Mountain View Community Hospital

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Mountain View Community Hospital

• Chapter 2
• Part A

2
Introduction

• Present organization
• MVCH is divided into two main groups
• Physicians
• Nurses/Clinicians/Administrators

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Introduction
Physicians
4
Introduction
Nurses/Clinicians/ Administrators
5
Introduction

• Goals
• Long-term Premium care, low costs
• Short-term Expand
• Expand capacity (add 50 beds in five years)
• Open nursing home
• Therefore, theyll
• Hire new staff on both sides of the organization
• Create two new departments for the nursing home
• Retirement Living (administrators)
• Geriatric Medicine (physicians)

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Introduction

• Critical Success Factors
• Quality of medical care
• Control of operating costs
• Control of capital costs
• Recruitment and retention of skilled personnel
• Especially nurses, given the type of expansion

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Introduction

• Objectives
• 2. Control of operating costs
• Reduce costs for purchased items
• (Buy cheaper stuff or less stuff)
• Schedule staff more efficiently
• (Stop paying people for wasting time)
• Lower cost of liability insurance
• (Screw up less, get sued less)
• Expand volunteer services
• (Get people to do your work for free)

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Introduction

• Enterprise Modeling(What goes on here, anyway?)
• Goals and success factors are taken into account
  when figuring out how to organize business
  functions.

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Introduction

• Primary business functions
• Patient care administration
• Clinical services
• Patient care services
• Financial management
• Administrative services
• They break these down further (Figure 2, pg. 68),
  but only as a rough draft.

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And now, the questions.

• Project Question 1
• Which information system planning matrices (among
  those shown in this case study or others not
  shown) might assist the study team at Mountain
  View Community Hospital to determine a tiered
  location plan for databases? Why?
• Translation
• What charts can we make to help us decide where
  in MVCH different data will live?

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Project Question 1

• Tiered location plan? Huh?
• Different types of databases can be thought of as
  being on different levels, or tiers.
• Enterprise
• gt Department
• gt Workgroup
• gt Personal
• Each type of data entity will belong to a
  particular tier, even when multiple tiers access
  or manipulate it

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Project Question 1
Any of the groups in the organization might have
its own database.
Enterprise
Individuals
Departments
Workgroups
We need to figure out which groups should have
them, and how the data should be divided among
them.
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Project Question 1

• What group owns a type of data entity?
• The group (or person) in charge of maintaining
  it.
• So how can you tell what group maintains it?
• By looking at the Business Functions that
  maintain it.

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Project Question 1
BUSINESS FUNCTION to DATA ENTITY matrix Page 70,
figure 4 (excerpt)
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Project Question 1
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Project Question 1

• You could also use a matrix to match the business
  functions to groups within the organization
  (business units).

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Project Question 1

• Answer A tiered location plan is a plan for
  which groups databases will maintain which data
  entities. Therefore,
• An ENTITY-to-BUSINESS FUNCTION matrix would help
  you figure out what function maintains a kind of
  data.
• A BUSINESS FUNCTION-to-BUSINESS UNIT matrix would
  then help you associate the entities to a
  specific group.

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Project Exercise 1

• Rearrange the rows and columns of Figure 4 (pg.
  70) so that the entries form a block diagonal
  pattern. What conclusions do you reach from
  analyzing this pattern?

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Project Exercise 1
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Project Exercise 1

• Generally, this arrangement makes it easier to
  see which business functions are busiest, and
  which data entities are most used.
• In this case, you can see that the PATIENT entity
  is used extremely often, along with LABORATORY,
  WARD, and TEST.
• Also, General Accounting maintains several
  entities, while Risk Management accesses many but
  maintains none.
• This might mean (for example) that Accounting
  will definitely have its own DB, while Risk
  Management should merely have a robust front-end
  to access other DBs.

