i need some budget for this project

The Affordable Care Act law was passed to improve healthcare for its citizens in the United States by increasing the people that have health insurance and by decreasing healthcare cost. A benefactor to this law is the Medicare/Medicaid program which provides medical coverage to the poor, elderly and disabled individuals which is funded by the federal government. The Federal government covers funding for Medicare programs while it provides reimbursement funds for Medicaid programs provided by the states. (The National Federation Of Independent Business V Sebellius, Secretary Of Health And Human Services, 2012). The primary benefits of the Affordable Care Act Law are covering more consumers with improved quality of services while reducing healthcare cost, access to healthcare, and consumer protection. (ASPA, 2014) Centers For Medicare and Medicaid Services (CMS) manages both of these programs and by modernizing and strengthening the current system they will be lowering cost and providing quality care.

The Center for Medicare and Medicaid (CMS) is the federal office to organized the integration of Medicaid and Medicare services across multiple agencies nationwide. Its purpose is to improve access to services, improve coordination of services, and improve cost of services. Medical services cost billions of dollars to both the state and federal government; therefore, lowering the cost of these entities while providing valuable and improved services serves its mission. In complying with the mission of CMS, our team will provide a centralized database solution that will solve the following business problems:

· Efficient access to patient medical information by emergency personnel

· Integrated access to vital medical history and medication

· Patient access to their health record

· Decrease duplication of test by doctors

· Reduce fraud

· Improve patient care

· Reduce medical cost

· Improve patient outcome(About the Medicare-Medicaid Coordination Office, 2015)

The table below Figure 1 shows Medicare/Medicaid spending with and without reform and shows that with reform, great savings can be accomplished over time with cost savings measures such as the a centralized database.

Figure 1

The new system will provide the following functionalities:

· Automation of process for maintaining medical records:

1. Access medical information through Pin Number.

1. Provide access of medical information within health care facilities.

1. Access medical information from scanning health card via magnetic strip, or barcode

1. Information that can be accessed could include known allergies, current and past medical conditions.

1. Provide secure way of accessing information, i.e. encryption.

1. Provide for the ability to update and add information in real time.

1. Granting appropriate permissions to Doctors, Paramedics, Patients, etc.

1. Patient authorizes medical personnel access to medical records per HIPAA regulations.

1. Track prescription via medications paid for by Medicaid insurance

High-Level Proposed Solution and Business Benefits

· The solution for this type of system is barcode or magnetic strip on insurance cards which would retrieve patient medical.

· When scanned, important medical information will be readily available to doctors or emergency personnel.

· This information can then be linked to a centralized database for all hospitals which would be housed by government entity

Project Objectives

The objective is to reduce cost while improving patient care by providing access to vital medical information to the stakeholders that need it.

Project Conception

The database will provide input via magnetic strip, updates will be done by medical personnel by scanner

Project Scope

The scope of this project is to provide a centralized database that will serve the following purposes based on the mission and vision of CMSwhich is to improve patient care while reducing cost:

· Access to vital medical informationin an emergency

· Access to medication historyby doctors, patients and emergency personnel

· Access of medical history for patients via pin

· Updated medical information via doctor’s offices

· Access to centralized database via insurance card bar code

Gant chart goes here

Project Vision

The vision of this project is to provide a comprehensive centralized database system that will provide vital information that will improve health service while reducing cost affecting a wide adaptation that will save lives, provide analysis for improved medical care, improve patient outcome and drastically reduce medical cost.

Business Constraints:

· HIPPA requirements will require the system to protect all patient information that is communicated through documents, verbal communication, electronic communication and any other methods of communication.

· Budget constraints for Federal funding – Implementation of the system to be federally approved to work with Affordable Care Act.

· Web Application will require hospitals to update patient information continually to reflect current medical history

· Patients will have to actively verify their health information is current and accurate.

The technology used for the new system will rely on the latest available in computing technology and software development advancements.

· The system is to be accessed through web application available on workstations, Laptops and mobile devices

· Software development of new system to integrate with existing electronic medical record systems

· Security of the system will be paramount to ensure compliance of HIPAA: Web Application, Database, Active storage and Data at Rest

· Strong Encryption Standards will need to be applied AES 256 at minimum; requiring processing and computing strength

· Integration of multiple OS, architecture, mobile devices – Windows 7, 8RT, 8.1, 10, Linux, MAC OS, Android, Windows Phone, Apple Phone

· Track changes to medical records and identify who made the changes (may require digital certificate for non-repudiation)

· Setting permissions for create/read/modify/delete/view for users to update patient medical records.

· Medicare/Medicaid insurance cards will need to be updated to Smart Card with magnetic strips, barcodes or microchips

The Central Medical Information System to Improve Patient Care is to eliminate the issue of emergency medical personnel from having to guess what medical conditions, allergies, current medications or major health issues a patient may have. The system is to provide this necessary medical information should the patient be unconscious, unable to speak for themselves or having to rely on family members not having the most updated medical history. The Medicare/Medicaid insurance smart card will be scanned by medical staff to view pertinent patient information to save lives in emergency situations. The information will be updated by medical doctors providing treatment. The system will be available through web application and mobile application to provide availability regardless of location or hospital used.

The focus of this section is to outline documentation guidelines as it pertains to the project of centralizing medical information. The goal is to document and communicate the core of the project which includes the project objectives and deliverables and to ensure the project requirements have been met. The project documentation will capture, share, and communicate important details and plans to ensure all team members are on target as well as provide the customer important information for decision making. Documentation will consist of status reports to confirm what has been accomplished as well as any potential issues that could affect the overall delivery. Project communication will consist of processes that will outline information distribution as well as performance measurement methods. It will be a coordinated effort through email and team meetings as well as mobile technology such as Google Hangouts.

