Business Information Systems Analysis in Healthcare: A Case Study

This report analyzes the business information systems of Clinical Healthcare Inc., focusing on ethical considerations and IT infrastructure. The company, a leader in infusion services, faces challenges due to its outdated IT infrastructure, which affects data analysis capabilities and patient information security. Ethical issues, particularly regarding HIPAA compliance and patient privacy, are highlighted, along with recommendations for replacing the old system with a modern Health Information System (HIS). The report compares the old and new systems, emphasizing the benefits of HIS in terms of flexibility and data accessibility. The study also covers the company's mission, key services, operational tasks, and the impact of IT infrastructure on job satisfaction and efficiency. The report concludes with recommendations for upgrading the IT infrastructure to enhance service delivery and ensure patient data security.

Business Information Systems Analysis in Healthcare 1
Business Information Systems Analysis in Healthcare
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Business Information Systems Analysis in Healthcare 2
Introduction
Information systems in the healthcare sector have been on the verge of
transformation over the last two decades with their continuous development range regarding
ability has resulted in the extensive use (Bryantstratton.edu, 2017). Consequently, the
utilization of certain information management has become virtually universal amongst
healthcare service givers and health systems. Most healthcare facilities are going for health
systems because the core target of these systems is that they can offer correct information to
the right individuals at the right time (Outlook on the Global Agenda, 2011). As a result,
Clinical Healthcare Inc. is not an exception not to use information systems in its delivery of
service. Clinical Healthcare Inc. applies a Rich Picture model in its service delivery whereby
it openly discuss with its clients’ so as to arrive at a common understanding regarding a
specific circumstance.
Ethical Issues in the use of Clinical Healthcare Inc.
Just like in all other healthcare areas, ethical matters will never fail to arise in the utilization
of information technology. Therefore, ethics plays a major role in ensuring that there is
privacy of the patients such that the patient has a right to autonomy as well as the decision in
the management of their health information (Laudon, and Laudon, 2016). While it is a

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requirement that healthcare organization need to ensure the security and safety of patients,
this can only be realized with the use of up-to-date IT infrastructure. However, by Clinical
Healthcare Company using old fashioned IT infrastructure it place the safety as well as
security of patients at a high risk of their information being breached by hackers. Therefore,
this practise is unethical according to the Health Insurance Portability and accountability Act
(HIPAA) security rule (HHS.gov, 2018). In accordance to HIPAA healthcare organizations
are supposed to carry out regular risk analysis as a security management process, which is not
the case for Clinical Healthcare Inc. as a result, the facility is risking the lives of its clients by
not doing analysis checks of its health information system. Accordingly, Clinical Healthcare
Company is supposed to operates by exclusively observing ethics and particularly HIPAA
security rule in its service delivery whereby it ensures that the patient privacy and safety
comes first (HHS.gov, 2018). Indeed, despite being revealed in the case study how the
facility is ensuring its patient’s information by highly guarding and confining patient’s
information by not reveal the logins of data banks to unauthorised individuals this is not
enough. To make sure that patient security and privacy is beefed up the company should first
replace it old IT health system infrastructure with a novel one such as Electronic Medical
Record system. In addition, it should carry out regular PIHAA risk analysis to heighten the
safety and security of patient which is the most significant task of any healthcare facility.
Clinical Healthcare Inc.
The mission statement for Clinical Healthcare Inc.is to become a leader in infusion
services and therapy in the regions.
Mission Key Information Input
The acquisition of Apria Healthcare by Clinical Healthcare Inc. with operations in
California in 1998 as well as the injection of private capital in 2004 result in the healthcare

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becoming a leader in infusion services as well as therapy. Indeed, this makes a turnaround in
the healthcare’s operations such that it employees over 500 employees and comprise an
expansive network of partners including health plans, nurses, physician groups, hospitals.
Key Information Outputs
The primary service of Clinical Healthcare Inc. is to strive and provide all its
esteemed customers, payers, physicians, hospitals and patients are most informed on the
condition of their clients and the service in general.
Key Variances
The Clinical healthcare operates as a pharmaceutical but not the usual pharmacy, such
that as a replacement for of dispensing aspirin, antibiotics as well as cold medication to walk-
ins at retail stores. In the case of Clinical Healthcare Inc. the facility offers patient care that
entails the administration of medicine using intravenous routes. The most common
application of infusion therapy comprise antibiotics, chemotherapy and pain management
medicine. In most cases these services is carried out from home and an outpatient centre.
Accordingly, this kind of service is significant because the service enables the patient to lead
a more normal lifestyle because they need not to go to healthcare facilities or be admitted for
the infusion process to take place. Therefore, nurses are tasked with the responsibility to
make sure that they make visits to the patient home
Current Tasks and Responsibilities
The current tasks are responsibilities of the healthcare facility is to ensure that it offers
it is in a better position to manage the logistics for the whole ecosystem involved in the
service delivery. The logistics management consists of making arrangements for visit times
with nurses, the specific treatment to be provided and any other necessary medication as well
as any equipment to be provided.

