Subject Code : ICT616
Assignment Task:

ORGANIZATIONAL BACKGROUND 
Elkhorn is the county seat of Elk County and is located in north central Maine. Elk County is the largest county in Maine in terms of geographic size but at the same time is the least populated. Elkhorn has a population of approximately 9,500 and the county's total population is about 35,000. With the exception of Elkhorn, the county's population is highly geographically dispersed. The main industries in Elk County are lumber, tourism with several well-known year round resort lodges, and paper products. This case is based on a real pediatric medical practice. However, the geographic location, the names of patients and their parents, and the general setting have been changed. For the past decade, like many other rural areas in the United States, Elk County has been experiencing a shortage of medical personnel and facilities. Several years ago the county received a grant from the Federal Government to fund a new but modest pediatric medical facility and the medical education of a pediatrician. The County Manager is responsible for the management of the federal grant. In return for the paid medical education, the pediatrician signed a contract to practice for a minimum of five years at the new pediatric medical facility, the Pediatric Medical Center (PMC), located in Elkhorn. The doctor, having just recently completed medical training, arrived in Elkhorn a little over a month ago and has started to fulfil her contractual obligation. 

DETERMINING THE REQUIREMENTS 
The initial budget for the medical center included the purchase of a small client/server based medical information system to assist in patient billing and medical record keeping. After consulting with the county’s Director of Information Systems, the County Manager decided to wait until the doctor arrived before purchasing the system. The Director of Information Systems was unsure of the requirements in terms of hardware and software and wanted the doctor’s input into the decision. He was uncertain about the physician’s desired location of individual personal computers (PCs) in the new medical center and, consequently, the quantity of PCs that needed to be purchased. But even more troubling for the manager, was his strong belief that he was highly unqualified to determine or evaluate the software requirements for a pediatric medical system. 
Shortly after the doctor arrived, the Director of Information Systems assigned one of the county’s assistant business analysts to determine the software requirements for the new medical information system. 
He brought the analyst up to speed on the situation at the Pediatric Medical Center and requested that she find a suitable "off-the-shelf" software package that will satisfy the processing and reporting requirements of the doctor, the county, the federal grant, the state's Medical Assistance (MA) program and the primary local health maintenance organization (HMO), Healthy in America. Medical Assistance is a statewide program run by Maine’s Department of Public Welfare for low-income families that cannot afford medical insurance. Medical Assistance works very much like an insurance company where the doctors that agree to participate in the program accept the state’s published fee schedule for services provided to Medical Assistance patients. The business analyst knew the first task was to determine the functional requirements of the new patient billing and medical records system. This was accomplished by conducting multiple interviews with the doctor, and personnel from the county, the state's Medical Assistance Office and Healthy in America. After the interviews were complete and she felt she understood the requirements of the various parties, the analyst prepared a functional requirements report. The report was submitted for approval by all the parties she interviewed. A few minor changes were suggested and incorporated into the report and then a final version of the PMC Functional Requirements Report was distributed to all concerned parties

QUESTIONS

Q1. The DAMA DMBOK textbook describes the following two core activities as part of the Data Architecture management exercise: “Understanding enterprise information needs” and “Develop and Maintain the Enterprise Data Model”. 
Explain these activities, citing relevant academic sources where appropriate. Your discussion should not simply contain general definitions but should consider the context of the organization described in the case study. For instance, how would each of the components in an Enterprise Data Model apply to the healthcare provider described? 

Q2. Consider what makes this particular industry unique from others. Data management is constrained by certain requirements such as 
(a) government regulations, 
(b) business concerns and 
(c) legitimate needs. These should be mentioned in your discussion. 

To address Q2a you must locate legislation or rules specific to Australia that pertain to the collection, storage or use of medical or healthcare records. These may consist of general privacy legislation as well as specific acts relating to healthcare.

 

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  • Uploaded By : Alex Cerry
  • Posted on : May 30th, 2019

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