Discuss about the Empirical and Theoretical Validation.
This report focuses on analysis of the case study based on “Medigood” which is a national health insurance system that pays for visit of patients to family doctors. In this report, the discussions are carried out on the analysis of stakeholders associated with the system and a vision statement has been produced in context to the system. The scenario of the existing system has been illustrated by designing the “AS-IS” process flow diagram. A product backlog table has been presented along with MoSCoW Analysis for identification of gaps in the existing system. The different use cases depicts the sub systems of the system that will be used by the users. The object classes has been identified and demonstrated to analyze key functions of the system.
Stakeholders are considered to be essential for any system and they form an integral part of the system. Hence, the key stakeholders that has been identified in context to the presented case of Medigood are presented as below:
Stakeholder |
Role |
Interest |
Influence |
Patient |
User |
High |
Low |
Family Doctor |
User |
Medium |
High |
Office Administrator |
Admin |
Medium |
Medium |
Medical Specialist |
User |
High |
Low |
According to Satzinger, Jackson and Burd (2011), a system vision document helps to understand the functions that a system will perform along with the benefits that will be achieved by implementing a new system. Hence, the system vision document in context to the business case of Medigood is presented as below:
Medigood is a national health insurance system that provides payment as bonus to family doctors when a patient visits for consultation with medical specialist. The consultation process is done either by phone or telehealth equipment but the patient has to qualify according to their criteria. The Family doctors has the liability to find suitable patients as well as medical specialists in order to confirm a consultation procedure and receive bonus. The finding of patient as well as medical specialist is a complex procedure and the scheduling of appointments also gets delayed which results into longer process time for the consultation. The Family doctors has to check the availability of patients as well as medical specialists for confirming an appointment for consultation. Sometimes, the patients are busy and sometimes the specialist or even the patient may not appear at all during the scheduled appointment. Thus, it makes it difficult for the family doctors to complete the process successfully. Hence, it is recommended that a new system have to be implemented to easier the consultation process.
The new system should have the following listed capabilities in order to meet the requirements of Medigood as listed below:
It is determined that the introduction of a new system will help to improve the business processes within Medigood with following benefits:
The product backlog has been designed after estimating the user stories in context to the system of Medigood and it is presented in the table as below:
Product Backlog for New Payroll System |
|||
Task ID |
Story |
Estimate |
Priority |
4 |
As a patient, I want to edit my personal information so that my record is kept up to date. |
5 |
1 |
2 |
As an administrator, I want to monitor scheduled appointments so that consultation can be processed efficiently. |
4 |
2 |
3 |
As a patient, I want to log in to the system so that I can find available doctors and specialist. |
4 |
3 |
1 |
As a patient, I want to log off functionality so that erroneous information is not input into the system. |
4 |
4 |
6 |
As a medical specialist, I want to register into the system so that patients can easily view availability. |
10 |
5 |
5 |
As an administrator, I want to process the claim for payment so that both the family doctor and specialist receives the bonus. |
7 |
6 |
MoSCoW Analysis
This analysis helps to prioritize the requirements to ensure success of a project and it has been carried out on the Medigood system as presented below:
Must Haves · Facility to register · Login functionality · Information of users · Easy to use interface |
Should Haves · Facility for data retrieval · Functionality to make modifications of personal information · Scheduling of appointments |
Could Haves · Call facility from user information · Email and messaging services to inform the users · Make payments online |
Wont Haves · Slow response time · Complex user interface · Complexity in data retrieval · Error or bugs |
Use Case |
Diagram |
Description |
Register |
This use case depicts the registration functionality of the system that the users will use to enroll themselves into the system. The registration will hold the personal information of users. |
|
Login |
This use case depicts the login functionality that the users will use to access the system with their personal credentials that is username and password. This facility will help the user to avail the services offered by the system. |
|
Find patient |
This use case depicts the role played by family doctor to find a suitable patient. They have to login into the system as user and then they can request to search the patient database to find suitable patient according to the criteria for consultation. |
|
Find specialist |
This use case depicts the function of finding a specialist so that consultation can be processed. At first the Family doctor logs in to the system then searches for specialist and chooses the suitable one according to requirement of patient. |
|
Schedule appointment |
This use case depicts the functionality of booking appointment for consultation. The Family doctor finds suitable patient and specialist and then checks their schedule to confirm availability. After confirmation of availability the Family doctor schedules an appointment for consultation. |
The five key classes that has been identified in context to the Medigood system are listed below along with their attributes:
Class |
Attribute |
Patient |
Patient_ID, Patient_Name, Patient_Address, Criteria |
Family Doctor |
Doctor_ID, Doctor_Name, Doctor_Address |
Medical Specialist |
Specialist_ID, Specialist_Name, Specialist_Address, Speciality |
Appointment |
Appointment_ID, Patient_Name, Doctor_Name, Specialist_Name |
Consultation |
Consultation_ID, Patient_Name, Specialist_Name, Fees |
I have undertaken this project on Medigood which is a national health insurance system that has introduced the bonus scheme for family doctor whenever a patient visits for consultation. I have read the case study thoroughly and analysed that there are various issues within the existing system of Medigood. I determined that the issues lead to poor performance of the business and leads to delay in the consultation procedure. After analysing the issues, I concentrated on identifying the stakeholders that are associated with Medigood to determine the requirements properly. I prepared a stakeholder analysis in context to the business scenario of Medigood and then I prepared a system vision document to present the business benefits that will be achieved by implementing a new system.
I determined the present process flow within the business and deigned a “AS-IS” process flow diagram to illustrate on the current business process and identified the gaps. I prepared the Product Backlog from the perspective of each user by determining the requirements of each user from the system. I conducted the MoSCoW analysis to prioritize the requirements in context to the new system. I designed five key use cases to present the modules that have to be incorporated into the system. I identified the five key classes that are required for designing of the new system such that business as well as user requirements are fulfilled by the system.
Conclusion
From the analysis on case of Medigood health insurance system, it has been identified that there is a gap in their business process due to which often there is delay in the consultation process. In the system vision document, the discussions states that there is a need to implement a new system for making improvements in the business process. The system will help to meet the requirements of various stakeholders associated with the business. The illustration on the current business process flow depicts that there is a gap in communication which leads to delay or even cancellation of the consultation procedure. The MoSCoW analysis illustrates on the requirements that the new system have to fulfil in order to improve the business process of Medigood. The use case diagrams present the various modules that has to be incorporated into the system to fulfil requirements of the user in context to the business of Medigood.
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