Discussion: Design a IT architecture

Discussion: Design a IT architecture ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Discussion: Design a IT architecture reate a Microsoft ® Visio ® diagram of the current HCC HIT architecture and a second diagram of your proposed architecture that meets HCC’s business and performance needs and technical requirements. Discussion: Design a IT architecture Please complete question attached. questions_details.docx hit350_r3_hcc_profile.docx Healthy Care Community (HCC) is upgrading its HIT system. You are participating in the project. Review the Healthy Care Community Profile to become familiar with the scope of the Healthy Care Community HIT Upgrade project and the HCC business and technical needs. This week you will complete the first step of the project: documenting the current state of the HCC HIT system and creating a recommended architecture for the project team to review. Part 1 – Current and Recommended Architecture Diagrams Create a Microsoft® Visio® diagram of the current HCC HIT architecture and a second diagram of your proposed architecture that meets HCC’s business and performance needs and technical requirements. Consider the Digital Bedside Monitoring System Performance Issue described in the Healthy Care Community Profile when preparing your proposed architecture. Examine the performance issue to find the source of the problem, consider how you would resolve it, and include the resolution in your recommended design. Include the following in your diagrams, as applicable: • • • • • Five HIT components Current and proposed hardware Current and proposed software applications, along with notes regarding key interactions Data flow map Sufficient detail to support the creation of security, installation, and maintenance plans Part 2 – Design Explanation Create a 3- to 4-page explanation in Microsoft® Word for the project team that describes your design recommendation and how your recommendation will maximize performance and optimization. Include the following in your explanation: • • • A summary of your architecture design change recommendations A description of how your recommendations will improve overall network performance and the performance of individual components An explanation of how your recommendations will resolve the Digital Bedside Monitoring Performance Issue, including: o What a Medical Record Number (MRN) is and its role in accurately and uniquely identifying patients o What caused the performance error o A summary of your recommendation with supporting reasoning Note: The Healthy Care Community-related individual assignments in Weeks One, Two, Three, Four, and Five build upon one another. Compress your recommendation document and Visio® files of your system diagrams into a ZIP folder. Submit your ZIP folder to the Assignment Files tab. Copyright © 2017 by University of Phoenix. All rights reserved. Healthy Care Community Profile 1 HIT/350 Version 3 Table of Contents Contents Table of Contents ………………………………………………………………………………………………………………………… 1 Overview …………………………………………………………………………………………………………………………………….Discussion: Design a IT architecture 2 Health Care Community Profile …………………………………………………………………………………………………….. 2 Locations ………………………………………………………………………………………………………………………………… 2 Mission …………………………………………………………………………………………………………………………………… 2 Strategies ……………………………………………………………………………………………………………………………….. 2 Patient Satisfaction ………………………………………………………………………………………………………………. 2 Increase of Revenue……………………………………………………………………………………………………………… 2 Maximization of Operational Efficiencies ………………………………………………………………………………… 2 Gain of Positive Returns on Capital Investments ………………………………………………………………………. 2 Objectives ………………………………………………………………………………………………………………………………. 2 Healthy Care Community IT Initiatives …………………………………………………………………………………………… 3 HIT System Upgrade…………………………………………………………………………………………………………………. 3 Cloud-Based Solutions ……………………………………………………………………………………………………………… 3 Digital Bedside Monitoring System Performance Issues ……………………………………………………………….. 3 Go-Live Status Update! …………………………………………………………………………………………………………. 3 Pharmacy Medication Synchronization Initiative …………………………………………………………………………. 4 Challenges with the Pharmacy IT System ………………………………………………………………………………… 4 Electronic Medical Record (EMR) Upgrade Initiative ……………………………………………………………………. 5 EMR Initiative Update! ………………………………………………………………………………………………………….. 5 Network Performance Needs ……………………………………………………………………………………………………….. 5 Current Status …………………………………………………………………………………………………………………………. 5 Healthy Care Community Functions …………………………………………………………………………………………… 6 Required Future Status …………………………………………………………………………………………………………….. 7 Regulatory Security Needs ……………………………………………………………………………………………………………. 7 Copyright © 2018 by University of Phoenix. All rights reserved. Healthy Care Community Profile 2 HIT/350 Version 3 Overview Healthy Care Community (HCC) is upgrading its Health Information Technology (HIT) system and you are participating in the project. You will submit weekly milestone assignments in Weeks One, Two, Three, and Four. In Week Five, you will submit a proposal of your upgrade recommendations. Use this profile as a reference and resource. Health Care Community Profile Locations Healthy Care Community is made up of two acute care hospitals, located 20 miles apart. Mission To enable the community and the individuals within to enjoy maximum health by providing illness and injury care with the utmost excellence and compassion. Strategies Healthy Care Community plans to execute and achieve its mission through the four following strategies. Patient Satisfaction Patient satisfaction is the foundational strategy by which Healthy Care Community will attain its mission. It encompasses patient