Project management Healthcare sytems
Yammie254
Milestone1_White.docx
HIMT-370 Y.White
UWG-Pre Planning
UWG Clinic
Task 1) - Business Profile
Create a business profile for UWG. In addition to the business profile, be sure to include an organization chart of UWG.
Org. Chart
Business Name: Universal Wellness Group (UWG)
Business Address: Brea, California
Customer Base: 8000 Patients from 325 Organizations
Total number of Employees: 26
Primary Line of Business: Preventive medicine and fitness
The Goals and Objectives
Our goal is to provide an environment that is concentrated on preventive health and fitness, as well as providing traditional medical and services.
The product
Internal Medicine office. Preventive health and fitness. Private practice.
The Target Market
Adults age ranging from 20 - geriatric.
Task 2) - Business Processes
Identify six business processes that UWG performs and explain who has primary responsibility for each process. Also describe what data is required and what information is generated by each process.
|
Process |
Primary Owner |
Data Required |
Info Generated |
|
Payroll |
Corinne Summers |
Hours worked, Vacation time taken, Amt staff make per hour |
Salary, Tax computation, commission |
|
Human resource |
Fred Brown |
Employee profile, Tenured, Salary, training, open and close positions |
Pay Scale, Benefits, Job posting, Employee records |
|
Appointments |
Lisa Sung |
Scheduling Data, Providers available |
Appointment desk schedule |
|
Medical Records Clerk |
Susan Gifford |
PT encounters and information |
Proper Treatment plans for PT proper billing |
|
Billing Insurance companies |
Tammy Allpio |
Proper coding of charges, correct insurance information |
Generate claim to send to payor |
|
Monitor money being received and spent |
Tom Capaletti |
Visits being billed, visits paid, expenses and invoices |
Expenses reports, budgets, loss reports |
Task 3) Opportunities
UWG has a variety of information systems they could adopt. Why would UWG implement a transaction processing system, a business support system, or an ERP system?
Transaction processing system can simplify charges and insurance claims. Business support system can be utilized for analyzing claims, payments, and workload. A user productivity system increases overall efficiency within the office.
Recommendation
What information system would you recommend UWG to implement?
I would recommend UWG utilize a transaction processing system. This will allow each charge, payment and insurance claim to be completely tracked. It would also reduce administrative costs. Although not a large clinic, jobs perhaps could be combined. This system also has the capability of speeding up insurance reimbursements and provide thorough reports. The system would start with the correct information being gather during scheduling.
Task 4) - Development Methodology
Briefly introduce the three systems development methods discussed in the chapter. Select one approach and explain the strengths and weaknesses of using your selected method.
Transaction Processing System (TPS) is an operating system used to process day to day recurring business transactions, such as customer billing. A business Support System (BSS) provides job related information support to users at all levels of a company. Although the business support system could be utilized to determine future staffing needs, it is very limiting regarding day to day processes. Enterprise Resource Planning (ERP) is a process that establishes an enterprise wide strategy for IT resources. ERP dents a specific architecture, including standards for data, processing network and user interface design.
A business support system (BSS) is an information system that is used to support various end-to-end telecommunication services, such as Billing, order management, and customer relationship management. I have listed the pros and cons of working with a BSS system.
Pros:
Offers a paperless method of exchange
Bother free access, ensuring the bill with the assistance of secret key and can be opened just by the beneficiary.
Allows working from home
Reduce central office costs
Better use of time
Cons:
Billing frame works can be outsourced
Security breaches and poor working conditions, the dread of security to the individual’s data, expanded spyware and malware on the web.
Lack of community. When a business’s workforce is widely scattered, the sense of community and business culture can be greatly reduced or completely disappear.
Timothy Jones
Deloris Garcia Physicians
Anita Davenport Office Manager
Susan Gifford
Medical Records
Tom Capaletti
Accounts Receivables
Fred Brown
HR/Employee Benefits
Connie Summers
Payroll
Tammy Alipio
Billing
Lisa Sung
Appointments Clerk
