Informatic Technologies|IT Services| Business Case Studies

Develop a Middleware to integrate the customer back office applications with the Trading System.

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Provide new Revenue source by aggregating and publishing market data

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Re-Platform the existing Trading system and achieve higher throughput and deal times to be a market leader

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Extend the Trading system to enable access to large population of customers with least maintenance and delivery costs

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Extend the Trading system to enable Algorithmic trading

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Implementation of Electronic Medical Records (EMR) application, Patient Portal and mobile application for Patient Charts

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Integrating systems for a Smart Grid Network Asset Deployment

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Category:

Enterprise Application Integration

Application/Web Development

Industry:

Energy / Utility

Business Challenge/Situation

A utility company has launched efforts to deploy Smart Grid across its service territory that is expected to transform the way its customers obtain, use, manage and conserve energy in their homes and businesses. Deploying the Smart Grid network assets such as AccessPoints and Relays is the first step towards this goal. The business requirement is to be able to seamlessly integrate all the utility systems – such as asset management, asset design, Smart Grid management and work management systems – to manage the network assets from the time they are shipped to the time that they are deployed in the field.

Implemented Solution:

Created an integrated solution to load the information about shipped network assets to various systems and update the relevant systems with details about the assets as they are deployed to the field. The integration solution is implemented using TIBCO suite of integration products such as Business Works and Enterprise Message Service leveraging SOAP web services with a team led by TIBCO-certified architects and engineers. A portlet is created using Microsoft.NET to load the shipper file data which is then loaded to other systems through various integrations. When a network asset is deployed in the field, the deployment details are entered into the asset management system from where updates are triggered to send the updates over TIBCO EMS to all downstream applications including the Smart Grid management systems. The integration to Smart Grid management system also uploads the GPS co-ordinates of the network assets while updating the system. The development of the integration systems allowed the utility to quickly replicate information to all the disparate systems so that all the systems are in sync and the Smart Grid can be managed effectively.

Results / Benefits:

Supports loading the new Smart Grid network assets into utility’s asset management system.
Integrates the asset design and asset management systems with the new Smart Grid management system.
Uploads GPS co-ordinates to Smart Grid management system based on the pole number where the asset is deployed.
Keeps the Smart Grid systems in sync with the utility’s legacy systems.
Zero maintenance downtime as the integration systems are highly stable with built-in redundancies.

HIPAA 5010/D.0 – Preparation, Implementation and Compliance

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Category:

Quality Assurance/Testing

Business Analysis

Industry:

Healthcare Insurance

Business Challenge/Situation:

Health Insurance Portability and Accountability Act (HIPAA) plays a vital role in safe guarding patient’s privacy and protecting the health information. Its main intention is to economize billions of dollars by altering the complex process of claims administration and payments through a single standard for healthcare transactions.

The blue-chip insurance giant began the process of converting all of its 837 claims (Professional, Institutional and Dental) from HIPAA 4010 to 5010 environment. The compliance deadline for this upgrade is January 1, 2012.

Implemented Solution:

A team of business analysts from across the organization came together to plan and execute the strategy for successfully converting the entire trading partners to 5010 environment before the stipulated deadline. The conversion process began with an intensive scope of work process in which business analysts determined all systems and applications that would be impacted by this upgrade. In addition to the conversion process, this upgrade required extensive collaboration with client’s trading partners and vendors. Additional consultants were hired in order to conduct extensive testing and oversee the quality assurance of the entire project. The entire testing procedure was divided into three phases. Phase 1 testing (checks different levels of compliance set by CMS) was conducted with the help of self-service Validator tool. All of the client’s submitters were provided the access to this tool. Phase 2 testing or Pilot Testing involved testing with selected number of vendors/submitters (Pilots). These Pilots were asked to submit limited number of claims and these claims were run in the QA environment. System testing (Load Testing, Stress Testing, Security Testing, Volume Testing, and Regression Testing) was conducted on a complete, integrated system to evaluate the system’s compliance with its specified requirements. In Phase 3 Testing, all the trading partners/vendors were asked to submit the live production data and these files were run in the Sub-system test environment. Once trading partners successfully completed all the three stages, they were asked to send a live production data in the 5010 environment and the entire activity was monitored very closely in order to identify any discrepancy whatsoever. Large customers were converted to v5010 on all covered transactions in a phased manner followed by rest of the submitters.