outcomes, compliance scores, patient and visitor experiences within the hospital, and the community’s perception of Healthy Care Community as a corporate neighbor and community member. Increase of Revenue Providing excellent care requires money. Discussion: Design a IT architecture Healthy Care Community seeks to maximize revenue wherever ethically possible through a strategy that captures, retains, and grows revenue. Maximization of Operational Efficiencies Maximizing operational efficiencies helps Healthy Care Community get the most value out of each dollar of revenue. Efficient operations also directly affect the patient experience and overall patient and visitor satisfaction. Gain of Positive Returns on Capital Investments Ensuring that new initiatives show a tangible return on investment (ROI). Objectives Healthy Care Community has identified the following objectives to support their mission and strategies: • Make the pharmacy a revenue-generating business line • Increase prescription capture rates • Leverage assets and resources to centralize and automate processes • Leverage the electronic medical record (EMR) system with an improved pharmacy, revenue cycle, and EMR integration • Reduce the Total Cost of Ownership (TCO) with respect to the IT infrastructure and HIT systems Copyright © 2018 by University of Phoenix. All rights reserved. Healthy Care Community Profile 3 HIT/350 Version 3 • • • Improve the security of HIT systems to protect the confidentiality, integrity, and availability of the HCC data, assets, and systems Improve compliance with regulatory requirements, such as HIPAA, FDA, and DEA Maintain Specialty Pharmacy Accreditation through improved integration of the pharmacy’s workflow and integrated point of sale (POS) system Healthy Care Community IT Initiatives The Healthy Care Community IT department has several initiatives to support the organization’s strategies and objectives. These initiatives encouraged HCC leadership to approve a HIT system upgrade. This upgrade is now a full project, along with the others noted below. HIT System Upgrade The current HIT system has not had a comprehensive overview in several years. The focus of the upgrades has been on keeping the individual components functioning and communicating with each other. The IT Director obtained authorization to review and upgrade the overall HIT system. The director laid out the high-level plan and tasks to his staff as follows: • Describe the system requirements of the other initiatives described in this section. • Track and report several issues that have negatively affected patient satisfaction and compliance. • Identify the issues that negatively affect timely revenue recognition and create barriers to operational efficiency. The identified issues include: o Narrowing margins and escalating costs o Total Cost of Ownership (TCO) for the IT infrastructure continues to increase o Increasing costs for supporting local servers o Insufficient manpower to manage the servers; lack of skilled resources for server operations and management • Identify the gaps in the security posture and recommend mitigation actions to protect the confidentiality, integrity, and availability of HCC’s data and assets. Cloud-Based Solutions IT leadership believes fiscal and operational efficiencies could be gained using cloud-based application services. While team members will research available cloud-based services that would work well for their organization, the HIT system upgrade would need to include technical considerations for using such services.Discussion: Design a IT architecture Digital Bedside Monitoring System Performance Issues Healthy Care Community recently implemented a new digital bedside monitoring system (DBMS). It is interfaced with the HIT system components as shown in the diagram. The digital bedside monitoring system measures the patient’s vitals which interfaces with the Electronic Health Records (EHR) and the Picture Archiving and Communication System (PACS). Go-Live Status Update! Upon the first day of operational use in both hospital locations, the nurses noticed that what the DBMS and PACS displayed on their screens did not match the actual patient that they are caring for in the physical bed. Copyright © 2018 by University of Phoenix. All rights reserved. Healthy Care Community Profile 4 HIT/350 Version 3 It appears that DBMS is mixing up patients between the two hospitals. While the hospitals share many systems, each hospital has its own Medical Record Number (MRN) database. There is not a unique MRN for patients between the two hospitals. To get around this, the Patient Registration System (PRS), which feeds the MRN to non-EHR systems, uses an extra field in its database that prepends a digit to the MRN to indicate which of the two hospitals the patient is admitted. This interface conversion is required to ensure that there is a unique patient identifier. Figure 1: Digital Bedside Monitoring System Pharmacy Medication Synchronization Initiative Healthy Care Community plans to implement a cloud-based solution for synchronizing medications per regulatory requirements. The upgraded HIT system will enable the successful implementation of the new process and application, as well as meet the established business objectives. Note: The Healthy Care Community Medication Synchronization Project Overview document provides additional information. This is a separate document provided in this course. Challenges with the Pharmacy IT System • • • Changing regulatory requirements Rising drug costs Decreasing drug reimbursements and complex medication reimbursement processes Copyright © 2018 by University of Phoenix. All rights reserved. Healthy Care Community Profile 5 HIT/350 Version 3 Healthy Care Community will