Case Study 1 - CareGroup CareGroup IT department became the sole IT organization for a decentralized or standardized IT system across a three way merger of the Beth Israel Hospital, the Deaconess Hospital, and the Mount Auburn Hospital. CareGroup believed they had the most advanced IT system with the best mailing system and the most efficient backing up program. An expert researcher was experimenting with an application designed to locate and copy information across the network automatically. Right after he set up the application he received a call from his wife saying she was in labor and he went on a paternity leave for three weeks. In his absence the application continued to collect information from across the network till November 3rd when the rogue software program progressively began to collect terabytes of data. The huge …show more content…
data transfers developed a centralized switch and no other data to get through that switch. Other networks concluded that the monopolized switch had been compromised and they began to computer alternative paths for data flow. Since network components had a built-in ability recompute data paths in the event of a failure, the computers on the CareGroup network were fortunately still able to communicate with other computers on that network. Unfortunately since the network had lost the services of a major switch and the network components had to recalculate which data paths would now act as primaries and which would act as backups, they became lost. Since the smaller networks had glued together over time, the network lost its ability to compute the data path and they could no longer function properly. No one was aware of this application running in the background hence no one paid any attention to it till the servers crashed finally for three and a half days. Instead of being able to look up patients past medical history and any connections to other medical history via web, doctors and nurses had to look up the information through written records. Despite Care Group's faith that their IT department was operating on the best IT system, its functionalities collapsed over the negligence of maintenance of their operating systems. Out of this unfortunate mishap CEO, John Halamka, recognized a few mistakes in the past that could’ve avoided the systems from crashing. Two events that took place could be highlighted as major learning lessons, for Halamka, of things to looks out for when they became significant were: ● When Halamka asked Cisco to conduct a study of CareGroup’s overall network, nothing that was suggested in the final report of recommendations for advancing the network hinted any signs of risk. ● While CareGroup’s networking guru had left his position in the IT department, no immediate replacement was apparent even after his departure. Halamka’s failure to consider the overlapping issues that were targeting CareGroup’s IT department gave him the opportunity to learn a few lessons along the way. The ten most prominent lessons he learned was: 1. “Do not hesitate to bring in the experts to make sure your network is configured properly.” If CarGroup’s IT nerwork had been periodically serviced and reviewed by a third party source like Cisco, they could have avoided the entire network incident from occurring. CareGroup made sure to hire the top technical engineers from Cisco to make any necessary annual changes in the network. 2. “Do not let any one individual in your IT group become the sole point of failure.” Since CareGroup had relied heavily on one single employee to maintain the network, they hadn’t imagined the outcome of that employee’s absence. They have learned to have at least two individuals work on maintaining CareGroup’s network so incase one person isn’t present, the other employee will still able to continue required tasks. 3. “Keeping your working knowledge current.” This lesson entails that the networking system was so outdated but CareGroup’s employees didn’t see any emerging problems from since the networking staff hadn’t kept up on networking technologies. 4. “Beware of users armed with just knowledge to be dangerous” means that employees are most likely inclined to experiment with new software however it is highly important for users and researchers to remain vigilant and avoid any triggers or crashes in the system. 5.
“Institute rigorous network change control.” This will create a safety net was anyone new in the system to learn the procedure for creating a change in the network in order to stay consistent with how the rest of the company is operating. 6. “Adapt to externalities.” Since the integral system of CareGroup had become so “out of spec” due to external factors like the mergers and reorganizations, Halamka found that the IT staff needs to examine the external environment that could possibly impact IT’s functionalities. 7. “There are limits to customer-centric responsiveness.” This lesson taught Halamka that IT had to consider customer demands side by side to the risks in IT networks. 8. “Have backup procedures in which you can have confidence.” In order to maintain operations despite technical issues, CareGroup employees must be trained in using an alternative method of operating. After this incident, many employees were able to adapt to a paper system because of their preparedness from Y2K. Incase their employees didn’t have a reliable backup system, CareGroup’s network shutdown would have had a negative impact on their health
care. 9. “Competent redundancies are not enough; you need alternative access methods.” Computers aren’t the only technical devices CareGroup’s employees could made use of. Incase this incident had to reoccur again, instead of reverting to a parer method that loses the ability to give their patients the complete care, CareGroup’s IT department should have established a backup system that could have replaced operations which the main network was being serviced. 10. “Life-cycle-manage your network components.” Apart from annual maintenance of network systems, CareGroup should have been servicing their minor network components like routers, switches and more as well. It is recommended to have those components looked at every 4 years because something as small as an old switch could have shut down the network a long time ago.
The patient may need assistance caring for himself following discharge from the hospital. The daughter lives too far to assist her father on a daily basis. The case worker needs to determine how much the daughter is willing to assist her father during the transition. The daughter may be willing to become her father’s caregiver during the initial recovery period. She would also be a good support system by providing medication reminders, encouraging medication compliance, dietary restriction compliance and promoting positive health behaviors.
