Job Skills/Reward systems, Information Technologies and Organization culture, values and beliefs.
Interoperability in Healthcare Data: A Life-Saving AdvantageHealth Catalyst
When health system clinicians make care decisions based on their organization’s EHR data alone, they’re only using a small portion of patient health information. Additional data sources—such as health information exchanges (HIEs) and patient-generated and -reported data—round out the full picture of an individual’s health and healthcare needs. This comprehensive insight enables critical, and sometimes life-saving, treatment and health management choices.
To leverage the data from beyond the four walls of a health system and combine it with clinical, financial, and operational EHR data, organizations need an interoperable platform approach to health data. The Health Catalyst® Data Operating System (DOS™), for example, combines, manages, and leverages disparate forms of health data for a complete view of the patient and more accurate insights into the best care decisions.
This document discusses Community Health Connections' implementation of an electronic health record system. It provides an overview of the organization and outlines their plan to implement OpenVista EHR software across three clinics by February 2011. It describes the anticipated benefits of EHR including reduced errors, improved workflows and access to patient information. The implementation plan includes teams for project management, hardware, software and stakeholders. It also covers training, data migration, technical infrastructure including servers and network upgrades, meeting meaningful use requirements and realizing financial benefits and savings.
Real Time Research in a Singapore Public Primary Care InstitutionZoe Mitchell
This document summarizes opportunities and challenges for real-time research in Singapore public primary care institutions. It provides an overview of the Singapore healthcare system and SingHealth Polyclinics' (SHP) role in primary care. SHP has integrated electronic health records and databases that can be used for research. However, challenges include integrating different databases, ensuring data access compliance, limited staff research capacity, and competing for research grants. The future includes staff database training, streamlining data access processes while complying with privacy laws, configuring systems to facilitate data mining, and establishing collaborations to expand SHP's research capacity.
Epic is a private healthcare software company founded in 1979 in Madison, Wisconsin. It develops electronic health record, practice management, and population health management software for hospitals, clinics, and other healthcare organizations. Epic's flagship products include EpicCare Ambulatory and EpicCare Inpatient electronic health record systems. The company employs over 4,100 people and had revenue of $601 million in 2008.
Software Requirements Specification (SRS) for Online Tower Plotting System (O...Dr Sukhpal Singh Gill
Software Requirements Specification (SRS) for Online Tower Plotting System (OTPS) created during Master of Engineering in Software Engineering at Thapar University, Patiala, Punjab, India in Software Project Management (SPM) in 2011.
SRS of Case Study Based Software Engineering Project Development: State of Art
Download Link:
http://www.slideshare.net/sukhpalsinghgill/case-study-based-software-engineering-project-development-state-of-art
Introducing Healthfinch by Health Catalyst: Charlie for Refill Management: Im...Health Catalyst
Healthcare providers are overwhelmed with administrative EHR tasks that take precious time away from patient care and can lead to an unhealthy work-life balance. As a result, providers face burnout and declining productivity, impacting quality and delaying patient care.
That’s why Health Catalyst is excited to introduce its new partnership with Healthfinch. Healthfinch’s solution, Charlie for Refill Management, is the healthcare industry’s most trusted and used prescription renewal solution. Charlie for Refill Management safely and efficiently delegates renewal requests to non-provider staff, reducing the EHR administrative burden so that providers can focus on top-of-license work.
In this webinar, you’ll learn how Charlie for Refill Management provides EHR-embedded insights fueled by evidence-based protocols, allowing staff to quickly approve prescription renewal requests on behalf of providers and proactively close gaps in patient care. Specifically, learn how Charlie for Refill Management helps achieve the following:
- Saves time by eliminating time-consuming, manual chart review.
- Improves quality by implementing standardized, evidence-based protocols across an organization.
- Transforms workflows with a fully integrated solution that provides insights directly in EHR workflows.
- Identifies care gaps to provide a better, safer patient experience while also driving additional or missed revenue.
Neo4j Generative AI workshop at GraphSummit London 14 Nov 2023.pdfNeo4j
The document outlines an agenda for a generative AI workshop covering topics such as building a knowledge graph from a GDB dataset, semantic search using vector indexes and graph patterns, generating node embeddings, and developing a marketing campaign application that integrates all the techniques discussed.
Digitalization in the health industry can take several forms, including increasing patient safety, enabling telemedicine, and improving interactions between doctors and patients. Some of the biggest innovations in healthcare include using microchips to model clinical trials, wearable technology like Google Glass, 3D printed biological materials, optogenetics, hybrid operating rooms, digestible sensors, robotic nurse assistants, light bulbs that disinfect, and electronic underwear to prevent sores. Digitalization aims to connect people and data in a meaningful and secure way to transform every aspect of care delivery.
The document discusses proposed actions to improve emergency room wait times in Nova Scotia hospitals. It identifies several key issues contributing to long wait times, including a shortage of hospital beds, increased use of emergency rooms by aging patients and alternate level of care (ALC) patients, and government funding cuts. It then proposes several multi-pronged strategies to address wait times by improving patient flow, reducing overcrowding and overuse of emergency rooms, and decreasing the number of ALC patients. Specifically, it suggests implementing triage-driven patient placement, expanding fast-track areas, improving access to diagnostics, and enhancing patient transfers to reduce backlogs in emergency rooms.
Sistem Informasi Posko Keamanan bertujuan untuk mengembangkan aplikasi digitalisasi administrasi posko keamanan yang sebelumnya masih dilakukan secara manual. Aplikasi ini diharapkan dapat mempermudah pencatatan, rekap, dan penyimpanan data secara real-time serta meningkatkan transparansi dan ramah lingkungan melalui laporan digital. Proyek ini akan menghasilkan software, dokumentasi, dan laporan dengan anggaran Rp150 juta dan dijad
The medical billing process involves several key steps:
1) Patients make appointments and provide their information;
2) Doctors examine patients, document medical records, and provide medical coding;
3) Coders assign codes to medical records which are then sent to billing;
4) Billers enter patient and visit details, submit claims to insurance, and handle payments and denials.
Cobit 4.1 adalah kerangka kerja terbaik untuk tata kelola TI yang membantu manajemen memahami risiko TI dan menyediakan pedoman untuk mengelola sumber daya TI. Cobit 5 memperbarui kerangka kerja dengan menambahkan domain tata kelola baru dan memodifikasi beberapa proses agar lebih menyeluruh dan terintegrasi.
The document proposes a hospital management system to automate the manual paper-based system currently used. It aims to standardize data, consolidate records, ensure data integrity and reduce inconsistencies. The system would manage patient information, staff details, schedules and other facilities digitally. It faces challenges in designing and implementing the new system, and maintaining it going forward to address errors, adapt to changes and allow for enhancements. The system requirements include user interfaces, hardware and software needs, and communication protocols to allow the system to work across platforms and browsers. It is concluded that the automated system would improve efficiency, provide a friendly interface, enable easy access and updating of information, and offer security and reliability benefits over the existing manual process.
The document provides an overview of IT project management. It discusses systems development, understanding business needs through business process modeling, the roles of various participants in system development including users and specialists. It also covers the systems analysis and design process, guidelines for systems development including developing accurate cost and benefit information, and maintaining flexibility. Project management tasks like defining, planning, scheduling, monitoring and controlling, and reporting are also summarized.
The 7 Layers of Privileged Access Managementbanerjeea
In this presentation we will talk about Privileged Access Management and present various strategies in order to make implementation and rollout easier for your security controls.
A Survey on the Specification of the Physical Environment of Wireless Sensor...Ivano Malavolta
28th August 2014. My presentation at SEAA 2014 (http://esd.scienze.univr.it/dsd-seaa-2014) about our survey on
the specification of the physical environment of Wireless Sensor Networks (WSNs).
Accompanying paper: TO APPEAR
Abstract:
A wireless Sensor Network (WSN) consists of spatially distributed sensor nodes that cooperate in order to accomplish a specific task. What really sets WSNs apart from all the other kinds of distributed systems is the limited processing capabilities of the nodes, contingent energy restrictions, and their strict dependence to physical phenomena like attenuation, reflection, etc. Under this perspective, the physical environment in which WSN nodes are deployed strongly affects the overall quality of the system. Under this perspective, how WSN engineers currently specify the physical environment and how they would like to do it? This paper presents a survey we run by interviewing WSN engineers with a special focus on their practical needs and activities.
