5 Job Trends in Healthcare Information Technology

There are many trends in healthcare information technology to cover. With the US government’s economic stimulus package geared to improve heathcare IT, there will be areas were expertise will be greatly needed.

Outlined below will touch on 5 hot trends that will be need qualified professionals to help implement the large efforts of the healthcare industry:

1. EMR (electronic medical records) or EHR (electronic health records) - This is going to a huge effort on the part of many medical establishments. This system will take the “health history” of an individual and create a so called electronic medical record that will follow a patient anywhere for patient safety and more accurate treatments. All of the is over a huge network and storage systems along with integrating several applications.

Job Title Examples: Developers, Programmers, Project Managers, Billing and Coding specialists, systems analysts but most will say EMR or EHR.

2. Informatics - Informatics as it related to healthcare will include using medical information from clinical, nursing, medical, biotechnology and similar disciplines into an electronic format to be either stored, retrieved, shared, analyzed to help make informative medical decisions.

Job Title Examples: Clinical informatics analyst, Informatics consultants, medical informatics – employers may seek specific degrees in the discipline (ie. RN, BSN, Biotechnology )

3. Enterprise Architecture - Enterprise architecture with work within a healthcare organization like in other institutions. It is most commonly used to better outline a method of business and uses tools to understand and best document the structure of an organization. Very much strategic in nature.

Job Title Examples: Almost always will have the terms “enterprise architecture” or “data architecture” or “data modeler” in the title. Usually a mix of SOA, data warehousing, ER modeling, Diagram modeling, frameworks, and strategy.

4. Patient Safety related systems & Quality - This area of healthcare will use systems and applications to reduce with the goal to eliminate medical errors in and efforts to drastically increase healthcare quality and communication.

Job Title Examples: Quality and patient safety will usually be part of the title and are non technical. The technical positions will be developers/programmers or applications tester of these types of applications.

5. Interoperability - Overall this area covers bringing together healthcare information technology systems together and integrating them in order for them to work together across locations and then have the ability to deliver quality useful information to service it’s end user.

Job Title Examples: Project management, software engineer, sometimes within informatics, architect and, analysts.

There is so much to know within each of these 5 but there is much opportunity for one with technical skills to seek out so many facets of healthcare.

Asp.net – Developers Choice for Web Development

Website development is the beautiful, technical and ingenious work for the online presentation of the different kind of information. This information may show a discrepancy such as business related as well social & cultural. For the creation of attractive, effective websites web developers use a variety of programming languages and ASP.NET website development is popular for easy creation and great features. Plus being a product of world famous Microsoft, it is admired by large web development community at global level.

Like other programming languages it is a full featured programming language for the development of dynamic websites for the online presentation business and its products globally. Under ASP.NET web development work, developers are enabled to perform a variety of web development jobs such as custom software applications, mobile games, web applications, product development, ecommerce shopping cart and database management. According to the ASP.NET experts it is popularized as latest version of Microsoft’s Active Server Pages technology (ASP) and widely developers are using this technology for the development of dynamic websites, XML web services and web applications. Technology is having power for the development of large sized enterprise applications for the big companies.

From the technical point of view of the developers why they prefer ASP.NET for the web development?

They enjoy writing very less code for the development of large applications, it offers server-side programming model to make the development work simpler, writing pages in ASP.NET are easier as it provides source code and HTML together, execution of source code on server provides power & flexibility, fast compilation of source code in first request of page because server saves the compiled version for the next time, more security of application source code as it do not sent back to browser, due to inbuilt configuration developer needs not to register components, security through continue monitoring of (pages, components and applications running on it) by web server which automatically kills the (illegal software, memory leaks, infinite loops, etc) and restarts itself and without writing code it provides validation controls.

ASP.NET is server-side technology, as it is most advantageous part in addition to long list of features. Before sending to browser, code use to execute on server and code which is sent back to browser is HTML instead of ASP.NET code which ultimately provides the more security to code from unwanted stealing.

