Capstone Case: 1

Business Profile:
New Century Wellness Group offers a holistic approach to health care with an emphasis
on preventive medicine as well as traditional medical care. The company was founded ten years
ago by to internal medicine specialists. NCWG has some competition, but no others offer the
same range of services. They employ over 20 staff and service a client-base of 8,000 patients.
Currently NCWG has one location and is considering an additional. I will ask for addition details
about the day to day operations including the billing system as well as insurance verification.

Organization Chart:



Business Processes:
1. Patient Intake. Lisa Sung. Data required: Doctor availability and Patient
financials. Data Generated: patient information, name, phone, date of birth,
insurance, etc; also change in doctor's availability.
Founder
Timothy Jones
Dolores Garcia
Office Manager
Anita Davenport
Support Staff
Seven People
HR and Employee
Benefits
Fred Brown
Payroll, Tax Reporting
and Profit
Distribution
Corinne Summers
Medical Records
Maintenance
Susan Gifford
Accounts Recievable
Tom Capaletti
Appointment
Manager
Lisa Sung
Insurance Billing
Tammy Alipio
Medical/Office Supply
Organizer and
Orderer
Carla Herrera
2. Check Medical Supplies. Carla Herrera. Data Required: Current supply inventory
lists, ordering information, and accounts to bill for supplies. Data Generated:
Updated inventory records and incoming supply list.
3. Accounts Recievable. Tom Capaletti. Data Required: Incoming Payments and
invoices for business expenses. Data Generated: Records of collected funds and
dispersed funds.
4. Payroll. Corinne Summers. Data required: Employee list with pay rate, direct
deposit info, tax info, and hours worked. Data Generated: Outgoing paychecks to
employees.
5. Patient Billing. Tammy Alipio. Data Required: Patient personal information and
insurance contacts. Data Generated: Bill sent to patient.
6. New Hire. Fred brown. Data Required: New hire information to be entered into
system Data Generated: New Hire payroll info and benefit package.

Recommendations:
I would recommend a business support system with an included transaction
processor. Each department needs access to a variety of information in order to make
achieve success. Doctors need information to help patients. Patient billing requires
customer personal information as well as insurance information. The appointment
manager needs information on the doctors' schedules. The transaction processor will
aid accounts receivable and billing processes. An ERP shouldnt be necessary since each
department does not need access to all of the information.

Method:
I would recommend an agile software development system. There are many
facets, and each on needs to be developed separately. This would allow for a single
department to transition at a time, rather than the whole company being trained and
adjusting to a new system all at once. This will also make planning simpler, since one
implementation at a time.This could help to tackle tough problems, since more devotion
to a certain area until it is satisfactory. This will also allow a shorter timeline for each
departments solution. A potential downside to this approach is a longer overall
timeline, resulting in a department feeling neglected.


Capstone Case 2

1. An EMR is more beneficial than paper records, it allows providers to track historical
data and identify patients who are due for visits. The provider can easily compare patient
results to a populations average, and the overall care can be improved.
CPOE systems are designed to replace a hospital's paper-based ordering system. They
allow users to electronically write the full range of orders, maintain an online medication
administration record, and review changes made to an order by successive personnel. They
also off safety alerts, triggered when an unsafe order is entered. However they require an
exceptional amount of effort and customization before they can be effectively
implemented.
A CDS provides clinicians, staff, patients or other individuals with knowledge and person-
specific information, intelligently filtered or presented at appropriate times, to enhance health
and health care. The potential benefits are increased quality of care with avoidance of errors,
improved efficiency including cost benefit as well a patient satisfaction.

2. First I will meet with key managers, users, and IT staff to describe the project, explain
responsibilities, answer questions, and invite comments. This will help me gain insight to
better understand the problem or opportunity. Next Ill observe operations and review
documentation. Once all necessary info is gathered, Ill decide what is feasible based on cost
and timetable.

3. Based on my preliminary investigation, this project will be feasible. From an operational
standpoint, the current team works well together and a very efficient as is. So an overhaul
of the systems to make them work better together will be very beneficial. There is already
some technology in place so this will not be a drastic change to bring everything up to
speed, considering paper based items. Economically this new system will have a substantial
price, but will most certainly payoff in the long run. This new system will take a large
amount of time to get each department encompassed into one system while addressing
each need. Much testing will be needed due to the sensitivity of the data being used.

4. A new system to encompass all of the data required by the practice will contain many
systems into one. There will be business support system, to account for scheduling,
accounting, billing and payroll. As well as a support for clinical application including an
Electronic Medical Records system, a Computerized Provider Order Entry system, and a
Clinical Decision Support System. Systems Inc. conducted a preliminary investigation
performed by Systems Analyst James Crews as well as supporting staff.

Summary of Requests:
a. A business support system for the scheduling, billing, accounting, and payroll
functions
b. Electronic Medical Records system
c. Computerized Provider Order Entry system
d. Clinical Decision Support System

Findings:
From an operational standpoint, the current team works well together and a
very efficient as is. So an overhaul of the systems to make them work better together
will be very beneficial. There is already some technology in place so this will not be a
drastic change to bring everything up to speed, considering paper based items.
Economically this new system will have a substantial price, but will most certainly payoff
in the long run. This new system will take a large amount of time to get each
department encompassed into one system while addressing each need. Much testing
will be needed due to the sensitivity of the data being used.