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Migration Plan for E-Business: Electronic Healthcare Application

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This research paper discusses the implementation of an e-health system for tele-health monitoring of the health of the patients. It covers the impacts, migration plan, changes in infrastructure, benefits, risks, and controls associated with the application.

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Migration Plan for E-Business
Electronic Healthcare Application
5/21/2018

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Electronic Healthcare Application
Table of Contents
Introduction...........................................................................................................................................2
Significance of the Research..............................................................................................................2
Research Questions...........................................................................................................................2
Research Methodology..........................................................................................................................3
Data Collection Methods...................................................................................................................3
Report to Senior Management...............................................................................................................4
Impacts & Migration Plan..................................................................................................................4
Changes in the Infrastructure.............................................................................................................5
Migration Plan...................................................................................................................................5
Purpose..........................................................................................................................................5
Migration Methodology.................................................................................................................5
Phases in Migration.......................................................................................................................6
Closure Phase................................................................................................................................7
Benefits of the E-Health System............................................................................................................7
Methods to Measure the Benefits......................................................................................................8
Major Risks & Controls.....................................................................................................................8
Conclusion...........................................................................................................................................12
References...........................................................................................................................................13
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Electronic Healthcare Application
Introduction
E-Business stands for electronic business and it is the set of business operations that are
carried out using electronic communications and technologies. Some or the other form of e-
business has become mandatory for the business firms in the present times. This is because e-
business allows a business organization to carry out the business operations easily and target
the global markets and customers.
One such step has been taken by a healthcare firm, ABC Healthcare. The firm was set up as a
not for profit healthcare organization in 2001. It provides health services, care, support and
assistance to the patients and has developed several centres as well. The need of healthcare
has now increased with the current lifestyle and environmental issues. The organization has
therefore decided to expand and involve e-business utilities in its architecture. There are
various models and frameworks that are being explored for the same. It is recommended to
develop and implement an e-health system for tele-health monitoring of the health of the
patients.
The e-business model that will be followed in the application will be Business-to-Consumer
(B2C) model. The business i.e. ABC Healthcare will provide the health services as remote
diagnosis, online medical reports, tele-conference calls with the medical professionals, and
medical advice to the patients using the e-health system. The patients will be able to record
and send their health signs to the medical professionals to receive their comments.
Significance of the Research
There are a lot many healthcare firms that are present all across the globe. In spite of the
presence of so many firms, the patients suffer from the issues as delay in availing health
services, long queues and waiting lines, unavailability of the medical professional at the
desired time, etc. The research provides the details and benefits that the e-health system will
provide to the patients and to the medical professionals.
Research Questions
What will be the impacts of electronic health application on the organization and the
stakeholders?
What will be the set of changes that will come up and what would be the approach to
manage the changes?
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Electronic Healthcare Application
What are the benefits and risks associated with the application? How will these be
measures, monitored, and controlled?
Research Methodology
The research methodology that would be used in this case will be exploratory techniques
using qualitative methods of research. It is the method in which the idea behind the
deployment of the electronic health application will be explored. The steps in the
methodology will include the finalization of the topic followed by preparation of the research
questions to be answered. The significance and aim of the research will be listed and a
proposal will be submitted. There will be research plan carried out covering determination of
methodology, schedule, budget, and risks. The data will be collected using the data collection
methods as surveys, interviews, observations, group discussions, and domain analysis. The
gathered sets will then be analysed using automated tools and applications to come up with
the results.
Data Collection Methods
The following methods will be used for the purpose of data and information gathering.
E-Surveys: Online portals and applications will be used to have an understanding of
the e-business models and frameworks and the ones being used for electronic
healthcare applications.
Interviews: The entities as the members from ABC Healthcare, patient groups, groups
of medical professionals, e-business supervisors, etc. will be interviewed to determine
the requirements, impacts, benefits, and risks associated with the proposed system.
Group Discussions: The varied groups will be formed to collect better information
sets.
Observations: The electronic health systems and applications available in the market
will be observed and analyzed to gather the required details.
Domain Analysis: The domain over here is electronic business and healthcare. These
domains will be explored to have relevant data sets.
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Electronic Healthcare Application
Report to Senior Management
Impacts & Migration Plan
The electronic healthcare application that is proposed for ABC Healthcare has not been used
or implemented in the organization before. Also, the organization does not have any other e-
business capability currently in place. Therefore, the impacts that will come out of the
application will be a mix of positive as well as negative impacts.
There are several patients that travel from far off placed to receive the medical
treatment and care from their respective medical professionals. The cost of travel and
transportation for such patients will be reduced and the electronic healthcare
application will allow them to use remote health services.
The total number of patients will be divided between the ones visiting the centers and
the ones using electronic application to seek medical help and guidance. This will
lower down the longer waiting hours and the burden on the medical professionals as
well.