By analyzing the collected data, we can conclude that: a) a good number of practitioners describing the physical environment do it by GIS software or informally, b) practitioners not specifying the physical environment do not see a clear return on investment on doing it, c) practitioners rate as (definitely) useful a potential tool for deploying WSN nodes on a virtually specified physical environment.
This webinar describes how you can manage the risk of privileged accounts being compromised, creating a breach of sensitive data or other assets in your organization, through privileged access management, or PAM. PAM can reduce risks by hardening your environment in ways no other solution can, but is challenging to deploy. This webinar provides an unbiased perspective on PAM capabilities, lessons learned and deployment challenges, distilling the good practices you need to be successful. It covers:
- PAM definitions, core features and specific security and compliance drivers
- The PAM market landscape and major vendors
- How to integrate PAM with identity management, service ticketing and monitoring
- Avoiding availability and performance issues
CyberArk is an information security company focused on privileged account security. They help companies protect their most sensitive information and infrastructure by securing privileged accounts. The document outlines best practices for securing privileged accounts at different maturity levels - from baseline to highly effective. It recommends identifying and reducing privileged accounts, enforcing least privilege, and automating password management. For highly effective security, it suggests multi-factor authentication, privileged session recording, and anomaly detection to prevent cyber threats targeting privileged credentials.
This document discusses the importance of managing privileged accounts and outlines CyberArk's solution for privileged account security. It notes that privileged accounts exist across all IT systems and are the primary targets of attacks. The facts show that breaches are inevitable and nearly all involve stolen credentials. CyberArk's solution protects, detects, and responds to threats through an enterprise password vault, privileged session monitoring, and threat analytics. It enables control and visibility of privileged access across an organization's diverse IT environments and accounts.
SSAD is an integrated set of standards and guidelines for analyzing and designing computer systems. It includes tools like data flow diagrams, data dictionaries, decision trees, structured English, and decision tables. Some key techniques of SSAD include data flow modeling, logical data structures, and entity life histories. SSAD provides benefits like improved productivity, flexibility, quality and on-time delivery, while also ensuring user needs are met. However, it also has disadvantages like large costs and time requirements for training and its document standards.
Hw1 project charter electronic health record for university health care_sunil...Sunil Kumar Gunasekaran
This 3 sentence summary provides the key details about the project charter:
The project charter outlines an 8 phase plan to implement an Electronic Health Record system for a University Student Health Care center over multiple years. The goal is to digitize paper health records, allow for electronic access and sharing of records between departments, and standardize documentation. The project involves various stakeholders from the university and health center and will require coordinating resources and dependencies between departments.
The COCOMO model is a widely used software cost estimation model developed by Barry Boehm in 1981. It predicts effort, schedule, and staffing needs based on project size and characteristics. The Basic COCOMO model uses three development modes (Organic, Semidetached, Embedded) and a simple formula to estimate effort and schedule based on thousands of delivered source instructions. However, its accuracy is limited as it does not account for various project attributes known to influence costs. Function Point Analysis is an alternative size measurement that counts different types of system functions and complexity factors to estimate effort and cost.
The document discusses the physical and logical design aspects of system design. Physical design involves graphical representation of internal and external system entities and data flows. It includes user interface, data, and process design to specify how data is input, processed and output. Logical design provides an abstract representation of system processes and data flows using models and diagrams to describe what tasks the system performs without specifying how.
The document outlines the steps involved in system analysis and design for information systems development. It discusses fact finding to understand the current system, conducting a feasibility study to determine if the proposed new system is technically and economically viable, and the analysis phase where a more detailed review is performed to understand weaknesses and design system flow charts and data flow diagrams. The analysis phase also includes setting detailed objectives, reviewing constraints, updating the cost/benefit analysis, and planning for further system development.
Structured Vs, Object Oriented Analysis and DesignMotaz Saad
This document discusses structured vs object-oriented analysis and design (SAD vs OOAD) for software development. It outlines the phases and modeling techniques used in SAD like data flow diagrams, decision tables, and entity relationship diagrams. It also outlines the phases and modeling techniques used in OOAD like use cases, class diagrams, sequence diagrams, and state machine diagrams. The document compares key differences between SAD and OOAD, discusses textbooks on software engineering and UML, and references papers on using UML in practice and evaluating the impact and costs/benefits of UML in software maintenance.
The document discusses the system development life cycle (SDLC) as a systematic method for organizations to implement change through new technologies. It describes the four phases of SDLC - planning, analysis, design, and implementation. The planning phase involves feasibility studies to understand economic, organizational, and technical factors. The analysis phase breaks down the problem and gathers stakeholder requirements. The design phase decides if the system will be internal or outsourced. The implementation phase builds, tests, trains users on, and evaluates the new system. SDLC provides a systematic strategy for large development projects involving many stakeholders.
Introducing Healthfinch by Health Catalyst: Charlie for Refill Management: Im...Health Catalyst
Healthcare providers are overwhelmed with administrative EHR tasks that take precious time away from patient care and can lead to an unhealthy work-life balance. As a result, providers face burnout and declining productivity, impacting quality and delaying patient care.
That’s why Health Catalyst is excited to introduce its new partnership with Healthfinch. Healthfinch’s solution, Charlie for Refill Management, is the healthcare industry’s most trusted and used prescription renewal solution. Charlie for Refill Management safely and efficiently delegates renewal requests to non-provider staff, reducing the EHR administrative burden so that providers can focus on top-of-license work.
In this webinar, you’ll learn how Charlie for Refill Management provides EHR-embedded insights fueled by evidence-based protocols, allowing staff to quickly approve prescription renewal requests on behalf of providers and proactively close gaps in patient care. Specifically, learn how Charlie for Refill Management helps achieve the following:
- Saves time by eliminating time-consuming, manual chart review.
- Improves quality by implementing standardized, evidence-based protocols across an organization.
- Transforms workflows with a fully integrated solution that provides insights directly in EHR workflows.
- Identifies care gaps to provide a better, safer patient experience while also driving additional or missed revenue.
Neo4j Generative AI workshop at GraphSummit London 14 Nov 2023.pdfNeo4j
The document outlines an agenda for a generative AI workshop covering topics such as building a knowledge graph from a GDB dataset, semantic search using vector indexes and graph patterns, generating node embeddings, and developing a marketing campaign application that integrates all the techniques discussed.
Digitalization in the health industry can take several forms, including increasing patient safety, enabling telemedicine, and improving interactions between doctors and patients. Some of the biggest innovations in healthcare include using microchips to model clinical trials, wearable technology like Google Glass, 3D printed biological materials, optogenetics, hybrid operating rooms, digestible sensors, robotic nurse assistants, light bulbs that disinfect, and electronic underwear to prevent sores. Digitalization aims to connect people and data in a meaningful and secure way to transform every aspect of care delivery.
The document discusses proposed actions to improve emergency room wait times in Nova Scotia hospitals. It identifies several key issues contributing to long wait times, including a shortage of hospital beds, increased use of emergency rooms by aging patients and alternate level of care (ALC) patients, and government funding cuts. It then proposes several multi-pronged strategies to address wait times by improving patient flow, reducing overcrowding and overuse of emergency rooms, and decreasing the number of ALC patients. Specifically, it suggests implementing triage-driven patient placement, expanding fast-track areas, improving access to diagnostics, and enhancing patient transfers to reduce backlogs in emergency rooms.
Sistem Informasi Posko Keamanan bertujuan untuk mengembangkan aplikasi digitalisasi administrasi posko keamanan yang sebelumnya masih dilakukan secara manual. Aplikasi ini diharapkan dapat mempermudah pencatatan, rekap, dan penyimpanan data secara real-time serta meningkatkan transparansi dan ramah lingkungan melalui laporan digital. Proyek ini akan menghasilkan software, dokumentasi, dan laporan dengan anggaran Rp150 juta dan dijad
The medical billing process involves several key steps:
1) Patients make appointments and provide their information;
2) Doctors examine patients, document medical records, and provide medical coding;
3) Coders assign codes to medical records which are then sent to billing;
4) Billers enter patient and visit details, submit claims to insurance, and handle payments and denials.
Cobit 4.1 adalah kerangka kerja terbaik untuk tata kelola TI yang membantu manajemen memahami risiko TI dan menyediakan pedoman untuk mengelola sumber daya TI. Cobit 5 memperbarui kerangka kerja dengan menambahkan domain tata kelola baru dan memodifikasi beberapa proses agar lebih menyeluruh dan terintegrasi.
