Ismt s-599 Capstone Seminar in Enterprise Systems Summer 2015 Team 3



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Gloco Healthcare Partners







ISMT S-599 Capstone Seminar in Enterprise Systems
Summer 2015
Team 3

  • Moshtaq Ahmed

  • Peter Hamill

  • Voicu Pop

  • Jason Reed




Team IT Provider Inc.



Final Report

Hospital System Transformation: Enabling Anywhere Healthcare


Table of Contents


1EXECUTIVE SUMMARY 4

1.1Company Overview 4

1.2IT Provider Overview 4

1.3Goals of the Engagement 4

1.4Solution Approach 4

2BUSINESS REQUIREMENTS 5

2.1Business Context 5

2.1.1Business Problem 5

2.1.2Use Cases 6

2.2Business Processes 6

2.3Requirements 9

2.4Business Benefit Justification 10

2.5Success Metrics 10

3TECHNICAL SPECIFICATION 11

3.1Overview 11

3.2Software Solution 14

3.3Integration 24

3.4Data Design and Management 26

4IMPLEMENTATION PLAN 29

4.1Solution Development 29

4.2Solution Deployment 32

4.3Operational readiness 34

4.4User Enablement 35

4.5Success Metrics 35

5GLOSSARY OF TERMS 37

6LIST OF ACRONYMS 39

7APPENDICES 40

7.1Appendix 1: Costs & Revenue 40

7.2Appendix 2: Microsoft HealthVault Data types and information types 42

7.3Appendix 3: User Interface Examples 43

7.4Appendix 4: DevOps for GlocoHCP 45

7.5Appendix 5: Performance Monitoring and Incident Management 47

7.6Appendix 6: Measuring training (GlocoHCP’s Education Team) 48

8IMAGE REFERENCES 50

9BIBLIOGRAPHY 51



1EXECUTIVE SUMMARY

1.1Company Overview



Company Facts

No of Hospitals : 5

Total beds : 2,500

Annual Turnover : 1.3 billion

Out-patient Revenue : 208 mil

Annual Out-patient visits : 313,000

No. employees : 12,000
Gloco Healthcare Providers Inc. (GlocoHCP), a merger of Gloco Hospitals and LiCo Healthcare, has been operating successful Healthcare services from five hospitals in four states in US. The largest hospital with 900 beds is located in Boston, a 400 bed hospital in New York, 300 bed hospital in Indiana, and two 200 bed specialized cancer hospitals located in California. The combined company’s annual revenue is 1.3 billion with 1.1 billion coming from in-hospital care and 200 million from outpatient care, emergency services, and other health related services.

Hospitals are challenged by low cost at-home, ambulatory care, and smaller clinics. Reports suggest that there is a downward demand for hospital beds since 20081. Independently, Gloco and its competitor LiCO were challenged because of this downward trend and therefore each hospital’s board of directors made the strategic decision to merge the two companies to reduce costs, drive for efficiency, and improve revenue streams.


1.2IT Provider Overview


Team IT Partners (TIP) is a Cambridge, MA company with 8 years of experience in large system integration. TIP’s industry consultants and IT professionals will work with GlocoHCP to find the best solutions for its combined issues and help position the joint company for future innovation.

1.3Goals of the Engagement


GlocoHCP is an established company with legacy IT systems. The current system has following challenges:

  1. The patient systems for both legacy companies are large monolithic architectures that are difficult to understand, hard to change, and are not built for future growth.

  2. GlocoHCP needs to integrate and grow these existing systems without committing to a long-term partnership with another vendor, while allowing it the flexibility to create a way to interface with patients using the latest technologies for remote-patient monitoring to complete in the in-home care market.

1.4Solution Approach


TIP will undertake the following services to assist GlocoHCP:

  • Create a flexible services environment to allow access to legacy systems, while extending the capabilities of the company. The new environment will exist above the monoliths and slowly remove the need for the old services, while solving the business need of "integrating" the systems. This will support flexibility and adaptability for current and future regulatory requirements.

  • Create the necessary services to allow for growth in in-home patient monitoring by interfacing with online health systems (e.g., Microsoft HealthVault), GlocoHCP systems, and ambulatory care service providers. GlocoHCP can increase revenues by extending patient care beyond its hospitals into patient’s homes. In 2012 alone, 4.7 million patients were using at home care2, a market that GlocoHCP needs to enter to remain competitive.

TIP’s process will include working with GlocoHCP business sponsors to create the various services needed in a way that allows them to interoperate with existing systems in a non-intrusive way. It will use the principles of small, easy to change services (i.e., microservices) that can be rapidly deployed to a variety of environments and allow developers the flexibility to write in various languages without using proprietary components.

The platform on which the services will run will allow for continuous integration, delivery and collaboration while considering the operational risk of deploying new services. This will be accomplished by using processes and microservices behind a layer of abstraction to keep the current systems and users from having to change their routines. The services will use existing protocols and communication methods (such as EDI based HL7 and DICOM) to communicate with legacy systems so they will not need to be changed for business growth.

TIP will work with GlocoHCP to become more agile and introduce the concepts of DevOps to the company, while using some of GlocoHCP’s existing processes (e.g., change management). The project will use agile “sprints” to create the services and then pilot releases to patients so as to not disturb current business.

In the end, performance of the project will be measured, reported, and actions reviewed to give GlocoHCP the information it needs to judge success for itself.




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