The document discusses the development of a new customized electronic health system for a hospital. The current systems are outdated and lack imaging capabilities. The new system aims to improve patient and doctor experiences by ensuring medical charts and other functionalities are available digitally. It also needs to meet regulatory requirements and changing healthcare models. The implementation will require addressing security risks and evaluating the system using metrics like workload and usability surveys.

1. SOFTWARE CHANGE MANAGEMENT
Development of a custom Electronic
health system

2. Introduction
 The aim of the project is to develop a custom information system for a hospital.
 The facility (hospital) has been maintaining Electronic Health System, but most of
the systems are currently outdated and lack the imaging system.
 The goal of the current project is the implementation of a customized system that
would ensure that the charts and many other functionalities lacking in current
information systems.
 The initiative has been driven by the government regulations that apply in
Denmark, USA and UK and a need to make data available for patients hence
improve efficiency and patient outcome (Schoen, Osborn, Squires Doty,
Rasmussen, Pierson, 2012).
 The new system will also improve doctor patient relationship, where care is shared
by a team of professionals while also dealing with the rapidly changing medical
work environment, such as remote diagnosis (Schoen, Osborn, Squires Doty,
Rasmussen, Pierson, 2012).

3. The new system is to match rapidly
changing hospital landscape
 The change in the healthcare facility is moving at a fast rate and is aimed at
complying with the regulatory policy requirements such as the requirements
by ICD 10 (Alain, 2018).
 The system need to meet the increased needs of the emergence of new
models of care such as Patient Centered Medical home care.
 There is need to achieve meaningful use of information system. The new
approaches can only be achieved though the development of the certified
electronic health system (Jeffrey & Hoffer, 2014).
 The change was necessitated at the time when the doctors need access to
patient data all the time when patients are also trying to have a healthy work
life while in contact with their doctor (Jeffrey & Hoffer, 2014). This
necessitates an information sharing platform between the two.

4. Significance of the problem
 The problem of imaging has been in the hospital for a long time, and it is important for
the facility to solve the problem. To meet the goal of the hospital of improving patient
and nurse outcomes, the health facility need to adhere to the requirements of CDC for
digital divide and allow accessibility of patient records (Jeffrey & Hoofer, 2014). The new
system will make these aims possible.
 The new system will therefore help in resolving these problems, as well as help the facility
navigate the interdependency and also improve nursing efforts and overall profitability.
 The hospital also need to the access of complete clinical information that are usually
unavailable at the point of care, such as diagnostic and imaging information.
 Currently, there is no system that addresses the above needs. There is lack of innovations
to improve the current system thus making the need for a new system more urgent
(Fraser, Biodich, Moodley, Choi, Mamlin & Szolovits, 2015).

5. Consequences of the new system
 Risks associated with the current system
 Since the hospital staff will have access to multiple data, their enhanced access may lead to more risks
such as disclosure of patient data, this is however a risk that must be mitigated or controlled by use of
various security controls such as authentication and deployment of physical security (Papp, Ma & Buttyan,
2015, July).
 This is because the nurses may disclose patient-specific data to users, hence lead to negative effect on
work-flows and also patient-provider interactions, and information overload from the computer generated
data (Simborg, Detmer, Berner 2013).
The facility will need to use the custom system in accessing up-to
date information, improve user interface and facilitate usability of the
current system (Sattarova and Kim,2017).

6. Gantt Chart

7. Evaluation Plan
 Measures
 Since the methodology uses agile development approaches, the evaluation metrics will include the
lead time, cycle time and team velocity. Other metrics include production that measures the attempts
to find out how much work is done and also determine the efficiency of the development teams
(Abrahamsson, Salo, Ronkainen & Warsta, 2017)..
 Data sources
 Surveys and Questionnaire: the surveys open ended information and close ended information from
patients, clients and other providers.
 Focus groups and interviews: The focus groups uses interviews for specific themes, the focus group
for the evaluation will come from patients and doctors.
 Evaluation data sources
 The statistical models such T-tests will be applied in the evaluation of data source.
 Methods of data collection
 The data collection will be done through interviews, and questionnaires on the physicians.

8. References
 Schoen C, Osborn R, Squires D, Doty M, Rasmussen P, Pierson R, et al.(2012). A survey of primary care doctors in ten
countries shows progress in use of health information technology, less in other areas. Health Aff (Millwood).
December;31(12):2805-16.
 Sattarova, Y and Kim T. (2017) 1T Security Review: Privacy, Protection, Access Control, Assurance and System Security.
 Alain, G. (2018). Can Governance and Regulatory Control ensure private higher education as business or public goods
in Bangladesh. Afr. J. But Manage, 3(12): 890-906.
 Simborg DW, Detmer DE, Berner ES (2013). The wave has finally broken: now what? J Am Med Inform Assoc.
June;20(e1):e21-5
 Fraser, F., Biodich, P., Moodley, D., Choi, S., Mamlin, B., & Szolovits. (2015). Implementing electronic medical record
systems in developing countries. Informatics in Primary Care, 14(1), 83-95.
 Jeffrey A. Hoffer, J. F. (2014). Modern Systems Analysis and Design (7th ed.). (S. Wall, Ed.) Edinburgh Gate: Pearson
Education Limited. Retrieved July I, 2016
 Seymour, T. and Hussein, S., 2014. The history of project management. International Journal of Management &
Information Systems (IJMIS), 18(4), pp.233-240.
 Papp, D., Ma, Z., & Buttyan, L. (2015, July). Embedded systems security: Threats, vulnerabilities, and attack taxonomy.
In 2015 13th Annual Conference on Privacy, Security and Trust (PST) (pp. 145-152). ieee.
 Abrahamsson, P., Salo, O., Ronkainen, J., & Warsta, J. (2017). Agile software development methods: Review and
analysis. arXiv preprint arXiv:1709.08439.