What ethical principles were impacted? What was the ethical duty of care to Lewis? How was it breached?
What areas of transitions of care place the patient at the greatest risk for harm?
This essay will critically analyse Care Programme Approach (CPA) assessment and care plan in an OSCE I undertook. By utilising the CPA and sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.
Linda is a 14 year old girl, who is in respite care. In my role as a carer I have observed that she was previously an outgoing and bubbly girl who mixed well but now appears quiet and withdrawn. I have been told by another resident who Linda confided in, that she was being bullied at school and not eating because of being called fat. This concerns me, as I have noticed Linda seems to have lost a considerable amount of weight. For this assignment I will need to identify who I need to communicate with regarding my concerns, recognise Linda’s physical, intellectual, emotional and social needs and then explain how I would use my interpersonal skills in doing this. I will obtain my information from books and the internet.
The purpose of this paper is to distinguish, outline, and evaluate the affects that workarounds have on patient safety and quality. According to Alexander, Frith, and Hoy (2015), a workaround is defined as when a problems arise within the workflow and a worker uses an unauthorized way around the health information technology system. This being said, workarounds are present in the hustle and bustle of the stressful hospital workflow, and in return can potentially lead to negative consequences. Therefore, it is essential for health care professionals to recognize the workaround, analyze their workflow, and then develop possible solutions.
- Jeffrey does a good job of giving a gump explanation of the what "Disbursement Team" does as he foreshadows the hold.
The employees would be damaged because they this would make their compensatory time of no value. Sickness is no fault of the employee as these things happen. If the only time the employee has is compensatory time and it is used when the employee doesn’t benefit. This is like punishing the employee for being sick.
In this essay I will explore the areas of care practice and provision- Demographic factors have a direct impact on the planning and delivery of all types of services, non-statutory and statutory. Analysis of these characteristics will enable planners to plan the delivery of health, social, educational and early-years services to meet the needs of service users at a local level. Effective planning of care practice and provision of services aims to respond to the changing needs and priorities at a local level, but also takes into consideration national priorities. Demographic influences include the following: health needs of the population; disability; age distribution of the population; unemployment; number of single parent families; the number of older people
 Move to a industry standard infrastructure that would be managed centrally – a client server environment.
Because data can be so important and often inestimable, it is vital that businesses take steps to assess options and evaluate planning in order to ensure the continuity of the business in the event of disruptions such as server or network failure, a loss of power, or a range of natural disasters – and so on. Each business must determine what is in its best interests for addressing continuity, but a good framework usually consists of a Risk Assessment, a Business Impact Analysis, a Disaster Recovery Plan, server and network redundancy, one or more forms of data backup media, as well as a Universal Power Supply (U...
The business contingency plan is a process put in place that prepares an organization to respond coherently to unexpected events (Small business Chron, 2014). These plans help businesses to continue or restore business operations in a timely fashion after a major business interruption such as hurricane, storms, tornadoes, fire, power failure, an IT system crash or toxic waste. The process involves developing, communicating, practicing, and evaluation of emergency plans specific to the organization. Now that the Enovacare medical equipment corporations have identified eight risks associated with the construction of the new distribution center, the focus will now shift to development of a business contingency plan the ensure a quick restoration of business operation in case of natural or man-made disaster such as hurricane, flooding, fire, power failure or technology failure. A pre-incident plan to ensure the well-being of the new center after unexpected event, the protection of company’s sensitive data, customer data, communication plans and restoration of business operations will be discussed.
Corporate Networks in organisations can be complex structures that “requires a great deal of attention” (Clemm 2007). Even small companies can have quite complex networks that are a considerable investment to the business. The notion that corporate network management is a cost to a business rather than a continual beneficial investment is a naive assumption that requires further investigation to the benefits that network management brings. Clemm (Clemm 2007) states in his text that the ultimate goal of network management “is to reduce and minimize total cost of ownership”, improving operational efficiency and lowering cost. Clemm (Clemm 2007) also notes that “Network Management is not just related to cost and quality”, which will be an continual concept presented throughout the report. The report will address key issues with corporate network management and ultimately argue and justify that corporate network management must be seen as a positive benefit to the business and not as a continual expense. The supporting articles will also provide sound evidence that networking is crucial to a business’s processes and production which can be seen from the OpenSSL Heartbleed Security vulnerability fiasco (Nieva 2014) or the QANTAS Amadeus system failure (Heasley 2012).
While each company or organization has a policies and procedures and to design to prevent the problem that will occur or effect of failure, the computer system may be vulnerable to disruptions or breaches as the result of natural disaster, manmade disaster, criminal activity, pandemics or other event beyond our control. The computer system failure that fails for any reason could disrupt the operation of the organization, result in loss of customer and will also impact the profitability of the organization.