Answers:
Use cases
Use Case 1: When a new user approaches the health case worker at the care foundation, the relevant details are gathered from the user and maintained in the information system (Jones, Rudin, Perry, & Shekelle, 2014). Depending on the needs of the new user, the health worker assigns the case to the appropriate department such as emergency service, diagnostics, etc.
Use case 2: When a family member of the user contacts the health case worker regarding the health service, the worker gathers basic information from the member and maintains them in the new IT system developed. On arrival of the user, the worker further examines the patient and updates other relevant information needed for the health service. After this process the incoming patient is assigned to the appropriate department (Marakas & Marakas, 2007).
Use Case 3: When a new patient with minor symptoms approaches the health case worker in the health foundation, after gathering the basic information, the user is assigned to the available clinician. The clinicians transcripts are then stored in the computer for further access.
Use Case 4: When a family member enrols a new patient with minor symptoms, the health case worker collects basic information and assigns a clinician to examine the new comer. On completion of the service by the clinician, the patient is either released or retained in the centre for further service (World Health Organization, 2015). All the relevant data regarding the health service will be recorded and maintained in the new system.
Use Case 5: When a registered patient approaches the health case worker, after retrieving the relevant information, the incoming patient is assigned to the emergency department. The emergency department, based on the previous records and patient health status, administers the health service and update the health records in the computer.
Use Case 6: When a patient revisits the health worker for a follow up, the health professional examines the progress and records the present status of the patients Depending on the health condition of the outpatient, the health care user is assigned to an appropriate department (Vourlekis, 2017). The medical officers in the respective departments will decide the course of action and the details are entered into the computer (Curtis & Cobham, 2013).
Use Case 7: When the parent of a minor child approaches the health worker regarding the conditions of the patient, the health worker access the records and update the reports presented by the parent. The parent’s concern will be notified to the appropriate department for further action.
A sample use case description
Scenario: A patient undergoing medication has not progressed due to the ineffective drug, and the present condition of the patient demands an emergency care.
Triggering Event: Patient approaches the case worker and reports general uneasiness, pains in certain part of the body and difficulty to carry out normal activities (Weaver, Ball, Kim, & Kiel, 2016).
Brief Description of the process: The patient along with the relevant records approaches the health care worker. The worker accesses the appropriate records from the computer and allows an appointment for examination. During the consulting meeting, the health worker checks health records, examine the current condition of the patient and create a recommendation to an appropriate department. Depending on the schedules of the department, the patient is given an appointment for health services. After the examination by the clinician in the concerned department, the health records of the patient are updated (Lavin, Harper, & Barr, 2015).
Actors: Patient, Case Worker, clinician in the assigned department
Associated use Cases: Use Case 3 is appropriate for the above scenario where the care worker assigns a clinician to the incoming patient.
Preconditions: The patient must be registered with the care institution and has undergone a treatment. For a new patient, this use case will not be appropriate.
Flow of Activities:
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Actor
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System
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1. Patient approaches health worker with a new issue
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1.1 Case is acknowledged, past records retrieved, and new information is appended to the patient’s record
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2. The patient is given an appointment to attend the examination
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2.1 A notification for appointment is generated which will be sent to the patient, case worker and the department
2.2 Appointment is served to the patient with appropriate updating of the records
2.3 The case worker accesses the records of patient and verifies everything is in order before the appointment (Sultan, 2014)
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3. Case worker assigns the case to an appropriate Department
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3.1 On arrival of the patient, the assignment notification is sent to the department with access to relevant records
3.2 The department professional attends the patient , updates records and assigns an appropriate clinician
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4. The Department assigns a clinician for the concerned issue
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4.1 Clinician examines the patient and identifies the medical causes.
4.2 The clinician prescribes suitable medicine and therapy for the patient
4.3 The information regarding the care service is updated in the system
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5. Patient is admitted to the centre or released
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5.1 The clinician either recommends admission to the centre or release with appropriate prescription
5.2 The case worker updates the record of patient in the system and the information goes to the concerned department
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Exceptional conditions and contexts
The patient has not provided sufficient information or details to the health case worker
The clinician did not update the patient record
The case worker is unable to retrieve the previous records or update the current status
The department or clinician cannot retrieve the past records or update the current information
The department or clinician examines the patient but fails to update the information
References
Curtis, G., & Cobham, D. (2013). Business information systems. Harlow, England: Prentice Hall, Financial Times.
Fedder, D. O., Chang, R. J., Curry, S., & Nichols, G. (2003). The effectiveness of a community health worker outreach program on healthcare utilization of west baltimore city medicaid patients with diabetes with or without hypertension. Ethnicity and Disease, 13(1), 22-27.
Jones, S. S., Rudin, R. S., Perry, T., & Shekelle, P. G. (2014). Health information technology: an updated systematic review with a focus on meaningful use. Annals of internal medicine, 160(1), 48-54.
Lavin, M., Harper, E., & Barr, N. (2015). Health information technology, patient safety, and professional nursing care documentation in acute care settings. OJIN: The Online Journal of Issues in Nursing, 20(2).
Mancini, M. A. (2016). Mental Health Treatment Planning: A Dis/Empowering Process. In The Palgrave Handbook of Adult Mental Health (pp. 352-370). Palgrave Macmillan UK.
Marakas, G., & Marakas, G. (2006). Systems analysis & design. Boston: McGraw-Hill/Irwin.
Sultan, N. (2014). Making use of cloud computing for healthcare provision: Opportunities and challenges. International Journal of Information Management, 34(2), 177-184.
Vourlekis, B. (Ed.). (2017). Social work case management. Routledge.
Weaver, C. A., Ball, M. J., Kim, G. R., & Kiel, J. M. (2016). Healthcare information management systems. Cham: Springer International Publishing.
World Health Organization. (2015). Health Worker Role in Providing Safe Abortion Care and Post Abortion Contraception. World Health Organization.