The medical professionals will be able to treat more number of patients using the
electronic platform. Also, the time involved in providing the care will also get
reduced (Minichiello et al., 2013).
The geographical and location constraints will be avoided and the organization will be
able to treat the individuals in remote areas as well.
The patient details and the other information associated with the medical procedures
will be kept in centralized database in electronic form. As a result, there will be
minimal chances of data loss and its leakage. The current problems, such as data
duplication and mishandling will also be prevented.
ABC Healthcare will also be able to make a distinguished name in the market with the
ability to serve patients accurately and timely (Menachemi, 2011).
There are certain negative impacts and areas of concern that will also be involved with the
implementation of electronic healthcare application in ABC Healthcare. It is evident that the
current business practices and operations will witness major transformations with the
installation of the new system. The employees of the organization will be required to adapt to
such changes which may be a time taking procedure. If there is enhanced time spent by the
employees in getting used to the new system then the overall productivity and efficiency
levels may be negatively impacted. The use of electronic business schemes bring in various
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Electronic Healthcare Application
security risks along with them. These may in turn cause legal obligations and regulatory
issues for the organization.
Changes in the Infrastructure
The infrastructural changes will be required to be done in the organization with the
implementation of the following:
Deployment of a Local Area Network (LAN) and Wide Area Network (WAN) with
enhanced network bandwidth so that the employees and stakeholders of the ABC
Healthcare may utilize the Electronic Healthcare Application.
The technical tools and hardware, such as computer systems and peripherals along
with the operating systems and frameworks will be needed to be installed in the
organization.
The data and server rooms will be needed to be developed for the installation of the
database server, web server, exchange mail server, and file servers.
The communication and networking framework will be modified and there will be
Wi-Fi routers required to be installed across the organization.
Tele-conferencing mediums and utilizes will be required to be implemented in the
organization as the medical professionals will interact with the patients using the
same.
Migration Plan
Purpose
The main purpose of the plan is to list out the processes and methods that will be used to
implement the electronic healthcare application in ABC Healthcare and the steps in migration
of the existing services & data to the e-business platform.
Migration Methodology
The methodology that will be utilized in giving shape to all of the migration processes and
activities will be phased methodology. It is the methodology in which there will be various
phases involved in the migration process. Each of these phases will be carried out one after
the other and there will be activities included under each phase.
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Electronic Healthcare Application
Phases in Migration
Initiation Phase
The setting up and execution of the e-health framework that has been proposed must start
with the examination of the features of the e-business display. The e-business framework that
will be followed for this situation will be Business to Consumer (B2C). The practicality
investigation of the e-business application regarding the framework should be done on the
specialized and operational perspectives. The similarity of the framework being proposed
should likewise be finished with whatever is left of the specialized tools being utilized as a
part of the healthcare organization (Jamali and Oveisi, 2016).
Planning Phase
The following stage might be the arranging stage in which the prerequisites of the e-health
framework must be archived based on the business case and the aftereffects of the plausibility
ponder. There should be information gathering techniques completed with the goal that the
prerequisites are effectively characterized. The arranging stage should likewise contain the
estimation of the calendar for the plan, improvement, and sending of e-health framework
alongside the assurance of its expenses. Anticipating the dangers, correspondence
components, and assets would be done in this stage with the goal that the movement is done
adeqautely.
Execution Phase
The e-health framework will be planned and created in this period of the transition procedure.
These exercises will be done simultaneously with the migration tasks and activities. The e-
health framework will incorporate the data and informational indexes related with the ABC
Healthcare organization and the patients (Rose, 2013). The coordination of the current and
new administrations will be done alongside that of the health monitoring tools and gear.
Control Phase
The monitoring and control of the processes involved in the project will be necessary to
ensure that the final release is free from defects and any of the deviations from the initial set
of requirements.
System Integration Tests: The functional aspects of the electronic healthcare
application will be determined in this testing process. The original requirements will
be used to verify and validate the functionalities (Baresi and Pezze, 2006).
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Performance Tests: There will be numerus patients that will simultaneously access the
electronic healthcare application. Similarly, there will be multiple medical
professionals that will access the application at the same. The load will keep on
fluctuating and the test cases in this category will determine the load balancing levels
along with the response time for each activity (Indiver, 2016).
Security Tests: The application will be exposed to a lot of security risks and attacks.
These tests will be done to determine and validate the readiness of the system to
detect, prevent, control, and avoid such scenarios.
The e-business capacity being created for ABC healthcare organization will be required to be
monitored by the specialized individuals and administration. The audit and assessment
methods must be executed to guarantee that there are no deviations and the transition is done
accurately and smoothly. The execution of e-health framework will dispatch different
changes for the therapeutic experts, patients associated with the organization, and the
members of the staff. The nonattendance of a change administration design may prompt
challenges in dealing with the more up to date set of tasks. Therefore, a change
administration design will be required for the framework and the movement tasks. The
arrangement might incorporate the subtle elements on strategy, arranging, administration, and
support.