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Lannys Question

• We figured out from Project Question 1 that a
  Business Function-to-Entity matrix helps figure
  out at what tier an entity should live.Look
  at Figure 4 (pg. 70), at the column for the WARD
  entity. Judging by the information given there,
  what tier of MVCH is likely to have the database
  that maintains that entity? (Refer to Figure 1
  on pg. 67)

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Project Question 2

• In the project description above, objectives are
  listed for one of the four critical success
  factors of the Mountain View Community Hospital,
  operating cost control. Write plausible
  objectives, given the structure and plans of the
  hospital, for the other three critical success
  factors.

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Answer Question 2

• Quality of Medical Care
• Hire more trained staff to be able to offer
  faster, friendlier medical care.
• Make sure the doctors and nurses meet all
  educational requirements and receive training on
  new medical breakthroughs
• Upgrade facilities with the most technological
  advanced equipment to provide the highest quality
  of medical care available.

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Answer Question 2 (cont.)

• Recruitment and Retention of Skilled Personnel
• Contact medical schools and scout out top
  graduates for recruitment.
• Offer competitive pay and insurance plans.
• Offer things such as free health club memberships
  and holiday bonuses.

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Answer Question 2 (cont.)

• Control Capital Costs
• Look for volunteers.
• Look for ways to save the hospital money.
• Example Find same quality medical supplies
  and equipment at a lower cost.
• Make the hospital more cost effective.

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Project Exercise 2

• Redraw Figure 1 to reflect the structure of the
  hospital after its planned future expansion and
  growth. Given this expansion and growth, what
  else would need to change about Figure 2, 3, and
  4?

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Answer Exercise 2
FIGURE 1
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Answer Exercise 2

• If the expansion of Retirement Living and Generic
  Medicine took place, Figure 2 (page 68) would
  need to be updated with some new sub headings
  under Clinical Services and Patient Care
  Services. Figure 3 (page 69) would see no
  changes, and Figure 4 (page 70) would see some
  changes. Some functions would be added to the
  business function-to-data entity matrix.

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Project Question 3

• What additional activities might occur within the
  Volunteering business function?

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Answer Question 3

• Find volunteers
• Train volunteers
• Schedule volunteers
• Evaluate volunteers

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Project Exercise 4

• Based on Figure 4 (page 70) and Figure 5 (page
  71), determine which data entities are essential
  for operating cost control, What implications
  does this result have for information systems
  development?

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Answer Exercise 3

• In Figure 5 (page 71), the data entities in the
  Business function-to-CSF matrix that are
  essential for Operating Cost Control are noted by
  an E in the Operating Cost Control column. They
  are Nursing, Patient Accounting, Cost Accounting,
  Risk Management, Purchasing, Inventory Control,
  and Volunteering. Now, use Figure 4 (page 70) to
  see what Data Entity Types are maintained or used
  by the business functions above. As you will see,
  almost all of them would be maintained or used by
  this CSF. Therefore almost all of data used in
  the two matrixes would be used in updating and
  maintaining the information systems MVCH.

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Brandons Question

• How can Mountain View Community Hospital lower
  the risk of malpractice toward their patients?

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Project Question 4

• What activities might occur within the risk
  management business function?
• The activities that would occur within the risk
  management business function would include
  employees and volunteers, personnel training, an
  urgent simulation session, back up system, backup
  facility and location and inventory.

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Project Question 5

• What additional data entities, besides the 10
  entities mentioned in this case, might the risk
  management business function need?
• The Mountain View Community Hospital might need a
  record of emergency evacuation plans and actions,
  and volunteers for patient care, for additional
  data entities.

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Project Exercise 4

• In Project Question 5 you listed additional data
  entities needed for the risk management business
  function. Modify Figure 3 to include these
  additional entities and the relevant
  relationships among all data entities.

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Project Exercise 4
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Shawns Question

• What needs to be included in a preliminary list
  of business functions needed for the
  administrative and medical activities within the
  Mountain View Community Hospital and describe the
  function of each one?

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Mountain View Community Hospital

• CHAPTER 2
• TO BE CONTINUED.