ASP.NET is serving the web development world from year 2002 and introduced five upgraded versions with advanced features. It’s latest in 2008 version 3.5 service pack released with Visual Studio 2008 Service Pack 1.

Information Technology Service Tips for Subcontracting and Partnering



Are you trying to build your Information Technology service company?  Sometimes in order to provide complete, fully-integrated, end-to-end solutions to your valued clients, you have to rely on subcontracting and partnering.

Subcontracting and partnering can be an excellent way to grow business and improve your relationships with clients.  But many professionals in the technology business do not quite understand the difference between the two concepts or how to work them into their plans for working with small businesses.

The truth is, subcontracting and partnering can improve your ability to work with clients and help you efficiently run your business .  It also frees you up for your most important business-growth activities so you have enough time to focus on important administrative, sales and marketing activities that will keep your sales funnel full of viable prospects, customers and clients.

The following 3 tips can help you better understand how to use subcontracting and partnering as you build your Information Technology service business.

Understand the Difference between Subcontracting and Partnering. There are several key ways that subcontracting differs from partnering.  With subcontracting, your client has a single point of contact with your firm.  The subcontractor primarily communicates with your firm, with only minimal direct communication with your client.  Basically, the subcontractor functions as an extension of your firm, and the client does not necessarily even have to know that some of the larger project is being farmed out.  With a subcontractor, the client gets one proposal, one contract and one invoice from your firm.  Subcontractors also get paid by your firm, not the client.  If your Information Technology service company is talking about partnering, you are working with another non-competing technology provider that is retaining its own corporate identity and presenting its own credentials to a mutual client.  The client is aware there are two or more distinct technology providers involved in the project, and your partners communicate directly with the mutual client.  The client communicates with the main contact person at all partnering computer consulting firms and gets proposals, contracts and invoices from all of them. Clarify which Party Handles which Details. With partnering and subcontracting, you need to clarify which party is handling which details of each project.  In a master contractor/subcontractor relationship, the master contractor (your Information Technology service firm) will handle most, if not all administrative and management tasks.  Unlike a partnering arrangement, you won’t need to spend a lot of time with your subcontractors reaching a common ground on whose billing and administrative procedures you will adopt.  When you are a master contractor, you call the shots.  However, whether you are working with subcontractors or partners on a project, you will still want to create a planning document that helps you define the rules of engagement and spells out individual responsibilities so everyone is always on the same page. Take Stock of the Skills You Are Retaining. Most of the time when you seek out a potential partner or subcontractor, you’re looking specifically for a certain skill set.  After all, you’re trying to enhance your own offering so you can best serve your clients’ needs.  For example, if client of yours needs a relational database designed to track wedding bookings for their catering business and this is not a skill you have in house, you will probably be looking for a subcontractor with expertise in the appropriate database platform and front-end design.  Make sure as you engage with a new subcontractor or partner that you get an idea of his/her baseline level of knowledge on a variety of products and platforms beyond his/her specialty.  You can create a skills inventory worksheet that you use with all your subcontractors and partners to collect information efficiently and consistently.

In this article, we talked about some of the most important differences between subcontracting and partnering, and how you can use subcontracting and partnering to grow your Information Technology service business.  Learn more about how you can attract great, steady, high-paying clients to your Information Technology service firm now at http://www.InformationTechnologyServiceHQ.com

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Bim and Design Support Services



Building Information Modelling

AEC firms around the globe are transitioning from 2D CAD Platforms like ACAD and Micro Station to 3D intelligent modelling in BIM. BIM technology provides a link between, design, construction and management along with improved productivity for easy retrieval of embedded data information. BIM support services provides you with an efficient way to transition from 2D platforms to intelligent modelling in order to reduce project cost, increase profitability and save time.

Following are some of the BIM support services:

• Building Information Model: BIM model for Architecture, Interiors and Engineering Projects. These files could be at any phase of the work such as schematic design, design development, construction documents or as built conditions. The file formats could be in the form of hand sketches, photographs, PDF’s, JPG’s, DWG, DWF’s, etc.

