Patient Portal Implementation

Using a Patient Portal will put more information into your patients’ hands allowing them to better manage their own healthcare.

The consistent timing and accurate flow of information to physicians and other clinical staff is important to quality systems of healthcare organizations. The data to information to knowledge at the point-of-care for physicians require a high precision of accuracy, quality of data displayed/updated, and high performance (always available on the system without slowness or error).

Information retrieved can take many forms for clinicians; this could be reason-for-care, diagnosis, clinical reporting, e-referrals, scheduling, images, decision support, order entry, and so on. The information available, currently in hospitals and clinics on Vancouver Island, is either from primary care and clinics on their electronic medical record (EMR) and/or from hospitals’ electronic health record (EHR).

Vancouver Island Health Authority has engaged their current EHR vendor to provide applications for accurate and timely displaying of patient information on the system. One main application that is important to implement to provide physicians, nurses and clinicians is the HealthyLife Patient Portal.

This portal is part of a suite of applications to implement with the vendor’s EHR. The stakeholders (physicians, nurses, operational managers, and leadership) have asked for a strategy to implement a patient portal in the next 6-8 months. As a system analyst, you are required to research into the high-level technical requirements for architecting, designing, and implementing the bolt-on solution of a patient portal with five main functions.

 

Factors to consider

 

High availability, scalability, and supportability of the technical components as well as ensuring training and adequate technical staff members to support the solution. Also, there will be five phases in the implementation that the vendor has indicating they recommend but you need to outline each of the five phases of deploying a fully functional patient portal.

As the system analyst, your task is to outline in detail five main scenarios. (Each with separate functionalities), and to develop a strategy deploy the main functionalities. Which one scenario must include patient logs into the system, looks up and modifies scheduling. Another scenario to include is printing from patient portal over a client-server architecture similar to Cerner Millennium.

Also, please include some indication in the diagram for cloud computing and use of Amazon Web Services (AWS) to compare with web client to server architecture for developers. Each scenario includes a minimum of physician, nurse and patient, and can include additional actors. Also, include an activity table and events table for each scenario.

 

Assumptions

 

Assumptions for each use case and system components need to be stated and outlined. (You can use references to support your assumptions). With these scenarios please relate how the Patient Portal would address three of the following chronic disease illnesses. Chronic Disease Assessments At the start of the assignment. Two SDLC models are required to compare which software lifecycle planning is based for a 5-phase deployment.

In your assignment as a system analyst, a suite of UML drawings, like five use cases, sequence or collaborative, and two 3-tiered architecture diagrams is required to add to your methods and results. Moreover, two data flow diagrams are required on mapping how the data is displayed on the patient portal and where the data are stored.

Discuss the diagrams in your methods, results and discussion with reference to each diagram in the Appendix section. (Placed after your Reference section). A comparison of the traditional with that of object-oriented UML methods will be part of the discussion. We will discuss the requirements in class as a group in the coming weeks.

This is an individual assignment (in pairs or individually) but you can discuss the requirements among your classmates. Also, you can share knowledge and references of patient portals in research and technical papers online.

 

 Questions to address in your paper:

 

History and current state of the patient portal systems in healthcare you have chosen to focus on?

What is your strategy from non-technical assumptions?

What is the SDLC and major technical components?

How to diagram the patient portal system with assumptions?

How to compare a web client-server diagram to cloud computing with Amazon Web Services (AWS) and APIs?

What have been the major trends in this area from

  • (a) outside of healthcare
  • (b) within healthcare for patient portals?

How has this area helped in improving healthcare applications?  (Or how could it if it hasn’t been applied to healthcare yet)?

What are the future major trends for this area of human factors?

  • (a) in general
  • (b) in healthcare specifically?

Final version, style, format and other requirements:

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