The national health insurance system

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Reference no: EM13134192

The national health insurance system "Medigood" that pays for patient's visits to family doctors has provided a new category of service that family doctors can be funded for. This is for a telehealth medical specialist consultation for a qualifying patient. To qualify patients need to be any one of: 
- over 65 
- indigenous 
- diabetic or suffering other chronic disease. 
A consultation can occur when a family doctor with a patient in attendance links up for a consultation with a medical specialist using Telehealth equipment. Medigood will make a payment to both the family doctor and the specialist. 

Medigood has already provided Telehealth equipment to all doctors and specialists but to date very few doctors have taken advantage of this; it is believed this is because it is a disruption to their normal workflow and takes too long for them to set up a Telehealth consultation with a specialist. You should do a search of the Internet to understand Telehealth and how it can be used. 

Your friend Lee has come up with a new business idea and has asked you for help due to your studies in Business Analysis. Lee proposes to develop a software package that will sit on the doctor's computer alongside any other patient management system (PMS) they may have taking advantage of available interfaces. Most doctors use the same PMS and the APIs are readily available. Lee's software will monitor appointments and when it sees the doctor is entering notes or searching for a qualifying patient, or if a qualifying patient has an appointment, it will alert the doctor that the patient is eligible for a Telehealth consultation and search for an available medical specialist. Medical specialists are expected to register with the system which will monitor when they are on-line and potentially available for a Telehealth consultation with a patient and their family doctor. When the doctor and the specialist accept the telehealth consultation the Telehealth equipment at either end is activated. Once the consultation is completed the software will process the claim for payment to the insurance. 

System Capabilities 
The new system should do the following: 
? monitor the doctor's use of their Patient Management System and check the patient's record to see if the patient qualifies for a Telehealth Consultation 
? alert the doctor if the patient they are currently seeing, or next scheduled patient, qualifies for a Medigood Telehealth consultation 
? identify through an already-existing on-line register of specialists available for Telehealth consultations to find a suitable specialist who is available to participate in an on-line consultation 
? if the doctor and a specialist at both ends accept the consultation then it will switch on their Telehealth equipment (web-cams and voice) to enable the consultation 
? update the PMS with any notes taken by the doctor 
? issue a claim form to Medigood for both the doctor and the specialist to be paid for the Telehealth consultation 

Application Benefits 
This system should provide the following benefits: 
? automatic alert the doctor that the patient qualifies for Telehealth and invite the doctor to accept the proposed consultation through Telehealth 
? search for an available specialist through an already-existing hub 
? automatically send a claim to Medigood so both doctors can be paid for the consultation 

Your task 

Following the work you did for Lee that you undertook in Assignment 1 you have been invited back to participate in the project. At this stage you are well ahead with your university assignments and happy to help. Lee has decided to invite tenders for development of the system and has asked you to develop the specification, evaluation methodology that will be made available to companies that express interest in the development project for Lee. 

Lee has decided to go through a 2-phase tendering process involving an RFI (Request for Information) then a closed RFT (Request for Tender). You are asked to support this through the following tasks. 

Task 1 
Draft the RFI (Request for Information) which will be advertised widely. Search for examples. 

Task 2 
Review the case study and prepare an event table for the information system to support the business processes as described. Use at least the following headings for the Event Table: 
Event Event Type Trigger Source Activity/Use Case System Response/ 
Output Destination 

Task 3 
Prepare a Use Case intermediate description for the use case 'Process the payment claim', as documented in the event table solution and the use case diagram solution. 

Task 4 
Draw the design class diagram for the Patient and Family Doctor classes. These two classes should be part of the Domain model class diagram solution for the previous question. 
Each of these design class diagrams are expected to have a complete attributes list and a comprehensive methods list which supports the specified functionality as described in the case study. 
Solutions must follow the methodology as outlined within the Satzinger et al textbook. 

Task 5 
Draft a summary of the functional specifications which will be included in the RFT (approximately 1 page). 

Task 6 
Presume you have completed the processes of RFI, RFT, evaluation of tenders and selection of a solution. Write the executive summary of the Report to Lee where you explain the processes undertaken and recommend a preferred supplier (approximately 1 page). 

Reference no: EM13134192

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