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With the
implementation of meaningful use, large and moderate-sized health care
organizations must find the most adequate methodologies to fit the needs of its
staff and workflows. The HCO is struggling to find the right technology to fulfill
the government mandated meaningful use. Both the staff and practitioners need a
system that fits their needs for clinical documentation (medical records
keeping), e-prescribing, compliance, sharing patient data to external
specialists, handling patient queues, and billing/reimbursement; as well as
being easy to use for office staff, cost effective, fast, and tailored to the
needs of multiple end users.  

This HCO will
be implementing the agile/adaptive system methodology also known as, adaptive
methodology. An agile methodology is defined as a system development method
that attempts to develop a system incrementally, by building a series of
prototypes and constantly adjusting them to user requirements. Hence, it’s
alternative name, ‘adaptive method” (Tilley & Scott, 2017). Agile methods
(also called frameworks) are comprehensive approaches to phases of the software
development lifecycle –  planning, execution, and delivery (Bjork, 2016). The
agile system methodology in this case, was chosen due to its flexibility and
ability to enhance organization wide communication and workflows. According to VersionOne
(2017), roughly 94% of health care organizations practice some form of agile
methodology.

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            According to Tilley & Scott
(2017), the agile method typically uses what’s called a spiral model. A spiral model
is best when working on moderate to large projects that require excessive
planning and management. This model allows developers to make constant
revisions on ongoing prototypes until an acceptable result is achieved. This works
effectively when end users provide feedback on what they need, like, and dislike
about a current prototype. The spiral model is broken up into iterations or phases.

Each phase has a goal that must be changed, accepted, or rejected by the client
(private practice clinicians and staff). According to Tilley and Scott (2017), each
iteration (phase) produces feedback and enhancements needed to improve the overall
product. Typically, each iteration in a spiral model includes planning, risk
analysis, engineering, and evaluation. The repeated iterations produce a series
of prototypes, which evolve into the finished systems.

           

           

The spiral
methodology has various advantages and disadvantages that should be considered
in this scenario.

 

Advantages
of this methodology for this case include:

 

·     
Highly
customizable and flexible

·     
Can be
easily updated or readapted in the future (i.e. HCO expansion)

·     
Transparency
during project development and schedule (i.e. accurate time and cost estimation
for completion)

·     
Stakeholder
engagement

 

Disadvantages
of this methodology include:

 

·     
Costly
implementation

·     
Not useful
in smaller projects

·     
Excessive
documentation

Success is extremely dependent on risk analysis
phase

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