compare two cloud-based pharmacy medication synchronization service providers (vendors) and select the most appropriate vendor based on criteria established for HCC’s needs and best practices. The vendors have functional, performance, and security information on their websites to help with the final selection of a vendor. The IT and security staff will need to define the hardware/software technical specifications, performance parameters, and security requirements to compare the vendors. Electronic Medical Record (EMR) Upgrade Initiative The Healthy Care Community EMR is outdated and is causing performance issues. The board of directors agree that the IT department is to implement a new solution that meets these high-level requirements: • Use either a cloud-based or open source solution to reduce overhead and costs in accordance with the HCC established objectives (see above) Discussion: Design a IT architecture • The solution must be Office of National Coordinator (ONC) certified • Design with fully integrated electronic health records and all functional services (i.e., radiology, laboratory, and patient monitoring) • Interoperable with Windows® and Mac OS X® systems • Meet security requirements, including but not limited to: o Ability to encrypt patient documents o Support for per-user, role-based access controls o Ensure secured remote access into the EMR solution EMR Initiative Update! After extensive research, requirements definition, and design, the board of directors approved the implementation of OpenEMR. The IT department is tasked with implementing and testing OpenEMR. Network Performance Needs Current Status Healthy Care Community operates with one Electronic Health Records (EHR) system, Patient Registration System (PRS), and one billing/revenue system. The Community consists of the standard HIT system components; some of which are shown in Figure 1. Copyright © 2018 by University of Phoenix. All rights reserved. Healthy Care Community Profile 6 HIT/350 Version 3 Figure 2: Healthy Care Community HIT Overview Healthy Care Community Functions Health Care Community has the following standard suite of hospital functions within the facilities: • Clinical Functions o Radiology o Cardiology o Laboratory o Bedside Monitoring o Infusion Management o Emergency Department o Labor and Delivery o Critical/Urgent Care (Internal and External) o Physician Offices (Internal and External) • Non-Clinical Functions (Business/Finance/Registration) o Patient Billing o Patient Registration o Patient Scheduling o Reporting o Materials Management o Bed Capacity Management o Health Information Management • Critical Enterprise HIT Systems (These are the heart of the HIT system components) o Electronic Health Record (EHR)/Electronic Medical Record (EMR) o Clinical Decision Support (CDS) Copyright © 2018 by University of Phoenix. All rights reserved. Healthy Care Community Profile 7 HIT/350 Version 3 o o Patient Registration System Patient Billing System Required Future Status The IT Infrastructure must be optimized to support the HIT systems throughout the environment. The CIO and CISO will collaborate to develop and maintain short- and long-term strategic plans to ensure the IT network infrastructure capacity meets existing and future requirements, which include: • • • • • • • • • • • • • • • • Discussion: Design a IT architecture Anticipating HCC’s networking and HIT system needs are designed and implemented to meet the mission, strategies, and objectives Foreseeing new capabilities for current and future HIT systems Leveraging new technologies to assist with the integration and improvements of HIT systems and work flows Designing, implementing, and maintaining HCC’s medical grade business and clinical network to ensure HIT systems are operating in a secure and stable environment with a goal of 99.99% network reliability Anticipating and designing bandwidth and security requirements Conducting frequent network traffic and capacity studies Planning and implementing IT network infrastructure security measures Work with senior leadership and HIT system owners to protect sensitive data Recommending products, services, protocols, and standards in support of the IT network infrastructure and HIT system development efforts Interacting with vendors to secure infrastructure-specific and HIT system products and services Conducting feasibility studies for various upgrade projects, improvements, and other conversions Developing installation plans to support implementation of new or upgraded HIT system projects Providing highly-skilled technical assistance in network and server planning, engineering, and architecture Providing resolution for network and/or server problems Creating and maintaining troubleshooting guidelines and associated support documentation on problem identification, fault isolation, estimation of effort hours required to complete problem resolution, and systems restoration in the event of a critical system failure Providing troubleshooting and/or disaster recovery services and other technical documentation Regulatory Security Needs Protecting the confidentiality, integrity, and availability of a business’ data and assets is fundamental to ensuring business objectives are met. HCC has not met all the security standards in accordance with the HIPAA security rule. The IT department and security professionals must identify and review the security gaps to determine mitigation actions through the hardware and software technical, administrative, and operational security controls to reduce the risks associated with those gaps. Copyright © 2018 by University of Phoenix. All rights reserved. … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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