Chapter 6

Capstone Case: New Century Health Clinic c

Description:

New Century Wellness Group offers a holistic approach to healthcare with an emphasis on preventive

medicine as well as traditional medical care. In your role as an IT consultant, you will help

New Century develop a new information system.

Background

You began the systems analysis phase at New Century by completing a series of interviews, reviewing existing reports, and observing office operations. Then, in Chapter 5, you acquired more information and developed a set of DFDs, process descriptions, and a data dictionary. The next step in the SDLC is to perform an object-oriented analysis of the new system. Before you begin, go back and review the organization chart and processes list from Chapter 1, and the diagrams data store list from Chapter 5. Then complete the following tasks.

Tasks

1. Identify possible use cases and actors, and create a use case diagram for the New Century

Wellness Group system.

2. Select one of the use cases and create a class diagram.

3. Create a sequence diagram for the use case that you selected.

4. Create a state transition diagram that describes typical patient states and how they change

based on specific actions and events.

Solution :

Tasks

1. Identify possible use cases and actors, and create a use case diagram for the New Century Wellness Group system.

Use cases might include Establish New Patient, Make or Change Appointment, Remind Patient, Provide Service, Bill Patient, Handle Insurance Claim, and Update Records.

Actors might include Patient, Provider, Medical Staff, and Office Staff.

A sample diagram for the Make or Change Appointment use case follows:

Name:	Make or Change Appointment
Actor:	Patient/Office Staff
Description:	Describes the process used to make or change an appointment
Successful Completion:	Patient requests new appointment or change Office staff offers available appointments Patient chooses an appointment Office staff adds appointment and cancels changed appointment if needed
Alternative:	Patient requests new appointment or change Office staff offers available appointments Patient chooses not to schedule or change appointment
Pre-Condition:	Patient needs to schedule or change an appointment
Post-Condition:	Appointment is scheduled or changed.
Assumptions:	None

Sample documentation for the Make or Change Appointment use case follows:

Name:	Update records
Actor:	Office Staff/Medical Staff/Patient
Description:	Describes the process of updating patient personal and medical information
Successful Completion:	Office staff receives updated information from patient or medical staff Office staff locates patient records Office staff adds or corrects records Office staff adds appointment and cancels changed appointment if needed
Alternative:	None
Pre-Condition:	Change occurs in patients information
Post-Condition:	Patient records updated to reflect change
Assumptions:	Established patient

Sample documentation for the Remind Patient use case follows:

Name:	Remind Patient
Actor:	Patient/Office Staff
Description:	Describes the process used to remind a patient of an appointment
Successful Completion:	Office staff identifies following weeks appointments Office staff prints reminder postcards Office staff mails postcards and calls patients two days before appointment
Alternative:	None
Pre-Condition:	Patient has scheduled appointment during the following week
Post-Condition:	Patient receives reminder postcard and reminder calls
Assumptions:	Patient has valid mailing address and phone number

Sample documentation for the Establish New Patient use case follows:

Name:	Establish New Patient
Actor:	Patient/Office Staff
Description:	Describes the process used to set up new patient records
Successful Completion:	Office staff provides patient with medical history and insurance billing forms Patient returns completed forms Office staff creates a patient file Office staff adds patient to current list
Alternative:	Office staff provides patient with medical history and insurance billing forms Patient does not complete forms No file is created
Pre-Condition:	Patient requests medical services
Post-Condition:	Patient file is created
Assumptions:	Providers are taking new patients

Sample documentation for the Submit Insurance Claim follows:

Name:	Submit Insurance Claim
Actor:	Office Staff/Insurance Carrier
Description:	Describes the process to submit an insurance claim for covered services
Successful Completion:	Office staff verifies patient insurance carrier and policy number information Office staff prepares claim based on medical codes for services provided Office staff submits claim to insurance carrier
Alternative:	None
Pre-Condition:	Patient has provided evidence of coverage and policy number
Post-Condition:	Claim submitted with identification number
Assumptions:	Patient has insurance