Business Information Systems Analysis in Healthcare 5
Effectiveness Contributors
When Michalak comes to the rescue of Clinical Healthcare Inc. as an IT analysts who
plays a major role in ensuring that the old-fashioned IT infrastructure is faced out the existing
IT infrastructure to the most advanced software health information system (Jones, 2010).
Accordingly, the coming of Michalak at the premise was a great milestone of the firm
because he turns around things from the outdated IT infrastructure to the latest and best
health information systems (HIS) service delivery (Pearlson, Saunders, and Galletta, 2016).
Therefore the new HIS software makes significant changes regarding pharmacy management
system. Michalak says that the pharmacy management information system was a vital
element because it embraces all components of the functional business department. Michalak
presence in the company helps to revive the facility from a slow infusion services delivery to
one of the fastest in the region.
Efficiency Reducers
The company operates with an old-fashioned IT infrastructure. Therefore, the health
infrastructure system is unable to work well thus making it impossible to provide deliver
services in the most effective way. The system does not have the capacity to extract data from
the system and be able to making analysis out of it, thus it is not suitable to work with it in
the present setting.
Job Satisfaction Contributors
Clinical Healthcare Inc. has relentless efforts whereby it strives to ensure that it offers
its clients best quality services. As at the moment it owns nine Clinical Healthcare outlets in
the U.S (Rojas, Munoz-Gama, Sepúlveda, and Capurro, 2016). Therefore, the core strives for
Clinical Healthcare Inc. is to increases its clinical center service outlets with the intention of
ensuring a safe society. On the same note, in its struggle to make sure that it reaches all its

Business Information Systems Analysis in Healthcare 6
clients, Clinical Healthcare Inc. comes up with a strategy of extending its service delivery to
patients at home. The organization undertakes visits to its patients at home by engaging their
nurses who make visits to patients at home and provide them with care services. In the course
of doing so, the company saves transport costs to patients who are unable to reach the
healthcare facility.
Job Satisfaction Reducers
It is true that the health information system process is cumbersome to some extent.
The processes involved such as administration and medication are all costly and complex. For
instance, it is a requirement for healthcare providers to manage the logistics of the whole
environment involved in the service delivery to clients (Ezproxy.lib.swin.edu.au, 2018).
However, it is more problematic to carry out the statistical analysis of patients data because
of the old fashioned IT infrastructure which in incapable of allowing logistic calculations.
Therefore, this makes it challenging for the healthcare providers to manage its client’s
information. Consequently, this is not ethical because it place the information of its
customers at risk of being breached by attackers.
Key Mission Tasks
The key mission of the healthcare facility is to provide the best quality care services.
Assumptions made while solving the Problem
Certainly, this process entails making arrangements for the number of visits done by
nurses, the specific treatments to be administered and any necessary medication as well as the
equipment to be used in delivering the service. As a result, it is assumed that the service
delivery is not in any way cumbersome and complex because it is automated using the HIS
software. Unfortunately, at some point, some of these practices change forcing nurses to
leave the facility to make visits to patients at home. In the process of letting nurses administer

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patients with services from the homes leads to the organization losing being in contact with
these nurses due to moving out of the company (Sprague Jr RH Ed. and McNurlin BC Ed.,
2009). Therefore, data can only reach the system after the coming back of these practitioners
from the visit. Thus, these act of patients being treated from their homes results in some slight
delays in the whole system. Consequently, such issues are the primary factors that can either
make the company stronger or lead to its collapse.
Results and Recommendations
Despite the fact that Clinical Healthcare Inc. is listed among the best service providers
in the region regarding infusion service delivery, some things need to be changed. I would
recommend that the management of the organization comes to an agreement that the present
healthcare information system is outdated and needs replacement. By replacing this IT
infrastructure that has been in use for the last 20 years will give the company a more upper
hand regarding service delivery not only in the nine regions but the whole state.
Comparison between Clinical Healthcare Inc. IT infrastructure and new Health
Information System
The most conspicuous difference between the facility’s old IT infrastructure and the
latest health information system is that it is character-based thus it can only be accessed using
dumb terminals whereas HIS is flexible therefore it can be upgraded and executed using a
different application. The old facility IT infrastructure can only accept the use of green letters
on the back background while HIS is automatic thus uses tactile sensors and the mouse,
keyboard as well as other external devices to allow for data entry (Wang, Kung, and Byrd,
2018, p. 1). Consequently, Clinical Healthcare Inc. is supposed to adopt the present health
information system to enable it to offer its client’s services in the most effective way than
before.

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Bibliography
Bryantstratton.edu. (2017). The Importance of Information Systems in Healthcare. [online]
Available at:
https://www.bryantstratton.edu/continuing-education/healthcare/resources/
information-systems [Accessed 10 May 2018].
Ezproxy.lib.swin.edu.au. (2018). Swinburne University of Technology, Melbourne. [online]
Available at: http://ezproxy.lib.swin.edu.au/login?url=http://go.galegroup.com/ps/
i.do?id=GALE%7CA23891 2955&v=2.1&u=swinburne1&it=r&p=AONE&sw=w
[Accessed 10 May 2018].
HHS.gov. (2018). The Security Rule. [online] Available at: https://www.hhs.gov/hipaa/for-
professionals/security/index.html [Accessed 12 May 2018].
Jones, G. (2010). Organizational theory, design, and change. Upper Saddle River, N.J.:
Pearson.
Laudon, K.C., and Laudon, J.P., 2016. Management information system. Pearson Education
India.
Outlook on the Global Agenda. (2011). [ebook] Available at: 2
http://www3.weforum.org/docs/GAC11/WEF_GAC11_OutlookGlobalAgenda.pdf
[Accessed 10 May 2018].
Pearlson, K.E., Saunders, C.S. and Galletta, D.F., 2016. Managing and Using Information
Systems, Binder Ready Version: A Strategic Approach. John Wiley & Sons.

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Rojas, E., Munoz-Gama, J., Sepúlveda, M. and Capurro, D., 2016. Process mining in
healthcare: A literature review. Journal of biomedical informatics, 61, pp.224-236.
Sprague Jr RH Ed. and McNurlin BC Ed. (1986). Information Systems Management in
Practice. Englewood Cliffs, NJ, Prentice-Hall.
Wang, Y., Kung, L. and Byrd, T.A., 2018. Big data analytics: Understanding its capabilities
and potential benefits for healthcare organizations. Technological Forecasting and
Social Change, 126, pp.3-13.