The document proposes a hospital management system to automate the manual paper-based system currently used. It aims to standardize data, consolidate records, ensure data integrity and reduce inconsistencies. The system would manage patient information, staff details, schedules and other facilities digitally. It faces challenges in designing and implementing the new system, and maintaining it going forward to address errors, adapt to changes and allow for enhancements. The system requirements include user interfaces, hardware and software needs, and communication protocols to allow the system to work across platforms and browsers. It is concluded that the automated system would improve efficiency, provide a friendly interface, enable easy access and updating of information, and offer security and reliability benefits over the existing manual process.
The document provides an overview of IT project management. It discusses systems development, understanding business needs through business process modeling, the roles of various participants in system development including users and specialists. It also covers the systems analysis and design process, guidelines for systems development including developing accurate cost and benefit information, and maintaining flexibility. Project management tasks like defining, planning, scheduling, monitoring and controlling, and reporting are also summarized.
The 7 Layers of Privileged Access Managementbanerjeea
In this presentation we will talk about Privileged Access Management and present various strategies in order to make implementation and rollout easier for your security controls.
A Survey on the Specification of the Physical Environment of Wireless Sensor...Ivano Malavolta
28th August 2014. My presentation at SEAA 2014 (http://esd.scienze.univr.it/dsd-seaa-2014) about our survey on
the specification of the physical environment of Wireless Sensor Networks (WSNs).
Accompanying paper: TO APPEAR
Abstract:
A wireless Sensor Network (WSN) consists of spatially distributed sensor nodes that cooperate in order to accomplish a specific task. What really sets WSNs apart from all the other kinds of distributed systems is the limited processing capabilities of the nodes, contingent energy restrictions, and their strict dependence to physical phenomena like attenuation, reflection, etc. Under this perspective, the physical environment in which WSN nodes are deployed strongly affects the overall quality of the system. Under this perspective, how WSN engineers currently specify the physical environment and how they would like to do it? This paper presents a survey we run by interviewing WSN engineers with a special focus on their practical needs and activities.
By analyzing the collected data, we can conclude that: a) a good number of practitioners describing the physical environment do it by GIS software or informally, b) practitioners not specifying the physical environment do not see a clear return on investment on doing it, c) practitioners rate as (definitely) useful a potential tool for deploying WSN nodes on a virtually specified physical environment.
This webinar describes how you can manage the risk of privileged accounts being compromised, creating a breach of sensitive data or other assets in your organization, through privileged access management, or PAM. PAM can reduce risks by hardening your environment in ways no other solution can, but is challenging to deploy. This webinar provides an unbiased perspective on PAM capabilities, lessons learned and deployment challenges, distilling the good practices you need to be successful. It covers:
- PAM definitions, core features and specific security and compliance drivers
- The PAM market landscape and major vendors
- How to integrate PAM with identity management, service ticketing and monitoring
- Avoiding availability and performance issues
CyberArk is an information security company focused on privileged account security. They help companies protect their most sensitive information and infrastructure by securing privileged accounts. The document outlines best practices for securing privileged accounts at different maturity levels - from baseline to highly effective. It recommends identifying and reducing privileged accounts, enforcing least privilege, and automating password management. For highly effective security, it suggests multi-factor authentication, privileged session recording, and anomaly detection to prevent cyber threats targeting privileged credentials.
This document discusses the importance of managing privileged accounts and outlines CyberArk's solution for privileged account security. It notes that privileged accounts exist across all IT systems and are the primary targets of attacks. The facts show that breaches are inevitable and nearly all involve stolen credentials. CyberArk's solution protects, detects, and responds to threats through an enterprise password vault, privileged session monitoring, and threat analytics. It enables control and visibility of privileged access across an organization's diverse IT environments and accounts.
SSAD is an integrated set of standards and guidelines for analyzing and designing computer systems. It includes tools like data flow diagrams, data dictionaries, decision trees, structured English, and decision tables. Some key techniques of SSAD include data flow modeling, logical data structures, and entity life histories. SSAD provides benefits like improved productivity, flexibility, quality and on-time delivery, while also ensuring user needs are met. However, it also has disadvantages like large costs and time requirements for training and its document standards.
Hw1 project charter electronic health record for university health care_sunil...Sunil Kumar Gunasekaran
This 3 sentence summary provides the key details about the project charter:
The project charter outlines an 8 phase plan to implement an Electronic Health Record system for a University Student Health Care center over multiple years. The goal is to digitize paper health records, allow for electronic access and sharing of records between departments, and standardize documentation. The project involves various stakeholders from the university and health center and will require coordinating resources and dependencies between departments.
The COCOMO model is a widely used software cost estimation model developed by Barry Boehm in 1981. It predicts effort, schedule, and staffing needs based on project size and characteristics. The Basic COCOMO model uses three development modes (Organic, Semidetached, Embedded) and a simple formula to estimate effort and schedule based on thousands of delivered source instructions. However, its accuracy is limited as it does not account for various project attributes known to influence costs. Function Point Analysis is an alternative size measurement that counts different types of system functions and complexity factors to estimate effort and cost.
The document discusses the physical and logical design aspects of system design. Physical design involves graphical representation of internal and external system entities and data flows. It includes user interface, data, and process design to specify how data is input, processed and output. Logical design provides an abstract representation of system processes and data flows using models and diagrams to describe what tasks the system performs without specifying how.
The document outlines the steps involved in system analysis and design for information systems development. It discusses fact finding to understand the current system, conducting a feasibility study to determine if the proposed new system is technically and economically viable, and the analysis phase where a more detailed review is performed to understand weaknesses and design system flow charts and data flow diagrams. The analysis phase also includes setting detailed objectives, reviewing constraints, updating the cost/benefit analysis, and planning for further system development.
Structured Vs, Object Oriented Analysis and DesignMotaz Saad
This document discusses structured vs object-oriented analysis and design (SAD vs OOAD) for software development. It outlines the phases and modeling techniques used in SAD like data flow diagrams, decision tables, and entity relationship diagrams. It also outlines the phases and modeling techniques used in OOAD like use cases, class diagrams, sequence diagrams, and state machine diagrams. The document compares key differences between SAD and OOAD, discusses textbooks on software engineering and UML, and references papers on using UML in practice and evaluating the impact and costs/benefits of UML in software maintenance.
The document discusses the system development life cycle (SDLC) as a systematic method for organizations to implement change through new technologies. It describes the four phases of SDLC - planning, analysis, design, and implementation. The planning phase involves feasibility studies to understand economic, organizational, and technical factors. The analysis phase breaks down the problem and gathers stakeholder requirements. The design phase decides if the system will be internal or outsourced. The implementation phase builds, tests, trains users on, and evaluates the new system. SDLC provides a systematic strategy for large development projects involving many stakeholders.
The document discusses data flow diagrams (DFDs) including:
- DFD symbols such as processes, data flows, data stores, and external entities
- Rules for connecting the symbols
- How to create context diagrams and level-0 DFDs to break down a system
- Strategies for developing DFDs such as top-down and bottom-up
It provides an example of drawing a context diagram and level-0 DFD for an order system.
The COCOMO model estimates the effort required for software projects in terms of person-months. It exists in three forms - basic, intermediate, and advanced. The basic model computes effort as a function of lines of code, while the intermediate model considers additional cost drivers like product attributes, hardware attributes, personal attributes, and project attributes. These attributes receive ratings that adjust the effort multiplier. The advanced COCOMO is an empirically derived model that requires extensive parameter calibration. All forms provide estimates of effort, schedule, and staff required for a software project.
The document describes data flow diagrams (DFDs), including how they differ from flowcharts by showing the flow of data rather than control flow. It then provides steps for creating DFDs using an example of a lemonade stand: 1) List activities, 2) Create a context-level DFD identifying sources and sinks, 3) Create a level 0 DFD identifying subprocesses, and 4) Create level 1 DFDs decomposing subprocesses and identifying data stores.
The document discusses a proposed library management system that aims to improve upon the current system. It outlines the key features of the proposed system, including advantages over the current one. Entity relationship, data flow, and context diagrams are presented to illustrate the flow of data and relationships between various elements in the system. Various reports, tables, and forms are also described to showcase the reporting capabilities and interfaces of the proposed library management system.
Con8813 securing privileged accounts with an integrated idm solution - finalOracleIDM
The document discusses Oracle Privileged Account Manager (OPAM) and how it can be used to securely manage privileged accounts. It provides an overview of OPAM's capabilities including secure password vaulting, session management and auditing, integration with Oracle Identity Governance platforms, and support for common targets. The document also presents a use case of how OPAM could help Oracle Cloud for Industry securely manage privileged accounts by providing centralized policies and reducing risks related to disparate practices and minimal auditing/reporting.
