Essay - Change Management in Healthcare Best Practices in Database Design in...


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Change Management in Healthcare

Best practices in database design in healthcare

The intent of this paper is to evaluate change management issues as they relate to the use ***** ********** in the healthcare industry. For many organizations in the healthcare industries, the database design is specifically tailored for integrating patient care, hospital administration, and treatment plan management on the one h*****, and the need to have a common architecture that can quickly allow ***** streamlined treatment and patient status queries from healthcare organizations' databases. The specifics of the database for the combined approach of ***** care, ***** administration, and treatment plan management including distributed patient management need to include the following key attributes and applications. First, there's the need ***** selecting a database ***** supports the ability to create multiple care strategies, drug interactions, hospital and care center configurations, ***** hotel location. In short all these requirements are typically called a databases' support ***** specific *****rs' needs, and are organized in***** taxonomies. This is a critical first requirement as multiple ***** are clearly resident in ***** of the product, d*****tribution, and service workflows through any healthcare provider or organization. This is clearly a leading best practice in this area.

*****, ***** database selected for these ***** strategies of patient care, hospital administration, and treatment plan management need to support record locking and write-***** verification, which is part of any ***** being ACID-compliant. Simply put, these are databases that ***** assurance ***** a*****micity, cons*****tency, isolation of data, and durability, hence the acronym *****.

***** is a critical *****sue for ***** organizations from ***** compliance perspective as well, as ***** are publicly held and must report their earnings ***** the Sarbanes-Oxley registration process. Born out of ***** massive amounts of fraud ***** ***** misstatements of Tyco, Enron, and others, the Sarbanes-Oxley Act was passed into law in 2002, ***** has since revolutionized the approach to *****ing, compliance and the use of *****bases for selling, reporting on, and servicing products. The need for the database selecti***** and design to support compliance ***** high levels of data reliability (ACID levels ***** support) is critical.

Finally, the database must ***** high ***** of integration and support for dynamic pricing, greater control over product taxonomies ***** hierarchies, and proven security ***** compliance design features than many of the open source alternatives available on ***** market *****day. The database ***** have referencable accounts in patient *****, hospital administration, and ***** plan management strategies as well.

Best Practices in Managing Change in Healthcare

What is critical ***** the healthcare ***** is to get ownership established in IT ********** early, and in the case of database, the adoption ***** use is one ***** ***** most important aspects of re-aligning ***** care and health***** management organizations ***** achieve *****er levels of efficiency and per*****mance.

Th***** concept of ownership throughout the entire process is ***** highlighted in the many research efforts of Alstyne, Brynjolfsson and Madnick from MIT who in several research *****s and results report the importance of having ownership.

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