Cloud Computing Impact: IT Services Report for Healthcare

This report analyzes the application of IT services, particularly cloud computing, within the healthcare sector, using Good Hope Hospital (GHH) as a case study. It examines the hospital's current IT infrastructure, including ADT, eMAR, and CPOE systems, and identifies the benefits and challenges of integrating cloud computing. The report outlines a business case for cloud services, addressing risk and mitigation strategies, and proposing strategic alignment to enhance efficiency and data management. It explores the potential of cloud-based solutions to overcome existing constraints, such as the lack of online connectivity and data accessibility issues. The report also provides an overview of cloud computing-based Healthcare Software-as-a-Service (SaaS) and its architecture, emphasizing the importance of data mining and security in the healthcare environment. The conclusion highlights the advantages of cloud computing for GHH, including improved system efficiency and scalability, with recommendations for future growth and stakeholder satisfaction.

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Table of Contents
Introduction......................................................................................................................................2
Mission and vision of Cloud Computing in Healthcare..................................................................2
Risk and mitigation strategies..........................................................................................................3
Strategic alignment..........................................................................................................................4
Review of project.............................................................................................................................7
References........................................................................................................................................8

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Introduction
Information technology (referred as IT) is beneficial for all the areas including
healthcare. Many operations are requiring IT-Services for management in healthcare industry. IT
provides many feasible solutions of different issues of management of daily routine in healthcare
department. Good Hope Hospital (GHH) is providing different facilities to patients, such as
surgical, orthopedic, Neurological, medical and many others. It has 300 beds in 15 units. Each
unit has 10 to 24 beds. GHH has 200 nursing staff members for caretaking of patients as well as
other works. It has 90 nursing support staff for helping nursing staff works. GHH organizational
structure is having different facilities currently, which are eMAR, ADT, CPOE.
This report will explain use of information technology in healthcare field. GHH is already
uses different technologies for management of different works, such as ADT, eMAR, many
others. It will describe uses of cloud computing for enhancement of current technologies that is
more beneficial for GHH as well as patients.
Mission and vision of Cloud Computing in Healthcare
GHH is having an objective that they are provide best services to their patients as well as
employees with the help of information technology services. They want to introduce new
concepts of IT-Services in their healthcare system (Goh, Gao, & Agarwal, 2011).
An admission, discharge, and transfer (ADT) system is used for providing many services
to the patients as well as hospital. It is a backbone system for hospital as well. It is types of
business systems that are used in healthcare department. It has included four types of business
system, which are ADT, acuity, scheduling and finance. It is used for many benefits, such as
quality improvement, facility for financial payment and encoring best practices for nursing staff.
Barcoded Medication Administration (BCMA) is used for avoid human error in hospitals. It uses
barcodes for management of distribution of prescription medication (Omachonu & Einspruch,
2010).
Computerized Physician Order Entry (CPOE) is a system that allows providers to place
specific order electronically though computer system. Electronic Medication Administration

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Record (referred as eMAR) is a system that replaces paper works. It provides many facilities
with increased efficiencies during med-pass. Stakeholders of GHH are patients, doctors, nursing
staff and many more. They are helping in decision making for future services.
There are few contrarians in all these services, which are networking and internet
connectivity. Because of no connectivity, computer systems are standalone. Therefore, everyone
should access the data from only single place.
Cloud computing is an alternative for those constraints, which are having GHH. It will
provide networking as well as internet services for data exchange and processing.
Risk and mitigation strategies
ADT, eMAR, and CPOE systems are providing helps to the GHH for handling financial
and monitoring of patients and employees. However, many services are not full established.
There are some problems in those systems, which are as:
1. They are not having online connection
2. Dependency of the systems
3. No online database system
4. Anyone can access the data
5. Security issues

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Source: (Oh, et al., 2015)
All the systems are providing help to the nursing staff for measurements of different
conditions. Cloud computing services make it more beneficial for nursing staff and patients. I
propose cloud computing services for managing different data and services of the eMAR, ADT
and CPOE system (Pai & Huang, 2011).
There are many advantages of cloud computing in healthcare system. Above figure
provide overview of cloud computing-based Healthcare Software-as-a-Service (SaaS). In this
diagram, CDS: Clinical Decision Support, OSS: operational support service, BSS: business
support service.
Below diagram is providing overview of a cloud-based Clinical Decision Support Service
(CDSS). It can be useful for GHH for handling all the problems that are facing by them in
present time.
Source: (Oh, et al., 2015)

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Strategic alignment
Many security issues are faced by healthcare system. Some of these issues can be solved
through cloud-service. All the systems are facing a problem that is connectivity of all the system.
Therefore, it is require implementing cloud computing for resolving such type of problems
(Wamba, Anand, & Carter, 2013). Data mining is also used in the system with the help of data
warehouse (Koh & Tan, 2011).
Source: (Oh, et al., 2015)
Below diagram is showing architecture of the Healthcare SaaS Platform (HSP)’s
functional view.

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Source: (Oh, et al., 2015)
Below diagram is architecture of the Healthcare SaaS Platform (HSP)’s software view.
Source: (Oh, et al., 2015)

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Review of project
Cloud computing is providing help to the all the systems that are already established in
the GHH. All the above sections are beneficial for new system of healthcare department. Many
issues are mitigates through cloud computing services, such as IaaS, SaaS and PaaS. Nursing
staff can manage different things with help of technology in a better way (Parente &
McCullough, 2009). All the departments are requiring data sharing. Therefore, cloud computing
is the best solution for all the services. This project will improve efficiency of the system as well
as system capabilities. It is having much scope for GHH future growth.
Finally, it is concluded that different issues of previous systems are resolved through
cloud computing services.
Scope of the project
GHH will have many benefits from the cloud computing services for their different
processes, such as appointments and medications. It will provide many advantages for their
business, such as competitive advantage. It will also fulfill demands of the patients. It will make
all processes easy for all the stakeholders of GHH.

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References
Goh, J. M., Gao, G., & Agarwal, R. (2011). Evolving work routines: Adaptive routinization of
information technology in healthcare. Information Systems Research, 22(3), 565-585.
Koh, H. C., & Tan, G. (2011). Data mining applications in healthcare. Journal of healthcare
information management, 19(2), 65.
Oh, S., Cha, J., Ji, M., Kang, H., Kim, S., Heo, E., & Han, J. (2015). Architecture design of
healthcare software-as-a-service platform for cloud-based clinical decision support
service. Healthcare informatics research, 21(2), 102-110.
Omachonu, V. K., & Einspruch, N. G. (2010). Innovation in healthcare delivery systems: a
conceptual framework. The Innovation Journal: The Public Sector Innovation
Journal(15), 1-20.
Pai, F.-Y., & Huang, K. I. (2011). Applying the technology acceptance model to the introduction
of healthcare information systems. Technological Forecasting and Social Change, 78(4),
650-660.
Parente, S. T., & McCullough, J. S. (2009). Health information technology and patient safety:
evidence from panel data. Health Affairs, 28(2), 357-360.
Wamba, S., Anand, A., & Carter, L. (2013). A literature review of RFID-enabled healthcare
applications and issues. International Journal of Information Management, 33(5), 875-
891.