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, ...
Techugo is a renowned software development company that specializes in creating top-notch hospital management software solutions. With a team of experienced developers, designers, and project managers, Techugo has delivered several high-performing and innovative hospital management software solutions to clients worldwide. The software solutions are designed to streamline and optimize the day-to-day operations of hospitals, clinics, and other healthcare facilities. The hospital management software solutions are integrated with advanced features like patient management, appointment scheduling, billing and invoicing, inventory management, and more. With a focus on quality and user experience, Techugo delivers reliable and cost-effective hospital management software solutions that meet the unique needs of healthcare providers.
Healthcare providers who introduce modern technologies often need help managing large patient populations, tracking inventory, allocating funds, and allocating resources efficiently. Unfortunately, it’s even more difficult for healthcare organizations to manage all these processes and still operate efficiently during the current pandemic. As a result, hospital management software solution (HMS), which helps hospitals address these issues and ensures streamlined hospital management, is highly sought-after today.
1Running Head MEDICAL PROFESSIONS PROVIDING HEALTHCARE SERVICES.docxfelicidaddinwoodie
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Running Head: MEDICAL PROFESSIONS PROVIDING HEALTHCARE SERVICES, LLP
MEDICAL PROFESSIONS PROVIDING HEALTHCARE SERVICES, LLP
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Medical Professions Providing Healthcare Services, LLP
Green Group Business Plan Outline
Ma Vicky Caspe
Lily Che
Melissa Martin
Mary Nda
Kendra Smith
Grand Canyon University: HCA - 620
January 31, 2018
EXECUTIVE SUMMARY
Medical Professionals Providing Healthcare Services, LLP (“MPPHS”) is a Phoenix-based company specializing in providing quality healthcare services in urban and economically-depressed communities. Incorporated in June, 2012 we boast a strong executive team, led by our founder Dr. Mary Xing (Jones) and Chief Medical Officer Dr. Michael Tompkins. We have grown over the past 5+ years from a single-room clinic to a 200-bed hospital and 4 satellite clinics. MPPHS serves over 600 patients a day with a daily room occupancy approaching 95%.
As MPPHS grows, so does the competition, as larger medical institutions such as John C. Lincoln, The Valley Health System and the Mayo Clinic begin to take notice. In addition, the need to improve efficiency across the board (patient wait times, billing, staffing, etc.) has taken on greater significance, as our ability to properly serve customers is beginning to adversely affect overall operations.
Mission
As a participant in the healthcare management and services field within the medical industry, MPPHS prides itself on offering its services to a populace who historically has not had access due to financial constraints, societal norms and environmental conditions. Our mission has not changed since inception: To provide all regardless of economic and social standing equitable access to quality healthcare while focusing on the why (i.e. “why this patient is in our care”) instead of the who (i.e. “who is this person?”).
Company Objectives
MPPHS’ primary objectives are:
· Increase revenue by 10% Year-over-Year (YoY)
· Increase patient count by 5% YoY
· Increase bed capacity by 25% over the next 5 years
· Reduce response from 60 minutes to 45 minutes
· Reduce long-term operational debt by 25% over the next 5 years
MPPHS can accomplish this by developing an Electronic Medical Record (EMR) across all company-owned and operated facilities. Currently all staff submit paper records at the end of their shift to document control, which in turn manually inputs the information in the database developed internally by MPPHS technical staff. This was the process instituted from the company’s inception and has not been updated since. We have come to the realization this is an inefficient way to do business. Our wait times have gradually increase, exceeding one hour in some cases. Staff turnover is also increasing, reaching its highest of 85% retention. Historically MPPHS has been over 90% on-average.
By successfully implementing an EMR process and other related ones, MPPHS estimates we can improve our operational efficiency by 15% within 12 months. We feel ...
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 system requires determining specifications, transferring data, training staff, and change management. The goal is to complete implementation within one year through an agile development approach. Key stakeholders include clinical and administrative leadership who must ensure the system meets legal requirements and supports the hospital's goals and vision.
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.
Thesis StatementI LeadershipA.B.C. II Individ.docxchristalgrieg
Thesis Statement:
I Leadership
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B.
C. II Individual Users
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B.
C. III Communication
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C.IV Training
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C.V Tools
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Barriers of Change
Good evening. In an effort to assist managers in helping their staff adjust to an upcoming organizational change the facility system redesign team will be sharing some keys points as to why staff may objective to this change, but also provide some tools to help turn that tide. The system redesign team of will be provide these ideas in today’s presentation.
1
Agenda
Identify the organizational change
Describe the organizational change
Possible organizational and individual barriers to change
Possible factors that may influence the change
Motivational theories that will assist managers to motivate staff for the change
Today we will cover the organizational change is and its details. The possible organizational and individual barriers associated with this change. Possible factors that may influence this change and motivational theories that will assist managers to motivate their staff for this change.
2
Identify Organizational Change
Moving from paper medical records to electronic medial records (EMR)
A seven year process the federal government has been trying to work towards
Culture shift for all staff to become proficient in computer use and associated EMR program
Sharing information with competing health care facilities
Recognition by the American Hospital Association being a “Connected Hospital”
In Oct 2015, the U.S. News & World Report shared what the top 159 hospitals are that “have shown a commitment to use digital data in key aspects of patient care” (2015). Our organization happens to not be one of these. To remain competitive and to hold true to our mission statement of …”providing the best care to our patients…” the executive staff has decided to aggressively move towards using electronic medical records (EMR) in all that we do with our patient care.
Our facility is seven years behind in working towards the national goal of all medical records being electronic. The executive staff and facility board are well aware of the challenges we will face in making this transition, but they are confident with taking the correct steps in implementing an EMR system and training staff, this organization may soon find itself being one showing “commitment to their patients” on a national level.
A culture shirt in the way we use technology will need to occur as we embark on this change. The fear of sharing information needs to be subsided as sharing will actually strengthen our relationships with our patients vice pushing they away. This sharing will show how committed we are in ensuring that wherever they go to receive continued care that those medial staff will have access to their medical history and mitigate the chances of anything concerning their health being missed.
Through our efforts, our patients will soon see on a national level, the commitment we have as work ...
January 2012 – May 2012
Collaborated a database to input customer’s information
o Database would provide an easy method to locate current customers based on demographic and geographic variables
This document discusses a hospital management information system (HMIS). It describes the key features of the HMIS, including patient registration, medical records, scheduling, inventory management, billing, and reporting. It also discusses some common issues with healthcare information systems, such as interfaces that are not suitable for interruptive environments and inflexibility in reflecting real-life workflows. Finally, it proposes solutions like education, system design improvements, and qualitative research to address these issues.
Electronic health records still struggle with issues such as sharing data confidently, achieving meaningful use standards, improving cash flow and margins, and ensuring data integrity and security. Inaccurate or "dirty" patient data stored in electronic records can negatively impact reimbursements, increase billing errors, and put patient safety at risk. The software MED-DETECT analyzes patient data for errors, provides guidance to correct errors, and trains staff to prevent future errors, in order to improve data quality, revenue cycle management, and patient outcomes. Healthcare providers can see returns on investment within hours by using MED-DETECT to quickly find and fix errors before submitting claims.
In replying to the postings, you are to critically evaluate all of tjacmariek5
In replying to the postings, you are to critically evaluate all of the following for at least two main postings:
Are the explanations of the roles of each of the five components listed above clear, complete and accurate? If not, explain.
Is there a clear relationship between each of the five components described and the hospital billing system?
Provide at least one addition to one of the component descriptions (identify another person, organizational component, process, data element, or aspect of technology)
The hospital billing system is a complex tool utilized to provide accurate accounts of patient services. The fundamentals of which address the people using the system, components, processes, data/information and technology. When properly used the billing system is an effective tool for the procurement of financial obligations for services rendered, but when accessed in the wrong way it has the ability to hurt the hospital, patients, employees or all of the above.
People:
Any person in contact with a patient is potentially one who uses the billing system and subsequently any person in contact with patients, whether direct or indirect, are responsible for billing. Doctors, nurses, pharmacists and secretaries are responsible for ensuring that charges are properly submitted for billing, while indirect patient services such as EVS and food service costs are built into the cost of hospitalization. Everyone involved in the usage of the billing system, as well as the patients, are affected by the system. Missed charges related to patient care can cause a financial deficit and negatively impact the staff in ways such as missed raises and poor working conditions. Extra and wrong charges can cost the patient extra money as well.
