This integrated delivery network comprises five hospitals and 20 physician practices, five long-term care facilities, two urgent service medical malls, and an insurance plan covering 3 million lives in the San Francisco area. Strategic imperatives for this IDN include 10% operational cost reductions that are sustainable across business units and market share expansion through virtualization strategies to compete with independent and retail urgent care competitors in the region.

• Informatics Implementation Projects: Your individual project takes the form of an initiative. Choose one informatics implementation initiative from the following list:

o Multihospital Electronic Health Record Implementation (documentation, results, clinical provider order entry [CPOE]; and decision support systems [DSS])

o Practice Management System Clinical Implementation

o Practice Management System Billing, Registration, and Scheduling Implementation

o Materials Management System Implementation

o Personal Health Record (Patient Portal) Implementation

o Clinical Document Improvement (CDI) Software Implementation

Option 2: Star Health Alliance. Consider the following for this scenario:

• This integrated delivery network comprises 20 hospitals; 50 specialty clinics in cardiology, endocrinology, and gastroenterology; three women’s health centers; 200 physician practices; and an insurance plan covering 5 million lives across three different states in the Midwest. Strategic imperatives for this IDN include 10% operational cost reductions that are sustainable across business units and the realization of a 20% improvement in physician practice-based clinical quality metrics specific to wellness activities related to cancer prevention, diabetes risk management, and women’s health.

• Informatics Implementation Projects: Your individual project takes the form of an initiative. Choose one informatics implementation initiative from the following list:

o Practice Management System Clinical Implementation

o Practice Management System Billing, Registration, and Scheduling Implementation

o Telehealth Monitoring Application Implementation

o Personal Health Record (Patient Portal) Implementation

o Personal Health Record (Electronic Visits) Implementation

o Multimedia Patient Education System Implementation

Option 3: Palm Health Care Partners. Consider the following for this scenario:

• This integrated delivery network comprises 10 hospitals, five specialty centers in cardiology and endocrinology, 50 physician practices, 40 senior living communities including five skilled nursing facilities (SNFs), a home health agency, and two insurance plans covering 5 million lives in the Florida–Atlantic coastal area. Strategic imperatives for this IDN include 15% operational cost reductions that are sustainable across business units and improved population health initiatives involving comorbid populations of health plan members, including persons with congestive heart failure (CHF) and diabetes and related comorbidities.

• Informatics Implementation Projects: Your individual project takes the form of an initiative. Choose one informatics implementation initiative from the following list:

o Clinical Document Improvement (CDI) Software Implementation

o Case Management or Population Health Software Implementation

o Claims Management Implementation

o Business Intelligence (Data Warehousing and Visualization) System Implementation

o Home Health Electronic Record Implementation for Clinical and Claims

o Personal Health Record (Patient Portal) Implementation

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