Closure Phase
This is the final phase that will be involved in the process of migration. It is the phase in
which the migrated set of services and data will be viewed as integrated units and a round of
final reviews will be done. The submission of a closure report will mark the end of the
project.
Benefits of the E-Health System
There are several patients that travel from far off placed to receive the medical treatment and
care from their respective medical professionals. The cost of travel and transportation for
such patients will be reduced and the electronic healthcare application will allow them to use
remote health services. The total number of patients will be divided between the ones visiting
the centers and the ones using electronic application to seek medical help and guidance. This
will lower down the longer waiting hours and the burden on the medical professionals as
well. The medical professionals will be able to treat more number of patients using the
electronic platform. Also, the time involved in providing the care will also get reduced. The
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Electronic Healthcare Application
geographical and location constraints will be avoided and the organization will be able to
treat the individuals in remote areas as well. The patient details and the other information
associated with the medical procedures will be kept in centralized database in electronic
form. As a result, there will be minimal chances of data loss and its leakage. The current
problems, such as data duplication and mishandling will also be prevented. ABC Healthcare
will also be able to make a distinguished name in the market with the ability to serve patients
accurately and timely (Ohno-Machado, 2014).
Methods to Measure the Benefits
The benefits that have been listed above will be required to be measured to understand the
gaps in the estimated and actual values.
Patients Comments & Feedback: The electronic healthcare application will have a
feedback option that will allow the patients to provide their comments on the
application and its features. The rating will also be asked by the system and it may be
rated on a scale of 1 to 10 with 10 being the best user experience. The positive
feedback and comments will lead to increase number of patients using the system.
Profits and Revenues: The profits earned by the organization before and after the
implementation of the e-application shall be assessed. The profits after the
implementation must be higher.
Data Reports: The system will provide automated reports on the data sets. These
reports will be extracted from the system to understand the data patterns and
utilization of the same (Yanamadala et al., 2016).
Market Shares: There shall be enhancement in the market shares of the organization
after the implementation of the electronic healthcare application.
Number of Hits: The increased number of downloads of the applications from the
online marketplace and total number of registered users will indicate enhanced
benefits.
Major Risks & Controls
There are five distinct stages that have been recorded in the relocation design in the segment
above. There are a couple of dangers and issues related with every one of these stages and the
general venture also.
The essential arrangement of risks related with the framework is the security threats and
assaults. The e-business ability as e-health framework will be actualized in the healthcare
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Electronic Healthcare Application
association as first of its sorts. This may prompt expanded number of security shortcomings
and vulnerabilities that may go untreated. A portion of the security dangers and assaults that
may come up as a result may incorporate malware assaults, dissent of administration assaults,
information leakages, respectability infringement, and eavesdropping issues on the network
(Taylor, 2015).
Each progression in the plan, advancement, organization, and transition stages will have a
couple of basic issues that should be painstakingly done failing which there may be certain
threats and risks that may emerge. The primary stage is the start-up stage in which the
business case must be introduced to the venture group and the practicality investigation might
be finished. Correspondence issues may come up in this stage as deficient correspondence or
accessibility issues may set up a weaker base for the undertaking. There will be information
accumulation, investigation, and arranging and estimation exercises completed in the second
set of the tasks. The estimations will be required to be done sufficiently with the goal that the
group prevails with regards to accomplishing the normal targets. The inadequate setting up of
the time-frame and cost-benefit plan may prompt the issues of overrun or exceeding in the
propelled stages. Additionally, non-adherence to the quality measures may likewise prompt
client disappointment.
The third step in the process will be the execution stage in which the codes and outlines will
be created for the e-business framework and the transition exercises will likewise be given
shape for the services and for the informational collections. These exercises will include
various specialized apparatuses and hardware. Issues and glitches in these instruments may
prompt the deferral in the execution of the administrations and task exercises. Likewise, this
stage will be to a great degree presented to the security dangers and assaults. The inner
representatives in charge of doing with the advancement exercises will be given some critical
information also. The improper treatment of the private and delicate informational indexes by
the human assets may put the data in danger.
There may likewise be moral and legitimate issues in the execution and further strides all the
while. The colleagues may not stick to the moral and lawful arrangements and standards
(Adam, Aderet and Sadeh, 2007). There will likewise be different changes that the e-business
capacity will get for the association. The adjustments in the underlying arrangement of
necessities alongside the progressions presented for the restorative experts and different
individuals from the staff will be required to be legitimately overseen. In the event of
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blunder, there might be dangers of scope inflation or reduced employee engagement that may
come up.
The table below maps the risks listed above with the suitable response strategy.