Organizational Components
: All departments use the billing system in a hospital. Central Electronic Health Records can be accessed across the hospital ensuring that charges are properly entered and ultimately submitted to the insurance companies for reimbursement. For example when a patient leaves a unit for a procedure or test, technicians can access the EHR to enter charges, which all members of the health team can access. This spreads the accountability across all members of the health care team.
Processes:
Data entry is the primary process in which all users of the billing system are engaged. Without the entry of data into the hospitals EHR, charges cannot be determined and therefore revenue for the hospital can be lost.
Data/Information:
Many data elements are important in the billing system but the top 5 are: Patient identification, patient demographic information(billing address, contact info), insurance information, dates of service/services rendered and service providers identification. Without these key elements there is a potential for missed revenue and lack of payment.
Technology:
Technology is now the backbone of medical billing. With the addition of the EHR in the 1960s, da ...
This document discusses how moving to a true cloud-based ERP system can help healthcare providers succeed by improving efficiency. It notes that digital transformation in healthcare is being driven by consumer demand for better experiences. While many providers have adopted some new technologies, successful digital transformation requires integrating across departments. The document argues that a cloud-based ERP can eliminate silos by providing real-time, centralized access to financial, HR, supply chain and other data. Key benefits mentioned include improved decision-making, better talent management, and increased productivity. Examples are provided of healthcare providers that have boosted efficiency and outcomes by implementing a cloud ERP system.
This document discusses how robotic process automation (RPA) can help address challenges in the healthcare sector. It describes how RPA can streamline processes like insurance approval, patient registration, and claims management by gathering data from multiple disparate systems. Implementing RPA can free up healthcare providers and payers to spend more time on high-value work while improving accuracy and reducing costs. The document also outlines some of the manual, repetitive tasks performed by providers and payers that are good candidates for initial RPA automation pilots.
Top Goals for Physicians to Implement In Their Facility.pptxalicecarlos1
Let's understand how our medical billing and coding experts help with Top Goals for Physicians to Implement In Their Facilities.
Read More: https://bit.ly/3LFPThv
Health systems recognize the potential of digital health but e-health programs have had modest returns. Ambitious initiatives focus on providing clinicians information but struggle with legacy systems that impede data integration. The solution is a digital services platform that holds healthcare data and optimizes access through APIs and services for identity, access and consent management. This platform could serve as an innovation ecosystem for third-party digital health services and advanced by health systems. It could revolutionize health services and help bend the cost curve through contextualized information, ushering in an era of "Healthcare 3.0."
The document proposes a nursing informatics project to implement an electronic health record (EHR) system in a healthcare organization. It would improve patient outcomes and care efficiencies by allowing clinicians, nurses, and pharmacists to easily access and share a patient's electronic records. The project aims to reduce medical errors, waiting times, and costs while improving the quality and timeliness of care. A nurse informaticist would manage the project and work with an application analyst, developer, and tester to design and implement the customized EHR system using software, hardware, and artificial intelligence technologies.
The document summarizes how the federal stimulus package is incentivizing healthcare providers to adopt electronic health records (EHR) software. It discusses how the $36 billion allocated will provide doctors up to $65,000 if they purchase and implement certified EHR programs. While this presents a big market opportunity for EHR software companies, many doctors remain hesitant to commit until the government finalizes its standards and certification process. Once rules are in place, EHR vendors expect significant growth in new customers looking to take advantage of the stimulus subsidies.
THINGS TO BE FIXED1ST PAPER - - History of Healthcare informat.docx
IT 510 Final Project - Daina Love
1. IT 510 Final Project
System Proposal for New Century Wellness
Group
Daina Love
2. 2
Table of Contents
I. INTRODUCTION 3
BACKGROUND 3
PROBLEM STATEMENT 3
AUDIENCE 5
II. SYSTEMS REQUIREMENTS 6
REQUIREMENTSMODELING 6
DATA PROCESSMODEL 9
DATA FLOWDIAGRAM 11
DATADICTIONARY 11
OBJECTMODELING 12
USE CASEDIAGRAMS 13
III. SYSTEMS DESIGN 16
SPECIFICATIONS 16
DATADESIGN 18
USER INTERFACEDESIGN 21
SYSTEM ARCHITECTURE 28
FEASIBILITY ANALYSIS 29
IV. PROJECT PLAN 32
WORK BREAKDOWN STRUCTURE 32
PROJECTMONITORING & CONTROL PLAN 33
TIMELINE 35
RESOURCE SHEET 36
COST SHEET 36
WORKS CITED 38
3. 3
I. INTRODUCTION
Background
Just about every major industry has made large strides towards computerization. More
and more Americans rely on computer networks to do things like shop, request services, and
even earn degrees. Technology has transformed and improved our lives in so many ways, yet
our healthcare system seems to be lagging behind this trend. In order to keep up with a
technology driven society, we need to incorporate computerization into our medical practices.
New Century Wellness Group is a cutting edge medical provider offering a holistic approach to
healthcare focusing on preventative and traditional medical care. The clinic has a patient base of
8,000 patients coming from 325 different employers who, for the most part, provide healthcare
benefits to their employees. New Century is currently accepting health insurance plans from 25
different insurance carriers. Because of their success, New Century is now considering opening
a new location.
Being that the medical field thrives on information and communication, it is time New
Century makes technology work for them too. With an Electronic Medical Record (EMR)
system in place New Century could better serve patients’ spending less time trying to keep an
out-of-date filing and billing system in order, and focusing more on their health and wellbeing.
PROBLEM STATEMENT
Currently, New Century Wellness Group is using a mixture of paper-based and
fragmented computer systems to keep track of patient records (Rosenblatt, 2014). Lisa Sung
manages patient appointments and initiates patient files, and then Susan Gifford maintains the
physical patient records and ensures completion. Carla Herrera orders replacement supplies after
patient visits. Tammy Alipio begins the billing process, and Tom Capaletti follows up on claims
4. 4
made to make sure the office is getting paid. Fred Brown is charge of human resources and
employee benefits. Corinne Summers who reports of Fred, works with payroll, tax reporting,
and profit distribution (Rosenblatt, Systems Analysis and Design, Tenth Edition, 2014). This
workflow has worked up until now, but with the changes to the healthcare system, ever-growing
number of patients and influx of patient data, these people of overworked and stressed out. The
growing amount of work causes employees to have to devote six hours of overtime each week
just to keep up. This system results in about three file errors each day, and each error takes
twenty minutes to correct. At this rate, the clinic will need to hire another clerical person.
Continuing to run the office this way is inefficient and not cost effective, and makes New
Century vulnerable to human errors and can negatively impact our patients’ care and experience.
To improve operations and keep workflow running smoothly, we need to implement an
Electronic Medical Records (EMR) system. This new system will support our patients’ sensitive
data, improve how the providers dictate orders for patients through the Computerized Provider
Order Entry (CPOE), and allow providers to give the best possible care to patients through a
Clinical Decision Support System (CDSS).
“An EMR contains the standard medical and clinical data gathered in one provider’s
office” (HealthIT.gov, 2014). EMRs are used to track patient data over time, identify patient
needs for preventative care and screenings, monitor how patients compare to certain parameters
like vaccinations and blood pressure readings, and improve overall quality of the care we provide
(HealthIT.gov, 2014). This system would also provide a Computerized Provider Entry (CPOE)
system. CPOE is an application that would allow our providers to enter medical orders into the
computer system instead of using traditional methods such as paper prescriptions and verbal
instructions. This way, our providers can electronically specify medication orders, laboratory
5. 5
orders, hospital or trial admissions, referrals, and procedural orders (Dixon & Zafar, 2009). This
eradicates many of our office’s paper needs and ensures patient safety by making sure that orders
are clear and easy to read. The system would also include a Clinical Decision Support System
(CDSS). CDSS provides clinicians with real-time feedback about a wide range of diagnostic and
treatment-related information as orders are entered into the CPOE. It includes the latest
information regarding patient allergies and drug interactions that have been identified by the
system. By running a set of electronic rules in the background, the CDSS can check a variety of
potential risk factors that doctors might miss or patients might forget to mention (Dixon & Zafar,
2009). Finally, the system would include a human resources (HR) module to keep track of
employee data as well. The EMR, CPOE, CDSS and HR module would allow the entire New
Century staff to work more efficiently and cut costs.
In my professional opinion implementing this system is vital for New Century’s
continued success. This type of system is designed to store all pertinent patient information with
all authorized providers at New Century Wellness Group involved in their care. EMRs can be
created, managed and consulted by all authorized providers and staff within the office.