The project organization and staffing approach will be structured around the project activities. The goal of project organization is to nurture collaboration and interactions of all those involved in the project as well as promote communication. Extended goals will be to identify member roles in the project as well as define the terms at which they will perform in their respective roles. The staffing approach will consist of resources for the delivery of the project deliverable. The staffing approach will include existing team members to better align the project strategy and goals.

It is a fact that almost all individuals have a very large amount of medical information with their personal physicians. In most cases these physicians store the information about their patients as digital records by using the electronic healthcare record (EHR). These types of records are very inefficient mainly for the clients or the patients. This is because the information that is stored in this means is not available to the patient themselves or other physicians .Access can only be availed to other physicians only if the hospital is in an integrated system something that most of them are not. More sadly, the main physicians most of that times experiences delays accessing the patient data needed to treat a patient.

This is very worrying, especially in emergency situations. For example assume that an individual collapses while in a work vacation in another town and is rushed to the nearest hospital. To be able to identify quickly the problem, the doctors may need prior medical records that are not available in this kind of a system. This is why having a centralized information database is very important. A centralized system removes all the bars that are there in the access of effective medical care. It enables a patient to have access to their medical record and gives them the freedom to visit any physician and still have quick access to the data (Lima, John &Liebler 2008). A centralized system helps to make access to health care flexible for the patients. With such a system health care provision is highly improved since any physician can treat an individual with the background of the prior medical records.

The centralized system also helps to add data to the clients because when all the medical records can be accessed from one point, it makes it easy to make strategies of improving healthcare. Organizations that are concerned with formulating policies on how to improve healthcare can be able to have access of all the data from the same point and thus easily identify the major areas where more intervention is needed.

Give an overview of all the value this project will bring to the business.

This system does not only add value to clients and the consumers, but it also adds a lot of value to the healthcare sector itself. With this system, the business bears a ton of benefits along with it. First there is an increase the security of information. One of the main objectives of health care and health care professionals is to uphold the confidentiality of the information of all their clients. With the small electronic record systems, the information is subject to a lot of cyber security issues mainly because they lack the complexity needed to prevent the hacking and many other cyber-crimes. With the centralized system, the level of security for the patient information is taken to a whole other level. For example, for one to have access to information according to this project one has to have an insurance card that is used to access to medical records. The card itself has locks such as pins to ensure that only the owner can use it. With this, access to personal medical information is based on personal terms.

The centralized system of medical record keeping also helps the business to be more effective and efficient (State of California 2015). First it helps to ensure that any physician can have access to past medical records of a patient when treating the patient and this makes the administration of medical care easy and also very effective. This is because they can be able to make decisions on how to treat a patient with the background of the past diagnosis and past health conditions. With the prior medical records, the doctors can decide what drugs to administer and what not to for example if the patient shows allergic reactions in the past. Second this system makes health care effective since the system ensures uniformity of records making it standard and easy to interpret.

This is a very crucial and a highly needed intervention in health care right now and this forms the basis as to why the project should be funded. This project is very holistic and helps to provide a highly needed solution to some of the main problems facing health record management today. The system suggested by the project will not only solve the problem of the inflexibility of access to healthcare, but it will also help to address the issue of security in the health records of the clients. This system will also help to standardize healthcare practice, ease the management of health care information and also ensure simple analysis of health care trends. This makes health care services more efficient, and it is for this reason that it needs to be funded.

The system proposed in this project helps to increase business, in this case, referring to healthcare in the sense that the main objective for healthcare is to reduce the rate of disease and to improve health status. By making healthcare more accessible and by making the analysis of health records easy such that organizations involved in the health information analysis have one point of reference helping them to identify the areas of priority.

The cost may not be reduced at first due to the costs that come with the management of the large data sets but with time ways of saving on the cost will result in a reduction in cost

Bibliography About the Medicare-Medicaid Coordination Office. (2015, 03 17). Retrieved 01 13, 2016, from CMS: https://www.cms.gov/Medicare-Medicaid-Coordination/Medicare-and-Medicaid-Coordination/Medicare-Medicaid-Coordination-Office/ Affordable Care Act Update: Implementing Medicare Cost Savings. (2010, 10). Retrieved 14 01, 2015, from CMS: https://www.cms.gov/apps/docs/aca-update-implementing-medicare-costs-savings.pdf ASPA. (2014, 11 18). HHS. Retrieved 01 14, 2015, from Healthcare Facts And Features: http://www.hhs.gov/healthcare/facts-and-features/key-features-of-aca/index.html Charvat, J. (2002, 11). Techrepublic. Retrieved 01 12, 2016, from Project communications: A plan for getting your message across: http://www.techrepublic.com/article/project-communications-a-plan-for-getting-your-message-across/ Nayab, N. &. (2011, 05). Developing a Project Management Staffing Plan. Retrieved 01 12, 2016, from brighthubpm: http://www.brighthubpm.com/project-planning/88606-developing-a-project-management-staffing-plan/ State Of California. (2015). California Department of Health Care Services. Retrieved 01 09, 2015, from What Is Hipaa: http://www.dhcs.ca.gov/formsandpubs/laws/hipaa/Pages/1.00WhatisHIPAA.aspx The National Federation Of Independent Business V Sebellius, Secretary Of Health And Human Services. (2012, 06 28). Retrieved 01 14, 2015, from Supreme Court : http://www.supremecourt.gov/opinions/11pdf/11-393c3a2.pdf

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