• 3D Visualization: 3d Models for renderings and animations. These models can also be used to study building geometry/massing and construction sequencing.

• Embedding/linking and extracting of various Information

• Conflict Detection: Identify conflicts amongst various design disciplines for delivering fully coordinated BIM model.

• Detail Library: Drafting details in BIM as a part of the project or as a separate library with customized line weights, hatch patterns, etc.

The design support services include schematic design, design development, construction documentation, structure, MEP/Architectural Information Coordination, conflict identification, CAD systems development, code compliance checks, record drawings, s-built drawings, shop drawings, CAD conversion/rasterisation.

The design support services provide the following advantages to the AEC firms worldwide:

• Allows you to focus on core business rather than production

• Reduce project costs and improve project margins by 50-60%

• Time Zone advantage

• Improvement in the delivery schedule by 40-50%

• Enable you to streamline operations during peak & lean periods

• No infrastructure investments

Providing services in CAD documentation, 3d modelling, Building Information Modelling & Engineering to AEC firms worldwide for various industry segments like:

• Commercial

• Residential

• Hospitality

• Retail

• Corporate

• Healthcare

• Institutional

• Recreational

The Importance of Computer Technology in Setting Up a Project Management System



In the world of globalization, Information system is such where data are collected, classified and put into process interpreting the result thereon in order to provide an integrated series of information for further communicating and analyzing. In a progressively more spirited worldwide atmosphere, Information System plays the role as ‘enabler and facilitator’, which endows with tactical values to the officialdom and considerable step up to the excellence of administration. ‘An Information System is a particular type of work system that uses information technology to detain, put on the air, store, retrieve, manipulate or display information, thereby partisan one or more other work structure’. In totting up to taking sides assessment making, co-ordination and control, information systems may also help managers and workers investigate problems, envisage complex subjects and generate new merchandise or services.

The criteria of operational  systems and the idata management  systems that support analytically pass through at least four phases: a) Introducing the system  of manipulating the need to promulgate  on going operational Management  system b) development of  the process of acquiring and configuring/installing the necessary hardware, software and other resources c) implementation, the process of making new system operational in the organisation, and d) Operation and maintenance, the process concerned with the operation of the system, correcting any problems that may arise and ensuring that the system is delivering the anticipating benefits. The management of these processes can be achieved and controlled using a series of techniques and management tools which, collectively, tend to be known as Structured Management System. Two important methodologies:  PRINCE (Projects IN a Controlled Environment), and SSADM (Structured Systems Analysis and Design Methodology),structured by the Central Computing and Telecommunications Agency (CCTA), are used widely in the UK public sector and in some Developing Countries, like Bangladesh, Pakistan, Nepal etc. Prior to comment on the application of these methods in the Developing Countries, it would be pertinent to describe brief outlines of these methodologies.

It is a significant fact that PRINCE is a project management method; not system development, which covers the organisation, management and control of projects. Since its introduction in 1989, PRINCE has become widely used in both the public and private sectors and is now the UK’s de facto standard for project management. Although PRINCE was originally developed for the needs of IT projects, the method has also been used on many non-IT projects. PRINCE requires a dedicated team to be established to manage and carry out each project. It therefore aims to provide a supporting framework between the current state of affairs and the planned future state. PRINCE focuses attention on end-products rather than activities, ensuring that the organisation actually gets what it wants out of the project. Quality is seen as a necessary and integral part of the project and the focus on end-products enables the criteria by which quality is to be judged to be specified at the outset of the project. It requires the development of a viable “business case” for the project at its outset and that the business case needs to be periodically reviewed.

In PRINCE a project is regarded as having the following characteristics:

 defined and unique set of technical products to meet the business needs

 corresponding set of activities to construct those products

 certain amount of resources

 finite lifespan

 organisational structure with defined responsibilities

In such Management Structured System, an approach to planning based on products rather than activities and the use of this approach for the benefits. It also emphasises that projects needs to define the ‘ shape’ or manageable phases of a project to promote sound business control. Stages are characterised by the production of specific products. The PRINCE model for projects is based on two main principles:

The project is a joint responsibility between users, the developers and the organisation for whose benefit the end-product is being developed

In order for projects to succeed, a special structure is demanded to manage the project throughout its life – from conception through build to handover. This structure is distinct from normal line management.