Furthermore, the system will be fully integrated so that it is fully operational immediately, and
will allow for the implementation of an Electronic Health Record (EHR) system and other
necessary modules in the future. By joining the growing number of healthcare facilities that
have also implemented EMR systems, New Century would be stepping into the digital age and
helping to build a better future for the healthcare industry.
AUDIENCE
The intended audience for this proposal is the entire staff of New Century Wellness
Group, including those who may not be technologically inclined. The proposed system is
6. 6
designed to make life easier for providers, staff and patients alike. With more complete patient
information, our doctors, practitioners, and staff members will be able to better serve our patients
providing more comprehensive care.
II. SYSTEMS REQUIREMENTS
REQUIREMENTS MODELING
The system New Century Wellness Group is currently using is not only outdated but also
not working for the staff. It is a mixture of paper-based and legacy systems that depends entirely
too much on the staff for accuracy and completion. New Century staff includes four primary
care physicians, one nurse practitioner, four physical therapists, one registered nutritionist, eight
nurses and eight staff members caring for a patient base of 8,000 from 325 different employers
who cover employees’ health and maintenance. New Century currently accepts 25 different
health insurance providers. On top of all this, they are planning to open another branch. Each
staff member is responsible for different aspects of how the business is run and there is too much
room for error. At this rate the current staff will have to start putting in overtime and they will
need to hire at least one more staff member.
Currently, Anita Davenport, the office manager, supervises the seven-member staff. Fred
Brown is in charge of human resources and oversees employee benefits. Corinne Summers
reports directly to him and is responsible for payroll, tax reporting and profit distribution among
the associates. Susan Gifford maintains the patient medical records. Tom Capaletti oversees
accounts receivables. Tammy Alipio is a billing specialist and takes care of insurance billing.
Lisa Sung, the receptionist, manages appointments, contacts patients to remind them of
upcoming appointments and prepares each provider’s daily appointment list. Last but not least,
7. 7
Carla Herrera orders replacement medical supplies after patient visits (Rosenblatt, Systems
Analysis and Design, Tenth Edition, 2014). The staff is overworked and they will soon need to
hire more staff if something is not done to change this.
To improve this situation, Dr. Jones has asked that we create an in-house system so that
the providers and the staff can work more efficiently. We are going to implement a business
solution system and an EMR system that will work together. They want a medical practice
software solution that allows office staff to streamline scheduling, billing, accounting, and
payroll as well as support an Electronic Medical Record (EMR) system, Computerized Provider
Order Entry (CPOE) system, and Clinical Decision Support System (CDSS). A prebuilt EMR
software system was presented and considered, but Dr. Jones prefers that we build the system in-
house so that they can customize it and possibly upgrade to an EHR system in the future. The
integrated system we are building will work as follows:
When a patient calls in, Lisa Sung will schedule an appointment with an appropriate
provider dependent upon services requested. When they come to their scheduled appointment,
their provider is notified and an EMR is initiated which will include their patient demographics,
medical history, and insurance information. This also creates a daily list of appointments.
Whichever provider the patient sees will then enter any medical orders and/or prescriptions into
the EMR with the CPOE system. Their input is supported by the CDSS to ensure proper care is
administered. Patients then schedule a follow up appointment with Lisa. Susan Gifford reviews
the EMR to make sure records are complete and entered correctly. Carla Herrera orders supplies
to replace items used for patient visits. Tammy Alipio will then bill their insurance provider
based on services rendered. Tom Capaletti follows up on billing to ensure claims are paid. The
8. 8
system should also include modules for HR and payroll capabilities for Fred Brown and Corinne
Summers (Rosenblatt, Systems Analysis and Design, Tenth Edition, 2014).
The requirements for the system are as follows:
System Inputs:
Patients’ personal information: name, address, phone number, birth date, insurance
information, marital status, etc.
Medical history: medications, past surgeries, lab results, etc.
Appointment times
Employee information: name, contact information, title, pay, work schedule
System Outputs:
Billing/insurance claims: patient’s procedures at the time visit sent to their insurance
company with corresponding billing codes
Prescriptions, orders for lab testing, referrals to other medical providers
Supply orders
Daily provider appointment lists
Employee paychecks and benefits
System Processes:
Each patient’s procedures are properly coded for accurate billing and follow up
procedures
Medication and patient medical information are cross referenced to minimize negative
drug interactions or overlapping care
If there is a conflict between patient history and new medical orders the system will
immediately alert the provider via a message on the screen
9. 9
Patient appointments entered into schedule, and daily appointment lists are generated
System Performance:
System should be fully functional during business hours and any hours of operation
System transactions should be fast and smooth
System Control:
Each staff member should have unique login credentials with varying layers of access;
for example, should not have the same level of access to patient records as providers
Each staff member’s access and capabilities should correspond to their responsibilities
DATA PROCESS MODEL
The following diagrams are representative of the various processes that the new system
will perform. There will be an EMR process, business solution process, Clinical Decision
Support process and a human resources module for in house staff solutions.
EMR Process
Business Solution Process
11. 11
DATA FLOW DIAGRAM
DATA DICTIONARY
Data Stores
1. Patient Database: Stores all personal and medical information for each patient. Staff and
providers use this database to identify each individual patient in terms of contact
information and medical history use this information.
2. Appointment Database: Stores appointment dates and times. Takes personal information
about patients and creates daily appointment lists for providers.
12. 12
3. Accounts Receivable: Stores payment and insurance information for each patient. Sends
claims for patients to their respective insurance companies, receives notification of
acceptance or rejection of said claims, and generates bills for patients.
4. Employee Information: Stores all personal information regarding staff members. Used
to identify staff members and determine pay and benefits.
Data Flows
Input personal data
Update
Input
Send to provider
Bill patient
Payment
Update
Update appointment information
Send claim
Accept/reject
Staff information
Pay and benefits information
Update/check claim status
HR info
OBJECT MODELING
The objects included in this system are patient information, claims and billing, medical
information, human resources module, and the creation of the daily appointment lists. Each of
13. 13
the objects have attributes telling what information is included and methods detailing what the
system will do that information.
USE CASE DIAGRAMS
Each of the following use case diagrams (UCD) will indicate the user processes of this
system. I will be including a UCD for the scheduling system, the EMR system, the billing
system, and the HR module. These diagrams will detail how each user will operate various parts
of the system.
16. 16
III. SYSTEMS DESIGN
SPECIFICATIONS
At the moment New Century Wellness Group requires six hours of office staff overtime
and they will have to hire another clerical person within six month just to keep up with all of the
work. New Century needs a computer system in place to eliminate the need for overtime work
and a new hire. It will also significantly cut down on the number of errors made to each file.
Currently, New Century sees an average of three errors per day and each errors takes about
twenty minutes to correct.
My investigation into what type of system would be best for New Century began with
several face-to-face meetings with Dr. Jones and Anita Davenport. Together we reviewed office
records and accounting records. As far as business solutions go, I was able to deduce that the
four key areas that most needed improvement were patient scheduling, billing and accounts
receivable, human resources and payroll. These areas are highly interactive and therefore an
integrated system would be best (Rosenblatt, Systems Design and Analysis, 10th Edition, 2014).
Dr. Jones also expressed interest in an EMR system, but after research and careful consideration
we decided a separate system for this would work best. I wanted to make sure every member of
staff who will use this system has a sense of ownership so in my further investigations I was sure
to take everyone’s needs and wants into consideration when coming up with this plan. I
conducted staff interviews, reviewed office reports, and observed office workflow and believe I
have come up with the best solution for New Century’s currently patient load, and future growth.
The medical services and procedures currently performed by New Century’s medical
staff are coded in accordance with the American Medical Association’s Current Procedure
Terminology (CPT). A CPT code is made up of five numeric digits and a two-digit suffix.
These codes are required by most insurance companies to ensure proper paying and billing
17. 17
procedures. The new EMR system will be able to handle the new ICD-10 procedure coding
system, which has been a requirement of the Centers for Medicare & Medicaid Services (CMS)
since October 1, 2014. The new codes will consist of seven alphanumeric characters to be
electronically transmitted and received. The system must also interface with twenty-five
California health insurance providers. With this new system in place, New Century will be able
to cut costs and patients will be able to go online to update their medical information, schedule
appointments, and request medical records (Rosenblatt, Systems Analysis and Design, 10th
Edition, 2014).
Below is a diagram of how the system will work.
