State of Venezia, Department of Health - Deloitte Case Challenge 2010 Brian Groudan, Information Systems Sankalp Kulshreshtha, Information Systems Yixin Liu, Electrical & Computer Engineering Stephanie Yue, Business Administration
Background • Disease Surveillance • Mission Statement • Key Stakeholders
Initiation & Planning • Current Model • Our Model • What are you getting?
Initiation & Planning: Current Model 3 1
2 Physician Diagnosis
Patient Arrives
Report Form
7 CDC
Physician
Lab
mail 5
6 DOH
4
District Office
Local & State Offices
Initiation & Planning: Our Model 1
Patient Arrives
Physician Diagnosis
Report Software
Initiation & Planning: Our Model 1
Patient Arrives
Physician Diagnosis
2 Central Database (DOH)
Report Software
Initiation & Planning: Our Model 1
Patient Arrives
Report Software
Physician Diagnosis
2 Central Database (DOH) CDC
3 Bureaus
District Office
Local & State Offices
Initiation & Planning: Current Model 3 1
2 Physician Diagnosis
Patient Arrives
Report Form
7 CDC
Physician
Lab
mail 5
6 DOH
4
District Office
Local & State Offices
Requirements • Infrastructure • Labor
Requirements: Infrastructure Printers, ink Servers, netbooks, PCs, etc. Servers in the cloud Geospatial Information System (GIS)
Requirements: Labor Outsourcing, SQL developers, web developers
Consulting for medical equipment
IT Trainers (6)
Timeline • Overview • Prototype Stage (Phase 1) • Expansion Stage (Phase 2)
Timeline: Overview
Timeline (~5 years)
Timeline: Overview Phase 1 Prototype Stage ~1.5 years Timeline (~5 years)
Timeline: Overview Phase 1 Prototype Stage ~1.5 years Timeline (~5 years) Phase 2 Expansion Stage ~3.5 years
Timeline: Prototype Stage (Phase 1) Timeline (~5 years) ~1.5 years
• Purpose – – – –
1 District Office
Test software/hardware 4 Labs Gain user feedback Improve user interface 4 Physicians Make system usable
• Result – Usable system
1 State Health Center
• Incentive – Free IT provided
4 Hospitals
Timeline: Expansion Stage (Phase 2) Timeline (~5 years) ~3.5 years
• 1548 people need to be trained*
*Refer to your packet for detailed calculations
Timeline: Expansion Stage (Phase 2) Timeline (~5 years) ~3.5 years
• Tutorials – Online – 24/7 tech support (in-house) – Weekly training by district
• Incentive – – – –
1 year: 75% rebate 2 years: 50% rebate 3 years: 20% rebate >3 years: 10% rebate
Design • • • •
User Interface Security Usability Integrity of Data
Design: User Interface • Patient File Manager File Folders Contacts Patients (ID) Consultations Treatments Patient History Calendar Tasks
View
Entries
Patient File
New
Reports Edit
Help Delete
Name
ID
Patient Info
Search‌
X
Design: User Interface • Gapminder: helps analyze indicators of development (http://graphs.gapminder.org/world/) 1
2
Start 4 Future
3
Design: User Interface • Gapminder
Design: User Interface • Geospatial Information System (GIS)
Design: Security • • • •
Access Rights Edit History Encryption of Information Backup Systems
Design: Usability • • • • •
Handheld Device User Interfaces User Support Printer Ready Data Alert System
Design: Integrity of Data • Error Checking • ID Card System/Barcode • User Access Privileges
Costs • Labor & Technical
Costs: Labor & Technical* • Labor: approximately $1 million/year – – – –
Trainers Developers Customer Service Maintenance
• Technical: approximately $400K – Hardware – Software
*Refer to your packet for detailed cost analysis
Stakeholder Analysis • Disease Reporters • Public Health Community
Stakeholder Analysis: Disease Reporters • Goal – User-friendly interface to patients’ history – Ability to easily and efficiently update patient’s records
• Result – – – –
Direct access to DOH, within appropriate access rights Database connectivity 24/7/365 live updates 24/7 tech support
Stakeholder Analysis: Public Health Community Local & State Health Departments • Same information, less responsibility DOH Central Office • Streamlined process, fast & flexible, system security, timely, integrated data • Centralized, more responsibility Bureau of Epidemiology
Infectious Diseases Vaccine Preventable Disease
Bureau of Family Health
Lead Poisoning
Bureau of Communicable Diseases
Sexually Transmitted Diseases Tuberculosis
DOH’s Vision Realized • • • • •
Streamlined Process Fast & Flexible System Security Timely Integrated Data
DOH’s Vision Realized Policy, Programming, Collaboration
Data Collection
Centralized Database
Data Dissemination & Sharing
“…in pursuit of good health”
Data Analysis & Evaluation
DOH’s Vision Realized! Streamlined Process
DOH’s Vision Realized! Streamlined Process Fast & Flexible
DOH’s Vision Realized! Streamlined Process Fast & Flexible System Security
DOH’s Vision Realized!
Streamlined Process Fast & Flexible System Security Timely
DOH’s Vision Realized!
Streamlined Process Fast & Flexible System Security Timely Integrated Data
DOH’s Vision Realized! Streamlined Process Fast & Flexible System Security Timely Integrated Data And more…
Questions? team A+VANTAGE Brian Groudan, Information Systems Sankalp Kulshreshtha, Information Systems Yixin Liu, Electrical & Computer Engineering Stephanie Yue, Business Administration