By Using these principles, the model defines three levels of activity:

Overall project management and major decision making

Day-to-day management

Production of end-products

These three levels of activity are assigned respectively to the Project Board, to the Project and Stage Managers, and to the Technical Teams. The latest version of the method, PRINCE 2, is a process-based approach for project management providing an easily tailored, and scaleable method for the management of all types of projects. Each process is defined with its key inputs and outputs together with the specific objectives to be achieved and activities to be carried out. In the following diagram, the process-based approach is shown:

Structured Management  Process Model

Such Standard Method  provides benefits to the organisation, as well as the managers and directors of the project, through the controllable use of resources and the ability to manage business and project risk more effectively. PRINCE enables projects to have:

 a controlled and organised start, middle and end;

 regular reviews of progress against plan and against Business Case;

 flexible decision points;

 automatic management control of any deviations from the plan;

 the involvement of management and stakeholders at the right time and place during the project;

 good communication channels between the project, project management, and the rest of the organisation.

There is no denying the fact that SSADM is a highly structured and rigorous method of systems development ,was originally developed by Learmonth and Burchett Management System (LBMS) following an investigation by the CCTA into adopting a standard Information System (IS) development method for use in UK government projects. It was launched in 1981 and by 1983 became mandatory for all the government IS developments. This gave SSADM a large toehold in the IS structured methods market.

It is a prerequisite for SSADM that user commitment and involvement are agreed right from the start. It provides a top-down approach, where a high level picture is drawn up and subsequently refined into lower levels of detail. One extremely important concept in SSADM is the distinction between logical and physical views of system components.

The following purpose are generally fulfilled by such important methods.

 Provide a sound platform for communications between analysts, designers and users;

 Reduce errors and gaps in the specification produced

 Improve the quality of software documentation and the productivity of analysts;

 Reduce potential risks by presenting analysts with a structural framework for the use of techniques, and a standard for documentation end-products;

 Provide techniques for checking completeness and accuracy;

 Improve the maintainability of the new systems;

 Reuse staff and skills on other projects;

 Protect investment in analysis and design, and to allow freedom in implementation techniques.

SSADM consists of three main components:

 The structure or framework of an SSADM project

 A set of standard analysis and design techniques

 The products of each technique

The structure of SSADM might appear a little complex at first, but will make more sense as we began to look at the method
in more detail. Following diagram illustrates the breakdown of the life cycle into a hierarchy of modules, stages, steps and tasks.Each module represents a SSADM phase, and is made up of one or two stages. Where a module contains two stages, one will be an analysis or design and the other will be a project decision stage. Each stages is made up of between two to seven steps, which provide the framework for applying and controlling the development techniques. The tasks to be carried out within each step define how the techniques should be used, and specify the required standard of the products output from the step. Following diagram shows the breakdown of SSADM’s modules and stages.The major analysis techniques mainly used are as follows:

 Business Activity Modelling (BAM) – explicitly describes what goes on that part of the business under investigation. The activities are defined from purely a business rather than on IS perspective. Recommended approach to be used in the construction of a BAM may be Soft System Methodology (SSM), Functional Decomposition or Resource Flow Diagrams.

 Logical Data Modelling (LDM), representing system data, is applied throughout the life cycle to provide the foundation of the new system;

 Work Practice Model (WPM) maps business activities onto the organisation structure defining user roles to the underlying business activities.

The key important thing is the end-product. Each step has number of tasks associated with it, most of which lead to the creation or enhancement of standard SSADM products. At the end of an SSADM project the new system will be described by the sum of these products. Products can be divided into three basic groups: Processing, Data and System-User (or Human-Computer) Interface.