18. 18
DATA DESIGN
The following entity relationship diagrams (ERD) outline my proposed solution for New
Century. The first ERD describes the patient scheduling component of the system. The patient
speaks to the receptionist scheduling an appointment with an available provider. The system
then generates an Appointment List for providers and initiates an EMR for the patient.
The next ERD displays the provider’s interaction with the EMR. When the patient comes
to their scheduled appointment they fill out a patient intake form asking for further personal
information, medical history, and insurance information. This information is entered into their
EMR and the provider enters current medical information pertaining to the visit. The provider
can then use the CPOE system to enter medical orders for the patient. The CDSS then uses the
information in the EMR to ensure proper care is given.
19. 19
After the appointment comes the billing process. Using the information entered by the
provider, the receptionist sends the billing codes and information to Tammy Alippio the billing
specialist. The claim is sent to the insurance company for processing. Any copays or remaining
balance not paid by insurance is then billed directly to the patient. When the patient pays their
bill the funds are submitted to accounts receivable where Tom Capaletti can review it.
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Next I have a series of third normal function (3NF) charts. The primary key is going to
be patient ID generated by their initials and the last four digits of their social security number.
Each ID is unique to each patient. Using this patient ID, databases are generated pertaining to
the provider(s) have seen, the Appointment List, and their billing status. I’ll first start with an
example of the personal information of two fictional patients.
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Patient
ID
Name SSN DOB Address Phone Insurance Providers
JD1234 Doe, John 198-76-
1234
01/01/1980 123 Penny
Ln
215-555-
2425
Yes Jones
AS4321 Smith,
Alicia
678-34-
4321
02/02/1986 710
Columbus St
215-555-
3254
Yes Garcia
Using this information, the system can generate an Appointment list for the providers. Lists will
be generated daily and will be specific to each provider. When providers login to the system
they will see their personal schedule for that day. Each patient ID will be linked to the
information found in the above database. Note: Date and Time can be populated by the database
instead of being entered by hand to cut down on occurrences of human errors.
Patient ID Provider Date Time
JD1234 Jones 6/1/2016 10:00 AM
AS4321 Garcia 6/2/2016 10:30 AM
The system will also be able to keep track of billing records. When a patient is billed, the system
will show the billing code, when bill was sent, when it is due and whether or not payment has
been received. Again, the patient ID links all of this. Note: Dates and times can be populated by
the database as opposed to being entered by hand, and the Payment Received column can either
feature a Yes or No response, or a checkbox. These options are meant to reduce human error.
Patient ID Billing Code Bill Sent Bill Due Date Payment Received
JD1234 BM5555 6/6/2016 7/1/2016 Yes
AS4321 GH6565 6/7/2016 7/2/2016 Yes
USER INTERFACE DESIGN
The User Interface is one of the most important parts of this report because it will show
the users what the system will look like. I have done my best to create a system that will be easy
for all staff members to use and that will address all system requirements. I have drawn some
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mockups of the proposed system. You will notice that I have included buttons for various
portions of the system. I have included a login and password page where staff members will
enter their unique login credentials each time they access the system.
Next I have included a welcome page for each user to choose a portal that will best suit
their purpose for using the system. There is a button for doctors, nurses, reception, HR, patient
records, and employee schedule. Each button will then take the user to the selected area of the
system. The Doctor Portal will contain patient records sorted by the six-digit Patient ID
previously discussed. Here, he or she can see any and all medical information New Century has
for each patient at any time. They can also see their daily appointment lists here. Nurses can
also view patient information under the Nurse Portal. They can also see various schedules
pertaining to the patients they will see each day. The Reception Portal allows the receptionist,
Lisa Sung, is see all scheduled appointments and allows her to schedule and cancel appointments
for patients. The HR portal will have all employee records and payroll information. There,
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employees will also find their paystubs, employee schedule, and information regarding benefits.
Patient Records will provide a view of patient records for Susan Gifford, who keeps and
maintains patient records, again sorted by Patient ID. Carla Herrera will also have access to this
portal so that she can order replacement supplies after appointments. Weekly Reports will
generate the requested office reports such as Daily Appointment Lists, Daily Call List, and
Weekly Provider Reports. Accounting will contain accounts receivable information, patient
statements, Claim Status Summaries, and will generate Weekly Insurance Reports.
When a patient calls in to schedule an appointment, Lisa will click the Reception Portal
button and be taken to another screen where she will be presented with another set of options.
Here she can click a button for Add Appointment, Cancel Appointment, or View Appointment
Schedule. Screenshots of these screens are shown below.
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If Add Appointment is clicked, she will be taken to a screen where she can add all pertinent
patient information, i.e., name, phone number, date, time, and reason for their visit. If it is a new
patient, a patient ID will be generated when they fill out a patient intake form. They will have
the option to fill this form out online, or at the time of their visit. If it is a returning patient, the
system will recognize their name and add their patient ID.
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The addition of appointments will generate a master list of all scheduled appointments.
This master list can be reviewed and edited when necessary. The Cancel Appointment button
and View Appointment Schedule button both lead to this list. If Ms. Sung has to cancel or
reschedule an appointment she can simply double click the person’s name from the list and a
window will appear with options for cancellation or rescheduling. Canceling will result in
another window for verification of canceled appointment, and rescheduling will take her back to
the original Add Appointment screen.
Next, I have included a suggested Provider Appointment List. It shows patient ID,
patient name, appointment date, appointment time, and reason for visit. Each Patient ID will also
service as a link to their various medical records for easy review.
A patient EMR would like the picture below. It will include all personal and medical
information for each patient. There is also an area for notes about the patient.
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Next, is my suggested interface for patient appointment documentation. When the patient
comes for an appointment, the provider will be able to review the patient EMR, and during the
visit they will have various orders and take notes about what is discussed. On this page the
CPOE and CDSS will come into play.
27. 27
If the provider will use the CPOE to enter medical orders and order prescriptions
supported by the CDSS. If provider makes an order that will negatively interact with patient’s
current conditions or medication, a window will pop up alerting provider. The provider will be
able change their order(s) if necessary, or they can dismiss the suggestion pursuant to their
medical expertise.
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Lastly, there will be a verification page so that the provider can be sure they have
included all necessary information. If provider notices anything missing they can easily go back
and make necessary changes.
I concentrated on the patient records because that section is the most important. The
other portals for HR and employee records will be built similarly. A verification page for
information review will follow every change or addition made to all employee records as well.
Patient appointment schedules will all look like the one demonstrated above.
SYSTEM ARCHITECTURE
Each of the twenty-five staff members at New Century currently has their own
workstation. To ensure this system is efficient we will need to make sure each one is compatible
with the new system. This will most likely require new hardware. Specifically speaking, the
nurses work from one of three nurses’ stations throughout the day. Each station should have at
least three computers and one high-volume network laser printer/scanner. The reception area
will have an impact printer for medical forms and a network printer. The system will also
29. 29
include an online backup service and Internet service via cable modem. We will also have a
computer installed in each exam room and procedure room that all have access to the EMR. For
providers’ convenience, they will each be equipped with network-enabled portable computers
and tablets so that they can easily move from room to room, and from patient to patient so they
have constant access to patient records (Rosenblatt, Systems Analysis and Design, 10th Edition,
2014). In total the system will require a network server, twenty-seven workstations, and five
network printers.
Working full time for twelve weeks at the agreed upon rate of $35.00 per hour and the
DBMS will have a start up cost of $19,300.00.
As I previously stated, each staff member will have his or her own unique login ID and
password. Their password will give them access to various areas of the system that have to do
with their respective position at New Century. For example, company partners will have access
to all areas of the system to include patient records, appointment schedules, accounts receivable,
and HR. HR staff will have access to the HR module, but not the other areas of the system
because that area does not apply to their job.
FEASIBILITY ANALYSIS
This is the best solution for New Century Wellness Group. It not only allows them to
have a large impact on the design of their system, it is also best way for them to make their office
run more efficiently. My solution is the most feasible because it addresses all system
requirements without breaking the bank. We are effectively modernizing New Century while
making the day-to-day operations of the business easier. I have outlined below each of the ways
this system will help New Century and its staff.
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Operational Feasibility
This system is tailor-made so that staff members can be easily trained to use the system
and begin implementing it right away. Once I show them the basics, operation will be fairly
straightforward. I estimate that staff will need about ten hours of training each week for the first
three months, and then they will be able to successfully navigate the system without difficulty.
They will also be able to perform routine maintenance, file backups, and system updates. This
system will eliminate the need for employee overtime because it is faster and more efficient than
the traditional filing system currently being used.