Results / Benefits:

Consistency across transactions;
Support of the NPI regulation;
Removal of data content that is no longer used;
HIPAA 5010 will be able to accommodate the forthcoming and mandatory ICD 10-CM and ICD-10-PCS code sets, which are scheduled to be implemented on Oct 1, 2013.

Developing an application based on lab results received in HL7 format

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Medical Software development

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HIPAA 5010/ SCP Implementation

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Category:

Business Analysis and Implementation Specialists

Industry:

Healthcare Insurance (HCSC)

Business Challenge/Situation:

Health Insurance Portability and Accountability Act (HIPAA) plays a vital role in safe guarding patient’s privacy and protecting their health information. Its main intention is to economize billions of dollars by altering the complex process of claims administration and payments through a single standard for healthcare transactions. With the introduction of new procedures for processing HIPAA claims file layout, we implemented the Shared Claims Processing (SCP) Account Implementation process for HIPAA 5010 Roll-Out. The objectives of this implementation process are to ensure all of the SCP Accounts are up-to-date with the new procedures being rolled-out, and to ensure the SCP Accounts have the tools and information they need to be successful.

Implemented Solution:

A team of business analysts from across the organization came together to plan and execute the strategy for successfully converting the entire Labor fund groups to 5010 environment before the stipulated deadline. The conversion process began with an intensive scope of work process in which business analysts determined all systems and applications that would be impacted by this upgrade. In addition to the conversion process, this upgrade required extensive collaboration with client’s labor Fund groups. We developed test plans with defined test scenarios for all systems, interfaces, transactions and reports. The test scenarios needed to be transaction-based and cover both positive and negative test data. The expected results were documented along with actual results.

In this scenario, organizations will need to conduct several layers of testing; internal systems interface, unit testing and end-to-end round trip testing with all Payers, Trading Partners, Clearinghouses, Vendors and Third-Party Administrators. A regression test suite is required in addition to the 5010 test scenarios to validate static data and system functionality. Further testing should be performed on all supported 5010 transactions and test scenarios and data and results should be reviewed and communicated with all involved in data submission, acceptance or processing ensuring expected results are accurate and issues are resolved. Finally, reporting capabilities need to be in place to record and track results that will validate testing activities, provide verification of the 5010 enhancements and serve as the platform to promote version 5010 into production.

Results / Benefits:

Claim processing
Timely claim adjudication
Return of requested benefit information
Accurate claim status inquiries
Accurate payment remittance advice and funds transfers
HIPAA 5010 will be able to accommodate the forthcoming and mandatory ICD 10-CM and ICD-10-PCS code sets, which are scheduled to be implemented on Oct 1, 2013.

Multi-specialty AMB Clinic EMR Implementation

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Category:

Business Development

EMR Implementation (AMB Specialty Clinic Build)

Industry:

HealthCare/Non-Profit

Objective:

Move off of a paper-based medical record and implement an Electronic Medical Record for a multi-specialty AMB clinic of Kettering Health Network.

Business Challenge/Situation:

While implementation in a clinic is a big challenge on its own, we were accommodating two different specialties (Podiatry and Family practice) under one department. Additionally, we had to make special accommodations for the Podiatry clinic workflow and documentation as clinicians were performing in-patient surgeries at a network hospital location that had not gone live with their EMR system, EPIC.

Implemented Solution:

The 200 hours of project time to build the specialty clinics initially consisted of knowledge gathering with site visits, workflow analysis and discussions with clinic staff and physicians. We determined that Podiatry providers had specific documentation needs that needed to be taken into consideration. We designed this clinic using the Family Practice navigators and templates built with Smart Texts specific to the Podiatry clinician and documentation that would be completed through Smart Sets. Our overall processes included building, testing, installing hardware and performing on-site testing. The final step was to provide two weeks of on-site support for the implementation and then “go-live”. Later we provided 24-hour backend support and optimization.

Results / Benefits:

Improved protection of patient records by giving doctors and other clinicians’ access to the records via password code accessibility.
Eliminated information silos and created a streamlined access to up-to-date patient records across all hospitals.
Gained immediate access and review of patient medical records, which significantly reduced the potential for errors and malpractice lawsuits.
Physicians are now able to e-prescribe to pharmacies, which eliminates the task of writing scripts for patients.
Two specialty clinics were set up concurrently with special consideration for the needs of each department, providing a more efficient EMR implementation outcome.

Client Case Studies