Risk Name Nature of the Risk Risk
Probability
(1 to 5 with
5 being
highest on
the scale)
Risk
Impact (1
to 5 with 5
being
highest on
the scale)
Risk Rank Risk Treatment Strategy
Information
Security Threats
and Attacks
The risk will cause
adverse
implications and is
therefore a
negative risk.
5 5 25 The risk shall be responded
with the treatment strategy as
risk avoidance. There shall be
advanced information security
prevention, detection, and
control tools utilized and
integrated with the e-business
framework that has been
proposed.
Ineffective &
Inadequate
Communication
The risk will cause
adverse
implications and is
therefore a
negative risk.
4 3 12 The risk shall be responded
with the treatment strategy as
risk avoidance. The schedule
of the conference and status
meetings must be finalized
and approved as the first step.
The recurring meeting
invitations shall also be sent
out.
Schedule/Budget
Overrun
The risk will cause
adverse
implications and is
therefore a
negative risk.
2 4 8 The risk shall be responded
with the treatment strategy as
risk avoidance. The gap
analysis techniques, such as
Earned Value Management
and reviews by the senior
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Electronic Healthcare Application
management shall be carried
out.
Technical Faults
and Failures
The risk will cause
adverse
implications and is
therefore a
negative risk.
4 3 12 The risk shall be responded
with the treatment strategy as
risk transfer. There are third-
parties involved in the project
that would supply the
technical tools. These parties
must resolve the issues of
technical faults and failures.
Scope Inflation The risk will cause
adverse
implications and is
therefore a
negative risk.
2 5 10 The risk shall be responded
with the treatment strategy as
risk avoidance. The senior
administration must carry out
regular audits and the
communication mechanisms
with the project client shall
focus upon any of the
expected changes in the
scope.
Ethical Issues The risk will cause
adverse
implications and is
therefore a
negative risk.
1 5 5 The risk shall be responded
with the treatment strategy as
risk avoidance. The Project
Manager must carry out
ethical reviews and analysis.
The issues of non-compliance
must be reported immediately.
The employees must also be
provided with trainings on the
ethical standards.
Legal Risks The risk will cause
adverse
implications and is
therefore a
1 5 5 The risk shall be responded
with the treatment strategy as
risk avoidance. The Project
Manager and legal
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Electronic Healthcare Application
negative risk. representative must carry out
legal reviews and analysis.
The issues of non-compliance
must be reported immediately.
The employees must also be
provided with trainings on the
legal standards.
Reduced
Resource
Engagement
The risk will cause
adverse
implications and is
therefore a
negative risk.
2 5 10 The risk shall be responded
with the treatment strategy as
risk avoidance. There must be
discussions and assessment
processes carried out with the
resources.
Conclusion
ABC Healthcare was set up as a not for profit healthcare organization in 2001. It provides
health services, care, support and assistance to the patients and has developed several centres
as well. The organization has decided to expand and involve e-business utilities in its
architecture. It is recommended to develop and implement an e-health system for tele-health
monitoring of the health of the patients. The move will have positive and negative impacts on
the organization and it would be essential to handle the same. A phased approach shall be
followed for the same.
12

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References
Adam, A., Aderet, A. and Sadeh, A. (2007). Do Ethics Matter to E-Consumers?. Journal of
Internet Commerce, 6(2), pp.19-34.
Baresi, L. and Pezze, M. (2006). An Introduction to Software Testing. Electronic Notes in
Theoretical Computer Science, 148(1), pp.89-111.
Indiver, S. (2016). New Soft Computing Techniques in the Software Testing. International
Journal Of Engineering And Computer Science.
Jamali, G. and Oveisi, M. (2016). A Study on Project Management Based on PMBOK and
PRINCE2. [online] Available at: http://dx.doi.org/10.5539/mas.v10n6p142 [Accessed 21
May 2018].
Menachemi, N. (2011). Benefits and drawbacks of electronic health record systems. Risk
Management and Healthcare Policy, p.47.
Minichiello, V., Rahman, S., Dune, T., Scott, J. and Dowsett, G. (2013). E-health: potential
benefits and challenges in providing and accessing sexual health services. BMC Public
Health, 13(1).
Ohno-Machado, L. (2014). Electronic health record systems: risks and benefits. Journal of
the American Medical Informatics Association, 21(e1), pp.e1-e1.
Rose, K. (2013). A Guide to the Project Management Body of Knowledge (PMBOK®
Guide)-Fifth Edition. Project Management Journal, 44(3), pp.e1-e1.
Taylor, R. (2015). Potential Problems with Information Security Risk Assessments.
Information Security Journal: A Global Perspective, 24(4-6), pp.177-184.
Yanamadala, S., Morrison, D., Curtin, C., McDonald, K. and Hernandez-Boussard, T. (2016).
Electronic Health Records and Quality of Care. Medicine, 95(19), p.e3332.
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