Technical Feasibility
New Century will need new hardware installed to support this new system. My team and
I will be happy to take care of this during our allotted build time. This way we can ensure all
workstations are up-to-date, and compatible with the system and can communicate with each
other. This system adds more mobility so the providers can move from patient to patient quickly
without having to shuffle through papers and physical files.
Economic Feasibility
Currently, at least one member of the New Century staff is working six hours of overtime
each week. At $15.00 per hour, that is totals $4,320.00 above regular pay per year. Staff is also
making about three errors each day, and each taking twenty minutes to correct; that is an extra
five hours of wasted time costing $3,600.00 per year. At this rate, New Century partners are
aware that they will need to hire a new full time clerical worker in the next six months to keep up
with the workload. The base annual salary for this person will be approximately $31,200.00,
assuming they start at $15.00 per hour. This does not include their benefits or the training period
this person will need.
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My system is much more economical. Working full time at our agreed upon rate of
$35.00 per hour for twelve weeks will cost $16,800.00. That, and the cost of the DBMS, which
is $2,500.00, I estimate my services will total $19,300.00.
Schedule Feasibility
I will be bringing on two programmers to help me with the system build and
implementation. This will keep my build on schedule and will ensure timely delivery. It is of
the utmost importance that we keep you, our client, happy. We will work diligently to stay on
schedule and complete this system in a timely manner. We are aware that New Century
Wellness Group is a thriving business with a growing patient base so we can assure you that our
work will not impair your business operations in any way.
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IV. PROJECT PLAN
WORK BREAKDOWN STRUCTURE
The Work Breakdown Structure (WBS) is a hierarchical decomposition of the project
objectives into deliverable-oriented tasks that are executed by the project team to accomplish the
overall project goals (Piscopo, 2012). An undertaking such as this is quite large and will take
some time to complete. The WBS divides the project into smaller, more manageable portions to
make sure my team and I can maintain control and complete the tasks in a timely and organized
manner. Beginning with higher-level tasks and moving downward, the tasks start off broad and
gradually become more detailed. I designed the WBS so that you can follow our progress and
see when tasks will be completed. Below is my propose WBS for your EMR system. My team
and I will do our best to stick to this schedule so that you are aware of everything that is going
on, and if issues arise I will immediately alert you when necessary.
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You will notice I have listed the previous phases of this project, Discovery, Systems Analysis,
Design and Systems Development along with their durations. I have created task lists for each of
those phases, but because we are concerned with my implementation of this system, I chose to
leave those lists collapsed. I would be more than willing to provide that information upon
request. In looking at this WBS, you will see that each task has a WBS number. That number
indicates when each task can begin. Our next task is 1.6 Systems Implementation Phase. I am
estimating that this will take about 60 days working full time. I have hired two programmers,
Celia Goldring and Bill Miller, to assist me in this endeavor. Together we will review all
company documents you have already provided to me, install the hardware and software, test the
system, evaluate it, and then train the staff to use it. You can also see a column entitled
Predecessors. These tasks cannot start until their predecessor tasks are complete. For example,
task 52 Installation cannot begin until its predecessor, task number 51 Review DFDs, O-Os,
ERDs, and the tables are complete. This helps up stay on task and allows me to update New
Century staff of our progress.
PROJECT MONITORING & CONTROL PLAN
As the systems analyst for this project, I am also acting as the project manager. It is my
job to make sure that this project runs smoothly and that my client, New Century Wellness
Group, and my programming team, Celia Goldring and Bill Miller, are satisfied. I want to start
by implementing structured walk-throughs. A structured walk-through is a review of a project
team member’s work by other members of the team (Rosenblatt, Systems Analysis and Design,
10th Edition, 2014). The programmers will review each other’s work and my plans, and I will
review their work as well. Testing each other’s codes and designs will ensure proper system
implementation.
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As the lead on this project, it is my job to expect the unexpected. Just as in life,
sometimes projects have issues. By mapping out my System Development Life Cycle (SDLC)
in my WBS, I can begin to anticipate potential issues. This type of forward thinking can help me
minimize setbacks and stay on schedule and on budget. I plan on following a Program
Evaluation Review Technique, or PERT, chart to help my team stay on schedule. The PERT
chart will map out exactly what needs to be done to ensure the new system is implemented
properly (Rosenblatt, Systems Design and Analysis, 10th Edition, 2014). Keeping this chart will
also allow me to keep New Century’s partners and staff apprised of our progress. PERT charts
display all necessary tasks, task patterns and their durations; it will also help me know if and
when critical elements and milestones are not being met.
I will also be sure to meet with my team often to assess their progress. Through regular
project status meetings with Bill and Celia, I will be able to collect, verify, organize and evaluate
information about the project. I will be able to relay any necessary information to Dr. Jones and
the New Century staff. These meetings will also allow my team and I to brainstorm solutions to
any problems that arise. Should the New Century staff prefer documented progress, these
meetings will allow me to create reports detailing exactly where we are in the implementation
process and answer any questions they may have. I also plan on meeting with Dr. Jones
throughout implementation to answer any questions he and partners may have. I want to make
sure he feels comfortable with the progress we are making and the systems we are building for
his practice.
My critical path, or the sequence of stages determining the minimum time needed for an
operation, especially when analyzed on a computer for a large organization can be seen below in
my Timeline section.
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TIMELINE
I estimate implantation will take 12 weeks or 60 working days. To exhibit this I have
included a Gantt chart on the next page for your convenience. It is a horizontal bar chart
representative of the systems implementation tasks (Rosenblatt, Systems Design and Analysis,
10th Edition, 2014). The chart also includes a specific task list from my previous WBS and the
duration of each task. You will also notice that the section of the bar chart next to
implementation tasks is red. These are critical tasks. These tasks are key to the project’s timely
completion.
As you can see, my team and I will be handling those critical tasks. The chart also gives a
timeframe for when we will be done which I am estimating to be this coming February.
Next I have included a Resource Sheet and Cost sheet detailing all parties involved in this
project and costs associated with this project.
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New Century Wellness Group is a thriving medical clinic. It is my belief that with the
help of my system, New Century could be even more successful. My system will help the office
run more efficiently and taken some of the burden off of the staff so that their main concern can
be the patients. Thank you for your time and consideration. If you should have any further
questions please do not hesitate to contact me.
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WORKS CITED
Dixon, B. E., & Zafar, A. (2009, January). Inpatient Computerized Provider Order Entry
(CPOE). Retrieved June 1, 2016, from U.S. Department of Health and Human Services:
https://healthit.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-
entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
HealthIT.gov. (2014, August 29). Benefits of EHRs. Retrieved May 2016, 2016, from
HealthIT.gov: https://www.healthit.gov/providers-professionals/electronic-medical-records-emr
HealthIT.gov. (2015, July 30). Benefits of Electronic Health Records (EHRs). Retrieved May 31,
2016, from HealthIT.gov: https://www.healthit.gov/providers-professionals/benefits-electronic-
health-records-ehrs
Menachemi, N., & Collum, T. H. (2011, May 11). Benefits and drawbacks of electronic health
record systems. Retrieved May 31, 2016, from National Center for Biotechnology Information:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270933/
Piscopo, M. (2012, May 6). Creating a Work Breakdown Structure With Microsoft Project.
Retrieved June 16, 2016, from Project Smart: https://www.projectsmart.co.uk/creating-a-work-
breakdown-structure-with-microsoft-project.php
Rosenblatt, H. J. (2014). Systems Analysis and Design, 10th Edition. Cengage Learning.
Rosenblatt, H. J. (2014). Systems Analysis and Design, 10th Edition. Cengage Learning.
Rosenblatt, H. J. (2014). Systems Analysis and Design, 10th Edition. Cengage Learning.
Rosenblatt, H. J. (2014). Systems Analysis and Design, Tenth Edition. United States: Nelson.
Rosenblatt, H. J. (2014). Systems Analysis and Design, Tenth Edition. Cengage Learning.
Rosenblatt, H. J. (2014). Systems Analysis and Design, Tenth Edition. Cengage Learning.
Rosenblatt, H. J. (2014). Systems Analysis and Design, Tenth Edition. Cengage Learning.
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Rosenblatt, H. J. (2014). Systems Design and Analysis, 10th Edition. Cengage Learning.
Rosenblatt, H. J. (2014). Systems Design and Analysis, 10th Edition. Cengage Learning.
Rosenblatt, H. J. (2014). Systems Design and Analysis, 10th Edition. Cengage Learning.