By way of substantiating the Information System in developing countries is a complicated virtual process, specially in the public sector. With the growing needs in the information age, and by the pressure from the international donors , big and ambitious projects has been undertaken by the public sector in developing countries . But due to the lack of standard procedures and methodologies for IS development caused many projects to combat problems in the implementation stage. Many projects failed to attain their business needs, as they were too large and highly ambitious. Basic reasons for the project failure in the developing countries can be characterised as the following:

 Solving wrong problem;

 Technology led, not business;

 Lack of major stakeholder involvement;

 Experts lead, rather than facilitate;

 Lack of commitment and hidden agenda;

 Benefits not identified and quantified at outset.

Nowadays, the developing countries are applying both PRINCE AND SSADM methodologies, the project management development techniques, specially designed for IT projects, that are funded by the UK Department for International development (DFID).

4.2 In Bangladesh , private sectors are advancing with IS development , but it is not the identical situation in the public sector. The reasons behind this may be the poor salary structure in the public service, which never give confidence to the prospective talents and system designers to join the public services. Most of the IT projects are donor funded; domestically financed IT projects rarely experience success like the donor projects.

4.3 However, RIBEC (Reforms in Budgeting and Expenditure Control) project, funded by DFID, has been considered as the most successful project in Bangladesh.

At the early stage of RIBEC project (Phase 2), it was observed that, the project was design to develop and modernise the budgeting and accounting system of the government of Bangladesh. The experts mainly dominated that phase, including lots of things to cover. There was lack of stakeholders’ involvement; problems were not recognised at the initial stage. Only a range of high-grade staff in the relevant field was given a general IT training. There was no follow up; no visible product was seen. Benefits were not identified. No system was developed to automate the budgeting and accounting system. So this phase 2 had experienced a massive failure. Having awful experience, the following phase (2A and 2B), a downsized project with specific output targets came up with analysing user requirements. This phase focused on sustainability and proved successful with sustainable solutions especially in the software development for budgeting and accounting Substantive training had been offered to the users of the systems. Stakeholders have been involved in the software development process and the local vendors who will be easily available in the future, developed the systems. Following PRINCE and SSADM as methods for project management and system development, RIBEC project is now considered as a model for other projects which implies the potential scope for applying these methodologies.Financial Management Project for HMG Nepal has been designed to establish a reliable database to ensure user friendly and reliable financial information and to computerise budgetary system. CCTA guidelines for IS strategy including PRINCE and SSADM were followed in developing the system.  In Pakistan, Lahore WASA project experienced badly as the original proposal was too big and not phased project; no analysis of business needs, solution was technology led, benefits were not identified at outset, high risk strategy, questionable long-term sustainability, lack of training facilities and computing skill within organisation etc. So, 2 years’ costs and effort were wasted.

By taking into consideration the UK approach of project management, Lahore WASA claim to be successor and benefits are realised especially in the billing from bimonthly billing to daily billing and reduction in bill production cycle. The main project management approach in the new proposal includes: redefinition of purpose, identify business benefits, prioritise outputs, involvement of stakeholders, DIFID played the role as the facilitator not doer, ownership of solution by stakeholders, use of local consultant etc, phased development, distributed system.

In view of the above it is evident that ‘Information technology and Information systems for what they really are – powerful and valuable tools, but not magic. When applied thoughtfully, these tools can bring important benefits for individuals, organisations, and customers. When misapplied, they can waste tremendous amounts of time, effort, and money’.The USA, a Progressed and well structured country that is economically and technologically advanced, designed PRINCE AND SSADM, to meet their own requirements. It cannot be expected that these structured methodologies would equally suit the resource scarce developing countries. But the above discussions surmise that there is potential scope and rationale for applying PRINCE AND SSADM that would facilitate the developing countries for better project management and system development. But again, these methodologies need not be considered as the “ final conclusive critics”, rather these structural criteria should be used thoughtfully, tailored to manage projects efficiently and to develop effective information systems to cope with the challenge of change Management virtually.