telehealth exam 2

Please answer the following questions thoroughly and concisely. All questions should be answerable in no more than four typed, 1.5-spaced pages.

1. (70 points) Medio Nusquam Hospital is a small, 150 bed hospital in rural Oklahoma. Despite being small, they have been able to attract some fairly good physicians and are able to service a wide array of areas including oncology, pediatrics, emergency, limited ICU, OB/GYN, and a small, walk-in clinic. For several specializations, such as neurology, they must send patients to providers in larger cities. Recently, and fortunately for the residents of Medio Nusquam and the surrounding area, the hospital has been purchased by a corporate, for-profit hospital (Magnus Sanitatem, Inc.) that wishes to use it a launching pad for a rural health initiative using healthcare telematics. Use what you know about Enterprise Architecture to develop both an ‘As-is’ and a ‘To-be’ enterprise architecture for this effort. By ‘As-is’ is meant the potential EA that Medio Nusquam Hosptial currently has. By ‘To-be’ is meant the EA that they wish to have as a division of Magnus Sanitatem. Keep in mind that the goal of Magnus Sanitatem is to reach under- and un-served populations in the surrounding areas as well as provide new and expanded services within Medio Nusquam without increasing its number of physicians by any significant amount. Be sure to narratively and diagrammatically describe both architectures. Discuss the gap that exists between the As-is and To-be EAs and what needs to be done to bridge that gap.

2. (30 points) Defend or refute the following statement:

“Healthcare telematics will decrease costs, increase quality, and improve the overall health of the nation.”

Take a stand. Use the context of Public Health and the legal and regulatory environment for your argument.