Design a IT architecture

Description


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.

Please complete question attached.

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 ……………………………………………………………………………………………………………………………………. 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. 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.
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)
• 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:
















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.

Purchase answer to see full
attachment

We offer the bestcustom writing paper services. We have done this question before, we can also do it for you.

Why Choose Us

  • 100% non-plagiarized Papers
  • 24/7 /365 Service Available
  • Affordable Prices
  • Any Paper, Urgency, and Subject
  • Will complete your papers in 6 hours
  • On-time Delivery
  • Money-back and Privacy guarantees
  • Unlimited Amendments upon request
  • Satisfaction guarantee

How it Works

  • Click on the “Place Order” tab at the top menu or “Order Now” icon at the bottom and a new page will appear with an order form to be filled.
  • Fill in your paper’s requirements in the "PAPER DETAILS" section.
  • Fill in your paper’s academic level, deadline, and the required number of pages from the drop-down menus.
  • Click “CREATE ACCOUNT & SIGN IN” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.
  • From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it.